2018-06-01 12:00 - Messages

Aide et soin à la personne - Dossier

En France, plus de 3,5 millions de professionnels travaillent dans l'aide et le soin à la personne. Ce secteur, qui emploie majoritairement du personnel féminin, est toujours en pleine croissance et marqué par une grande diversité d'acteurs. Certains exercent en établissement, d'autres au domicile d'un bénéficiaire avec, d'un lieu à l'autre, des conditions d'intervention et des moyens extrêmement variables.

Source: (2018). Travail & sécurité (794).
http://www.travail-et-securite.fr/ts/dossier/Aide%20et%20soin%20à%20la%20personne.html

Appropriation et transfert par des formateurs d’une nouvelle approche de prévention en manutention axée sur l’utilisation de principes d’action

Prenant acte du constat d'échec des formations à la manutention axées sur l'enseignement exclusif de la technique sécuritaire « dos droit – genoux fléchis », une nouvelle approche d'intervention dite « stratégie intégrée de prévention en manutention » (SIPM) a été proposée en 2011. Son originalité repose, entre autres, sur l'utilisation de neuf principes d'action permettant de comprendre et de commenter la richesse des techniques de manutention utilisées naturellement par les manutentionnaires dans leur milieu de travail. L'étude a pour objectif central d'évaluer l'appropriation et le transfert de la SIPM par un groupe d'intervenants formés à cette approche lors d'interventions naturelles en contextes réels.

Source: http://www.irsst.qc.ca/publications-et-outils/publication/i/100992/n/appropriation-transfert-prevention-manutention-utilisation-principes-action

Ergonomic and psychosocial factors and musculoskeletal complaints in public sector administration

A joint monitoring approach with analysis of association
Administration entails a high level of computerization with multiple risk factors (including psychosocial and of ergonomic nature), affecting worker health and well-being. An ergonomics researcher supported by a senior ergonomist and guided by a domain specific checklist assessed physical ergonomics of an organization, including 96 administrative workers in the assessment. Unstructured observations and interviews to the workers were also done. Socio-demographic, musculoskeletal health and psychosocial job data was collected from a composite questionnaire including the versions validated for the Portuguese population of the Nordic Musculoskeletal Questionnaire (NMQ) and the Copenhagen Psychosocial Questionnaire (COPSOQ). This paper demonstrates an approach to jointly monitor multiple factors to support controlling work system efficiency, safeguarding health. Even though postural issues, especially static posture, have previously been identified as risk factors contributing to the onset of musculoskeletal disorders (MSD), the results of correlation analysis did not unveil a salient association between musculoskeletal complaints and ergonomic mismatches. The analysis did unveil statistically significant associations between exposure to psychosocial job factors and ergonomic risk factors. The pairs of variables actually associated were different according to gender confirming the need for future studies aiming the gendered study of MSD causality."

Source: Lima, T. M. et Coelho, D. A. (2018). International Journal of Industrial Ergonomics, 66, 85-94.
https://doi.org/10.1016/j.ergon.2018.02.006

Impact of a Safe Resident Handling Program in Nursing Homes on Return-to-Work and Re-injury Outcomes Following Work Injury

Purpose: This study examined the impact of a Safe Resident Handling Program (SRHP) on length of disability and re-injury, following work-related injuries of nursing home workers. Resident handling-related injuries and back injuries were of particular interest. Methods: A large national nursing home corporation introduced a SRHP followed by three years of training for 136 centers. Lost-time workers' compensation claims (3 years pre-SRHP and 6 years post-SRHP) were evaluated. For each claim, length of first episode of disability and recurrence of disabling injury were evaluated over time. Differences were assessed using Chi square analyses and a generalized linear model, and “avoided” costs were projected. Results: The SRHP had no impact on length of disability, but did appear to significantly reduce the rate of recurrence among resident handling-related injuries. As indemnity and medical costs were three times higher for claimants with recurrent disabling injuries, the SRHP resulted in significant “avoided” costs due to “avoided” recurrence. Conclusions: In addition to reducing overall injury rates, SRHPs appear to improve long-term return-to-work success by reducing the rate of recurrent disabling injuries resulting in work disability. In this study, the impact was sustained over years, even after a formal training and implementation program ended. Since back pain is inherently a recurrent condition, results suggest that SRHPs help workers remain at work and return-to-work.

Source: Kurowski, A., Pransky, G. et Punnett, L. (2018). Journal of occupational rehabilitation.
https://doi.org/10.1007/s10926-018-9785-7

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