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Évaluation de différents protocoles de gestion d’incident et de soutien aux employés après un incident grave
L'industrie ferroviaire canadienne fait régulièrement face à des incidents critiques (IC) associés à des collisions avec des personnes ou des véhicules. Ces incidents peuvent occasionner des blessures graves, ou des décès, parmi les victimes, mais aussi des problèmes de santé mentale chez les ingénieurs et conducteurs opérant les locomotives. Chaque année, environ 20 personnes décèdent lors de collisions avec un train au Québec et une centaine au Canada. À ces incidents mortels...
Maladies chroniques et travail : l'exemple danois du programme "Return To Work"
Les maladies chroniques évolutives posent un challenge majeur en matière de santé en Europe. Mais elles ont aussi un impact substantiel sur le marché du travail et la vie professionnelle. Des actions sur l’organisation du travail peuvent pourtant être menées pour améliorer la situation des salariés et celle des entreprises. Le réseau Anact est l'opérateur pour la France d'un projet réunissant 18 pays de l'Union sur ce sujet. Retour d'expérience sur une initiative danoise Source : http://www...
Predicting return to work following treatment of chronic pain disorder
Background : The care of injured workers with chronic pain remains an important public health issue given its increasing prevalence. The consequences often include loss of self-esteem and stress in family relationships. Aims: To report our interdisciplinary approach to the care of chronic pain disorder (CPD) and describe the predictors associated with a successful return to work (RTW). Methods : Relevant covariates, including demographic data, time from injury, and functional scores were recorded for clients injured at work in Ontario, Canada. Our primary outcome, RTW, was assessed at 3 months...
Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review
Hoefsmit, Nicole, Houkes, Inge et Nijhuis, Frans J. N. (2012). Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review. Journal of Occupational Rehabilitatin . Introduction In many Western countries, a vast amount of interventions exist that aim to facilitate return to work (RTW) after sickness absence. These interventions are usually focused on specific target populations such as employees with low back pain, stress-related complaints or adjustment disorders. The aim of the present study is to detect and identify characteristics of RTW...
Colloque du 4 novembre 2011 en réadaptation au travail et les 25 ans de "rapport Spitzer": accès aux diapositives
Le 4 novembre dernier, s'est tenu à l'Institut de réadaptation Gingras-Lindsay-de-Montréal, le Colloque sur la réadaptation au travail: du "Rapport Spitzer" à nos jours - 24 ans plus tard! organisé par l'IRSST en collaboration avec le REPAR. Ce colloque a été un grand succès avec plus de 130 participants à la journée. Vous pouvez accéder aux présentations et vidéos de la journée en suivant le lien: http://www.irsst.qc.ca/conferenciers-Spitzer-a-nos-jours-4-novembre-2011...
Facilitation of appropriate return to work: a case study of a carpenter-a success story
Allen, L. I. (2011). Facilitation of appropriate return to work: a case study of a carpenter-a success story. Professional Case Management , 16 (6): 320. Il s'agit d'une brève étude de cas d'un travailleur pour qui le processus de retour et de maintien au travail a été un succès. À travers un portrait descriptif du parcours de réadaptation au travail, le rôle du coordonateur, l'intervention précoce, le maintien du lien d'emploi et la pratique de l'assignation temporaire apparaissent comme des facteurs déterminants...
Cultural competence in occupational therapists working in early intervention therapy programs
Eleanor L. Wray et Patricia A. Mortenson (2011). Cultural competence in occupational therapists working in early intervention therapy programs. Canadian Journal of Occupational Therapy , 78(3): Description. La compétence culturelle favorise l’atteinte de résultats équitables en matière de soins de santé et permet de veiller à ce que les ergothérapeutes aident leurs clients à réaliser des activités quotidiennes adaptées à leur culture. Toutefois, on ne sait pas vraiment dans quelle mesure les ergothérapeutes...
Dealing With Anxiety Disorders in the Workplace: Importance of Early Intervention When Anxiety Leads to Absence From Work
A report from the Partnership on Workplace Mental Health, a program of the American Psychiatric Foundation, supports the widely held view that intervening early in a psychiatric disability absence will result in earlier return to work and reduce the likelihood of permanent disability. Studies unfortunately reveal that patients with psychiatric illness do not receive a level of care consistent with evidence-based best practice. This article highlights the importance of early interventions that utilize best practices for anxiety disorders that impair an employee's occupational functioning. Primary...
Exploring the meaning of early contact in return-to-work from workplace actors' perspective
The objective of this article was to explore the meaning of early contact in return-to-work, and how social relational actions and conditions can facilitate or impede early contact among actors in the workplace. Method . An exploratory qualitative method was used, consisting of individual open-ended interviews with 33 workplace actors at seven worksites across three public employers in Sweden. The workplace actors represented in these interviews included re-entering workers, supervisors, co-workers and human resources managers. Organisational policies on return-to-work were collected from the three...
Early employer response to workplace injury: What injured workers perceive as fair and why these perceptions matter
The authors examined whether early employer response to workplace injury affects injured workers' subsequent attitudes and mental health. At 1 month and 6 months postinjury, telephone surveys were conducted with 344 workers from Ontario, Canada, who had experienced a musculoskeletal lost-time workplace injury. One-month reports of initial supervisor reaction to the injury and the use of workplace-based return-to-work strategies (early contact with worker, ergonomic assessment, presence of designated coordinator, accommodation offer) were hypothesized to predict reports of fairness, affective...
A systematic review of early prognostic factors for return to work following acute orthopaedic trauma
Acute orthopaedic trauma is a major contributor to the global burden of disease. This study aims to synthesise and summarise current knowledge concerning prognostic factors for return to work and duration of work disability following acute orthopaedic trauma. Methods: A systematic review of prognostic studies was performed. The Medline, Embase, PsychINFO, CINAHL and AMED electronic databases were searched for studies between 1985 and May 2009. Included studies were longitudinal, reported results with multivariate statistical analyses appropriate to prognostic studies, comprised persons employed...
Early Intervention Options for Acute Low Back Pain Patients: A Randomized Clinical Trial with One-Year Follow-Up Outcomes
In an earlier study, Gatchel et al. (J Occup Rehabil 13:1–9, 2003) demonstrated that participants at high risk for developing chronic low back pain disability (CLBPD), who received a biopsychosocial early intervention treatment program, displayed significantly more symptom improvement, as well as cost savings, relative to participants receiving standard care. The purpose of the present study was to expand on these results by examining whether the addition of a work-transition component would further strengthen the effectiveness of this early intervention treatment. Methods Using an existing...

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