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Troubles musculosquelettiques et risques psychosociaux dans une population de conducteurs ambulanciers hospitaliers
Objectif: L'objectif de notre étude a été de déterminer la prévalence des TMS et des RPS au sein d'une population de conducteurs ambulanciers (CA) d'un centre hospitalier public et d'évaluer les liens entre eux. Méthodologie: Nous avons étudié une population de 65 agents de la Fonction publique, à l'aide d'un hétéro-questionnaire tiré du guide des bonnes pratiques de l'INRS. Les caractéristiques générales des sujets, les plaintes liées aux TMS, le vécu...
Healthy working time arrangements for healthcare personnel and patients
A systematic literature review Background: A number of working time arrangements have been linked to negative consequences for both health personnel and their patients. A common hypothesis put forth to explain these findings suggests that certain working time arrangements lead to negative patient consequences due to the adverse impact they have on employee health. The purpose of this study is to use systematic reviews to investigate whether employee health explains the relationship between working time arrangements and patient safety. Methods: A systematic literature review was performed including...
Short rest between shifts (quick returns) and night work is associated with work-related accidents
Purpose The aim of this study was to examine whether less than 11 h between shifts (i.e., quick returns, QRs) and night shifts is associated with self-reported work-related accidents, near accidents or dozing off at work in a sample of nurses. Methods The study was based on cross-sectional data from 1784 nurses (response rate = 60%; mean age = 40.1 years, SD = 8.4; 91% female). Negative binomial regression analyses were conducted to investigate the association between the shift exposures, and eight different self-reported work-related items on accidents...
Breaking Point: Violence Against Long-Term Care Staff
Direct resident care in long-term care facilities is carried out predominantly by personal support workers and registered practical nurses, the majority of whom are women. They experience physical, verbal, and sexual violence from residents on a regular basis. To explore this widespread problem, fifty-six staff in seven communities in Ontario, Canada, were consulted. They identified such immediate causes of violence as resident fear, confusion, and agitation and such underlying causes as task-driven organization of work, understaffing, inappropriate resident placement, and inadequate time for relational...
The role of collective affective commitment in the relationship between work–family conflict and emotional exhaustion among nurses: a multilevel modeling approach
Work–family conflict (WFC) is a crucial problem in nursing because of the demanding conditions of the job, such as strenuous shifts, physical and emotional workload, and intense patient involvement. Using a multilevel approach, this study investigated the moderating role of collective affective commitment as a protective resource in the relationship between WFC and emotional exhaustion. Source : BMC Nursing , 18(1), 2/18/2019. 10.1186/s12912-019-0329-z
Technologies numériques et travail médico-social : retour d’expérience à partir d’une recherche action formation
Dans le cadre d'un programme de recherche, « Les technologies NUmériques au SERvice des USagers dans les établissements sociaux et médico-sociaux » (NUSERUS, septembre 2015 - décembre 2018), qui a pour objectif de recenser et d'analyser les dispositifs sociotechniques utilisés dans les établissements ou services sociaux ou médico-sociaux (ESSMS), notre réflexion se focalise sur les innovations numériques et sociales qui se développent dans ces organisations. Nous mettons en oeuvre une Recherche Action Formation...
Workplace bullying among healthcare professionals in Sweden: a descriptive study
Workplace bullying is a taboo event which occurs worldwide, although the prevalence varies significantly between and within countries. Nurses have been regarded an occupational risk group for bullying at the work place. Bullying in health and social care contexts is sometimes reported as frequent and, other times, as not occurring, which sparked our interest in mapping the occurrence of bullying in the health and social care system in Sweden. Thus, the purpose of the study was to examine the prevalence of bullying, and to discuss cultural traditions and environmental factors that affect bullying...
Compassion Fatigue in Palliative Care Nursing. A Concept Analysis
Parue dans le Journal of Hospice and Palliative Nursing, cette étude visait à définir la fatigue de compassion dans le contexte des soins infirmiers palliatifs. À la suite de la réalisation d'une revue de la littérature, les auteurs ont été en mesure de proposer une définition du concept. Pour les soins infirmiers palliatifs, la fatigue de compassion a été définie comme étant l'état dans lequel l'empathie et la compassion sont perdues. Cet état est démontré par des...
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...
Relationship between psychosocial strains at the workplace, depression, and cognitive deficiencies
The subject of mental disorders and work is of high priority for occupational safety and health, in particular where job stresses lead to depression and impairment of work ability. Factors potentially contributing to depression and work ability impairment include psychosocial work characteristics (PWC), burnout, cognitive deficits, and aging. Referencing the Job-Demand Resources (JD-R) model, burnout is viewed as mediating the association between PWC and depressive symptoms, but the mediating relationship between PWC and work ability remains to be tested. Further, cognitive deficits may be a marker...
Revue systématique sur les effets du télétravail chez les gestionnaires
Le télétravail représente une option envisageable pour diminuer la surcharge de travail des cadres du réseau de la santé et des services sociaux québécois. Cet arrangement de travail permettrait de se centrer sur des tâches exigeant un plus haut degré de concentration, tout en demeurant disponible pour les équipes de travail. La présente évaluation des technologies et des modes d'intervention (ETMI) a pour but d'identifier les effets du télétravail pour les cadres et de statuer si cette pratique...
Impact of behavior management training on nurses’ confidence in managing patient aggression
Objective The aim of this study was to evaluate the impact of behavior management training on nurses' confidence in managing aggressive patients. Background Nurses are at a high risk of experiencing violence directed toward them by patients. Methods This quality improvement project used a pre-and-post study design. A survey was administered within 1 month before behavior management training and 1 month after training, capturing participants' demographic and work characteristics, as well as their experiences with patient/visitor-perpetrated violence. Confidence was measured using the Confidence...
Short time between shifts and risk of injury among Danish hospital workers
A register-based cohort study Objectives: Short time between consecutive work shifts (quick returns, ie, ≤11 hours between shifts) is associated with sleepiness and fatigue, both of which have been linked to risk of injury. This paper aims to study quick returns between work shifts and risk of injury among Danish hospital workers. Method: The study population included 69 200 employees, primarily working at hospitals, corresponding to 167 726 person years at risk between 2008–2015. Information on working hours was obtained from payroll data in the Danish Working Hour Database and linked...
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...
Z1003.1-F18 - Santé et sécurité psychologiques dans les organismes de services paramédics
Cette norme fournit aux organismes de services paramédics et aux autres intervenants importants des lignes directrices sur les pratiques exemplaires relatives à la détermination et l'appréciation des dangers, de même qu'à la gestion des dangers pour la santé et la sécurité psychologiques (SSP) des organismes de services paramédics et pour promouvoir l'amélioration de la santé et de la sécurité psychologique. Elle s'appuie sur CAN/CSA-Z1003-13/BNQ 9700-803/2013, Santé et sécurité...
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...
When antecedent becomes consequent: An examination of the temporal order of job dissatisfaction and verbal aggression exposure in a longitudinal study
Past research has traditionally examined stressors as predictors and strains as outcomes. However, some recent research has found evidence of reverse causality between various stressors and strains, demonstrating that the relationship between these types of variables may extend beyond the traditional stressor-strain framework. The current study builds upon this past research by examining the temporal direction of the relationship between verbal aggression exposure and job satisfaction. Specifically, through the lens of emotional contagion theory, we suggest that low levels of job satisfaction in...
“Who’s Caring for Us?”: Understanding and Addressing the Effects of Emotional Labor on Home Health Aides’ Well-being
Background and Objectives: Interventions to strengthen the home care workforce focus on workers' economic and physical well-being, without acknowledging the caring labor affecting emotional well-being. Our study examined workers' perceptions of the emotional effects of caring work, coping mechanisms, and desired support. Research Design and Methods: We conducted 4 worker focus groups (n = 27). Moderators cross-checked codes and themes, and aides provided input through report-backs. Results: Building close, trusting relationships with clients was central to aides' emotional well-being...
Extent of compassion satisfaction, compassion fatigue and burnout in nursing
A meta-analysis Aims: A meta-analysis was conducted of the prevalence rates of compassion satisfaction, compassion fatigue and burnout to identify the factors influencing these rates. Background: The extents of compassion fatigue and burnout adversely affect nursing efficiency. However, the reported prevalence rates vary considerably. Methods: Data were acquired from electronic databases. Random effects meta-analyses were performed to obtain pooled estimates of the prevalence rates of compassion satisfaction, compassion fatigue and burnout and their respective instrumental scores. Meta-regression...
Impact of shift work on the diurnal cortisol rhythm
A one-year longitudinal study in junior physicians Background: Cumulative epidemiological evidence suggests that shift work exerts harmful effects on human health. However, the physiological mechanisms are not well understood. This study aimed to examine the impact of shift work on the dysregulation of the hypothalamic-pituitary-adrenal axis, i.e. diurnal cortisol rhythm. Methods: Seventy physicians with a mean age 30 years participated in this one-year longitudinal study. Working schedules, either shift work or regular schedules with day shift, were assessed at baseline. Salivary cortisol samples...
Determinants of Workplace Injuries and Violence Among Newly Licensed RNs
Workplace injuries, such as musculoskeletal injuries, needlestick injuries, and emotional and physical violence, remain an issue in U.S. hospitals. To develop meaningful safety programs, it is important to identify workplace factors that contribute to injuries. This study explored factors that affect injuries in a sample of newly licensed registered nurses (NLRNs) in Florida. Regressions were run on models in which the dependent variable was the degree to which the respondent had experienced needlesticks, work-related musculoskeletal injuries, cuts or lacerations, contusions, verbal violence, physical...
Organizational Determinants of Workplace Violence Against Hospital Workers
Objective: To identify organizational factors contributing to workplace violence in hospitals. Methods: A questionnaire survey was conducted in 2013 among employees in a Midwestern hospital system (n = 446 respondents). Questions concerned employees' experiences of violence at work in the previous year and perceptions of the organizational safety climate. Logistic regressions examined staff interaction and safety climate factors associated with verbal and physical violence, respectively. Results: Interpersonal conflict was a risk factor for verbal violence (OR 1.49, 95% CI 1.04 to 2.12, P <...
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...
Aggression in mental health residential facilities
A systematic review and meta-analysis Objectives: To estimate the prevalence of aggression exhibited by patients living in community residential facilities and to identify risk factors for such aggression. Methods: A systematic review with meta-analysis was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) dataset (registration number: CRD42016042475). PubMed, Scopus and Web of Science were searched for studies published prior to February...
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