The impact of night shift work on breast cancer

Results from the Burden of Occupational Cancer in Canada Study
Background: We estimated the proportion and number of female breast cancer cases in Canada attributable to night shift work, a probable cause of breast cancer.
Methods: Levin's equation was used to calculate population attributable fractions (PAFs) among Canadian women who ever worked night/rotating shifts from 1961 to 2000, accounting for labor turnover and survival to the year 2011. The calculated PAFs were applied to 2011 Canadian breast cancer incidence statistics to obtain the number of attributable cases.
Results: Approximately 1.5 million women ever worked night/rotating shifts during 1961-2000 and survived to 2011. The PAFs ranged from 2.0% (95% confidence interval [CI]: 1.4-6.2) to 5.2% (95% CI: 3.7-13.6), and 470 to 1200 incident breast cancer cases in 2011 were likely due to shift work, of which 38% would have been diagnosed among women in health-related occupations.
Conclusions: More research is needed to increase the certainty of this association, but current evidence supports workplace-based prevention.

Source: Pahwa, M., Labrèche, F., Kim, J., Harris, M. A., Song, C., Peters, C. E., ... et Demers, P. A. (2019). American Journal of Industrial Medicine.
https://doi.org/10.1002/ajim.22999

Le rôle futur des mégadonnées et de l’apprentissage automatique dans l’amélioration de l’efficacité des inspections de santé et de sécurité

Cet article examine la manière dont les inspections du travail pourraient utiliser les mégadonnées afin de déterminer efficacement les cibles des inspections de santé et de sécurité. Il expose la manière dont les autorités déterminent actuellement les objets des inspections et utilisent les nouvelles technologies numériques afin de recenser les entreprises à haut risque.
L’article passe en revue des exemples de technologies pertinentes mises en pratique, notamment un outil développé par l’Autorité de l’inspection du travail norvégienne qui semble cibler les entreprises à haut risque avec un degré de précision considérable.
Il recense les défis à relever et conclut qu’une association de l’intelligence artificielle et de l’intelligence humaine sera probablement la solution idéale pour le ciblage fondé sur les risques.

Source: https://osha.europa.eu/fr/tools-and-publications/publications/future-role-big-data-and-machine-learning-health-and-safety/view

Clinical guideline for the diagnosis and management of work-related mental health conditions in general practice

Work related mental health conditions are the second most common cause of workers’ compensation, however, these conditions are typically challenging to diagnose and treat. In Australia, most injured workers seek care from their general practitioner (GP).
The Clinical guideline for the diagnosis and management of work-related mental health conditions (the Guideline) has been developed to assist GPs with the diagnosis and management of work-related mental health conditions. The guideline recommendations were approved by the National Health and Medical Research Council (NHMRC) in late 2018. It is endorsed by the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM).

Source: https://www.monash.edu/medicine/spahc/general-practice/work-related-mental-health-guideline

Working conditions and workers' health

This report uses European Working Conditions Survey data to examine working conditions and their implications for worker's health. Ensuring the sustainability of work in the context of ageing populations implies a greater number of people in employment who can remain in the workforce for longer. The report examines the interplay between work demands – which carry an increased risk of exhaustion – and work resources – which support workers in greater engagement and well-being. The findings indicate that physical risks have not increased but remain important, while emotional demands have increased, underlining the growing importance of psychosocial risks at work. Changes over time suggest that although the risk of poor health is concentrated in certain occupations, those occupations traditionally considered to be protected are increasingly exposed to risks that are likely to affect workers' health and well-being.

Source: https://www.eurofound.europa.eu/fr/publications/report/2019/working-conditions-and-workers-health

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 published reviews and original studies from MEDLINE, PsycINFO, Cinahl and Web of Science investigating working time arrangements for healthcare personnel, employee health and patient safety. In addition, we screened reference lists of identified reviews. Two reviewers independently identified relevant publications according to inclusion criteria, extracted findings and assessed quality.
Results: Six thousand nine hundred thirty papers were identified, of which 52 studies met our criteria. Articles were categorized into five groups according to how they approached the research question: 1) independent analyses of relationship between working time arrangements and employee health, and of working time arrangements and patient safety (5 studies); 2) relationship between working time arrangements on both employee health and patient safety (21 studies); 3) working time arrangements and employee health as two explanatory variables for patient safety (8 studies); 4) combinations of the above analyses (7 studies); 5) other relevant studies (5 studies). Studies that find that working time is detrimental to employee health, generally also find detrimental results for patient safety. This is particularly shown through increases in errors by health personnel. When controlling for employee health, the relationship between working time arrangements and patient safety is reduced, but still significant.
Conclusions: Results suggest that employee health partially (but not completely) mediates the relationship between working time arrangements and patient safety. However, there is a lack of studies directly investigating employee health as a mediator between working time arrangements and patient safety. Future studies should address this research gap.

Source: Bernstrøm, V. H., Alves, D. E., Ellingsen, D. et Ingelsrud, M. H. (2019). BMC health services research, 19(1), 193.
https://doi.org/10.1186/s12913-019-3993-5

Risk Perception Key to Workplace Safety and Health

A recent study of 1,334 workers from 20 mine sites found that miners who avoid risk were less likely to experience near-miss incidents, according to a paper published in the Journal of Loss Prevention in the Process Industries. Why is it important to know about near-miss incidents? Previous NIOSH research showed that the likelihood of future injury may increase with the number of near misses. A near miss, otherwise known as a “close call,” is an occurrence that could have caused harm but did not. In high-risk occupations, near-miss incidents must be reported. Risk management, including near-miss reporting, serves as an integral part of workplace safety and health, particularly in hazardous industries such as mining and chemical processing. Near-miss reports do not necessarily reveal the role that workers' attitudes play in risk-related behavior. To understand this relationship, NIOSH researchers recently surveyed mine workers to compare their attitudes towards risks and their feelings of personal control over events—defined as “locus of control”—with their individual likelihood of risk avoidance. Researchers found a strong relationship between near misses and attitudes toward risk and locus of control.

Based on published studies, researchers developed a survey of specific attitudes toward safety and health. The survey included statements such as whether or not workers put safety first and prefer to avoid risks, or whether they consider themselves regular risk-takers. Respondents were asked to rate these statements from 1 to 6 on the commonly used Likert scale. In addition, respondents reported their frequency of experiencing near miss incidents in the preceding 6 months, and the researchers confirmed near misses with mining company reports. Most respondents were males and ranged in age from 18 to 54. The in-person surveys occurred between April 2015 and April 2017.

Source : Haas, E.J. , Lorio, P.L. (2019). Journal of Loss Prevention in the Process Industries, 59, 91-99. https://doi.org/10.1016/j.jlp.2019.03.005

Évolution 2010-2018 du burnout en Belgique et intérêt de l’utilisation conjointe de deux outils de diagnostic

Le projet se structure en différentes étapes :
- Établir une revue de la littérature scientifique des cinq dernières années sur le burnout et les troubles mentaux associés (stress, dépression, workaholisme, fatigue chronique, fibromyalgie, brown-out, bore-out) ;
- Faire le point sur des concepts fortement médiatisés comme le bore-out ou le brownout;
- Mesurer l'ampleur du burnout dans la population belge ;
- Adapter l'outil à l'intention des médecins permettant d'aider à la détection précoce du burnout.
Au niveau de la revue de la littérature scientifique, le présent rapport comprend (1) une actualisation de la définition du burnout, (2) une synthèse des causes, manifestations et conséquences du burnout, avec un focus sur le modèle théorique du burnout, le ‘Job Demands-Resources Model' (modèle JD-R), (3) les différentes outils auto-rapportés permettant de mesurer du burnout, (4) une revue des possibilités de prévention et d'intervention face au burnout, (5) une actualisation des éléments permettant le diagnostic différentiel du burnout par rapport à d'autres troubles de psychopathologie générale ou de psychopathologie du travail. La
partie empirique du rapport comprend (6) une description de la méthodologie permettant (7) une analyse comparative 2010-2018 des cas de burnout récoltés en consultation de médecine générale et de médecine du travail et (8) une analyse de l'intérêt d'une utilisation conjointe de deux outils de diagnostic de burnout, i.e. le jugement clinique des médecins et l'évaluation autorapportée par les travailleurs, et enfin (7) une courte discussion. Les versions actualisées de l'outil de détection précoce ainsi que du guide d'utilisation sont annexées à cette synthèse.

Source: http://www.emploi.belgique.be/moduleDefault.aspx?id=45872

A meta-analysis of the relationship between ageing and occupational safety and health

Existing studies show contradictory evidence on the relationship between ageingand occupational safety and health (OSH). The present study presents a systematic review of international research on age-related occupational accident risks for the last 30?years using meta-analysis technique. A summary of odds ratios on occupational risk incidence of older workers versus younger workers were grouped by outcome of occupational accidents. Potential moderators that could influence the relationship of ageing and OSH were analysed. Results showed that older workers are more vulnerable than younger workers in the workplace. The occurrence of severe/fatal accidents among older workers is twice as much as that of younger ones. However, the incidence of non-fatal accident among older workers is slightly (5.8%) lower than that of younger workers. Occupation and measurement of accidents are two important moderators that significantly influence the relationship of ageing and OSH. The results here show the need to promote OSH management specifically for older workers and have profound implications for planning work for an ageing workforce.

Source : Safety Science (2019), 112, 162-172 https://doi.org/10.1016/j.ssci.2018.10.030


Le stress au travail : du paradigme des risques psychosociaux à celui de la qualité de vie au travail

Une recherche-action utilisant trois modèles classiques du stress au travail nous a permis de vérifier l'impact sur les résultats obtenus du choix du modèle et du paradigme : risques psychosociaux versus qualité de vie au travail. Quatre cent trente-six salariés de la grande distribution ont répondu à un questionnaire incluant ces trois mesures du stress, les conséquences (satisfaction, fatigue) et une cause possible (tensions de rôle). Nos résultats valident les hypothèses de différences significatives des niveaux de prévalence du stress selon le modèle, comme des liens avec le facteur et les conséquences, ainsi que l'importance de la perception de stress pour expliquer le vécu négatif.

Source : Psychologie du travail et des organisations, (2019), 25(2), 86-99. https://doi.org/10.1016/j.pto.2018.11.002

Conflits de valeurs et exigences émotionnelles

Ce numéro de Synthèse.Stat' présente les résultats de l'enquête Conditions de travail – Risques psychosociaux de 2016 concernant les indicateurs relatifs aux conflits de valeurs et aux exigences émotionnelles.

Ce volume recouvre deux des six axes d'analyse des risques psychosociaux construits par le collège d'expertise sur le suivi statistique des risques psychosociaux au travail1 : les conflits de valeurs (axe 5) et les exigences émotionnelles (axe 2). Les exigences émotionnelles couvrent non seulement la partie qui porte le même nom dans le présent volume, mais aussi les difficultés dans les relations avec le public qui sont abordées dans le volume concernant les rapports sociaux au travail.

Source : https://dares.travail-emploi.gouv.fr/dares-etudes-et-statistiques/etudes-et-syntheses/synthese-stat-synthese-eval/article/conflits-de-valeurs-et-exigences-emotionnelles

Psychosocial Work Conditions and Mental Health: Examining Differences Across Mental Illness and Well-Being Outcomes

Objectives  Psychosocial work conditions are determinants of mental illness among worker populations. However, while the focus on negative aspects of mental health has generated important contributions to the development of workplace interventions, there is less evidence on the factors that support the positive aspects of mental well-being. This study aimed to examine the association between psychosocial work conditions and mental health Outcomes among a representative sample of Canadian workers; and to assess whether the relationships are consistent across measures of mental illness versus mental well-being.

Methods  Population-based data were obtained from the cross-sectional 2012 Canadian Community Health Survey. Psychosocial work conditions were measured using an abbreviated version of the Job Content Questionnaire. For mental illness, we focused on major depressive episodes, generalized anxiety disorders, and bipolar disorders in the past 12 months, as measured using Composite International Diagnostic Interview criteria. Mental well-being was defined as having flourishing mental health, based on items from the Mental Health Continuum—Short Form. Regression models provided odds ratios (ORs) and fitted probabilities for the relationship between work conditions and mental health, adjusting for covariates. 

Results  Higher levels of job controlsocial support, and job security were associated with being free of disorders (ORs ranging from 1.08 to 1.15) as well as having flourishing mental health (ORs ranging from 1.10 to 1.14). Lower physical effortwas associated with decreased odds of having flourishing mental health (OR 0.89). Psychological demands were not associated with any of the mental health outcomes in the fully-adjusted models. The overall pattern of these relationships was consistent across the two outcome models, although there was evidence of heterogeneity on the absolute probability scale. Specifically, there was a relatively stronger relationship between job control/social support/physical demands and well-being outcomes, compared with disorder outcomes.

Conclusions  Psychosocial work conditions were associated with both negative and positive measures of mental health. However, mental illness and mental well-being may represent complementary, yet distinct, aspects in relation to psychosocial work conditions. Interventions targeting the psychosocial work environment may serve to improve both of these dimensions, although the measurement and examination of specific dimensions may be required to obtain an integrated and comprehensive understanding of mental health in the workplace.

Source : Annals of Work Exposures and Health (2019), 63(5), 546–559,https://doi.org/10.1093/annweh/wxz028

Rest breaks from work: Overview of regulations, research and practice

This report addresses the rarely discussed issue of rest breaks at work across the European Union. Based on input from the Network of Eurofound Correspondents, it reveals some of the complexities involved in defining whether such breaks should be paid or unpaid, how long they should be and where they should be taken. The report compares different approaches among Member States, gives examples of judicial rulings, highlights some types of work that attract special consideration and looks into causal relationships between breaks, health and performance at work. When rest breaks are of an appropriate duration and appropriately scheduled, they can reduce some of the harmful effects of work on health and well-being while contributing to improved performance and productivity.

Source: http://eurofound.link/ef19018  

L’intensification du travail, et l’intensification des changements dans le travail : quels enjeux pour les travailleurs expérimentés ?

Cet article examine, sur la base de recherches en ergonomie, en psychologie du travail et en démographie du travail, les enjeux de la confrontation entre deux tendances en cours : le vieillissement structurel de la population au travail d'une part, l'intensification du travail et celle des changements dans le travail d'autre part. Cette analyse comporte un rappel des constats sur ces évolutions elles-mêmes, et une synthèse des connaissances sur les difficultés que l'intensification du travail, ou celle des changements, peut provoquer pour les travailleurs vieillissants, mais aussi sur les stratégies opératoires qu'ils peuvent élaborer, sur la base de leur expérience, afin de maîtriser au mieux ces contraintes.

Source : https://veille-travail.anact.fr/osiros/result/notice.php?queryosiros=id:97927&referer=home&referer=home

Occupational safety and health interventions to protect young workers from hazardous work – A scoping review

Abstract

Occupational injury rates are higher among young people when compared to older age groups.
Objective Identifying preventive occupational safety and health interventions that aim at protecting young workers from hazards at work while considering their ongoing physical and mental maturation.
Methods We ran a sensitive search strategy in twelve electronic databases to locate studies. Two review authors independently screened titles and abstracts, and later full texts for eligibility. One person extracted the details of studies and another checked for errors. Data were analyzed in an iterative process.
Results We included 39 studies. Three studies evaluated environmental interventions, 29 evaluated behavioral, one evaluated clinical and six combined more than one type of intervention. Developmental characteristics of young workers that could contribute to risk were addressed in 13 studies. Thirty-five studies were from high income countries, one was from an upper middle-income country and three were from lower middle- income countries. We found no studies from low income countries.
Conclusions There is a dearth of evidence when it comes to evaluating interventions in low and lower middle income countries and adapting interventions developed in high income countries to the needs of low and middle income ones. A higher and more integrated participation of young workers themselves, parents and other key social actors such as policy makers, employers and occupational safety and health regulators is required to optimally protect young workers. We recommend developing and evaluating interventions that specifically address the risks that youth face at work due to their ongoing developmental process. Further we need systematic reviews of the interventions identified in this review such as for young workers in the service sector.

Source : Safety Science (2019) 113, 389-403   https://doi.org/10.1016/j.ssci.2018.11.024

 

Quebec Serve and Protect Low Back Pain Study: What About Mental Quality of Life?

Background As of now, the impact of low back pain (LBP) and its chronic state, chronic low back pain (CLBP), on mental health-related quality of life (HRQOL) has never been investigated among police officers. The present investigation aims at studying this relationship using a biopsychosocial model.

Methods Between May and October 2014, a Web-based cross-sectional study was conducted among Quebec police officers (Quebec, Canada). Mental HRQOL was measured using the role emotional (RE) and the mental health (MH) domains of the SF-12v2 Health Survey. The impact of CLBP on mental HRQOL (as opposed to acute/subacute LBP or no LBP) was studied with a multivariate linear regression model.

Results Our results underscore how frequent CLBP is among police officers and how burdensome it is. Considering the importance of good physical and mental health for this occupational population, police organizations should be aware of this issue and contribute to the efforts toward CLBP prevention and management in the workplace. 

Conclusion Our results underscore how frequent CLBP is among police officers and how burdensome it is. Considering the importance of good physical and mental health for this occupational population, police organizations should be aware of this issue and contribute to the efforts toward CLBP prevention and management in the workplace

Source : Douma, N.B., Côté, C. et Lacasse, A. (2019). Safety and Health at Work, 10, (1), 39-46. https://doi.org/10.1016/j.shaw.2018.08.006

Occupational Safety and Health Among Young Workers in the Nordic Countries: A Systematic Literature Review

This review aimed to identify risk factors for occupational accidents and illnesses among young workers in the Nordic countries and to attain knowledge on specific vulnerable groups within the young working force that may need special attention. We conducted a systematic review from 1994 to 2014 using five online databases. Of the 12,528 retrieved articles, 54 met the review criteria and were quality assessed, in which data were extracted focusing on identifying occupational safety, health risk factors, and vulnerable groups among the young workers. The review shows that mechanical factors such as heavy lifting, psychosocial factors such as low control over work pace, and organizational factors such as safety climate are all associated with increased injury risk for young Nordic workers. Results show that exposures to chemical substances were associated with skin reactions, e.g., hand eczema. Heavy lifting and awkward postures were risk factors for low back pain, and high job demands were risk factors for mental health outcomes. The review identified young unskilled workers including school drop-out workers as particularly vulnerable groups when it comes to occupational accidents. In addition, apprentices and young skilled workers were found to be vulnerable to work-related illnesses. It is essential to avoid stereotyping young Nordic workers into one group using only age as a factor, as young workers are a heterogeneous group and their vulnerabilities to occupational safety and health risks are contextual. Politicians, researchers, and practitioners should account for this complexity in the education, training and organization of work, and workplace health and safety culture.

Source : Hanvold, T.N., Kines, P., Nykänen, M., Thomée, S., Holte, K.A., Vuori, J., Wærsted, M., Veiersted, K.B. (2019) Safety and Health at Work.  10(1), 3-20. https://doi.org/10.1016/j.shaw.2018.12.003

Long working hours and depressive symptoms: moderating effects of gender, socioeconomic status, and job resources

Purpose Systematic reviews and meta-analyses have found inconsistent associations between working hours and depressive symptoms. The purpose of this study was to investigate the possible moderators of this association, using data from a large-scale cross-sectional survey.

Methods A total of 16,136 Japanese employees (men 83.5%; women 16.5%) responded to a self-administered questionnaire inquiring about overtime working hours during the previous month and depressive symptoms (Center for Epidemiologic Studies Depression scale), as well as moderating factors including gender, age, marital status, socioeconomic status, commuting time, sleeping hours per day, job control and worksite social support (Job Content Questionnaire), neuroticism (Eysenck's Personality Questionnaire Revised), and social desirability (Social Desirability Scale) (response rate, 85%). We conducted sequential regression analyses to investigate the main effects and interaction effects of all moderating variables.

Results The association between overtime working hours and depressive symptoms was significantly moderated by gender (interaction effect: β = 0.03), age (β = − 0.02), manager (β = 0.03), sleeping hours (β = − 0.02), job control (β = − 0.03), and neuroticism (β = 0.02). Among workers engaged in 80 + hours of overtime, higher depressive symptoms were reported by women, younger employees, non-managers, employees with low job control, low worksite social support, and high neuroticism. A significant main effect of long overtime working hours on depressive symptoms was also observed even after controlling for all independent variables (β = 0.02).

Conclusions Long overtime working hours is associated with depressive symptoms. We also found significant heterogeneity in the association according to employee characteristics, which may explain the inconsistent findings in previous literature.

Source : Tsuno, K., Kawachi, I., Inoue, A., Nakai, S.,  Tanigaki, T., Nagotami, H. et N. Kawakami.  International Archives of Occupational  and Environmental Health (2019). https://doi.org/10.1007/s00420-019-01401-y

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, near accidents and dozing off at work, controlling for demographics and work factors.

Results The number of QRs during a year was positively associated with seven of the eight items on work-related accidents, near-accidents and dozing off at work, and number of night shifts was positively associated with five items. Some of the key findings were that QRs were associated with nurses causing harm to themselves (incidence rate ratio [IRR] = 1.009; 95% CI = 1.005–1.013), causing harm to patients/others (IRR = 1.006; 95% CI = 1.002–1.010) and causing harm to equipment (IRR = 1.004; 95% CI = 1.001–1.007); while night shifts were associated with nurses involuntarily dozing off at work (IRR = 1.015; 95% CI = 1.013–1.018), dozing off while driving to/from work (IRR = 1.009; 95% CI = 1.006–1.011), and harming patients/others (IRR = 1.005; 95% CI = 1.001–1.009).
Conclusion QRs and night shifts were both associated with the self-reported work-related accidents, near-accidents and dozing off at work. Studies that can establish the causal relationship between QRs and accidents are called for.

Source : Vedaa, Ø., Harris, A., Erevik, E.K. et al. Int Arch Occup Environ Health (2019). https://doi.org/10.1007/s00420-019-01421-8

Caractérisation des effets des expositions aux facteurs psychosociaux sur la santé mentale et l'état de santé général perçu - Analyses à partir de l'enquête "Santé et itinéraire professionnel"

Basée sur l'enquête nationale " Santé et itinéraire professionnel ", cette étude avait l'objectif d'apporter des réponses quant à la nature des effets de 17 facteurs psychosociaux sur la survenue de troubles de la santé mentale et sur la dégradation de l'état de santé général perçu. L'effet se produit-il au moment de l'exposition ou après un certain temps ? La santé mentale et la santé générale perçue sont elles plus altérées dans le cas d'une exposition prolongée ?
Les troubles de santé surviennent-ils si l'exposition est réduite ou disparaît ? Selon les facteurs psychosociaux et le genre, les résultats suggèrent un effet principalement à court terme de l'exposition psychosociale plutôt qu'un effet décalé sur la survenue de troubles de la santé. Aucun sur-risque en cas d'exposition répétée comparée à une exposition actuelle ponctuelle n'a été mis en évidence.

Source : http://www.rst-sante-travail.fr/rst/pages-article/ArticleRST.html?ref=RST.TF%20267

Associations Between Systemic Quality of Life and Burnout Among French Canadian Workers

Burnout has very often been studied from a work-life specific perspective. However, a recent field of research leads to wonder about the impact that life events can have on the development of burnout. This study therefore investigated the associations between five domains of systemic quality of life and the three dimensions of burnout proposed by Maslach and colleagues. An analysis of correlations and multiple hierarchical regressions were performed on a sample of 202 French Canadian workers. These analyses report inverse associations between quality of life and burnout, with strong negative correlations between quality of life domains and burnout dimensions. The results also suggest that physical health and psychological health are strongly associated with the burnout dimensions and that systemic quality of life significantly adds variance into the risk factors model of emotional exhaustion and reduced personal accomplishment. This study provides empirical data supporting the belief that burnout is not work-life specific; burnout seems to have interactions with other life domains. These results point to the importance of raising awareness about the different life domains involved in the development of burnout, whether at the level of organizations, workers or practitioners.

Source : Vachon, M., Papineau, M., Dupuis, G. et al. (2019). Social Indicators Research, 142(3) 1193–1210 https://doi.org/10.1007/s11205-018-1944-x

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 care. They saw violence as symptomatic of an institution that undervalues both its staff and residents. They described how violence affects their own health and well-being—causing injuries, unaddressed emotional trauma, job dissatisfaction, and burnout. They outlined barriers to preventing violence, such as insufficient training and resources, systemic underfunding, lack of recognition of the severity and ubiquity of the phenomenon, and limited public awareness.

Source : New Solutions : A Journal of Environmental and Occupational Health Policy, 10.1177/1048291118824872

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 Nursing18(1), 2/18/2019. 10.1186/s12912-019-0329-z

Too sick or not too sick?: The importance of stress and satisfaction with supervisor support on the prevalence of sickness presenteeism

In a sample of 3,274 full-time Belgian workers, this article found that 62% of workers went to work while being sick (sickness presenteeism) at least once over the past 12 months. Of all workers who did not show sickness presenteeism themselves, another 6 out of 10 saw or heard about sickness presenteeism in their own organization. This turns sickness presenteeism into an important physical and mental health risk, demanding new policy measures from organizational and governmental decision makers. Women were more likely to report sickness presenteeism than men and junior workers were more prone to sickness presenteeism than senior workers. Education did not explain the choice for sickness presenteeism. Satisfaction with the supervisor had a direct negative effect on sickness presenteeism. Finally, indirect effects were found between satisfaction with the supervisor and sickness presenteeism via the prevalence of stress. While previous studies showed that good supervisor support could make sick workers more productive when they show up at work anyway, this study shows that good supervisor support lowers the probability that sick workers turn up at work at all.

Source : International Journal of Occupational Safety and Ergonomics, Mars 2019. 10.1080/10803548.2019.1570720

 

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 (RAF) composée de deux phases successives, en partenariat avec le CREAI PACA et Corse (Centre inter-régional d'études, d'actions et d'informations en faveur des personnes en situation de vulnérabilité Paca et Corse).

Source : https://veille-travail.anact.fr/osiros/result/notice.php?queryosiros=id:97893&referer=home&referer=home

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 in workplaces. The sample (n = 2810) consisted of employees at inpatient wards at four hospitals, and employees at municipal eldercare wards in Sweden. A questionnaire including NAQ‐22 R was distributed and subsequently analysed with descriptive statistics using SPSS. The youngest group of respondents scored higher than the older groups. Using contrasting estimates of bullying, the prevalence varied between 4.1 and 18.5%, with the lowest prevalence in regards to self‐reported exposure. According to the cut‐off scores, NAQ‐22 R, 8.6% of the respondents were occasionally exposed to bullying while 2.3% were considered to be victims of severe bullying. Work‐related negative acts were more common than personal negative acts. The variations in prevalence of bullying as a result of contrasting estimation strategies are discussed from perspective of the ‘law of Jante’, the ‘tall poppy syndrome’ and shame. Bullying deteriorates the working conditions which may have an impact on quality of patient care.

Source : Scandinavian Journal of Caring Sciences (2019). https://doi.org/10.1111/scs.12633

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