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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...
Comorbid symptoms of depression and musculoskeletal pain and risk of long term sickness absence
Background: Symptoms of depression and musculoskeletal pain have both been found to be associated with increased risk of long term sickness absence (LTSA). The comorbidity between depression and pain i.e. simultaneous presence of both symptoms, is well established in the literature. The aim for the current investigation was to investigate whether the presence of comorbid pain influences the associations between depressive symptoms and LTSA or if the presence of comorbid depressive symptoms influences associations between musculoskeletal pain and LTSA. Methods: A sample of 6572 Danish female health...
Manual handling risks to midwives associated with birthing pools literature review and incident analysis
This report describes research into the manual handling related risks to midwives associated with providing care to women choosing to use a birthing pool for labour and/or birth at home and in hospital. The research comprised: a review of incidents reported to the Health and Safety Executive, a literature review and familiarisation visits to include discussions with midwives to identify current practices and procedures. The manual handling risks are likely to result from the position of the mother in the pool, as well as from the position of the midwife whilst undertaking tasks at the birthing...
Ergonomic study on wrist posture when using laparoscopic tools in four different techniques regarding minimally invasive surgery
Purpose: With reference to four different minimally invasive surgery (MIS) cholecystectomy the aims were: to recognize the factors influencing dominant wrist postures manifested by the surgeon; to detect risk factors involved in maintaining deviated wrist postures; to compare the wrist postures of surgeons while using laparoscopic tools. Materials and methods: Video films were recorded during live surgeries. The films were synchronized with wrist joint angles obtained from wireless electrogoniometers placed on the surgeon's hand. The analysis was conducted for five different laparoscopic tools...
Differences in postural loading between primary and assistant surgeons during vaginal surgery
While increasing attention has been given to the prevalence of work-related musculoskeletal disorders (WMDs) among surgeons in various medical specialties, there is no quantitative information about the potential work-related risk factors that contribute to WMDs among vaginal surgeons in the operating room (OR). This study aimed to quantify the frequency and duration of awkward postures, as well as musculoskeletal discomfort experienced by primary and assistant vaginal surgeons during surgery in order to provide a first step of informing ergonomics interventions that reduce postural loading during...
Paramedics' working strategies while loading a stretcher into an ambulance
For paramedics, loading a stretcher into an ambulance is an activity with a high risk of back injury and accidents. The objective of this study was to document strategies paramedics use at work while loading a powered stretcher into an ambulance. A total of 249 stretcher loading operations performed by 58 paramedics, and 51 semistructured post-intervention interviews were analyzed. Almost three quarters of loading operations required additional actions (e.g., raising the shoulders and additional lifting) to insert the stretcher into the cot fastener system in the ambulance. Some strategies that...
Mesure de l'exposition du technicien ambulancier paramédical aux facteurs de risque de troubles musculosquelettiques
Le technicien ambulancier paramédical (TAP) a comme fonction principale de prodiguer les soins préhospitaliers d'urgence tout en assurant, de façon sécuritaire, le transport du bénéficiaire vers un centre hospitalier. Fondamentalement, son objectif est de réduire au minimum la mortalité et la morbidité des bénéficiaires en minimisant le temps de réponse. De nombreuses études à travers le monde, incluant le Québec, montrent que les TAP ont un taux plus élevé de lésions...
Evaluation of a Training Program to Reduce Stressful Trunk Postures in the Nursing Professions
A Pilot Study Objectives: The aim of this pilot study was to evaluate metrologically the effectiveness of a training program on the reduction of stressful trunk postures in geriatric nursing professions. Methods: A training program, consisting of instruction on body postures in nursing, practical ergonomic work methods at the bedside or in the bathroom, reorganization of work equipment, and physical exercises, was conducted in 12 wards of 6 nursing homes in Germany. The Computer-Assisted Recording and Long-Term Analysis of Musculoskeletal Loads (CUELA) measurement system was used to evaluate all...
Allied Health Professionals and Work-Related Musculoskeletal Disorders
A Systematic Review Work-related musculoskeletal injuries and disorders (WMSD) are a significant issue in the health care sector. Allied Health professionals (AHP) in this sector are exposed to physical and psychosocial factors associated with increased risk of developing a WMSD. Clarification of relevant hazard and risk factors for AHP is needed to improve understanding and inform WMSD risk management. A systematic analysis of the literature was undertaken to determine prevalence and risk factors for WMSD in AHP. Databases of Ovid MEDLINE, CINAHL (EBSCO), EMBASE and the Cochrane Database of Systematic...
The Impact of a Rigorous Multiple Work Shift Schedule and Day Versus Night Shift Work on Reaction Time and Balance Performance in Female Nurses
A Repeated Measures Study Objective: The aim of this study was to determine the impact of a demanding work schedule involving long, cumulative work shifts on response time and balance-related performance outcomes and to evaluate the prevalence of musculoskeletal disorders between day and night shift working nurses. Methods: A questionnaire was used to identify the prevalence of past (12-month) and current (7-day) musculoskeletal disorders. Nurses worked three 12-hour work shifts in a 4-day period. Reaction time and balance tests were conducted before and after the work period. Results: The work...
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...
Collaborating with mammographers to address their work-related musculoskeletal discomfort
Mammographers are an understudied group of health care workers, yet the prevalence of musculoskeletal (MSK) symptoms in mammographers appears to be elevated, similar to many occupations in health care. In this study, we used a participatory approach to identify needs and opportunities for developing interventions to reduce mammographers' exposures to risk factors that lead to the development of MSK symptoms. In this paper, we present a number of those needs and several intervention concepts along with evaluations of those concepts from experienced mammographers. We include findings from a preliminary...
Organizing workplace health literacy to reduce musculoskeletal pain and consequences
BACKGROUND: Despite numerous initiatives to improve the working environment for nursing aides, musculoskeletal disorders (pain) is still a considerable problem because of the prevalence, and pervasive consequences on the individual, the workplace and the society. Discrepancies between effort and effect of workplace health initiatives might be due to the fact that pain and the consequences of pain are affected by various individual, interpersonal and organizational factors in a complex interaction. Recent health literacy models pursue an integrated approach to understanding health behavior and have...
Work demands and health consequences of organizational and technological measures introduced to enhance the quality of home care services
This study of home care workers in a Norwegian municipality aimed to examine the effect of two measures involving organizational (job checklists) and technological (personal digital assistants) job aids on perceived work demands and musculoskeletal health. Questionnaire data was collected in 2009 (n = 138, response rate 76.2%) and 2011 (n = 80, response rate 54%). Forty-six home care workers responded at both waves. Respondents were assigned into ‘high', ‘moderate' and ‘low' strain groups based on their responses to open and closed survey questions regarding impact...
Manual handling: differences in perceived effort, success rate and kinematics between three different pushing techniques
This study examined the perceived effort, success rates and kinematics for three push strategies in a simulated lateral patient transfer (horizontal slide). Thirteen healthy subjects (four males) completed three repetition pushing loads of 6, 10 and 14 kg in random order; with a spontaneous push strategy, then with a straight-back bent-knees (squat) strategy and the preparatory pelvic movement (‘rockback') strategy in random order. Perceived effort and kinematic parameters measured at the onset of movement and at maximum push excursion were compared between strategies and between loads...
Developing a comprehensive approach to risk management of musculoskeletal disorders in non-nursing health care sector employees
This study of selected jobs in the health care sector explored a range of physical and psychosocial factors to identify those that most strongly predicted work-related musculoskeletal disorders (WMSD) risk. A self-report survey was used to collect data on physical and psychosocial risk factors from employees in three health care organisations in Victoria, Australia. Multivariate analyses demonstrated the importance of both psychosocial and physical hazards in predicting WMSD risk and provides evidence for risk management of WMSDs to incorporate a more comprehensive and integrated approach. Use...
The Application of a Classification-Tree Model for Predicting Low Back Pain Prevalence Among Hospital Staff
Low back pain (LBP) is a widespread musculoskeletal condition that frequently occurs in the working-age population (including hospital staff). This study proposes a classification-tree model to predict LBP risk levels in Sacré-Cœur Hospital, Lebanon (as a case study—236 chosen staffs) using various predictor individual and occupational factors. The developed tree model explained 80% of variance in LBP risk levels using standing hours/day (90% in relative importance), job status/sitting hours per day (80% each), body mass index (71%), working days/week (63%), domestic activity...
Prévenir les troubles musculosquelettiques chez les technologues
Conférence présentée par Lisette Duval, conseillère à l'ASSTSAS, lors du congrès annuel de l'OTIMRO en mai 2012. Source : http://www.asstsas.qc.ca/publications/conferences-externes-de-lasstsas/conferences-externes-de-lasstsas/prevenir-les-trouvles-musculosquelettiques-chez-les-technologues.html
Psychosocial precursors and physical consequences of workplace violence towards nurses
A longitudinal examination with naturally occurring groups in hospital settings BACKGROUND: Workplace violence towards nurses is prevalent and consequential, contributing to nurses' reduced health and safety, worsened job attitudes, and compromised productivity. OBJECTIVES: To examine if organizational violence prevention climate as perceived by nurses predicts nurses' physical violence exposure and if physical violence exposure predicts nurses' somatic symptoms and musculoskeletal disorder symptoms. DESIGN: A two-wave longitudinal design with naturally occurring groups, with a 6-month...
Laboratoire médical - Pipetter en sécurité pour prévenir les TMS chez les technologistes
Cette brochure fournit des informations pratiques pour prévenir les troubles musculosquelettiques (TMS) chez les technologistes. Facteurs de risque ; postures ergonomiques ; types de pipettes et embouts ; décapuchonnage des tubes ; zone de travail ; points de repères pour organiser le travail ; références. Source : http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/B35_pipetter.pdf
Programme de prévention des TMS chez le personnel soignant
Ce programme offre une démarche en huit étapes et de nombreux outils pour prévenir les troubles musculosquelettiques chez le personnel soignant. Ce programme constitue un cadre de référence accessible à partir du site Internet de l'ASSTSAS. Le contenu de ce programme est basé sur l’expérience accumulée par l’ASSTSAS et sur les données probantes recueillies auprès d’organismes comparables et d’organismes publics, principalement en Amérique du Nord. Les principales publications consultées...
Violence link to MSDs found in health-care study
Healthcare workers exposed to physical violence A new study found that healthcare workers who are exposed to physical violence at work experience significantly more often low back pain and other musculoskeletal symptoms. The study, 'Violence at work increases the risk of musculoskeletal pain among nursing-home workers', is published online in the Occupational and Environmental Medicine journal. Source : http://osha.europa.eu/en/news/fi-fioh-violence-link-to-msds-found-in-health-care-study
Un DVD pour prévenir les risques chez les soignants
Le DVD « Soignants » nouvellement conçu par l'INRS s'adresse principalement aux décideurs en établissements de soins et aux soignants. A travers fictions courtes et reportages sont présentées les principales maladies professionnelles auxquelles sont confrontés les soignants. L'outil propose également des retours d'expérience de certaines structures. Les nouvelles conditions de travail et les méthodes de gestion davantage orientées vers les gains de productivité du secteur médical ont...
Infirmières de nuit
Isolement et rôle de l'expérience Souvent méconnu et mal reconnu, même au sein de l'hôpital, le travail des infirmières de nuit n'en tient pas moins une place importante dans la continuité des soins. L'observation de cette activité dans deux unités de pneumologie permet d'en voir les particularités et les difficultés. La recherche en ergonomie, présentée ici, montre en effet que l'isolement des équipes de nuit (peu de contacts avec les médecins et le personnel de jour) ainsi...

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