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Une forme de gestion désincarnée de l’activité
L'exemple d'une formation en santé et sécurité du travail destinée aux préposés aux bénéficiaires au Québec Cet article a pour objectif d'illustrer les limites d'un mode de gestion désincarné de l'activité réelle de travail. Nous prenons l'exemple d'un mode de gestion « top-down » d'une formation en santé au travail destinée aux préposés aux bénéficiaires travaillant dans les organisations gériatriques au Québec...
Une démarche paritaire de prévention pour contrer les effets du travail émotionnellement exigeant dans les centres jeunesse
Certains secteurs d'activité sont particulièrement touchés par des problèmes qui affectent la santé et la sécurité des travailleurs. C'est le cas, entre autres, des centres jeunesse où le travail est généralement caractérisé par une demande émotionnelle élevée, attribuable aux contacts fréquents avec des enfants et des familles en crise, et par le manque de ressources nécessaires pour gérer cette demande émotionnelle. On reconnaît d'ailleurs de plus...
Développement de la santé au travail: complémentarité de l’analyse de l’activité et des représentations du risque
Retours sur un dispositif de conception participative de l'organisation du travail en présence de risque biologique en milieu hospitalier Cet article illustre la diversité des potentialités de la psychologie du travail et de l'ergonomie, en se basant sur une recherche-action conduite en milieu hospitalier, mobilisant une complémentarité de pratiques. Dans un contexte de conception organisationnelle de situations de travail présentant un risque biologique, l'étude vise à concilier les enjeux de prévention des risques professionnels...
What could make a difference to the mental health of UK doctors?
A review of the research evidence Doctors are at considerable risk of work-related stress, burnout and mental health problems such as depression and anxiety. The risk is greater than that of the general working population and is increasing over time in line with the growing demands and complexity of the job, a faster pace of work and diminishing resources. The risk of suicide, especially among general practitioners, psychiatrists and trainees, and among women, is high compared to the general population. General practitioners are more vulnerable to burnout (particularly emotional exhaustion), work...
De-escalation techniques for managing non-psychosis induced aggression in adults
Background: Aggression occurs frequently within health and social care settings. It can result in injury to patients and staff and can adversely affect staff performance and well-being. De-escalation is a widely used and recommended intervention for managing aggression, but the efficacy of the intervention as a whole and the specific techniques that comprise it are unclear. Objectives: To assess the effects of de-escalation techniques for managing non-psychosis-induced aggression in adults in care settings, in both staff and service users. Source: Spencer, S., Johnson, P. et Smith, I. C. (2018...
Effectiveness of a digital platform-based implementation strategy to prevent work stress in a healthcare organization
A 12-month follow-up controlled trial A digital platform-based implementation strategy showed potential for preventing stress among healthcare workers. The experimental group showed a slight decline in stress, and the control group showed an increase in stress during follow-up. No differences were found for determinants of work stress and level of implementation. Source: Havermans, B. M., Boot, C. R., Brouwers, E. P., Houtman, I. L., Heerkens, Y. F., Zijlstra-Vlasveld, M. C., ... et van der Beek, A. J. (2018). Scandinavian journal of work, environment & health . http://dx.doi.org/ 10.5271/sjweh...
Knowledge and practice of waste management among hospital cleaners
Background: Poor knowledge and practice of waste management among hospital cleaners is a significant occupational and public health risk which could be improved by better training. Aims: To assess private hospital cleaners' knowledge and practice of hospital waste management and the association with training. Methods: A cross-sectional study using an interviewer-administered structured questionnaire was undertaken. The questionnaire was designed to record demographics, assess knowledge and assess self-reported practice and training by private hospital cleaners in Etiosa in Nigeria. Results...
Enhancing the detection of injuries and near-misses among patient care staff in a large pediatric hospital
Objective: Compared to other industries, healthcare has one of the highest rates of non-fatal occupational injury/illness. Evidence indicates these rates are underestimated, highlighting the need for improved injury surveillance. This study aims to demonstrate the feasibility of integrating active data collection in a passive injury surveillance system to improve detection of injuries in a healthcare establishment. Methods: Using digital voice recorders (DVR), pediatric healthcare providers prospectively recorded events throughout their shift for two weeks. This sample-based active injury surveillance...
Job burnout in mental health providers
A meta-analysis of 35 years of intervention research Burnout is prevalent among mental health providers and is associated with significant employee, consumer, and organizational costs. Over the past 35 years, numerous intervention studies have been conducted but have yet to be reviewed and synthesized using a quantitative approach. To fill this gap, we performed a meta-analysis on the effectiveness of burnout interventions for mental health workers. We completed a systematic literature search of burnout intervention studies that spanned more than 3 decades (1980 to 2015). Each eligible study was...
Effect of Mindfulness-Based Stress Reduction Training on Health Care Worker Safety
A Randomized Waitlist Controlled Trial Objective: The study assessed the impact of mindfulness training on occupational safety of hospital health care workers. Methods: The study used a randomized waitlist-controlled trial design to test the effect of an 8-week mindfulness-based stress reduction (MBSR) course on self-reported health care worker safety outcomes, measured at baseline, postintervention, and 6 months later. Conclusions: Mindfulness training may potentially decrease occupational injuries of health care workers. Source: Valley, M. A., & Stallones, L. (2017). Journal of Occupational...
Nursing student evaluation of NIOSH workplace violence prevention for nurses online course
Introduction: As primary targets of workplace violence in health care settings, nurses may suffer negative physical and psychological consequences. NIOSH created an online course to educate nurses about violence prevention techniques. Method: A mixed-methods approach assessed workplace violence awareness and knowledge among nursing students. A pre/post/post-test survey and focus group discussions evaluated participant awareness and knowledge, assessed course design, and solicited recommendations for increasing participation and strategies for improving message retention. Results: The mean awareness...
Vers l’amélioration des services et des soins palliatifs de fin de vie
Adapter et implanter des programmes de soutien en milieu de travail et évaluer leur effet sur la satisfaction, le sens au travail et le bien-être des infirmières (SATIN II) Le projet SATIN II propose l'étude de quatre programmes de soutien en milieu de travail. Ces initiatives ont pour but l'amélioration de la satisfaction et du bien-être au travail ainsi que la diminution des FRPS chez des infirmières et des cliniciens qui assurent les SFV. La démarche est guidée par les recommandations du Medical Research Council (MRC-UK) afin...
Interventions to prevent and reduce physician burnout
A systematic review and meta-analysis Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians. The consequences are negative effects on patient care, professionalism, physicians' own care and safety, and the viability of health-care systems. A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary. Source: West, C. P., Dyrbye, L. N., Erwin, P. J., & Shanafelt, T. D. (2016). The Lancet . http://dx.doi.org/10.1016/S0140...
Job Burnout in Mental Health Providers
A Meta-Analysis of 35 Years of Intervention Research Burnout is prevalent among mental health providers and is associated with significant employee, consumer, and organizational costs. Over the past 35 years, numerous intervention studies have been conducted but have yet to be reviewed and synthesized using a quantitative approach. To fill this gap, we performed a meta-analysis on the effectiveness of burnout interventions for mental health workers. We completed a systematic literature search of burnout intervention studies that spanned more than 3 decades (1980 to 2015). Each eligible study was...
Musculoskeletal Injury Prevention for New Nurses
Nurses continue to sustain musculoskeletal injuries even with increased emphasis on safe patient handling and mobility (SPHM) and organizational cultures of safety to protect health care workers. Analysis of data from 2011-2014 registered nurse graduates explored hospital safety culture, SPHM education/training, and incidence of new-nurse musculoskeletal injury. Results indicated hospitals provided some type of SPHM education and training, but 46% of study participants were not informed or aware of national SPHM standards or guidelines. Merely 13.9% of participants stated a written “no manual...
Ehpad : conception et rénovation
Avec l'allongement de la durée de vie et le vieillissement de la population, se pose la question de la prise en charge des personnes âgées, notamment celles devenues dépendantes. De nombreux Ehpad (établissements d'hébergement pour personnes âgées dépendantes) existent déjà et il s'en construit régulièrement en France. Que ce soit lors de la rénovation de l'existant ou à l'occasion de la conception des nouveaux, le sujet de la prévention des risques professionnels pour...
Caring for Yourself While Caring for Others
Caring for Yourself While Caring for Others is a free and active curriculum to assist trainers in meeting the health and safety training needs for homecare workers and to enhance communication between homecare workers and their clients. The activities in this curriculum are designed to encourage participants in promoting safe and healthy work environments–for their clients and for themselves. Source: http://www.cdc.gov/niosh/docs/2015-102/default.html
Preventing occupational stress in healthcare workers
Healthcare workers suffer from work-related or occupational stress. Often this is because healthcare workers face high expectations and they may not have enough time, skills and social support at work. This can lead to severe distress, burnout or physical illness. In the end, healthcare workers may be unable to provide high quality healthcare services. Stress and burnout can also be costly because affected healthcare workers take sick leave and may even change jobs. We evaluated how well different ways to prevent healthcare workers' stress or burnout work. Source: Ruotsalainen JH, Verbeek JH...
Occupational exposure to maternal death
Psychological outcomes and coping methods used by midwives working in rural areas AIM: to explore the psychological outcomes of occupational exposure to maternal death and the coping methods used by midwives working in rural areas. BACKGROUND: maternal deaths are common in rural areas of developing countries because of the shortages of human and other resources needed for maternity services. When maternal deaths occur, midwives often experience emotional distress while striving to perform their work. This may have a negative impact on their well-being. METHODS: Descriptive design. A self-administered...
Impact of Organizational Policies and Practices on Workplace Injuries in a Hospital Setting
Objective: This study aimed to assess relationships between perceptions of organizational practices and policies (OPP), social support, and injury rates among workers in hospital units. Methods: A total of 1230 hospital workers provided survey data on OPP, job flexibility, and social support. Demographic data and unit injury rates were collected from the hospitals' administrative databases. Results: Injury rates were lower in units where workers reported higher OPP scores and high social support. These relationships were mainly observed among registered nurses. Registered nurses perceived coworker...
La souffrance au travail des soignants
Une analyse des conséquences délétères des outils de gestion L'évolution des réformes hospitalières conduit désormais les établissements de santé à être jugés sur la production de leur activité de soins et la performance économique obtenue par celle-ci. De ce fait, les soignants sont confrontés à des paradoxes souvent difficiles à dénouer performance économique versus qualité, cadres réglementaire et normatif versus personnalisation de la prise...
Getting better and Staying better: Assessing civility, incivility, distress, and job attitudes one year after a civility intervention.
Health care providers ( n = 1,957) in Canada participated in a project to assess an intervention to enhance workplace civility. They completed surveys before the intervention, immediately after the intervention, and one year later. Results highlighted three patterns of change over the three assessments. These data were contrasted with data from control groups, which remained constant over the study period. For workplace civility, experienced supervisor incivility, and distress, the pattern followed an Augmentation Model for the intervention groups, in which improvements continued after the end...
Unité de soins critiques (USC) – Centres hospitaliers de soins de courte durée
Répertoire des guides planification immobilière L'USC (soins intensifs, intermédiaires et coronariens) est un lieu géographique distinct dans un établissement où sont regroupés les patients instables ou à risque d'instabilité dus à des problématiques multiorganiques simples ou multiples, médicales ou chirurgicales. La prestation des soins critiques requiert un soutien1 humain et technique, fiable et performant. Les patients nécessitent des soins spécialisés, dispensés par des...
Conception et rénovation des EHPAD
Bonnes pratiques de prévention Ce guide s'adresse à l'ensemble des acteurs d'un projet de construction, d'extension ou de réhabilitation d'établissement d'hébergement pour personnes âgées dépendantes (Ehpad). Il a pour objectif d'aider les différents acteurs à intégrer la prévention des accidents du travail et des maladies professionnelles dès la programmation du projet. Ce guide ne constitue pas un référentiel normatif ou réglementaire. Ses préconisations...
Role of psychological empowerment in the reduction of burnout in Canadian healthcare workers
In this study, we investigated the role of psychological empowerment as a protective factor for burnout among workers exposed to work-related stressors (e.g. daily hassles, overload, job changes). A cross-sectional questionnaire study was conducted, with a convenience sample of 401 healthcare workers. Hierarchical multiple regressions were performed to test main and moderating effects of empowerment cognitions. Results revealed partial support for the hypotheses. Only the job meaningfulness cognition exerts a beneficent main effect on all burnout symptoms beyond the effect of stressors. Some moderating...
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