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ACCIDENTS DE TRAVAIL

  • Hepatitis C infection is a global public health issue. Chronic hepatitis C infection is associated with significant morbidity and mortality. The aim of this study is to describe the costs for occupationally-cased hepatitis C infections based on data from an accident insurance carrier. This study is a secondary analysis based on the Database of a German Institution for Statutory Accident Insurance. The analysis is based on a sample of insured parties whose hepatitis C infections were recorded as occupational diseases between 1996 and 2013. The analysis is based on recognised hepatitis C cases and incorporates records registered between 1 January 2000 and 31 December 2014.

    Source : Westermann, Claudia, Dulon, Madeleine, Wendeler, Dana, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:52. DOI: 10.1186/s12995-016-0142-5

AGRESSIONS ET VIOLENCE

  • L’intimidation et le harcèlement désignent habituellement tout comportement mal venu qui diminue, embarrasse, humilie, ennuie, inquiète ou injurie une personne. Au travail, ces comportements peuvent prendre diverses formes. L’intimidation est une forme d’agression dont les manifestations peuvent être évidentes ou subtiles, et dont les effets peuvent être dévastateurs pour le travailleur visé. Le présent document infographique énonce les différents types de comportements d’intimidation de même que les mesures que les employeurs peuvent prendre pour lutter contre l’intimidation et créer un milieu de travail sain et respectueux.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). L’intimidation et le harcèlement en milieu de travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/bullying_harassment.png

  • Violence against nurses has continued at Abbotsford Regional Hospital in Abbotsford, B.C., and incidents over the last few months have led to a recent WorkSafeBC inspection report noting an emergency room (ER) running over capacity. A registered psychiatric nurse (RPN) suffered a severe concussion after getting kicked in the head by a patient in the ER on Oct. 17, and two RPNs and a security guard were assaulted by a young patient on Sept. 8. Both assailants had been patients with mental-health issues whom the police had brought in, said Val Avery, president of the Health Sciences Association of British Columbia (HSA), one of the unions representing the hospital’s employees. "Mental health is the public healthcare crisis of our times," said Avery. "Our ability to respond to it in a healthcare setting has not grown with the same type of need that is required here. So we’re getting these overflowing departments and not the appropriate settings to care for the patients."

    Source : Cottril, Jeff. (November 22, 2016). OHS Canada Magazine. Health & Safety. Repéré à http://www.ohscanada.com/health-safety/attacks-hospitals-nurses-blamed-er-overflow-congestion/1003351683/

  • While there is general consensus that violent incidents against healthcare workers are underreported, a closer look reveals a more nuanced view of the problem. Many incidents are actually reported by word of mouth and even documented in various logs and systems. The problem is that these incident data too often remain in separate silos and are not compiled into systemwide active surveillance that could reveal a more complete picture of violence in a healthcare facility, says Lisa A. Pompeii, PhD, the lead author of a new study on reporting of violence in healthcare.

    Source : Evans, Gary. (December 1, 2016). Hospital Employee Health, 35(12), 132-135. Repéré à https://www.ahcmedia.com/articles/139544-hospitals-fail-to-capture-violent-incident-reports

Pour lire aussi l’article original :  Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

  • Under-reporting of type II (patient/visitor-on-worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. Mixed methods including surveys and focus groups were used to examine patterns of reporting type II violent events among ∼11,000 workers at six U.S. hospitals. Of the 2,098 workers who experienced a type II violent event, 75% indicated they reported. Reporting patterns were disparate including reports to managers, co-workers, security, and patients’ medical records—with only 9% reporting into occupational injury/safety reporting systems. Workers were unclear about when and where to report, and relied on their own "threshold" of when to report based on event circumstances.

    Source : Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

  • The recent focus on extending risk assessment and treatment in forensic mental health with protective factors relates to the increasing interest in strengths-based approaches in various professional disciplines. In this article, the authors aim at discussing the available knowledge with regard to strengths-based approaches for offenders with mental illness, in relation to these different disciplines.

    Source : Vandevelde, S., Laenen, F. Vander, Van Damme, L., Vanderplasschen, W., Audenaert, K., Broekaert, E. & Beken, T. Vamder. (2016). Aggression and Violent Behavior. Prépublication. http://dx.doi.org/10.1016/j.avb.2016.11.008

  • Sur cette page Web, vous trouverez la liste des articles de lois et les liens ayant trait à la violence en milieu de travail. La plupart des autorités canadiennes prévoient dans leurs lois concernant l’hygiène et la sécurité au travail une « disposition générale » qui oblige les employeurs à prendre toutes les précautions raisonnables pour protéger la santé et la sécurité des employés. Cette disposition doit comprendre la protection des employés de tout risque connu de violence en milieu de travail. Cette liste est préparée par le CCHST dans le cadre du service Législation enviroSST canadienne.

    Source : Canadian Centre for Occupational Health and Safety. (Novembre 2016). Canadian enviroOSH Legislation plus Standards. Repéré à http://ccinfoweb2.ccohs.ca/legislation/documents/notes_fr/oshlegf/legviolf.htm

  • La violence en milieu de travail peut avoir de graves conséquences pour les victimes, les entreprises et les organisations. Il existe des programmes de prévention de la violence en milieu de travail qui visent à former le personnel à mieux reconnaître et à gérer en toute sécurité les situations à risque. Stéphane Guay, directeur du Centre d’étude sur le trauma de l’Institut universitaire en santé mentale de Montréal et son équipe du groupe de recherche VISAGE ont mené une étude visant à évaluer l’impact du programme Oméga sur la détresse psychologique des employés, leur capacité à s’adapter aux situations de violence et sur leur niveau d’exposition à différentes formes de violence (tensions, violence mineure, violence grave).

    Source : Dion, Catherine. (2016). Formation Omega : un programme efficace pour prévenir la violence en milieu de travail. CIUSSS de l’Est-de-l’Île-de-Montréal. Nouvelles. Repéré à http://ciusss-estmtl.gouv.qc.ca/nouvelles/2016/formation-omega-un-programme-efficace-pour-prevenir-la-violence-en-milieu-de-travail/

ALLERGIES PROFESSIONNELLES

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • In their recent article, Weber et al concluded "scientific evidence does not support that the use of low level disinfectant products on environmental surfaces by health care personnel is an important risk factor for the development of asthma or dermatitis." They reached this conclusion after reviewing the employee medical records at University of North Carolina hospitals (2003-2012) and conducting a literature review on disinfectants and health care workers.The authors take exception with the adequacy of the data for Weber et al. study and the thoroughness of Weber’s literature review and do not find conclusion to be supported by Weber et al data.

    Source : Pechter, Elise, & Rosenman, Kenneth D. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.020

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region. Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database. The results showed that Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma. 

    Source : Dumas, Orianne, Henneberger, Paul K., Zock, Jean-Paul, Le Moual, Nicole, & Camargo, Carlos A. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22671

AMÉNAGEMENT – ARCHITECTURE

  • The prevalence of flexible and shared office spaces is increasing significantly, yet the socioemotional outcomes associated with these environments are under researched. Utilising the job demands-resources (JD-R) model the authors investigate both the demands and the resources that can accrue to workers as a result of shared work environments and hot-desking. They found that, as work environments became more shared (with hot-desking being at the extreme end of the continuum), not only were there increases in demands, but co-worker friendships were not improved and perceptions of supervisory support decreased. Findings are discussed in relation to employee well-being and recommendations are made regarding how best to ameliorate negative consequences of shared work environments.

    Source : Morrison, Rachel L., & Macky, Keith A. (2017). Applied Ergonomics, 60, 103-115. http://dx.doi.org/10.1016/j.apergo.2016.11.007

  • Recent research on the legibility of digital displays has demonstrated a "positive polarity advantage", in which black-on-white text configurations are more legible than their negative polarity, white-on-black counterparts. Existing research in this area suggests that the positive polarity advantage stems from the brighter illumination emitted by positive polarity displays, as opposed to the darker backgrounds of negative polarity displays. In the present study, legibility thresholds were measured under glance-like reading conditions using a lexical decision paradigm, testing two type sizes, display polarities, and ambient illuminations (near-dark and daylight-like).

    Source : Dobres, Jonathan, Chahine, Nadine, & Reimer, Bryan. (2017). Applied Ergonomics, 60, 68-73. http://dx.doi.org/10.1016/j.apergo.2016.11.001

  • Within the diagnostic process, in the activities in which digital radiology systems are utilised, image display devices play a very important role. Such devices have to guarantee high performances in order to maintain the diagnostic quality of the displayed images and present them so that they can be observed optimally. In order to ensure the appropriate performance to the users, not only the image display device but also the whole workstation should be designed properly. Particular attention should be paid to the lighting conditions, to avoid compromising the radiologist’s ability to observe the displayed images. The aim of this study is to assess the lighting of some workstations used for diagnostic radiology reporting, in order to obtain information about the visual interaction between worker and device and prevent health risks.

    Source : Leccese, Francesco, Salvadori, Giacomo, Montagnani, Carlo, Ciconi, Andrea, & Rocca, Michele. (2017). International Journal of Industrial Ergonomics, 57, 42-54. http://dx.doi.org/10.1016/j.ergon.2016.11.005

APPROCHE RELATIONNELLE DE SOINS (ARS)

ASTHME PROFESSIONNEL

  • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

    Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

  • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l’IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

    Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html

BLOC OPÉRATOIRE – CHIRURGIE

  • Hepatitis B virus (HBV) transmission is known to occur through direct contact with infected blood. There has been some suspicion that the virus can also be detected in aerosol form. However, this has never been directly shown. The purpose of this study was to sample and analyse surgical smoke from laparoscopic surgeries on patients with hepatitis B to determine whether HBV is present.

    Source : Kwak, Han Deok, Kim, Seon-Hahn, Seo, Yeon Seok, & Song, Ki-Joon. (2016). Occupational & Environmental Medicine, 73(12), 857-863. doi:10.1136/oemed-2016-103724

  • For many reasons, noise continues to increase in the hospital setting. The objective of this evidence-based investigation is to determine the efficacy of a quiet-time intervention to reduce noise in the hospital setting. In a descriptive comparative design, using a convenience sample of hospitalized patients, 80 patients were assessed on their perceptions of noise using the Patient Survey on Noise During Hospital Stay. Data revealed favorable responses to quiet time, with 70% of subjects reporting quiet-time intervention to be effective in reducing noise. Sixty percent of participants felt that 1 hour of quiet time helped to facilitate a quieter, more restful environment for the whole day.

    Source : Applebaum, Diane, Calo, Oriana, & Neville, Kathleen. (2016). JONA : Journal of Nursing Administration, 46(12), 669-674. doi: 10.1097/NNA.0000000000000424

  • About 35.7 million healthcare workers are at risk of sustaining a needlestick injury worldwide and an estimated 384,000 percutaneous injuries occur annually in US hospitals alone. Although needlestick injuries continue to pose a major occupational hazard for healthcare workers, underreporting and a ‘culture of silence’ persist. Few publications suggest solutions. The authors propose a novel solution that may help to deter high-risk [i.e. history of human immunodeficiency virus (HIV), bloodborne hepatitis virus, or intravenous (IV) drug misuse] needlesticks in the operating room (OR) and the wards.

    Source : Katsevman, G.A., Braca III, J.A., Sedney, C.L., & Hatchett, L. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.018

  • A low level of air-borne bacteria in the operating room air can be achieved if all staff wear clothes made from a low-permeable material (i.e. Clean Air Suits). We investigated whether there was a difference in protective efficacy between two single-use scrubs both made of polypropylene by testing them during routinely performed orthopaedic surgical procedures. There was no significant difference in counts of CFU/m3 air between the two scrubs and a choice between them can thus be based on which one is more comfortable for staff.

    Source : Tammelin, Ann, & Blomfeldt, Anne-Marie. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.027

  • Surgical nurses’ work is physically and mentally demanding, possibly leading to work–family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Forty–eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the work–family conflict scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument.

    Source : Baur, Heiner, Grebner, Simone, Blasimann, Angela, Hirschmüller, Anja, Kubosch, Eva Johanna & Elfering, Achim. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. http://dx.doi.org/10.1080/10803548.2016.1263414

BRUIT EN MILIEU DE TRAVAIL

  • Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs. This was an intervention study which compared the initial values with those after a follow-up of 12 months. All teaching child care workers employed by the multi-site institution were offered the opportunity to take part. Forty-five (45) employees in16 institutions participated.

    Source : Koch, Peter, Stranzinger, Johanna, Kersten, Jan Felix, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:50. DOI: 10.1186/s12995-016-0138-1

  • For many reasons, noise continues to increase in the hospital setting. The objective of this evidence-based investigation is to determine the efficacy of a quiet-time intervention to reduce noise in the hospital setting. In a descriptive comparative design, using a convenience sample of hospitalized patients, 80 patients were assessed on their perceptions of noise using the Patient Survey on Noise During Hospital Stay. Data revealed favorable responses to quiet time, with 70% of subjects reporting quiet-time intervention to be effective in reducing noise. Sixty percent of participants felt that 1 hour of quiet time helped to facilitate a quieter, more restful environment for the whole day.

    Source : Applebaum, Diane, Calo, Oriana, & Neville, Kathleen. (2016). JONA : Journal of Nursing Administration, 46(12), 669-674. doi: 10.1097/NNA.0000000000000424

CIVILITÉ EN MILIEU DE TRAVAIL

  • L’intimidation et le harcèlement désignent habituellement tout comportement mal venu qui diminue, embarrasse, humilie, ennuie, inquiète ou injurie une personne. Au travail, ces comportements peuvent prendre diverses formes. L’intimidation est une forme d’agression dont les manifestations peuvent être évidentes ou subtiles, et dont les effets peuvent être dévastateurs pour le travailleur visé. Le présent document infographique énonce les différents types de comportements d’intimidation de même que les mesures que les employeurs peuvent prendre pour lutter contre l’intimidation et créer un milieu de travail sain et respectueux.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). L’intimidation et le harcèlement en milieu de travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/bullying_harassment.png

  • Previous explanations of horizontal incivility point to oppressed group behaviour and socialisation of nurses. Leadership and organisational culture are known to have a profound impact on workplace behaviour, yet few studies have examined the relationship between leadership style and nurse-to-nurse incivility. Previous explanations of horizontal incivility point to oppressed group behaviour and socialisation of nurses. Leadership and organisational culture are known to have a profound impact on workplace behaviour, yet few studies have examined the relationship between leadership style and nurse-to-nurse incivility.

    Source : Kaiser, Jennifer A. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12447

  • New graduate nurses report experiencing high levels of workplace incivility from coworkers, which has been found to negatively impact their job and career satisfaction and increase their intention to leave. The role of civility norms in preventing burnout and subsequent exposure to incivility from coworkers has yet to be examined among new graduate nurses. This study examined the influence of authentic leadership, person-job fit with 6 areas of worklife, and civility norms on coworker incivility and burnout among new graduate nurses.

    Source : Laschinger, Heather K. Spence, & Read, Emily A. (2016). JONA : Journal of Nursing Administration, 46(11), 574-580. doi: 10.1097/NNA.0000000000000407

CONCILIATION TRAVAIL – VIE PERSONNELLE

  • Surgical nurses’ work is physically and mentally demanding, possibly leading to work–family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Forty–eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the work–family conflict scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument.

    Source : Baur, Heiner, Grebner, Simone, Blasimann, Angela, Hirschmüller, Anja, Kubosch, Eva Johanna & Elfering, Achim. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. http://dx.doi.org/10.1080/10803548.2016.1263414

  • Dans le contexte où les couples à deux carrières constituent maintenant la norme, l’enjeu de la conciliation travail-famille devient incontournable. Cette nouvelle réalité souligne la nécessité d’examiner les effets des pratiques de conciliation travail-famille mises en place dans les organisations québécoises sur le bien-être des travailleurs. Une comparaison selon le genre s’avère également pertinente, vu la persistance des rapports sociaux de sexe et de la division sexuelle du travail. Encore aujourd’hui, les femmes allouent davantage de temps aux soins des enfants et aux tâches domestiques que les hommes, tandis que ces derniers s’investissent plus dans leur carrière. Cette étude a été réalisée à partir des données de l’Enquête québécoise sur des conditions de travail, d’emploi et de santé et de sécurité du travail (EQCOTESST).

    Source : Boulet, Maude, & Le Bourdais, Céline. (2016). Relations industrielles, 71(3), 442-467. Repéré à http://www.erudit.org/revue/ri/2016/v71/n3/1037660ar.pdf

CPE – SERVICES DE GARDE

  • Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs. This was an intervention study which compared the initial values with those after a follow-up of 12 months. All teaching child care workers employed by the multi-site institution were offered the opportunity to take part. Forty-five (45) employees in16 institutions participated.

    Source : Koch, Peter, Stranzinger, Johanna, Kersten, Jan Felix, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:50. DOI: 10.1186/s12995-016-0138-1

  • Handwashing (HW) compliance, although an effective means of limiting childhood illness, remains low among personnel in early childhood centers (ECCs). Our study determined HW compliance and efficacy of ECC personnel. Surveillance cameras were used to determine HW opportunities, compliance, occurrences, and effectiveness based on child-care oriented criteria. The findings showed that methods and strategies need to be developed to increase compliance. Current technology provides an effective means of gathering data for determining HW compliance in ECCs.

    Source : Clark, Jeffrey, Henk, jennifer K., Crandall, Philip G., Crandall, Mardel A., & O’Bryan, Corliss A. (2016). AJIC : American Journal of Infection Control, 44(12), 1469-1474. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.006

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • This study evaluated an intervention for patient-handling equipment aimed to improve nursing staffs’ use of patient handling equipment and improve their general health, reduce musculoskeletal problems, aggressive episodes, days of absence and work-related accidents. As a controlled before-after study, questionnaire data were collected at baseline and 12-month follow-up among nursing staff at intervention and control wards at two hospitals.

    Source : Risør, Bettina Wulff, Casper, Sven Dalgas, Andersen, lars Louis, & Sørensena, Jan. (2017). Applied Ergonomics, 60, 74-82. http://dx.doi.org/10.1016/j.apergo.2016.10.011

  • An extensive body of published literature exists demonstrating the benefits of safe patient handling and mobility (SPHM) programs, including a reduction in the incidence of patient handling-related injuries, a lowering of workers’ compensation costs, a reduction in the number of lost work days due to injury, an increase in job satisfaction, and an increase patient satisfaction. For the most part, these evaluations assess the effects at the program level, where the unit of analysis is either a healthcare facility or a healthcare system. No comprehensive evaluation of the influence of a statewide SPHM policy has been completed.

    Source : Howard, Ninica. (2016). American Journal of SPHM, 6(3), 130-131. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=190

  • Multifaceted safe patient handling and mobility (SPHM) programs have been shown to reduce the personal and financial burden associated with work-related musculoskeletal disorders. Access to appropriate equipment is essential for successful outcomes, but equipment alone is not sufficient. Training on how to use equipment is also critical; however, limited literature exists describing the details of SPHM training programs. A case report design provides a rich description of practice in replicable detail. This article uses a case report format to describe the development and evaluation of the training program implemented in an academic medical center, including the various strategies and tools used: hierarchical task analysis, ergonomic risk analysis, interviews, and observations. Outcomes and future plans are described to provide further insight into the program.

    Source : Enos, Lynda, Eldredge, Deborah, & Rockefeller, Kathleen. (2016). American Journal of SPHM, 6(3), 120-129. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=189

  • Safe patient handling and mobility (SPHM) program implementation is a change initiative requiring effective education. Little research is available, however, describing specific recommendations for effective SPHM education. Effective education includes an education plan that incorporates the concepts of adult learning theories, various learning styles, and generational learning considerations. Examples of different teaching methods are discussed to promote the learning needs of the adult healthcare professional for SPHM. This article defines effective SPHM education and offers innovative methods and strategies for enhancing SPHM education based on an evidenced-based approach.

    Source : Perez, Amber. (2016). American Journal of SPHM, 6(3), 113-119. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=188

  • A gap exists in understanding the diffusion of safe patient handling and mobility (SPHM) within physical therapist (PT) practice and the way in which legislation and advocacy efforts might influence diffusion. The purpose of this research was to describe and compare knowledge and use of SPHM equipment and practices by PTs in Washington, California, and Oregon, as these 3 states have varying legislation and advocacy efforts influencing diffusion of SPHM.

    Source : Rockfeller, Kathleen, & Weaver, Jean. (2016). American Journal of SPHM, 6(3), 98-103. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=186

  • Education, training, and learning are distinctly separate and involve varied, complex activities, yet they do not always receive sufficient attention, organization, and resource application to ensure healthcare providers are fully capable and confident in using safe patient handling and mobility (SPHM) technology. The goals of this article are to focus on the psychomotor domain of learning, describe best methods to achieve success with psychomotor learning within the context of SPHM program and technology use, and recommend methods to improve SPHM education for psychomotor skill acquisition.

    Source : Mechan, Patricia. (2016). American Journal of SPHM, 6(3), 104-108. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=187

  • 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.

    Source : Venditelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

  • Manual resident handling (RH) tasks increase risk of musculoskeletal disorders (MSDs) for clinical staff in nursing homes. To reduce the incidence and cost of MSDs, a large healthcare corporation instituted a Safe Resident Handling Program (SRHP) comprising purchase of mechanical lifting equipment, worker training, and detailed usage/maintenance protocols. The program was initially administered by a third-party company; after three years, program responsibility shifted to individual centers. Workers’ compensation claim rates were compared before and after SRHP implementation. Claims and FTEs were classified as "pre-SRHP," "first post period" (up to 3 years post-SRHP), or "second post period" (4–6 years post-SRHP), based on claim date relative to implementation date for each center.

    Source : Kurowski, Alicia, Gore, Rebecca, Roberts, Yaritza, Kincaid, Kendra Richardson, & Punnett, Laura. (2017). Safety Science, 92, 217-224. http://dx.doi.org/10.1016/j.ssci.2016.10.012

  • Healthcare workers have high rates of low back pain (LBP) related to handling patients. A large chain of nursing homes experienced reduced biomechanical load, compensation claims and costs following implementation of a safe resident handling programme (SRHP). The aim of this study was to examine whether LBP similarly declined and whether it was associated with relevant self-reported occupational exposures or personal health factors.

    Source : Gold, Judith E., Punnett, laura, Gore, Rebecca J., & ProCare Research Team. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103930

  • Repositioning of passive patients in bed creates health risks to the nursing personnel. Therefore, appropriate assistive devices should be used. The purpose of this study was to find the optimal assistive device for reducing musculoskeletal load while moving a passive patient in bed. Torso kinematic inputs evaluated by the Lumbar Motion Monitor (LMM) and perceived load (Borg scale) were measured in female nurses performing 27 patient transfers [represented by a mannequin weighing 55 (12 nurses), 65 (24 nurses) and 75 kg (12 nurses) in bed using a regular sheet, a sliding sheet and a carrier.

    Source : Weiner, Chava, Kalichman, Leonid, Ribak, Joseph, & Alperovitch-Najenson, Deborah. (2017). Applied Ergonomics, 60, 22-29. http://dx.doi.org/10.1016/j.apergo.2016.10.007

ÉCLAIRAGE

  • Recent research on the legibility of digital displays has demonstrated a "positive polarity advantage", in which black-on-white text configurations are more legible than their negative polarity, white-on-black counterparts. Existing research in this area suggests that the positive polarity advantage stems from the brighter illumination emitted by positive polarity displays, as opposed to the darker backgrounds of negative polarity displays. In the present study, legibility thresholds were measured under glance-like reading conditions using a lexical decision paradigm, testing two type sizes, display polarities, and ambient illuminations (near-dark and daylight-like).

    Source : Dobres, Jonathan, Chahine, Nadine, & Reimer, Bryan. (2017). Applied Ergonomics, 60, 68-73. http://dx.doi.org/10.1016/j.apergo.2016.11.001

  • Within the diagnostic process, in the activities in which digital radiology systems are utilised, image display devices play a very important role. Such devices have to guarantee high performances in order to maintain the diagnostic quality of the displayed images and present them so that they can be observed optimally. In order to ensure the appropriate performance to the users, not only the image display device but also the whole workstation should be designed properly. Particular attention should be paid to the lighting conditions, to avoid compromising the radiologist’s ability to observe the displayed images. The aim of this study is to assess the lighting of some workstations used for diagnostic radiology reporting, in order to obtain information about the visual interaction between worker and device and prevent health risks.

    Source : Leccese, Francesco, Salvadori, Giacomo, Montagnani, Carlo, Ciconi, Andrea, & Rocca, Michele. (2017). International Journal of Industrial Ergonomics, 57, 42-54. http://dx.doi.org/10.1016/j.ergon.2016.11.005

  • The authors tested whether a sleep and circadian-based treatment shown to improve circadian adaptation to night shifts and attenuate negative effects on alertness, performance and sleep in young adults would also be effective in older adults. They assessed subjective alertness, sustained attention, sleep duration and circadian timing in 18 older adults in a simulated shift work protocol. 4 day shifts were followed by 3 night shifts in the laboratory. Participants slept at home and were randomised to either the treatment group (scheduled evening sleep and enhanced lighting during the latter half of night shifts) or control group (ad-lib sleep and typical lighting during night shifts).

    Source : Chinoy, Evan D., Harris, Michael P., Kim, Min Ju, Wang, Wei, & Duffy, Jeanne F. (2016). Occupational & Environmental Medicine, 73(12), 869-876. doi:10.1136/oemed-2016-103712

ENQUÊTE ET ANALYSE D’ACCIDENTS

Pour lire aussi article original :  Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

  • Under-reporting of type II (patient/visitor-on-worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. Mixed methods including surveys and focus groups were used to examine patterns of reporting type II violent events among ∼11,000 workers at six U.S. hospitals. Of the 2,098 workers who experienced a type II violent event, 75% indicated they reported. Reporting patterns were disparate including reports to managers, co-workers, security, and patients’ medical records—with only 9% reporting into occupational injury/safety reporting systems. Workers were unclear about when and where to report, and relied on their own "threshold" of when to report based on event circumstances.

    Source : Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

ÉQUIPEMENTS DE PROTECTION

  • Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs. This was an intervention study which compared the initial values with those after a follow-up of 12 months. All teaching child care workers employed by the multi-site institution were offered the opportunity to take part. Forty-five (45) employees in16 institutions participated.

    Source : Koch, Peter, Stranzinger, Johanna, Kersten, Jan Felix, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:50. DOI: 10.1186/s12995-016-0138-1

  • Though employee health professionals are aware that Zika virus can be transmitted by a needlestick, a case involving transmission from a dying patient with an extremely high viral titer to an acquaintance caregiver has implications for protecting healthcare workers. But perhaps no case of Zika is as strange and alarming as that of the first U.S. death due to the emerging virus in June of this year in Salt Lake City. While hospitalized, the 73-year-old patient apparently transmitted Zika to a visiting acquaintance — possibly through tears — before dying with an incredibly high level of circulating virus in the blood. The secondary case developed symptomatic Zika infection, but subsequently recovered.

    Source : Did Gloveless Contact Transmit Zika? (2016). Hospital Employee Health, 35(12), 141-142. Repéré à https://www.ahcmedia.com/articles/139549-did-gloveless-contact-transmit-zika

  • A low level of air-borne bacteria in the operating room air can be achieved if all staff wear clothes made from a low-permeable material (i.e. Clean Air Suits). We investigated whether there was a difference in protective efficacy between two single-use scrubs both made of polypropylene by testing them during routinely performed orthopaedic surgical procedures. There was no significant difference in counts of CFU/m3 air between the two scrubs and a choice between them can thus be based on which one is more comfortable for staff.

    Source : Tammelin, Ann, & Blomfeldt, Anne-Marie. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.027

  • La radiologie interventionnelle pédiatrique est un domaine particulièrement irradiant pour l’opérateur, du fait de l’utilisation fréquente d’un système de radioscopie biplan et de la plus grande proximité du médecin avec le patient. L’étude présentée ici porte de la dose au cristallin d’un neuroradiologue exerçant en pédiatrie, au moyen de dosimètres thermoluminescents (TLD) placés à différents endroits sur un bonnet chirurgical mesurant ainsi l’exposition du cristallin en l’absence de lunettes de protection, et ce durant 12 interventions. Dans un deuxième temps, en vue de déterminer l’efficacité de quatre paires de lunettes de protection plombées, des mesures ont été effectuées en reproduisant les mêmes conditions cliniques.

    Source : Bolomey, C., Fasel, G., Ryckx, N., & Le Coultre, R. (24 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/tttt/Identification-et-evaluation-des/article/irradiation-du-personnel-en

ÉQUIPEMENTS INNOVATEURS EN SST

  • Au Centre d’archives de la Ville de Mont-Saint-Hilaire, les employés doivent fréquemment manipuler des boîtes remplies de documents sur un haut rayonnage de sept tablettes. Ils utilisaient un escabeau mobile pour déplacer les boîtes, qui pèsent jusqu’à 40 livres, et ce, en ayant les bras en extension au-dessus des épaules. Ce travail se faisait donc de façon non ergonomique et présentait des risques importants de blessures. Après avoir cherché en vain des escabeaux plus ergonomiques auprès d’autres centres d’archives, une équipe de travail de la Ville a décidé de développer elle-même une solution. On a ajouté à l’escabeau mobile, déjà muni d’un garde-corps, une tablette ajustable qui supporte les boîtes pendant que le travailleur se trouve sur l’escabeau. Une commande manuelle actionne un petit moteur qui déplace mécaniquement la tablette à la hauteur désirée. Entièrement pensé et réalisé par les travailleurs, ce système est simple d’utilisation et rend la manipulation des boîtes d’archives plus sécuritaire.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2016). Lumière su les visages de la prévention : région de la Yamaska. [S.l.]. CNESST, p. 21. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Yamaska/DC200-987-4Y_Yamaska_GPSST-Brochure_2016-06_4.pdf#page=21

  • Pour voir la vidéo : https://www.youtube.com/watch?v=_DG_pkZX3vo&feature=youtu.be

    ERGONOMIE

    • Ce numéro spécial vise à comprendre dans une approche pluridisciplinaire les façons différentes pour les femmes et les hommes de réaliser leur activité de travail et hors travail. L’objectif est d’interroger nos méthodes d’intervention ergonomique sur les relations entre travail et santé du point de vue du sexe/genre et d’en tirer des leçons pour la formation et la recherche. Une dizaine d’articles dans des secteurs variés apportent des connaissances sur la nécessité d’analyser de manière différenciée les expositions aux risques, les difficultés de santé selon le sexe/genre. Les stéréotypes apparaissent dans la répartition des emplois, la division du travail, l’attribution de rôle selon les horaires de travail. Porter le regard sur l’activité, plus exactement sur les modalités de régulations dans le travail en fonction des formes d’organisation du travail selon le sexe/genre, amène aux différentes étapes de l’intervention ergonomique à questionner les processus de transformation du travail qui peuvent tenir davantage l’égalité professionnelle.

      Source : Caroly, Sandrine. (2016). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 18(2). Repéré à http://pistes.revues.org/4827

    • Kathy Espinoza, assistant vice president of ergonomics and safety for the insurance brokerage and consulting firm of Keenan & Associates in Torrance, CA, suggests employee health professionals consider the following strategies with healthcare workers from the millennial generation.

      Source : Espinoza, Kathy. (2016). Hospital Employee Health, 35(12), 137. Repéré à https://www.ahcmedia.com/articles/139546-key-strategies-for-millennial-workers

    • Monotonous, repetitive work characterizes production lines. Repetitive movements and awkward postures are the most prominent physical risk factors in the workplace. Various legislations have been enacted along with technical standards for ergonomic risk evaluation to ensure the safety of the operators.There are numerous methods to assess the ergonomic risk at work. However, most methods are not meant to be used for assessing cyclic work. This paper proposes a method, Postural Ergonomic Risk Assessment (PERA), which is suitable to evaluate the postural ergonomic risk of short cyclic assembly work. Its key features are simplicity and compliance with standards. The added value of the method is that it provides an analysis of every work task in the work cycle, which facilitates the identification of sources of high risk to the operator.

      Source : Chander, Divyaksh Subbash, Cavatorta, Maria Pia. (2017). International Journal of Industrial Ergonomics, 57, 32-41. http://dx.doi.org/10.1016/j.ergon.2016.11.007

    ERGOTHÉRAPIE – PHYSIOTHÉRAPIE

    ÉTABLISSEMENTS D’HÉBERGEMENT (Voir aussi MILIEU DE VIE

    FORMATION EN SST

    • Multifaceted safe patient handling and mobility (SPHM) programs have been shown to reduce the personal and financial burden associated with work-related musculoskeletal disorders. Access to appropriate equipment is essential for successful outcomes, but equipment alone is not sufficient. Training on how to use equipment is also critical; however, limited literature exists describing the details of SPHM training programs. A case report design provides a rich description of practice in replicable detail. This article uses a case report format to describe the development and evaluation of the training program implemented in an academic medical center, including the various strategies and tools used: hierarchical task analysis, ergonomic risk analysis, interviews, and observations. Outcomes and future plans are described to provide further insight into the program.

      Source : Enos, Lynda, Eldredge, Deborah, & Rockefeller, Kathleen. (2016). American Journal of SPHM, 6(3), 120-129. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=189

    • Safe patient handling and mobility (SPHM) program implementation is a change initiative requiring effective education. Little research is available, however, describing specific recommendations for effective SPHM education. Effective education includes an education plan that incorporates the concepts of adult learning theories, various learning styles, and generational learning considerations. Examples of different teaching methods are discussed to promote the learning needs of the adult healthcare professional for SPHM. This article defines effective SPHM education and offers innovative methods and strategies for enhancing SPHM education based on an evidenced-based approach.

      Source : Perez, Amber. (2016). American Journal of SPHM, 6(3), 113-119. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=188

    • Education, training, and learning are distinctly separate and involve varied, complex activities, yet they do not always receive sufficient attention, organization, and resource application to ensure healthcare providers are fully capable and confident in using safe patient handling and mobility (SPHM) technology. The goals of this article are to focus on the psychomotor domain of learning, describe best methods to achieve success with psychomotor learning within the context of SPHM program and technology use, and recommend methods to improve SPHM education for psychomotor skill acquisition.

      Source : Mechan, Patricia. (2016). American Journal of SPHM, 6(3), 104-108. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=187

    • Safety training (ST) is essential for workplace safety and to be effective requires that the learned knowledge and skills are transferred to the job. Research on transfer mechanisms and its predictors has neglected trainers’ influence, despite their privileged position on decisions related with training. This study is aimed at identifying: (1) trainers’ perspectives on best practices for enhancing ST success; (2) unexplored transfer factors based on reported best practices; and (3) the trainers’ sense of self-efficacy and personal responsibility regarding ST results.

      Source : Freitas, Ana Cristina, & Silva, Silvia Agostinho. (2017). Safety Science, 91(1), 310-319. http://dx.doi.org/10.1016/j.ssci.2016.08.007

    FUMÉES CHIRURGICALES

    • Hepatitis B virus (HBV) transmission is known to occur through direct contact with infected blood. There has been some suspicion that the virus can also be detected in aerosol form. However, this has never been directly shown. The purpose of this study was to sample and analyse surgical smoke from laparoscopic surgeries on patients with hepatitis B to determine whether HBV is present.

      Source : Kwak, Han Deok, Kim, Seon-Hahn, Seo, Yeon Seok, & Song, Ki-Joon. (2016). Occupational & Environmental Medicine, 73(12), 857-863. doi:10.1136/oemed-2016-103724

    GESTION – LEADERSHIP

    • Authentic leadership and structural empowerment have been shown to reduce early career burnout among nurses. Short-staffing and work-life interference are also linked to burnout and may help explain the impact of positive, empowering leadership on burnout, which in turn influences job satisfaction and patient care quality. The purpose of this study was to test a hypothesized model linking new graduate nurses’ perceptions of their manager’s authentic leadership behaviours to structural empowerment, short-staffing and work-life interference and subsequent burnout, job satisfaction and patient care quality.

      Source : Boamah, Sheila, A., Read, Emily A., Laschinger, & Heather K, Spence. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13215

    • À l’ère où les organisations vivent de très grands changements, plusieurs concepts clés, notamment le leadership, sont amenés à évoluer. Encore maintenant, le leadership reflète l’autorité d’une seule personne, perception conservée depuis l’ère industrielle! Dans ce texte, l’auteur, Edith Luc, préconise le principe du leadership partagé, principe amenant les membres d’un groupe à accepter de « s’influencer mutuellement en vue de réaliser leur but commun ». Cet article permet d’en savoir plus sur les effets, la mise en place et les obstacles du leadership partagé.

      Source : Luc, Édith. (Hiver 2017). Gestion, 41(3). Repéré à http://www.revuegestion.ca/agir/le-leadership-partage/

    • In recent years there has been a growing interest within occupational health psychology in the role that leaders play in managing employee safety and health and promoting a workforce that is healthy as well as productive. Although this research has received increased attention, it faces several challenges. The editors of this special issue invite high-quality conceptual and empirical papers addressing these and other challenges in the area of leadership and occupational health psychology. They welcome a wide range of theoretical and methodological approaches. Interdisciplinary approaches and studies that include multiple levels (individual, group and organizational) and multiple raters are encouraged. We are interested in a wide range of questions concerning leadership and employee safety, health and well-being.

      Source : Nielsen, Karina, Kelloway, E. Kevin, & Taris, Toon W. (2016). Work & Stress : An International Journal of Work, Health & Organisations, 30(4), 395-396. http://dx.doi.org/10.1080/02678373.2016.1221601

    • Previous explanations of horizontal incivility point to oppressed group behaviour and socialisation of nurses. Leadership and organisational culture are known to have a profound impact on workplace behaviour, yet few studies have examined the relationship between leadership style and nurse-to-nurse incivility. Previous explanations of horizontal incivility point to oppressed group behaviour and socialisation of nurses. Leadership and organisational culture are known to have a profound impact on workplace behaviour, yet few studies have examined the relationship between leadership style and nurse-to-nurse incivility.

      Source : Kaiser, Jennifer A. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12447

    GESTION DE LA SST

    • Ce numéro spécial vise à comprendre dans une approche pluridisciplinaire les façons différentes pour les femmes et les hommes de réaliser leur activité de travail et hors travail. L’objectif est d’interroger nos méthodes d’intervention ergonomique sur les relations entre travail et santé du point de vue du sexe/genre et d’en tirer des leçons pour la formation et la recherche. Une dizaine d’articles dans des secteurs variés apportent des connaissances sur la nécessité d’analyser de manière différenciée les expositions aux risques, les difficultés de santé selon le sexe/genre. Les stéréotypes apparaissent dans la répartition des emplois, la division du travail, l’attribution de rôle selon les horaires de travail. Porter le regard sur l’activité, plus exactement sur les modalités de régulations dans le travail en fonction des formes d’organisation du travail selon le sexe/genre, amène aux différentes étapes de l’intervention ergonomique à questionner les processus de transformation du travail qui peuvent tenir davantage l’égalité professionnelle.

      Source: Caroly, Sandrine. (2016). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 18(2). Repéré à http://pistes.revues.org/4827

    • The Zero Accident Vision (ZAV) is a promising approach developed in industry, but not so much addressed by the safety science research community. In a discussion paper in Safety Science (2013) a call was made for more research in this area. Three years later is a good time to take status of developments in this field. A first set of empirical studies has been published, several authors see new perspectives with the vision, while misunderstandings still flourish with a focus on ‘zero incidents’ as a ‘goal’, rather than the ‘vision’ that all occupational incidents are preventable. This has thus given rise to fundamental criticism of ZAV with some authors seeing ZAV as an unjustified and misleading pretention that is counter-productive for safety. In this paper an overview is given of the knowledge developments in this respect, as well as on the discourse on the controversial aspect of ZAV.

      Source : Zwetsloot, Gerard I.J.M., Kines, Pete, Wybo, Jean-Luc, Ruotsala, Riikka, Drupsteen,Linda, & Bezemer, Robert A. (2017). Safety Science, 91, 260-268. http://dx.doi.org/10.1016/j.ssci.2016.08.016

    • An extensive body of published literature exists demonstrating the benefits of safe patient handling and mobility (SPHM) programs, including a reduction in the incidence of patient handling-related injuries, a lowering of workers’ compensation costs, a reduction in the number of lost work days due to injury, an increase in job satisfaction, and an increase patient satisfaction. For the most part, these evaluations assess the effects at the program level, where the unit of analysis is either a healthcare facility or a healthcare system. No comprehensive evaluation of the influence of a statewide SPHM policy has been completed.

      Source : Howard, Ninica. (2016). American Journal of SPHM, 6(3), 130-131. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=190

    • While there is general consensus that violent incidents against healthcare workers are underreported, a closer look reveals a more nuanced view of the problem. Many incidents are actually reported by word of mouth and even documented in various logs and systems. The problem is that these incident data too often remain in separate silos and are not compiled into systemwide active surveillance that could reveal a more complete picture of violence in a healthcare facility, says Lisa A. Pompeii, PhD, the lead author of a new study on reporting of violence in healthcare.

      Source : Evans, Gary. (December 1, 2016). Hospital Employee Health, 35(12), 132-135. Repéré à https://www.ahcmedia.com/articles/139544-hospitals-fail-to-capture-violent-incident-reports

    Pour lire aussi l’article original : Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

    • Under-reporting of type II (patient/visitor-on-worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. Mixed methods including surveys and focus groups were used to examine patterns of reporting type II violent events among ∼11,000 workers at six U.S. hospitals. Of the 2,098 workers who experienced a type II violent event, 75% indicated they reported. Reporting patterns were disparate including reports to managers, co-workers, security, and patients’ medical records—with only 9% reporting into occupational injury/safety reporting systems. Workers were unclear about when and where to report, and relied on their own "threshold" of when to report based on event circumstances.

      Source : Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

    • In recent years there has been a growing interest within occupational health psychology in the role that leaders play in managing employee safety and health and promoting a workforce that is healthy as well as productive. Although this research has received increased attention, it faces several challenges. The editors of this special issue invite high-quality conceptual and empirical papers addressing these and other challenges in the area of leadership and occupational health psychology. They welcome a wide range of theoretical and methodological approaches. Interdisciplinary approaches and studies that include multiple levels (individual, group and organizational) and multiple raters are encouraged. We are interested in a wide range of questions concerning leadership and employee safety, health and well-being.

      Source : Nielsen, Karina, Kelloway, E. Kevin, & Taris, Toon W. (2016). Work & Stress : An International Journal of Work, Health & Organisations, 30(4), 395-396. http://dx.doi.org/10.1080/02678373.2016.1221601

    • The occupational stress associated with the nursing profession is increasingly recognised and nurse/midwifery absenteeism is a significant global problem. Taking a ‘mental health day’ as sickness absence is a common phenomenon in Australian healthcare. No previous studies have empirically explored the characteristics of nurses and midwives using such sickness absence. The aim of this study was to examine the workforce, workplace, psychosocial and health characteristics of nurses and midwives in relation to their reported use of sickness absence described as ‘mental health days’.

      Source : Lamont, Scott, Brunero, Scott, Perry, Lin, Duffield, Christine, Sibbritt, David, Gallagher, Robyn, & Nicholls, Rachel. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13212

    • Manual resident handling (RH) tasks increase risk of musculoskeletal disorders (MSDs) for clinical staff in nursing homes. To reduce the incidence and cost of MSDs, a large healthcare corporation instituted a Safe Resident Handling Program (SRHP) comprising purchase of mechanical lifting equipment, worker training, and detailed usage/maintenance protocols. The program was initially administered by a third-party company; after three years, program responsibility shifted to individual centers. Workers’ compensation claim rates were compared before and after SRHP implementation. Claims and FTEs were classified as "pre-SRHP," "first post period" (up to 3 years post-SRHP), or "second post period" (4–6 years post-SRHP), based on claim date relative to implementation date for each center.

      Source : Kurowski, Alicia, Gore, Rebecca, Roberts, Yaritza, Kincaid, Kendra Richardson, & Punnett, Laura. (2017). Safety Science, 92, 217-224. http://dx.doi.org/10.1016/j.ssci.2016.10.012

    • The purpose of this study was to use objective registry data to prospectively investigate the effects of quick returns (QR, <11 hours of rest between shifts) and night shifts on sick leave. A total of 1538 nurses (response rate =41.5%) answered questionnaires on demographics and personality and provided consent to link this information to registry data on shift work and sick leave from employers’ records. A multilevel negative binomial model was used to investigate the predictive effect of exposure to night shifts and QR every month for 1 year, on sick leave the following month.

      Source : Vedaa, Øystein, Pallesen, Ståle , Waage, Siri, Bjorvatn, Bjørn, Sivertsen, Børge, Erevik, Eilin, Svensen, Erling & Harris, Anette. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103920

    • Hepatitis C infection is a global public health issue. Chronic hepatitis C infection is associated with significant morbidity and mortality. The aim of this study is to describe the costs for occupationally-cased hepatitis C infections based on data from an accident insurance carrier. This study is a secondary analysis based on the Database of a German Institution for Statutory Accident Insurance. The analysis is based on a sample of insured parties whose hepatitis C infections were recorded as occupational diseases between 1996 and 2013. The analysis is based on recognised hepatitis C cases and incorporates records registered between 1 January 2000 and 31 December 2014.

      Source : Westermann, Claudia, Dulon, Madeleine, Wendeler, Dana, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:52. DOI: 10.1186/s12995-016-0142-5

    • Il n’est pas rare de constater qu’une personne met de côté des règles de sécurité lorsqu’elle sait que personne ne viendra l’importuner à ce sujet et, d’autant plus si le respect des règles de sécurité lui apporte des inconvénients, de l’inconfort ou s’avère un obstacle à son efficacité personnelle. L’entreprise peut bien disposer d’une politique, d’un système de gestion de la santé-sécurité, de procédures et de règles de sécurité, etc. Toutefois, il s’agit de mécanismes qui exercent une pression extérieure en vue de l’adoption des comportements sécuritaires. Si on souhaite inciter les membres du personnel à adhérer à une culture positive en SST, à adopter des comportements sécuritaires, il importe d’agir également sur les incitatifs qui rehaussent la motivation personnelle à adopter des pratiques de travail sécuritaires.

      Source : Centre patronal de santé et sécurité du travail du Québec. (Novembre 2016). Infos SST. Le point sur… Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/culture-sst/favoriser-des-pratiques-securitaires-meme-en-labsence-de-supervision.html

    • Dans la gestion médicoadministrative de vos dossiers de lésions professionnelles, vous êtes fréquemment confronté à des questions concernant la collecte et la protection des renseignements de nature médicale. Voici les grands principes à respecter quant aux renseignements médicaux qu’il est possible d’obtenir, les personnes autorisées à y accéder et leur transmission au travailleur concerné.

      Source : Centre patronal de santé et sécurité du travail du Québec. (Novembre 2016). Infos SST. Le point sur… Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/suivi-des-lesions/renseignements-medicaux-et-regles-de-confidentialite.html

    GESTION DU CHANGEMENT

    • À l’ère où les organisations vivent de très grands changements, plusieurs concepts clés, notamment le leadership, sont amenés à évoluer. Encore maintenant, le leadership reflète l’autorité d’une seule personne, perception conservée depuis l’ère industrielle! Dans ce texte, l’auteur, Edith Luc, préconise le principe du leadership partagé, principe amenant les membres d’un groupe à accepter de « s’influencer mutuellement en vue de réaliser leur but commun ». Cet article permet d’en savoir plus sur les effets, la mise en place et les obstacles du leadership partagé.

      Source : Luc, Édith. (Hiver 2017). Gestion, 41(3). Repéré à http://www.revuegestion.ca/agir/le-leadership-partage/

    HARCÈLEMENT AU TRAVAIL

    • L’intimidation et le harcèlement désignent habituellement tout comportement mal venu qui diminue, embarrasse, humilie, ennuie, inquiète ou injurie une personne. Au travail, ces comportements peuvent prendre diverses formes. L’intimidation est une forme d’agression dont les manifestations peuvent être évidentes ou subtiles, et dont les effets peuvent être dévastateurs pour le travailleur visé. Le présent document infographique énonce les différents types de comportements d’intimidation de même que les mesures que les employeurs peuvent prendre pour lutter contre l’intimidation et créer un milieu de travail sain et respectueux.

      Source : Centre canadien d’hygiène et de sécurité au travail. (2016). L’intimidation et le harcèlement en milieu de travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/bullying_harassment.png

    HORAIRE DE TRAVAIL

    • The objective was to examine if night shift work is a short-term risk factor for breast cancer, including combined estrogen receptor (ER) and human epidermal growth factor 2 (HER2) breast cancer subtypes. The cohort comprised 155 540 public sector female workers in Denmark who were followed from 2007–2012.

      Source : Vistisen, HT, Garde, AH, Frydenberg, M., Christiansen, P., Hansen, ÅM, Hansen, J., Bonde, JPE, & Kolstad HA. (2016). Scandinavian Journal of Work, Environment & Health. Prépublication. doi:10.5271/sjweh.3603

    • This systematic review and meta-analysis aimed to examine whether working beyond the standard working hours was associated with a greater risk of depressive disorder among workers included in published prospective studies. This manuscript was prepared according to the PRISMA guideline checklist. A database search was conducted using MEDLINE (PubMed), PsycINFO, and PsycARTICLES using a relevant set of keywords.

      Source : Watanabe, Kazuhiro, Imamura, & Kotaro, Kawakami, Norito. (2016). Occupational & Environmental Medicine, 73(12), 877-884. doi:10.1136/oemed-2016-103845

    • In 2007, the International Agency for Research on Cancer (IARC) convened an expert working group who examined all relevant information and concluded that "Shiftwork that involves circadian disruption is probably carcinogenic to humans (Group 2A)."1 As a key element of their classification, IARC judged that there was "sufficient evidence in experimental animals for the carcinogenicity of light during the daily dark period (biological night) [emphasis added]."1 However, while IARC identified a key role for ‘biological night’ in animals, it is more difficult to define—and work with—a biological night in humans. This editorial suggests ‘how’ we can do this in practice to arrive at an epidemiological measure of circadian disruption.

      Source : Erren, TC, Groß, JV, & Fritschi, L. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-104056

    • Shift work is associated with adverse physical and psychological health outcomes. However, the independent health effects of night work and rotating shift on workers’ sleep and mental health risks and the potential gender differences have not been fully evaluated. The authors used data from a nationwide survey of representative employees of Taiwan in 2013, consisting of 16 440 employees. Participants reported their work shift patterns 1 week prior to the survey, which were classified into the four following shift types: fixed day, rotating day, fixed night and rotating night shifts. Also obtained were self-reported sleep duration, presence of insomnia, burnout and mental disorder assessed by the Brief Symptom Rating Scale.

      Source : Cheng, Wan-Ju, & Cheng, Yawen. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103898

    • Hospital nurses are expected to maintain optimal work performance; yet, fatigue can threaten safe practice and result in unfavorable patient outcomes. This descriptive cross-sectional study explored the association between fatigue, work schedules, and perceived work performance among nurses. The study sample included 77 bedside nurses who were mostly female, single, and between 20 and 29 years of age. The majority worked 8-hour shifts and overtime.

      Source : Sagherian, Knar, Clinton, Michael E., Huijer, Huda Abu-Saad, & Geiger-Brown, Jeanne. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916665398

    • The purpose of this study was to use objective registry data to prospectively investigate the effects of quick returns (QR, <11 hours of rest between shifts) and night shifts on sick leave. A total of 1538 nurses (response rate =41.5%) answered questionnaires on demographics and personality and provided consent to link this information to registry data on shift work and sick leave from employers’ records. A multilevel negative binomial model was used to investigate the predictive effect of exposure to night shifts and QR every month for 1 year, on sick leave the following month.

      Source : Vedaa, Øystein, Pallesen, Ståle , Waage, Siri, Bjorvatn, Bjørn, Sivertsen, Børge, Erevik, Eilin, Svensen, Erling & Harris, Anette. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103920

    • The authors tested whether a sleep and circadian-based treatment shown to improve circadian adaptation to night shifts and attenuate negative effects on alertness, performance and sleep in young adults would also be effective in older adults. They assessed subjective alertness, sustained attention, sleep duration and circadian timing in 18 older adults in a simulated shift work protocol. 4 day shifts were followed by 3 night shifts in the laboratory. Participants slept at home and were randomised to either the treatment group (scheduled evening sleep and enhanced lighting during the latter half of night shifts) or control group (ad-lib sleep and typical lighting during night shifts).

      Source : Chinoy, Evan D., Harris, Michael P., Kim, Min Ju, Wang, Wei, & Duffy, Jeanne F. (2016). Occupational & Environmental Medicine, 73(12), 869-876. doi:10.1136/oemed-2016-103712

    • Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes. Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce. The overall aim of this study was to explore barriers and facilitators within the hospital nurse work system to nurse coping and fatigue. The purpose of this paper is to describe emergent themes that offer new insight describing the relationships among nurse perceptions of fatigue, nursing professional culture, and implications for the nursing workforce.

      Source : Steege, Linsey M., & Rainbow, Jessica G. (2017). International Journal Of Nursing Studies, 67, 20-28. http://dx.doi.org/10.1016/j.ijnurstu.2016.11.014

    • Adequate recovery opportunities are crucial for preventing long-term health effects of acute load reactions in response to stressful work. However, little is known about the time course of recovery from work during non-working days. Thus, the present study assessed recovery from two consecutive 12-hours day shifts during a period of three rest days among nurses. In total, 48 nurses (89.6% females) working in three public Austrian nursing homes completed 5-day self-reporting diaries prior to a work phase consisting of two consecutive 12-hours day shifts followed by three consecutive rest days. Therefore, morning and evening fatigue, distress, vigor and sleep were self-assessed by standardized questionnaires.

      Source : Blasche, Gerhard, Bauböck, Verena-Maria, & Haluza, Daniela. (2016). International Archives of Occupational and Environmental Health. Prépublication. doi:10.1007/s00420-016-1187-6

    HYGIÈNE ET SALUBRITÉ

    • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

      Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

    • "We thank the authors of the letter for their comments on the benefits and risks of using low-level disinfectants on environmental surfaces in hospitals based on our recent article "Occupational health risks associated with the use of germicides in health care." We take exception to many of the issues and criticisms raised by these authors. First, the authors have failed to note the substantial morbidity and mortality associated with health care–associated infections (HAIs) in the United States."

      Source : Weber, David J. & Rutala, William A. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.09.018

    Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • In their recent article, Weber et al concluded "scientific evidence does not support that the use of low level disinfectant products on environmental surfaces by health care personnel is an important risk factor for the development of asthma or dermatitis." They reached this conclusion after reviewing the employee medical records at University of North Carolina hospitals (2003-2012) and conducting a literature review on disinfectants and health care workers.The authors take exception with the adequacy of the data for Weber et al. study and the thoroughness of Weber’s literature review and do not find conclusion to be supported by Weber et al data.

    Source : Pechter, Elise, & Rosenman, Kenneth D. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.020

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • This study was specifically focused on para-professional healthcare workers (PHCWs) who handle cytotoxic drugs and contaminated wastes at the Public Teaching Hospitals of Marseille (AP-HM), France. It first aimed at evaluating the knowledge and professional practice of the PHCWs who belong to a personnel category among the less informed and protected in hospitals. In a second time, this study also proposed to raise awareness, educate and train the staff on protective measures to minimise the exposure of the PHCWs to the potential toxicity of anticancer chemotherapy agents (or metabolites) when cleaning and handling both cytotoxic drugs and wastes. Standardized procedures and guidelines to prevent occupational exposure were not used by PHCWs. More education and training are needed to improve safety.

    Source : Kieffer, C., Verhaege, P. Lagrassa, S., Grégoire, R., Moussaoui, Z., Casteras-Ducros, C., Clark, J.E., Vanelle, P., & Rathelot, P. (2015). European Journal of Cancer Care, 24(3), 404-410. DOI: 10.1111/ecc.12249

  • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l’IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

    Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html

  • Because manual cleaning is often suboptimal, there is increasing interest in use of automated devices for room decontamination. We demonstrated that an ultrasonic room fogging system that generates submicron droplets of peracetic acid and hydrogen peroxide eliminated Clostridium difficile spores and vegetative pathogens from exposed carriers in hospital rooms and adjacent bathrooms.

    Source : Mana, Thriveen S.C., Sitzlar, Brett, Cadnum, Jennifer L., Jencson, Annette L., Koganti, Sreelatha, & Donskey, Curtis J. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.10.006

  • IMAGERIE MÉDICALE

    • Within the diagnostic process, in the activities in which digital radiology systems are utilised, image display devices play a very important role. Such devices have to guarantee high performances in order to maintain the diagnostic quality of the displayed images and present them so that they can be observed optimally. In order to ensure the appropriate performance to the users, not only the image display device but also the whole workstation should be designed properly. Particular attention should be paid to the lighting conditions, to avoid compromising the radiologist’s ability to observe the displayed images. The aim of this study is to assess the lighting of some workstations used for diagnostic radiology reporting, in order to obtain information about the visual interaction between worker and device and prevent health risks.

      Source : Leccese, Francesco, Salvadori, Giacomo, Montagnani, Carlo, Ciconi, Andrea, & Rocca, Michele. (2017). International Journal of Industrial Ergonomics, 57, 42-54. http://dx.doi.org/10.1016/j.ergon.2016.11.005

    MÉDICAMENTS DANGEREUX – PHARMACIE

    • This study was conducted to determine whether there is contamination on exterior drug packaging using shipping totes from the distributor and carousel storage bins as surrogate markers of external packaging contamination. A two-part study was conducted to measure the presence of 5-fluorouracil, ifosfamide, cyclophosphamide, docetaxel and paclitaxel using surrogate markers for external drug packaging.

      Source : Redic, Kimberly A., Fang, Kayleen, Christen, Catherine, & Chaffee, Bruce W. (2016). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155216679027

    • The aim of this study was to evaluate air and surface contaminations, and internal contamination of healthcare workers during open-abdomen HIPEC using oxaliplatin. Platinum (Pt) was measured in urine of exposed workers and in multiple air and surface samples. Three successive HIPEC procedures were investigated in each of the two hospitals participating in the study. Analysis of air samples did not detect any oxaliplatin contamination. Heavy contamination of the operating table, the floor at the surgeon’s feet, and the surgeon’s overshoes were observed. Hand contamination was observed in surgeons using double gloves for intra-abdominal chemotherapy administration, but not in those using three sets of gloves. Pt was not detected in urine samples obtained after HIPEC (<5 ng/L). The main risk of HIPEC is related to direct or indirect skin exposure and can be prevented by correct use of adapted protective equipment.

      Source : Villa, Antoine, El Balkhi, Souleiman, Aboura, Radia, Sageot, Herve, Hasni-Pichard, Helene, Pocard, Marc, … Garnier, Robert. (2015). Industrial Health, 53(1), 28-37. http://doi.org/10.2486/indhealth.2014-0025

    • This study was specifically focused on para-professional healthcare workers (PHCWs) who handle cytotoxic drugs and contaminated wastes at the Public Teaching Hospitals of Marseille (AP-HM), France. It first aimed at evaluating the knowledge and professional practice of the PHCWs who belong to a personnel category among the less informed and protected in hospitals. In a second time, this study also proposed to raise awareness, educate and train the staff on protective measures to minimise the exposure of the PHCWs to the potential toxicity of anticancer chemotherapy agents (or metabolites) when cleaning and handling both cytotoxic drugs and wastes. Standardized procedures and guidelines to prevent occupational exposure were not used by PHCWs. More education and training are needed to improve safety.

      Source : Kieffer, C., Verhaege, P. Lagrassa, S., Grégoire, R., Moussaoui, Z., Casteras-Ducros, C., Clark, J.E., Vanelle, P., & Rathelot, P. (2015). European Journal of Cancer Care, 24(3), 404-410. DOI: 10.1111/ecc.12249

    • Oncology nurses are at an increased risk of exposure to airborne hazards when they’re administering cytotoxic treatments and caring for immunosuppressed patients that are susceptible to resistant infections. Airborne transmission occurs through small particles or droplet nuclei that remain in the air for extended periods of time. Healthcare organizations are expected to provide sufficient respiratory protection for workers potentially exposed to infectious organisms and hazardous agents.

      Source : Wyant, Tracy. (November 28, 2016). The Importance of Respiratory Protection for Oncology Nurses. [Billet de blogue]. ONS Connect. Repéré à http://connect.ons.org/ons-connect-blog/the-importance-of-respiratory-protection-for-oncology-nurses

    • Les applications thérapeutiques des anticorps monoclonaux (Acm) se multiplient et parallèlement, leur manipulation s’intensifie. Mais leur toxicité pour le personnel reste peu connue. Dans le cadre d’une thèse de médecine du travail, un état des lieux a été réalisé, s’appuyant sur une revue de la littérature et une enquête de terrain, sous la forme de questionnaires ou d’interviews pour les populations ciblées, soit les travailleurs manipulant des Acm (personnels infirmiers et de pharmacie) et les médecins du travail assurant leur suivi médical.

      Source : Coates, L., Caron, V., & Pillière, F. (3 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Manipulation-des-anticorps.html

    MANUTENTION DE CHARGES

    • Au Centre d’archives de la Ville de Mont-Saint-Hilaire, les employés doivent fréquemment manipuler des boîtes remplies de documents sur un haut rayonnage de sept tablettes. Ils utilisaient un escabeau mobile pour déplacer les boîtes, qui pèsent jusqu’à 40 livres, et ce, en ayant les bras en extension au-dessus des épaules. Ce travail se faisait donc de façon non ergonomique et présentait des risques importants de blessures. Après avoir cherché en vain des escabeaux plus ergonomiques auprès d’autres centres d’archives, une équipe de travail de la Ville a décidé de développer elle-même une solution. On a ajouté à l’escabeau mobile, déjà muni d’un garde-corps, une tablette ajustable qui supporte les boîtes pendant que le travailleur se trouve sur l’escabeau. Une commande manuelle actionne un petit moteur qui déplace mécaniquement la tablette à la hauteur désirée. Entièrement pensé et réalisé par les travailleurs, ce système est simple d’utilisation et rend la manipulation des boîtes d’archives plus sécuritaire.

      Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2016). Lumière su les visages de la prévention : région de la Yamaska. [S.l.]. CNESST, p. 21. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Yamaska/DC200-987-4Y_Yamaska_GPSST-Brochure_2016-06_4.pdf#page=21

    Pour voir la vidéo : https://www.youtube.com/watch?v=_DG_pkZX3vo&feature=youtu.be

    • A tool has been developed for supporting practitioners when assessing manual pushing and pulling operations based on an initiative by two global companies in the manufacturing industry. The aim of the tool is to support occupational health and safety practitioners in risk assessment and risk management of pushing and pulling operations in the manufacturing and logistics industries. It is based on a nine-multiplier equation that includes a wide range of factors affecting an operator’s health risk and capacity in pushing and pulling. These multipliers are based on psychophysical, physiological, and biomechanical studies in combination with judgments from an expert group consisting of senior researchers and ergonomists. In order to consider usability, more than fifty occupational health and safety practitioners (e.g. ergonomists, managers, safety representatives, and production personnel) participated in the development of the tool. An evaluation by 22 ergonomists supports that the push/pull tool is user friendly in general.

      Source : Lind, CM. (2016). International Journal of Occupatiojal Safety Ergonomics. Prépublication. 1-40. Repéré à http://www.tandfonline.com/doi/abs/10.1080/10803548.2016.1258811

    • A few biomechanical studies have contrasted the work techniques of female and male workers during manual material handling (MMH). A recent study showed that female workers differed from males mostly in the strategy they used to lift 15-kg boxes from the ground, especially regarding task duration, knee and back postures and interjoint coordination. However, the lifting technique difference observed in females compared to males was perhaps due to a strength differences. The objective of this study was to test whether female workers would repeat the same lifting technique with a load adjusted to their overall strength (females: 10 kg; males: 15 kg), which can be considered a "relative load" since the overall back strength of females is 2/3 that of males. The task for the participants consisted in transferring boxes from one pallet to another.

      Source : Plamondon, A., Larivière, C., Denis, D., Mecheri, H., & Nastasia, I. (2017). Applied Ergonomics, 60, 93-102. http://dx.doi.org/10.1016/j.apergo.2016.10.014

    MILIEU DE VIE

    NORMES ET LÉGISLATION EN SST

    • Sur cette page Web, vous trouverez la liste des articles de lois et les liens ayant trait à la violence en milieu de travail. La plupart des autorités canadiennes prévoient dans leurs lois concernant l’hygiène et la sécurité au travail une « disposition générale » qui oblige les employeurs à prendre toutes les précautions raisonnables pour protéger la santé et la sécurité des employés. Cette disposition doit comprendre la protection des employés de tout risque connu de violence en milieu de travail. Cette liste est préparée par le CCHST dans le cadre du service Législation enviroSST canadienne .

      Source : Canadian Centre for Occupational Health and Safety. (Novembre 2016). Canadian enviroOSH Legislation plus Standards. Repéré à http://ccinfoweb2.ccohs.ca/legislation/documents/notes_fr/oshlegf/legviolf.htm

    PRÉVENTION DES INFECTIONS

    Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

    • In their recent article, Weber et al concluded "scientific evidence does not support that the use of low level disinfectant products on environmental surfaces by health care personnel is an important risk factor for the development of asthma or dermatitis." They reached this conclusion after reviewing the employee medical records at University of North Carolina hospitals (2003-2012) and conducting a literature review on disinfectants and health care workers.The authors take exception with the adequacy of the data for Weber et al. study and the thoroughness of Weber’s literature review and do not find conclusion to be supported by Weber et al data.

      Source : Pechter, Elise, & Rosenman, Kenneth D. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.020

    Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

    • Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region. Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database. The results showed that Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma.

      Source : Dumas, Orianne, Henneberger, Paul K., Zock, Jean-Paul, Le Moual, Nicole, & Camargo, Carlos A. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22671

    • Hepatitis B virus (HBV) transmission is known to occur through direct contact with infected blood. There has been some suspicion that the virus can also be detected in aerosol form. However, this has never been directly shown. The purpose of this study was to sample and analyse surgical smoke from laparoscopic surgeries on patients with hepatitis B to determine whether HBV is present.

      Source : Kwak, Han Deok, Kim, Seon-Hahn, Seo, Yeon Seok, & Song, Ki-Joon. (2016). Occupational & Environmental Medicine, 73(12), 857-863. doi:10.1136/oemed-2016-103724

    • Handwashing (HW) compliance, although an effective means of limiting childhood illness, remains low among personnel in early childhood centers (ECCs). Our study determined HW compliance and efficacy of ECC personnel. Surveillance cameras were used to determine HW opportunities, compliance, occurrences, and effectiveness based on child-care oriented criteria. The findings showed that methods and strategies need to be developed to increase compliance. Current technology provides an effective means of gathering data for determining HW compliance in ECCs.

      Source : Clark, Jeffrey, Henk, jennifer K., Crandall, Philip G., Crandall, Mardel A., & O’Bryan, Corliss A. (2016). AJIC : American Journal of Infection Control, 44(12), 1469-1474. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.006

    • Immunization rates for healthcare workers in long-term care were at a meager 69% last flu season — and that was an improvement. During the previous 2014-2015 flu season, 64% of healthcare workers in long-term care were immunized, according to the CDC. Though they work with vulnerable elderly residents, long-term care workers have historically been less likely to be vaccinated for flu as their counterparts in hospitals and other settings. Though a lagging indicator, flu vaccination rates in long-term care employees are improving over time just like other sectors of the healthcare continuum. Still, a study published last year found that long-term care workers had lingering concerns about the safety of the vaccine, including the old myth that it could cause the flu.

      Source : Many HCWs in Long-Term Care Skip Flu Shots. (2016). Hospital Employee Health, 35(12), 138-141. Repéré à https://www.ahcmedia.com/articles/139548-many-hcws-in-long-term-care-skip-flu-shots

    • Though employee health professionals are aware that Zika virus can be transmitted by a needlestick, a case involving transmission from a dying patient with an extremely high viral titer to an acquaintance caregiver has implications for protecting healthcare workers. But perhaps no case of Zika is as strange and alarming as that of the first U.S. death due to the emerging virus in June of this year in Salt Lake City. While hospitalized, the 73-year-old patient apparently transmitted Zika to a visiting acquaintance — possibly through tears — before dying with an incredibly high level of circulating virus in the blood. The secondary case developed symptomatic Zika infection, but subsequently recovered.

      Source : Did Gloveless Contact Transmit Zika? (2016). Hospital Employee Health, 35(12), 141-142. Repéré à https://www.ahcmedia.com/articles/139549-did-gloveless-contact-transmit-zika

    • About 35.7 million healthcare workers are at risk of sustaining a needlestick injury worldwide and an estimated 384,000 percutaneous injuries occur annually in US hospitals alone. Although needlestick injuries continue to pose a major occupational hazard for healthcare workers, underreporting and a ‘culture of silence’ persist. Few publications suggest solutions. The authors propose a novel solution that may help to deter high-risk [i.e. history of human immunodeficiency virus (HIV), bloodborne hepatitis virus, or intravenous (IV) drug misuse] needlesticks in the operating room (OR) and the wards.

      Source : Katsevman, G.A., Braca III, J.A., Sedney, C.L., & Hatchett, L. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.018

    • Oncology nurses are at an increased risk of exposure to airborne hazards when they’re administering cytotoxic treatments and caring for immunosuppressed patients that are susceptible to resistant infections. Airborne transmission occurs through small particles or droplet nuclei that remain in the air for extended periods of time. Healthcare organizations are expected to provide sufficient respiratory protection for workers potentially exposed to infectious organisms and hazardous agents.

      Source : Wyant, Tracy. (November 28, 2016). The Importance of Respiratory Protection for Oncology Nurses. [Billet de blogue]. ONS Connect. Repéré à http://connect.ons.org/ons-connect-blog/the-importance-of-respiratory-protection-for-oncology-nurses

    • Hepatitis C infection is a global public health issue. Chronic hepatitis C infection is associated with significant morbidity and mortality. The aim of this study is to describe the costs for occupationally-cased hepatitis C infections based on data from an accident insurance carrier. This study is a secondary analysis based on the Database of a German Institution for Statutory Accident Insurance. The analysis is based on a sample of insured parties whose hepatitis C infections were recorded as occupational diseases between 1996 and 2013. The analysis is based on recognised hepatitis C cases and incorporates records registered between 1 January 2000 and 31 December 2014.

      Source : Westermann, Claudia, Dulon, Madeleine, Wendeler, Dana, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:52. DOI: 10.1186/s12995-016-0142-5

    • The infection prevention and control guidelines are current best practice for reducing the risk of an occupational-acquired infection while caring for a patient with a confirmed or suspected case of Ebola virus disease (EVD). However, what is missing from these and similar guidelines is the pastoral care health care workers (HCWs) should be provided while caring for patients with novel and highly pathogenic diseases. I use the term pastoral care to refer to a broad model that includes emotional, psychologic, and spiritual support appropriate for the culture and tradition of the HCW.

      Source : McLaws, Mary-Louise. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.09.016

    • Because manual cleaning is often suboptimal, there is increasing interest in use of automated devices for room decontamination. We demonstrated that an ultrasonic room fogging system that generates submicron droplets of peracetic acid and hydrogen peroxide eliminated Clostridium difficile spores and vegetative pathogens from exposed carriers in hospital rooms and adjacent bathrooms.

      Source : Mana, Thriveen S.C., Sitzlar, Brett, Cadnum, Jennifer L., Jencson, Annette L., Koganti, Sreelatha, & Donskey, Curtis J. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.10.006

    PRODUITS TOXIQUES

    • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

      Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

    • "We thank the authors of the letter for their comments on the benefits and risks of using low-level disinfectants on environmental surfaces in hospitals based on our recent article "Occupational health risks associated with the use of germicides in health care." We take exception to many of the issues and criticisms raised by these authors. First, the authors have failed to note the substantial morbidity and mortality associated with health care–associated infections (HAIs) in the United States."

      Source : Weber, David J. & Rutala, William A. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.09.018

    Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

    • In their recent article, Weber et al concluded "scientific evidence does not support that the use of low level disinfectant products on environmental surfaces by health care personnel is an important risk factor for the development of asthma or dermatitis." They reached this conclusion after reviewing the employee medical records at University of North Carolina hospitals (2003-2012) and conducting a literature review on disinfectants and health care workers.The authors take exception with the adequacy of the data for Weber et al. study and the thoroughness of Weber’s literature review and do not find conclusion to be supported by Weber et al data.

      Source : Pechter, Elise, & Rosenman, Kenneth D. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.020

    Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

    • Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region. Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database. The results showed that Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma.

      Source : Dumas, Orianne, Henneberger, Paul K., Zock, Jean-Paul, Le Moual, Nicole, & Camargo, Carlos A. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22671

    • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l’IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

      Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html.

    PROTECTION RESPIRATOIRE

    • Organizations are required to adhere to the Occupational Safety and Health Administration’s (OSHA) Respiratory Protection Standard (29 CFR 1910.134) if they have workers that wear a respirator on the job. They must also have an employee "suitably trained" to administer their program. The National Institute for Occupational Safety and Health and its National Personal Protective Technology Laboratory have worked to champion the occupational health nurse in this role by collaborating with the American Association of Occupational Health Nurses to develop free, online respiratory protection training and resources (RPP Webkit). This article describes the development, content, and success of this training.

      Source : Pompeii, Lisa, Byrd, Annette, Delclos, George L., & Conway, Sadie H. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916663226

    • Oncology nurses are at an increased risk of exposure to airborne hazards when they’re administering cytotoxic treatments and caring for immunosuppressed patients that are susceptible to resistant infections. Airborne transmission occurs through small particles or droplet nuclei that remain in the air for extended periods of time. Healthcare organizations are expected to provide sufficient respiratory protection for workers potentially exposed to infectious organisms and hazardous agents.

      Source : Wyant, Tracy. (November 28, 2016). The Importance of Respiratory Protection for Oncology Nurses. [Billet de blogue]. ONS Connect. Repéré à http://connect.ons.org/ons-connect-blog/the-importance-of-respiratory-protection-for-oncology-nurses

    QUALITÉ DE L’AIR

    • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

      Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

    • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l’IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

      Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html

    • A low level of air-borne bacteria in the operating room air can be achieved if all staff wear clothes made from a low-permeable material (i.e. Clean Air Suits). We investigated whether there was a difference in protective efficacy between two single-use scrubs both made of polypropylene by testing them during routinely performed orthopaedic surgical procedures. There was no significant difference in counts of CFU/m3 air between the two scrubs and a choice between them can thus be based on which one is more comfortable for staff.

      Source : Tammelin, Ann, & Blomfeldt, Anne-Marie. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.027

    RADIOPROTECTION

    • La radiologie interventionnelle pédiatrique est un domaine particulièrement irradiant pour l’opérateur, du fait de l’utilisation fréquente d’un système de radioscopie biplan et de la plus grande proximité du médecin avec le patient. L’étude présentée ici porte de la dose au cristallin d’un neuroradiologue exerçant en pédiatrie, au moyen de dosimètres thermoluminescents (TLD) placés à différents endroits sur un bonnet chirurgical mesurant ainsi l’exposition du cristallin en l’absence de lunettes de protection, et ce durant 12 interventions. Dans un deuxième temps, en vue de déterminer l’efficacité de quatre paires de lunettes de protection plombées, des mesures ont été effectuées en reproduisant les mêmes conditions cliniques.

      Source : Bolomey, C., Fasel, G., Ryckx, N., & Le Coultre, R. (24 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/tttt/Identification-et-evaluation-des/article/irradiation-du-personnel-en

    ROTATION DES TÂCHES

    • Job rotation strategies have been used for years as an administrative intervention to reduce the risk of musculoskeletal disorders. The benefits of job rotation have been hypothesized to occur via changes in muscular activity variability (MAV). However, the effect of job rotation on MAV has not been fully analyzed in a literature review. A wide search was conducted to identify studies testing the effect of different job rotation strategies on MAV. Twenty-six studies of acceptable quality were included. Several studies on different types of tasks supported the view that job rotation can increase muscular activity variability, particularly with strategies such as alternating tasks and pace changes. However, it remains uncertain whether such variability changes immediately translate into benefits for the worker because little evidence was found that showed simultaneous changes in different muscular groups. Additionally, variability was occasionally achieved at the expense of average activity in the assessed muscles.

      Source : Rodriguez, Andres C., & Barrero, Lope, H. (2017). Applied Ergonomics, 60, 83-92. http://dx.doi.org/10.1016/j.apergo.2016.11.005

    SANTÉ – BIEN-ÊTRE AU TRAVAIL

    • In recent years there has been a growing interest within occupational health psychology in the role that leaders play in managing employee safety and health and promoting a workforce that is healthy as well as productive. Although this research has received increased attention, it faces several challenges. The editors of this special issue invite high-quality conceptual and empirical papers addressing these and other challenges in the area of leadership and occupational health psychology. They welcome a wide range of theoretical and methodological approaches. Interdisciplinary approaches and studies that include multiple levels (individual, group and organizational) and multiple raters are encouraged. We are interested in a wide range of questions concerning leadership and employee safety, health and well-being.

      Source : Nielsen, Karina, Kelloway, E. Kevin, & Taris, Toon W. (2016). Work & Stress : An International Journal of Work, Health & Organisations, 30(4), 395-396. http://dx.doi.org/10.1080/02678373.2016.1221601

    • Previous reviews describe health care professionals’ well-being at work from the perspective of burnout. Research on the interventions for and their effectiveness on nurses’ well-being at work is sporadic.The purpose of this study was to gather, assess and synthesize current research knowledge on the interventions aiming to improve nurses’ well-being at work. CINAHL, Cochrane, EBSCO, PubMed, PsycInfo, Scopus and Medic databases were sought from 2009 – March 2015.

      Source : Romppanen, Johanna, & Häggman-Laitila, Arja. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13210

    SANTÉ PSYCHOLOGIQUE

    • This study evaluated an intervention for patient-handling equipment aimed to improve nursing staffs’ use of patient handling equipment and improve their general health, reduce musculoskeletal problems, aggressive episodes, days of absence and work-related accidents. As a controlled before-after study, questionnaire data were collected at baseline and 12-month follow-up among nursing staff at intervention and control wards at two hospitals.

      Source : Risør, Bettina Wulff, Casper, Sven Dalgas, Andersen, lars Louis, & Sørensena, Jan. (2017). Applied Ergonomics, 60, 74-82. http://dx.doi.org/10.1016/j.apergo.2016.10.011

    • L’intimidation et le harcèlement désignent habituellement tout comportement mal venu qui diminue, embarrasse, humilie, ennuie, inquiète ou injurie une personne. Au travail, ces comportements peuvent prendre diverses formes. L’intimidation est une forme d’agression dont les manifestations peuvent être évidentes ou subtiles, et dont les effets peuvent être dévastateurs pour le travailleur visé. Le présent document infographique énonce les différents types de comportements d’intimidation de même que les mesures que les employeurs peuvent prendre pour lutter contre l’intimidation et créer un milieu de travail sain et respectueux.

      Source : Centre canadien d’hygiène et de sécurité au travail. (2016). L’intimidation et le harcèlement en milieu de travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/bullying_harassment.png

    • This systematic review and meta-analysis aimed to examine whether working beyond the standard working hours was associated with a greater risk of depressive disorder among workers included in published prospective studies. This manuscript was prepared according to the PRISMA guideline checklist. A database search was conducted using MEDLINE (PubMed), PsycINFO, and PsycARTICLES using a relevant set of keywords.

      Source : Watanabe, Kazuhiro, Imamura, & Kotaro, Kawakami, Norito. (2016). Occupational & Environmental Medicine, 73(12), 877-884. doi:10.1136/oemed-2016-103845

    • Shift work is associated with adverse physical and psychological health outcomes. However, the independent health effects of night work and rotating shift on workers’ sleep and mental health risks and the potential gender differences have not been fully evaluated. The authors used data from a nationwide survey of representative employees of Taiwan in 2013, consisting of 16 440 employees. Participants reported their work shift patterns 1 week prior to the survey, which were classified into the four following shift types: fixed day, rotating day, fixed night and rotating night shifts. Also obtained were self-reported sleep duration, presence of insomnia, burnout and mental disorder assessed by the Brief Symptom Rating Scale.

      Source : Cheng, Wan-Ju, & Cheng, Yawen. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103898

    • Authentic leadership and structural empowerment have been shown to reduce early career burnout among nurses. Short-staffing and work-life interference are also linked to burnout and may help explain the impact of positive, empowering leadership on burnout, which in turn influences job satisfaction and patient care quality. The purpose of this study was to test a hypothesized model linking new graduate nurses’ perceptions of their manager’s authentic leadership behaviours to structural empowerment, short-staffing and work-life interference and subsequent burnout, job satisfaction and patient care quality.

      Source : Boamah, Sheila, A., Read, Emily A., Laschinger, & Heather K, Spence. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13215

    • In recent years there has been a growing interest within occupational health psychology in the role that leaders play in managing employee safety and health and promoting a workforce that is healthy as well as productive. Although this research has received increased attention, it faces several challenges. The editors of this special issue invite high-quality conceptual and empirical papers addressing these and other challenges in the area of leadership and occupational health psychology. They welcome a wide range of theoretical and methodological approaches. Interdisciplinary approaches and studies that include multiple levels (individual, group and organizational) and multiple raters are encouraged. We are interested in a wide range of questions concerning leadership and employee safety, health and well-being.

      Source : Nielsen, Karina, Kelloway, E. Kevin, & Taris, Toon W. (2016). Work & Stress : An International Journal of Work, Health & Organisations, 30(4), 395-396. http://dx.doi.org/10.1080/02678373.2016.1221601

    • Although compassionate care has wide-ranging benefits for patients, it can be emotionally demanding for healthcare staff. This may be a particular problem for those with little experience in a caring role. This study utilises the job demands-resources model to examine links between "emotional labour" and emotional exhaustion in student nurses. In line with the triple-match principle—whereby interactive effects are more likely when job demands, resources, and outcomes are within the same qualitative domain—the protective role of emotional support and emotion-focused coping (i.e., emotional venting) in the relationship between emotional labour and exhaustion is also explored.

      Source : Kinman, Gail, & Leggetter, Sandra. (2016). Healthcare, 4(4), 12 p. Repéré à http://www.mdpi.com/2227-9032/4/4/89/pdf

    • Based on the job demands-resources (JD-R) model, this study examines the different ways that the personal resource of mindfulness reduces stress. Structural equation modeling based on data from 415 Australian nurses shows that mindfulness relates directly and negatively to work stress and perceptions of emotional demands as well as buffering the relation of emotional demands on psychological stress. This study contributes to the literature by employing empirical analysis to the task of unravelling how personal resources function within the JD-R model. It also introduces mindfulness as a personal resource in the JD-R model.

      Source : Grover, Steven L., Teo, Stephen T.T., Pick, David, & Roche, Maree. (2016). Stress & Health. Prépublication. DOI: 10.1002/smi.2726

    • New graduate nurses report experiencing high levels of workplace incivility from coworkers, which has been found to negatively impact their job and career satisfaction and increase their intention to leave. The role of civility norms in preventing burnout and subsequent exposure to incivility from coworkers has yet to be examined among new graduate nurses. This study examined the influence of authentic leadership, person-job fit with 6 areas of worklife, and civility norms on coworker incivility and burnout among new graduate nurses.

      Source : Laschinger, Heather K. Spence, & Read, Emily A. (2016). JONA : Journal of Nursing Administration, 46(11), 574-580. doi: 10.1097/NNA.0000000000000407

    • Previous reviews describe health care professionals’ well-being at work from the perspective of burnout. Research on the interventions for and their effectiveness on nurses’ well-being at work is sporadic.The purpose of this study was to gather, assess and synthesize current research knowledge on the interventions aiming to improve nurses’ well-being at work. CINAHL, Cochrane, EBSCO, PubMed, PsycInfo, Scopus and Medic databases were sought from 2009 – March 2015.

      Source : Romppanen, Johanna, & Häggman-Laitila, Arja. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13210

    • The occupational stress associated with the nursing profession is increasingly recognised and nurse/midwifery absenteeism is a significant global problem. Taking a ‘mental health day’ as sickness absence is a common phenomenon in Australian healthcare. No previous studies have empirically explored the characteristics of nurses and midwives using such sickness absence. The aim of this study was to examine the workforce, workplace, psychosocial and health characteristics of nurses and midwives in relation to their reported use of sickness absence described as ‘mental health days’.

      Source : Lamont, Scott, Brunero, Scott, Perry, Lin, Duffield, Christine, Sibbritt, David, Gallagher, Robyn, & Nicholls, Rachel. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13212

    • La grille d’identification de risques psychosociaux au travail offre aux différents acteurs du milieu de travail des repères pour la compréhension, l’identification et la réduction de risques ayant un impact sur la santé psychologique et physique des travailleurs. La grille est destinée aux intervenants en santé au travail externes du milieu afin d’asseoir leur jugement sur des repères communs. Son contenu porte sur des caractéristiques du milieu de travail (partie 1) et certains aspects liés aux pratiques de gestion (partie 2). Il s’appuie sur des modèles théoriques validés par de nombreuses études scientifiques. La grille a été conçue par le Dr Michel Vézina avec la collaboration d’un groupe scientifique de l‘Institut national de santé publique du Québec (INSPQ). En outre, des conditions préalables à l’utilisation de la grille s’avèrent essentielles à la validité des résultats. La formation des intervenants est un préalable incontournable tant pour développer des connaissances sur les risques psychosociaux que des habiletés à utiliser la grille comme grille d’entrevue. La démarche d’identification des risques psychosociaux dans le milieu de travail à l’aide de la grille doit elle aussi satisfaire certaines exigences, dont le recueil d’informations auprès de travailleurs et de représentants de l’employeur.

      Source : Institut national de santé publique du Québec. (2016). Risques psychosociaux. Repéré à https://www.inspq.qc.ca/expertises/sante-au-travail/organisation-et-conditions-de-travail/promotion-de-la-sante-des-travailleurs/risques-psychosociaux

    • Previous work has established that health care staff, in particular emergency department (ED) personnel, experience significant occupational stress but the underlying stressors have not been well quantified. Such data inform interventions that can reduce cases of occupational mental illness, burnout, staff turnover and early retirement associated with cumulative stress. This study aimed to develop, implement and evaluate a questionnaire examining the origins of occupational stress in the ED.

      Source : Basu, S., Yap, C., & Mason, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw155

    • Studies have identified a positive correlation between occupational stress and presenteeism, and research suggests that employer-directed stress-reduction intervention are needed to decrase the burden of stress-related presenteeism among their employees. Yet, no studies to date have sought to identify which stress reduction interventions are of greatest interest to hospital employees. The authors sought to measure stress levels of Kansas hospital employees, how this reported stress affects workplace presenteeism, and which stress reduction interventions were of greatest interest to these employees.

      Source : Huff, Jessica, & Ablah, Elizabeth. (2016). JOEM : Journal of Occupational & Environmental Medicine, 58(11), e368-e369. doi: 10.1097/JOM.0000000000000872

    • Dans le contexte où les couples à deux carrières constituent maintenant la norme, l’enjeu de la conciliation travail-famille devient incontournable. Cette nouvelle réalité souligne la nécessité d’examiner les effets des pratiques de conciliation travail-famille mises en place dans les organisations québécoises sur le bien-être des travailleurs. Une comparaison selon le genre s’avère également pertinente, vu la persistance des rapports sociaux de sexe et de la division sexuelle du travail. Encore aujourd’hui, les femmes allouent davantage de temps aux soins des enfants et aux tâches domestiques que les hommes, tandis que ces derniers s’investissent plus dans leur carrière. Cette étude a été réalisée à partir des données de l’Enquête québécoise sur des conditions de travail, d’emploi et de santé et de sécurité du travail (EQCOTESST).

      Source : Boulet, Maude, & Le Bourdais, Céline. (2016). Relations industrielles, 71(3), 442-467. Repéré à http://www.erudit.org/revue/ri/2016/v71/n3/1037660ar.pdf

    • Le public a désormais accès à deux nouvelles applications mobiles vouées à la prévention du stress chronique et à la gestion de l’humeur conçues et validées scientifiquement par des chercheurs de l’Institut universitaire en santé mentale de Montréal (CIUSSS de l’Est-de-l’Île-de-Montréal), de l‘Université de Montréal et de l’Université du Québec à Montréal (UQAM). L’application iSMART permet aux gens de mieux comprendre les mécanismes de réactivité au stress et d’apprendre à mieux le gérer pour prévenir le stress chronique. Tandis que PsyAssistance est un gestionnaire d’humeur au quotidien et en période de crise.

      Source : Dion, Catherine. (2016). Gestion du stress et de l’humeur : deux nouvelles applications mobiles pour prévenir la maladie mentale. CIUSSS de l’Est-de-l’Île-de-Montréal. Repéré à http://ciusss-estmtl.gouv.qc.ca/wp-content/uploads/2016/10/Communique-apps-final-V5.pdf

    SERVICE D’ONCOLOGIE

    • Oncology nurses are at an increased risk of exposure to airborne hazards when they’re administering cytotoxic treatments and caring for immunosuppressed patients that are susceptible to resistant infections. Airborne transmission occurs through small particles or droplet nuclei that remain in the air for extended periods of time. Healthcare organizations are expected to provide sufficient respiratory protection for workers potentially exposed to infectious organisms and hazardous agents.

      Source : Wyant, Tracy. (November 28, 2016). The Importance of Respiratory Protection for Oncology Nurses. [Billet de blogue]. ONS Connect. Repéré à http://connect.ons.org/ons-connect-blog/the-importance-of-respiratory-protection-for-oncology-nurses

    SERVICE DES URGENCES

    • Violence against nurses has continued at Abbotsford Regional Hospital in Abbotsford, B.C., and incidents over the last few months have led to a recent WorkSafeBC inspection report noting an emergency room (ER) running over capacity. A registered psychiatric nurse (RPN) suffered a severe concussion after getting kicked in the head by a patient in the ER on Oct. 17, and two RPNs and a security guard were assaulted by a young patient on Sept. 8. Both assailants had been patients with mental-health issues whom the police had brought in, said Val Avery, president of the Health Sciences Association of British Columbia (HSA), one of the unions representing the hospital’s employees. "Mental health is the public healthcare crisis of our times," said Avery. "Our ability to respond to it in a healthcare setting has not grown with the same type of need that is required here. So we’re getting these overflowing departments and not the appropriate settings to care for the patients."

      Source : Cottril, Jeff. (November 22, 2016). OHS Canada Magazine. Health & Safety. Repéré à http://www.ohscanada.com/health-safety/attacks-hospitals-nurses-blamed-er-overflow-congestion/1003351683/

    • Previous work has established that health care staff, in particular emergency department (ED) personnel, experience significant occupational stress but the underlying stressors have not been well quantified. Such data inform interventions that can reduce cases of occupational mental illness, burnout, staff turnover and early retirement associated with cumulative stress. This study aimed to develop, implement and evaluate a questionnaire examining the origins of occupational stress in the ED.

      Source : Basu, S., Yap, C., & Mason, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw155

    SERVICES À DOMICILE

    • L’emploi et le soin à domicile emploient deux millions de salariés en France dans le cadre d’un emploi direct ou via un prestataire (associations, organismes publics, entreprises) mais qui ont tous la particularité de se retrouver seul au domicile de la personne aidée. Ces salariés sont non seulement soumis à des contraintes physiques, mais aussi à des exigences émotionnelles fortes face à la détresse physique et psychologique de certaines personnes. Ces métiers génèrent un nombre élevé d’accidents du travail et de maladies professionnelles dont des TMS essentiellement. Difficile de mettre en place des mesures de prévention dans des lieux de travail disséminés dans au moins 2 millions de lieux de travail différents.

      Source : Gayet, C. (24 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/tttt/Metiers/Services-a-la-personne/article/aide-et-soins-a-domicile-penser-a

    SERVICES DES ARCHIVES

    • Au Centre d’archives de la Ville de Mont-Saint-Hilaire, les employés doivent fréquemment manipuler des boîtes remplies de documents sur un haut rayonnage de sept tablettes. Ils utilisaient un escabeau mobile pour déplacer les boîtes, qui pèsent jusqu’à 40 livres, et ce, en ayant les bras en extension au-dessus des épaules. Ce travail se faisait donc de façon non ergonomique et présentait des risques importants de blessures. Après avoir cherché en vain des escabeaux plus ergonomiques auprès d’autres centres d’archives, une équipe de travail de la Ville a décidé de développer elle-même une solution. On a ajouté à l’escabeau mobile, déjà muni d’un garde-corps, une tablette ajustable qui supporte les boîtes pendant que le travailleur se trouve sur l’escabeau. Une commande manuelle actionne un petit moteur qui déplace mécaniquement la tablette à la hauteur désirée. Entièrement pensé et réalisé par les travailleurs, ce système est simple d’utilisation et rend la manipulation des boîtes d’archives plus sécuritaire.

      Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2016). Lumière su les visages de la prévention : région de la Yamaska. [S.l.]. CNESST, p. 21. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Yamaska/DC200-987-4Y_Yamaska_GPSST-Brochure_2016-06_4.pdf#page=21

    Pour voir la vidéo : https://www.youtube.com/watch?v=_DG_pkZX3vo&feature=youtu.be

    SST SELON LE GENRE

    • Ce numéro spécial vise à comprendre dans une approche pluridisciplinaire les façons différentes pour les femmes et les hommes de réaliser leur activité de travail et hors travail. L’objectif est d’interroger nos méthodes d’intervention ergonomique sur les relations entre travail et santé du point de vue du sexe/genre et d’en tirer des leçons pour la formation et la recherche. Une dizaine d’articles dans des secteurs variés apportent des connaissances sur la nécessité d’analyser de manière différenciée les expositions aux risques, les difficultés de santé selon le sexe/genre. Les stéréotypes apparaissent dans la répartition des emplois, la division du travail, l’attribution de rôle selon les horaires de travail. Porter le regard sur l’activité, plus exactement sur les modalités de régulations dans le travail en fonction des formes d’organisation du travail selon le sexe/genre, amène aux différentes étapes de l’intervention ergonomique à questionner les processus de transformation du travail qui peuvent tenir davantage l’égalité professionnelle.

      Source: Caroly, Sandrine. (2016). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 18(2). Repéré à http://pistes.revues.org/4827

    • Dans le contexte où les couples à deux carrières constituent maintenant la norme, l’enjeu de la conciliation travail-famille devient incontournable. Cette nouvelle réalité souligne la nécessité d’examiner les effets des pratiques de conciliation travail-famille mises en place dans les organisations québécoises sur le bien-être des travailleurs. Une comparaison selon le genre s’avère également pertinente, vu la persistance des rapports sociaux de sexe et de la division sexuelle du travail. Encore aujourd’hui, les femmes allouent davantage de temps aux soins des enfants et aux tâches domestiques que les hommes, tandis que ces derniers s’investissent plus dans leur carrière. Cette étude a été réalisée à partir des données de l‘Enquête québécoise sur des conditions de travail, d’emploi et de santé et de sécurité du travail (EQCOTESST).

      Source : Boulet, Maude, & Le Bourdais, Céline. (2016). Relations industrielles, 71(3), 442-467. Repéré à http://www.erudit.org/revue/ri/2016/v71/n3/1037660ar.pdf

    • A few biomechanical studies have contrasted the work techniques of female and male workers during manual material handling (MMH). A recent study showed that female workers differed from males mostly in the strategy they used to lift 15-kg boxes from the ground, especially regarding task duration, knee and back postures and interjoint coordination. However, the lifting technique difference observed in females compared to males was perhaps due to a strength differences. The objective of this study was to test whether female workers would repeat the same lifting technique with a load adjusted to their overall strength (females: 10 kg; males: 15 kg), which can be considered a "relative load" since the overall back strength of females is 2/3 that of males. The task for the participants consisted in transferring boxes from one pallet to another.

      Source : Plamondon, A., Larivière, C., Denis, D., Mecheri, H., & Nastasia, I. (2017). Applied Ergonomics, 60, 93-102. http://dx.doi.org/10.1016/j.apergo.2016.10.014

    STÉRILISATION

    • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

      Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

    • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l‘IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

      Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html

    TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

    TRANSFERT DES SAVOIRS (Voir aussi FORMATION EN SST)

    • Safety training (ST) is essential for workplace safety and to be effective requires that the learned knowledge and skills are transferred to the job. Research on transfer mechanisms and its predictors has neglected trainers’ influence, despite their privileged position on decisions related with training. This study is aimed at identifying: (1) trainers’ perspectives on best practices for enhancing ST success; (2) unexplored transfer factors based on reported best practices; and (3) the trainers’ sense of self-efficacy and personal responsibility regarding ST results.

      Source : Freitas, Ana Cristina, & Silva, Silvia Agostinho. (2017). Safety Science, 91(1), 310-319. http://dx.doi.org/10.1016/j.ssci.2016.08.007

    TRAVAIL DE BUREAU

    • Recent research on the legibility of digital displays has demonstrated a "positive polarity advantage", in which black-on-white text configurations are more legible than their negative polarity, white-on-black counterparts. Existing research in this area suggests that the positive polarity advantage stems from the brighter illumination emitted by positive polarity displays, as opposed to the darker backgrounds of negative polarity displays. In the present study, legibility thresholds were measured under glance-like reading conditions using a lexical decision paradigm, testing two type sizes, display polarities, and ambient illuminations (near-dark and daylight-like).

      Source : Dobres, Jonathan, Chahine, Nadine, & Reimer, Bryan. (2017). Applied Ergonomics, 60, 68-73. http://dx.doi.org/10.1016/j.apergo.2016.11.001

    • The prevalence of flexible and shared office spaces is increasing significantly, yet the socioemotional outcomes associated with these environments are under researched. Utilising the job demands-resources (JD-R) model the authors investigate both the demands and the resources that can accrue to workers as a result of shared work environments and hot-desking. They found that, as work environments became more shared (with hot-desking being at the extreme end of the continuum), not only were there increases in demands, but co-worker friendships were not improved and perceptions of supervisory support decreased. Findings are discussed in relation to employee well-being and recommendations are made regarding how best to ameliorate negative consequences of shared work environments.

      Source : Morrison, Rachel L., & Macky, Keith A. (2017). Applied Ergonomics, 60, 103-115. http://dx.doi.org/10.1016/j.apergo.2016.11.007

    • High amounts of sedentary behaviour have been associated with increased risks of several chronic conditions and mortality. However, it is unclear whether physical activity attenuates or even eliminates the detrimental effects of prolonged sitting. The authors examined the associations of sedentary behaviour and physical activity with all-cause mortality. They did a systematic review, searching six databases (PubMed, PsycINFO, Embase, Web of Science, Sport Discus, and Scopus) from database inception until October, 2015, for prospective cohort studies that had individual level exposure and outcome data, provided data on both daily sitting or TV-viewing time and physical activity, and reported effect estimates for all-cause mortality, cardiovascular disease mortality, or breast, colon, and colorectal cancer mortality.

      Source : Ekelund, Ulf, Steene-Johannessen, Jostein, Brown, Wendy J., Fagerland, Morten Wang, Owen, Neville, Powell, Kenneth E., Bauman, Adrian, & Lee, I-Min. (2016). The Lancet, 388(10051), 1302-1310. Repéré à http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30370-1/abstract

    • Recent guidelines recommend accruing 2–4h of standing or light activity during the working day. Use of sit–stand desks could achieve this goal, but whether standing can meaningfully increase energy expenditure is unclear. This study aimed to evaluate energency expenditure, heart rate, feelings and productivity during deskwork while sitting, standing or alternating positions.

      Source : Gibbs, B. Barone, Kowalsky, R.J., Perdorno, S.J., Grier, M., & Jakicic, J.M. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw115

    • Des études récentes ont remis en cause l’association supposée entre l’utilisation de l’outil informatique et les risques de troubles musculo-squelettiques et de syndrome du canal carpien, et les revues internationales concluent à l’absence de lien. Pour y voir plus clair, les données de deux larges cohortes ont été reprises dans un travail épidémiologique, incluant un suivi des salariés pendant 3 ans et demi.

      Source : Médiouni, Z., & Descatha, A. (3 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Le-travail-sur-ordinateur-est-il,5309.html

    • Dynamic chairs have the potential to facilitate movements that could counteract health problems associated with sedentary office work. This study aimed to evaluate whether a dynamic chair can increase movements during desk-based office work. Fifteen healthy subjects performed desk-based office work using a dynamic office chair and compared to three other conditions in a movement laboratory. Equivocal results showed that the dynamic chair increased upper body and chair movements as compared to the conventional chair, but lesser movements were found compared to standing. No differences were found between the conditions in the field study.

      Source : Grooten, Wilhelmus, J.A., Äng, Björn O., Hagströmera, Maria, Conradsson, David, Nero, Håkan, & Franzén, Erika. (2017). Applied Ergonomics, 60, 1-11. http://dx.doi.org/10.1016/j.apergo.2016.10.006

    TRAVAIL EN HAUTEUR

    • Au Centre d’archives de la Ville de Mont-Saint-Hilaire, les employés doivent fréquemment manipuler des boîtes remplies de documents sur un haut rayonnage de sept tablettes. Ils utilisaient un escabeau mobile pour déplacer les boîtes, qui pèsent jusqu’à 40 livres, et ce, en ayant les bras en extension au-dessus des épaules. Ce travail se faisait donc de façon non ergonomique et présentait des risques importants de blessures. Après avoir cherché en vain des escabeaux plus ergonomiques auprès d’autres centres d’archives, une équipe de travail de la Ville a décidé de développer elle-même une solution. On a ajouté à l’escabeau mobile, déjà muni d’un garde-corps, une tablette ajustable qui supporte les boîtes pendant que le travailleur se trouve sur l’escabeau. Une commande manuelle actionne un petit moteur qui déplace mécaniquement la tablette à la hauteur désirée. Entièrement pensé et réalisé par les travailleurs, ce système est simple d’utilisation et rend la manipulation des boîtes d’archives plus sécuritaire.

      Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2016). Lumière su les visages de la prévention : région de la Yamaska. [S.l.]. CNESST, p. 21. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Yamaska/DC200-987-4Y_Yamaska_GPSST-Brochure_2016-06_4.pdf#page=21

    • Pour voir la vidéo : https://www.youtube.com/watch?v=_DG_pkZX3vo&feature=youtu.be

      TRAVAIL SÉDENTAIRE

      • High amounts of sedentary behaviour have been associated with increased risks of several chronic conditions and mortality. However, it is unclear whether physical activity attenuates or even eliminates the detrimental effects of prolonged sitting. The authors examined the associations of sedentary behaviour and physical activity with all-cause mortality. They did a systematic review, searching six databases (PubMed, PsycINFO, Embase, Web of Science, Sport Discus, and Scopus) from database inception until October, 2015, for prospective cohort studies that had individual level exposure and outcome data, provided data on both daily sitting or TV-viewing time and physical activity, and reported effect estimates for all-cause mortality, cardiovascular disease mortality, or breast, colon, and colorectal cancer mortality.

        Source : Ekelund, Ulf, Steene-Johannessen, Jostein, Brown, Wendy J., Fagerland, Morten Wang, Owen, Neville, Powell, Kenneth E., Bauman, Adrian, & Lee, I-Min. (2016). The Lancet, 388(10051), 1302-1310. Repéré à http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30370-1/abstract

      • Recent guidelines recommend accruing 2–4h of standing or light activity during the working day. Use of sit–stand desks could achieve this goal, but whether standing can meaningfully increase energy expenditure is unclear. This study aimed to evaluate energency expenditure, heart rate, feelings and productivity during deskwork while sitting, standing or alternating positions.

        Source : Gibbs, B. Barone, Kowalsky, R.J., Perdorno, S.J., Grier, M., & Jakicic, J.M. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw115

      • Dynamic chairs have the potential to facilitate movements that could counteract health problems associated with sedentary office work. This study aimed to evaluate whether a dynamic chair can increase movements during desk-based office work. Fifteen healthy subjects performed desk-based office work using a dynamic office chair and compared to three other conditions in a movement laboratory. Equivocal results showed that the dynamic chair increased upper body and chair movements as compared to the conventional chair, but lesser movements were found compared to standing. No differences were found between the conditions in the field study.

        Source : Grooten, Wilhelmus, J.A., Äng, Björn O., Hagströmera, Maria, Conradsson, David, Nero, Håkan, & Franzén, Erika. (2017). Applied Ergonomics, 60, 1-11. http://dx.doi.org/10.1016/j.apergo.2016.10.006

      TRAVAILLEURS JEUNES/ÂGÉS

      • Authentic leadership and structural empowerment have been shown to reduce early career burnout among nurses. Short-staffing and work-life interference are also linked to burnout and may help explain the impact of positive, empowering leadership on burnout, which in turn influences job satisfaction and patient care quality. The purpose of this study was to test a hypothesized model linking new graduate nurses’ perceptions of their manager’s authentic leadership behaviours to structural empowerment, short-staffing and work-life interference and subsequent burnout, job satisfaction and patient care quality.

        Source : Boamah, Sheila, A., Read, Emily A., Laschinger, & Heather K, Spence. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13215

      • As healthcare demographics continue to shift, the older generation is giving way to a new wave of healthcare workers known for their lifelong relationship with technology. These "millennials" generally range in current age from 18 to 34 years. These incoming healthcare workers present unique challenges for hospital employee health professionals, as many are both tech savvy and ergonomically challenged.

        Source : Mind the Gap: Employee Health and the Millennial Generation of HCWs. (2016). Hospital Employee Health, 35(12), 135-137. Repéré à https://www.ahcmedia.com/articles/139545-mind-the-gap-employee-health-and-the-millennial-generation-of-hcws

      • Kathy Espinoza, assistant vice president of ergonomics and safety for the insurance brokerage and consulting firm of Keenan & Associates in Torrance, CA, suggests employee health professionals consider the following strategies with healthcare workers from the millennial generation.

        Source : Espinoza, Kathy. (2016). Hospital Employee Health, 35(12), 137. Repéré à https://www.ahcmedia.com/articles/139546-key-strategies-for-millennial-workers

      • 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.

        Source : Venditelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

      • New graduate nurses report experiencing high levels of workplace incivility from coworkers, which has been found to negatively impact their job and career satisfaction and increase their intention to leave. The role of civility norms in preventing burnout and subsequent exposure to incivility from coworkers has yet to be examined among new graduate nurses. This study examined the influence of authentic leadership, person-job fit with 6 areas of worklife, and civility norms on coworker incivility and burnout among new graduate nurses.

        Source : Laschinger, Heather K. Spence, & Read, Emily A. (2016). JONA : Journal of Nursing Administration, 46(11), 574-580. doi: 10.1097/NNA.0000000000000407

      TROUBLES MUSCULOSQUELETTIQUES (TMS)

      • Job rotation strategies have been used for years as an administrative intervention to reduce the risk of musculoskeletal disorders. The benefits of job rotation have been hypothesized to occur via changes in muscular activity variability (MAV). However, the effect of job rotation on MAV has not been fully analyzed in a literature review. A wide search was conducted to identify studies testing the effect of different job rotation strategies on MAV. Twenty-six studies of acceptable quality were included. Several studies on different types of tasks supported the view that job rotation can increase muscular activity variability, particularly with strategies such as alternating tasks and pace changes. However, it remains uncertain whether such variability changes immediately translate into benefits for the worker because little evidence was found that showed simultaneous changes in different muscular groups. Additionally, variability was occasionally achieved at the expense of average activity in the assessed muscles.

        Source : Rodriguez, Andres C., & Barrero, Lope, H. (2017). Applied Ergonomics, 60, 83-92. http://dx.doi.org/10.1016/j.apergo.2016.11.005

      • Kathy Espinoza, assistant vice president of ergonomics and safety for the insurance brokerage and consulting firm of Keenan & Associates in Torrance, CA, suggests employee health professionals consider the following strategies with healthcare workers from the millennial generation.

        Source : Espinoza, Kathy. (2016). Hospital Employee Health, 35(12), 137. Repéré à https://www.ahcmedia.com/articles/139546-key-strategies-for-millennial-workers

      • 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.

        Source : Venditelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

      • Manual resident handling (RH) tasks increase risk of musculoskeletal disorders (MSDs) for clinical staff in nursing homes. To reduce the incidence and cost of MSDs, a large healthcare corporation instituted a Safe Resident Handling Program (SRHP) comprising purchase of mechanical lifting equipment, worker training, and detailed usage/maintenance protocols. The program was initially administered by a third-party company; after three years, program responsibility shifted to individual centers. Workers’ compensation claim rates were compared before and after SRHP implementation. Claims and FTEs were classified as "pre-SRHP," "first post period" (up to 3 years post-SRHP), or "second post period" (4–6 years post-SRHP), based on claim date relative to implementation date for each center.

        Source : Kurowski, Alicia, Gore, Rebecca, Roberts, Yaritza, Kincaid, Kendra Richardson, & Punnett, Laura. (2017). Safety Science, 92, 217-224. http://dx.doi.org/10.1016/j.ssci.2016.10.012

      • Monotonous, repetitive work characterizes production lines. Repetitive movements and awkward postures are the most prominent physical risk factors in the workplace. Various legislations have been enacted along with technical standards for ergonomic risk evaluation to ensure the safety of the operators.There are numerous methods to assess the ergonomic risk at work. However, most methods are not meant to be used for assessing cyclic work. This paper proposes a method, Postural Ergonomic Risk Assessment (PERA), which is suitable to evaluate the postural ergonomic risk of short cyclic assembly work. Its key features are simplicity and compliance with standards. The added value of the method is that it provides an analysis of every work task in the work cycle, which facilitates the identification of sources of high risk to the operator.

        Source : Chander, Divyaksh Subbash, Cavatorta, Maria Pia. (2017). International Journal of Industrial Ergonomics, 57, 32-41. http://dx.doi.org/10.1016/j.ergon.2016.11.007

      • A tool has been developed for supporting practitioners when assessing manual pushing and pulling operations based on an initiative by two global companies in the manufacturing industry. The aim of the tool is to support occupational health and safety practitioners in risk assessment and risk management of pushing and pulling operations in the manufacturing and logistics industries. It is based on a nine-multiplier equation that includes a wide range of factors affecting an operator’s health risk and capacity in pushing and pulling. These multipliers are based on psychophysical, physiological, and biomechanical studies in combination with judgments from an expert group consisting of senior researchers and ergonomists. In order to consider usability, more than fifty occupational health and safety practitioners (e.g. ergonomists, managers, safety representatives, and production personnel) participated in the development of the tool. An evaluation by 22 ergonomists supports that the push/pull tool is user friendly in general.

        Source : Lind, CM. (2016). International Journal of Occupatiojal Safety Ergonomics. Prépublication. 1-40. Repéré à http://www.tandfonline.com/doi/abs/10.1080/10803548.2016.1258811

      • Surgical nurses’ work is physically and mentally demanding, possibly leading to work–family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Forty–eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the work–family conflict scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument.

        Source : Baur, Heiner, Grebner, Simone, Blasimann, Angela, Hirschmüller, Anja, Kubosch, Eva Johanna & Elfering, Achim. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. http://dx.doi.org/10.1080/10803548.2016.1263414

      • Des études récentes ont remis en cause l’association supposée entre l’utilisation de l’outil informatique et les risques de troubles musculo-squelettiques et de syndrome du canal carpien, et les revues internationales concluent à l’absence de lien. Pour y voir plus clair, les données de deux larges cohortes ont été reprises dans un travail épidémiologique, incluant un suivi des salariés pendant 3 ans et demi.

        Source : Médiouni, Z., & Descatha, A. (3 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Le-travail-sur-ordinateur-est-il,5309.html

      • A few biomechanical studies have contrasted the work techniques of female and male workers during manual material handling (MMH). A recent study showed that female workers differed from males mostly in the strategy they used to lift 15-kg boxes from the ground, especially regarding task duration, knee and back postures and interjoint coordination. However, the lifting technique difference observed in females compared to males was perhaps due to a strength differences. The objective of this study was to test whether female workers would repeat the same lifting technique with a load adjusted to their overall strength (females: 10 kg; males: 15 kg), which can be considered a "relative load" since the overall back strength of females is 2/3 that of males. The task for the participants consisted in transferring boxes from one pallet to another.

        Source : Plamondon, A., Larivière, C., Denis, D., Mecheri, H., & Nastasia, I. (2017). Applied Ergonomics, 60, 93-102. http://dx.doi.org/10.1016/j.apergo.2016.10.014

      VACCINATION DU PERSONNEL

      • Immunization rates for healthcare workers in long-term care were at a meager 69% last flu season — and that was an improvement. During the previous 2014-2015 flu season, 64% of healthcare workers in long-term care were immunized, according to the CDC. Though they work with vulnerable elderly residents, long-term care workers have historically been less likely to be vaccinated for flu as their counterparts in hospitals and other settings. Though a lagging indicator, flu vaccination rates in long-term care employees are improving over time just like other sectors of the healthcare continuum. Still, a study published last year found that long-term care workers had lingering concerns about the safety of the vaccine, including the old myth that it could cause the flu.

        Source : Many HCWs in Long-Term Care Skip Flu Shots. (2016). Hospital Employee Health, 35(12), 138-141. Repéré à https://www.ahcmedia.com/articles/139548-many-hcws-in-long-term-care-skip-flu-shots

    Article mis en avant

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    ADMINISTRATION DE LA SANTÉ

    • Conclusions about implementing the management concept lean in healthcare are contradictory and longitudinal studies are scarce. In particular, little is known of how working conditions contribute to the sustainability of lean in healthcare. The aim of this article is to identify to what extent lean tools (visual follow-up boards, standardised work, 5S [housekeeping], and value stream mapping [VSM]) promote working conditions for employees and managers in healthcare organisations (outcomes: engagement in development, job satisfaction and exhaustion), while considering the context (i.e., job resources and job demands) and aspects of the implementation process. A longitudinal quantitative study was conducted that involved employees and managers in two hospitals and one municipality.

      Source : Lindskog, Pernilla, Hemphälä, Jens, Eklund, Jörgen, & Eriksson, Andrea. (2016). Journal of Hospital Administration, 5(5), 91-105. DOI: 10.5430/jha.v5n5p91

    • Cet erratum réfère à l’article suivant référencé dans le Coin de la documentaliste du mois d’avril 2016:

      Harrison, Michael I., Kathryn, Paez, Carman, Kristin L., Stephens, Jennifer, Smeeding, Lauren, Devers, Kelly J., Garfinkel, Steven. (2016). Health Care Management Review, 41(2), 127-144. doi: 10.1097/HMR.0000000000000049

      Source : Effects of organizational context on Lean implementation in five hospital systems: Erratum (2016). Health Care Management Review, 41(4), 343. doi: 10.1097/HMR.0000000000000127

    AMÉNAGEMENT – ARCHITECTURE

    • La chose semble si évidente, le lien si fort, qu’il paraît inutile de se questionner à ce propos. Si, d’instinct, nous concevons aisément que la présence de végétaux dans le lieu de travail ne peut qu’être positive, la perception rejoint-elle la réalité à ce chapitre? De prime abord, on doit signaler que la relation entre la présence de plantes vertes et certains éléments reliés à la productivité des employés (absentéisme, climat de travail, stress, etc.) a déjà fait l’objet de nombreuses études par le passé. Toutefois, comme le font valoir Tina Bringslimark, Terry Hartig et Grete Grindal Patil, la très grande majorité de ces dernières ont été réalisées dans des environnements contrôlés. On peut donc s’interroger à juste titre sur la représentativité de ces études. Qu’en est-il dans la réalité des quatre murs de nos bureaux?

      Source : Normandin, François. (3 octobre 2016). Dans la jungle de nos bureaux. [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/decouvrir/dans-la-jungle-de-nos-bureaux/?utm_source=wysija&utm_medium=email&utm_campaign=dans_gestion_cette_semaine

    • Récemment, les membres du Comité sur les infections nosocomiales du Québec (CINQ) étaient interpellés au sujet de la décision de gestionnaires de certains établissements de soins d’installer une toilette directement dans l’espace d’une chambre de soins intensifs. De plus, aucun mur ou écran protecteur n’étaient prévus autour de la cuvette. La question précise adressée au CINQ était : « Quels sont les risques infectieux reliés à l’aménagement d’une cuvette (de toilette) à l’intérieur d’une chambre de soins intensifs de niveau 1? ».

      Source : Comité sur les infections nosocomiales du Québec. (2016). [Montréal]. Institut national de santé publique du Québec, 3, [1] p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2178_installation_cuvette_chambre_soins_intensifs.pdf

    APPROCHE LEAN

    • Conclusions about implementing the management concept lean in healthcare are contradictory and longitudinal studies are scarce. In particular, little is known of how working conditions contribute to the sustainability of lean in healthcare. The aim of this article is to identify to what extent lean tools (visual follow-up boards, standardised work, 5S [housekeeping], and value stream mapping [VSM]) promote working conditions for employees and managers in healthcare organisations (outcomes: engagement in development, job satisfaction and exhaustion), while considering the context (i.e., job resources and job demands) and aspects of the implementation process. A longitudinal quantitative study was conducted that involved employees and managers in two hospitals and one municipality.

      Source : Lindskog, Pernilla, Hemphälä, Jens, Eklund, Jörgen, & Eriksson, Andrea. (2016). Journal of Hospital Administration, 5(5), 91-105. DOI: 10.5430/jha.v5n5p91

    • Cet erratum réfère à l’article suivant référencé dans le Coin de la documentaliste du mois d’avril 2016:

      Harrison, Michael I., Kathryn, Paez, Carman, Kristin L., Stephens, Jennifer, Smeeding, Lauren, Devers, Kelly J., Garfinkel, Steven. (2016). Health Care Management Review, 41(2), 127-144. doi: 10.1097/HMR.0000000000000049

    Source : Effects of organizational context on Lean implementation in five hospital systems: Erratum (2016). Health Care Management Review, 41(4), 343. doi: 10.1097/HMR.0000000000000127

    BLOC OPÉRATOIRE – CHIRURGIE

    • In the name of patient safety, we have heard calls for « bare below the elbows » care in hospital wards, and now the American College of Surgeons (ACS) is strongly urging surgical workers to drop the common practice of wearing scrubs in public. « Many different healthcare providers — surgeons, anesthesiologists, CRNAs, laboratory technicians, aides — wear scrubs in the OR setting, » the ACS stated in a recently issued policy. « The ACS strongly suggests that scrubs should not be worn outside the perimeter of the hospital by any healthcare provider. To facilitate enforcement of this guideline for OR personnel, the ACS suggests the adoption of distinctive, colored scrub suits for the operating room personnel. »

      Source : Surgical Group Calls for No Scrubs Beyond the Hospital. (November 2016). Hospital Employee Health, 35(11), 130-131. Repéré à https://www.ahcmedia.com/articles/138851

    BUANDERIE

    • Enterococcus spp. are a normal part of the gastrointestinal tract of humans and animals. They are also important pathogens, being responsible for 14% of US nosocomial infections from 2007-10. The aim of this study was to examine a laundry facility that processes clinical linens for the presence and seasonality of vancomycin resistant Enterococcus spp. The findings showed that multidrug resistant VRE isolates was significantly higher (53% vs 8%) in dirty vs clean areas within the facility.

      Source : Michael, Karen E., No, David, & Roberts, Marilyn C. (2016). Journal of Hospital Infection. Prépublication. DOI: http://dx.doi.org/10.1016/j.jhin.2016.10.017

    CIVILITÉ EN MILIEU DE TRAVAIL

    • Incivility at work—low intensity deviant behaviors with an ambiguous intent to harm—has been on the rise, yielding negative consequences for employees’ well-being and companies’ bottom-lines. Although examinations of incivility have gained momentum in organizational research, theory and empirical tests involving dynamic, within-person processes associated with this negative interpersonal behavior are limited. Drawing from ego depletion theory, the authors test how experiencing incivility precipitates instigating incivility toward others at work via reduced self-control.

      Source : Rosen, Christopher C., Koopman, Joel, Gabriel, Allison S., & Johnson, Russell E. (2016). Journal of Applied Psychology. Prépublication. DOI: http://dx.doi.org/10.1037/apl0000140

    • Incivility has negative consequences in the workplace and remains a prevalent issue in nursing. Research has consistently linked incivility to nurse burnout and, in turn, to poor mental health and turnover intentions. To retain high-quality nurses, it is important to understand what factors might protect nurses from the negative effects of workplace mistreatment. The aim of the study was to investigate the role of relational occupational coping self-efficacy in protecting nurses from workplace incivility and related burnout and turnover intentions.

      Source : Fida, Roberta, Laschinger, Heather K. Spence, & Leiter, Michael P. (2016). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000126

    • Incivil behaviors at work—put-downs, sarcasm, and other condescending comments—tend to have a contagious effect, according to a new study by a management professor at the University of Arkansas and several colleagues. Incivil behaviors are less serious than openly hostile behavior such as bullying, harassment, and threats, but incivil behaviors are also more frequent in the workplace and have a significant effect on employees, the study found.

      Source : University of Arkansas. (October, 17 2016). In the Workplace, Incivility Begets Incivility, New Study Shows. [Billet de blogue]. Lab Manager. Repéré à http://www.labmanager.com/management-tips/2016/10/in-the-workplace-incivility-begets-incivility-new-study-shows?fw1pk=2#.WAjed-DhAdU

    CPE – SERVICES DE GARDE

    • Le guide des aires et des appareils de jeu a pour but de rendre les aspects techniques de la nouvelle norme 2014 CAN/CSA-Z614-14 plus faciles à appliquer sur le terrain pour tous les responsables d’aires et des appareils de jeu publics. La première section du guide présente les principaux éléments du contexte entourant la sécurité dans les aires et appareils de jeu. La deuxième section décrit la planification des étapes visant à rendre les aires et appareils de jeu sécuritaires. La troisième section décrit la gestion de l’entretien des aires et appareils de jeu. La quatrième section décrit la façon d’utiliser les grilles d’inspection et donne les définitions des éléments de sécurité abordés dans le guide. Enfin le guide comporte plusieurs annexes, contenant surtout des outils utiles à l’inspection (grilles d’inspection) et à l’entretien des aires et appareils de jeu.

      Source : Fortier, David, & Sergerie, Diane. (2016). Guide des aires et des appareils de jeu : Incluant une grille d’inspection basée sur la norme CAN/CSA-Z614-14. [Montréal] : Institut national de santé publique du Québec, iv, 78 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/395_aires_appareils_jeu.pdf

    • Ce guide propose une démarche de prévention à la fois simple et pratique pour éliminer les dangers qui sont à l’origine des accidents et des maladies du travail. On y retrouve un aperçu des principales sources de danger, une grille de sélection des moyens de prévention ainsi que des exemples d’utilisation de la démarche et de la fiche de prévention.

      Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail du Québec. Direction générale de la prévention-inspection & Direction du partenariat. (2016). Guide de prévention en milieu de travail à l’intention de la petite et moyenne entreprise (2e éd.). [Montréal] : CNESST, 36 p. Repéré à http://www.cnesst.gouv.qc.ca/Publications/200/Documents/DC200-16082web.pdf

    DÉCHETS DANGEREUX

    • Managing pharmaceutical waste throughout a multi-facility health system that services a wide geographic area can be quite challenging, especially considering the varying waste requirements in different states. Adhering to the multiple, complex regulations guiding compliant pharmaceutical waste management requires significant knowledge and expertise to ensure the safe containment and disposal of all waste streams. As the resident medication experts, it is the professional responsibility of pharmacists to help implement a compliant waste management program that protects the environment and keeps pharmaceutical waste out of the water system. A multidisciplinary effort to implement a comprehensive program for managing pharmaceutical waste throughout the health system was rolled out over the past few years at MedStar Health, a large health system in the Mid-Atlantic region, operates approximately 150 facilities, including ten hospitals in the Baltimore/Washington, DC area.

      Source : Lake, Raymond, & Levin, Bonnie. (2016). PPP : Pharmacy Purchasing & Products, 13(10), 2-6. Repéré à https://www.pppmag.com/article/1947

    DÉPLACEMENTS DES BÉNÉFICIAIRES

    • While there is a general consensus that safe patient handling programs nationally suffer from a lack of implementation and enforcement, employee health professionals should be aware that OSHA is taking a close look at the issue when they inspect healthcare facilities. In an encouraging sign to advocates of safe patient handling, OSHA made it an issue of emphasis for healthcare inspections in a memorandum issued last year.

      Source : OSHA Focus on Safe Patient Handling. (November 2016). Hospital Employee Health, 35(11), 124-125. Repéré à https://www.ahcmedia.com/articles/138847-osha-focus-on-safe-patient-handling

    • With increasing emphasis on early and frequent mobilisation of patients in acute care, safe patient handling and mobilisation practices need to be integrated into these quality initiatives. The authors completed a programme evaluation of a safe patient handling and mobilisation programme within the context of a hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans.

      Source : Dennerlein, Jack T., O’Day, Elizabeth (Tucker), Mulloy, Deborah F., Somerville, Jackie, Stoddard, Anne M., Kenwood, Christopher,… Hashimoto, Dean. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-103507

    • Pressure ulcers are distressing events, caused when skin and underlying tissues are placed under pressure sufficient to impair blood supply. They can have a substantial impact on quality of life and have significant resource implications. Repositioning is a key prevention strategy, but can be resource intensive, leading to variation in practice. This economic analysis was conducted to identify the most cost-effective repositioning strategy for the prevention of pressure ulcers. The aim of this study was to assess the cost effectiveness of two repositioning strategies and inform the 2014 National Institute for Health and Care Excellence clinical guideline recommendations on pressure ulcer prevention.

      Source : Marsden, Grace, Neilson, Julie, & Collier, Mark. (2015). JAN : Journal of Advanced Nursing, 71(12), 2879-2885. DOI: 10.1111/jan.12753

    • Despite numerous strategies developed to reduce caregiver injuries, nurses are still experiencing work-related musculoskeletal injuries. A comprehensive SPHM program has been found to be effective in reducing patient handling injuries among nurses. The aim of this study was to investigate the perceptions of RNs on the implementation of safe patient handling and mobility (SPHM) programs in states with and without SPHM legislation.

      Source : Choi, JiSun, & Cramer, Emily. (2016). JONA : Journal of Nursing Administration, 46(11), 566-573. doi: 10.1097/NNA.0000000000000406

    • With proposed federal legislation in political limbo, too many nurses and their colleagues at the bedside remain at risk of life-altering injuries as they try to care for an increasing population of acutely ill, heavier patients without safe handling equipment. If change does not come from the top down, perhaps it will come from the bottom up. Some nursing schools have added safe patient lifting equipment to their classes and curricula, creating the expectation that the injury prevention tools and devices will be available when their students graduate and take jobs in the field. And if said equipment is conspicuously absent on their first day of work?

      Source : Evans, Gary. (November 2016). Hospital Employee Health, 35(11), 121-123. Repéré à https://www.ahcmedia.com/articles/138846-healthcare-workers-remain-at-risk-of-patient-handling-injuries

    ENTREPRISE EN SANTÉ

    • Diabetes in healthcare workers is a major driver of medical insurance costs, as the chronic blood sugar disorder can set off a range of health problems and increase risk of stroke and heart disease. Diabetes is a primary cause of kidney failure, and can cause nerve damage that affects vision and leads to foot ulcers and problems in other extremities. However, the disease can be managed through interventions like diet and exercise, which can also prevent « pre-diabetes » — early signs of blood sugar and insulin problems — from progressing to a chronic condition.

      Source : Wellness Programs can Improve Health, Reduce Cost for HCWs with Diabetes. (November 2016). Hospital Employee Health, 35(11), 126-127. Repéré à https://www.ahcmedia.com/articles/138848

    ENTRETIEN MÉNAGER À DOMICILE

    • When home care and hospice staff are asked when and why they would wear personal protective equipment (PPE), they typically report it is worn to protect themselves from a patient’s bllod or body fluids. The chemicals in the disinfectant pose a health risk to the person using them that is often overlooked and staff are not routinely aware of actions to take in the home if they are inadvertently exposed to them.

      Source : McGoldrick, Mary. (2016). Home Healthcare Now, 34(9), 523.doi: 10.1097/NHH.0000000000000458

    ÉQUIPEMENTS DE PROTECTION

    • When home care and hospice staff are asked when and why they would wear personal protective equipment (PPE), they typically report it is worn to protect themselves from a patient’s bllod or body fluids. The chemicals in the disinfectant pose a health risk to the person using them that is often overlooked and staff are not routinely aware of actions to take in the home if they are inadvertently exposed to them.

      Source : McGoldrick, Mary. (2016). Home Healthcare Now, 34(9), 523.doi: 10.1097/NHH.0000000000000458

    • L’objectif d’une telle politique est de réduire le fardeau de l’influenza transmis par les travailleurs non vaccinés aux patients et de prévenir les éclosions dans les milieux de soins. Les prémisses sous-jacentes à cette politique sont que ce fardeau est important et que la vaccination des travailleurs contre l’influenza ou le port du masque le réduira substantiellement. Il est difficile d’obtenir, sur une base volontaire, des couvertures vaccinales de plus de 70 % chez les travailleurs des hôpitaux de soins aigus, alors que les politiques de vaccination obligatoire ou de VoM permettent d’atteindre et même dépasser ce niveau de couverture vaccinale.

      Source : Comité sur l’immunisation du Québec (CINQ). (2016). [Montréal]: Institut national de santé publique du Québec, iii, 20 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2173_evaluation_politique_vaccination_influenza_masque_travailleurs_sante.pdf

    • As part of its recent annual N95 Day respirator activities, the National Institute for Occupational Safety and Health (NIOSH) sought to bust several myths about respiratory protection, including the misconception that « respirators and surgical masks provide the same type and level of protection for the user. » This would certainly seem to be patently false based on lab studies, which show the greater effectiveness of a well-fitted N95 in filtering out aerosols and particles that could go through a surgical mask.

      Source : Respirator and Surgical Mask Myths and Controversies. (November 2016). Hospital Employee Health, 35(11), 128-129. Repéré à https://www.ahcmedia.com/articles/138850

    • Ce projet de règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs en modifiant les dispositions du Règlement sur la santé et la sécurité du travail (chapitre S-2.1, r. 13) concernant les échelles portatives et les escabeaux utilisés dans un établissement. Il y est question notamment du remplacement de la conformité à la norme CAN3-Z11-M81 par la norme Échelles portaives CSA Z11, des conditions d’utilisation, des utilisations prohibées et des mesures de sécurité.

      Source : Québec (28 septembre 2016). Projet de Règlement modifiant le Règlement sur la santé et la sécurité du travail. Gazette officielle du Québec, parite 2 : lois et règlements, 148(39), 5521-5522. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=65541.pdf

    Pour consulter l’analyse d’impact réglementaire : http://www.csst.qc.ca/lois_reglements_normes_politiques/Documents/AIR_echelle-escabeau.pdf

    ÉTABLISSEMENTS D’HÉBERGEMENT

    • Les conditions de travail des soignants d’établissements d’hébergement pour personnes âgées dépendantes changent sous l’effet de l’évolution récente des profils de résidents : amplification des tâches sanitaires au détriment du relationnel, renforcement des exigences de qualification des professionnels et du contrôle qualité, exigence accrue des résidents.Aux dires des personnels soignants, travailler en EHPAD est difficile, aussi bien physiquement que psychiquement, et la charge mentale y est importante. L’organisation du travail est souvent en tension et peut être source de dégradations des conditions de travail. Les professionnels restent toutefois le plus souvent fortement engagés dans leur travail, tant professionnellement que personnellement. Des mécanismes de solidarité sont notamment mis en oeuvre pour pallier certaines difficultés, mais restent fragiles.

      Source : Marquier, Rémy, Vroylandt, Thomas, Chenal, Marie, Jolidon, Pierre, Laurent, Thibaut, Peyrot, Clémence, Straub, Thomas, & Toldre, Camille. Les Dossiers de la Drees, 5. Repéré à http://drees.social-sante.gouv.fr/IMG/pdf/dd05.pdf

    • Les dispositifs de localisation qui utilisent le GPS sont des technologies d’aide qui peuvent soutenir la « marche sécuritaire » en alertant les aidants lorsqu’une personne atteinte de la maladie d’Alzheimer ou d’une maladie apparentée erre en dehors d’un secteur désigné, et fournit les coordonnées géographiques afin que la personne puisse être retrouvée facilement. Puisque les dispositifs de localisation sont une forme de surveillance, le fait de les utiliser soulève des questions éthiques et légales concernant la vie privée et l’autonomie, mais les gens atteints de la maladie d’Alzheimer ou d’une maladie apparentée et leurs aidants croient que les avantages potentiels surpassent les préjudices éventuels. Source : Topfer, Leigh-Ann. (2016). Ottawa : Agence canadienne des médicaments et des technologies de la santé (ACTMS), 17 p. (Notes de l’ACMTS sur les technologies en émergence, numéro 147). Repéré à https://www.cadth.ca/sites/default/files/pdf/EH0042_GPS_locator_devices_for_people_with_dementia-f.pdf

    ÉVACUATION D’URGENCE

    GESTION – LEADERSHIP

    • Au tournant de 2010, les études se sont mises à abonder pour montrer que la santé des employés allait de mal en pis. L’une d’entre elles avait ainsi mis au jour le fait que les coûts en assurance maladie des entreprises américaines avaient littéralement bondi de 131% entre 1999 et 2009. La réaction a été, bien entendu, immédiate: c’est vite devenu à qui proposerait le meilleur programme de remise en forme à ses employés, et à en faire même un argument de séduction à l’attention des talents à la recherche d’un nouvel emploi. Mais voilà, la question saute aux yeux : tout cela porte-t-il vraiment fruit?

      Source : Schmouker, Olivier. (30 septembre 2016). Se soucier vraiment de la santé de ses employés, c’est payant? [Billet de blogue]. Les Affaires. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/se-soucier-vraiment-de-la-sante-de-ses-employes-c-est-payant/590374

    • As occupational health and safety leaders, there’s a distinct part to be played in the development of the healthcare culture of safety. These developments cannot be implemented, let alone hardwired, without employee buy-in and especially leadership buy-in. This article explains the optimum leadership required for successful organizational safety culture development.

      Source : Worden, Cory. (Summer 2016). AOHP Journal, 36(3), 14-19.

    • Leadership behaviour has been identified as an important antecedent of workplace bullying since managers may prevent, permit, or engage in the mistreatment of others. However, the issue of how managers respond when bullying occurs has received limited attention. With this in mind, the aim of this study was to explore how managers behave when bullying occurs in their work group and to elucidate the contextual issues that underlie this behaviour. This was achieved through analysis of in-depth interviews with individuals involved in cases of bullying. The findings revealed a typology of four types of management behaviour in cases of bullying, each underpinned by contextual factors at the individual, group, and organizational levels. The study shows that the role of leadership in workplace bullying is more complex than previously thought and suggests several ways in which managers and organizations could deal with bullying behaviour.

      Source : Woodrow, Chris, & Guest, David E. (2016). European Journal of Work and Organizational Psychology. Prépublication. 1-13. DOI: http://dx.doi.org/10.1080/1359432X.2016.1243529

    • Conclusions about implementing the management concept lean in healthcare are contradictory and longitudinal studies are scarce. In particular, little is known of how working conditions contribute to the sustainability of lean in healthcare. The aim of this article is to identify to what extent lean tools (visual follow-up boards, standardised work, 5S [housekeeping], and value stream mapping [VSM]) promote working conditions for employees and managers in healthcare organisations (outcomes: engagement in development, job satisfaction and exhaustion), while considering the context (i.e., job resources and job demands) and aspects of the implementation process. A longitudinal quantitative study was conducted that involved employees and managers in two hospitals and one municipality.

      Source : Lindskog, Pernilla, Hemphälä, Jens, Eklund, Jörgen, & Eriksson, Andrea. (2016). Journal of Hospital Administration, 5(5), 91-105. DOI: 10.5430/jha.v5n5p91

    • Studies show that high-quality reciprocal relationships between leaders and followers are positively associated with employee well-being. However, the pathways for promoting this health-enhancing leadership behaviour have not yet been well explored, and most studies have been cross-sectional. The primary objective of this study was to examine the effects of the interplay between job-related resources and leader–member exchange (LMX) on employee well-being, measured as the emotional exhaustion component of burnout.

      Source : Gregersen, Sabine, Vincent-Höper, Sylvie, & Nienhaus, Albert. (2016). Work & Stress. Prépublication. DOI: http://dx.doi.org/10.1080/02678373.2016.1249440

    • Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested. The aim of this study was to explore change in communication patterns within teams from children’s mental health organizations during a year-long learning collaborative focused on implementing a new treatment. We adopt a social network perspective to examine intraorganizational communication within each team and assess change in (a) the frequency of communication among team members, (b) communication across organizational hierarchies, and (c) the overall structure of team communication networks.

      Source : Bunger, Alicia C., & Lengnick-Hall, Rebecca. (2016). Health care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000120

    • Cet erratum réfère à l’article suivant référencé dans le Coin de la documentaliste du mois d’avril 2016:

      Harrison, Michael I., Kathryn, Paez, Carman, Kristin L., Stephens, Jennifer, Smeeding, Lauren, Devers, Kelly J., Garfinkel, Steven. (2016). Health Care Management Review, 41(2), 127-144. doi: 10.1097/HMR.0000000000000049

      Source : Effects of organizational context on Lean implementation in five hospital systems: Erratum (2016). Health Care Management Review, 41(4), 343. doi: 10.1097/HMR.0000000000000127

    • Although many studies link teamwork in health care settings to patient safety, evidence linking teamwork to hospital worker safety is lacking. This study addresses this gap by providing evidence linking teamwork perceptions in hospital workers to worker injuries, and further, finds a linkage between manager commitment to safety and teamwork. Organizational records of worker injuries and survey responses regarding management commitment to safety and teamwork from 446 hospital workers within 42 work units in a multi-site hospital system were examined. Results underscored the particular importance of teamwork on worker injuries as well as the importance of management commitment to safety as relating to teamwork. To improve worker safety, organizational leaders and unit managers should work to maintain environments wherein teamwork can thrive.

      Source : McGonagle, Alyssa K., Essenmacher, Lynnette, Hamblin, Lydia, Luborsky, Mark, Upfal, Mark, & Arnetz, Judith. (2016). Journal of Hospital Administration, 5(6), 46-52. DOI: 10.5430/jha.v5n6p46

    • Faut-il se préoccuper du nombre important de changements dans le réseau de la santé? Y en a-t-il trop en même temps? Vit-on de l’excès de changements? Et si poser la question c’était aussi donner la réponse… Que savons-nous sur la capacité des personnes à vivre un grand nombre de changements en même temps? Y a-t-il un seuil critique de fatigue face aux changements? Si oui, quel serait-il et comment le mesurer?

      Source : Johnson, Kevin, J., & Bareil, Céline. (6 ooctobre 2016). Y a-t-il trop de changements dans le réseau de la santé et des services sociaux? [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/informer/y-a-t-de-changements-reseau-de-sante-services-sociaux/?utm_source=referral&utm_medium=lickstats&utm_campaign=css1016&utm_term=pistesdaction&cid=5808cc95d1dd3dee66e4a062

    • L’article précédent « Y a-t-il trop de changements dans le réseau de la santé et des services sociaux? » proposait une réponse à savoir s’il y a trop de changement dans le réseau de la santé et des services sociaux. Maintenant, il ne suffit pas seulement de diagnostiquer ces trois niveaux d’intensité (fréquence, étendue, impact), mais de mesurer leur retombées négatives en terme de santé au travail et de performance en changement selon les contextes des établissements, des équipes en place et des initiatives transformationnelles. Dans les travaux de recherche-intervention des auteurs, c’est par ce croisement diagnostique qu’ils aboutissent à certaines recommandations managériales et stratégiques. Ils vous proposent ici de tirer les pistes d’actions générales en lien avec les effets de saturation de changement liés 1) au rythme, 2) à l’étendue et 3) à l’impact perçu des changements par le personnel.

      Source : Johnson, Kevin, J., & Bareil, Céline. (7 octobre 2016). Quelles sont les pistes d’action face à une potentielle surcharge de changements dans le réseau de la santé? [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/informer/pistes-daction-face-a-potentielle-surcharge-de-changements-reseau/

    GESTION DE LA SST

    • As occupational health and safety leaders, there’s a distinct part to be played in the development of the healthcare culture of safety. These developments cannot be implemented, let alone hardwired, without employee buy-in and especially leadership buy-in. This article explains the optimum leadership required for successful organizational safety culture development.

      Source : Worden, Cory. (Summer 2016). AOHP Journal, 36(3), 14-19.

    • Afin d’offrir une image organisationnelle uniforme, de se conformer à certains standards ou seulement pour éviter et réglementer les incartades, il n’est pas rare que l’employeur dicte un code vestimentaire à ses employés. Quant aux droits et aux libertés des employés, ils sont protégés tant par les lois en matière de travail que par les chartes fédérale et provinciale. Aux frontières des réalités de ces deux entités, où se trouve le juste milieu?

      Source : Au travail, qui tranche la question de l’apparence? (11 avril 2016). Portail RH. Repères RH. Repéré à http://www.portailrh.org/ReperesRH/fiche.aspx?p=580110

    • Risks are omnipresent in most human activities. Risk analysis helps to establish the level of risk of a given situation, and to determine if the risk is acceptable, tolerable or unacceptable. At this stage, the consideration of individual or societal factors becomes very important in the decision-making process regarding the acceptability or the tolerability of a risk. In the occupational health and safety (OHS) field, these factors are often implicit and poorly defined. In this work, the risk acceptability influential factors in the domain of OHS are indexed, and a typology of these factors is suggested. In total, 8 parameters regrouping 19 criteria and 14 variables that influence the risk acceptability process are presented, and their scope in OHS is discussed.

      Source : Tchiehe, Derrick Nanda, & Gauthier, François. (2017). Safety Science, 92, 138-147. DOI : http://dx.doi.org/10.1016/j.ssci.2016.10.003

    GESTION DES RISQUES

    • Risks are omnipresent in most human activities. Risk analysis helps to establish the level of risk of a given situation, and to determine if the risk is acceptable, tolerable or unacceptable. At this stage, the consideration of individual or societal factors becomes very important in the decision-making process regarding the acceptability or the tolerability of a risk. In the occupational health and safety (OHS) field, these factors are often implicit and poorly defined. In this work, the risk acceptability influential factors in the domain of OHS are indexed, and a typology of these factors is suggested. In total, 8 parameters regrouping 19 criteria and 14 variables that influence the risk acceptability process are presented, and their scope in OHS is discussed.

      Source : Tchiehe, Derrick Nanda, & Gauthier, François. (2017). Safety Science, 92, 138-147. DOI : http://dx.doi.org/10.1016/j.ssci.2016.10.003

    GESTION DU CHANGEMENT

    HARCÈLEMENT AU TRAVAIL

    • Leadership behaviour has been identified as an important antecedent of workplace bullying since managers may prevent, permit, or engage in the mistreatment of others. However, the issue of how managers respond when bullying occurs has received limited attention. With this in mind, the aim of this study was to explore how managers behave when bullying occurs in their work group and to elucidate the contextual issues that underlie this behaviour. This was achieved through analysis of in-depth interviews with individuals involved in cases of bullying. The findings revealed a typology of four types of management behaviour in cases of bullying, each underpinned by contextual factors at the individual, group, and organizational levels. The study shows that the role of leadership in workplace bullying is more complex than previously thought and suggests several ways in which managers and organizations could deal with bullying behaviour.

      Source : Woodrow, Chris, & Guest, David E. (2016). European Journal of Work and Organizational Psychology. Prépublication. 1-13. DOI: http://dx.doi.org/10.1080/1359432X.2016.1243529

    HORAIRE DE TRAVAIL

    • The objective of this study was to estimate he prevalence of a comprehensive set of self-reported sleep problems by job characteristics, including shiftwork status, among a representative sample of US workers. Data for 6338 workers aged ≥18 years were obtained from the National Health and Nutrition Examination Survey.

      Source : Yong, Lee C., Li, Jia, & Calvert, Geoffrey M. (2016). Occupational and Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103638

    • Rest breaks are effective in avoiding an accumulation of fatigue during work. However, little is known about individual differences in rest-break behavior. The present paper presents findings from two studies addressing the effects of the employee’s intention to have rest breaks on rest-break frequency and the change of well-being during a workday.

      Source : Blasche, Gerhard, Pasalic, Sanja, Bauböck, Verena, Maria, Haluza, Daniela, & Schoberberger, Rudolf. (2016). Human Factors. Prépublication. doi: 10.1177/0018720816671605

    HYGIÈNE ET SALUBRITÉ

    • Enterococcus spp. are a normal part of the gastrointestinal tract of humans and animals. They are also important pathogens, being responsible for 14% of US nosocomial infections from 2007-10. The aim of this study was to examine a laundry facility that processes clinical linens for the presence and seasonality of vancomycin resistant Enterococcus spp. The findings showed that multidrug resistant VRE isolates was significantly higher (53% vs 8%) in dirty vs clean areas within the facility.

      Source : Michael, Karen E., No, David, & Roberts, Marilyn C. (2016). Journal of Hospital Infection. Prépublication. DOI: http://dx.doi.org/10.1016/j.jhin.2016.10.017

    • A tabletop-type ultraviolet C (UVC) light–emitting disinfecting device was evaluated for microbiologic effectiveness, safety, usability, and end-user satisfaction. Three different inoculums of methicillin-resistant Staphylococcus aureus, Pseudomonas aeruginosa, and Acinetobacter calcoaceticus-baumannii complex strains suspended in both saline and trypticase soy broth were applied onto stainless steel carriers and electronic device surfaces in triplicate and cultured for growth after UVC disinfection. Assessments of functionality and usability were performed by biomedical and human factors engineers. End-user feedback was captured using a standardized in-use survey.

      Source : Li, Lisa M., Wong, Titus, Rose, Emily, Wickham, Graham, & Bryce, Elizabeth. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.07.028

    MÉDICAMENTS DANGEREUX – PHARMACIE

    • Cette présentation, diffusée en septembre 2016, fait le point sur 10 ans d’amélioration des pratiques sécuritaires concernant les médicaments dangereux au Québec et identifie le travail de prévention qui reste à faire.

      Source : Bédard, Sylvie, & Bertrand, Guy. (2016). Manipulation sécuritaire des médicaments – Après dix ans, une révision s’impose [Webinaire]. Repéré à http://www.asstsas.qc.ca/publication/manipulation-securitaire-des-medicaments-apres-dix-ans-une-revision-simpose-webinaire Pour visionner le webinaire : http://forum.asstsas.qc.ca/2016-014/0shphco9skp5

    • In reviewing the summary findings of the 2016 USP<797> Compliance study, it is clear that over 6 years since this study began, there has been slow but measurable improvement in some specific area of sterile compounding practice. Nonetheless, Chapter <797> has been in existence for over a decade and disturbing gaps in compliance still exist. The current version of Chapter <797> will be replaced over the next year or two by an updated version with even more stringent requirements. This is a concerning, as compliance with the current version of the chapter in some important areas, such as high-risk level compounding, personnel and environmental sampling, sterility testing, and training, have demonstrated little or slow progress toward improvement. The authors believe that most pharmacies want to be better than average, better dans a « C » operation, but how they can help them there ? What will it take ?

      Source : Douglass, Kate, Kastango, Eric, & Cantor, Peter. (2016). PPP: Pharmacy Purchasing & Products, 13(10) Suppl., 11 p. Repéré à https://www.pppmag.com/article/1956

    • While much emphasis has been placed on the improvement of I.V. infusion safety, little published evidence or standardized best practices are associated with I.V. push injections. Although healthcare organizations typically require competency validation for nurses and other professionals with I.V. administration responsibilities, much of this validation focuses on placing and managing vascular access devices. Graduate nurses may learn much of their I.V. therapy/I.V. medication delivery information, and gain most of their experience, from a coworker or preceptor during initial job orientation. These factors contribute to variation in knowledge and skill development and a lack of standard practices across organizations, potentially compromising patient safety. To address unsafe practices and at-risk behaviors associated with the preparation and administration of I.V. push medications in adults, the Institute for Safe Medication Practices (ISMP) obtained an educational grant from BD to hold a national summit of expert stakeholders. Based on guidelines issued by summit participants and prepared by ISMP, this article summarizes important safe practice guidelines for the preparation, labeling, and administration of I.V. push medications for adult patients.

      Source : Shastay, Ann D. (October 2016). Nursing, 46(10), 38-44. Repéré à http://www.nursingcenter.com/pdfjournal?AID=3787123&an=00152193-201610000-00012&Journal_ID=54016&Issue_ID=3786963

    Pour accéder à la version complète des lignes directrices :

    http://www.ismp.org/Tools/guidelines/IVSummitPush/IVPushMedGuidelines.pdf

    • The National Institute for Occupational Safety and Health (NIOSH) recently released its 2016 list of hazardous drugs in healthcare settings, updating the list to include 34 added drugs. Healthcare workers who prepare or give hazardous drugs to patients, such as those used for cancer therapy, as well as support staff may face individual health risks when exposed to these drugs. NIOSH estimates 8 million U.S. healthcare workers are potentially exposed to hazardous drugs in the workplace. The new document, NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, is the latest version of the hazardous drug list first published by NIOSH in 2004 as an appendix to the document, NIOSH Alert: Preventing Occupational Exposure to Antineoplastic and Other Hazardous Drugs in Health Care Settings.

      Source : National Institute for Occupational Safety and Health. Education and Information Division. (October 6, 2016). NIOSH. Updates. Repéré à http://www.cdc.gov/niosh/updates/upd-10-06-16.html

    Pour accéder à la nouvelle liste 2016 :

    http://www.cdc.gov/niosh/topics/antineoplastic/pdf/hazardous-drugs-list_2016-161.pdf

    • Approximately 8 million health care workers are unnecessarily exposed to highly toxic drugs used to treat cancer; antineoplastic drugs can contribute to negative health effects for these workers. The drugs have been detected in the urine of workers and on the floors and counters of worksites. Safety precautions that could reduce the risk of exposure are underutilized. This cross-sectional study of 163 oncology health care workers used a survey to measure workplace and individual factors, and environmental sampling to measure surface contamination. The study objective was to identify potential exposures to antineoplastic drugs and factors influencing safety behavior. Personal protective equipment (PPE) use was lower than recommended; unit of employment was significantly associated with PPE use. Chemical residue from antineoplastic drugs was found, revealing potential exposures. Workplace safety must be a higher organizational priority. The contamination of common work areas where PPE use is not expected was of utmost concern.

      Source : Graeve, Catherine Utecht, McGovern, Patricia Marie, Alexander, Bruce, Church, Timothy, Ryan, Andrew, & Polovich, Martha. (2016). Workplace Health & Safety. Prépublication. 12 p. doi: 10.1177/2165079916662660

    • Oncology workers are occupationally exposed to antineoplastic drugs. This exposure can induce adverse health effects. In order to reduce their exposure, contamination on surfaces should be kept as low as possible. The aims of this study were 1) to monitor environmental contamination with cyclophosphamide, ifosfamide, and methotrexate in oncology pharmacy and patient care areas in Canadian hospitals 2) to describe the impact of some factors that may limit contamination.

      Source : Poupeau, Céline, Tanguay, Cynthia, Caron, Nicolas J., & Bussières, Jean-François. (2016). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155216676632

    • Three decades of research findings have documented the health effects of handling hazardous drugs. Oncology nurses are vulnerable due to frequent administration of antineoplastics, low adherence to equipment use, reported barriers to use, and perceived low risk of health effects. No interventions have been tested in a controlled, multi-site trial to increase nurses’ use of protective equipment when handling hazardous drugs. The Drug Exposure Feedback and Education for Nurses’ Safety (DEFENS) study will compare the efficacy of education (control) versus an audit and feedback intervention (treatment) on nurses’ self-reported use of personal protective equipment when handling hazardous drugs. The treatment intervention will include tailored messages based on nurses’ reported barriers to protective equipment use.

      Source : Friese, Christopher R., Mendelsohn-Victor, Kari, Wen, Bo, Sun, Duxin, Sutcliffe, Kathleen, Yang, James J., …McCullagh, Marjorie C. (2015). Trials, 16:171. DOI: 10.1186/s13063-015-0674-5

    • Managing pharmaceutical waste throughout a multi-facility health system that services a wide geographic area can be quite challenging, especially considering the varying waste requirements in different states. Adhering to the multiple, complex regulations guiding compliant pharmaceutical waste management requires significant knowledge and expertise to ensure the safe containment and disposal of all waste streams. As the resident medication experts, it is the professional responsibility of pharmacists to help implement a compliant waste management program that protects the environment and keeps pharmaceutical waste out of the water system. A multidisciplinary effort to implement a comprehensive program for managing pharmaceutical waste throughout the health system was rolled out over the past few years at MedStar Health, a large health system in the Mid-Atlantic region, operates approximately 150 facilities, including ten hospitals in the Baltimore/Washington, DC area.

      Source : Lake, Raymond, & Levin, Bonnie. (2016). PPP : Pharmacy Purchasing & Products, 13(10), 2-6. Repéré à https://www.pppmag.com/article/1947

    MANUTENTION DE CHARGE

    • The purpose of this study was to explore posture deviation variability caused by load carriages depending on natural posture imbalance to provide information about a carrying habit exaggerating an individual’s posture imbalance. All people exhibit some imbalance from the standard anatomical pose which assumes alignment with the frontal and median planes. In this study natural posture imbalance is the starting point for determining posture deviation which is posture imbalance resulting from an activity, carrying an item.

      Source : Lyu, Saemee, & LaBat, Karen L. (2016). International Journal of Ergonomics, 56(11), 115-123. DOI: http://dx.doi.org/10.1016/j.ergon.2016.09.006

    MILIEU DE VIE

    • Les dispositifs de localisation qui utilisent le GPS sont des technologies d’aide qui peuvent soutenir la « marche sécuritaire » en alertant les aidants lorsqu’une personne atteinte de la maladie d’Alzheimer ou d’une maladie apparentée erre en dehors d’un secteur désigné, et fournit les coordonnées géographiques afin que la personne puisse être retrouvée facilement. Puisque les dispositifs de localisation sont une forme de surveillance, le fait de les utiliser soulève des questions éthiques et légales concernant la vie privée et l’autonomie, mais les gens atteints de la maladie d’Alzheimer ou d’une maladie apparentée et leurs aidants croient que les avantages potentiels surpassent les préjudices éventuels.

      Source : Topfer, Leigh-Ann. (2016). Ottawa : Agence canadienne des médicaments et des technologies de la santé (ACTMS), 17 p. (Notes de l’ACMTS sur les technologies en émergence, numéro 147). Repéré à https://www.cadth.ca/sites/default/files/pdf/EH0042_GPS_locator_devices_for_people_with_dementia-f.pdf

    NORMES ET LÉGISLATION EN SST

    • Ce projet de règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs en modifiant les dispositions du Règlement sur la santé et la sécurité du travail (chapitre S-2.1, r. 13) concernant les échelles portatives et les escabeaux utilisés dans un établissement. Il y est question notamment du remplacement de la conformité à la norme CAN3-Z11-M81 par la norme Échelles portaives CSA Z11, des conditions d’utilisation, des utilisations prohibées et des mesures de sécurité.

      Source : Québec (28 septembre 2016). Projet de Règlement modifiant le Règlement sur la santé et la sécurité du travail. Gazette officielle du Québec, parite 2 : lois et règlements, 148(39), 5521-5522. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=65541.pdf

    Pour consulter l’analyse d’impact réglementaire :

    http://www.csst.qc.ca/lois_reglements_normes_politiques/Documents/AIR_echelle-escabeau.pdf

    PRÉVENTION DES INFECTIONS

    • While much emphasis has been placed on the improvement of I.V. infusion safety, little published evidence or standardized best practices are associated with I.V. push injections. Although healthcare organizations typically require competency validation for nurses and other professionals with I.V. administration responsibilities, much of this validation focuses on placing and managing vascular access devices. Graduate nurses may learn much of their I.V. therapy/I.V. medication delivery information, and gain most of their experience, from a coworker or preceptor during initial job orientation. These factors contribute to variation in knowledge and skill development and a lack of standard practices across organizations, potentially compromising patient safety. To address unsafe practices and at-risk behaviors associated with the preparation and administration of I.V. push medications in adults, the Institute for Safe Medication Practices (ISMP) obtained an educational grant from BD to hold a national summit of expert stakeholders. Based on guidelines issued by summit participants and prepared by ISMP, this article summarizes important safe practice guidelines for the preparation, labeling, and administration of I.V. push medications for adult patients.

      Source : Shastay, Ann D. (October 2016). Nursing, 46(10), 38-44. Repéré à http://www.nursingcenter.com/pdfjournal?AID=3787123&an=00152193-201610000-00012&Journal_ID=54016&Issue_ID=3786963

    Pour accéder à la version complète des lignes directrices :

    http://www.ismp.org/Tools/guidelines/IVSummitPush/IVPushMedGuidelines.pdf

    • L’objectif d’une telle politique est de réduire le fardeau de l’influenza transmis par les travailleurs non vaccinés aux patients et de prévenir les éclosions dans les milieux de soins. Les prémisses sous-jacentes à cette politique sont que ce fardeau est important et que la vaccination des travailleurs contre l’influenza ou le port du masque le réduira substantiellement. Il est difficile d’obtenir, sur une base volontaire, des couvertures vaccinales de plus de 70 % chez les travailleurs des hôpitaux de soins aigus, alors que les politiques de vaccination obligatoire ou de VoM permettent d’atteindre et même dépasser ce niveau de couverture vaccinale.

      Source : Comité sur l’immunisation du Québec (CINQ). (2016). [Montréal]: Institut national de santé publique du Québec, iii, 20 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2173_evaluation_politique_vaccination_influenza_masque_travailleurs_sante.pdf

    • Enterococcus spp. are a normal part of the gastrointestinal tract of humans and animals. They are also important pathogens, being responsible for 14% of US nosocomial infections from 2007-10. The aim of this study was to examine a laundry facility that processes clinical linens for the presence and seasonality of vancomycin resistant Enterococcus spp. The findings showed that multidrug resistant VRE isolates was significantly higher (53% vs 8%) in dirty vs clean areas within the facility.

      Source : Michael, Karen E., No, David, & Roberts, Marilyn C. (2016). Journal of Hospital Infection. Prépublication. DOI: http://dx.doi.org/10.1016/j.jhin.2016.10.017

    • Much is known and reported about sharps injuries in registered nurses, but there has been a lack of published evidence regarding sharps injuries within the student nurse population. The purpose of this review was to discover the impact of sharps injuries in the student nurse population. A systematic review of nursing, health and psychology databases was conducted. The limits set were publications between 1980 and 2014 in the English language. This review highlight the potential psychological issues that can result from sharps injuries in this population.

      Source : Hambridge, Kevin, Nichols, Andrews, & Endacott, Ruth. (2016). BJN : British Journal of Nursing, 25(19), 1064-1071. DOI: http://dx.doi.org/10.12968/bjon.2016.25.19.1064

    • Récemment, les membres du Comité sur les infections nosocomiales du Québec (CINQ) étaient interpellés au sujet de la décision de gestionnaires de certains établissements de soins d’installer une toilette directement dans l’espace d’une chambre de soins intensifs. De plus, aucun mur ou écran protecteur n’étaient prévus autour de la cuvette. La question précise adressée au CINQ était : « Quels sont les risques infectieux reliés à l’aménagement d’une cuvette (de toilette) à l’intérieur d’une chambre de soins intensifs de niveau 1? ». 

      Source : Comité sur les infections nosocomiales du Québec. (2016). [Montréal]. Institut national de santé publique du Québec, 3, [1] p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2178_installation_cuvette_chambre_soins_intensifs.pdf

    • A tabletop-type ultraviolet C (UVC) light–emitting disinfecting device was evaluated for microbiologic effectiveness, safety, usability, and end-user satisfaction. Three different inoculums of methicillin-resistant Staphylococcus aureus, Pseudomonas aeruginosa, and Acinetobacter calcoaceticus-baumannii complex strains suspended in both saline and trypticase soy broth were applied onto stainless steel carriers and electronic device surfaces in triplicate and cultured for growth after UVC disinfection. Assessments of functionality and usability were performed by biomedical and human factors engineers. End-user feedback was captured using a standardized in-use survey.

      Source : Li, Lisa M., Wong, Titus, Rose, Emily, Wickham, Graham, & Bryce, Elizabeth. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.07.028

    • In the name of patient safety, we have heard calls for « bare below the elbows » care in hospital wards, and now the American College of Surgeons (ACS) is strongly urging surgical workers to drop the common practice of wearing scrubs in public. « Many different healthcare providers — surgeons, anesthesiologists, CRNAs, laboratory technicians, aides — wear scrubs in the OR setting, » the ACS stated in a recently issued policy. « The ACS strongly suggests that scrubs should not be worn outside the perimeter of the hospital by any healthcare provider. To facilitate enforcement of this guideline for OR personnel, the ACS suggests the adoption of distinctive, colored scrub suits for the operating room personnel. »

      Source : Surgical Group Calls for No Scrubs Beyond the Hospital. (November 2016). Hospital Employee Health, 35(11), 130-131. Repéré à https://www.ahcmedia.com/articles/138851

    • The consequences of annual influenza outbreaks are often underestimated by the general public. Influenza poses a serious public health threat around the world, particularly for the most vulnerable populations. Fortunately, vaccination can mitigate the negative effects of this common infectious disease. Although inoculating frontline health care workers (HCWs) helps minimize disease transmission, some HCWs continue to resist participating in voluntary immunization programs. A potential solution to this problem is government-mandated vaccination for HCWs; however, in practice, there are substantial barriers to the adoption of such policies. The purpose of this paper is to identify the likelihood of adopting a policy for mandatory immunization of HCWs in Ontario based on a historical review of barriers to the agenda setting process.

      Source : Jackson-Lee, Angela, Barr, Neil G., & Randall, Glen E. (2016). BMC Health Services Research, 16:522. DOI: 10.1186/s12913-016-1772-0

    PRDUITS TOXIQUES

    PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

    • There is growing recognition of the influence of the workplace environment on the eating habits of the workforce, which in turn may contribute to increased overweight and obesity. Overweight and obesity exact enormous costs in terms of reduced well-being, worker productivity and increased risk of non-communicable diseases. The workplace is an ideal place to intervene and support healthy behaviours. This review aimed to identify barriers and facilitators to nurses’ healthy eating in the workplace.

      Source : Nicholls, Rachel, Perry, Lin, Duffield, Christine, Gallagher, Robyn, & Pierce, Heather. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13185

    • Diabetes in healthcare workers is a major driver of medical insurance costs, as the chronic blood sugar disorder can set off a range of health problems and increase risk of stroke and heart disease. Diabetes is a primary cause of kidney failure, and can cause nerve damage that affects vision and leads to foot ulcers and problems in other extremities. However, the disease can be managed through interventions like diet and exercise, which can also prevent « pre-diabetes » — early signs of blood sugar and insulin problems — from progressing to a chronic condition.

      Source : Wellness Programs can Improve Health, Reduce Cost for HCWs with Diabetes. (November 2016). Hospital Employee Health, 35(11), 126-127. Repéré à https://www.ahcmedia.com/articles/138848

    PROTECTION RESPIRATOIRE

    • As part of its recent annual N95 Day respirator activities, the National Institute for Occupational Safety and Health (NIOSH) sought to bust several myths about respiratory protection, including the misconception that « respirators and surgical masks provide the same type and level of protection for the user. » This would certainly seem to be patently false based on lab studies, which show the greater effectiveness of a well-fitted N95 in filtering out aerosols and particles that could go through a surgical mask.

      Source : Respirator and Surgical Mask Myths and Controversies. (November 2016). Hospital Employee Health, 35(11), 128-129. Repéré à https://www.ahcmedia.com/articles/138850

    QUALITÉ DE L’AIR

    RÉTENTION DU PERSONNEL

    • Moral distress among nurses compromises their ability to provide optimal patient care and may cause them to leave their job. The aim of this study was to assess the frequency, intensity and level of moral distress perceived by nurses working in medical, surgical and intensive care units. The results showed that highest level of moral distress was associated with the provision of treatments and aggressive care that were not expected to benefit the patients and the competency of the health-care providers. Nurses working in medical settings, nurses with lower levels of experience working in medical, surgical or intensive care settings, and nurses who intend to leave their job experienced the highest levels of moral distress.

      Source : Lusignani, Maura, Lorellla, Maria, Re, Luca Gioseppe, & Buffon, Maria Luisa. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12431

    SÉCURITÉ DES MACHINES – CADENASSAGE

    • Ever-changing dynamics, workplace conditions and increasing compliance requirements can affect a safety leader’s ability to implement an effective lockout/tagout program. Properly locking out machinery to complete tasks where sudden activation could be disastrous is challenging enough for one person. In order to create a safe working environment for everyone, the solution has been and continues to be the practice of group lockout/tagout techniques that afford equal protection to all involved with the work being done.

      Source : Grover, Todd. (October 4, 2016). EHS Today. Safety. Repéré à http://ehstoday.com/safety/effective-group-lockout-techniques

    SANTÉ – BIEN-ÊTRE AU TRAVAIL

    • There is growing recognition of the influence of the workplace environment on the eating habits of the workforce, which in turn may contribute to increased overweight and obesity. Overweight and obesity exact enormous costs in terms of reduced well-being, worker productivity and increased risk of non-communicable diseases. The workplace is an ideal place to intervene and support healthy behaviours. This review aimed to identify barriers and facilitators to nurses’ healthy eating in the workplace.

      Source : Nicholls, Rachel, Perry, Lin, Duffield, Christine, Gallagher, Robyn, & Pierce, Heather. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13185

    • Au tournant de 2010, les études se sont mises à abonder pour montrer que la santé des employés allait de mal en pis. L’une d’entre elles avait ainsi mis au jour le fait que les coûts en assurance maladie des entreprises américaines avaient littéralement bondi de 131% entre 1999 et 2009. La réaction a été, bien entendu, immédiate: c’est vite devenu à qui proposerait le meilleur programme de remise en forme à ses employés, et à en faire même un argument de séduction à l’attention des talents à la recherche d’un nouvel emploi. Mais voilà, la question saute aux yeux : tout cela porte-t-il vraiment fruit?

      Source : Schmouker, Olivier. (30 septembre 2016). Se soucier vraiment de la santé de ses employés, c’est payant? [Billet de blogue]. Les Affaires. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/se-soucier-vraiment-de-la-sante-de-ses-employes-c-est-payant/590374

    • Studies show that high-quality reciprocal relationships between leaders and followers are positively associated with employee well-being. However, the pathways for promoting this health-enhancing leadership behaviour have not yet been well explored, and most studies have been cross-sectional. The primary objective of this study was to examine the effects of the interplay between job-related resources and leader–member exchange (LMX) on employee well-being, measured as the emotional exhaustion component of burnout.

      Source : Gregersen, Sabine, Vincent-Höper, Sylvie, & Nienhaus, Albert. (2016). Work & Stress. Prépublication. DOI: http://dx.doi.org/10.1080/02678373.2016.1249440

    • Diabetes in healthcare workers is a major driver of medical insurance costs, as the chronic blood sugar disorder can set off a range of health problems and increase risk of stroke and heart disease. Diabetes is a primary cause of kidney failure, and can cause nerve damage that affects vision and leads to foot ulcers and problems in other extremities. However, the disease can be managed through interventions like diet and exercise, which can also prevent « pre-diabetes » — early signs of blood sugar and insulin problems — from progressing to a chronic condition.

      Source : Wellness Programs can Improve Health, Reduce Cost for HCWs with Diabetes. (November 2016). Hospital Employee Health, 35(11), 126-127. Repéré à https://www.ahcmedia.com/articles/138848

    • Your social links with your co-workers could have a significant impact on your health, researchers say. « We are less burnt out and have greater well-being when our team and our organization provide us with a sense of belonging and community — when it gives us a sense of ‘we-ness,’  » said lead researcher Niklas Steffens, of the University of Queensland, Australia. Steffens and colleagues analyzed 58 studies that included more than 19,000 employed people in 15 countries. They found that how strongly people identified with their work colleagues or organization was associated with better health and a lower risk of burnout. The findings were published recently in the Journal of Personality and Social Psychology Review.

      Source : Preidt, Robert. (October 5, 2016). Love Your Co-workers? It Could Boost Your Health. [Billet de blogue] MedlinePlus. Repéré à https://medlineplus.gov/news/fullstory_161331.html

    SANTÉ PSYCHOLOGIQUE

    • Les maladies mentales peuvent frapper n’importe qui à tout âge et avoir des effets négatifs sur sa santé, son bien-être et sa productivité (absentéisme et présentéisme au travail). Les organisations qui s’intéressent à la santé mentale et au bien-être de leurs employés rendent ceux-ci plus sains et plus productifs et ont donc de grandes chances d’en recueillir d’importants bénéfices. Cette troisième note de recherche de la série évalue les retombées économiques qui pourraient être générées si l’on améliorait l’efficacité des avantages sociaux et des programmes en matière de santé mentale offerts par les employeurs canadiens. Cette publication comprend un résumé en français, suivi de la version anglaise du rapport intégral intitulé : Healthy Brains at Work. Estimating the Impact of Workplace Mental Health Benefits and Programs.

      Source : Sutherland, Greg, & Stonebridge, Carole. (2016). Des cerveaux sains au travail : Effets estimés des avantages sociaux et programmes en santé mentale offerts au travail. Ottawa : Le Conference Board du Canada. 52 p. Repéré à http://www.conferenceboard.ca/e-library/abstract.aspx?did=8243

    • Incivility at work—low intensity deviant behaviors with an ambiguous intent to harm—has been on the rise, yielding negative consequences for employees’ well-being and companies’ bottom-lines. Although examinations of incivility have gained momentum in organizational research, theory and empirical tests involving dynamic, within-person processes associated with this negative interpersonal behavior are limited. Drawing from ego depletion theory, the authors test how experiencing incivility precipitates instigating incivility toward others at work via reduced self-control.

      Source : Rosen, Christopher C., Koopman, Joel, Gabriel, Allison S., & Johnson, Russell E. (2016). Journal of Applied Psychology. Prépublication. DOI: http://dx.doi.org/10.1037/apl0000140

    • Job stress and burnout are highly frequent in healthcare professionals, and prevalence in nurses can be as high as 40%. Mindfulness-based interventions have been shown to be effective in reducing stress and increasing well-being in a wide range of populations and contexts. However, controlled studies with healthcare professionals, and especially nurses, are scarce. The aim of this study was to explore the effectiveness of an on-site, abbreviated mindfulness-based intervention for nurses, using a nonrandomized, wait-list comparison design.

      Source : Duarte, Joana, & Pinto-Gouveia, José. (2016). International Journal of Nursing Studies, 64(12), 98-107. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2016.10.002

    • The present study adds novel knowledge to the literature on emotional contagion (EC), discrete emotions, job burnout, and the management of healthcare professionals by simultaneously considering EC as both a job demand and a job resource with multiple social pathways. The findings show that not all emotional exchange sources contribute to the EC experience or likelihood of burnout. Specifically, we found that doctors absorbed joy and anger from their colleagues but not from their leaders or patients. In contrast, nurses absorbed joy and anger from leaders, colleagues, and patients. Surprisingly, we found that joy-absorbed and anger-absorbed were related to doctors’ exhaustion and cynicism, but only to nurses’ cynicism.

      Source : Petitta, Laura, Jiang, Lixin, & Härtel, Charmine E.J. (2016). Stress & Health. Prépublication. DOI: 10.1002/smi.2724

    • Studies show that high-quality reciprocal relationships between leaders and followers are positively associated with employee well-being. However, the pathways for promoting this health-enhancing leadership behaviour have not yet been well explored, and most studies have been cross-sectional. The primary objective of this study was to examine the effects of the interplay between job-related resources and leader–member exchange (LMX) on employee well-being, measured as the emotional exhaustion component of burnout.

      Source : Gregersen, Sabine, Vincent-Höper, Sylvie, & Nienhaus, Albert. (2016). Work & Stress. Prépublication. DOI: http://dx.doi.org/10.1080/02678373.2016.1249440

    • Much is known and reported about sharps injuries in registered nurses, but there has been a lack of published evidence regarding sharps injuries within the student nurse population. The purpose of this review was to discover the impact of sharps injuries in the student nurse population. A systematic review of nursing, health and psychology databases was conducted. The limits set were publications between 1980 and 2014 in the English language. This review highlight the potential psychological issues that can result from sharps injuries in this population.

      Source : Hambridge, Kevin, Nichols, Andrews, & Endacott, Ruth. (2016). BJN : British Journal of Nursing, 25(19), 1064-1071. DOI: http://dx.doi.org/10.12968/bjon.2016.25.19.1064

    • Moral distress among nurses compromises their ability to provide optimal patient care and may cause them to leave their job. The aim of this study was to assess the frequency, intensity and level of moral distress perceived by nurses working in medical, surgical and intensive care units. The results showed that highest level of moral distress was associated with the provision of treatments and aggressive care that were not expected to benefit the patients and the competency of the health-care providers. Nurses working in medical settings, nurses with lower levels of experience working in medical, surgical or intensive care settings, and nurses who intend to leave their job experienced the highest levels of moral distress.

      Source : Lusignani, Maura, Lorellla, Maria, Re, Luca Gioseppe, & Buffon, Maria Luisa. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12431

    • Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested. The aim of this study was to explore change in communication patterns within teams from children’s mental health organizations during a year-long learning collaborative focused on implementing a new treatment. We adopt a social network perspective to examine intraorganizational communication within each team and assess change in (a) the frequency of communication among team members, (b) communication across organizational hierarchies, and (c) the overall structure of team communication networks.

      Source : Bunger, Alicia C., & Lengnick-Hall, Rebecca. (2016). Health care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000120

    • Incivility has negative consequences in the workplace and remains a prevalent issue in nursing. Research has consistently linked incivility to nurse burnout and, in turn, to poor mental health and turnover intentions. To retain high-quality nurses, it is important to understand what factors might protect nurses from the negative effects of workplace mistreatment. The aim of the study was to investigate the role of relational occupational coping self-efficacy in protecting nurses from workplace incivility and related burnout and turnover intentions.

      Source : Fida, Roberta, Laschinger, Heather K. Spence, & Leiter, Michael P. (2016). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000126

    • Occupational stress is a major modern health and safety challenges. While the ED is known to be a high-pressure environment, the specific organisational stressors which affect ED staff have not been established. The authors conducted a systematic review of literature examining the sources of organisational stress in the ED, their link to adverse health outcomes and interventions designed to address them. A narrative review of contextual factors that may contribute to occupational stress was also performed. All articles written in English, French or Spanish were eligible for conclusion.

      Source : Basu, Subhashis, Qayyum, Hasan, & Mason, Suzanne. (2016). Emergency Medical Journal, Prépublication. doi:10.1136/emermed-2016-205827

    • Faut-il se préoccuper du nombre important de changements dans le réseau de la santé? Y en a-t-il trop en même temps? Vit-on de l’excès de changements? Et si poser la question c’était aussi donner la réponse… Que savons-nous sur la capacité des personnes à vivre un grand nombre de changements en même temps? Y a-t-il un seuil critique de fatigue face aux changements? Si oui, quel serait-il et comment le mesurer?

      Source : Johnson, Kevin, J., & Bareil, Céline. (6 ooctobre 2016). Y a-t-il trop de changements dans le réseau de la santé et des services sociaux? [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/informer/y-a-t-de-changements-reseau-de-sante-services-sociaux/?utm_source=referral&utm_medium=lickstats&utm_campaign=css1016&utm_term=pistesdaction&cid=5808cc95d1dd3dee66e4a062

    • L’article précédent « Y a-t-il trop de changements dans le réseau de la santé et des services sociaux? » proposait une réponse à savoir s’il y a trop de changement dans le réseau de la santé et des services sociaux. Maintenant, il ne suffit pas seulement de diagnostiquer ces trois niveaux d’intensité (fréquence, étendue, impact), mais de mesurer leur retombées négatives en terme de santé au travail et de performance en changement selon les contextes des établissements, des équipes en place et des initiatives transformationnelles. Dans les travaux de recherche-intervention des auteurs, c’est par ce croisement diagnostique qu’ils aboutissent à certaines recommandations managériales et stratégiques. Ils vous proposent ici de tirer les pistes d’actions générales en lien avec les effets de saturation de changement liés 1) au rythme, 2) à l’étendue et 3) à l’impact perçu des changements par le personnel.

      Source : Johnson, Kevin, J., & Bareil, Céline. (7 octobre 2016). Quelles sont les pistes d’action face à une potentielle surcharge de changements dans le réseau de la santé? [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/informer/pistes-daction-face-a-potentielle-surcharge-de-changements-reseau/

    • Your social links with your co-workers could have a significant impact on your health, researchers say. « We are less burnt out and have greater well-being when our team and our organization provide us with a sense of belonging and community — when it gives us a sense of ‘we-ness,’  » said lead researcher Niklas Steffens, of the University of Queensland, Australia. Steffens and colleagues analyzed 58 studies that included more than 19,000 employed people in 15 countries. They found that how strongly people identified with their work colleagues or organization was associated with better health and a lower risk of burnout. The findings were published recently in the Journal Personality and Social Psychology Review.

      Source : Preidt, Robert. (October 5, 2016). Love Your Co-workers? It Could Boost Your Health. [Billet de blogue] MedlinePlus. Repéré à https://medlineplus.gov/news/fullstory_161331.html

    • Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians. The consequences are negative effects on patient care, professionalism, physicians’ own care and safety, and the viability of health-care systems. A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary. The literature indicates that both individual-focused and structural or organisational strategies can result in clinically meaningful reductions in burnout among physicians. Further research is needed to establish which interventions are most effective in specific populations, as well as how individual and organisational solutions might be combined to deliver even greater improvements in physician wellbeing than those achieved with individual solutions.

      Source : West, Colin P., Dyrbye, Liselotte N., Erwin, Patricia J., & Shanafelt, Tait D. (2016). The Lancet. Prépublication. Repéré à http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(16)31279-X.pdf

    • Incivil behaviors at work—put-downs, sarcasm, and other condescending comments—tend to have a contagious effect, according to a new study by a management professor at the University of Arkansas and several colleagues. Incivil behaviors are less serious than openly hostile behavior such as bullying, harassment, and threats, but incivil behaviors are also more frequent in the workplace and have a significant effect on employees, the study found.

      Source : University of Arkansas. (October, 17 2016). In the Workplace, Incivility Begets Incivility, New Study Shows. [Billet de blogue]. Lab Manager. Repéré à http://www.labmanager.com/management-tips/2016/10/in-the-workplace-incivility-begets-incivility-new-study-shows?fw1pk=2#.WAjed-DhAdU

    SERVICE D’ONCOLOGIE

    SERVICE DES URGENCES

    • Occupational stress is a major modern health and safety challenges. While the ED is known to be a high-pressure environment, the specific organisational stressors which affect ED staff have not been established. The authors conducted a systematic review of literature examining the sources of organisational stress in the ED, their link to adverse health outcomes and interventions designed to address them. A narrative review of contextual factors that may contribute to occupational stress was also performed. All articles written in English, French or Spanish were eligible for conclusion.

      Source : Basu, Subhashis, Qayyum, Hasan, & Mason, Suzanne. (2016). Emergency Medical Journal, Prépublication. doi:10.1136/emermed-2016-205827

    SERVICES À DOMICILE

    • When home care and hospice staff are asked when and why they would wear personal protective equipment (PPE), they typically report it is worn to protect themselves from a patient’s bllod or body fluids. The chemicals in the disinfectant pose a health risk to the person using them that is often overlooked and staff are not routinely aware of actions to take in the home if they are inadvertently exposed to them.

      Source : McGoldrick, Mary. (2016). Home Healthcare Now, 34(9), 523.doi: 10.1097/NHH.0000000000000458

    • Home health-care workers’ occupational injury rates in the USA are higher than the national average, yet research on causative exposures and hazards is limited. The purpose of this study was to identify occupational exposures for home health-care nurses and aides. A majority of the sample was over 40 years old and obese, potentially increasing injury risks. Home health-care nurses performed more clinical tasks, increasing exposure to blood-borne pathogens. Home health-care aides performed more physical tasks with risk for occupational musculoskeletal injuries. They also dispensed oral medications and anti-cancer medications, and were exposed to drug residue at a frequency comparable to home health-care nurses. Both groups were exposed to occupational second-hand smoke.

      Source : Hittle, Beverly, Agbonifo, Noma, Suarez, Rassull, & Ballard, Tangela. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12408

    SOINS INTENSIFS

    STATISTIQUES EN SST

    • Le rapport de la deuxième édition de l’Enquête québécoise sur la santé de la population, réalisée en 2014-2015, dresse un portrait statistique à l’échelle provinciale de certains aspects de la santé des Québécois de 15 ans et plus vivant dans un logement non institutionnel. Il touche aux habitudes de vie et aux comportements préventifs ou à risque, à l’état de santé physique et mentale, à la santé environnementale et à la santé au travail, et permet de suivre l’évolution d’un certain nombre d’indicateurs depuis la première édition de l’enquête menée en 2008. Les données ont été recueillies auprès de 45 760 personnes dans 17 régions sociosanitaires. Tout en étant utiles à l’élaboration, à l’amélioration et au suivi des programmes, les résultats permettent d’informer les Québécois de leur état de santé et d’alimenter les réflexions visant à améliorer celui-ci.

      Source : Camirand, Hélène, TRAORÉ, Issouf, & BAULNE, Jimmy (2016). L’Enquête québécoise sur la santé de la population, 2014-2015: pour en savoir plus sur la santé des Québécois. Résultats de la deuxième édition. Québec : Institut de la statistique du Québec, 208 p. Repéré à http://www.stat.gouv.qc.ca/statistiques/sante/etat-sante/sante-globale/sante-quebecois-2014-2015.pdf

    TENUE VESTIMENTAIRE

    • In the name of patient safety, we have heard calls for « bare below the elbows » care in hospital wards, and now the American College of Surgeons (ACS) is strongly urging surgical workers to drop the common practice of wearing scrubs in public. « Many different healthcare providers — surgeons, anesthesiologists, CRNAs, laboratory technicians, aides — wear scrubs in the OR setting, » the ACS stated in a recently issued policy. « The ACS strongly suggests that scrubs should not be worn outside the perimeter of the hospital by any healthcare provider. To facilitate enforcement of this guideline for OR personnel, the ACS suggests the adoption of distinctive, colored scrub suits for the operating room personnel. »

      Source : Surgical Group Calls for No Scrubs Beyond the Hospital. (November 2016). Hospital Employee Health, 35(11), 130-131. Repéré à https://www.ahcmedia.com/articles/138851

    TRAVAIL DE BUREAU

    • La chose semble si évidente, le lien si fort, qu’il paraît inutile de se questionner à ce propos. Si, d’instinct, nous concevons aisément que la présence de végétaux dans le lieu de travail ne peut qu’être positive, la perception rejoint-elle la réalité à ce chapitre? De prime abord, on doit signaler que la relation entre la présence de plantes vertes et certains éléments reliés à la productivité des employés (absentéisme, climat de travail, stress, etc.) a déjà fait l’objet de nombreuses études par le passé. Toutefois, comme le font valoir Tina Bringslimark, Terry Hartig et Grete Grindal Patil, la très grande majorité de ces dernières ont été réalisées dans des environnements contrôlés. On peut donc s’interroger à juste titre sur la représentativité de ces études. Qu’en est-il dans la réalité des quatre murs de nos bureaux?

      Source : Normandin, François. (3 octobre 2016). Dans la jungle de nos bureaux. [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/decouvrir/dans-la-jungle-de-nos-bureaux/?utm_source=wysija&utm_medium=email&utm_campaign=dans_gestion_cette_semaine

    • Office workers spend a large proportion of their working hours sitting. This may contribute to an increased risk of chronic disease and premature mortality. While there is growing interest in workplace interventions targeting prolonged sitting, few qualitative studies have explored workers’ perceptions of reducing occupational sitting outside of an intervention context. This study explored barriers to reducing office workplace sitting, and the feasibility and acceptability of strategies targeting prolonged sitting in this context.

      Source : Hadgraft, Nyssa T., Brakenridge, Charlotte L., LaMontagne, Anthony D., Fjeldsoe, Brianna S., Lynch, Brigid M., Dunstan, David W.,… Lawler, Sheleigh P. (2016). BMC Public Health. 16:933. DOI: 10.1186/s12889-016-3611-y

    • In Canada, upper extremity MSDs and low-back pain are the leading causes of disabling work-related injuries. While there is general agreement that work hazards (such as repetitive, awkward and static postures, heavy loads, vibration, low job control and poor social support) can contribute to the development of upper extremity MSDs, there is less agreement on the most appropriate ways to reduce or eliminate these hazards. This systematic review, an update of another conducted about 10 years ago, sets out to find occupational health and safety (OHS) interventions that effectively prevent and manage upper extremity MSDs.

      Source : Institute for Work & Health. (2016). Toronto : IWH, [4] p. Repéré à http://www.iwh.on.ca/system/files/sbe/sbe-ue-msd-final_1.pdf

    • Rest breaks are effective in avoiding an accumulation of fatigue during work. However, little is known about individual differences in rest-break behavior. The present paper presents findings from two studies addressing the effects of the employee’s intention to have rest breaks on rest-break frequency and the change of well-being during a workday.

      Source : Blasche, Gerhard, Pasalic, Sanja, Bauböck, Verena, Maria, Haluza, Daniela, & Schoberberger, Rudolf. (2016). Human Factors. Prépublication. doi: 10.1177/0018720816671605

    TRAVAIL EN ÉQUIPE

    • Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested. The aim of this study was to explore change in communication patterns within teams from children’s mental health organizations during a year-long learning collaborative focused on implementing a new treatment. We adopt a social network perspective to examine intraorganizational communication within each team and assess change in (a) the frequency of communication among team members, (b) communication across organizational hierarchies, and (c) the overall structure of team communication networks.

      Source : Bunger, Alicia C., & Lengnick-Hall, Rebecca. (2016). Health care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000120

    • Although many studies link teamwork in health care settings to patient safety, evidence linking teamwork to hospital worker safety is lacking. This study addresses this gap by providing evidence linking teamwork perceptions in hospital workers to worker injuries, and further, finds a linkage between manager commitment to safety and teamwork. Organizational records of worker injuries and survey responses regarding management commitment to safety and teamwork from 446 hospital workers within 42 work units in a multi-site hospital system were examined. Results underscored the particular importance of teamwork on worker injuries as well as the importance of management commitment to safety as relating to teamwork. To improve worker safety, organizational leaders and unit managers should work to maintain environments wherein teamwork can thrive.

      Source : McGonagle, Alyssa K., Essenmacher, Lynnette, Hamblin, Lydia, Luborsky, Mark, Upfal, Mark, & Arnetz, Judith. (2016). Journal of Hospital Administration, 5(6), 46-52. DOI: 10.5430/jha.v5n6p46

    TRAVAIL EN HAUTEUR

    • Ce projet de règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs en modifiant les dispositions du Règlement sur la santé et la sécurité du travail (chapitre S-2.1, r. 13) concernant les échelles portatives et les escabeaux utilisés dans un établissement. Il y est question notamment du remplacement de la conformité à la norme CAN3-Z11-M81 par la norme Échelles portaives CSA Z11, des conditions d’utilisation, des utilisations prohibées et des mesures de sécurité.

      Source : Québec (28 septembre 2016). Projet de Règlement modifiant le Règlement sur la santé et la sécurité du travail. Gazette officielle du Québec, parite 2 : lois et règlements, 148(39), 5521-5522. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=65541.pdf

    Pour consulter l’analyse d’impact réglementaire :

    http://www.csst.qc.ca/lois_reglements_normes_politiques/Documents/AIR_echelle-escabeau.pdf

    TRAVAIL EN LABORATOIRE

    TRAVAIL SÉDENTAIRE

    • Office workers spend a large proportion of their working hours sitting. This may contribute to an increased risk of chronic disease and premature mortality. While there is growing interest in workplace interventions targeting prolonged sitting, few qualitative studies have explored workers’ perceptions of reducing occupational sitting outside of an intervention context. This study explored barriers to reducing office workplace sitting, and the feasibility and acceptability of strategies targeting prolonged sitting in this context.

      Source : Hadgraft, Nyssa T., Brakenridge, Charlotte L., LaMontagne, Anthony D., Fjeldsoe, Brianna S., Lynch, Brigid M., Dunstan, David W.,… Lawler, Sheleigh P. (2016). BMC Public Health. 16:933. DOI: 10.1186/s12889-016-3611-y

    TROUBLES MUSCULOSQUELETTIQUES (TMS)

    • For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care.

      Source : Suman, Arnela, Dikkers, Marije F., Schaffsma, Frederieke G., van Tulder, Maurits W., & Anema, Johannes R. (2016). Implementation Science, 11:126. DOI: 10.1186/s13012-016-0482-7

    • In Canada, upper extremity MSDs and low-back pain are the leading causes of disabling work-related injuries. While there is general agreement that work hazards (such as repetitive, awkward and static postures, heavy loads, vibration, low job control and poor social support) can contribute to the development of upper extremity MSDs, there is less agreement on the most appropriate ways to reduce or eliminate these hazards. This systematic review, an update of another conducted about 10 years ago, sets out to find occupational health and safety (OHS) interventions that effectively prevent and manage upper extremity MSDs.

      Source : Institute for Work & Health. (2016). Toronto : IWH, [4] p. Repéré à http://www.iwh.on.ca/system/files/sbe/sbe-ue-msd-final_1.pdf

    VACCINATION DU PERSONNEL

    • L’objectif d’une telle politique est de réduire le fardeau de l’influenza transmis par les travailleurs non vaccinés aux patients et de prévenir les éclosions dans les milieux de soins. Les prémisses sous-jacentes à cette politique sont que ce fardeau est important et que la vaccination des travailleurs contre l’influenza ou le port du masque le réduira substantiellement. Il est difficile d’obtenir, sur une base volontaire, des couvertures vaccinales de plus de 70 % chez les travailleurs des hôpitaux de soins aigus, alors que les politiques de vaccination obligatoire ou de VoM permettent d’atteindre et même dépasser ce niveau de couverture vaccinale.

      Source : Comité sur l’immunisation du Québec (CINQ). (2016). [Montréal]: Institut national de santé publique du Québec, iii, 20 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2173_evaluation_politique_vaccination_influenza_masque_travailleurs_sante.pdf

    • The consequences of annual influenza outbreaks are often underestimated by the general public. Influenza poses a serious public health threat around the world, particularly for the most vulnerable populations. Fortunately, vaccination can mitigate the negative effects of this common infectious disease. Although inoculating frontline health care workers (HCWs) helps minimize disease transmission, some HCWs continue to resist participating in voluntary immunization programs. A potential solution to this problem is government-mandated vaccination for HCWs; however, in practice, there are substantial barriers to the adoption of such policies. The purpose of this paper is to identify the likelihood of adopting a policy for mandatory immunization of HCWs in Ontario based on a historical review of barriers to the agenda setting process.

      Source : Jackson-Lee, Angela, Barr, Neil G., & Randall, Glen E. (2016). BMC Health Services Research, 16:522. DOI: 10.1186/s12913-016-1772-0

    Article mis en avant

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    ACCIDENTS DE TRAVAIL

  • Needlestick injuries (NSIs) represent a major concern for the safety of health care workers involved in clinical care. The percentage of health workers reporting these injuries varies between 9 and 38% and the occurrence of NSI is most frequent among employees having close clinical contact with patients or patient specimens. These injuries appear to occur most frequently where organizational factors contribute to the risk.

    Source : d’Ettore, G. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw110

  • Research has shown that the injury rate for shiftworkers is higher than the injury rate for non-shiftworkers. The aim of this report is to determine whether the elevated risk of shiftwork affects all groups of shiftworkers or only particular groups of shiftworkers. This is achieved by analysing statistics from a nationally representative survey that was undertaken in 2013–14. The report also analyses the characteristics and outcomes of work-related injuries to determine whether there are significant differences between shiftworkers and non-shiftworkers.

    Source : Safe Work Australia. (2016). A Comparison of Work-Related Injuries Among Shiftworkers and Non-Shiftworkers. Canberra : Safe Work Australia, 21 p. Repéré à http://www.safeworkaustralia.gov.au/sites/SWA/about/Publications/Documents/975/comparison-of-work-related-injuries-shiftworkers-and-non-shiftworkers.pdf

  • ADMINISTRATION DE LA SANTÉ

  • Inappropriate staffing – either in terms of numbers or a mismatch between the level of caregiver and the acuity of patients — is a chronic issue in healthcare that puts both patients and staff at higher risk. To address the issue, the American Association of Critical-Care Nurses (AACN) held a summit meeting May 18 in New Orleans. They discussed variables that create staffing mismatches, identified barriers to solving the problem, and explored potential solutions. Though staffing influences patient and worker safety, fiscal pressure on healthcare facilities means doing more with less in many areas.

    Source : Staffing Woes Endanger Workers and Patients : More than numbers, match staff to patient acuity. (2016, August). Hospital Employee Health, 35(8), 89-91. Repéré à https://www.ahcmedia.com/articles/138247-staffing-woes-endanger-workers-and-patients

  • AGRESSIONS ET VIOLENCE

  • Workplace violence can lead to serious consequences for victims, organizations, and society. Most workplace violence prevention programs aim to train staff to better recognize and safely manage at-risk situations. The Omega education and training program was developed in Canada in 1999, and has since been used to teach healthcare and mental health workers the skills needed to effectively intervene in situations of aggression. The present study was designed to assess the impact of Omega on employee psychological distress, confidence in coping, and perceived exposure to violence. This program was offered to 105 employees in a psychiatric hospital in Montreal, Canada. Eighty-nine of them accepted to participate. Questionnaires were completed before the training, after a short period of time and at follow-up. Results demonstrated statistically significant improvements in short-term and follow-up posttest scores of psychological distress, confidence in coping, and in levels of exposure to violence. This study is one of very few to demonstrate the positive impact of this training program.

    Source : Guay, Stéphane, Goncalves, Jane, & Boyer, Richard. (2016). Healthcare, 4(3), 49. doi:10.3390/healthcare4030049

  • Workplace safety is a critical issue in health care. The National Institute for Occupational Safety and Health defines workplace violence as "violent acts (including physical assaults and threats of assaults) directed towards persons at work or on duty." This viewpoint discusses the scope and characteristics of workplace violence in health care settings, relevant government regulations, the responsibility of health care leaders in addressing workplace violence, a model program for violence prevention in health care settings, and a comprehensive environmental risk analysis.

    Source : Wyatt, Ron, Anderson-Drevs, Kim, & Van Male, Lynn M. (2016). JAMA : The Journal of the American Medical Association, 316(10), 1037-1038. doi:10.1001/jama.2016.10384

  • Lorsque des intervenants accompagnent des usagers à l’extérieur de leur milieu de vie, ces derniers perdent leurs repères habituels et les facteurs extrinsèques et environnementaux sont présents. Dans ces circonstances, le risque potentiel de désorganisation pouvant entraîner des accidents du travail est plus élevé. À la suite d’un accident du travail, la CNESST ordonne à l’employeur d’assurer la présence de deux personnes, en tout temps, lors de sorties avec les usagers présentant un TGC. Un groupe de travail paritaire a été constitué et a réfléchi à des solutions pouvant assurer la sécurité des travailleurs.

    Source : Harvey, Pascale, & Néron, Hélène. (Septembre 2016). OP, 39(3), 28. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393028_pleinsfeux.pdf

  • The established links between workplace bullying and poor mental health provide a prima facie reason to expect that workplace bullying increases the risk of suicidal ideation (thoughts) and behaviours. Until now, there has been no systematic summary of the available evidence. This systematic review summarises published studies reporting data on workplace bullying and suicidal ideation, or behaviour. The review sought to ascertain the nature of this association and highlight future research directions.

    Source : Leach, Liana S., Poyser, Carmel, & Butterworth, Peter. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103726

  • Health care workers providing home care are frequently unaware of their client’s history of violence or mental illness/substance abuse disorder, recognized risk factors for workplace violence. This study estimated the associations between these factors and experiencing client violence among direct care workers in the home settings (DCWHs).

    Source : Byon, Ha Do, Storr, Carla, Edwrads, Lori, & Lipscomb, Jane. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22652

  • ALLERGIES PROFESSIONNELLES

  • Occupational exposure to disinfectants is associated with work-related asthma, especially in healthcare workers. However, little is known about the specific products involved. To evaluate disinfectant exposures, we designed job-exposure (JEM) and job-task-exposure (JTEM) matrices, which are thought to be less prone to differential misclassification bias than self-reported exposure. We then compared the three assessment methods: self-reported exposure, JEM and JTEM. Disinfectant use was assessed by an occupational questionnaire in 9073 US female registered nurses without asthma, aged 49–68 years, drawn from the Nurses’ Health Study II.

    Source : Quinot, C., Dumas, O. Henneberger, PK, Varrasom R., Wiley, AS, Speizer, FE,… Le Moual, N. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103606

  • AMÉNAGEMENT ET ARCHITECTURE

  • This third edition begins with a look at humanistic health facility design and related research. It focuses on the patient’s and visitor’s journey through a generic facility, laying out key design and behavior issues, including planning for arrival and exterior wayfinding, interior wayfinding and the circulation system, reception and waiting areas, diagnostic and treatment areas, inpatient rooms and baths, access to nature, and the needs of users with disabilities. It also describes how users can meaningfully participate in health facility design.

    Source : Carpman, Janet R., & Grant, Myron A. (2016). Design That Cares: Planning Health Facilities for Patients and Visitors. 3rd ed. San Francisco, CA : Jossey-Bass, Wiley, xx, 469 p. Repéré à http://ca.wiley.com/WileyCDA/WileyTitle/productCd-0787988111.html

  • The study of the operating room (OR) began over a century ago and has continued to advance. However, for nonmedical researchers, unique challenges present themselves that must be carefully addressed. We present an overview of the OR aimed at nonmedical researchers interested in studying the OR environment. Based on our extensive experience, we identify several key challenges and describe ways to circumvent them. With a respectable understanding of the OR environment, we can prepare a researcher to gather useful data. Such investigations have the potential to yield great insights about cost savings, efficiency, methods, processes, and general human interaction, among others.

    Source : Mhlaba, Julie M., Christianson, Laura W., Davidson, Stuart J., Graves, S. Nicholas, Still, Brady R., Silas, Megan R.,… Langerman, Alexander J. (2016). Ergonomics in design. Prépublication. doi: 10.1177/1064804616642916

  • Procéder à une autopsie sur le corps d’une personne obèse installée sur une table fixe, voilà une tâche assez ardue ! Si l’intervenant est petit, il doit monter sur une marche ; s’il est grand, il travaille en flexion du dos. Après plusieurs accidents et plaintes relativement à ces conditions difficiles, l’Hôpital Pierre-Boucher a réaménagé la salle d’autopsie l’année dernière.

    Source : Gambin, Christiane. (Septembre 2016). OP, 39(3), 26-27. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393026_pleinsfeux.pdf

  • Les techniciens de laboratoire travaillant en sérologie ont pour mandat d’effectuer des analyses sérologiques sur des échantillons de sang en utilisant des méthodes manuelles. Récemment, les techniciens rapportaient des douleurs au cou, au haut du corps, au bas du dos et aux membres supérieurs. En position assise, ils signalaient aussi une mauvaise circulation sanguine dans les membres inférieurs. Voici les améliorations apportées au laboratoire à la suite de son réaménagement.

    Source: Ménard, Julie, & Rousselle, Nathalie. (Septembre 2016). OP, 39(3), 24-25. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393024_pleinsfeux.pdf

  • AMIANTE

  • Si certains produits contenant de l’amiante ont depuis quelques années disparu du marché, un nombre important de produits et matériaux anciens sont encore présents. Les interventions sur ces matériaux ou dans des environnements où ils sont présents peuvent engendrer des risques, particulièrement à l’occation d’opérations de maintenance ou d’entretien de bâtiments et de travaux publics ou d’installations industrielles. Ce guide est destiné a apporter aux professionnels des éléments d’aide à l’évaluation du risque et au choix des protections adaptées, en s’appuyant notamment sur les points suivants : 1- les types de produits contenant de l’amiante 2- les situations à risques (avec des exemples d’exposition types) 3- les techniques de travail visant à réduire l’exposition 4- les protections adaptées à chaque niveau d’exposition.

    Source : Institut National de Recherche et de Sécurité. (2016). Paris : INRS, 176 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6262/ed6262.pdf

  • BLOC OPÉRATOIRE – CHIRURGIE

  • The study of the operating room (OR) began over a century ago and has continued to advance. However, for nonmedical researchers, unique challenges present themselves that must be carefully addressed. We present an overview of the OR aimed at nonmedical researchers interested in studying the OR environment. Based on our extensive experience, we identify several key challenges and describe ways to circumvent them. With a respectable understanding of the OR environment, we can prepare a researcher to gather useful data. Such investigations have the potential to yield great insights about cost savings, efficiency, methods, processes, and general human interaction, among others.

    Source : Mhlaba, Julie M., Christianson, Laura W., Davidson, Stuart J., Graves, S. Nicholas, Still, Brady R., Silas, Megan R.,… Langerman, Alexander J. (2016). Ergonomics in design. Prépublication. doi: 10.1177/1064804616642916

  • Scavenging systems and administrative and work practice controls for minimizing occupational exposure to waste anesthetic gases have been recommended for many years. Anesthetic gases and vapors that are released or leak out during medical procedures are considered waste anesthetic gases. To better understand the extent recommended practices are used, the NIOSH Health and Safety Practices Survey of Healthcare Workers was conducted in 2011 among members of professional practice organizations representing anesthesia care providers including physician anesthesiologists, nurse anesthetists, and anesthesiologist assistants. This national survey is the first to examine self-reported use of controls to minimize exposure to waste anesthetic gases among anesthesia care providers.

    Source : Boiano, James M., & Steege, Andrea L. (2016). Journal of Occupational and Environmental Hygiene, 13(10), 782-793. http://dx.doi.org/10.1080/15459624.2016.1177650

  • Dans les blocs opératoires de l’Hôpital Fleurimont et de l’Hôtel-Dieu de Sherbrooke, le comité de SST des inhalothérapeutes avait observé, en 2014, un taux élevé d’expositions aux liquides biologiques. L’analyse statistique révélait que près de la moitié de ces expositions étaient liées au recapuchonnage des aiguilles ou à la nondisposition immédiate du matériel souillé lors de l’installation du patient. Line Bilodeau, coordonnatrice technique des inhalothérapeutes du bloc opératoire de l’Hôpital Fleurimont, a collaboré avec le Service des installations matérielles, pour mettre au point un dispositif permettant de disposer adéquatement du matériel souillé, soit un support pour boîte à déchets biomédicaux pouvant être installé sur une tige à soluté.

    Source : Brochu, Anne-Marie, & Beauchemin, Isabelle. (Septembre 2016). OP, 39(3), 29.

  • It has been known to cause genital warts in the noses of anesthesiologists. A surgeon developed a rare throat tumor caused by the human papillomavirus (HPV) because of this. It has been linked to miscarriages among nurses. In a hospital in London, Ont., red flags were raised around it after an orthopedic surgeon died of lung cancer, but he was not a smoker. The human immunodeficiency virus (HIV) and hepatitis have also been found in it. The culprit? Surgical smoke.

    Source : Silliker, Amanda. (2016, August/September). Canadian Occupational Safety, 54(4), 18-19. Repéré à http://www.cos-mag.com/hygiene/hygiene-stories-exclusive/5234-up-in-surgical-smoke.html

  • While the Centers for Disease Control and Prevention (CDC) reports that significant progress has been made in preventing some types of healthcare-associated infections (HAIs), the agency points out that approximately one in 25 hospital patients has at least one HAI on any given day. According to the CDC, about 75,000 patients with HAIs died during their hospitalizations in 2011, and more than half of all HAIs occurred outside of the intensive care unit. As more healthcare organizations deploy mobile processing units to kill surface microorganisms and pathogens, HPN explores how to choose, use and better understand today’s no-touch disinfection systems.

    Source : Nadeau, Kara. (2016, September). Healthcare Purchasing News, 40(9), 16. Repéré à http://www.hpnonline.com/inside/2016-09/1609-OR-RoomDecontam.html

  • BRUIT EN MILIEU DE TRAVAIL

  • Exposures to noise and resulting noise-induced hearing loss (NIHL) are not well understood in the dental profession. Previous studies have focused primarily on practicing dental professionals, and have often evaluated hearing loss in the absence of adequate noise exposure assessment. This study was conducted to evaluate exposures among students and staff working in four clinics within a major U.S. university dental school, and to compare these exposures to those among dental professionals in a private general-practice clinic.

    Source : Burk, Allison, & Neitzel, Richard L. (2016). Journal of Occupational and Environmental Hygiene, 13(10), 741-749. http://dx.doi.org/10.1080/15459624.2016.1177646

  • BUANDERIE

  • Gagnant du prix du jury Pleins feux sur l’initiative en SST, le CIUSSS du Saguenay–Lac-Saint-Jean, Hôpital de Chicoutimi possède un service de buanderie qui traite près de 13 000 kg de lingerie souillée chaque jour. Un réaménagement a permis d’éliminer bien des risques pour la SST.

    Source : Tremblay, Denis, & Bertrand, Guy. (Septembre 2016). OP, 39(3), 18-19. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393018_pleinsfeux.pdf

  • Treating hospital patient textiles with ionic silver after each washing results in a significant decrease in microbial contamination. Although further study is needed to better understand the role textiles play in hospital-acquired infections and to quantify the influence of silver textile treatment on health care-associated infection risk and patient outcomes, ionic silver treatment of textiles may prove useful in hospital-acquired infection reduction strategies.

    Source : Openshaw, John J., Morris, William M., Lowry, Gregory V., & Nazmi, Aydin. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.06.021

  • CANNABIS

  • À mesure que croît le nombre de Canadiens à qui l’on prescrit de la marijuana médicale et que le gouvernement fédéral étudie un cadre juridique visant à légaliser et à réglementer la marijuana, qu’est-ce que cela signifie pour le milieu de travail? La possession de marijuana est illégale au Canada, mais son usage à des fins médicales est permis. Pour suivre l’évolution de ces changements, les employeurs et les employés doivent mieux comprendre l’utilisation de la marijuana médicale. L’usage non médical de la marijuana peut être traité essentiellement de la même manière que la consommation d’alcool en vertu de la politique de l’organisation quant à la consommation d’alcool et de drogues. Les employeurs ont le droit d’interdire l’usage de la marijuana pendant les heures de travail et le travail sous l’influence de cette drogue.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). Le rapport sur la santé et la sécurité, 14(9). Repéré à http://www.portailrh.org/_Externe.aspx?l=http%3a%2f%2fcchst.ca%2fnewsletters%2fhsreport%2fissues%2fcurrent.html%3fp%3d652072

  • How much marijuana (or THC) should be allowable? This is an extremely difficult question and is asked of the drug testing industry regularly. While the majority of companies, particularly those that have safety-sensitive employees, choose to maintain a zero-tolerance policy, there are plenty of employers asking how to create some form of tolerance. There are multi-faceted issues in a culture of acceptance, and each particular issue must be carefully reviewed with safety at the core of the conversation.

    Source : McGuire, Jo. (2016, August 31). OH&S : Occupational Health & Safety. Repéré à https://ohsonline.com/articles/2016/08/31/maintaining-drug-free-workplaces-where-marijuana-is-legal.aspx

  • CHAMPS ÉLECTROMAGNÉTIQUES

  • Transcranial magnetic stimulation or repetitive transcranial magnetic stimulation (TMS/rTMS) are currently used in research and treatments of diseases of the central nervous system, such as recurring depression. Strong electric pulses are used to produce strong pulsed magnetic fields that are directed to the patient’s cerebral cortex where the fields induce electric pulses. The pulses may be causing unnecessary exposure of the staff.

    Source : Møllerløkken, Ole Jacob, Stavang, Helen, & Mild, Kjell Hansson. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. 1-4. DOI: 10.1080/10803548.2016.1223193

  • This study measures the exposure of occupational therapists from a 1.5-T magnetic resonance imaging (MRI) machine. Method. A total of 14 time-series on each of the chest, head and hand were taken before and after different MRI procedures. The peak values were noted in each case together with an average of all data recorded in the time-series.

    Source : Bonello, Julian, & Sammut, Charles V. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. 1-6. http://dx.doi.org/10.1080/10803548.2016.1216357

  • L’ANSES (Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail) a publié un rapport d’expertise collective intitulé « Compatibilité des dispositifs médicaux exposés à des sources radiofréquences ». Ce rapport contient notamment des données sur l’exposition des stimulateurs cardiaques et des défibrillateurs implantables aux champs électromagnétiques de type radiofréquence tels que téléphonie mobile et wifi.

    Source : Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail. (2016). Compatibilité électromagnétique des dispositifs médicaux exposés à des sources radiofréquences : Avis de l’Anses – Rapport d’expertise collective. Maisons Alfort Cedex, France : Anses éditions, 112 p. Repéré à https://www.anses.fr/fr/system/files/AP2011SA0211Ra.pdf

  • Le Wi-Fi fait partie des technologies de réseaux locaux (Local Area Network ou Lan), tout comme le Bluetooth et le DECT (Digital Enhanced Cordless Telephone). Dans le spectre des champs électromagnétiques (CEM), le Wi-Fi se range parmi les radiofréquences (RF), comme d’autres technologies sans fil, téléphoniques et de radiotélédiffusion. Quels sont les éventuels risques ou effets sur la santé liés à cette technologie?

    Source : Bourdieu, Anne. (2016,Juin). Références en santé au travail, 146, 125-126. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-114/qr114.pdf

  • CIVILITÉ EN MILIEU DE TRAVAIL

  • La qualité des relations interpersonnelles est au coeur d’un climat de travail sain. Notre capacité à interagir de manière courtoise, respectueuse et professionnelle avec les gens qui nous entourent aura nécessairement une influence sur notre bien-être et sur celui des autres. Pensons-nous toujours à ce que nous disons, à comment nous le formulons et à quel moment ? Sommes-nous toujours conscients des conséquences de notre attitude? Ce webinaire nous invite à reconnaître l’influence de la civilité pour créer un environnement où il fait bon travailler !

    Source : Brouillard, Josianne. (2016). La civilité en services de garde, c’est aussi une question de prévention. Repéré à http://asstsas.qc.ca/publication/la-civilite-en-services-de-garde-cest-aussi-une-question-de-prevention-webinaire-2016

    Pour visionner le webinaire : http://forum.asstsas.qc.ca/2016-012/ohnwft5l0pa9

    Pour télécharger la présentation : http://asstsas.qc.ca/sites/default/files/publications/documents/2016-012_la_civilite_en_services_de_garde_participants.pdf

  • This research investigated the conditions under which exposure to incivility at work was associated with engaging in counterproductive work behavior (CWB). Drawing from stressor-strain and coping frameworks, we predicted that experienced incivility would be associated with engaging in production deviance and withdrawal behavior, and that these relationships would be strongest for employees who had high levels of job involvement and worked under task interdependent conditions. Gender differences in these effects were also investigated.

    Source : Welbourne, Jennifer L., & Sariol, Ana M. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000029

  • CLINIQUES DENTAIRES

  • Exposures to noise and resulting noise-induced hearing loss (NIHL) are not well understood in the dental profession. Previous studies have focused primarily on practicing dental professionals, and have often evaluated hearing loss in the absence of adequate noise exposure assessment. This study was conducted to evaluate exposures among students and staff working in four clinics within a major U.S. university dental school, and to compare these exposures to those among dental professionals in a private general-practice clinic.

    Source : Burk, Allison, & Neitzel, Richard L. (2016). Journal of Occupational and Environmental Hygiene, 13(10), 741-749. http://dx.doi.org/10.1080/15459624.2016.1177646

  • Whereas in the past dental stools typically facilitated a 90° hip angle, a number of currently available alternative designs allow for a more extended hip posture. The present study investigated the influence of different stool types on muscle activity and lumbar posture. Twenty five participants completed a simulated dental procedure on a standard stool, a saddle and the Ghopec. The latter stool comprises a seat pan consisting of a horizontal rear part for the pelvis and an inclinable sloping down front part for the upper legs, with a vertically and horizontally adjustable back rest.

    Source : De Bruyne, Mieke A.A., Van Renterghem, Benedikt, Baird, Andrew, Palmans, Tanneke, Danneels, Lieven, & Dolphens, Mieke. (2016). Applied Ergonomics, 56(9), 220-226. doi:10.1016/j.apergo.2016.02.014

  • CONSTRUCTION

  • Si certains produits contenant de l’amiante ont depuis quelques années disparu du marché, un nombre important de produits et matériaux anciens sont encore présents. Les interventions sur ces matériaux ou dans des environnements où ils sont présents peuvent engendrer des risques, particulièrement à l’occation d’opérations de maintenance ou d’entretien de bâtiments et de travaux publics ou d’installations industrielles. Ce guide est destiné a apporter aux professionnels des éléments d’aide à l’évaluation du risque et au choix des protections adaptées, en s’appuyant notamment sur les points suivants : 1- les types de produits contenant de l’amiante 2- les situations à risques (avec des exemples d’exposition types) 3- les techniques de travail visant à réduire l’exposition 4- les protections adaptées à chaque niveau d’exposition.

    Source : Institut National de Recherche et de Sécurité. (2016). Paris : INRS, 176 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6262/ed6262.pdf

  • CPE – SERVICES DE GARDE

  • La qualité des relations interpersonnelles est au coeur d’un climat de travail sain. Notre capacité à interagir de manière courtoise, respectueuse et professionnelle avec les gens qui nous entourent aura nécessairement une influence sur notre bien-être et sur celui des autres. Pensons-nous toujours à ce que nous disons, à comment nous le formulons et à quel moment ? Sommes-nous toujours conscients des conséquences de notre attitude? Ce webinaire nous invite à reconnaître l’influence de la civilité pour créer un environnement où il fait bon travailler !

    Source : Brouillard, Josianne. (2016). La civilité en services de garde, c’est aussi une question de prévention. Repéré à http://asstsas.qc.ca/publication/la-civilite-en-services-de-garde-cest-aussi-une-question-de-prevention-webinaire-2016

    Pour visionner le webinaire : http://forum.asstsas.qc.ca/2016-012/ohnwft5l0pa9

    Pour télécharger la présentation : http://asstsas.qc.ca/sites/default/files/publications/documents/2016-012_la_civilite_en_services_de_garde_participants.pdf

  • Avec deux, trois ou quatre installations, certains services de garde optent pour une cuisine unique qui fournit les repas à toutes les installations. À la performance et à l’efficacité, il faut allier la santé et la sécurité du personnel. Dans les cuisines où l’on prépare de nombreux repas chaque jour, les équipements, l’aménagement des zones de travail, l’organisation des tâches et des menus, de même que la coordination des activités de plusieurs personnes ont une influence importante sur la santé et la sécurité du personnel. Lorsque le service de garde distribue des repas à d’autres installations, il faut aussi voir à l’organisation des cuisines satellites et à la livraison des repas.

    Source : Bédard, Sylvie, Buteau, Andrée-Anne, & Duval, Lisette. (Septembre 2016). Sans Pépins, 18(2), 1-5. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/SP/2016/sp182001_organisation.pdf

  • Stéphanie s’est blessée au travail et doit s’absenter pour aller chez son médecin. En déposant le petit Maxime dans sa couchette, elle a ressenti une vive douleur au dos. Que s’est-il passé ? L’enquête et analyse d’un événement accidentel (EAEA) fait partie des outils pour organiser la prévention dans le milieu de travail. Réalisée en deux étapes, cette activité permet de décrire comment est survenu l’accident, de découvrir les causes pour les corriger et, ainsi, éviter qu’il se reproduise. En aucun temps, l’EAEA ne cherche à trouver des coupables !

    Source : Duval, Lisette. (Septembre 2016). Sans Pépins, 18(2), 6-8. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/SP/2016/sp182006_organisation.pdf

  • Vous vous penchez souvent vers les enfants. La posture penchée comporte des contraintes pour votre santé et votre sécurité. S’asseoir réduit les efforts et protège le dos. Cependant, pour ne pas tomber en bas de votre chaise, suivez le mode d’emploi. Dans les services de garde, il existe plusieurs types de sièges : sur pattes ou sur roues, avec ou sans dossier. Chacun des modèles comporte des avantages et des inconvénients en fonction des activités en cours, de l’espace, de la hauteur du siège, des autres équipements dans le local, etc. Une réflexion s’impose pour choisir le bon siège.

    Source : Buteau, Andrée-Anne. (Septembre 2016). Sans pépins, 18(2), 9. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/SP/2016/sp182009_%C3%A9quipements.pdf

  • DÉPLACEMENTS DES BÉNÉFICIAIRES

  • Since William Charney first introduced the concept of lift teams back in the 1980s, lift teams have received a mixed reception as a viable option for introducing safe patient handling into a healthcare setting. However, the evidence for their effectiveness is beyond dispute, offering a measurable impact on the reduction of musculoskeletal injuries to clinical staff and having a positive effect on patient outcomes. The liftteams.com website has been developed as a resource and discussion forum for anyone who is part of a lift team, who leads a lift team, is thinking of introducing a lift team, or has questions regarding lift team programs. Liftteams.com is sponsored by Visioning HealthCare Inc. with content written by a variety of lift team and patient handling experts including Manon Labreche, Injury Prevention Manager who has successfully led the lift team at Tampa General Hospital (TGH) for 14 years. Since the inception of TGH’s lift team in 2002, TGH has seen a 62% reduction in patient handling injuries and > 90% reduction in worker’s compensation costs.

    Source : Repéré à http://liftteams.com

  • Though every healthcare worker who handles patients is at risk of injury, it may be difficult to convince hospital administrators to purchase a sufficient inventory of safe patient lifting equipment. Sandy Swan, program manager of Occupational Health and Ergonomics at BJC Health in St. Louis, was slated to address this issue in a talk at the annual conference for the Association of Occupational Health Professionals in Healthcare (AOHP) in September. She described the program she developed to generate the data needed to make the case for new lifting and handling equipment in an interview with Hospital Employee Health.

    Source : Making the Business Case for Safe Patient Handling Equipment : Leading indicators and, perhaps, a personal testimony. (2016, October). Hospital Employee Health, 35(10), 117-118. Repéré à https://www.ahcmedia.com/articles/138696-making-the-business-case-for-safe-patient-handling-equipment

  • The study of the operating room (OR) began over a century ago and has continued to advance. However, for nonmedical researchers, unique challenges present themselves that must be carefully addressed. We present an overview of the OR aimed at nonmedical researchers interested in studying the OR environment. Based on our extensive experience, we identify several key challenges and describe ways to circumvent them. With a respectable understanding of the OR environment, we can prepare a researcher to gather useful data. Such investigations have the potential to yield great insights about cost savings, efficiency, methods, processes, and general human interaction, among others.

    Source : Mhlaba, Julie M., Christianson, Laura W., Davidson, Stuart J., Graves, S. Nicholas, Still, Brady R., Silas, Megan R.,… Langerman, Alexander J. (2016). Ergonomics in design. Prépublication. doi: 10.1177/1064804616642916

  • In recent years, safe patient handling in the health care industry has been addressed by various stakeholders, but much work remains to reduce health care worker injuries, and improve safety and care quality for patients. Recently, safe patient handling in ambulatory care settings has gained attention. As health care delivery evolves, demands on ambulatory care will increase and more dependent patients will visit ambulatory care clinics. Typically, ambulatory care clinics are not equipped with appropriate safe patient handling equipment. Examination tables, standard in ambulatory care clinics, currently have fixed height and are not easily accessible. This study investigated the benefits of introducing new height-adjustable examination tables to an ambulatory care setting. The results of this study indicate that by using height-adjustable examination tables, work-related musculoskeletal disorder (WMSD) risk for caregivers can be significantly reduced.

    Source : Fragala, Guy. (2016). Workplace Health & Safety, 64(9), 414-419. doi: 10.1177/2165079916642776

  • Le personnel de soins est régulièrement confronté à un dilemme quand vient le moment d’utiliser un lève-personne mobile au sol (LPMS) : ouvrir ou ne pas ouvrir la base, telle est la question ! La question des soignants est sans doute moins « existentielle » que celle posée par Hamlet, le célèbre personnage de Shakespeare. Par contre, les conséquences d’une mauvaise décision ont une grande importance.

    Source : Dubé, Jocelyne, & Hensley, Valérie. (Septembre 2016). OP, 39(3), 10-11. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393010_%C3%A9quipements.pdf

  • Plusieurs modèles de toiles double-cuissardes (aussi appelées toiles hamac) sont disponibles sur le marché. Certaines sont dotées de quatre points d’ancrage, soit deux sangles de chaque côté, alors que d’autres disposent d’une sangle supplémentaire de chaque côté, en général au niveau de la hanche du client. Des formateurs PDSB (Principes de déplacement sécuritaire des bénéficiaires) se demandent s’il faut obligatoirement utiliser des toiles munies de six points d’ancrage pour assurer la sécurité des patients. Voici une réponse toute en nuance !

    Source : Gambin, Christiane. (Septembre 2016). OP, 39(3), 12-13. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393012_pdsb.pdf

  • Dans la région de l’Estrie, l’inspection et l’entretien des lève-personnes relevaient de chaque installation individuellement. Des disparités étaient constatées entre les différentes façons de faire et les niveaux de qualité du travail. Ainsi, des entreprises privées effectuaient l’entretien des lève-personnes à des coûts variables. De plus, les normes canadiennes, qui prescrivent une inspection par année, n’étaient pas toujours respectées. Enfin, des incidents et des accidents, mettant en cause des usagers ou du personnel, semblaient attribuables au mauvais entretien de l’équipement. Le comité régional prend l’initiative de mettre en place un projet d’entretien préventif des lève-personnes.

    Source : Bonneau, Éric. (Septembre 2016). OP, 39(3), 22-23. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393022_pleinsfeux.pdf

  • Ce guide de prévention fournit des repères pour utiliser de façon sécuritaire la plateforme élévatrice d’un véhicule de transport adapté. Vous y trouverez des conseils sur les éléments à vérifier avant son utilisation, des stratégies pour assurer la sécurité du conducteur et celle des clients, de même que des indications concernant l’arrimage des fauteuils roulants dans le véhicule. Les informations s’adressent aux personnes concernées par la SST et le transport adapté : les préventionnistes, les gestionnaires, les membres du comité paritaire de SST, les responsables de SST ainsi que les conducteurs d’un véhicule de transport adapté.

    Source : Gambin, Christiane, & Gendron, Jacques. (2016). Montréal : ASSTSAS, Via-Prévention, 23 p. Repéré à http://asstsas.qc.ca/publication/transport-adapte-utilisation-de-la-plateforme-elevatrice-et-arrimage-des-fauteuils-gp71

  • There is a high incidence of musculoskeletal injuries (MSIs) to healthcare workers in patient care environments while performing patient handling (PH) tasks. For years in health care, providing education and training has been the approach taken to prevent MSIs; however, research in this area has demonstrated that training alone is not effective for reducing the risks of MSIs or changing the work practices of healthcare workers. Due to its fast-paced, often chaotic environment and its variety and complexity of patients, the Emergency Department (ED) faces distinct challenges with respect to PH. The purpose of this study was to investigate the effects of embedding a safe client handling champion within the ED team at 3 intervention units to address PH issues specific to the emergency care environment and measure the effectiveness of this intervention on the work practice, safety culture, and rates of PH injuries against 3 control units. Reduced injury rates and costs were found in all 3 intervention units along with an improved safe client handling/safety culture.

    Source : Thomas-Olson, Leah, Cloutier, Martha, Helal, Nermin, & Hutchison, Alison. (2016). American Journal of SPHM, 6(2), 73-82. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&product_id=183

  • Early mobility (EM) and safe patient handling and mobility (SPHM) programs can improve patient outcomes and patient and caregiver safety, respectively. Further understanding how therapists choose safe patient handling interventions for early mobility is needed. This descriptive case study outlines the decision-making factors used by therapists for integrating SPHM with early mobilization treatments for a female patient who had suffered a stroke and was treated at a facility with a mature SPHM program and a growing early mobility program. The patient was mobilized to a higher level of function than the therapy team felt they could achieve without use of the SPHM technology, which increased safety and enabled increased patient activity and progressive upright mobility with fewer staff involved.

    Source : LaVigne, Amanda & Arnold, Margaret. (2016). American Journal of SPHM, 6(2), 65-72. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&product_id=182

  • Besides patient handling tasks, postural (or static) load is a well-known, yet underestimated, occupational health risk related to disabling back pain in nurses. Exposure is high during tasks such as washing. This descriptive study intends to provide quantitative insight into postural load during hygiene tasks. One hundred twelve standardized procedures performed by 4 nurses using 6 types of equipment and 2 washing techniques on role-playing patients with varying mobility were filmed. Quantitative data on time and postural load were collected by analyzing each second of video and by subjective data via surveys. Patient mobility, type of equipment, and washing technique were related significantly to hygiene care duration. The skill of the nurse, type of equipment, and mobility were linked to the postural load of the back. The nurses expressed an overall lower satisfaction with procedures on the high-low bed. Recommendations for reducing duration and extent of static load are given, but more research is needed.

    Source : Knibbe, Hanneke J.J., Knibbe, Nico E., Heitink, Diede E.B.L. (2016). American Journal of SPHM, 6(2), 49-64. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&product_id=181

  • ÉCLAIRAGE

  • Parmi les sources de rayonnements optiques artificiels, de par leurs caractéristiques, les LEDs (light emitting diodes) émettent une lumière enrichie en bleu. Chez l’homme, la lumière bleue a des effets physiologiques et des risques associés spécifiques, qui sont principalement une atteinte de la rétine d’une part et une perturbation de l’horloge biologique d’autre part.

    Source : Gautier, Marie-Anne, de Quentin,Morélot, Deniel, Jean-Marc, & Barlier-Salsi, Annick. (2016, Septembre). Références en santé au travail, 147, 121-123. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-113/qr113.pdf

  • ÉQUIPEMENTS DE PROTECTION

  • Pour se protéger du risque infectieux, un travailleur peut devoir porter un ou plusieurs équipements de protection individuels (ÉPI). L’affiche présente les étapes standards et les particularités pour mettre et enlever l’ensemble des ÉPI. Pour certains pathogènes, les ÉPI pourraient être augmentés et cette procédure revue.

    Source : ASSTSAS. (2016). Équipements de protection individuels (ÉPI). Montréal : ASSTSAS. Repéré à http://www.asstsas.qc.ca/sites/default/files/publications/documents/Affiches/a70-epi.pdf

  • Jennie Wilson, an associate professor in the Infection Prevention Society in Brentford, United Kingdom, delved into some of the emotional and psychological aspects of glove use recently in Charlotte, NC, at the annual meeting of the Association for Professionals in Infection Control and Epidemiology (APIC). In a study that included interviews with healthcare workers, Wilson found workers wearing gloves for routine tasks like making a bed. Others had "no particular reason" to be wearing gloves, but nevertheless were doing so.

    Source : UK: 60% Wear Gloves When Not Warranted. (2016, August). Hospital Employee Health, 35(8), 94. Repéré à https://www.ahcmedia.com/articles/138251-uk-60-wear-gloves-when-not-warranted

  • Les chutes de hauteur demeurent aujourd’hui encore l’une des causes majeures de lésions au travail. Les systèmes de corde d’assurance horizontale (SCAH) peuvent toutefois résoudre ce problème, en permettant au travailleur de se déplacer tout en restant attaché. Le guide de 2016 présente le processus d’élaboration, ainsi que la double validation, numérique et expérimentale, d’une nouvelle méthode analytique simple de conception des SCAH. En plus des absorbeurs d’énergie obligatoires, cette méthode tient maintenant compte de l’emploi d’ancrages flexibles plutôt que d’ancrages rigides. Elle permet aussi le calcul de travées simples ou multiples. En outre, les chercheurs ont produit, à l’intention des ingénieurs, un utilitaire de calcul Web, simple et rapide d’utilisation, basé sur la nouvelle approche analytique.

    Source : Pichette, Loraine. (2016, Automne). Prévention au travail, 29(3), 20-21. Repéré à http://www.preventionautravail.com/recherche/366-chutes-de-hauteur-le-guide-de-conception-des-systemes-de-cordes-d-assurance-horizontales-actualise.html

  • There is urgent need for improvements to the current guidance on personal protective equipment (PPE) use for health care workers from the Centers for Disease Control and Prevention. The guidance informs health care professions’ curriculum and professional examinations throughout the United States. Standards from other international partners differ, particularly in the doffing sequence. Health care workers are known to inconsistently or inadequately use PPE, even in the face of epidemic diseases, such as severe acute respiratory syndrome and pandemic influenza A (H1N1) virus.

    Source : Beam, Elizabeth L. (2016). Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.05.040

  • This article describes the evaluation of an open-access web-based respiratory protective equipment selector tool (RPE-Select, accessible at http://www.healthyworkinglives.com/rpe-selector). This tool is based on the principles of the COSHH-Essentials (C-E) control banding (CB) tool, which was developed for the exposure risk management of hazardous chemicals in the workplace by small and medium sized enterprises (SMEs) and general practice H&S professionals. RPE-Select can be used for identifying adequate and suitable RPE for dusts, fibres, mist (solvent, water, and oil based), sprays, volatile solids, fumes, gases, vapours, and actual or potential oxygen deficiency. It can be applied for substances and products with safety data sheets as well as for a large number of commonly encountered process-generated substances (PGS).

    Source : Vaughan, Nick, Rajan-Sithamparanadarajah, Bob, & Atkinson, Robert. The Annals of Occupational Hygiene, 60(7), 900-912. doi: 10.1093/annhyg/mew035

  • NIOSH-certified N95 filtering facepiece respirators (FFRs) are used in healthcare settings as a control measure to mitigate exposures to airborne infectious particles. When the outer surface of an FFR becomes contaminated, it presents a contact transmission risk to the wearer. The Centers for Disease Control and Prevention (CDC) guidance recommends that healthcare workers (HCWs) doff FFRs by grasping the straps at the back of the head to avoid contact with the potentially contaminated surface. Adherence to proper doffing technique is reportedly low due to numerous factors including difficulty in locating and grasping the straps. This study compares the impact of tabs placed on FFR straps to controls (without tabs) on proper doffing, ease of use and comfort, and reduction of transfer of contamination to the wearer.

    Source : Strauch, Amanda L., Brady, Tyler M., Niezgoda, George, Almaguer, Claudia M., Shaffer, Ronald E., & Fisher, Edward M. (2016). Journal of Occupational and Environmental Hygiene, 13(10), 794-801. http://dx.doi.org/10.1080/15459624.2016.1179386

  • Si certains produits contenant de l’amiante ont depuis quelques années disparu du marché, un nombre important de produits et matériaux anciens sont encore présents. Les interventions sur ces matériaux ou dans des environnements où ils sont présents peuvent engendrer des risques, particulièrement à l’occation d’opérations de maintenance ou d’entretien de bâtiments et de travaux publics ou d’installations industrielles. Ce guide est destiné a apporter aux professionnels des éléments d’aide à l’évaluation du risque et au choix des protections adaptées, en s’appuyant notamment sur les points suivants : 1- les types de produits contenant de l’amiante 2- les situations à risques (avec des exemples d’exposition types) 3- les techniques de travail visant à réduire l’exposition 4- les protections adaptées à chaque niveau d’exposition.

    Source : Institut National de Recherche et de Sécurité. (2016). Paris : INRS, 176 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6262/ed6262.pdf

  • The majority of commercially available corrective spectacles used by workers do not provide effective eye protection against mechanical hazards in the workplace. One of the risks commonly occurring during work is hitting the head on some protruding elements, such as components of machines, buildings, or tree branches in a forest. Due to the considerable weight of the human head and the speed of movement during impact, this type of accident may be very serious. The paper presents a method of testing the mechanical strength of corrective lenses, simulating the results of an impact of the head to elements of workplaces. Also the results of tests of commercially available materials used for the construction of corrective and protective spectacles are presented and discussed.

    Source : Adam Pościk, & Jachowicz, Marcin. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. http://dx.doi.org/10.1080/10803548.2016.1234131

  • Le meilleur moyen de se prémunir contre les risques de décharge électrique et d’éclair d’arc est de travailler lorsque tous les appareils sont hors tension. Cet article propose une revue des phénomènes dangereux auxquels un travailleur peut être exposé. De plus l’efficacité relative des mesures de réduction de risques qui peuvent être implantées pour contrôler les risques liés à l’électricité sera abordée.

    Source : Giroux, Benoit. (2016, Juin). Travail et santé, 32(2), 16-18.

  • L’IRSST compte une expertise de longue date en recherche et développement de méthodes de mesure de la résistance des gants de protection aux agresseurs mécaniques. Cette fois, une équipe de recherche s’est intéressée à la résistance des gants à la coupure et à la perforation simultanée. Cette première étude sur des agresseurs mécaniques simultanés répond à un besoin des fabricants de gants de protection, qui sont très intéressés à disposer d’une méthode permettant d’évaluer la résistance de leurs produits à la perforation-coupure simultanée.

    Source : Pichette, Lorraine. (2016, Automne). Prévention au travail, 29(3), 22-23. Repéré à http://www.preventionautravail.com/recherche/370-comment-mesurer-la-resistance-de-gants-a-la-coupure-et-a-la-perforation.html

  • Les blessures aux pieds se divisent en 2 grandes catégories. Tout d’abord il y a les traumatismes que le pied peut subir. Par exemple, marcher sur un clou suite à la perforation de la chaussure, se coincer dans de la machinerie ou se faire écraser sous un poids lourd, etc. La deuxième catégorie regroupe les accidents de glissades, de chutes, de faux mouvements causant des entorses ou des fractures. En Ontario par exemple, on recense que les blessures aux chevilles représentent 50% des blessures aux pieds chez les travailleurs de la construction, ceux-ci étant exposés à toutes ces situations. Aujourd’hui, un éventail de chaussures de protection est offert sur le marché. Afin de faire le bon choix, il est important d’évaluer l’environnement de travail et les tâches qui y seront effectuées. Voyez comment vous y retrouver pour faire un choix éclairé.

    Source : SPI Santé sécurité. (2016, 4 mai). Choisissez la bonne chaussure de sécurité. [Billet de blogue]. Repéré à https://www.spi-s.com/fr/blogue/item/choisissez-la-bonne-chaussure-de-securite

  • While the Centers for Disease Control and Prevention (CDC) reports that significant progress has been made in preventing some types of healthcare-associated infections (HAIs), the agency points out that approximately one in 25 hospital patients has at least one HAI on any given day. According to the CDC, about 75,000 patients with HAIs died during their hospitalizations in 2011, and more than half of all HAIs occurred outside of the intensive care unit. As more healthcare organizations deploy mobile processing units to kill surface microorganisms and pathogens, HPN explores how to choose, use and better understand today’s no-touch disinfection systems.

    Source : Nadeau, Kara. (2016, September). Healthcare Purchasing News, 40(9), 16. Repéré à http://www.hpnonline.com/inside/2016-09/1609-OR-RoomDecontam.html

  • Some 140 cancer patients at two healthcare facilities in Seattle have been advised to seek testing for tuberculosis after a healthcare worker with latent tuberculosis infection developed active disease that went undiagnosed for some time. The University of Washington Medical Center and the Seattle Cancer Care Alliance announced that an oncology worker with TB cared for the patients from May to July 2016. In addition, 47 healthcare workers were exposed and all have thus far tested negative for TB, which is not thought to be a drug-resistant strain.

    Source : Cancer Patients Urged to be Tested for TB in Seattle : Oncology worker goes from latent to active infection. (2016, October). Hospital Employee Health, 35(10), 116. Repéré à https://www.ahcmedia.com/articles/138695-cancer-patients-urged-to-be-tested-for-tb-in-seattle

  • In today’s laboratory workplace we commonly find basic equipment that could prove potentially hazardous. That is why OSHA requires the first line of defense against workplace hazards to be engineering controls. However, engineering controls are not perfect, as our example shows. But controlling a hazard at its source is the first choice because this method can either eliminate it from the workplace altogether or isolate it from the worker, How to choose the right personal protective equipment (PPE) for your lab, look after it, and ensure employees use it properly.

    Source : McLeod, Vince. (2016, September). Lab Manager, 11(8), 36, 38-39.

  • Une nouvelle édition de la norme vient d’être publiée en version anglaise seulement. La précédente édition date de 2009. La norme traite de la sélection, de l’utilisation des équipements de protection individuels pour les yeux et le visage. Elle énonce des recommandations pour bien utiliser et choisir le bon équipement en fonction des différents risques rencontrés par les travailleurs.

    Source : Groupe CSA. Normes et codes. Santé et sécurité au travail. Équipement de protection individuelle. Protection des yeux et du visage. Repéré à http://shop.csa.ca/fr/invt/27015162016?utm_source=update-service&utm_medium=email&utm_term=Z94.3.1-09&utm_content=html-txt-link&utm_campaign=various&utm_language=fr

  • Medical examination gloves and surgical gloves protect the wearer directly and the patient indirectly from the risk of contamination. Because of concerns related to latex allergy, an increasing trend toward the use of synthetic gloves made of materials other than latex is observable. However, currently it is unknown if the physical properties of different materials may influence bacterial passage in case of a glove puncture. The authors 2xamined 9 different medical examination gloves from various manufacturers made of nitrile, latex or neoprene. Additionally, 1 latex surgical glove each with and without antibacterial chlorhexidine gluconate coating and 1 synthetic surgical glove made of thermoplastic elastomer were included in the experiments.

    Source : Hermann Barford, Michael, Jäger, Bernd, Boeckmans, Eric, Kramer, Axel, & Assadian, Ojian. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.070

  • Dans certains contextes, les mesures d’ingénierie et les contrôles administratifs sont insuffisants pour protéger adéquatement les travailleurs contre l’exposition aux particules ultrafines (PUF). Un dispositif de protection personnel est alors requis, et les appareils de protection respiratoire à pièce faciale filtrante (APR) de type N95 sont ceux qu’utilisent le plus couramment les travailleurs de l’industrie et de la santé. La présente étude porte sur l’évaluation de l’efficacité des APR de type N95 dans des conditions de débit d’air cyclique plus représentatives de la respiration humaine.

    Source : Bahloul, Ali, Haghighat, Fariborz, Mostofi, Reza, Mahdavi, Alireza, & Ostiguy, Claude. (2016). Évaluation de l’efficacité d’un filtre N95 contre des particules ultrafines, dont les nanoparticules, en mode de débits d’air constant et cyclique simulant la respiration des travailleurs. Montréal, Institut de recherche Robert-Sauvé en santé et en sécurité du travail, xiv, 65 p. (Études et recherches : prévention des risques chimiques et biologiques ; R-932). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-932.pdf

  • ÉQUIPEMENTS NOVATEURS EN SST

  • Work-related musculoskeletal disorders (WMSDs) are injuries and disorders that affect the body’s movement and musculoskeletal system. Awkward postures represent one of the major ergonomic risk factors that cause WMSDs among sonographers while working with an ultrasound transducer. This study aimed to design and evaluate a new holder for the ultrasound transducer.

    Source : Ghasemi, Mohamad Sadegh, Hosseinzadeh, Payam, Zamani, Farhad, Ahmadpoor, Hossein, & Dehghan, Naser. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. 1-5. http://dx.doi.org/10.1080/10803548.2016.1216763

  • Procéder à une autopsie sur le corps d’une personne obèse installée sur une table fixe, voilà une tâche assez ardue ! Si l’intervenant est petit, il doit monter sur une marche ; s’il est grand, il travaille en flexion du dos. Après plusieurs accidents et plaintes relativement à ces conditions difficiles, l’Hôpital Pierre-Boucher a réaménagé la salle d’autopsie l’année dernière.

    Source : Gambin, Christiane. (Septembre 2016). OP, 39(3), 26-27. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393026_pleinsfeux.pdf

  • Dans les blocs opératoires de l’Hôpital Fleurimont et de l’Hôtel-Dieu de Sherbrooke, le comité de SST des inhalothérapeutes avait observé, en 2014, un taux élevé d’expositions aux liquides biologiques. L’analyse statistique révélait que près de la moitié de ces expositions étaient liées au recapuchonnage des aiguilles ou à la nondisposition immédiate du matériel souillé lors de l’installation du patient. Line Bilodeau, coordonnatrice technique des inhalothérapeutes du bloc opératoire de l’Hôpital Fleurimont, a collaboré avec le Service des installations matérielles, pour mettre au point un dispositif permettant de disposer adéquatement du matériel souillé, soit un support pour boîte à déchets biomédicaux pouvant être installé sur une tige à soluté.

    Source : Brochu, Anne-Marie, & Beauchemin, Isabelle. (Septembre 2016). OP, 39(3), 29.

  • Les techniciens de laboratoire travaillant en sérologie ont pour mandat d’effectuer des analyses sérologiques sur des échantillons de sang en utilisant des méthodes manuelles. Récemment, les techniciens rapportaient des douleurs au cou, au haut du corps, au bas du dos et aux membres supérieurs. En position assise, ils signalaient aussi une mauvaise circulation sanguine dans les membres inférieurs. Voici les améliorations apportées au laboratoire à la suite de son réaménagement.

    Source : Ménard, Julie, & Rousselle, Nathalie. (Septembre 2016). OP, 39(3), 24-25. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393024_pleinsfeux.pdf

  • ÉTABLISSEMENTS D’HÉBERGEMENT

  • This guide for employers is designed to help them provide support for staff members with dementia. It may also be a useful resource for people living with, or affected by, dementia in the workplace. The guide includes practical tips and examples of situations that managers can use to ensure best practice as well as to review existing approaches to supporting people living with dementia in the workplace.

    Source : Repéré à https://www.alzheimers.org.uk/site/scripts/download.php?type=downloads&fileID=2619

  • The objective of this study was to systematically review the evidence on factors that influence burnout in health care aides working in nursing homes. This review showed that factors associated with burnout in health care aides are similar to those reported among nurses, although the level of evidence and low methodological rigor of these studies suggest more robust study designs are warranted. Our findings suggest research focused on this important but largely invisible group of care providers could yield important advances in understanding burnout in this group and yield potential interventions to buffer burnout and its consequences. Without mitigating the effects of burnout on nursing home health care aides, vulnerable older adults in residential care are at risk.

    Source : Cooper, Sarah L., Carleton, Heather L., Chamberlain, Stephanie A., Cummings, Greta G., Bambrick, William, & Estabrooks, Carole A. (2016). Burnout research, 3(3), 76-87. http://dx.doi.org/10.1016/j.burn.2016.06.003

  • Previous studies have demonstrated that geriatric care employees are exposed to a large number of factors that can affect their levels of job satisfaction and occupational stress. Although working with elderly people is emotionally demanding, little research has been done on the role played by perceptions of emotional display rules, alongside more traditional work characteristics and individual factors, in the prediction of geriatric care employees’ wellbeing. The aim of the present study was to examine the role played by work characteristics (job demands, job control, emotional display rules) and individual (affectivity) factors to predict job satisfaction and burnout among French geriatric care nurses.

    Source : Rouxel, Géraldine, Michinov, Estelle, et Dodeler, Virginie. (2016). International Journal of Nursing Studies, 62(10), 81-89. doi:10.1016/j.ijnurstu.2016.07.010

  • Conscient que le vieillissement de la population crée une pression accrue sur la capacité des exploitants et des services de sécurité incendie à assurer la sécurité de leurs aînés en résidences privées en cas d’incendie, le CISSS de Chaudière-Appalaches a développé une approche de gestion du risque incendie ainsi qu’une série d’outils visant à supporter ses partenaires dans la recherche de solutions permettant aux aînés de demeurer dans la résidence de leur choix le plus longtemps possible, et ce, en toute sécurité.

    Source : Centre intégré de santé et de services sociaux de Chaudières-Appalaches. (2016). Sécurité incendie dans les résidences privées pour aînés. Repéré à http://www.agencesss12.gouv.qc.ca/professionnels-medecins-et-partenaires/prevention-promotion/securite-incendie-dans-les-residences-privees-pour-aines/

  • ÉVACUATION D’URGENCE

  • Conscient que le vieillissement de la population crée une pression accrue sur la capacité des exploitants et des services de sécurité incendie à assurer la sécurité de leurs aînés en résidences privées en cas d’incendie, le CISSS de Chaudière-Appalaches a développé une approche de gestion du risque incendie ainsi qu’une série d’outils visant à supporter ses partenaires dans la recherche de solutions permettant aux aînés de demeurer dans la résidence de leur choix le plus longtemps possible, et ce, en toute sécurité.

    Source : Centre intégré de santé et de services sociaux de Chaudières-Appalaches. (2016). Sécurité incendie dans les résidences privées pour aînés. Repéré à http://www.agencesss12.gouv.qc.ca/professionnels-medecins-et-partenaires/prevention-promotion/securite-incendie-dans-les-residences-privees-pour-aines/

  • FORMATION EN SST

  • Workplace violence can lead to serious consequences for victims, organizations, and society. Most workplace violence prevention programs aim to train staff to better recognize and safely manage at-risk situations. The Omega education and training program was developed in Canada in 1999, and has since been used to teach healthcare and mental health workers the skills needed to effectively intervene in situations of aggression. The present study was designed to assess the impact of Omega on employee psychological distress, confidence in coping, and perceived exposure to violence. This program was offered to 105 employees in a psychiatric hospital in Montreal, Canada. Eighty-nine of them accepted to participate. Questionnaires were completed before the training, after a short period of time and at follow-up. Results demonstrated statistically significant improvements in short-term and follow-up posttest scores of psychological distress, confidence in coping, and in levels of exposure to violence. This study is one of very few to demonstrate the positive impact of this training program.

    Source : Guay, Stéphane, Goncalves, Jane, & Boyer, Richard. (2016). Healthcare, 4(3), 49. doi:10.3390/healthcare4030049

  • Article en accès libre : http://www.mdpi.com/2227-9032/4/3/49/pdf

    FUMÉES CHIRURGICALES

  • It has been known to cause genital warts in the noses of anesthesiologists. A surgeon developed a rare throat tumor caused by the human papillomavirus (HPV) because of this. It has been linked to miscarriages among nurses. In a hospital in London, Ont., red flags were raised around it after an orthopedic surgeon died of lung cancer, but he was not a smoker. The human immunodeficiency virus (HIV) and hepatitis have also been found in it. The culprit? Surgical smoke.

    Source : Silliker, Amanda. (2016, August/September). Canadian Occupational Safety, 54(4), 18-19. Repéré à http://www.cos-mag.com/hygiene/hygiene-stories-exclusive/5234-up-in-surgical-smoke.html

  • GESTION – LEADERSHIP

  • Dépression, anxiété, insomnie, épuisement professionnel, stress et détresse… La vie active peut parfois être à l’origine de troubles de santé psychologique, lesquels figurent aujourd’hui parmi les principales causes d’absence du travail. Devant cette situation, des organisations essaient d’humaniser leurs façons de faire en entreprenant une démarche dont les gestionnaires, traits d’union entre la haute direction et le personnel, sont forcément les pivots. Si plusieurs recherches ont démontré la pertinence des interventions destinées à conjurer les problèmes de cet ordre en englobant les caractéristiques de l’organisation plutôt que de se limiter à celles des individus, les facteurs qui facilitent ou entravent leur mise en oeuvre ont été peu étudiés. Le point de vue de Lucie Legault, conseillère à l’ASSTSAS est aussi exposé dans cet article.

    Source : Thivierge, Claire. (2016, Automne). Prévention au travail, 29(3), 17-19. Repéré à http://www.preventionautravail.com/recherche/368-sante-psychologique-au-travail-l-influence-des-gestionnaires.html

  • Grounding their research in conservation of resources theory, the authors set out to shed light on the relationship between transformational leadership (TFL) and employee burnout. Specifically, they considered both thriving at work, a personal resource, and employees’ openness to experience (OTE), a key resource, to uncover whether all employees benefit equally from TFL (a contextual resource). In detail, They argued that the negative effect of TFL on employee burnout is mediated by employee thriving at work, and that employees’ OTE constitutes a boundary condition of this process.

    Source : Hildenbrand, Kristin, Sacramento, Claudia A., & Binnewies, Carmen. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000051

  • Drawing on social learning literature, this study examined managers’ health awareness and health behavior (health-related self-regulation) as a moderator of the relationships between transformational leadership and employee exhaustion and cynicism. In 2 organizations, employees rated their own exhaustion and cynicism, and their managers’ transformational leadership. Managers assessed their own health-related self-regulation.

    Source : Kranabetter, Caroline, & Niessen, Cornelia. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000044

  • Nombreuses sont les formations destinées aux gestionnaires sur les thèmes du leadership, de la communication ou de la reconnaissance. Mais qui parmi nos lecteurs a déjà suivi une formation sur la confiance ? Très peu d’entre vous, n’est-ce pas ? Pourtant, le prix à payer est élevé lorsque les employés sont méfiants envers leur gestionnaire et leur employeur. Cet article expose les 4 dimensions essentielles au développement de la confiance et propose un court questionnaire d’évaluation pour les gestionnaires.

    Source : Bertholet, Jean-François, & Gaudet, Marie-Claude. (2016, Automne). Gestion, 41(3), 112-114. Repéré à http://www.revuegestion.ca/catalog/revue-gestion/articles/volume-50/volume-41-numero-3/tes-vous-un-gestionnaire-digne-de-confiance.html

  • Vouloir transformer son organisation peut s’avérer soit un long périple semé d’embûches organisationnelles et humaines, soit un voyage stimulant qui permettra d’obtenir les bénéfices escomptés. Pour réussir, une approche structurée qui intègre le volet humain est un aspect incontournable.

    Source : Bareil, Céline. (2016, Automne). Gestion, 41(3), 102-105. Repéré à http://www.revuegestion.ca/catalog/comment-reussir-son-projet-de-transformation.html

  • Lorsque des tensions apparaissent, voire dégénèrent en conflit ouvert entre les membres d’un groupe de travail, vos compétences en médiation sont sollicitées. Fondées sur mon expérience à titre de facilitateur en résolution de conflits armés, voici quelques clés pour en arriver à une médiation responsable, quel que soit le contexte d’intervention.

    Source : Lempereur, Alain. (2016, Automne). Gestion, 41(3), 98-101. Repéré à http://www.revuegestion.ca/catalog/la-mediation-responsable-pour-une-equipe-unie.html

  • Organizations looking to fill their management ranks routinely select individuals with commanding presence, high IQs, and proven skill sets—qualities that provide a reassuring predictive validity of high performance. But these traditional measures cannot account for variance in work performance or career success, especially among top managers and other senior leaders. Nor do they unravel the mystery of why those of average intelligence frequently outperform the more intellectually gifted with top-tier IQs.

    Source : Kidder, F. Key. (2016, September). Lab Manager, 11(8), 24-27.

  • Mindfulness-based stress reduction (MBSR), which was initially used in clinical settings, has also proved to be an effective tool for managing work-related stress in occupational groups inherently exposed to certain psychosocial risks. The purpose of this study was to examine the potential for work-related stress management using MBSR for middle-level managers who are considered to be particularly affected by the negative effects of stress related to organizational restructuring.

    Source : Żołnierczyk-Zreda, D., Sanderson. M. & Bedyńska, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw091

  • GESTION DE LA SST

  • À travers le récit de son parcours professionnel, l’auteure démontre comment certains environnements de travail rendent les gens malades, en particulier les femmes. L’écart entre la réalité des scientifiques et celle des travailleurs et travailleuses de statut social inférieur est d’ailleurs à l’origine de graves problèmes de santé qui sont généralement ignorés, soutient l’auteure. Pour combler ce « fossé empathique » qui empêche les scientifiques d’orienter correctement leurs recherches, il est primordial d’écouter attentivement les travailleurs et travailleuses parler de leurs difficultés et de tenir compte de leur expertise. Karen Messing plaide également en faveur d’une pratique scientifique davantage interdisciplinaire. Lier l’intime au politique, voilà le vaste défi auquel nous invite l’auteure dans cet essai très personnel qui devrait interpeller autant les employeurs et les scientifiques que les syndicats et le grand public.

    Source : Messing, Karen. (2016). Montréal : Écosociété, 231 p. Repéré à http://ecosociete.org/livres/les-souffrances-invisibles#

  • Ce numéro ayant comme dossier la culture d’entreprise comprend des articles portant sur le développement d’un esprit sécuritaire (la courbe de Bradley et les savoirs requis), la vision SST du dirigeant et ses impacts sur la culture, le partage des responsabilités pour une culture positive en SST, en prévention, les règles de sécurité font partie de l’équation, etc.

    Source : Centre patronal de santé et de sécurité du travaildu Québec. (2016, Août). Convergence : revue de la santé-sécurité, 32(2), 19 p. Repéré à http://www.centrepatronalsst.qc.ca/documents/pdf/conv_aout_16.pdf

  • À mesure que croît le nombre de Canadiens à qui l’on prescrit de la marijuana médicale et que le gouvernement fédéral étudie un cadre juridique visant à légaliser et à réglementer la marijuana, qu’est-ce que cela signifie pour le milieu de travail? La possession de marijuana est illégale au Canada, mais son usage à des fins médicales est permis. Pour suivre l’évolution de ces changements, les employeurs et les employés doivent mieux comprendre l’utilisation de la marijuana médicale. L’usage non médical de la marijuana peut être traité essentiellement de la même manière que la consommation d’alcool en vertu de la politique de l’organisation quant à la consommation d’alcool et de drogues. Les employeurs ont le droit d’interdire l’usage de la marijuana pendant les heures de travail et le travail sous l’influence de cette drogue.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). Le rapport sur la santé et la sécurité, 14(9). Repéré à http://www.portailrh.org/_Externe.aspx?l=http%3a%2f%2fcchst.ca%2fnewsletters%2fhsreport%2fissues%2fcurrent.html%3fp%3d652072

  • Chaque année, un très grand nombre de travailleurs sont victimes d’accidents et de maladies qui surviennent par le fait ou à l’occasion du travail. Dans la plupart des cas, ces accidents et maladies auraient pu être prévenus. Mais, peut-on blâmer les superviseurs et les employeurs pour les accidents et maladies professionnelles qui n’ont pas été prévenus à cause de mesures de prévention déficientes ?

    Source : Gauvin, Jean-Pierre. (2016, Juin). Travail et santé, 32(2), 24-27.

  • La résilience, définie en première approche comme un processus positif d’adaptation lors d’évènements et de situations particulièrement difficiles, a fait l’objet de nombreuses recherches. Toutefois, peu d’entre-elles se sont intéressées à son interaction avec le maintien au poste de travail ou dans l’emploi. Dans la mesure où la prévention de la désinsertion professionnelle fait partie des missions du médecin du travail et constitue un objectif majeur du plan gouvernemental Santé au travail 2016–2020, nous souhaitons explorer l’intérêt que le développement de la résilience pourrait avoir en pratique.

    Source : Chakroun, R., Presseq, P., & Roussel, J.-F. (2016). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2016.04.003

  • GESTION DES RISQUES

  • Inappropriate staffing – either in terms of numbers or a mismatch between the level of caregiver and the acuity of patients — is a chronic issue in healthcare that puts both patients and staff at higher risk. To address the issue, the American Association of Critical-Care Nurses (AACN) held a summit meeting May 18 in New Orleans. They discussed variables that create staffing mismatches, identified barriers to solving the problem, and explored potential solutions. Though staffing influences patient and worker safety, fiscal pressure on healthcare facilities means doing more with less in many areas.

    Source : Staffing Woes Endanger Workers and Patients : More than numbers, match staff to patient acuity. (2016, August). Hospital Employee Health, 35(8), 89-91. Repéré à https://www.ahcmedia.com/articles/138247-staffing-woes-endanger-workers-and-patients

  • GESTION DU CHANGEMENT

  • Vouloir transformer son organisation peut s’avérer soit un long périple semé d’embûches organisationnelles et humaines, soit un voyage stimulant qui permettra d’obtenir les bénéfices escomptés. Pour réussir, une approche structurée qui intègre le volet humain est un aspect incontournable.

    Source : Bareil, Céline. (2016, Automne). Gestion, 41(3), 102-105. Repéré à http://www.revuegestion.ca/catalog/comment-reussir-son-projet-de-transformation.html

  • Mindfulness-based stress reduction (MBSR), which was initially used in clinical settings, has also proved to be an effective tool for managing work-related stress in occupational groups inherently exposed to certain psychosocial risks. The purpose of this study was to examine the potential for work-related stress management using MBSR for middle-level managers who are considered to be particularly affected by the negative effects of stress related to organizational restructuring.

    Source : Żołnierczyk-Zreda, D., Sanderson. M. & Bedyńska, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw091

  • HARCÈLEMENT AU TRAVAIL

  • The established links between workplace bullying and poor mental health provide a prima facie reason to expect that workplace bullying increases the risk of suicidal ideation (thoughts) and behaviours. Until now, there has been no systematic summary of the available evidence. This systematic review summarises published studies reporting data on workplace bullying and suicidal ideation, or behaviour. The review sought to ascertain the nature of this association and highlight future research directions.

    Source : Leach, Liana S., Poyser, Carmel, & Butterworth, Peter. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103726

  • HORAIRE DE TRAVAIL

  • 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. 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.

    Source : Thompson, Brennan J., Stock, Matt S., Banuelas, Victoria K. & Akalonu, Chibuzo C. (2016). JOEM : Journal of Occupational and Environmental Medicine, 58(7), 737-743. doi: 10.1097/JOM.0000000000000766

  • This study aims at evaluating the chronic disease risk related to prolonged work in long-hour schedules for eight major chronic diseases: heart disease, non-skin cancer, arthritis, diabetes, chronic lung disease, asthma, chronic depression, and hypertension. The study used data from the National Longitudinal Survey of Youth, 1979 covering 32 years of job history (1978 to 2009) for 7492 respondents. The results showed that working long-hour schedules over many years increases the risk for some specific chronic diseases, especially for women.

    Source : Dembe, Allard E., & Yao, Xiaoxi. (2016). JOEM : Journal of Occupational & Environmental Medicine, 58(9), 861-867. doi: 10.1097/JOM.0000000000000810

  • Nurses appear to be at higher risk of injury as they suffer a kind of cumulative fatigue and diminishment in balance and reactions working "compressed" shifts, researchers report. Regardless of day or night shift, nurses working three 12-hours stints within a four-day period showed measurable diminishment in motor skills and increase in musculoskeletal disorders, the study found. The overall effect of this fatigue heightens risk for injury by slips and falls while putting patients at risk of medical errors.

    Source : Evans, Gary. (2016, September). Hospital Employee Health, 35(9), 97-100. Repéré à https://www.ahcmedia.com/articles/138467-compressed-work-shifts-put-nurses-at-risk

  • This systematic review and meta-analysis aimed to examine whether working beyond the standard working hours was associated with a greater risk of depressive disorder among workers included in published prospective studies. The analysis showed that overtime work was associated with a small, non-significant, elevated risk of depressive disorder in a random effects model. The association tended to be greater for women. The risk of working 50 or more hours per week was slightly but not significantly increased.

    Source : Watanabe, Kazushiro, Imamura, Kotaro, & Kawakami, Norito. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103845

  • Night shift work and sleep duration have been associated with breast and other cancers. Results from the few prior studies of night shift work and skin cancer risk have been mixed and not fully accounted for other potentially important health-related variables (eg, sleep characteristics). This study evaluated the relationship between rotating night shift work and skin cancer risk and included additional skin cancer risk factors and sleep-related variables. The current study used data from 74 323 Nurses’ Health Study (NHS) II participants.

    Source : Heckman, Carolyn J., Kloss, Jacqueline D., Feskanich, Diane, Culnan, Elizabeth, & Schernhammer, Eva S. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103783

  • Research has shown that the injury rate for shiftworkers is higher than the injury rate for non-shiftworkers. The aim of this report is to determine whether the elevated risk of shiftwork affects all groups of shiftworkers or only particular groups of shiftworkers. This is achieved by analysing statistics from a nationally representative survey that was undertaken in 2013–14. The report also analyses the characteristics and outcomes of work-related injuries to determine whether there are significant differences between shiftworkers and non-shiftworkers.

    Source : Safe Work Australia. (2016). A Comparison of Work-Related Injuries Among Shiftworkers and Non-Shiftworkers. Canberra : Safe Work Australia, 21 p. Repéré à http://www.safeworkaustralia.gov.au/sites/SWA/about/Publications/Documents/975/comparison-of-work-related-injuries-shiftworkers-and-non-shiftworkers.pdf

  • Réponse de l’INRS à une question posée par un médecin du travail. Dans un contexte de réflexion concernant les plannings des opérateurs travaillant en horaires postés, une entreprise industrielle envisage de passer d’une organisation unique actuelle en horaire alternants en 5 X 8, à deux organisations de travail différentes. Elle souhaite s’assurer que cette organisation ne conduira pas à exposer le personnel travaillant exclusivement les nuits à des effets sur la santé plus néfastes que dans le cas du travail en équipes alternantes.

    Source : Gauthier, Marie-Anne. (2016, Juin). Références en santé au travail, 146, 149. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-109/qr109.pdf

  • HYGIÈNE ET SALUBRITÉ

  • Preliminary results of an ongoing public health investigation indicate that a powerful sporicidal cleaning agent used in some 500 hospitals may be linked to wheezing, watery eyes, and asthma-like symptoms in healthcare workers, the National Institute for Occupational Safety and Health (NIOSH) reports. The situation is emblematic of an ongoing dilemma in healthcare. Strong products needed to protect patients from an epidemic of Clostridium difficile — a spore-former difficult to remove from the hospital environment — may trigger respiratory symptoms in housekeeping and other healthcare workers exposed to the chemicals during cleaning.

    Source: Evans, Gary. (2016, August). Hospital Employee Health, 35(8), 85-89. Repéré à https://www.ahcmedia.com/articles/138245-protect-patients-harm-workers-cleaning-agent-raises-concerns

  • In March 2014, a new disinfection product, consisting of hydrogen peroxide, peroxyacetic acid, and acetic acid, was introduced at a Pennsylvania hospital to aid in the control of health care–associated infections. The product is an Environmental Protection Agency–registered non-bleach sporicide advertised as a one-step cleaner, disinfectant, and deodorizer. According to the manufacturer’s safety data sheet, the product requires no personal protective equipment when it is diluted with water by an automated dispenser before use. On January 30, 2015, the NIOSH received a confidential employee request to conduct a health hazard evaluation at the hospital. The request cited concerns about exposure of hospital environmental services staff members to the product and reported symptoms among persons who had used the product that included eye and nasal problems, asthma-like symptoms, shortness of breath, skin problems, wheeze, chest tightness, and cough.

    Source : Hawley, Brie, Casey. Megan L., Cox-Ganser, Jean M., Edwards, Nicole, Fedan, Kathleen B., & Cummings, Kristin J. (2016, April 22). Morbidity and Mortality Weekly Report (MMWR), 65(15), 400-401. Repéré à https://www.cdc.gov/mmwr/volumes/65/wr/mm6515a3.htm?s_cid=mm6515a3_e#contribAff

  • The estimated 721,800 hospital acquired infections per year in the United States have necessitated development of novel environmental decontamination technologies such as ultraviolet germicidal irradiation (UVGI). This study evaluated the efficacy of a novel, portable UVGI generator (the TORCH, ChlorDiSys Solutions, Inc., Lebanon, NJ) to disinfect surface coupons composed of plastic from a bedrail, stainless steel, chrome-plated light switch cover, and a porcelain tile that were inoculated with methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant Enterococcus faecalis (VRE).

    Source : Jelden, Katelyn C., Gibbs, Shawn G., Smith, Philip W., Hewlett, Angela L, Iwen, Peter C., Schmid, Kendra K. & Lowe, John J. (2016). Journal of Occupational and Environmental Hygiene, 13(9), 690-698. DOI: 10.1080/15459624.2016.1166369

  • Occupational exposure to disinfectants is associated with work-related asthma, especially in healthcare workers. However, little is known about the specific products involved. To evaluate disinfectant exposures, we designed job-exposure (JEM) and job-task-exposure (JTEM) matrices, which are thought to be less prone to differential misclassification bias than self-reported exposure. We then compared the three assessment methods: self-reported exposure, JEM and JTEM. Disinfectant use was assessed by an occupational questionnaire in 9073 US female registered nurses without asthma, aged 49–68 years, drawn from the Nurses’ Health Study II.

    Source : Quinot, C., Dumas, O. Henneberger, PK, Varrasom R., Wiley, AS, Speizer, FE,… Le Moual, N. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103606

  • Ultraviolet (UV) spectrum light for decontamination of patient care areas is an effective way to reduce transmission of infectious pathogens. Our purpose was to investigate the efficacy of an automated UV-C device to eliminate bioburden on hospital computer keyboards. The study took place at an academic hospital in Chicago, Illinois. Baseline cultures were obtained from keyboards in intensive care units. Automated UV-C lamps were installed over keyboards and mice of those computers. The lamps were tested at varying cycle lengths to determine shortest effective cycles.

    Source : Gostine, Andrew, Gostine, David, Donohue, Cristina, & Carlstrom, Luke. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.06.012

  • Toilet flushing can contribute to disease transmission by generating aerosolized bacteria and viruses that can land on nearby surfaces or follow air currents. Aerobic and anaerobic bacterial bioaerosol loads, and bacterial counts on 2 surfaces in a bathroom with a permanently installed, automated ultraviolet C (UVC) irradiation device, were significantly lower than in a comparable bathroom without the UVC device. Permanently installed UVC lights may be a useful supplementary decontamination tool in shared patient bathrooms.

    Source : Cooper, Jesse, Bryce, Elizabeth, Astrakianakis, George, Stefanovic, Aleksandra, & Bartlett, Karen. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.07.004

  • Workers’ health and safety is an important consideration when choosing cleaning and disinfectant products. In health care settings, disinfection products help minimize healthcare-acquired infections. In January 2015, the National Institute for Occupational Health (NIOSH), received a request to conduct a health hazard evaluation at a Pennsylvania hospital using a new surface cleaning product consisting of hydrogen peroxide (HP), peroxyacetic acid (PAA), and acetic acid (AA). The request cited concerns about exposure of hospital environmental services staff to the cleaning product and reported symptoms including burning eyes, nose, and throat; cough; headache; asthma exacerbations; and skin burns.

    Source : Hawley, Brie M. (2016, April 29). Are Hospital Cleaning Staff at Risk When Using a One-step Cleaner? [Billet de blogue]. NIOSH Science Blog. Repéré à http://blogs.cdc.gov/niosh-science-blog/2016/04/29/hospital-cleaning-staff/

  • Brie M. Hawley, PhD, an industrial hygienist in the NIOSH Respiratory Health Division, recommends the following measures to protect healthcare workers exposed to cleaning products with acetic acid, peroxyacetic acid, and hydrogen peroxide.

    Source : NIOSH Measures to Protect HCWs Exposed to Cleaning Agents. (2016, August). Hospital Employee Health, 35(8), 87. Repéré à https://www.ahcmedia.com/articles/138246-niosh-measures-to-protect-hcws-exposed-to-cleaning-agents

  • While the Centers for Disease Control and Prevention (CDC) reports that significant progress has been made in preventing some types of healthcare-associated infections (HAIs), the agency points out that approximately one in 25 hospital patients has at least one HAI on any given day. According to the CDC, about 75,000 patients with HAIs died during their hospitalizations in 2011, and more than half of all HAIs occurred outside of the intensive care unit. As more healthcare organizations deploy mobile processing units to kill surface microorganisms and pathogens, HPN explores how to choose, use and better understand today’s no-touch disinfection systems.

    Source : Nadeau, Kara. (2016, September). Healthcare Purchasing News, 40(9), 16. Repéré à http://www.hpnonline.com/inside/2016-09/1609-OR-RoomDecontam.html

  • Although indoor air can spread many pathogens, information on the airborne survival and inactivation of such pathogens remains sparse. Staphylococcus aureus and Klebsiella pneumoniae were nebulized separately into an aerobiology chamber. Between tests, filtered air purged the chamber of any residual airborne microbes. The results indicated that the setup described is suitable for work with all major classes of pathogens and also complies with the U.S. Environmental Protection Agency’s guidelines (2012) for testing air decontamination technologies.

    Source : Sattar, Syed A., Kibbee, Richard J., Zargar, Bahram, Wright, Kathryn E., Rubono. Joseph R., & Ijaz, M. Khalid. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.067

  • Victoria student Zofka Svec, age 12, earned WorkSafeBC’s Al Appleton award after demonstrating what could be an effective disinfectant for hospital superbug, Clostridium difficile (C. difficile) at the 2016 Vancouver Island Regional Science Fair. Zofka’s project, which took eight months to complete and was displayed at the University of Victoria, studied the effectiveness of seven different disinfectants including varying strengths of ethanol, diluted hydrogen peroxide, quaternary ammonium salt, a thyme oil derivative and bleach. "I thought bleach would work best because it’s what’s currently used in hospitals," said Zofka. "I learned that 30 per cent diluted hydrogen peroxide was 98 per cent effective on Bacillus subtilis a similar, but safer, bacteria to handle than C. difficile."

    Source : Grade 7 student discovers C. difficile disinfectant. (2016, July 15). Canadian Occupational Safety. Hygiene stories. Repéré à http://cos-mag.com/hygiene/hygiene-stories/5158-grade-7-student-discovers-c-difficile-disinfectant.html?utm_term=Grade%207%20student%20discovers%20C.%20difficile%20disinfectant&utm_campaign=COSNewswire_20160721&utm_content=email&utm_source=Act-On+Software&utm_medium=email

  • IMAGERIE MÉDICALE

  • Work-related musculoskeletal disorders (WMSDs) are injuries and disorders that affect the body’s movement and musculoskeletal system. Awkward postures represent one of the major ergonomic risk factors that cause WMSDs among sonographers while working with an ultrasound transducer. This study aimed to design and evaluate a new holder for the ultrasound transducer.

    Source : Ghasemi, Mohamad Sadegh, Hosseinzadeh, Payam, Zamani, Farhad, Ahmadpoor, Hossein, & Dehghan, Naser. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. 1-5. http://dx.doi.org/10.1080/10803548.2016.1216763

  • This study measures the exposure of occupational therapists from a 1.5-T magnetic resonance imaging (MRI) machine. Method. A total of 14 time-series on each of the chest, head and hand were taken before and after different MRI procedures. The peak values were noted in each case together with an average of all data recorded in the time-series.

    Source : Bonello, Julian, & Sammut, Charles V. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. 1-6. http://dx.doi.org/10.1080/10803548.2016.1216357

  • Radiologists who graduated from medical school after 1940 are not at greater risk of death from chronic exposure to low levels of radiation, a new study reports. The researchers, from the U.S. National Cancer Institute (NCI), credited improvements in radiation protection, safety equipment and monitoring. The researchers compared rates of cancer and death among almost 44,000 radiologists and nearly 65,000 psychiatrists who graduated from medical school between 1916 and 2006. Psychiatrists were selected because they were unlikely to be exposed to radiation while on the job. The study was published online July 19 in the journal Radiology.

    Source : Dallas, Mary Elizabeth. (2016, July 19). Radiologists Don’t Face Higher Risk of Radiation-Related Death: Study. MedlinePlus, HealthDay. Repéré à https://medlineplus.gov/news/fullstory_159962.html  <p>Pour lire l’article original : http://pubs.rsna.org/doi/abs/10.1148/radiol.2016152472

  • INNOVATIONS EN SST

  • Dans la région de l’Estrie, l’inspection et l’entretien des lève-personnes relevaient de chaque installation individuellement. Des disparités étaient constatées entre les différentes façons de faire et les niveaux de qualité du travail. Ainsi, des entreprises privées effectuaient l’entretien des lève-personnes à des coûts variables. De plus, les normes canadiennes, qui prescrivent une inspection par année, n’étaient pas toujours respectées. Enfin, des incidents et des accidents, mettant en cause des usagers ou du personnel, semblaient attribuables au mauvais entretien de l’équipement. Le comité régional prend l’initiative de mettre en place un projet d’entretien préventif des lève-personnes.

    Source : Bonneau, Éric. (Septembre 2016). OP, 39(3), 22-23. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393022_pleinsfeux.pdf

  • À domicile, il est de plus en plus fréquent que certains usagers nécessitent des soins sur une longue période. C’est souvent le cas, entre autres, pour soigner les plaies aux jambes. Au CLSC Jean-Olivier-Chénier du CISSS des Laurentides, un comité clinique a été mis en place pour élaborer une procédure pour les soins complexes à domicile. Celle-ci a comme principal objectif la prévention des blessures pour le personnel infirmier. En rencontre d’équipe, la nouvelle procédure a été présentée aux infirmières. Pour leur sécurité, celles-ci savent qu’elles doivent exiger certains équipements à domicile.

    Source : Ruel, Manon. (Septembre 2016). OP, 39(3), 20-21. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393020_pleinsfeux.pdf

  • Procéder à une autopsie sur le corps d’une personne obèse installée sur une table fixe, voilà une tâche assez ardue ! Si l’intervenant est petit, il doit monter sur une marche ; s’il est grand, il travaille en flexion du dos. Après plusieurs accidents et plaintes relativement à ces conditions difficiles, l’Hôpital Pierre-Boucher a réaménagé la salle d’autopsie l’année dernière.

    Source : Gambin, Christiane. (Septembre 2016). OP, 39(3), 26-27. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393026_pleinsfeux.pdf

  • Lorsque des intervenants accompagnent des usagers à l’extérieur de leur milieu de vie, ces derniers perdent leurs repères habituels et les facteurs extrinsèques et environnementaux sont présents. Dans ces circonstances, le risque potentiel de désorganisation pouvant entraîner des accidents du travail est plus élevé. À la suite d’un accident du travail, la CNESST ordonne à l’employeur d’assurer la présence de deux personnes, en tout temps, lors de sorties avec les usagers présentant un TGC. Un groupe de travail paritaire a été constitué et a réfléchi à des solutions pouvant assurer la sécurité des travailleurs.

    Source : Harvey, Pascale, & Néron, Hélène. (Septembre 2016). OP, 39(3), 28. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393028_pleinsfeux.pdf

  • Dans le cadre de la 9e édition du concours Pleins feux sur l’initiative en SST, l’ASSTSAS a reçu plusieurs projets dignes de mention. Parcourez ces initiatives réalisées dans les établissements et découvrez pourquoi elles sont une réussite dans leur milieu de travail : Salle de bain sensorielle – Commissaire au développement d’un milieu de travail respectueux et non violent – Tableau de communication Mobilisécur – Composés organiques volatils et solvants – Programme de retour au travail (PRAT) – Travail assis/debout au triage de l’urgence – Réservoir de gaz asphyxiant dans un ascenseur – Capsules vidéo PDSB – Soigner les jambes d’un client obèse.

    Source : Gorez, Benoît. (Septembre 2016). OP, 39(3), 30-31. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393030_pleinsfeux.pdf

  • Dans les blocs opératoires de l’Hôpital Fleurimont et de l’Hôtel-Dieu de Sherbrooke, le comité de SST des inhalothérapeutes avait observé, en 2014, un taux élevé d’expositions aux liquides biologiques. L’analyse statistique révélait que près de la moitié de ces expositions étaient liées au recapuchonnage des aiguilles ou à la nondisposition immédiate du matériel souillé lors de l’installation du patient. Line Bilodeau, coordonnatrice technique des inhalothérapeutes du bloc opératoire de l’Hôpital Fleurimont, a collaboré avec le Service des installations matérielles, pour mettre au point un dispositif permettant de disposer adéquatement du matériel souillé, soit un support pour boîte à déchets biomédicaux pouvant être installé sur une tige à soluté.

    Source : Brochu, Anne-Marie, & Beauchemin, Isabelle. (Septembre 2016). OP, 39(3), 29.

  • Les techniciens de laboratoire travaillant en sérologie ont pour mandat d’effectuer des analyses sérologiques sur des échantillons de sang en utilisant des méthodes manuelles. Récemment, les techniciens rapportaient des douleurs au cou, au haut du corps, au bas du dos et aux membres supérieurs. En position assise, ils signalaient aussi une mauvaise circulation sanguine dans les membres inférieurs. Voici les améliorations apportées au laboratoire à la suite de son réaménagement.

    Source : Ménard, Julie, & Rousselle, Nathalie. (Septembre 2016). OP, 39(3), 24-25. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393024_pleinsfeux.pdf

  • Gagnant du prix du jury Pleins feux sur l’initiative en SST, le CIUSSS du Saguenay–Lac-Saint-Jean, Hôpital de Chicoutimi possède un service de buanderie qui traite près de 13 000 kg de lingerie souillée chaque jour. Un réaménagement a permis d’éliminer bien des risques pour la SST.

    Source : Tremblay, Denis, & Bertrand, Guy. (Septembre 2016). OP, 39(3), 18-19. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393018_pleinsfeux.pdf

  • INSPECTION PRÉVENTIVE

  • Dans la région de l’Estrie, l’inspection et l’entretien des lève-personnes relevaient de chaque installation individuellement. Des disparités étaient constatées entre les différentes façons de faire et les niveaux de qualité du travail. Ainsi, des entreprises privées effectuaient l’entretien des lève-personnes à des coûts variables. De plus, les normes canadiennes, qui prescrivent une inspection par année, n’étaient pas toujours respectées. Enfin, des incidents et des accidents, mettant en cause des usagers ou du personnel, semblaient attribuables au mauvais entretien de l’équipement. Le comité régional prend l’initiative de mettre en place un projet d’entretien préventif des lève-personnes.

    Source : Bonneau, Éric. (Septembre 2016). OP, 39(3), 22-23. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393022_pleinsfeux.pdf

  • INSTALLATIONS MATÉRIELLES

  • Si certains produits contenant de l’amiante ont depuis quelques années disparu du marché, un nombre important de produits et matériaux anciens sont encore présents. Les interventions sur ces matériaux ou dans des environnements où ils sont présents peuvent engendrer des risques, particulièrement à l’occation d’opérations de maintenance ou d’entretien de bâtiments et de travaux publics ou d’installations industrielles. Ce guide est destiné a apporter aux professionnels des éléments d’aide à l’évaluation du risque et au choix des protections adaptées, en s’appuyant notamment sur les points suivants : 1- les types de produits contenant de l’amiante 2- les situations à risques (avec des exemples d’exposition types) 3- les techniques de travail visant à réduire l’exposition 4- les protections adaptées à chaque niveau d’exposition.

    Source : Institut National de Recherche et de Sécurité. (2016). Paris : INRS, 176 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6262/ed6262.pdf

  • MÉDICAMENTS DANGEREUX – PHARMACIE

  • Chemotherapy exposure during drug administration and provision of care is a known risk for oncology nurses and other healthcare workers. Guidelines to minimize exposure to hazardous drugs, such as chemotherapy, have long been in place to decrease potential health risks. Because most chemotherapy is now administered in the outpatient setting, extension of precautions to reduce exposure to chemotherapy in excreta should be continued by the patient and caregiver in the home setting.

    Source : Houlihan, Nancy G. (2015). Oncology Nursing Forum, 42(6), 695. DOI: 10.1188/15.ONF.695

  • Treatment using cytotoxic drugs is considered to be the most common treatment for cancers. However, the widespread use of these drugs on the health status of the staff at the oncology department has become a great concern. Due to challenges of sampling and analysis of cytotoxic drugs, the aim of this study was to development a novel practical method called Needle trap devices (NTD) for sampling and analysis of personal exposure to cyclophosphamide drug.

    Source : Panahi, Davood, Azari, Mansour, Akbari, Mohammad Esmaeil, Zendehdel, Rezvan, Mirzaei, Hamid Reza, Hatami, Hossein, & Mehrabi, Yadollah (2016). Environmental Monitoring and Assessment. 188: 238. doi:10.1007/s10661-016-5255-x

  • Praticia C. Kiele. member of The USP Coumpounding Expert Committee and chair of the Hazardous Drug Subcommittee and Expert Panel, answered to the following questions. Now that USP <800> is finalized, what is pharmacy’s role in ensuring compliance in all areas of the facility that handle hazardous drugs (HDs)? What trends are developing among regulatory bodies as they look to enforce USP <800> compliance? What are some of the common challenges to compliant practices that pharmacy will need to address? Which requirements in <800> are likely to be new for some pharmacists? Given that broken IV bags or leaking connections remain common in oncology, what are the steps for ensuring proper spill management? What education and training should pharmacy provide to nurses and other employees handling HDs? How will <800> impact waste policies and procedures? Does <800> require medical surveillance for staff working with HDs? Are there common practices in areas such as oncology clinics and doctors’ offices that need to be banned completely?

    Source : Kienle, Patricia C. (2016, September). Pharmacy Purchasing and Products, 13(9), 2. Repéré à http://www.pppmag.com/article/1932

  • Une équipe de la faculté de médecine de l’Université de la Ruhr, à Bochum en Allemagne, a récemment mis au point une nouvelle technique de chimiothérapie intrapéritonéale : la chimiothérapie intrapéritonéale pressurisée par aérosolisation (CIPPA, PIPAC en anglais). Cette procédure, apparentée à la chimiothérapie hyperthermique intrapéritonéale (CHIP) utilisée depuis plusieurs années, offre de nouvelles perspectives pour la prise en charge de patients atteints de pathologies cancéreuses limitées à la cavité abdominale. Ses conditions de mise en oeuvre peuvent cependant exposer les intervenants pendant et après la CIPPA à de nouveaux risques. L’introduction de cette technique impose donc au service de soins de renouveler leur évaluation des risques et de définir notamment des mesures adaptées de prévention des risques d’exposition aux médicaments cytotoxiques.

    Source : Passeron, Y., Guilleux, A., & Pillière, F. (2016). Références en santé au travail, 147, 29-39. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/GrandAngle/TI-RST-TC-155/tc155.pdf

  • Surface wipe sampling for various hazardous agents has been employed in many occupational settings over the years for various reasons such as evaluation of potential dermal exposure and health risk, source determination, quality or cleanliness, compliance, and others. Wipe sampling for surface residue of antineoplastic and other hazardous drugs in healthcare settings is currently the method of choice to determine surface contamination of the workplace with these drugs. The purpose of this article is to review published studies of wipe sampling for antineoplastic and other hazardous drugs, to summarize the methods in use by various organizations and researchers, and to provide some basic guidance for conducting surface wipe sampling for these drugs in healthcare settings.

    Source : Connor, Thomas H., Zock, Matthew D., & Snow, Amy H. (2016). Journal of Occupational and Environmental Hygiene, 13(9), 658-667. DOI: 10.1080/15459624.2016.1165912

  • L’essor des anticorps monoclonaux (Acm) pose la question de la prévention à mettre en place pour le personnel qui les manipule. Un état des lieux des pratiques et des mesures de prévention est réalisé en milieu de soins pour dégager des pistes d’amélioration. Les données retrouvées dans la littérature sont limitées et la toxicité professionnelle des Acm mal connue. Une enquête est menée auprès du personnel manipulant des Acm et auprès de médecins du travail d’hôpitaux. Les scénarios d’exposition apparaissent variés et les avis divergent sur l’existence d’un risque, ce qui suggère une méconnaissance du sujet. Il conviendrait notamment de renforcer l’information, d’évaluer les risques précocément et d’élaborer des procédures de manipulation. Des études restent à mener en santé au travail et la vigilance est de mise.

    Source : Coates, L., Caron, V., & Pilliere, F. (2016, Juin). Références en santé au travail, 146, 39-49. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/VuDuTerrain/TI-RST-TF-237/tf237.pdf

  • MALADIE DU LÉGIONNAIRE

  • En mai 2013, le directeur de santé publique de l’Agence de la santé et des services sociaux (ASSS) de la Mauricie-et-du Centre-du-Québec a demandé à l’Institut national de santé publique du Québec (INSPQ) un avis sur la gestion de la présence de la bactérie Legionella spp. dans les réseaux d’eau potable des hôpitaux. Il n’existe actuellement aucune ligne directrice ni réglementation au Québec ou au Canada quant à la présence et au suivi de cette bactérie dans les réseaux d’eau potable, ainsi qu’à l’interprétation des résultats lorsqu’elle est détectée. Dans ce contexte, cet avis vise à fournir à l’ensemble des centres hospitaliers du Québec un document servant à orienter la surveillance, la prévention et le contrôle de Legionella spp. afin de prévenir les cas de légionellose nosocomiale reliés à la contamination dans les réseaux d’eau des centres hospitaliers.

    Source : Panic, Mirna, Chevalier, Pierre, Lévesque, Simon, & Kimpton, Anne. (2016). [Montréal] : Institut national de santé publique du Québec, vii, 121 p. Repéré à https://www.inspq.qc.ca/pdf/publications/2159_gestion_risques_legionella_spp_eau.pdf

  • NORMES ET LÉGISLATION EN SST

  • Praticia C. Kiele. member of The USP Coumpounding Expert Committee and chair of the Hazardous Drug Subcommittee and Expert Panel, answered to the following questions. Now that USP <800> is finalized, what is pharmacy’s role in ensuring compliance in all areas of the facility that handle hazardous drugs (HDs)? What trends are developing among regulatory bodies as they look to enforce USP <800> compliance? What are some of the common challenges to compliant practices that pharmacy will need to address? Which requirements in <800> are likely to be new for some pharmacists? Given that broken IV bags or leaking connections remain common in oncology, what are the steps for ensuring proper spill management? What education and training should pharmacy provide to nurses and other employees handling HDs? How will <800> impact waste policies and procedures? Does <800> require medical surveillance for staff working with HDs? Are there common practices in areas such as oncology clinics and doctors’ offices that need to be banned completely?

    Source : Kienle, Patricia C. (2016, September). Pharmacy Purchasing and Products, 13(9), 2. Repéré à http://www.pppmag.com/article/1932

  • La CNESST a publié en début d’année la planification de ses travaux législatifs et règlementaires pour 2016. On y apprend qu’elle envisage d’analyser « la faisabilité de recourir au principe de synchronisation avec un ou des organismes scientifiques de normalisation reconnus » tels que l’ACGIH et le CIRC pour la mise à jour d’une partie de l’Annexe I du RSST.

    Source : Bégin, Denis. (2016, Septembre). Travail et santé, 32(1), 20.

  • Une nouvelle édition de la norme vient d’être publiée en version anglaise seulement. La précédente édition date de 2009. La norme traite de la sélection, de l’utilisation des équipements de protection individuels pour les yeux et le visage. Elle énonce des recommandations pour bien utiliser et choisir le bon équipement en fonction des différents risques rencontrés par les travailleurs.

    Source : Groupe CSA. Normes et codes. Santé et sécurité au travail. Équipement de protection individuelle. Protection des yeux et du visage. Repéré à http://shop.csa.ca/fr/invt/27015162016?utm_source=update-service&utm_medium=email&utm_term=Z94.3.1-09&utm_content=html-txt-link&utm_campaign=various&utm_language=fr

  • OXYGÉNOTHÉRAPIE HYPERBARE

  • Ces recommandations de bonne pratique pour la prise en charge en santé au travail des travailleurs intervenant en conditions hyperbares sont une aide pour le médecin du travail dans la détermination de l’aptitude aux activités hyperbares. Reflet d’un consensus d’experts, elles ont été élaborées par la Société de médecine et de physiologie subaquatiques et hyperbares de langue française, avec le soutien de la Société française de médecine du travail. Elles seront périodiquement revues. Est reproduite, ici, la fiche de synthèse (légèrement enrichie) reprenant les recommandations.

    Source : [Société de Physiologie et de Médecine Subaquatiques et Hyperbares de langue française, & Société Française de Médecine du Travail]. (2016). Références en santé au travail, 147, 71-78. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/PratiquesMetiers/TI-RST-TM-38/tm38.pdf

    Pour prendre connaissance de la fiche de synthèse : http://www.medsubhyp.com/images/consensus_bonnes_pratiques_reglementation/20160604_Fiche-synthese_v3.2.pdf  

    Pour obtenir les recommandations complètes : http://www.medsubhyp.com/images/consensus_bonnes_pratiques_reglementation/20160708_RBP_v4_validee_le_7-7-16.pdf

  • PATHOLOGIE ET MORGUE

  • Procéder à une autopsie sur le corps d’une personne obèse installée sur une table fixe, voilà une tâche assez ardue ! Si l’intervenant est petit, il doit monter sur une marche ; s’il est grand, il travaille en flexion du dos. Après plusieurs accidents et plaintes relativement à ces conditions difficiles, l’Hôpital Pierre-Boucher a réaménagé la salle d’autopsie l’année dernière.

    Source : Gambin, Christiane. (Septembre 2016). OP, 39(3), 26-27. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393026_pleinsfeux.pdf

  • PRÉVENTION DES INFECTIONS

  • En mai 2013, le directeur de santé publique de l’Agence de la santé et des services sociaux (ASSS) de la Mauricie-et-du Centre-du-Québec a demandé à l’Institut national de santé publique du Québec (INSPQ) un avis sur la gestion de la présence de la bactérie Legionella spp. dans les réseaux d’eau potable des hôpitaux. Il n’existe actuellement aucune ligne directrice ni réglementation au Québec ou au Canada quant à la présence et au suivi de cette bactérie dans les réseaux d’eau potable, ainsi qu’à l’interprétation des résultats lorsqu’elle est détectée. Dans ce contexte, cet avis vise à fournir à l’ensemble des centres hospitaliers du Québec un document servant à orienter la surveillance, la prévention et le contrôle de Legionella spp. afin de prévenir les cas de légionellose nosocomiale reliés à la contamination dans les réseaux d’eau des centres hospitaliers.

    Source : Panic, Mirna, Chevalier, Pierre, Lévesque, Simon, & Kimpton, Anne. (2016). [Montréal] : Institut national de santé publique du Québec, vii, 121 p. Repéré à https://www.inspq.qc.ca/pdf/publications/2159_gestion_risques_legionella_spp_eau.pdf

  • Medical examination gloves and surgical gloves protect the wearer directly and the patient indirectly from the risk of contamination. Because of concerns related to latex allergy, an increasing trend toward the use of synthetic gloves made of materials other than latex is observable. However, currently it is unknown if the physical properties of different materials may influence bacterial passage in case of a glove puncture. The authors 2xamined 9 different medical examination gloves from various manufacturers made of nitrile, latex or neoprene. Additionally, 1 latex surgical glove each with and without antibacterial chlorhexidine gluconate coating and 1 synthetic surgical glove made of thermoplastic elastomer were included in the experiments.

    Source : Hermann Barford, Michael, Jäger, Bernd, Boeckmans, Eric, Kramer, Axel, & Assadian, Ojian. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.070

  • In order to determine whether pathogenic bacteria could be transferred to health care workers by touching privacy curtains, imprints of health care workers’ fingertips were obtained when participants were approached, after hand hygiene with alcohol handrub, and directly after handling curtains. Participants’ hands were heavily contaminated at baseline, in some cases with potentially pathogenic species. Half of the participants acquired bacteria on their fingertips from handling curtains, illustrating that privacy curtains may be involved in the transmission of infection to emergency department patients.

    Source : Larocque, Mike, Carver, Sally, Bertrand, Addison, McGeer, Allison, McLeod, Shelley, & Borgundvaag, Bjug. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.04.227

  • Pour se protéger du risque infectieux, un travailleur peut devoir porter un ou plusieurs équipements de protection individuels (ÉPI). L’affiche présente les étapes standards et les particularités pour mettre et enlever l’ensemble des ÉPI. Pour certains pathogènes, les ÉPI pourraient être augmentés et cette procédure revue.

    Source : ASSTSAS. (2016). Équipements de protection individuels (ÉPI). Montréal : ASSTSAS. Repéré à http://www.asstsas.qc.ca/sites/default/files/publications/documents/Affiches/a70-epi.pdf

  • Jennie Wilson, an associate professor in the Infection Prevention Society in Brentford, United Kingdom, delved into some of the emotional and psychological aspects of glove use recently in Charlotte, NC, at the annual meeting of the Association for Professionals in Infection Control and Epidemiology (APIC). In a study that included interviews with healthcare workers, Wilson found workers wearing gloves for routine tasks like making a bed. Others had "no particular reason" to be wearing gloves, but nevertheless were doing so.

    Source : UK: 60% Wear Gloves When Not Warranted. (2016, August). Hospital Employee Health, 35(8), 94. Repéré à https://www.ahcmedia.com/articles/138251-uk-60-wear-gloves-when-not-warranted

  • Microbial load of nurses’ white coats in a hospital was determined on polyester cotton blend and polyester fabric after the first and second work shift. Contamination on the blend fabric was significantly higher than on polyester. After the second shift, bacterial colonies on polyester and blend fabrics increased by ~98% and ~70%, respectively. Among the isolates detected on polyester after the second shift, Escherichia coli was the most abundant (47.8%), followed by staphylococci (19.1%).

    Source : Gupta, Priyanka, Bairagi, Nilanjana, Priyadarshini, Richa, Singh, Ashutosh, Chauhan, Deepika, & Gupta, Deepti. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.07.014

  • There is urgent need for improvements to the current guidance on personal protective equipment (PPE) use for health care workers from the Centers for Disease Control and Prevention. The guidance informs health care professions’ curriculum and professional examinations throughout the United States. Standards from other international partners differ, particularly in the doffing sequence. Health care workers are known to inconsistently or inadequately use PPE, even in the face of epidemic diseases, such as severe acute respiratory syndrome and pandemic influenza A (H1N1) virus.

    Source : Beam, Elizabeth L. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.05.040

  • The estimated 721,800 hospital acquired infections per year in the United States have necessitated development of novel environmental decontamination technologies such as ultraviolet germicidal irradiation (UVGI). This study evaluated the efficacy of a novel, portable UVGI generator (the TORCH, ChlorDiSys Solutions, Inc., Lebanon, NJ) to disinfect surface coupons composed of plastic from a bedrail, stainless steel, chrome-plated light switch cover, and a porcelain tile that were inoculated with methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant Enterococcus faecalis (VRE).

    Source : Jelden, Katelyn C., Gibbs, Shawn G., Smith, Philip W., Hewlett, Angela L, Iwen, Peter C., Schmid, Kendra K. & Lowe, John J. (2016). Journal of Occupational and Environmental Hygiene, 13(9), 690-698. DOI: 10.1080/15459624.2016.1166369

  • Legionnaires’ disease (LD) is recognized as an important hospital-acquired disease. Despite the several methods available, the optimal method to control hospital-acquired LD is not well established and their overall efficacy requires further evaluation. The aim of this study was to systematically review all controlled trials evaluating the efficacy of interventions to prevent hospital-acquired LD in patients at high risk of developing the disease and its effects on environmental colonization.

    Source : Almeida, Dejanira, cristovan, Elisabete, Caldeira, Daniel, Ferreira, Joaquim J., & Marques, Teresa. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.06.018

  • NIOSH-certified N95 filtering facepiece respirators (FFRs) are used in healthcare settings as a control measure to mitigate exposures to airborne infectious particles. When the outer surface of an FFR becomes contaminated, it presents a contact transmission risk to the wearer. The Centers for Disease Control and Prevention (CDC) guidance recommends that healthcare workers (HCWs) doff FFRs by grasping the straps at the back of the head to avoid contact with the potentially contaminated surface. Adherence to proper doffing technique is reportedly low due to numerous factors including difficulty in locating and grasping the straps. This study compares the impact of tabs placed on FFR straps to controls (without tabs) on proper doffing, ease of use and comfort, and reduction of transfer of contamination to the wearer.

    Source : Strauch, Amanda L., Brady, Tyler M., Niezgoda, George, Almaguer, Claudia M., Shaffer, Ronald E., & Fisher, Edward M. (2016). Journal of Occupational and Environmental Hygiene, 13(10), 794-801. http://dx.doi.org/10.1080/15459624.2016.1179386

  • Health care workers (HCWs) are considered to be at higher risk of tuberculosis (TB) than the general population. However, a decreasing incidence in the general population as well as improvement in preventive measures in hospitals has reduced the risk for HCWs. The purpose of this study was to quantify the actual incidence of TB in nurses and health care assistants in a low-incidence country.

    Source : Gehanno, J.-F., Abiteboul, D., & Rollin, L. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw138

  • La plupart des infirmières en soins podologiques exercent en pratique privée. Elles interviennent en première ligne et cumulent à la fois des responsabilités cliniques et de gestions de leur service. Ces lignes directrices de l’OIIQ présentent une approche de la prévention et du contrôle des infections acceptée professionnellement et adaptée aux soins podologiques.  Elles énoncent des orientations ainsi que des recommandations pour la pratique en cabinet ou dans la communauté mais elles peuvent aussi s’appliquer à la pratique en établissement de santé.

    Source : Bouffard, Louiselle, & Perazzello, Monique. (2016). Montréal : Ordre des infirmières et infirmiers du Québec, 86 p. Repéré à http://www.oiiq.org/sites/default/files/2461-lignes-directrices-infections-soins-podologiques_1.pdf

    Pour consulter la fiche aide-mémoire : http://www.oiiq.org/sites/default/files/uploads/pdf/publications/publicationsoiiq/2461-lignes-directrices-infections-soins-podologiques-fiche-web.pdf

  • Dans les blocs opératoires de l’Hôpital Fleurimont et de l’Hôtel-Dieu de Sherbrooke, le comité de SST des inhalothérapeutes avait observé, en 2014, un taux élevé d’expositions aux liquides biologiques. L’analyse statistique révélait que près de la moitié de ces expositions étaient liées au recapuchonnage des aiguilles ou à la nondisposition immédiate du matériel souillé lors de l’installation du patient. Line Bilodeau, coordonnatrice technique des inhalothérapeutes du bloc opératoire de l’Hôpital Fleurimont, a collaboré avec le Service des installations matérielles, pour mettre au point un dispositif permettant de disposer adéquatement du matériel souillé, soit un support pour boîte à déchets biomédicaux pouvant être installé sur une tige à soluté.

    Source : Brochu, Anne-Marie, & Beauchemin, Isabelle. (Septembre 2016). OP, 39(3), 29.

  • Seasonal influenza vaccine uptake rate of healthcare workers (HCWs) varies widely from <5% to >90% worldwide. Perception of vaccine efficacy and side-effects are conventional factors affecting the uptake rates. These factors may operate on a personal and social level, impacting the attitudes and behaviours of HCWs. Vaccination rates were also under the influence of the occurrence of other non-seasonal influenza pandemics such as avian influenza. Different strategies have been implemented to improve vaccine uptake, with important ones including the enforcement of the local authority’s recommendations, promulgation of practice guidelines, and mandatory vaccination polices. Practised in some regions in North America, mandatory policies have led to higher vaccination rate, but are not problem-free.

    Source : To, K.W., Lai, B., Lee, K.C.K., Koh, D., Lee, S.S. (2016). Journal of Hospital Infection, 94(2), 133-142. http://dx.doi.org/10.1016/j.jhin.2016.07.003

  • Needlestick injuries (NSIs) represent a major concern for the safety of health care workers involved in clinical care. The percentage of health workers reporting these injuries varies between 9 and 38% and the occurrence of NSI is most frequent among employees having close clinical contact with patients or patient specimens. These injuries appear to occur most frequently where organizational factors contribute to the risk.

    Source : d’Ettore, G. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw110

  • This study aims to valuate the prevalence of colonisation with methicillin-resistant Staphylococcus aureus (MRSA), associated factors and the effectiveness of decolonisation procedures among nurses with occupational skin diseases (OSD). In a retrospective cohort study, the medical records of 319 nurses from Germany who were screened consecutively for MRSA when participating in a tertiary individual prevention programme (TIP) for severe OSD between July 2009 and December 2014 were evaluated.

    Source : Brans, Richard, Kolomanski, Katarzyna, Mentzel, Franziska, Vollmer, Ulrike, Kaup, Olaf, & John, Swen Malte. (2016). Occupational & Environmental Medicine, 73(10), 670-675. doi:10.1136/oemed-2016-103632

  • Ultraviolet (UV) spectrum light for decontamination of patient care areas is an effective way to reduce transmission of infectious pathogens. Our purpose was to investigate the efficacy of an automated UV-C device to eliminate bioburden on hospital computer keyboards. The study took place at an academic hospital in Chicago, Illinois. Baseline cultures were obtained from keyboards in intensive care units. Automated UV-C lamps were installed over keyboards and mice of those computers. The lamps were tested at varying cycle lengths to determine shortest effective cycles.

    Source : Gostine, Andrew, Gostine, David, Donohue, Cristina, & Carlstrom, Luke. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.06.012

  • Toilet flushing can contribute to disease transmission by generating aerosolized bacteria and viruses that can land on nearby surfaces or follow air currents. Aerobic and anaerobic bacterial bioaerosol loads, and bacterial counts on 2 surfaces in a bathroom with a permanently installed, automated ultraviolet C (UVC) irradiation device, were significantly lower than in a comparable bathroom without the UVC device. Permanently installed UVC lights may be a useful supplementary decontamination tool in shared patient bathrooms.

    Source : Cooper, Jesse, Bryce, Elizabeth, Astrakianakis, George, Stefanovic, Aleksandra, & Bartlett, Karen. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.07.004

  • Treating hospital patient textiles with ionic silver after each washing results in a significant decrease in microbial contamination. Although further study is needed to better understand the role textiles play in hospital-acquired infections and to quantify the influence of silver textile treatment on health care-associated infection risk and patient outcomes, ionic silver treatment of textiles may prove useful in hospital-acquired infection reduction strategies.

    Source : Openshaw, John J., Morris, William M., Lowry, Gregory V., & Nazmi, Aydin. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.06.021

  • This study was a quasi-experimental design to assess the effect of a Web-based information system on the occupational exposure to blood and body fluids (BBFs) among health care workers (HCWs). The outcome was the number of exposure incidents with BBFs among HCWs in both hospital A (intervention) and hospital B (control). The findings showed that the implementation of the Web-based information system about infection prevention and control in hospital A decreased exposure incidents with BBFs among the HCWs.

    Source : Sarbaz, Masoumeh, Kimiafar, Khalil, Taherzadeh, Zhila, Naderi, HamidReza, & Eslami, Saeid. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.05.023

  • It has been known to cause genital warts in the noses of anesthesiologists. A surgeon developed a rare throat tumor caused by the human papillomavirus (HPV) because of this. It has been linked to miscarriages among nurses. In a hospital in London, Ont., red flags were raised around it after an orthopedic surgeon died of lung cancer, but he was not a smoker. The human immunodeficiency virus (HIV) and hepatitis have also been found in it. The culprit? Surgical smoke.

    Source : Silliker, Amanda. (2016, August/September). Canadian Occupational Safety, 54(4), 18-19. Repéré à http://www.cos-mag.com/hygiene/hygiene-stories-exclusive/5234-up-in-surgical-smoke.html

  • The EXPO-S.T.O.P., is a national survey of sharps injuries and mucocutaneous blood exposures among workers in U.S. hospitals. This analysis of data compares blood exposure incidence rates to other relevant U.S. databases, including EPINet and MDPH. It also provides for the comparison of incidence rates over time, as EXPO-S.T.O.P. data has been collected annually since 2011. The EXPO-STOP authors recommend that employee health professionals consider the following best practices to prevent needlesticks and other exposures to staff.

    Source : To Stop Needlesticks, Educate, Communicate, and Investigate Engage both workers and management in prevention. (2016, August). Hospital Employee Health, 35(8), 93. Repéré à https://www.ahcmedia.com/articles/138250-to-stop-needlesticks-educate-communicate-and-investigate

  • The question of whether Zika virus can be transmitted via needlestick is no longer hypothetical. As feared, the virus can, indeed, transmit to a healthcare worker who suffers a percutaneous injury, but a Pittsburgh lab worker who was occupationally infected is recovering nicely, the Allegheny County Health Department (ACHD) reports.

    Source : Zika Transmitted by Needlestick to Lab Worker. (2016, August). Hospital Employee Health, 35(8), 92-93. Repéré à https://www.ahcmedia.com/articles/138249-zika-transmitted-by-needlestick-to-lab-worker

  • Bloodborne pathogen exposures to healthcare workers were higher than expected and not declining in incidence rates, according to the latest results from the Exposure Study of Occupational Practice (EXPO-STOP). The ongoing study of members of the Association of Occupational Health Professionals in Healthcare (AOHP) ascertains blood exposures (BE) to healthcare workers via percutaneous sharps injuries (SI) or mucocutaneous (MC) exposure such as a splash to the eyes. A 16-item electronic survey was distributed to AOHP members to ascertain BE incidence and denominator data for their hospitals.

    Source : Has the Needlestick Problem Been Solved? AOHP Study Answers a Resounding ‘No’ : Gauns plateau, fear of complacency. (2016, August). Hospital Employee Health, 35(8), 91-92. Repéré à https://www.ahcmedia.com/articles/138248-has-the-needlestick-problem-been-solved-aohp-study-answers-a-resounding-no

  • While the Centers for Disease Control and Prevention (CDC) reports that significant progress has been made in preventing some types of healthcare-associated infections (HAIs), the agency points out that approximately one in 25 hospital patients has at least one HAI on any given day. According to the CDC, about 75,000 patients with HAIs died during their hospitalizations in 2011, and more than half of all HAIs occurred outside of the intensive care unit. As more healthcare organizations deploy mobile processing units to kill surface microorganisms and pathogens, HPN explores how to choose, use and better understand today’s no-touch disinfection systems.

    Source : Nadeau, Kara. (2016, September). Healthcare Purchasing News, 40(9), 16. Repéré à http://www.hpnonline.com/inside/2016-09/1609-OR-RoomDecontam.html

  • Some 140 cancer patients at two healthcare facilities in Seattle have been advised to seek testing for tuberculosis after a healthcare worker with latent tuberculosis infection developed active disease that went undiagnosed for some time. The University of Washington Medical Center and the Seattle Cancer Care Alliance announced that an oncology worker with TB cared for the patients from May to July 2016. In addition, 47 healthcare workers were exposed and all have thus far tested negative for TB, which is not thought to be a drug-resistant strain.

    Source : Cancer Patients Urged to be Tested for TB in Seattle : Oncology worker goes from latent to active infection. (2016, October). Hospital Employee Health, 35(10), 116. Repéré à https://www.ahcmedia.com/articles/138695-cancer-patients-urged-to-be-tested-for-tb-in-seattle

  • Although indoor air can spread many pathogens, information on the airborne survival and inactivation of such pathogens remains sparse. Staphylococcus aureus and Klebsiella pneumoniae were nebulized separately into an aerobiology chamber. Between tests, filtered air purged the chamber of any residual airborne microbes. The results indicated that the setup described is suitable for work with all major classes of pathogens and also complies with the U.S. Environmental Protection Agency’s guidelines (2012) for testing air decontamination technologies.

    Source : Sattar, Syed A., Kibbee, Richard J., Zargar, Bahram, Wright, Kathryn E., Rubono. Joseph R., & Ijaz, M. Khalid. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.067

  • Health care workers are at risk of occupational infections, and some procedures are known to increase this risk. The aim of this study was to qualify and quantify bioaerosol concentrations during bronchoscopy to estimate the occupational risk. Full-day sampling was conducted in 2 rooms while bronchoscopies were performed on patients. Two microbial air samplers were used, a wet wall cyclonic sampler and an impactor, on culture media. The results showed that culturable bacteria from oral, nasal, and pulmonary flora are aerosolized during bronchoscopy and could be inhaled by medical staff. The potential presence of pathogens in those aerosols could represent an occupational infection risk.

    Source : Marchand, Geneviève, Duchaine, Caroline, Lavoie, Jacques, Veillette, Marc, & Cloutier, Yves. (2016). AJIC : American Journal of Infection Control. Prépublication. OI: http://dx.doi.org/10.1016/j.ajic.2016.04.241

  • Dirty medical lead clothes, contaminated with blood or other infected material, may carry ongoing bioburden, which increase the risk of hospital-acquired infection. In this study, we investigated medical lead clothes contamination levels and assessed the effectiveness of the intervention that was constructed to improve the cleanliness of lead clothes.

    Source : Chen, Lu, Xu, YingJun, Zhang, Fengxia, Yang, Qingfenf, & Yuan, Juxiang. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.06.002

  • A retrospective cohort study was conducted examining health care worker (HCW) compliance with Centers for Disease Control and Prevention recommendations following occupational bloodborne pathogen (BBP) exposure. HCWs with a BBP exposure from a known HIV- or hepatitis C virus-seropositive individual were less likely to complete recommended follow-up compared with HCWs with seronegative source patient exposures (adjusted odds ratio, 0.02 and 0.09, respectively). Continued targeted education and extra vigilance in performing postexposure surveillance are warranted in this higher-risk population.

    Source : Diaz, Juan C., & Johnson, Lucas A. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.04.243

  • Victoria student Zofka Svec, age 12, earned WorkSafeBC’s Al Appleton award after demonstrating what could be an effective disinfectant for hospital superbug, Clostridium difficile (C. difficile) at the 2016 Vancouver Island Regional Science Fair. Zofka’s project, which took eight months to complete and was displayed at the University of Victoria, studied the effectiveness of seven different disinfectants including varying strengths of ethanol, diluted hydrogen peroxide, quaternary ammonium salt, a thyme oil derivative and bleach. "I thought bleach would work best because it’s what’s currently used in hospitals," said Zofka. "I learned that 30 per cent diluted hydrogen peroxide was 98 per cent effective on Bacillus subtilis a similar, but safer, bacteria to handle than C. difficile."

    Source : Grade 7 student discovers C. difficile disinfectant. (2016, July 15). Canadian Occupational Safety. Hygiene stories. Repéré à http://cos-mag.com/hygiene/hygiene-stories/5158-grade-7-student-discovers-c-difficile-disinfectant.html?utm_term=Grade%207%20student%20discovers%20C.%20difficile%20disinfectant&utm_campaign=COSNewswire_20160721&utm_content=email&utm_source=Act-On+Software&utm_medium=email

  • PRODUITS TOXIQUES

  • Preliminary results of an ongoing public health investigation indicate that a powerful sporicidal cleaning agent used in some 500 hospitals may be linked to wheezing, watery eyes, and asthma-like symptoms in healthcare workers, the National Institute for Occupational Safety and Health (NIOSH) reports. The situation is emblematic of an ongoing dilemma in healthcare. Strong products needed to protect patients from an epidemic of Clostridium difficile — a spore-former difficult to remove from the hospital environment — may trigger respiratory symptoms in housekeeping and other healthcare workers exposed to the chemicals during cleaning.

    Source: Evans, Gary. (2016, August). Hospital Employee Health, 35(8), 85-89. Repéré à https://www.ahcmedia.com/articles/138245-protect-patients-harm-workers-cleaning-agent-raises-concerns

  • In March 2014, a new disinfection product, consisting of hydrogen peroxide, peroxyacetic acid, and acetic acid, was introduced at a Pennsylvania hospital to aid in the control of health care–associated infections. The product is an Environmental Protection Agency–registered non-bleach sporicide advertised as a one-step cleaner, disinfectant, and deodorizer. According to the manufacturer’s safety data sheet, the product requires no personal protective equipment when it is diluted with water by an automated dispenser before use. On January 30, 2015, the NIOSH received a confidential employee request to conduct a health hazard evaluation at the hospital. The request cited concerns about exposure of hospital environmental services staff members to the product and reported symptoms among persons who had used the product that included eye and nasal problems, asthma-like symptoms, shortness of breath, skin problems, wheeze, chest tightness, and cough.

    Source : Hawley, Brie, Casey. Megan L., Cox-Ganser, Jean M., Edwards, Nicole, Fedan, Kathleen B., & Cummings, Kristin J. (2016, April 22). Morbidity and Mortality Weekly Report (MMWR), 65(15), 400-401. Repéré à https://www.cdc.gov/mmwr/volumes/65/wr/mm6515a3.htm?s_cid=mm6515a3_e#contribAff

  • Les perturbateurs endocriniens (PE) sont des substances chimiques ou des mélanges, d’origine naturelle ou artificielle, qui interfèrent sur le système endocrinien. Un médecin s’interroge sur les risques pour les enfants à naître de l’exposition professionnelle de leur mère aux PE en particulier au bisphénol A (BPA) et aux phtalates, et sur l’existence de valeurs seuils sans effet.

    Source : Pillière, Florence. (2016,Juin). Références en santé au travail, 146, 133. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-110/qr110.pdf

  • Ces recommandations de bonne pratique pour la prise en charge en santé au travail des travailleurs intervenant en conditions hyperbares sont une aide pour le médecin du travail dans la détermination de l’aptitude aux activités hyperbares. Reflet d’un consensus d’experts, elles ont été élaborées par la Société de médecine et de physiologie subaquatiques et hyperbares de langue française, avec le soutien de la Société française de médecine du travail. Elles seront périodiquement revues. Est reproduite, ici, la fiche de synthèse (légèrement enrichie) reprenant les recommandations.

    Source : [Société de Physiologie et de Médecine Subaquatiques et Hyperbares de langue française, & Société Française de Médecine du Travail]. (2016). Références en santé au travail, 147, 71-78. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/PratiquesMetiers/TI-RST-TM-38/tm38.pdfPour prendre connaissance de la fiche de synthèse : http://www.medsubhyp.com/images/consensus_bonnes_pratiques_reglementation/20160604_Fiche-synthese_v3.2.pdf

    Pour obtenir les recommandations complètes : http://www.medsubhyp.com/images/consensus_bonnes_pratiques_reglementation/20160708_RBP_v4_validee_le_7-7-16.pdf

  • Scavenging systems and administrative and work practice controls for minimizing occupational exposure to waste anesthetic gases have been recommended for many years. Anesthetic gases and vapors that are released or leak out during medical procedures are considered waste anesthetic gases. To better understand the extent recommended practices are used, the NIOSH Health and Safety Practices Survey of Healthcare Workers was conducted in 2011 among members of professional practice organizations representing anesthesia care providers including physician anesthesiologists, nurse anesthetists, and anesthesiologist assistants. This national survey is the first to examine self-reported use of controls to minimize exposure to waste anesthetic gases among anesthesia care providers.

    Source : Boiano, James M., & Steege, Andrea L. (2016). Journal of Occupational and Environmental Hygiene, 13(10), 782-793. http://dx.doi.org/10.1080/15459624.2016.1177650

  • Si certains produits contenant de l’amiante ont depuis quelques années disparu du marché, un nombre important de produits et matériaux anciens sont encore présents. Les interventions sur ces matériaux ou dans des environnements où ils sont présents peuvent engendrer des risques, particulièrement à l’occation d’opérations de maintenance ou d’entretien de bâtiments et de travaux publics ou d’installations industrielles. Ce guide est destiné a apporter aux professionnels des éléments d’aide à l’évaluation du risque et au choix des protections adaptées, en s’appuyant notamment sur les points suivants : 1- les types de produits contenant de l’amiante 2- les situations à risques (avec des exemples d’exposition types) 3- les techniques de travail visant à réduire l’exposition 4- les protections adaptées à chaque niveau d’exposition.

    Source : Institut National de Recherche et de Sécurité. (2016). Paris : INRS, 176 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6262/ed6262.pdf

  • Occupational exposure to disinfectants is associated with work-related asthma, especially in healthcare workers. However, little is known about the specific products involved. To evaluate disinfectant exposures, we designed job-exposure (JEM) and job-task-exposure (JTEM) matrices, which are thought to be less prone to differential misclassification bias than self-reported exposure. We then compared the three assessment methods: self-reported exposure, JEM and JTEM. Disinfectant use was assessed by an occupational questionnaire in 9073 US female registered nurses without asthma, aged 49–68 years, drawn from the Nurses’ Health Study II.

    Source : Quinot, C., Dumas, O. Henneberger, PK, Varrasom R., Wiley, AS, Speizer, FE,… Le Moual, N. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103606

  • Workers’ health and safety is an important consideration when choosing cleaning and disinfectant products. In health care settings, disinfection products help minimize healthcare-acquired infections. In January 2015, the National Institute for Occupational Health (NIOSH), received a request to conduct a health hazard evaluation at a Pennsylvania hospital using a new surface cleaning product consisting of hydrogen peroxide (HP), peroxyacetic acid (PAA), and acetic acid (AA). The request cited concerns about exposure of hospital environmental services staff to the cleaning product and reported symptoms including burning eyes, nose, and throat; cough; headache; asthma exacerbations; and skin burns.

    Source : Hawley, Brie M. (2016, April 29). Are Hospital Cleaning Staff at Risk When Using a One-step Cleaner? [Billet de blogue]. NIOSH Science Blog. Repéré à http://blogs.cdc.gov/niosh-science-blog/2016/04/29/hospital-cleaning-staff/

  • Brie M. Hawley, PhD, an industrial hygienist in the NIOSH Respiratory Health Division, recommends the following measures to protect healthcare workers exposed to cleaning products with acetic acid, peroxyacetic acid, and hydrogen peroxide.

    Source : NIOSH Measures to Protect HCWs Exposed to Cleaning Agents. (2016, August). Hospital Employee Health, 35(8), 87. Repéré à https://www.ahcmedia.com/articles/138246-niosh-measures-to-protect-hcws-exposed-to-cleaning-agents

  • Un vide sanitaire est un espace accessible ou non, situé entre le sol et le premier plancher d’un bâtiment. Généralement, on trouve dans ces espaces des contaminants qui peuvent présenter un risque pour la santé des travailleurs qui y effectuent des travaux, mais également un risque potentiel pour les occupants des locaux adjacents.

    Source : Millot, Nicolas. (2016, Septembre). Travail et santé, 32(3), 21-23.

  • La CNESST a publié en début d’année la planification de ses travaux législatifs et règlementaires pour 2016. On y apprend qu’elle envisage d’analyser « la faisabilité de recourir au principe de synchronisation avec un ou des organismes scientifiques de normalisation reconnus » tels que l’ACGIH et le CIRC pour la mise à jour d’une partie de l’Annexe I du RSST.

    Source : Bégin, Denis. (2016, Septembre). Travail et santé, 32(1), 20.

  • How much marijuana (or THC) should be allowable? This is an extremely difficult question and is asked of the drug testing industry regularly. While the majority of companies, particularly those that have safety-sensitive employees, choose to maintain a zero-tolerance policy, there are plenty of employers asking how to create some form of tolerance. There are multi-faceted issues in a culture of acceptance, and each particular issue must be carefully reviewed with safety at the core of the conversation.

    Source : McGuire, Jo. (2016, August 31). OH&S : Occupational Health & Safety. Repéré à https://ohsonline.com/articles/2016/08/31/maintaining-drug-free-workplaces-where-marijuana-is-legal.aspx

  • Surface wipe sampling for various hazardous agents has been employed in many occupational settings over the years for various reasons such as evaluation of potential dermal exposure and health risk, source determination, quality or cleanliness, compliance, and others. Wipe sampling for surface residue of antineoplastic and other hazardous drugs in healthcare settings is currently the method of choice to determine surface contamination of the workplace with these drugs. The purpose of this article is to review published studies of wipe sampling for antineoplastic and other hazardous drugs, to summarize the methods in use by various organizations and researchers, and to provide some basic guidance for conducting surface wipe sampling for these drugs in healthcare settings.

    Source : Connor, Thomas H., Zock, Matthew D., & Snow, Amy H. (2016). Journal of Occupational and Environmental Hygiene, 13(9), 658-667. DOI: 10.1080/15459624.2016.1165912

  • L’essor des anticorps monoclonaux (Acm) pose la question de la prévention à mettre en place pour le personnel qui les manipule. Un état des lieux des pratiques et des mesures de prévention est réalisé en milieu de soins pour dégager des pistes d’amélioration. Les données retrouvées dans la littérature sont limitées et la toxicité professionnelle des Acm mal connue. Une enquête est menée auprès du personnel manipulant des Acm et auprès de médecins du travail d’hôpitaux. Les scénarios d’exposition apparaissent variés et les avis divergent sur l’existence d’un risque, ce qui suggère une méconnaissance du sujet. Il conviendrait notamment de renforcer l’information, d’évaluer les risques précocément et d’élaborer des procédures de manipulation. Des études restent à mener en santé au travail et la vigilance est de mise.

    Source : Coates, L., Caron, V., & Pilliere, F. (2016, Juin). Références en santé au travail, 146, 39-49. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/VuDuTerrain/TI-RST-TF-237/tf237.pdf

  • The National Institute for Occupational Safety and Health (NIOSH) announces the availability of a new mobile application (app) version of its longstanding Pocket Guide to Chemical Hazards. The NIOSH Pocket Guide to Chemical Hazards has informed workers, employers, and occupational health professionals about workplace chemicals and their hazards for over forty years. The Pocket Guide gives general industrial hygiene information for hundreds of chemicals/classes and helps users recognize and control workplace chemical hazards. The new app will provide this information at the fingertips. "The mobile app pocket guide to chemical hazards provides even easier access to information on over 600 chemicals," said NIOSH Director John Howard, M.D.

    Source : Brassell, Jenise. (2016, July 14). NIOSH Launches New Mobile App for Pocket Guide on Chemical Hazards. NIOSH Updates. Repéré à http://www.cdc.gov/niosh/updates/upd-07-14-16.html

    Pour télécharger   l’application : http://www.cdc.gov/niosh/npg/mobilepocketguide.html?s_cid=3ni7d2NiUpdatemNPG07142016

  • PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

  • Pour répondre notamment aux préoccupations de santé de leurs employés, plusieurs employeurs offrent à leurs travailleurs des programmes de mieux-être en entreprise. Ces programmes, qui visent l’amélioration d’un ou de plusieurs paramètres de santé, ont un coût, et dans la plupart des cas, on ne sait pas si l’argent et le temps qu’on y consacre fournissent un retour sur investissement. Une première étude canadienne s’est penchée sur le sujet et fournit des pistes pour chiffrer concrètement ce qui d’ordinaire se mesure difficilement.

    Source : Sabourin, Guy. (2016, Automne). Prévention au travail, 29(3), 34-35. Repéré à http://preventionautravail.com/archives-numeros/19-automne-2016/file.html#34

  • Au Québec, une quarantaine d’entreprises ont décroché la norme Entreprise en santé, créé en 2009 par le Groupe Entreprise en santé et le Bureau de normalisation du Québec (BNQ). Selon Rémun, une enquête de rémunération globale conduite par la firme d’expert-conseil en ressources humaines Normandin-Beaudry, 48 % des entreprises québécoises offrent un programme structuré de santé et mieux-être à leurs employés.

    Source : Plamondon Émond, Étienne. (15 septembre 2016). Les affaires. Repéré à https://www.lesaffaires.com/dossier/sante-et-performance-au-travail/-l-activite-physique-engendre-des-bienfaits-pour-les-employes-et-pour-l-entreprise/590036

  • PROTECTION RESPIRATOIRE

  • This article describes the evaluation of an open-access web-based respiratory protective equipment selector tool (RPE-Select, accessible at http://www.healthyworkinglives.com/rpe-selector). This tool is based on the principles of the COSHH-Essentials (C-E) control banding (CB) tool, which was developed for the exposure risk management of hazardous chemicals in the workplace by small and medium sized enterprises (SMEs) and general practice H&S professionals. RPE-Select can be used for identifying adequate and suitable RPE for dusts, fibres, mist (solvent, water, and oil based), sprays, volatile solids, fumes, gases, vapours, and actual or potential oxygen deficiency. It can be applied for substances and products with safety data sheets as well as for a large number of commonly encountered process-generated substances (PGS).

    Source : Vaughan, Nick, Rajan-Sithamparanadarajah, Bob, & Atkinson, Robert. The Annals of Occupational Hygiene, 60(7), 900-912. doi: 10.1093/annhyg/mew035

  • NIOSH-certified N95 filtering facepiece respirators (FFRs) are used in healthcare settings as a control measure to mitigate exposures to airborne infectious particles. When the outer surface of an FFR becomes contaminated, it presents a contact transmission risk to the wearer. The Centers for Disease Control and Prevention (CDC) guidance recommends that healthcare workers (HCWs) doff FFRs by grasping the straps at the back of the head to avoid contact with the potentially contaminated surface. Adherence to proper doffing technique is reportedly low due to numerous factors including difficulty in locating and grasping the straps. This study compares the impact of tabs placed on FFR straps to controls (without tabs) on proper doffing, ease of use and comfort, and reduction of transfer of contamination to the wearer.

    Source : Strauch, Amanda L., Brady, Tyler M., Niezgoda, George, Almaguer, Claudia M., Shaffer, Ronald E., & Fisher, Edward M. (2016). Journal of Occupational and Environmental Hygiene, 13(10), 794-801. http://dx.doi.org/10.1080/15459624.2016.1179386

  • Dans certains contextes, les mesures d’ingénierie et les contrôles administratifs sont insuffisants pour protéger adéquatement les travailleurs contre l’exposition aux particules ultrafines (PUF). Un dispositif de protection personnel est alors requis, et les appareils de protection respiratoire à pièce faciale filtrante (APR) de type N95 sont ceux qu’utilisent le plus couramment les travailleurs de l’industrie et de la santé. La présente étude porte sur l’évaluation de l’efficacité des APR de type N95 dans des conditions de débit d’air cyclique plus représentatives de la respiration humaine.

  • Source : Bahloul, Ali, Haghighat, Fariborz, Mostofi, Reza, Mahdavi, Alireza, & Ostiguy, Claude. (2016). Évaluation de l’efficacité d’un filtre N95 contre des particules ultrafines, dont les nanoparticules, en mode de débits d’air constant et cyclique simulant la respiration des travailleurs. Montréal, Institut de recherche Robert-Sauvé en santé et en sécurité du travail, xiv, 65 p. (Études et recherches : prévention des risques chimiques et biologiques ; R-932). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-932.pdf

  • PUBLICATIONS DE L’ASSTSAS

  • Dans la région de l’Estrie, l’inspection et l’entretien des lève-personnes relevaient de chaque installation individuellement. Des disparités étaient constatées entre les différentes façons de faire et les niveaux de qualité du travail. Ainsi, des entreprises privées effectuaient l’entretien des lève-personnes à des coûts variables. De plus, les normes canadiennes, qui prescrivent une inspection par année, n’étaient pas toujours respectées. Enfin, des incidents et des accidents, mettant en cause des usagers ou du personnel, semblaient attribuables au mauvais entretien de l’équipement. Le comité régional prend l’initiative de mettre en place un projet d’entretien préventif des lève-personnes.

    Source : Bonneau, Éric. (Septembre 2016). OP, 39(3), 22-23. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393022_pleinsfeux.pdf

  • Pour se protéger du risque infectieux, un travailleur peut devoir porter un ou plusieurs équipements de protection individuels (ÉPI). L’affiche présente les étapes standards et les particularités pour mettre et enlever l’ensemble des ÉPI. Pour certains pathogènes, les ÉPI pourraient être augmentés et cette procédure revue.

    Source : ASSTSAS. (2016). Équipements de protection individuels (ÉPI). Montréal : ASSTSAS. Repéré à http://www.asstsas.qc.ca/sites/default/files/publications/documents/Affiches/a70-epi.pdf

  • Le personnel de soins est régulièrement confronté à un dilemme quand vient le moment d’utiliser un lève-personne mobile au sol (LPMS) : ouvrir ou ne pas ouvrir la base, telle est la question ! La question des soignants est sans doute moins « existentielle » que celle posée par Hamlet, le célèbre personnage de Shakespeare. Par contre, les conséquences d’une mauvaise décision ont une grande importance.

    Source : Dubé, Jocelyne, & Hensley, Valérie. (Septembre 2016). OP, 39(3), 10-11. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393010_%C3%A9quipements.pdf

  • Plusieurs modèles de toiles double-cuissardes (aussi appelées toiles hamac) sont disponibles sur le marché. Certaines sont dotées de quatre points d’ancrage, soit deux sangles de chaque côté, alors que d’autres disposent d’une sangle supplémentaire de chaque côté, en général au niveau de la hanche du client. Des formateurs PDSB (Principes de déplacement sécuritaire des bénéficiaires) se demandent s’il faut obligatoirement utiliser des toiles munies de six points d’ancrage pour assurer la sécurité des patients. Voici une réponse toute en nuance !

    Source : Gambin, Christiane. (Septembre 2016). OP, 39(3), 12-13. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393012_pdsb.pdf

  • L’accès à des soins d’hygiène sécuritaires est un enjeu important pour les personnes vivant à domicile. L’implantation de pratiques cliniques novatrices, efficaces et intégrées pour adapter la salle de bain contribue à maintenir un niveau d’autonomie optimal tout en assurant des services efficients à la population. Cet article témoigne de l’évolution du modèle d’organisation de services pour les soins d’hygiène à domicile développé au CLSC de St-Léonard et St-Michel (CIUSSS de l’Est de Montréal).

    Source : Mercier, Sylvie, & Allard, Jocelyne. (Septembre 2016). OP, 39(3), 14-16. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393014_organisationdutravail.pdf

  • Dans cette chronique, l’auteure présente et suggère la lecture de quelques-unes des nouvelles publications concernant le bien-être au travail et la santé psychologique, soit 1) les conditions gagantes des interventions organisationnelles 2) la méditation, un plus pour tous ! 3) le travail par quarts, performance et bien-être.

    Source : Désilets, Suzie. (Septembre 2016). OP, 39(3), 32. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393032_coindoc.pdf

  • Gagnant du prix du jury Pleins feux sur l’initiative en SST – Procédure pour les soins de plaies complexes

  • À domicile, il est de plus en plus fréquent que certains usagers nécessitent des soins sur une longue période. C’est souvent le cas, entre autres, pour soigner les plaies aux jambes. Au CLSC Jean-Olivier-Chénier du CISSS des Laurentides, un comité clinique a été mis en place pour élaborer une procédure pour les soins complexes à domicile. Celle-ci a comme principal objectif la prévention des blessures pour le personnel infirmier. En rencontre d’équipe, la nouvelle procédure a été présentée aux infirmières. Pour leur sécurité, celles-ci savent qu’elles doivent exiger certains équipements à domicile.

    Source : Ruel, Manon. (Septembre 2016). OP, 39(3), 20-21. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393020_pleinsfeux.pdf

  • Procéder à une autopsie sur le corps d’une personne obèse installée sur une table fixe, voilà une tâche assez ardue ! Si l’intervenant est petit, il doit monter sur une marche ; s’il est grand, il travaille en flexion du dos. Après plusieurs accidents et plaintes relativement à ces conditions difficiles, l’Hôpital Pierre-Boucher a réaménagé la salle d’autopsie l’année dernière.

    Source : Gambin, Christiane. (Septembre 2016). OP, 39(3), 26-27. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393026_pleinsfeux.pdf

  • Lorsque des intervenants accompagnent des usagers à l’extérieur de leur milieu de vie, ces derniers perdent leurs repères habituels et les facteurs extrinsèques et environnementaux sont présents. Dans ces circonstances, le risque potentiel de désorganisation pouvant entraîner des accidents du travail est plus élevé. À la suite d’un accident du travail, la CNESST ordonne à l’employeur d’assurer la présence de deux personnes, en tout temps, lors de sorties avec les usagers présentant un TGC. Un groupe de travail paritaire a été constitué et a réfléchi à des solutions pouvant assurer la sécurité des travailleurs.

    Source : Harvey, Pascale, & Néron, Hélène. (Septembre 2016). OP, 39(3), 28. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393028_pleinsfeux.pdf

  • Dans le cadre de la 9e édition du concours Pleins feux sur l’initiative en SST, l’ASSTSAS a reçu plusieurs projets dignes de mention. Parcourez ces initiatives réalisées dans les établissements et découvrez pourquoi elles sont une réussite dans leur milieu de travail : Salle de bain sensorielle – Commissaire au développement d’un milieu de travail respectueux et non violent – Tableau de communication Mobilisécur – Composés organiques volatils et solvants – Programme de retour au travail (PRAT) – Travail assis/debout au triage de l’urgence – Réservoir de gaz asphyxiant dans un ascenseur – Capsules vidéo PDSB – Soigner les jambes d’un client obèse.

    Source : Gorez, Benoît. (Septembre 2016). OP, 39(3), 30-31. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393030_pleinsfeux.pdf

  • La qualité des relations interpersonnelles est au coeur d’un climat de travail sain. Notre capacité à interagir de manière courtoise, respectueuse et professionnelle avec les gens qui nous entourent aura nécessairement une influence sur notre bien-être et sur celui des autres. Pensons-nous toujours à ce que nous disons, à comment nous le formulons et à quel moment ? Sommes-nous toujours conscients des conséquences de notre attitude? Ce webinaire nous invite à reconnaître l’influence de la civilité pour créer un environnement où il fait bon travailler !

    Source : Brouillard, Josianne. (2016). La civilité en services de garde, c’est aussi une question de prévention. Repéré à http://asstsas.qc.ca/publication/la-civilite-en-services-de-garde-cest-aussi-une-question-de-prevention-webinaire-2016

    Pour visionner le webinaire : http://forum.asstsas.qc.ca/2016-012/ohnwft5l0pa9

    Pour télécharger la présentation : http://asstsas.qc.ca/sites/default/files/publications/documents/2016-012_la_civilite_en_services_de_garde_participants.pdf

  • Avec deux, trois ou quatre installations, certains services de garde optent pour une cuisine unique qui fournit les repas à toutes les installations. À la performance et à l’efficacité, il faut allier la santé et la sécurité du personnel. Dans les cuisines où l’on prépare de nombreux repas chaque jour, les équipements, l’aménagement des zones de travail, l’organisation des tâches et des menus, de même que la coordination des activités de plusieurs personnes ont une influence importante sur la santé et la sécurité du personnel. Lorsque le service de garde distribue des repas à d’autres installations, il faut aussi voir à l’organisation des cuisines satellites et à la livraison des repas.

    Source : Bédard, Sylvie, Buteau, Andrée-Anne, & Duval, Lisette. (Septembre 2016). Sans Pépins, 18(2), 1-5. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/SP/2016/sp182001_organisation.pdf

  • Stéphanie s’est blessée au travail et doit s’absenter pour aller chez son médecin. En déposant le petit Maxime dans sa couchette, elle a ressenti une vive douleur au dos. Que s’est-il passé ? L’enquête et analyse d’un événement accidentel (EAEA) fait partie des outils pour organiser la prévention dans le milieu de travail. Réalisée en deux étapes, cette activité permet de décrire comment est survenu l’accident, de découvrir les causes pour les corriger et, ainsi, éviter qu’il se reproduise. En aucun temps, l’EAEA ne cherche à trouver des coupables !

    Source : Duval, Lisette. (Septembre 2016). Sans Pépins, 18(2), 6-8. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/SP/2016/sp182006_organisation.pdf

  • Vous vous penchez souvent vers les enfants. La posture penchée comporte des contraintes pour votre santé et votre sécurité. S’asseoir réduit les efforts et protège le dos. Cependant, pour ne pas tomber en bas de votre chaise, suivez le mode d’emploi. Dans les services de garde, il existe plusieurs types de sièges : sur pattes ou sur roues, avec ou sans dossier. Chacun des modèles comporte des avantages et des inconvénients en fonction des activités en cours, de l’espace, de la hauteur du siège, des autres équipements dans le local, etc. Une réflexion s’impose pour choisir le bon siège.

    Source : Buteau, Andrée-Anne. (Septembre 2016). Sans pépins, 18(2), 9. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/SP/2016/sp182009_%C3%A9quipements.pdf

  • Dans les blocs opératoires de l’Hôpital Fleurimont et de l’Hôtel-Dieu de Sherbrooke, le comité de SST des inhalothérapeutes avait observé, en 2014, un taux élevé d’expositions aux liquides biologiques. L’analyse statistique révélait que près de la moitié de ces expositions étaient liées au recapuchonnage des aiguilles ou à la nondisposition immédiate du matériel souillé lors de l’installation du patient. Line Bilodeau, coordonnatrice technique des inhalothérapeutes du bloc opératoire de l’Hôpital Fleurimont, a collaboré avec le Service des installations matérielles, pour mettre au point un dispositif permettant de disposer adéquatement du matériel souillé, soit un support pour boîte à déchets biomédicaux pouvant être installé sur une tige à soluté.

    Source : Brochu, Anne-Marie, & Beauchemin, Isabelle. (Septembre 2016). OP, 39(3), 29.

  • Les techniciens de laboratoire travaillant en sérologie ont pour mandat d’effectuer des analyses sérologiques sur des échantillons de sang en utilisant des méthodes manuelles. Récemment, les techniciens rapportaient des douleurs au cou, au haut du corps, au bas du dos et aux membres supérieurs. En position assise, ils signalaient aussi une mauvaise circulation sanguine dans les membres inférieurs. Voici les améliorations apportées au laboratoire à la suite de son réaménagement.

    Source : Ménard, Julie, & Rousselle, Nathalie. (Septembre 2016). OP, 39(3), 24-25. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393024_pleinsfeux.pdf

  • Gagnant du prix du jury Pleins feux sur l’initiative en SST, le CIUSSS du Saguenay–Lac-Saint-Jean, Hôpital de Chicoutimi possède un service de buanderie qui traite près de 13 000 kg de lingerie souillée chaque jour. Un réaménagement a permis d’éliminer bien des risques pour la SST.

    Source : Tremblay, Denis, & Bertrand, Guy. (Septembre 2016). OP, 39(3), 18-19. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393018_pleinsfeux.pdf

  • Ce guide de prévention fournit des repères pour utiliser de façon sécuritaire la plateforme élévatrice d’un véhicule de transport adapté. Vous y trouverez des conseils sur les éléments à vérifier avant son utilisation, des stratégies pour assurer la sécurité du conducteur et celle des clients, de même que des indications concernant l’arrimage des fauteuils roulants dans le véhicule. Les informations s’adressent aux personnes concernées par la SST et le transport adapté : les préventionnistes, les gestionnaires, les membres du comité paritaire de SST, les responsables de SST ainsi que les conducteurs d’un véhicule de transport adapté.

    Source : Gambin, Christiane, & Gendron, Jacques. (2016). Montréal : ASSTSAS, Via-Prévention, 23 p. Repéré à http://asstsas.qc.ca/publication/transport-adapte-utilisation-de-la-plateforme-elevatrice-et-arrimage-des-fauteuils-gp71

  • QUALITÉ DE L’EAU

  • En mai 2013, le directeur de santé publique de l’Agence de la santé et des services sociaux (ASSS) de la Mauricie-et-du Centre-du-Québec a demandé à l’Institut national de santé publique du Québec (INSPQ) un avis sur la gestion de la présence de la bactérie Legionella spp. dans les réseaux d’eau potable des hôpitaux. Il n’existe actuellement aucune ligne directrice ni réglementation au Québec ou au Canada quant à la présence et au suivi de cette bactérie dans les réseaux d’eau potable, ainsi qu’à l’interprétation des résultats lorsqu’elle est détectée. Dans ce contexte, cet avis vise à fournir à l’ensemble des centres hospitaliers du Québec un document servant à orienter la surveillance, la prévention et le contrôle de Legionella spp. afin de prévenir les cas de légionellose nosocomiale reliés à la contamination dans les réseaux d’eau des centres hospitaliers.

    Source : Panic, Mirna, Chevalier, Pierre, Lévesque, Simon, & Kimpton, Anne. (2016). [Montréal] : Institut national de santé publique du Québec, vii, 121 p. Repéré à https://www.inspq.qc.ca/pdf/publications/2159_gestion_risques_legionella_spp_eau.pdf

  • QUALITÉ DE L’AIR

  • En mai 2013, le directeur de santé publique de l’Agence de la santé et des services sociaux (ASSS) de la Mauricie-et-du Centre-du-Québec a demandé à l’Institut national de santé publique du Québec (INSPQ) un avis sur la gestion de la présence de la bactérie Legionella spp. dans les réseaux d’eau potable des hôpitaux. Il n’existe actuellement aucune ligne directrice ni réglementation au Québec ou au Canada quant à la présence et au suivi de cette bactérie dans les réseaux d’eau potable, ainsi qu’à l’interprétation des résultats lorsqu’elle est détectée. Dans ce contexte, cet avis vise à fournir à l’ensemble des centres hospitaliers du Québec un document servant à orienter la surveillance, la prévention et le contrôle de Legionella spp. afin de prévenir les cas de légionellose nosocomiale reliés à la contamination dans les réseaux d’eau des centres hospitaliers.

    Source : Panic, Mirna, Chevalier, Pierre, Lévesque, Simon, & Kimpton, Anne. (2016). [Montréal] : Institut national de santé publique du Québec, vii, 121 p. Repéré à https://www.inspq.qc.ca/pdf/publications/2159_gestion_risques_legionella_spp_eau.pdf

  • La détection des gaz dangereux nécessite un appareil de détection proprement étalonné pour identifier des concentrations potentiellement toxiques. Mais n’oublions pas qu’une grande majorité des accidents en espaces clos est causée par une déficience en oxygène. L’air étant un mélange de gaz nécessaire à la vie, toute déviation aux dosages des gaz qui y sont présents menace sérieusement l’environnement de travail. Cet article présente, entre autres, les effets sur la santé selon les divers niveaux d’oxygène ainsi que des questions et réponses surles moyens de mesure de l’oxygène.

    Source : Rousseau, Christian. (2016, Septembre). Travail et santé, 32(3), 24-26

  • Legionnaires’ disease (LD) is recognized as an important hospital-acquired disease. Despite the several methods available, the optimal method to control hospital-acquired LD is not well established and their overall efficacy requires further evaluation. The aim of this study was to systematically review all controlled trials evaluating the efficacy of interventions to prevent hospital-acquired LD in patients at high risk of developing the disease and its effects on environmental colonization.

    Source : Almeida, Dejanira, cristovan, Elisabete, Caldeira, Daniel, Ferreira, Joaquim J., & Marques, Teresa. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.06.018

  • It has been known to cause genital warts in the noses of anesthesiologists. A surgeon developed a rare throat tumor caused by the human papillomavirus (HPV) because of this. It has been linked to miscarriages among nurses. In a hospital in London, Ont., red flags were raised around it after an orthopedic surgeon died of lung cancer, but he was not a smoker. The human immunodeficiency virus (HIV) and hepatitis have also been found in it. The culprit? Surgical smoke.

    Source : Silliker, Amanda. (2016, August/September). Canadian Occupational Safety, 54(4), 18-19. Repéré à http://www.cos-mag.com/hygiene/hygiene-stories-exclusive/5234-up-in-surgical-smoke.html

  • Un vide sanitaire est un espace accessible ou non, situé entre le sol et le premier plancher d’un bâtiment. Généralement, on trouve dans ces espaces des contaminants qui peuvent présenter un risque pour la santé des travailleurs qui y effectuent des travaux, mais également un risque potentiel pour les occupants des locaux adjacents.

    Source : Millot, Nicolas. (2016, Septembre). Travail et santé, 32(3), 21-23.

  • La CNESST a publié en début d’année la planification de ses travaux législatifs et règlementaires pour 2016. On y apprend qu’elle envisage d’analyser « la faisabilité de recourir au principe de synchronisation avec un ou des organismes scientifiques de normalisation reconnus » tels que l’ACGIH et le CIRC pour la mise à jour d’une partie de l’Annexe I du RSST.

    Source : Bégin, Denis. (2016, Septembre). Travail et santé, 32(1), 20.

  • Although indoor air can spread many pathogens, information on the airborne survival and inactivation of such pathogens remains sparse. Staphylococcus aureus and Klebsiella pneumoniae were nebulized separately into an aerobiology chamber. Between tests, filtered air purged the chamber of any residual airborne microbes. The results indicated that the setup described is suitable for work with all major classes of pathogens and also complies with the U.S. Environmental Protection Agency’s guidelines (2012) for testing air decontamination technologies.

    Source : Sattar, Syed A., Kibbee, Richard J., Zargar, Bahram, Wright, Kathryn E., Rubono. Joseph R., & Ijaz, M. Khalid. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.067

  • Health care workers are at risk of occupational infections, and some procedures are known to increase this risk. The aim of this study was to qualify and quantify bioaerosol concentrations during bronchoscopy to estimate the occupational risk. Full-day sampling was conducted in 2 rooms while bronchoscopies were performed on patients. Two microbial air samplers were used, a wet wall cyclonic sampler and an impactor, on culture media. The results showed that culturable bacteria from oral, nasal, and pulmonary flora are aerosolized during bronchoscopy and could be inhaled by medical staff. The potential presence of pathogens in those aerosols could represent an occupational infection risk.

    Source : Marchand, Geneviève, Duchaine, Caroline, Lavoie, Jacques, Veillette, Marc, & Cloutier, Yves. (2016). AJIC : American Journal of Infection Control. Prépublication. OI: http://dx.doi.org/10.1016/j.ajic.2016.04.241

  • RÉTENTION DU PERSONNEL

  • Cette revue de littérature a pour thème central l’influence du climat psychologique de travail et de la satisfaction au travail sur l’intention de quitter chez les infirmières. Plus spécifiquement, il s’agit d’abord d’exposer l’influence des dimensions du climat psychologique de travail, soit les perceptions liées à la nature de l’emploi, au rôle professionnel, à la qualité du leadership, à la qualité de l’équipe de travail ainsi qu’à l’organisation dans son ensemble, sur l’intention de quitter l’organisation ainsi que la profession chez les infirmières. Ensuite, il s’agit de mettre en évidence le rôle médiateur potentiel de la satisfaction au travail dans l’explication du mécanisme par lequel un individu passe d’une perception défavorable des dimensions du climat psychologique de travail aux intentions de quitter. Ce travail se termine sur une recension des pratiques d’évaluation et d’intervention qui pourraient favoriser le succès des démarches d’amélioration du climat psychologique et de la satisfaction au travail auprès des infirmières.

    Source : Maillet, Stéphanie, Courcy, François, Leblanc, Jeannette. (2016). Recherche en soins infirmiers, 125, 84-97. DOI : 10.3917/rsi.125.0084

  • RADIOPROTECTION

  • Radiologists who graduated from medical school after 1940 are not at greater risk of death from chronic exposure to low levels of radiation, a new study reports. The researchers, from the U.S. National Cancer Institute (NCI), credited improvements in radiation protection, safety equipment and monitoring. The researchers compared rates of cancer and death among almost 44,000 radiologists and nearly 65,000 psychiatrists who graduated from medical school between 1916 and 2006. Psychiatrists were selected because they were unlikely to be exposed to radiation while on the job. The study was published online July 19 in the journal Radiology.

    Source : Dallas, Mary Elizabeth. (2016, July 19). Radiologists Don’t Face Higher Risk of Radiation-Related Death: Study. MedlinePlus, HealthDay. Repéré à https://medlineplus.gov/news/fullstory_159962.html

    Pour lire l’article original : http://pubs.rsna.org/doi/abs/10.1148/radiol.2016152472

  • RECONNAISSANCE AU TRAVAIL

  • Employee support provides enormous benefits to help sustain a competitive advantage, respond to changes more quickly than competitors, and position the organization ahead of others. Awareness of this fact triggers organizations to prepare new motivational programs and practices. Employee involvement and rewards are among the many ways to achieve employee job satisfaction and motivational needs. Employee involvement entails giving employees an opportunity to influence decisions and actions regarding their jobs. Furthermore, rewards have the potential to prompt employees to act in line with organizational goals. This study aims to examine the relationship between employee involvement and job satisfaction based on the mediation effect of rewarding.

    Source : Bayraktar, Cahit Ali, Araci, Ozlem, Karacay, Gaye, & Calisir, Fethi. (2016). Human Factors and Ergonomics in Manufacturing and Services Industries. Prépublication. DOI: 10.1002/hfm.20683

  • SÉCURITÉ DES MACHINES – CADENASSAGE

  • Unguarded and inadequately guarded machines can lead to severe workplace injuries. The result for the worker is often amputation and permanent disability. Most incidents take place in the manufacturing sector, but incidence is also high in construction, agriculture, service industries and the wholesale and retail trade. Such accidents may also take a financial toll on a company when entire operations are shut down. Machine safeguards fall into two broad categories, barrier guards (the most common type) and safeguarding devices. While the terms "guards" and "safeguarding" are often used interchangeably, they have precise, different meanings when talking about machine safety.

    Source : Johnson, Linda. (2016, August/September). Canadian Occupational Safety, 54(4), 26-27. Repéré à http://www.cos-mag.com/safety/safety-stories-exclusive/5263-out-of-reach.html

  • Acquérir une machine ou un équipement de production ne se limite pas à la comparaison de performances techniques et de prix. Ce guide propose une démarche et des conseils pour réussir le processus d’acquisition en intégrant la santé et la sécurité des utilisateurs, les exigences techniques de la future machine et les usages attendus. Dans un premier temps, une démarche sous forme de logigramme est présentée et commentée, suivie d’une proposition de cahier des charges d’achat d’une machine. Enfin, des réponses aux questions les plus fréquemment posées sont proposées.

    Source : Daille-Lefevre, Bruno, Marsot, Jacques, Poyard, Jean-Louis, Dequaire, Élodie, & Roignot, Rémy. (2016). Paris : INRS, 14 p. (ED 6231) . Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6231/ed6231.pdf

  • Un travailleur dans le département des viandes d’une épicerie a été blessé alors qu’il transformait de la viande à l’aide d’une machine à mélanger/hacher la viande. Le travailleur a ouvert le couvercle/protecteur de la machine alors qu’elle fonctionnait encore et s’est penché à l’intérieur. Le bras du travailleur s’est emmêlé dans les pièces mobiles. Voici un résumé des risques et des mesures de sécurité reliés à l’utilisation de ces appareils en services alimentaires.

    Source : Ontario. Ministère du Travail. (2016, 13 septembre). Alerte : Mélangeur/hachoir à viande. Ontario. Ministère du travail. Santé et sécurité. Publications. Alertes. Repéré à https://www.labour.gov.on.ca/french/hs/pubs/alerts/i42.php

  • SÉCURITÉ DES PATIENTS

  • There is growing evidence that teamwork in hospitals is related to both patient outcomes and clinician occupational well-being. Furthermore, clinician well-being is associated with patient safety. Despite considerable research activity, few studies include all three concepts, and their interrelations have not yet been investigated systematically. To advance their understanding of these potentially complex interrelations, the authors propose an integrative framework taking into account current evidence and research gaps identified in a systematic review.

    Source : Welp, Annalena, & Manser, Tanja. (2016). BMC Health Services Research, 2016, 16, 281. doi: 10.1186/s12913-016-1535-y

  • SÉCURITÉ ROUTIÈRE

  • Cet article traite des récentes innovations sur le marché permettant de détecter les angles morts. En plus, il aborde la question des trucs maison que certains pratiquent plus ou moins aléatoirement. Plus précisément, on traite de l’ouverture des rétroviseurs vers l’extérieur, des rétroviseurs convexes additionnels, des capteurs par ultrasons ou par radar et des capteurs par caméra.

    Source : Corriveau, Denis. (2016, Juin). Travail et santé, 32(2), 30-31.

  • Le meilleur moyen de se prémunir contre les risques de décharge électrique et d’éclair d’arc est de travailler lorsque tous les appareils sont hors tension. Cet article propose une revue des phénomènes dangereux auxquels un travailleur peut être exposé. De plus l’efficacité relative des mesures de réduction de risques qui peuvent être implantées pour contrôler les risques liés à l’électricité sera abordée.

    Source : Giroux, Benoit. (2016, Juin). Travail et santé, 32(2), 16-18.

  • La parfaite position de conduite est un sujet qui devrait intéresser particulièrement les personnes qui passent de longues heures au volant de leur véhicule. Si le propos parait anodin à première vue, il revêt une importance insoupçonnée au niveau de la sécurité. Une bonne position de conduite favorise le confort, et ainsi une réduction des contraintes musculosquelettiques aux bras, au cou, au dos et aux jambes à court, moyen et long terme. Il est de plus manifeste qu’adapter l’ergonomie de son habitacle à son gabarit favorise des réactions plus rapides et plus précises quand vient le moment de manoeuvrer prestement le volant et les pédales.

    Source : Corriveau, Denis. (2016, Septembre). Travail et santé, 32(3), 6.

  • SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • Work-related stress among nurses is estimated to be the biggest occupational health problem after musculoskeletal disorders. The purpose of this study was to review the effects of mindfulness-based interventions on registered nurses and nursing students. Studies on the effects of mindfulness-based interventions for nurses and nursing students published between 1980 – 2014 were identified through a systematic search in electronic databases. The results showed that mindfulness appeared to significantly improve nurses’ mental health. It could be used in worksite health promotion programs. Only a few studies have explored the impact of mindfulness on nurses’ professional behaviors and their relationships with patients and colleagues.

    Source : Guillaumie, Laurence, Boiral, Olivier, & Champagne, Julie. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13176

  • Cette revue de littérature a pour thème central l’influence du climat psychologique de travail et de la satisfaction au travail sur l’intention de quitter chez les infirmières. Plus spécifiquement, il s’agit d’abord d’exposer l’influence des dimensions du climat psychologique de travail, soit les perceptions liées à la nature de l’emploi, au rôle professionnel, à la qualité du leadership, à la qualité de l’équipe de travail ainsi qu’à l’organisation dans son ensemble, sur l’intention de quitter l’organisation ainsi que la profession chez les infirmières. Ensuite, il s’agit de mettre en évidence le rôle médiateur potentiel de la satisfaction au travail dans l’explication du mécanisme par lequel un individu passe d’une perception défavorable des dimensions du climat psychologique de travail aux intentions de quitter. Ce travail se termine sur une recension des pratiques d’évaluation et d’intervention qui pourraient favoriser le succès des démarches d’amélioration du climat psychologique et de la satisfaction au travail auprès des infirmières.

    Source : Maillet, Stéphanie, Courcy, François, Leblanc, Jeannette. (2016). Recherche en soins infirmiers, 125, 84-97. DOI : 10.3917/rsi.125.0084

  • Owing to the importance of employee psychological well-being for a variety of work- and non-work-related outcomes, practitioners and scholars have begun to broaden the scope of workplace well-being interventions by incorporating principles from positive psychology. Among such positive interventions, gratitude exercises have arguably emerged as the “gold standard” practice, with much research pointing to their effectiveness. However, existing workplace interventions lack a true (i.e., no intervention) control group, and effects have been observed for some—but not all—outcomes tested. Therefore, the purpose of this brief report was to conduct a concise but methodologically rigorous evaluation of the effectiveness of 2 positive psychology workplace interventions in improving employee affect, and to examine potential moderators of intervention effectiveness.

    Source : Winslow, Carolyn J., Kaplan, Seth A., Bradley-Geist, Jill C., Lindsey, Alex P., Ahmad, Afra S., & Hargrove, Amber K. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000035

  • Cet article porte sur le développement d’une mesure de bien-être au travail. Plus précisément, notre objectif était de mesurer le bien-être au travers des manifestations du bien-être hédonique et eudémonique. La mesure présentée comporte deux dimensions du bien-être hédonique : les émotions positives au travail, la satisfaction au travail et une dimension large de bien-être eudémonique, nommée fonctionnement optimal. Les salariés de trois entreprises françaises ont complété notre mesure de bien-être au travail (BET), une brève mesure de satisfaction envers l’environnement de travail, une mesure de soutien social perçu et une mesure de stress perçu.

    Source : Collange, J., Gaucher, R., George, M., Saunder, L. & Albert, E. (2016). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. http://dx.doi.org/10.1016/j.admp.2016.07.003

  • Pour répondre notamment aux préoccupations de santé de leurs employés, plusieurs employeurs offrent à leurs travailleurs des programmes de mieux-être en entreprise. Ces programmes, qui visent l’amélioration d’un ou de plusieurs paramètres de santé, ont un coût, et dans la plupart des cas, on ne sait pas si l’argent et le temps qu’on y consacre fournissent un retour sur investissement. Une première étude canadienne s’est penchée sur le sujet et fournit des pistes pour chiffrer concrètement ce qui d’ordinaire se mesure difficilement.

    Source : Sabourin, Guy. (2016, Automne). Prévention au travail, 29(3), 34-35. Repéré à http://preventionautravail.com/archives-numeros/19-automne-2016/file.html#34

  • Le travail est une source de bonheur pour plus de la moitié des Québécois. Selon une étude publiée en 2013 sur l’indice relatif de bonheur (IRB), la majorité d’entre eux trouveraient bien-être et satisfaction dans la tâche accomplie au bureau. Mieux encore, ceux qui indiquent y puiser du plaisir afficheraient une joie de vivre globalement supérieure à ceux qui prétendent le contraire, sachant que les relations qui se nouent au travail jouent un rôle décisif.

    Source : Jobillico. (28 septembre 2016). Journal de Montréal. Repéré à http://www.journaldemontreal.com/2016/09/28/bonheur-au-travail–le-jeu-des-perceptions

  • Au Québec, une quarantaine d’entreprises ont décroché la norme Entreprise en santé, créé en 2009 par le Groupe Entreprise en santé et le Bureau de normalisation du Québec (BNQ). Selon Rémun, une enquête de rémunération globale conduite par la firme d’expert-conseil en ressources humaines Normandin-Beaudry, 48 % des entreprises québécoises offrent un programme structuré de santé et mieux-être à leurs employés.

    Source : Plamondon Émond, Étienne. (15 septembre 2016). Les affaires. Repéré à https://www.lesaffaires.com/dossier/sante-et-performance-au-travail/-l-activite-physique-engendre-des-bienfaits-pour-les-employes-et-pour-l-entreprise/590036

  • SANTÉ PSYCHOLOGIQUE

  • Le travail est une source de bonheur pour plus de la moitié des Québécois. Selon une étude publiée en 2013 sur l’indice relatif de bonheur (IRB), la majorité d’entre eux trouveraient bien-être et satisfaction dans la tâche accomplie au bureau. Mieux encore, ceux qui indiquent y puiser du plaisir afficheraient une joie de vivre globalement supérieure à ceux qui prétendent le contraire, sachant que les relations qui se nouent au travail jouent un rôle décisif.

    Source : Jobillico. (28 septembre 2016). Journal de Montréal. Repéré à http://www.journaldemontreal.com/2016/09/28/bonheur-au-travail–le-jeu-des-perceptions

  • The established links between workplace bullying and poor mental health provide a prima facie reason to expect that workplace bullying increases the risk of suicidal ideation (thoughts) and behaviours. Until now, there has been no systematic summary of the available evidence. This systematic review summarises published studies reporting data on workplace bullying and suicidal ideation, or behaviour. The review sought to ascertain the nature of this association and highlight future research directions.

    Source : Leach, Liana S., Poyser, Carmel, & Butterworth, Peter. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103726

  • Dépression, anxiété, insomnie, épuisement professionnel, stress et détresse… La vie active peut parfois être à l’origine de troubles de santé psychologique, lesquels figurent aujourd’hui parmi les principales causes d’absence du travail. Devant cette situation, des organisations essaient d’humaniser leurs façons de faire en entreprenant une démarche dont les gestionnaires, traits d’union entre la haute direction et le personnel, sont forcément les pivots. Si plusieurs recherches ont démontré la pertinence des interventions destinées à conjurer les problèmes de cet ordre en englobant les caractéristiques de l’organisation plutôt que de se limiter à celles des individus, les facteurs qui facilitent ou entravent leur mise en oeuvre ont été peu étudiés. Le point de vue de Lucie Legault, conseillère à l’ASSTSAS est aussi exposé dans cet article.

    Source : Thivierge, Claire. (2016, Automne). Prévention au travail, 29(3), 17-19. Repéré à http://www.preventionautravail.com/recherche/368-sante-psychologique-au-travail-l-influence-des-gestionnaires.html

  • On sait d’expérience qu’on est toujours en train de penser. Des mots et des images, reliés à divers thèmes, passent ainsi dans notre conscience de façon continue. On peut toujours prendre conscience de ce à quoi on est en train de penser. Mais choisissons-nous vraiment de penser à ce à quoi nous pensons?

    Source : Lafleur, Jacques. (2016, Juin). Travail et santé, 32(2), 8-11.

  • Burnout is prevalent among mental health providers and is associated with significant employee, consumer, and organizational costs. Over the past 35 years, numerous intervention studies have been conducted but have yet to be reviewed and synthesized using a quantitative approach. To fill this gap, the authors performed a meta-analysis on the effectiveness of burnout interventions for mental health workers. They completed a systematic literature search of burnout intervention studies that spanned more than 3 decades (1980 to 2015).

    Source : Dreison, Kimberly C., Luther, Lauren, Bonfils, Kelsey A., Sliter, Michael T., McGrew, John H., & Salyers, Michelle P. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000047

  • Grounding their research in conservation of resources theory, the authors set out to shed light on the relationship between transformational leadership (TFL) and employee burnout. Specifically, they considered both thriving at work, a personal resource, and employees’ openness to experience (OTE), a key resource, to uncover whether all employees benefit equally from TFL (a contextual resource). In detail, They argued that the negative effect of TFL on employee burnout is mediated by employee thriving at work, and that employees’ OTE constitutes a boundary condition of this process.

    Source : Hildenbrand, Kristin, Sacramento, Claudia A., & Binnewies, Carmen. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000051

  • The effects of randomization to a workplace mindfulness training (WMT) or a waitlist control condition on teachers’ well-being (moods and satisfaction at work and home), quantity of sleep, quality of sleep, and sleepiness during the day were examined in 2 randomized, waitlist controlled trials (RCTs). The combined sample of the 2 RCTs, conducted in Canada and the United States, included 113 elementary and secondary school teachers. Results showed that teachers randomized to WMT reported less frequent bad moods at work and home, greater satisfaction at work and home, more sleep on weekday nights, better quality sleep, and decreased insomnia symptoms and daytime sleepiness. Training-related group differences in mindfulness and rumination on work at home at postprogram partially mediated the reductions in negative moods at home and increases in sleep quality at follow-up.

    Source : Crain, Tori L., Schonert-Reichl, Kimberly A., & Roeser, Robert W. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000043

  • The Jacobson Group recently created an infographic that offers 10 tips to help decrease employee stress. Since 76 percent of workers credit their leading cause of stress to their job, it is in employers’ best interest to help them stay stress-free while at work. According to the American Institute of Stress, job stress costs U.S. businesses more than $300 billion annually.

    Source : Smith, Sandy. (2016, October 4). EHS Today. Repéré à http://ehstoday.com/infographics/10-ways-de-stress-your-employees-infographic

  • The objective of this study was to systematically review the evidence on factors that influence burnout in health care aides working in nursing homes. This review showed that factors associated with burnout in health care aides are similar to those reported among nurses, although the level of evidence and low methodological rigor of these studies suggest more robust study designs are warranted. Our findings suggest research focused on this important but largely invisible group of care providers could yield important advances in understanding burnout in this group and yield potential interventions to buffer burnout and its consequences. Without mitigating the effects of burnout on nursing home health care aides, vulnerable older adults in residential care are at risk.

    Source : Cooper, Sarah L., Carleton, Heather L., Chamberlain, Stephanie A., Cummings, Greta G., Bambrick, William, & Estabrooks, Carole A. (2016). Burnout research, 3(3), 76-87. http://dx.doi.org/10.1016/j.burn.2016.06.003

  • Dans cette chronique, l’auteure présente et suggère la lecture de quelques-unes des nouvelles publications concernant le bien-être au travail et la santé psychologique, soit 1) les conditions gagantes des interventions organisationnelles 2) la méditation, un plus pour tous ! 3) le travail par quarts, performance et bien-être.

    Source : Désilets, Suzie. (Septembre 2016). OP, 39(3), 32. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393032_coindoc.pdf

  • Work-related stress among nurses is estimated to be the biggest occupational health problem after musculoskeletal disorders. The purpose of this study was to review the effects of mindfulness-based interventions on registered nurses and nursing students. Studies on the effects of mindfulness-based interventions for nurses and nursing students published between 1980 – 2014 were identified through a systematic search in electronic databases. The results showed that mindfulness appeared to significantly improve nurses’ mental health. It could be used in worksite health promotion programs. Only a few studies have explored the impact of mindfulness on nurses’ professional behaviors and their relationships with patients and colleagues.

    Source : Guillaumie, Laurence, Boiral, Olivier, & Champagne, Julie. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13176

  • Cette revue de littérature a pour thème central l’influence du climat psychologique de travail et de la satisfaction au travail sur l’intention de quitter chez les infirmières. Plus spécifiquement, il s’agit d’abord d’exposer l’influence des dimensions du climat psychologique de travail, soit les perceptions liées à la nature de l’emploi, au rôle professionnel, à la qualité du leadership, à la qualité de l’équipe de travail ainsi qu’à l’organisation dans son ensemble, sur l’intention de quitter l’organisation ainsi que la profession chez les infirmières. Ensuite, il s’agit de mettre en évidence le rôle médiateur potentiel de la satisfaction au travail dans l’explication du mécanisme par lequel un individu passe d’une perception défavorable des dimensions du climat psychologique de travail aux intentions de quitter. Ce travail se termine sur une recension des pratiques d’évaluation et d’intervention qui pourraient favoriser le succès des démarches d’amélioration du climat psychologique et de la satisfaction au travail auprès des infirmières.

    Source : Maillet, Stéphanie, Courcy, François, Leblanc, Jeannette. (2016). Recherche en soins infirmiers, 125, 84-97. DOI : 10.3917/rsi.125.0084

  • This systematic review and meta-analysis aimed to examine whether working beyond the standard working hours was associated with a greater risk of depressive disorder among workers included in published prospective studies. The analysis showed that overtime work was associated with a small, non-significant, elevated risk of depressive disorder in a random effects model. The association tended to be greater for women. The risk of working 50 or more hours per week was slightly but not significantly increased.

    Source : Watanabe, Kazushiro, Imamura, Kotaro, & Kawakami, Norito. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103845

  • Needlestick injuries (NSIs) represent a major concern for the safety of health care workers involved in clinical care. The percentage of health workers reporting these injuries varies between 9 and 38% and the occurrence of NSI is most frequent among employees having close clinical contact with patients or patient specimens. These injuries appear to occur most frequently where organizational factors contribute to the risk.

    Source : d’Ettore, G. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw110

  • The aim of this study was to evaluate the effectiveness of a 6-week mindfulness-based stress release program (SRP) on stress and work engagement in fulltime university employees. Perceived stress, workplace wellbeing, and engagement were measured at baseline and within 1 week of the SRP completion, and contemporaneously 6 weeks apart for a waitlist control group. A second program was implemented to examine reproducibility of results.

    Source : Koncz, Rebecca, Wolfenden, Fiona, Hassed, Craig, Chambers, Richard, Cohen, Julia, & Glozier, Nicholas. (2016). JOEM : Journal of Occupational & Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000856

  • Employee support provides enormous benefits to help sustain a competitive advantage, respond to changes more quickly than competitors, and position the organization ahead of others. Awareness of this fact triggers organizations to prepare new motivational programs and practices. Employee involvement and rewards are among the many ways to achieve employee job satisfaction and motivational needs. Employee involvement entails giving employees an opportunity to influence decisions and actions regarding their jobs. Furthermore, rewards have the potential to prompt employees to act in line with organizational goals. This study aims to examine the relationship between employee involvement and job satisfaction based on the mediation effect of rewarding.

    Source : Bayraktar, Cahit Ali, Araci, Ozlem, Karacay, Gaye, & Calisir, Fethi. (2016). Human Factors and Ergonomics in Manufacturing and Services Industries. Prépublication. DOI: 10.1002/hfm.20683

  • Given evidence suggesting a detrimental effect of occupational stress on sleep, it is important to identify protective factors that may ameliorate this effect. The authors followed 87 paramedics upon waking and after work over 1 week using a daily diary methodology. Paramedics who reported more support availability tended to report better quality sleep over the week. Additionally, perceived support availability buffered postworkday sleep from average occupational stress and days of especially high occupational stress. Perceived support availability also buffered off-workday sleep from the cumulative amount of occupational stress experienced over the previous workweek. Those with low levels of support displayed poor sleep quality in the face of high occupational stress; those high in support did not show significant effects of occupational stress on sleep.

    Source : Pow, Jessie, King, David B., Stephenson, Ellen, & DeLongis, Anita. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/a0040107

  • Owing to the importance of employee psychological well-being for a variety of work- and non-work-related outcomes, practitioners and scholars have begun to broaden the scope of workplace well-being interventions by incorporating principles from positive psychology. Among such positive interventions, gratitude exercises have arguably emerged as the “gold standard” practice, with much research pointing to their effectiveness. However, existing workplace interventions lack a true (i.e., no intervention) control group, and effects have been observed for some—but not all—outcomes tested. Therefore, the purpose of this brief report was to conduct a concise but methodologically rigorous evaluation of the effectiveness of 2 positive psychology workplace interventions in improving employee affect, and to examine potential moderators of intervention effectiveness.

    Source : Winslow, Carolyn J., Kaplan, Seth A., Bradley-Geist, Jill C., Lindsey, Alex P., Ahmad, Afra S., & Hargrove, Amber K. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000035

  • This research investigated the conditions under which exposure to incivility at work was associated with engaging in counterproductive work behavior (CWB). Drawing from stressor-strain and coping frameworks, we predicted that experienced incivility would be associated with engaging in production deviance and withdrawal behavior, and that these relationships would be strongest for employees who had high levels of job involvement and worked under task interdependent conditions. Gender differences in these effects were also investigated.

    Source : Welbourne, Jennifer L., & Sariol, Ana M. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000029

  • Drawing on social learning literature, this study examined managers’ health awareness and health behavior (health-related self-regulation) as a moderator of the relationships between transformational leadership and employee exhaustion and cynicism. In 2 organizations, employees rated their own exhaustion and cynicism, and their managers’ transformational leadership. Managers assessed their own health-related self-regulation.

    Source : Kranabetter, Caroline, & Niessen, Cornelia. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000044

  • There is growing research interest regarding the significance of mindfulness in the workplace. Within this body of knowledge, research investigating the effects of mindfulness interventions on employee health and well-being has strong practical implications for organizations. A sound understanding of the current state of the workplace mindfulness intervention literature will help inform the suitability of these interventions within the workplace domain, and how to improve the conduct and communication of intervention-oriented research. Accordingly, in this article, the authors systematically review 40 published articles of mindfulness interventions in the workplace to identify ways in which these interventions could be improved, and how to overcome methodological concerns that threaten study validity. Studies selected for review were published peer-reviewed, primary empirical research studies written in English, with a focus on a workplace mindfulness intervention.

    Source : Jamieson, Stephanie D., & Tuckey, Michelle R. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/ocp0000048

  • Cet article porte sur le développement d’une mesure de bien-être au travail. Plus précisément, notre objectif était de mesurer le bien-être au travers des manifestations du bien-être hédonique et eudémonique. La mesure présentée comporte deux dimensions du bien-être hédonique : les émotions positives au travail, la satisfaction au travail et une dimension large de bien-être eudémonique, nommée fonctionnement optimal. Les salariés de trois entreprises françaises ont complété notre mesure de bien-être au travail (BET), une brève mesure de satisfaction envers l’environnement de travail, une mesure de soutien social perçu et une mesure de stress perçu.

    Source : Collange, J., Gaucher, R., George, M., Saunder, L. & Albert, E. (2016). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. http://dx.doi.org/10.1016/j.admp.2016.07.003

  • La technologie se développe à un rythme effréné, toutefois, la «connexion 24/7» demeure une réalité relativement nouvelle. Mais cette technologie a aussi créé ses accros, des personnes qui ne parviennent pas à se débrancher. Existe-t-il un lien entre technologie et stress? Il semblerait que oui. Faites un test, débranchez-vous complètement pendant quelques heures. Premièrement, est-ce que cette idée vous plaie ou vous effraie ? Une fois déconnecté, comment réagissez-vous ? Avez-vous une impression de vide, ressentez-vous le désir de vous reconnecter ?

    Source : Banville, Julie, & Ayotte, Jacinthe. (2016, Juin). Travail et santé, 32(2),36-37.

  • Professeure titulaire au Département de psychiatrie de l’Université de Montréal, fondatrice et directrice du Centre d’études sur le stress humain (CESH), la Dre Sonia Lupien a décortiqué les composantes du stress et créé une méthode permettant de relativiser les risques et donc, de gérer plus sainement cette pulsion viscérale. Elle résume les déclencheurs du stress dans l’acronyme CINÉ : manque de contrôle, imprévisibilité, nouveauté, ego menacé. Une fois la capacité d’en disséquer les sources acquise, il est possible de trouver des moyens de le maîtriser.

    Source : Thivierge, Claire. (2016, Automne). Prévention au travail, 29(3), 44-45. Repéré à http://preventionautravail.com/archives-numeros/19-automne-2016/file.html

  • Nursing is perceived as a strenuous job. Although past research has documented that stress influences nurses’ health in association with quality of life, the relation between stress and caring behaviors remains relatively unexamined, especially in the Greek working environment, where it is the first time that this specific issue is being studied. The aim was to investigate and explore the correlation amidst occupational stress, caring behaviors and their quality of life in association to health.

    Source : Sarafis, Pavlos, Rousaki, Eirini, Tsounis, Andreas, Malliarou, Maria, Lahana, Liana, Bamidis, Panagiotis, Niakas, Dimitris, & Papastavrou, Evridiki. (2016). BMC Nursing. 15:56 DOI: 10.1186/s12912-016-0178-y

  • Ralentir la cadence malgré les obligations et l’horaire rempli demeure un choix. Il est fréquent de nos jours de tenir des agendas surchargés nous permettant à peine de nous déplacer d’un rendez-vous à l’autre. Mais est-ce que fonctionner à toute vitesse nous rend réellement plus productifs ?

    Source : Banville, Julie, & Ayotte, Jacinthe. (2016, Septembre). Travail et santé, 32(3), 38-29.

  • epuis une trentaine d’années, le monde du travail est envahi par les changements technologiques, notamment par ceux qui concernent la communication. Destinés à augmenter la rapidité d’exécution, les nouveaux outils comme internet, courriels, SMS, et autres ont cependant contribué à l’augmentation du niveau de stress de bien des gens.

    Source : Lafleur, Jacques (2016, Septembre). Travail et santé, 32(3), 16-18.

  • "Voici que je récidive cette expérience d’écriture, pour le plaisir de certains et pour le malheur d’autres, certes. Mais voilà, trouver un sujet sur lequel on peut apporter un nouvel éclairage, humoristique de surcroit, c’est une mission assez difficile et même risquée. Et pourquoi pas les personnalités qui nous empoisonnent l’existence au travail ?"

    Source : Côté, Kathleen. (2016, Septembre). Travail et santé, 32(3), 8-11.

  • Nombreuses sont les formations destinées aux gestionnaires sur les thèmes du leadership, de la communication ou de la reconnaissance. Mais qui parmi nos lecteurs a déjà suivi une formation sur la confiance ? Très peu d’entre vous, n’est-ce pas ? Pourtant, le prix à payer est élevé lorsque les employés sont méfiants envers leur gestionnaire et leur employeur. Cet article expose les 4 dimensions essentielles au développement de la confiance et propose un court questionnaire d’évaluation pour les gestionnaires.

    Source : Bertholet, Jean-François, & Gaudet, Marie-Claude. (2016, Automne). Gestion, 41(3), 112-114. Repéré à http://www.revuegestion.ca/catalog/revue-gestion/articles/volume-50/volume-41-numero-3/tes-vous-un-gestionnaire-digne-de-confiance.html

  • Organizations looking to fill their management ranks routinely select individuals with commanding presence, high IQs, and proven skill sets—qualities that provide a reassuring predictive validity of high performance. But these traditional measures cannot account for variance in work performance or career success, especially among top managers and other senior leaders. Nor do they unravel the mystery of why those of average intelligence frequently outperform the more intellectually gifted with top-tier IQs.

    Source : Kidder, F. Key. (2016, September). Lab Manager, 11(8), 24-27. 

  • There is growing evidence that teamwork in hospitals is related to both patient outcomes and clinician occupational well-being. Furthermore, clinician well-being is associated with patient safety. Despite considerable research activity, few studies include all three concepts, and their interrelations have not yet been investigated systematically. To advance their understanding of these potentially complex interrelations, the authors propose an integrative framework taking into account current evidence and research gaps identified in a systematic review.

    Source : Welp, Annalena, & Manser, Tanja. (2016). BMC Health Services Research, 2016, 16, 281. doi: 10.1186/s12913-016-1535-y

  • Mindfulness-based stress reduction (MBSR), which was initially used in clinical settings, has also proved to be an effective tool for managing work-related stress in occupational groups inherently exposed to certain psychosocial risks. The purpose of this study was to examine the potential for work-related stress management using MBSR for middle-level managers who are considered to be particularly affected by the negative effects of stress related to organizational restructuring.

    Source : Żołnierczyk-Zreda, D., Sanderson. M. & Bedyńska, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw091

  • Previous studies have demonstrated that geriatric care employees are exposed to a large number of factors that can affect their levels of job satisfaction and occupational stress. Although working with elderly people is emotionally demanding, little research has been done on the role played by perceptions of emotional display rules, alongside more traditional work characteristics and individual factors, in the prediction of geriatric care employees’ wellbeing. The aim of the present study was to examine the role played by work characteristics (job demands, job control, emotional display rules) and individual (affectivity) factors to predict job satisfaction and burnout among French geriatric care nurses.

    Source : Rouxel, Géraldine, Michinov, Estelle, et Dodeler, Virginie. (2016). International Journal of Nursing Studies, 62(10), 81-89. doi:10.1016/j.ijnurstu.2016.07.010

  • La résilience, définie en première approche comme un processus positif d’adaptation lors d’évènements et de situations particulièrement difficiles, a fait l’objet de nombreuses recherches. Toutefois, peu d’entre-elles se sont intéressées à son interaction avec le maintien au poste de travail ou dans l’emploi. Dans la mesure où la prévention de la désinsertion professionnelle fait partie des missions du médecin du travail et constitue un objectif majeur du plan gouvernemental Santé au travail 2016–2020, nous souhaitons explorer l’intérêt que le développement de la résilience pourrait avoir en pratique.

    Source : Chakroun, R., Presseq, P., & Roussel, J.-F. (2016). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2016.04.003

  • SERVICE DE RADIOTHÉRAPIE

  • Transcranial magnetic stimulation or repetitive transcranial magnetic stimulation (TMS/rTMS) are currently used in research and treatments of diseases of the central nervous system, such as recurring depression. Strong electric pulses are used to produce strong pulsed magnetic fields that are directed to the patient’s cerebral cortex where the fields induce electric pulses. The pulses may be causing unnecessary exposure of the staff.

    Source : Møllerløkken, Ole Jacob, Stavang, Helen, & Mild, Kjell Hansson. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. 1-4. DOI: 10.1080/10803548.2016.1223193

  • SERVICES À DOMICILE

  • Cet article traite des récentes innovations sur le marché permettant de détecter les angles morts. En plus, il aborde la question des trucs maison que certains pratiquent plus ou moins aléatoirement. Plus précisément, on traite de l’ouverture des rétroviseurs vers l’extérieur, des rétroviseurs convexes additionnels, des capteurs par ultrasons ou par radar et des capteurs par caméra.

    Source : Corriveau, Denis. (2016, Juin). Travail et santé, 32(2), 30-31.

  • Les troubles musculo squelettiques (TMS) constituent un problème récurrent en milieu de soin. Matériel dédié, formations, organisation… deux établissements, la résidence Eleusis située en région parisienne et l’association Saint Vincent de Paul, un service de soins infirmiers à domicile, à Saint Quentin, ont agi. Chacun a mis en place, à sa manière, une démarche pour prévenir les TMS, avec des résultats tangibles à la clé. À découvrir dans ces deux reportages.

    Source : Institut national de recherche et de sécurité. (2016, 2 août). INRS. Actualités. Repéré à http://www.inrs.fr/actualites/Soin-a-la-personne-deux-nouvelles-videos.html

  • La plupart des infirmières en soins podologiques exercent en pratique privée. Elles interviennent en première ligne et cumulent à la fois des responsabilités cliniques et de gestions de leur service. Ces lignes directrices de l’OIIQ présentent une approche de la prévention et du contrôle des infections acceptée professionnellement et adaptée aux soins podologiques.  Elles énoncent des orientations ainsi que des recommandations pour la pratique en cabinet ou dans la communauté mais elles peuvent aussi s’appliquer à la pratique en établissement de santé.

    Source : Bouffard, Louiselle, & Perazzello, Monique. (2016). Montréal : Ordre des infirmières et infirmiers du Québec, 86 p. Repéré à http://www.oiiq.org/sites/default/files/2461-lignes-directrices-infections-soins-podologiques_1.pdf

    Pour consulter la fiche aide-mémoire : http://www.oiiq.org/sites/default/files/uploads/pdf/publications/publicationsoiiq/2461-lignes-directrices-infections-soins-podologiques-fiche-web.pdf

  • Chemotherapy exposure during drug administration and provision of care is a known risk for oncology nurses and other healthcare workers. Guidelines to minimize exposure to hazardous drugs, such as chemotherapy, have long been in place to decrease potential health risks. Because most chemotherapy is now administered in the outpatient setting, extension of precautions to reduce exposure to chemotherapy in excreta should be continued by the patient and caregiver in the home setting.

    Source : Houlihan, Nancy G. (2015). Oncology Nursing Forum, 42(6), 695. DOI: 10.1188/15.ONF.695

  • L’accès à des soins d’hygiène sécuritaires est un enjeu important pour les personnes vivant à domicile. L’implantation de pratiques cliniques novatrices, efficaces et intégrées pour adapter la salle de bain contribue à maintenir un niveau d’autonomie optimal tout en assurant des services efficients à la population. Cet article témoigne de l’évolution du modèle d’organisation de services pour les soins d’hygiène à domicile développé au CLSC de St-Léonard et St-Michel (CIUSSS de l’Est de Montréal).

    Source : Mercier, Sylvie, & Allard, Jocelyne. (Septembre 2016). OP, 39(3), 14-16. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393014_organisationdutravail.pdf

  • À domicile, il est de plus en plus fréquent que certains usagers nécessitent des soins sur une longue période. C’est souvent le cas, entre autres, pour soigner les plaies aux jambes. Au CLSC Jean-Olivier-Chénier du CISSS des Laurentides, un comité clinique a été mis en place pour élaborer une procédure pour les soins complexes à domicile. Celle-ci a comme principal objectif la prévention des blessures pour le personnel infirmier. En rencontre d’équipe, la nouvelle procédure a été présentée aux infirmières. Pour leur sécurité, celles-ci savent qu’elles doivent exiger certains équipements à domicile.

    Source : Ruel, Manon. (Septembre 2016). OP, 39(3), 20-21. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393020_pleinsfeux.pdf

  • Health care workers providing home care are frequently unaware of their client’s history of violence or mental illness/substance abuse disorder, recognized risk factors for workplace violence. This study estimated the associations between these factors and experiencing client violence among direct care workers in the home settings (DCWHs).

    Source : Byon, Ha Do, Storr, Carla, Edwrads, Lori, & Lipscomb, Jane. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22652

  • Deux millions de salariés se répartissent dans autant de foyers pour y apporter l’aide et les soins nécessaires au maintien des personnes à leur domicile. Si la qualité de la relation nouée avec les bénéficiaires est source de motivation, les intervenants se retrouvent souvent seuls face à la détresse physique et psychologique de ces personnes. Et sont soumis à des contraintes physiques qui engendrent maladies et accidents. Alors que le nombre de séniors dans la population française augmente et que les besoins en intervenants à domicile iront croissant, préserver leur santé et leur sécurité est un devoir. Les acteurs institutionnels et professionnels ont pris la mesure du défi à relever en mettant en oeuvre différentes actions de prévention.

    Julie Bleau, conseillère à l’ASSTSAS a rédigé un article pour ce dossier.

    Source : Institut national de recherche et de sécurité (2016). Hygiène & Sécurité du travail, 243, [24]-46. Repéré à http://www.hst.fr/dms/hst/data/articles/HST/TI-DO-13/do13.pdf

  • SERVICES ALIMENTAIRES

  • Unguarded and inadequately guarded machines can lead to severe workplace injuries. The result for the worker is often amputation and permanent disability. Most incidents take place in the manufacturing sector, but incidence is also high in construction, agriculture, service industries and the wholesale and retail trade. Such accidents may also take a financial toll on a company when entire operations are shut down. Machine safeguards fall into two broad categories, barrier guards (the most common type) and safeguarding devices. While the terms "guards" and "safeguarding" are often used interchangeably, they have precise, different meanings when talking about machine safety.

    Source : Johnson, Linda. (2016, August/September). Canadian Occupational Safety, 54(4), 26-27. Repéré à http://www.cos-mag.com/safety/safety-stories-exclusive/5263-out-of-reach.html

  • Un travailleur dans le département des viandes d’une épicerie a été blessé alors qu’il transformait de la viande à l’aide d’une machine à mélanger/hacher la viande. Le travailleur a ouvert le couvercle/protecteur de la machine alors qu’elle fonctionnait encore et s’est penché à l’intérieur. Le bras du travailleur s’est emmêlé dans les pièces mobiles. Voici un résumé des risques et des mesures de sécurité reliés à l’utilisation de ces appareils en services alimentaires.

    Source : Ontario. Ministère du Travail. (2016, 13 septembre). Alerte : Mélangeur/hachoir à viande. Ontario. Ministère du travail. Santé et sécurité. Publications. Alertes. Repéré à https://www.labour.gov.on.ca/french/hs/pubs/alerts/i42.php

  • SERVICES AMBULANCIERS

  • Given evidence suggesting a detrimental effect of occupational stress on sleep, it is important to identify protective factors that may ameliorate this effect. The authors followed 87 paramedics upon waking and after work over 1 week using a daily diary methodology. Paramedics who reported more support availability tended to report better quality sleep over the week. Additionally, perceived support availability buffered postworkday sleep from average occupational stress and days of especially high occupational stress. Perceived support availability also buffered off-workday sleep from the cumulative amount of occupational stress experienced over the previous workweek. Those with low levels of support displayed poor sleep quality in the face of high occupational stress; those high in support did not show significant effects of occupational stress on sleep.

    Source : Pow, Jessie, King, David B., Stephenson, Ellen, & DeLongis, Anita. (2016). Journal of Occupational Health Psychology. Prépublication. http://dx.doi.org/10.1037/a0040107

  • SERVICES AMBULATOIRES

  • In recent years, safe patient handling in the health care industry has been addressed by various stakeholders, but much work remains to reduce health care worker injuries, and improve safety and care quality for patients. Recently, safe patient handling in ambulatory care settings has gained attention. As health care delivery evolves, demands on ambulatory care will increase and more dependent patients will visit ambulatory care clinics. Typically, ambulatory care clinics are not equipped with appropriate safe patient handling equipment. Examination tables, standard in ambulatory care clinics, currently have fixed height and are not easily accessible. This study investigated the benefits of introducing new height-adjustable examination tables to an ambulatory care setting. The results of this study indicate that by using height-adjustable examination tables, work-related musculoskeletal disorder (WMSD) risk for caregivers can be significantly reduced.

    Source : Fragala, Guy. (2016). Workplace Health & Safety, 64(9), 414-419. doi: 10.1177/2165079916642776

  • SERVICES DES URGENCES

  • In order to determine whether pathogenic bacteria could be transferred to health care workers by touching privacy curtains, imprints of health care workers’ fingertips were obtained when participants were approached, after hand hygiene with alcohol handrub, and directly after handling curtains. Participants’ hands were heavily contaminated at baseline, in some cases with potentially pathogenic species. Half of the participants acquired bacteria on their fingertips from handling curtains, illustrating that privacy curtains may be involved in the transmission of infection to emergency department patients.

    Source : Larocque, Mike, Carver, Sally, Bertrand, Addison, McGeer, Allison, McLeod, Shelley, & Borgundvaag, Bjug. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.04.227

  • There is a high incidence of musculoskeletal injuries (MSIs) to healthcare workers in patient care environments while performing patient handling (PH) tasks. For years in health care, providing education and training has been the approach taken to prevent MSIs; however, research in this area has demonstrated that training alone is not effective for reducing the risks of MSIs or changing the work practices of healthcare workers. Due to its fast-paced, often chaotic environment and its variety and complexity of patients, the Emergency Department (ED) faces distinct challenges with respect to PH. The purpose of this study was to investigate the effects of embedding a safe client handling champion within the ED team at 3 intervention units to address PH issues specific to the emergency care environment and measure the effectiveness of this intervention on the work practice, safety culture, and rates of PH injuries against 3 control units. Reduced injury rates and costs were found in all 3 intervention units along with an improved safe client handling/safety culture.

    Source : Thomas-Olson, Leah, Cloutier, Martha, Helal, Nermin, & Hutchison, Alison. (2016). American Journal of SPHM, 6(2), 73-82. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&product_id=183

  • SOINS D’HYGIÈNE

  • L’accès à des soins d’hygiène sécuritaires est un enjeu important pour les personnes vivant à domicile. L’implantation de pratiques cliniques novatrices, efficaces et intégrées pour adapter la salle de bain contribue à maintenir un niveau d’autonomie optimal tout en assurant des services efficients à la population. Cet article témoigne de l’évolution du modèle d’organisation de services pour les soins d’hygiène à domicile développé au CLSC de St-Léonard et St-Michel (CIUSSS de l’Est de Montréal).

    Source: Mercier, Sylvie, & Allard, Jocelyne. (Septembre 2016). OP, 39(3), 14-16. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393014_organisationdutravail.pdf

  • À domicile, il est de plus en plus fréquent que certains usagers nécessitent des soins sur une longue période. C’est souvent le cas, entre autres, pour soigner les plaies aux jambes. Au CLSC Jean-Olivier-Chénier du CISSS des Laurentides, un comité clinique a été mis en place pour élaborer une procédure pour les soins complexes à domicile. Celle-ci a comme principal objectif la prévention des blessures pour le personnel infirmier. En rencontre d’équipe, la nouvelle procédure a été présentée aux infirmières. Pour leur sécurité, celles-ci savent qu’elles doivent exiger certains équipements à domicile.

    Source : Ruel, Manon. (Septembre 2016). OP, 39(3), 20-21. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393020_pleinsfeux.pdf

  • Besides patient handling tasks, postural (or static) load is a well-known, yet underestimated, occupational health risk related to disabling back pain in nurses. Exposure is high during tasks such as washing. This descriptive study intends to provide quantitative insight into postural load during hygiene tasks. One hundred twelve standardized procedures performed by 4 nurses using 6 types of equipment and 2 washing techniques on role-playing patients with varying mobility were filmed. Quantitative data on time and postural load were collected by analyzing each second of video and by subjective data via surveys. Patient mobility, type of equipment, and washing technique were related significantly to hygiene care duration. The skill of the nurse, type of equipment, and mobility were linked to the postural load of the back. The nurses expressed an overall lower satisfaction with procedures on the high-low bed. Recommendations for reducing duration and extent of static load are given, but more research is needed.

    Source : Knibbe, Hanneke J.J., Knibbe, Nico E., Heitink, Diede E.B.L. (2016). American Journal of SPHM, 6(2), 49-64. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&product_id=181

  • SST EN ÉTABLISSEMENT DE SANTÉ

  • L’INRS propose deux nouveaux films consacrés à la prévention des risques professionnels dans le secteur du soin à la personne. Ces films abordent, au travers de reportages, différents thèmes tels que l’organisation du travail, le rôle de la hiérarchie dans la mise en place et le suivi de la démarche de prévention, la formation et les équipements de travail. Ils proposent des exemples concrets de démarches de prévention mises en œuvre à la fois en établissement et en structure de soins à domicile, avec pour objectif l’amélioration des conditions de travail des soignants.

    Source : Institut national de recherche et de sécurité. (2016, 4 juillet). INRS. Actualités. (Repéré à http://www.inrs.fr/actualites/2-nouveaux-films-activite-physique-secteur-du-soin.html

  • STATISTIQUES EN SST

  • Research has shown that the injury rate for shiftworkers is higher than the injury rate for non-shiftworkers. The aim of this report is to determine whether the elevated risk of shiftwork affects all groups of shiftworkers or only particular groups of shiftworkers. This is achieved by analysing statistics from a nationally representative survey that was undertaken in 2013–14. The report also analyses the characteristics and outcomes of work-related injuries to determine whether there are significant differences between shiftworkers and non-shiftworkers.

    Source : Safe Work Australia. (2016). A Comparison of Work-Related Injuries Among Shiftworkers and Non-Shiftworkers. Canberra : Safe Work Australia, 21 p. Repéré à http://www.safeworkaustralia.gov.au/sites/SWA/about/Publications/Documents/975/comparison-of-work-related-injuries-shiftworkers-and-non-shiftworkers.pdf

  • TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

  • Parmi les sources de rayonnements optiques artificiels, de par leurs caractéristiques, les LEDs (light emitting diodes) émettent une lumière enrichie en bleu. Chez l’homme, la lumière bleue a des effets physiologiques et des risques associés spécifiques, qui sont principalement une atteinte de la rétine d’une part et une perturbation de l’horloge biologique d’autre part.

    Source : Gautier, Marie-Anne, de Quentin,Morélot, Deniel, Jean-Marc, & Barlier-Salsi, Annick. (2016, Septembre). Références en santé au travail, 147, 121-123. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-113/qr113.pdf

  • L’ANSES (Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail) a publié un rapport d’expertise collective intitulé « Compatibilité des dispositifs médicaux exposés à des sources radiofréquences ». Ce rapport contient notamment des données sur l’exposition des stimulateurs cardiaques et des défibrillateurs implantables aux champs électromagnétiques de type radiofréquence tels que téléphonie mobile et wifi.

    Source : Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail. (2016). Compatibilité électromagnétique des dispositifs médicaux exposés à des sources radiofréquences : Avis de l’Anses – Rapport d’expertise collective. Maisons Alfort Cedex, France : Anses éditions, 112 p. Repéré à https://www.anses.fr/fr/system/files/AP2011SA0211Ra.pdf

  • La technologie se développe à un rythme effréné, toutefois, la «connexion 24/7» demeure une réalité relativement nouvelle. Mais cette technologie a aussi créé ses accros, des personnes qui ne parviennent pas à se débrancher. Existe-t-il un lien entre technologie et stress? Il semblerait que oui. Faites un test, débranchez-vous complètement pendant quelques heures. Premièrement, est-ce que cette idée vous plaie ou vous effraie ? Une fois déconnecté, comment réagissez-vous ? Avez-vous une impression de vide, ressentez-vous le désir de vous reconnecter ?

    Source : Banville, Julie, & Ayotte, Jacinthe. (2016, Juin). Travail et santé, 32(2),36-37.

  • Le Wi-Fi fait partie des technologies de réseaux locaux (Local Area Network ou Lan), tout comme le Bluetooth et le DECT (Digital Enhanced Cordless Telephone). Dans le spectre des champs électromagnétiques (CEM), le Wi-Fi se range parmi les radiofréquences (RF), comme d’autres technologies sans fil, téléphoniques et de radiotélédiffusion. Quels sont les éventuels risques ou effets sur la santé liés à cette technologie?

    Source : Bourdieu, Anne. (2016,Juin). Références en santé au travail, 146, 125-126. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-114/qr114.pdf

  • epuis une trentaine d’années, le monde du travail est envahi par les changements technologiques, notamment par ceux qui concernent la communication. Destinés à augmenter la rapidité d’exécution, les nouveaux outils comme internet, courriels, SMS, et autres ont cependant contribué à l’augmentation du niveau de stress de bien des gens.

    Source : Lafleur, Jacques (2016, Septembre). Travail et santé, 32(3), 16-18.

  • TRAVAIL DE BUREAU

  • Vous travaillez à l’ordinateur à longueur de journée. Votre poste de travail informatisé est-il ergonomique? Dans cet article, on énonce quelques consignes pour éviter la fatigue visuelle et pour maintenir une bonne posture cervicale.

    Source : Centre patronal de santé et de sécurité du travaildu Québec. (2016, Octobre). Info SST. Le point sur … Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/ergonomie/devant-lecran-dordinateur-attention-a-vos-yeux-et-a-votre-cou.html

  • The aim of this study was to evaluate the effect of an activity-based work (ABW) office environment on physical activity and sedentary behavior, work ability, and musculoskeletal discomfort. Eighty-eight office workers trialed ABW for 4 weeks. Accelerometer and self-reported outcomes were measured at baseline, end-intervention, and follow-up.

    Source : Foley, Bridget, Eigelen, Lina, Gale, Joanne, Bauman, Adrian, & Mackey, Martin. (2016). JOEM : Journal of Occupational & Environmental Medicine, 58(9), 924-931. doi: 10.1097/JOM.0000000000000828

  • Harmful health effects associated with sedentary behaviour may be attenuated by breaking up long periods of sitting by standing or walking. However, studies assess interruptions in sitting time differently, making comparisons between studies difficult. It has not previously been described how the definition of minimum break duration affects sitting outcomes. Therefore, the aim was to address how definitions of break length affect total sitting time, number of sit-to-stand transitions, prolonged sitting periods and time accumulated in prolonged sitting periods among office workers.

    Source : Kloster, Stine, Danquah, Ida Høgstedt, Holtermann, Andreas, Aadahi, Mette, Tolstrup, & Schurmann, Janne. (2016). Journal of Physical Activity and Health. Prépublication. 14 p.

  • The authors investigated the muscle fatigue and degree of discomfort for seven combinations of positions in a touchpad and two click-buttons (one hand: center, midright, and right in position of touchpad and buttons; two hands: all centered, centered touchpad and left buttons, right touchpad and centered buttons, and right touchpad and left buttons) while using a laptop PC.

    Source : Han, Seung Jo, & Kim, Sun-Uk. (2016). Human Factors and Ergonomics in Manufacturing and Services Industries. Prépublication. DOI: 10.1002/hfm.20410

  • To reduce the health and injury risks of prolonged sitting, workers should change postures often and aim to stand for an equal amount of time that they spend sitting over the course of a work day. That was Jack Callaghan’s message in a keynote address at the 9th international scientific conference on the Prevention of Work-Related Musculoskeletal Disorders (PREMUS 2016) in Toronto on June 22. Although even a small decrease in sitting time has been shown to reduce musculoskeletal discomfort, from an overall health perspective, workers should aim for a one-to-one ratio of standing time and sitting time, said Callaghan. A key consideration is the frequency with which workers change positions, he also noted. Changing positions often, even if total sitting time is not reduced, can result in health benefits, including reduced low back pain.

    Source : Keynote recommends equal time standing, sitting doing workday. (2016, July 19). Canadian Occupational Safety. Hygiene stories exclusive. Repéré à http://www.cos-mag.com/hygiene/hygiene-stories-exclusive/5168-keynote-recommends-equal-time-standing-sitting-doing-workday.html?utm_term=Keynote%20recommends%20equal%20time%20standing%2C%20sitting%20during%20workday&utm_campaign=COSNewswire_20160721&utm_content=email&utm_source=Act-On+Software&utm_medium=email

  • TRAVAIL EN ÉQUIPE

  • Lorsque des tensions apparaissent, voire dégénèrent en conflit ouvert entre les membres d’un groupe de travail, vos compétences en médiation sont sollicitées. Fondées sur mon expérience à titre de facilitateur en résolution de conflits armés, voici quelques clés pour en arriver à une médiation responsable, quel que soit le contexte d’intervention.

    Source : Lempereur, Alain. (2016, Automne). Gestion, 41(3), 98-101. Repéré à http://www.revuegestion.ca/catalog/la-mediation-responsable-pour-une-equipe-unie.html

  • There is growing evidence that teamwork in hospitals is related to both patient outcomes and clinician occupational well-being. Furthermore, clinician well-being is associated with patient safety. Despite considerable research activity, few studies include all three concepts, and their interrelations have not yet been investigated systematically. To advance their understanding of these potentially complex interrelations, the authors propose an integrative framework taking into account current evidence and research gaps identified in a systematic review.

    Source : Welp, Annalena, & Manser, Tanja. (2016). BMC Health Services Research, 2016, 16, 281. doi: 10.1186/s12913-016-1535-y

  • TRAVAIL EN ESPACE CLOS

  • Cette recherche vise à prévenir les accidents en espaces clos en aidant les entreprises à appliquer la réglementation en vigueur. Les deux objectifs spécifiques sont de (i) mieux comprendre la gestion des risques en espace clos et déterminer les difficultés en se basant sur la littérature et des observations sur le terrain et (ii) développer un outil d’analyse du risque et de catégorisation des interventions en espace clos qui répond aux besoins établis dans la première partie du projet. La méthode de recherche inclut (i) une revue critique de la littérature sur la gestion des risques en espace clos, (ii) une analyse des enquêtes d’accidents mortels en espace clos au Québec afin, entre autres, de constater des lacunes qui ont menées à ces accidents et (iii) des visites dans quinze entreprises et organismes qui gèrent des entrées en espace clos de leurs travailleurs et sous-traitants.

    Source : Chinniah, Yuvin, Bahloul, Ali, Burlet-Vienney, Damien, & Roberge, Brigitte. (2016). Montréal : Institut de recherche Robert-Sauvé en santé et en sécurité du travail, xi, 111 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-928.pdf

  • TRAVAIL EN HAUTEUR

  • Les chutes de hauteur demeurent aujourd’hui encore l’une des causes majeures de lésions au travail. Les systèmes de corde d’assurance horizontale (SCAH) peuvent toutefois résoudre ce problème, en permettant au travailleur de se déplacer tout en restant attaché. Le guide de 2016 présente le processus d’élaboration, ainsi que la double validation, numérique et expérimentale, d’une nouvelle méthode analytique simple de conception des SCAH. En plus des absorbeurs d’énergie obligatoires, cette méthode tient maintenant compte de l’emploi d’ancrages flexibles plutôt que d’ancrages rigides. Elle permet aussi le calcul de travées simples ou multiples. En outre, les chercheurs ont produit, à l’intention des ingénieurs, un utilitaire de calcul Web, simple et rapide d’utilisation, basé sur la nouvelle approche analytique.

    Source : Pichette, Loraine. (2016, Automne). Prévention au travail, 29(3), 20-21. Repéré à http://www.preventionautravail.com/recherche/366-chutes-de-hauteur-le-guide-de-conception-des-systemes-de-cordes-d-assurance-horizontales-actualise.html

  • TRAVAIL EN LABORATOIRE

  • In today’s laboratory workplace we commonly find basic equipment that could prove potentially hazardous. That is why OSHA requires the first line of defense against workplace hazards to be engineering controls. However, engineering controls are not perfect, as our example shows. But controlling a hazard at its source is the first choice because this method can either eliminate it from the workplace altogether or isolate it from the worker, How to choose the right personal protective equipment (PPE) for your lab, look after it, and ensure employees use it properly.

    Source : McLeod, Vince. (2016, September). Lab Manager, 11(8), 36, 38-39.

  • Les techniciens de laboratoire travaillant en sérologie ont pour mandat d’effectuer des analyses sérologiques sur des échantillons de sang en utilisant des méthodes manuelles. Récemment, les techniciens rapportaient des douleurs au cou, au haut du corps, au bas du dos et aux membres supérieurs. En position assise, ils signalaient aussi une mauvaise circulation sanguine dans les membres inférieurs. Voici les améliorations apportées au laboratoire à la suite de son réaménagement.

    Source : Ménard, Julie, & Rousselle, Nathalie. (Septembre 2016). OP, 39(3), 24-25. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/OP/2016/op393024_pleinsfeux.pdf

  • Organizations looking to fill their management ranks routinely select individuals with commanding presence, high IQs, and proven skill sets—qualities that provide a reassuring predictive validity of high performance. But these traditional measures cannot account for variance in work performance or career success, especially among top managers and other senior leaders. Nor do they unravel the mystery of why those of average intelligence frequently outperform the more intellectually gifted with top-tier IQs.

    Source : Kidder, F. Key. (2016, September). Lab Manager, 11(8), 24-27.

  • TRAVAILLEUSE ENCEINTE – GROSSESSE

  • Les perturbateurs endocriniens (PE) sont des substances chimiques ou des mélanges, d’origine naturelle ou artificielle, qui interfèrent sur le système endocrinien. Un médecin s’interroge sur les risques pour les enfants à naître de l’exposition professionnelle de leur mère aux PE en particulier au bisphénol A (BPA) et aux phtalates, et sur l’existence de valeurs seuils sans effet.

    Source : Pillière, Florence. (2016,Juin). Références en santé au travail, 146, 133. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-110/qr110.pdf

  • TOUBLES MUSCULOSQUELETTIQUES (TMS)

  • 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. 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.

    Source : Thompson, Brennan J., Stock, Matt S., Banuelas, Victoria K. & Akalonu, Chibuzo C. (2016). JOEM : Journal of Occupational and Environmental Medicine, 58(7), 737-743. doi: 10.1097/JOM.0000000000000766

  • Vous travaillez à l’ordinateur à longueur de journée. Votre poste de travail informatisé est-il ergonomique? Dans cet article, on énonce quelques consignes pour éviter la fatigue visuelle et pour maintenir une bonne posture cervicale.

    Source : Centre patronal de santé et de sécurité du travaildu Québec. (2016, Octobre). Info SST. Le point sur … Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/ergonomie/devant-lecran-dordinateur-attention-a-vos-yeux-et-a-votre-cou.html

  • The aim of this study was to evaluate the effect of an activity-based work (ABW) office environment on physical activity and sedentary behavior, work ability, and musculoskeletal discomfort. Eighty-eight office workers trialed ABW for 4 weeks. Accelerometer and self-reported outcomes were measured at baseline, end-intervention, and follow-up.

    Source : Foley, Bridget, Eigelen, Lina, Gale, Joanne, Bauman, Adrian, & Mackey, Martin. (2016). JOEM : Journal of Occupational & Environmental Medicine, 58(9), 924-931. doi: 10.1097/JOM.0000000000000828

  • o reduce the health and injury risks of prolonged sitting, workers should change postures often and aim to stand for an equal amount of time that they spend sitting over the course of a work day. That was Jack Callaghan’s message in a keynote address at the 9th international scientific conference on the Prevention of Work-Related Musculoskeletal Disorders (PREMUS 2016) in Toronto on June 22. Although even a small decrease in sitting time has been shown to reduce musculoskeletal discomfort, from an overall health perspective, workers should aim for a one-to-one ratio of standing time and sitting time, said Callaghan. A key consideration is the frequency with which workers change positions, he also noted. Changing positions often, even if total sitting time is not reduced, can result in health benefits, including reduced low back pain.

    Source : Keynote recommends equal time standing, sitting doing workday. (2016, July 19). Canadian Occupational Safety. Hygiene stories exclusive. Repéré à http://www.cos-mag.com/hygiene/hygiene-stories-exclusive/5168-keynote-recommends-equal-time-standing-sitting-doing-workday.html?utm_term=Keynote%20recommends%20equal%20time%20standing%2C%20sitting%20during%20workday&utm_campaign=COSNewswire_20160721&utm_content=email&utm_source=Act-On+Software&utm_medium=email

  • VACCINATION DU PERSONNEL

  • Seasonal influenza vaccine uptake rate of healthcare workers (HCWs) varies widely from <5% to >90% worldwide. Perception of vaccine efficacy and side-effects are conventional factors affecting the uptake rates. These factors may operate on a personal and social level, impacting the attitudes and behaviours of HCWs. Vaccination rates were also under the influence of the occurrence of other non-seasonal influenza pandemics such as avian influenza. Different strategies have been implemented to improve vaccine uptake, with important ones including the enforcement of the local authority’s recommendations, promulgation of practice guidelines, and mandatory vaccination polices. Practised in some regions in North America, mandatory policies have led to higher vaccination rate, but are not problem-free.

    Source : To, K.W., Lai, B., Lee, K.C.K., Koh, D., Lee, S.S. (2016). Journal of Hospital Infection, 94(2), 133-142. http://dx.doi.org/10.1016/j.jhin.2016.07.003

  • Article mis en avant

    COIN DE LA DOCUMENTALISTE – JUILLET 2016

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    Le Coin de la documentaliste prend des vacances dans les prochaines semaines et vous reviendra avec la page de SEPTEMBRE – OCTOBRE 2016. BON ÉTÉ!

    ADMINISTRATION DE LA SANTÉ

    • Améliorer la performance du système de santé demande de faire face à deux défis. D’une part, développer des propositions de réforme dont l’efficacité est démontrée ou plausible – c’est le défi programmatique. D’autre part, créer les conditions nécessaires à leur implantation et en particulier s’assurer du soutien politique d’une coalition large d’acteurs (Jenkins-Smith et al., 2014) – c’est le défi politique.

      Source : Brousselle, Astrid, Contandriopoulos, Damien, Breton, Mylaine, & Champagne, Geneviève. (Printemps 2016). Le point en santé et services sociaux, 12(1), 36-38.

    • Dans les bureaucraties professionnelles, les réformes les plus brillantes sur papier risquent de rester vaines si les cadres intermédiaires ne prennent pas le relais pour les mettre en oeuvre sur le terrain. Les changements de structures sont généralement insuffisants pour réaliser une transformation, car ils affectent peu les pratiques des intervenants dans les prestations à la clientèle, alors que c’est là que se présentent les défis pour des gains significatifs de performance, surtout lorsque des efforts ont déjà été faits dans la rationalisation des services administratifs. La contribution des gestionnaires intermédiaires est donc indispensable pour réussir une transformation organisationnelle, mais c’est loin d’être une tâche facile pour eux, bien qu’elle soit réalisable.

      Source : Collerette, Pierre. (Printemps 2016). Le point en santé et services sociaux, 12(1), 26-33.

    • Le 14 mai 2013, la Commission de la santé et des services sociaux de la 40e législature se saisissait d’un mandat d’initiative intitulé Les conditions de vie des adultes hébergés en centre d’hébergement et de soins de longue durée. Au cours des mois de janvier et de février 2014, la Commission a entendu 36 organismes, agences de la santé et des services sociaux, centres d’hébergement, associations et fédérations ainsi que des ordres professionnels touchés par la situation des personnes hébergées en centre d’hébergement et de soins de longue durée (CHSLD). Aussi, 38 mémoires ont été déposés dans le cadre de la consultation publique et 160 citoyens ont répondu au questionnaire en ligne. Ce rapport présente une synthèse des propos issus des consultations et des visites ainsi que les observations, conclusions et recommandations de la Commission.

      Source : Commission de la santé et des services sociaux. (2016). Les conditions de vie des adultes hébergés en centre d’hébergement et de soins de longue durée : observations, conclusions et recommandations. Québec : Direction des travaux parlementaires de l’Assemblée nationale du Québec, 13 p. Repéré à http://www.assnat.qc.ca/fr/travaux-parlementaires/commissions/csss/mandats/Mandat-32725/index.html?platform=hootsuite

    AGRESSIONS ET VIOLENCE

    AMÉNAGEMENT – ARCHITECTURE

    • Evidence is growing that resident-to-resident aggression (RRA) is widespread in dementia units and that environmental factors can be manipulated to mitigate this aggression. Failure to address the issues involved in RRA raises the question of liability for health authorities and care facilities, particularly where a resident is forced to room with a resident known to be aggressive.

      Source : Benbow, Bill. (2016, June/July). Canadian Nursing Home, 27(2), 4-11. Repéré à http://wabenbow.com/wp-content/uploads/2014/02/RRA-condensed.pdf

    • Avec l’allongement de la durée de vie et le vieillissement de la population, se pose la question de la prise en charge des personnes âgées, notamment celles devenues dépendantes. De nombreux Ehpad (établissements d’hébergement pour personnes âgées dépendantes) existent déjà et il s’en construit régulièrement en France. Que ce soit lors de la rénovation de l’existant ou à l’occasion de la conception des nouveaux, le sujet de la prévention des risques professionnels pour les personnels qui y travaillent est essentiel. Autant que le bien-être des résidents.

      Source : Dossier : EHPAD : Conception et rénovation. (2016, Juin). Travail & Sécurité, 773, 14-25. Repéré à http://www.travail-et-securite.fr/ts/dossier/Penser%20les%20espaces%20de%20travail%20en%20fonction%20de%20l%E2%80%99activit%C3%A9%20r%C3%A9elle%20.html

    • The authors investigated how the design of instructions can affect performance in preparing emergency stair travel devices for the evacuation of disabled individuals. They had three hypotheses: 1) Design of instructions would account for a significant portion of explained performance variance, 2) Improvements in design of instructions would reduce time on task across device type and age group, and 3) There would be a performance decrement for older adults compared to younger adults based on the slowing of older adult information processing abilities. Results showed that design of instructions does indeed account for a large portion of explained variance in the operation of emergency stair travel devices, and that improvements in design of instructions can reduce time on task across device type and age group. However, encouragingly for real-world operations, results did not indicate any significant differences between older versus younger adults. We look to explore ways that individuals with disabilities can exploit these insights to enhance the performance of emergency stair travel devices for use.

      Source : Boyce, Michael W., Smither, Janan Al-Awar, Fisher, Daniel O., & Hancock, P.A. (2017). Applied Ergonomics. 58(1), 48-58. doi:10.1016/j.apergo.2016.05.010

    • Le réaménagement de la buanderie et de ses processus à l’hôpital de Chicoutimi s’est mérité le Lauréat Argent dans la Catégorie Innovation – Organismes publics au gala Innovation de la CSST. Cette vidéo vous présente leur projet gagnant et ses impacts sur la santé et sécurité au travail du personnel de la buanderie.

      Source : Commission de la santé et de la sécurité du travail. (2016). Les Grands prix Santé et sécurité du travail : Lauréat régional 2015 : CIUSSS-SLSJ Hôpital de Chicoutimi. [Vidéo en ligne]. Repéré à https://www.youtube.com/embed/Tqe_inQVCAo?rel=0&autoplay=1&utm_source=All&utm_campaign=ASSTSAS+INFOS+8-2+Mars+2016&utm_medium=email

    AMIANTE

    • Roofing products are generally considered non-friable and are not expected to release appreciable amounts of airborne asbestos fibers; however, despite the variety of roofing products that have contained asbestos over time, there are no comprehensive analyses of the exposure data associated with these products in the published literature. The objective of this study was to analyze the available data and characterize asbestos exposures associated with the installation, removal, and replacement of built-up roofing (BUR), felts, flashings, shingles, coatings, cements, and mastics under a variety of work practices.

      Source : Lotter, Jason T., Roberts, Ben, Henshaw, John L., & Pierce, S. (2016). Journal of Occupational and Environmental Hygiene, 13(8), D121-D131. DOI:10.1080/15459624.2016.1183010

    • Cette brochure est destiné aux fabricants, distributeurs et utilisateurs de vêtements de type 5 à usage unique, utilisés dans le cadre de la protection contre les fibres d’amiante. Il dresse les critères de performance renforcés de ces vêtements, dans le contexte de travaux ou d’interventions comportant un risque d’exposition à l’amiante.

      Source : Guilleux, Annabelle, Romero-Hariot, Anita, Fehervari, Nicolas, & Garbowski, Carole. (2016). [S.l.] : Institut National de Recherche et de Sécurité, 7 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6247/ed6247.pdf

    BLOC OPÉRATOIRE – CHIRURGIE

      • A study in press for publication by the National Institute of Occupational Safety and Health (NIOSH) will report that, despite longstanding hazard warnings, healthcare workers are still frequently exposed to toxic smoke and plumes created by burning tissue during laser surgery and electrosurgery, Hospital Employee Health has learned. In a particularly disturbing finding, almost half of those surveyed said they never received any training about the potent mix of chemicals and biologicals found in the smoke created from burning tissue. The NIOSH study had not been published as this issue went to press, but one of the authors previewed some of the findings in Chicago at the November 3, 2015 meeting of the American Public Health Association (APHA).

        Source : Evans, Gary. (2016, July 1). NIOSH: Healthcare Workers Still Face Surgical Smoke Hazards : Twenty years of toxic plume warnings yield little progress. Hospital Employee Health, 35(7), 73-77. Repéré à http://www.ahcmedia.com/articles/138062-niosh-healthcare-workers-still-face-surgical-smoke-hazards

      • Electrosurgery is a method based on a high frequency current used to cut tissue and coagulate small blood vessels during surgery. Surgical smoke is generated due to the heat created by electrosurgery. The carcinogenic potential of this smoke was assumed already in the 1980’s and there has been a growing interest in the potential adverse health effects of exposure to the particles in surgical smoke. Surgical smoke is known to contain ultrafine particles (UFPs) but the knowledge about the exposure to UFPs produced by electrosurgery is however sparse. The aims of the study were therefore to characterise the exposure to UFPs in surgical smoke during different types of surgical procedures and on different job groups in the operating room, and to characterise the particle size distribution.

        Source : Ragde, Siri Fenstad, Jørgensen, Rikke Bramming, & Føreland, Solveig. (2016). The Annals of Occupational Hygiene. Prépublication.10.1093/annhyg/mew033

      • Consensus organizations, government bodies, and healthcare organization guidelines recommend that surgical smoke be evacuated at the source by local exhaust ventilation (LEV) (i.e., smoke evacuators or wall suctions with inline filters). Data are from NIOSH’s Health and Safety Practices Survey of Healthcare Workers module on precautionary practices for surgical smoke. Four thousand five hundred thirty-three survey respondents reported exposure to surgical smoke: 4,500 during electrosurgery; 1,392 during laser surgery procedures. Respondents were mainly nurses (56%) and anesthesiologists (21%). Only 14% of those exposed during electrosurgery reported LEV was always used during these procedures, while 47% reported use during laser surgery. Those reporting LEV was always used were also more likely to report training and employer standard procedures addressing the hazards of surgical smoke. Few respondents reported use of respiratory protection.

        Source : Steege, Andrea L., Boiano, James M., & Sweeney, Marie H. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22614

    BUANDERIE

    CANNABIS

      • In just about one year, marijuana will be legalized in Canada. When Health Minister Jane Philpott made this announcement on April 20, she promised this change would happen with support from the justice and public safety departments. However, there are no details on what this means and what tools will be made available to employers. So far, there has been no indication this will include explicit legislation allowing employers to carry out post-incident, reasonable cause, random or other testing. The effect of this change is that employers will no longer be challenged just with the legal use of prescribed medical marijuana; they will also be confronted with the myriad of issues associated with legal recreational use — use that may be carried over into workplaces.

        Source : Bouwmeester, Loretta. (2016, 21 June). Canadian Occupational Safety. Legal Columns. Repéré à http://www.cos-mag.com/legal/legal-columns/5123-get-ready-for-marijuana-legalization.html

    CLINIQUES DENTAIRES

      • Whereas in the past dental stools typically facilitated a 90° hip angle, a number of currently available alternative designs allow for a more extended hip posture. The present study investigated the influence of different stool types on muscle activity and lumbar posture. Twenty five participants completed a simulated dental procedure on a standard stool, a saddle and the Ghopec. The authors concluded that to maintain neutral posture during dental screening, the Ghopec is considered the most suitable design for the tasks undertaken.

        Source : De Bruyne, Mieke A.A, Van Renterghemb, Benedikt, Baird, Andrew, Palmans, Tanneke, Danneels, Lieven, & Dolphens, Mieke. (2016). Applied Ergonomics, 56(9), 220-226.

    CONSTRUCTION

        • Roofing products are generally considered non-friable and are not expected to release appreciable amounts of airborne asbestos fibers; however, despite the variety of roofing products that have contained asbestos over time, there are no comprehensive analyses of the exposure data associated with these products in the published literature. The objective of this study was to analyze the available data and characterize asbestos exposures associated with the installation, removal, and replacement of built-up roofing (BUR), felts, flashings, shingles, coatings, cements, and mastics under a variety of work practices.

          Source : Lotter, Jason T., Roberts, Ben, Henshaw, John L., & Pierce, S. (2016). Journal of Occupational and Environmental Hygiene, 13(8), D121-D131. DOI:10.1080/15459624.2016.1183010

    CPE – SERVICES DE GARDE

      • Vous étudiez la possibilité de choisir une cuisine centralisée pour vos installations? Pour déterminer si cette avenue est optimale pour votre CPE, il est primordial de procéder à une analyse rigoureuse de vos besoins, mais aussi de vos ressources. Ce guide de réflexion vous aidera à évaluer les coûts, mais aussi les impacts sur l’organisation du travail (aménagement des lieux, horaire de préparation, effectifs ainsi qu’équipement et matériel nécessaires, transport des repas et des collations, préservation de la qualité et de l’innocuité des aliments, etc.) et les risques qui y sont liés dans une perspective santé et sécurité du travail (SST).

        Source : Association québecoise des CPE & Mutuelle de prévention des CPE. (2016). [Montréal] : AQCPE et Mutuelle de prévention des CPE, 14 p. Repéré à https://gallery.mailchimp.com/1b509e9135330861690a6359e/files/Guide_de_reflexion_cuisine_VERSION_FINALE.pdf

      • DÉPLACEMENTS DES BÉNÉFICIAIRES

      • 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 lifting policy » had been implemented; only 32.9% indicated staffing was adequate for SPHM tasks; and only 39.4% stated the hospital had all of the equipment needed to perform SPHM safely. Thirty-nine percent of participants had already sustained a musculoskeletal injury with an additional 35% sustaining but not reporting an injury. More actions are needed to ensure a decrease in musculoskeletal injuries for new nurses.

        Source : Vendittelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

      • DERMATOSES PROFESSIONNELLES

      • Health Care Workers (HCWs) often cite irritant contact dermatitis (ICD) as a barrier to Hand Hygiene (HH) compliance. Literature supports the cause of ICD on hands, but little data exists on steps HCWs follow to address ICD. The objective of this survey was to quantify knowledge, perception and actions of HCWs to ICD.

        Source : McGuckin, Maryanne, & Govednik, John. (2016). AJIC : American Journal of Infection Control, 44(6 suppl.), S22. DOI: http://dx.doi.org/10.1016/j.ajic.2016.04.196

      • ÉQUIPEMENTS DE PROTECTION

      • Cette brochure est destiné aux fabricants, distributeurs et utilisateurs de vêtements de type 5 à usage unique, utilisés dans le cadre de la protection contre les fibres d’amiante. Il dresse les critères de performance renforcés de ces vêtements, dans le contexte de travaux ou d’interventions comportant un risque d’exposition à l’amiante.

        Source : Guilleux, Annabelle, Romero-Hariot, Anita, Fehervari, Nicolas, & Garbowski, Carole. (2016). [S.l.] : Institut National de Recherche et de Sécurité, 7 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6247/ed6247.pdf

    ÉQUIPEMENTS INNOVATEURS EN SST

    ÉTABLISSEMENTS D’HÉBERGEMENT

      • Evidence is growing that resident-to-resident aggression (RRA) is widespread in dementia units and that environmental factors can be manipulated to mitigate this aggression. Failure to address the issues involved in RRA raises the question of liability for health authorities and care facilities, particularly where a resident is forced to room with a resident known to be aggressive.

        Source : Benbow, Bill. (2016, June/July). Canadian Nursing Home, 27(2), 4-11. Repéré à http://wabenbow.com/wp-content/uploads/2014/02/RRA-condensed.pdf

      • Ce dépliant propose une démarche de prévention pour préserver la santé des personnels travaillant en EHPAD tout en optimisant la qualité des soins prodigués. Tout en présentant les ressources de l’INRS disponibles, il propose, dans un premier temps, de faire un état des lieux des risques encourus et, dans un second temps, les actions à remettre en oeuvre et leur évaluation.

        Source : Institut national de recherche et de sécurité (2016). Paris : INRS, 3 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6242/ed6242.pdf

      • Avec l’allongement de la durée de vie et le vieillissement de la population, se pose la question de la prise en charge des personnes âgées, notamment celles devenues dépendantes. De nombreux Ehpad (établissements d’hébergement pour personnes âgées dépendantes) existent déjà et il s’en construit régulièrement en France. Que ce soit lors de la rénovation de l’existant ou à l’occasion de la conception des nouveaux, le sujet de la prévention des risques professionnels pour les personnels qui y travaillent est essentiel. Autant que le bien-être des résidents.

        Source : Dossier : EHPAD : Conception et rénovation. (2016, Juin). Travail & Sécurité, 773, 14-25. Repéré à http://www.travail-et-securite.fr/ts/dossier/Penser%20les%20espaces%20de%20travail%20en%20fonction%20de%20l%E2%80%99activit%C3%A9%20r%C3%A9elle%20.html

      • The authors investigated how the design of instructions can affect performance in preparing emergency stair travel devices for the evacuation of disabled individuals. They had three hypotheses: 1) Design of instructions would account for a significant portion of explained performance variance, 2) Improvements in design of instructions would reduce time on task across device type and age group, and 3) There would be a performance decrement for older adults compared to younger adults based on the slowing of older adult information processing abilities. Results showed that design of instructions does indeed account for a large portion of explained variance in the operation of emergency stair travel devices, and that improvements in design of instructions can reduce time on task across device type and age group. However, encouragingly for real-world operations, results did not indicate any significant differences between older versus younger adults. We look to explore ways that individuals with disabilities can exploit these insights to enhance the performance of emergency stair travel devices for use.

        Source : Boyce, Michael W., Smither, Janan Al-Awar, Fisher, Daniel O., & Hancock, P.A. (2017). Applied Ergonomics. 58(1), 48-58. doi:10.1016/j.apergo.2016.05.010

      • Le 14 mai 2013, la Commission de la santé et des services sociaux de la 40e législature se saisissait d’un mandat d’initiative intitulé Les conditions de vie des adultes hébergés en centre d’hébergement et de soins de longue durée. Au cours des mois de janvier et de février 2014, la Commission a entendu 36 organismes, agences de la santé et des services sociaux, centres d’hébergement, associations et fédérations ainsi que des ordres professionnels touchés par la situation des personnes hébergées en centre d’hébergement et de soins de longue durée (CHSLD). Aussi, 38 mémoires ont été déposés dans le cadre de la consultation publique et 160 citoyens ont répondu au questionnaire en ligne. Ce rapport présente une synthèse des propos issus des consultations et des visites ainsi que les observations, conclusions et recommandations de la Commission.

        Source : Commission de la santé et des services sociaux. (2016). Les conditions de vie des adultes hébergés en centre d’hébergement et de soins de longue durée : observations, conclusions et recommandations. Québec : Direction des travaux parlementaires de l’Assemblée nationale du Québec, 13 p. Repéré à http://www.assnat.qc.ca/fr/travaux-parlementaires/commissions/csss/mandats/Mandat-32725/index.html?platform=hootsuite

      • ÉVACUATION D’URGENCE EN SST

      • The authors investigated how the design of instructions can affect performance in preparing emergency stair travel devices for the evacuation of disabled individuals. They had three hypotheses: 1) Design of instructions would account for a significant portion of explained performance variance, 2) Improvements in design of instructions would reduce time on task across device type and age group, and 3) There would be a performance decrement for older adults compared to younger adults based on the slowing of older adult information processing abilities. Results showed that design of instructions does indeed account for a large portion of explained variance in the operation of emergency stair travel devices, and that improvements in design of instructions can reduce time on task across device type and age group. However, encouragingly for real-world operations, results did not indicate any significant differences between older versus younger adults. We look to explore ways that individuals with disabilities can exploit these insights to enhance the performance of emergency stair travel devices for use.

        Source : Boyce, Michael W., Smither, Janan Al-Awar, Fisher, Daniel O., & Hancock, P.A. (2017). Applied Ergonomics. 58(1), 48-58. doi:10.1016/j.apergo.2016.05.010

    FUMÉES CHIRURGICALES

      • A study in press for publication by the National Institute of Occupational Safety and Health (NIOSH) will report that, despite longstanding hazard warnings, healthcare workers are still frequently exposed to toxic smoke and plumes created by burning tissue during laser surgery and electrosurgery, Hospital Employee Health has learned. In a particularly disturbing finding, almost half of those surveyed said they never received any training about the potent mix of chemicals and biologicals found in the smoke created from burning tissue. The NIOSH study had not been published as this issue went to press, but one of the authors previewed some of the findings in Chicago at the November 3, 2015 meeting of the American Public Health Association (APHA).

        Source : Evans, Gary. (2016, July 1). NIOSH: Healthcare Workers Still Face Surgical Smoke Hazards : Twenty years of toxic plume warnings yield little progress. Hospital Employee Health, 35(7), 73-77. Repéré à http://www.ahcmedia.com/articles/138062-niosh-healthcare-workers-still-face-surgical-smoke-hazards

      • Electrosurgery is a method based on a high frequency current used to cut tissue and coagulate small blood vessels during surgery. Surgical smoke is generated due to the heat created by electrosurgery. The carcinogenic potential of this smoke was assumed already in the 1980’s and there has been a growing interest in the potential adverse health effects of exposure to the particles in surgical smoke. Surgical smoke is known to contain ultrafine particles (UFPs) but the knowledge about the exposure to UFPs produced by electrosurgery is however sparse. The aims of the study were therefore to characterise the exposure to UFPs in surgical smoke during different types of surgical procedures and on different job groups in the operating room, and to characterise the particle size distribution.

        Source : Ragde, Siri Fenstad, Jørgensen, Rikke Bramming, & Føreland, Solveig. (2016). The Annals of Occupational Hygiene. Prépublication.10.1093/annhyg/mew033

      • Consensus organizations, government bodies, and healthcare organization guidelines recommend that surgical smoke be evacuated at the source by local exhaust ventilation (LEV) (i.e., smoke evacuators or wall suctions with inline filters). Data are from NIOSH’s Health and Safety Practices Survey of Healthcare Workers module on precautionary practices for surgical smoke. Four thousand five hundred thirty-three survey respondents reported exposure to surgical smoke: 4,500 during electrosurgery; 1,392 during laser surgery procedures. Respondents were mainly nurses (56%) and anesthesiologists (21%). Only 14% of those exposed during electrosurgery reported LEV was always used during these procedures, while 47% reported use during laser surgery. Those reporting LEV was always used were also more likely to report training and employer standard procedures addressing the hazards of surgical smoke. Few respondents reported use of respiratory protection.

        Source : Steege, Andrea L., Boiano, James M., & Sweeney, Marie H. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22614

    GESTION – LEADERSHIP

      • Nurses’ job satisfaction is a critical factor in health-care organisations because of its association with nurse turnover and quality of patient care. Nurses continue to report high levels of job dissatisfaction. The primary aim of this study was to examine the relationships between structural empowerment, psychological empowerment and job satisfaction among staff nurses, after controlling for their leaders’ use of empowering behaviours. Cross-sectional data for 1007 Canadian staff nurses were analysed using hierarchical multiple regression. The results showed that nurses’ job satisfaction is most influenced by their access to organisational empowerment structures. Leader empowering behaviours, structural empowerment, and psychological empowerment, operating together, enhance nurses’ job satisfaction.

        Source : Dahinten, V.S., Lee, S.N., MacPhee, M. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12407

      • Améliorer la performance du système de santé demande de faire face à deux défis. D’une part, développer des propositions de réforme dont l’efficacité est démontrée ou plausible – c’est le défi programmatique. D’autre part, créer les conditions nécessaires à leur implantation et en particulier s’assurer du soutien politique d’une coalition large d’acteurs (Jenkins-Smith et al., 2014) – c’est le défi politique.

        Source : Brousselle, Astrid, Contandriopoulos, Damien, Breton, Mylaine, & Champagne, Geneviève. (Printemps 2016). Le point en santé et services sociaux, 12(1), 36-38.

      • Dans les bureaucraties professionnelles, les réformes les plus brillantes sur papier risquent de rester vaines si les cadres intermédiaires ne prennent pas le relais pour les mettre en oeuvre sur le terrain. Les changements de structures sont généralement insuffisants pour réaliser une transformation, car ils affectent peu les pratiques des intervenants dans les prestations à la clientèle, alors que c’est là que se présentent les défis pour des gains significatifs de performance, surtout lorsque des efforts ont déjà été faits dans la rationalisation des services administratifs. La contribution des gestionnaires intermédiaires est donc indispensable pour réussir une transformation organisationnelle, mais c’est loin d’être une tâche facile pour eux, bien qu’elle soit réalisable.

        Source : Collerette, Pierre. (Printemps 2016). Le point en santé et services sociaux, 12(1), 26-33.

    GESTION DE LA SST

      • In just about one year, marijuana will be legalized in Canada. When Health Minister Jane Philpott made this announcement on April 20, she promised this change would happen with support from the justice and public safety departments. However, there are no details on what this means and what tools will be made available to employers. So far, there has been no indication this will include explicit legislation allowing employers to carry out post-incident, reasonable cause, random or other testing. The effect of this change is that employers will no longer be challenged just with the legal use of prescribed medical marijuana; they will also be confronted with the myriad of issues associated with legal recreational use — use that may be carried over into workplaces.

        Source : Bouwmeester, Loretta. (2016, 21 June). Canadian Occupational Safety. Legal Columns. Repéré à http://www.cos-mag.com/legal/legal-columns/5123-get-ready-for-marijuana-legalization.html

      • The authors aimed to determine the strength of evidence on the effectiveness of legislative and regulatory policy levers in creating incentives for organizations to improve occupational health and safety processes and outcomes. A systematic review was undertaken to assess the strength of evidence on the effectiveness of specific policy levers using a “best-evidence” synthesis approach.

        Source : Tompa, Emile, Kalcevich, Christina, Foley, Michael, McLeod, Chris, Hogg-Johnson, Sheilah, Cullen, Kim, MacEachen, Ellen, Mahood, Quenby, & Irvin, Emma. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22605

      • Jusqu’à maintenant, l’Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) a produit des indicateurs statistiques de santé et sécurité du travail tous les cinq ans. Le besoin d’obtenir de l’information sur l’évolution annuelle depuis la dernière série d’indicateurs quinquennaux devenait cependant de plus en plus nécessaire. Ces données serviront à mieux connaître les changements récents concernant les indicateurs de lésions professionnelles et à identifier les types de lésions et les industries-catégories professionnelles pour lesquels l’évolution des indicateurs a été la moins favorable.

        Source : Duguay, Patrice, Busque, Marc-Antoine, Boucher, Alexandre, Lebeau, Martin, & Prud’homme, Pascale. (2016). Montréal : IRSST, xix, 87 p. (Études et recherches, Rapport R-922). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-922.pdf

    HARCÈLEMENT AU TRAVAIL

      • Both work- and person-related factors may trigger workplace bullying. Work-related factors, such as role stressors, can create a stressful work environment leading to bullying. Additionally, person-related factors, such as emotion-focused coping, could make employees more vulnerable to bullying. In this study, the searchers aimed to develop a comprehensive model integrating these factors. Studies published between 1984 and 2014 were reviewed. Results suggested a model in which reappraisal coping, confrontive coping, practical coping, direct coping, active coping, social support (problem-focused coping) and self-care (emotion-focused coping) decrease the association between work stressors and bullying (i.e. buffer-effect). Wishful thinking, emotional coping, avoidance, recreation, social support and suppression (emotion-focused coping) increase this association (i.e. boost-effect). Coping resources (locus of control, self-efficacy, optimism, co-workers support, supervisor support, task complexity, participation in decision-making, autonomy and continuance commitment) related positively to problem-focused coping strategies and negatively to emotion-focused coping strategies.

        Source : Van den Brande, Whitney, aillien, Elfi, De Witte, Hans, Vander Elst, Tinne, & Godderis, Lode. (2016). Agression and Violent Behavior. Prépublication. doi:10.1016/j.avb.2016.06.004

      • Health care bullying is a pervasive, underestimated, and underreported problem that results in poor outcomes for staff, patients, and health care organizations. The most common form of health care bullying occurs between nurses. Nurse managers hold an important role in the prevention and elimination of frontline nurse-to-nurse bullying. An anonymous Web-based survey was conducted to uncover what behaviors nurse managers perceive as bullying and how they respond to bullying acts. Respondents who had witnessed or been victimized by bullying were more apt to identify bullying and those who had been victimized or supervised nurses for more than 20 years were more prone to act upon bullying behaviors. There was only a moderate correlation between the identification of and response to bullying behaviors. Finally, overt bullying elicited a stronger response for intervention than covert bullying. Although nurse managers are well positioned to prevent and eliminate nurse-to-nurse bullying, they may not recognize it and often lack the skills and support necessary to address it. Decreases in nurse-to-nurse bullying reduce health care costs, improve nurse and patient satisfaction, and enhance patient outcomes. Therefore, nurse managers at all levels need education and support to ensure proper identification of bullying and, furthermore, to prevent and eliminate the behaviors.

        Source : Gilbert, Rebecca T., Hudson, John S., & Strider, David. (2016). Nursing Administration Quaterly, 40(3), E1-E11. doi: 10.1097/NAQ.0000000000000175

    HORAIRE DE TRAVAIL

      • Pour mieux comprendre les effets du travail en horaires postés, ont été étudiées les variations des perceptions de l’environnement de travail selon le poste travaillé et la phase du poste. Le questionnaire mesure les perceptions de demandes, contrôle et soutien social et deux dimensions supplémentaires : les ressources techniques et humaines et les interférences travail-hors travail. Les résultats montrent des demandes psychologiques globalement plus élevées en début et milieu de poste et des demandes physiques plus élevées en fin de poste. Lors du poste de nuit, les personnels perçoivent davantage d’autonomie et moins de soutien des collègues.

        Source : Cascino, Nadine, Mélan, Claudine, & Galy, Édith. (2016). Étude des perceptions de l’environnement de travail au cours du poste chez des travailleurs postés : intérêt d’une évaluation subjective et temporellement située de la charge de travail. Le Travail humain, 79(2), 97-124. Repéré à http://www.cairn.info/resume.php?ID_ARTICLE=TH_792_0097

      • This study aims at evaluating the chronic disease risk related to prolonged work in long-hour schedules for eight major chronic diseases: heart disease, non-skin cancer, arthritis, diabetes, chronic lung disease, asthma, chronic depression, and hypertension. The study used data from the National Longitudinal Survey of Youth, 1979 covering 32 years of job history (1978 to 2009) for 7492 respondents. The results showed that regularly working long hours over 32 years was significantly associated with elevated risks of heart disease, non-skin cancer, arthritis, and diabetes. The observed risk was much larger among women than among men.

        Source : Dembe, Allard E., & Xiaoxi, Yao. (2016). JOEM : Journal of Occupational & Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000810

      • L’Anses a été saisie pour évaluer les risques sanitaires pour les professionnels exposés à des horaires atypiques, en particulier au travail de nuit, régulier ou non. Cette expertise met en évidence des risques avérés de troubles du sommeil, de troubles métaboliques, et des risques probables cancérogènes, de troubles cardiovasculaires et de troubles psychiques chez les travailleurs concernés. Les enquêtes sur les conditions de travail réalisées auprès de salariés en horaires de nuit indiquent généralement des facteurs de pénibilité physique et des contraintes de travail plus présents.

        Source : Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail. (2016, 22 juin). Anses. Toutes les actualités. Repéré à https://www.anses.fr/fr/content/l%E2%80%99anses-confirme-les-risques-pour-la-sant%C3%A9-li%C3%A9s-au-travail-de-nuit.

        Pour lire le rapport : https://www.anses.fr/fr/system/files/AP2011SA0088Ra.pdf

      • En France, plus de 20 % (soit quatre à cinq millions des travailleurs salariés) sont en rythme posté ou de nuit. Afin d’étudier la pénibilité du travail en horaires décalés, les chercheurs ont entrepris une étude rétrospective concernant des personnes en activité professionnelle, adressées à l’unité du sommeil et de la vigilance du CHU d’Amiens pour un premier enregistrement polysomnographique. Leur objectif est d’explorer l’influence des horaires de travail décalés sur les troubles du sommeil et de la vigilance chez des personnes en activités professionnelle lors d’un premier enregistrement polysomnographique.

        Source : Gay, Otelia Szabo, Doutrellot-Philippon, Catherine, Boulet, Bernard, Rose, Dominique, & Jounieaux, Vincent. (2016). La pénibilité du travail en horaires décalés : évaluation des troubles du sommeil à l’aide de l’enregistrement polysomnographique chez des salariés en horaires décalés. Archives des Maladies Professionnelles et de l’Environnement, 77(3), 372. doi:10.1016/j.admp.2016.03.027

      • Sleep deprivation and an abnormal sleep cycle may increase the risk of heart disease, especially for shift workers, a small study suggests. « In humans, as in all mammals, almost all physiological and behavioral processes, in particular the sleep-wake cycle, follow a circadian rhythm that is regulated by an internal clock located in the brain, » said study lead author Dr. Daniela Grimaldi.

        Source : Preidt, Robert. (2016, June 6). Shift Workers at Greater Risk of Heart Ills, Study Says : Abnormal sleep patterns may disrupt body’s natural rhythm. MedlinePlus. HealthDay. Repéré à https://www.nlm.nih.gov/medlineplus/news/fullstory_159220.html

    HYGIÈNE ET SALUBRITÉ

    MÉDICAMENTS DANGEREUX

      • The United States Pharmacopeial Convention published a new standard on hazardous drugs in healthcare this year, establishing a more than two-year moratorium to allow time for adoption by healthcare facilities. The standard or « chapter » will become part of healthcare quality standards included in the United States Pharamcopeia-National Formulary (USP-NF). The USP posted the following frequently asked questions on the new chapter.

        Source : USP Issues New Hazardous Drug Standard. (2016, July 1). Hospital Employee Health, 35(7), 79. Repéré à http://www.ahcmedia.com/articles/138065-usp-issues-new-hazardous-drug-standard

        Pour accéder aux FAQ de la United States Pharmacopeial Convention (USP) : http://www.usp.org/frequently-asked-questions/hazardous-drugs-handling-healthcare-settings

      • Despite longstanding guidelines on the hazards of antineoplastic drugs (ADs) used primarily in chemotherapy, public health officials are concerned that healthcare workers are still inadequately protected from these known or suspected carcinogens for which no safe exposure level exists. “Chemotherapy drugs are wonder drugs, but they also pose a tremendous risk to healthcare workers,” says Jim Boiano, MS, CIH, an industrial hygienist at the NIOSH division of surveillance, hazard evaluations, and field studies. “They are highly toxic, they can cause cancer — they are just really nasty drugs that are used in healthcare.”

        Source : NIOSH Emphasizing Hazards of Oncology Drugs. (2016, July 1). Hospital Employee Health, 35(7), 78-80. Repéré à http://www.ahcmedia.com/articles/138064-niosh-emphasizing-hazards-of-oncology-drugs

    MANUTENTION DE CHARGES

      • Large spinal compressive force combined with axial torsional shear force during asymmetric lifting tasks is highly associated with lower back injury (LBI). The aim of this study was to estimate lumbar spinal loading and muscle forces during symmetric lifting (SL) and asymmetric lifting (AL) tasks using a whole-body musculoskeletal modelling approach. Thirteen healthy males lifted loads of 7 and 12 kg under two lifting conditions (SL and AL). The results show that certain muscle groups are fundamentally responsible for asymmetric movement, thereby producing high lumbar spinal loading and muscle forces, which may increase risks of LBI during asymmetric lifting tasks.

        Source : Kim, Hyun-Kyung, & Zhang, Yanxin. (2016). Ergonomics. Prépublication. DOI:10.1080/00140139.2016.1191679

      • Powered drives designed to assist with moving hospital beds are commercially available but no studies have evaluated whether they reduce the push and pull forces likely contributing to injury in caregivers. This study measured hand forces of 10 caregivers maneuvering a manual and powered bariatric bed through simulated hospital environments (hallway, elevator, and ramp).

        Source : Wiggermann, Neal. (2017). Applied Ergonomics, 58(1), 59-65. Doi:10.1016/j.apergo.2016.05.015

      • La station de levage aux services alimentaires de l’hôpital de Granby s’est mérité le Lauréat Bronze dans la Catégorie Innovation – Organismes publics au gala Innovation de la CSST. Cette vidéo vous présente leur projet gagnant et ses impacts sur la santé et sécurité au travail du personnel des services alimentaires.

        Source : Commission de la santé et de la sécurité du travail. (2016). Les Grands prix Santé et sécurité du travail : Lauréat régional 2015 : Hôpital de Granby (CIUSSS) – Lauréat régional 2015 – Yamaska. [Vidéo en ligne]. Repéré à https://www.youtube.com/embed/vCV2856g4aA?rel=0&autoplay=1&utm_source=All&utm_campaign=ASSTSAS+INFOS+8-2+Mars+2016&utm_medium=email

      • MILIEU DE VIE

      • Le 14 mai 2013, la Commission de la santé et des services sociaux de la 40e législature se saisissait d’un mandat d’initiative intitulé Les conditions de vie des adultes hébergés en centre d’hébergement et de soins de longue durée. Au cours des mois de janvier et de février 2014, la Commission a entendu 36 organismes, agences de la santé et des services sociaux, centres d’hébergement, associations et fédérations ainsi que des ordres professionnels touchés par la situation des personnes hébergées en centre d’hébergement et de soins de longue durée (CHSLD). Aussi, 38 mémoires ont été déposés dans le cadre de la consultation publique et 160 citoyens ont répondu au questionnaire en ligne. Ce rapport présente une synthèse des propos issus des consultations et des visites ainsi que les observations, conclusions et recommandations de la Commission.

        Source : Commission de la santé et des services sociaux. (2016). Les conditions de vie des adultes hébergés en centre d’hébergement et de soins de longue durée : observations, conclusions et recommandations. Québec : Direction des travaux parlementaires de l’Assemblée nationale du Québec, 13 p. Repéré à http://www.assnat.qc.ca/fr/travaux-parlementaires/commissions/csss/mandats/Mandat-32725/index.html?platform=hootsuite

    NORMES ET LÉGISLATION EN SST

      • The United States Pharmacopeial Convention published a new standard on hazardous drugs in healthcare this year, establishing a more than two-year moratorium to allow time for adoption by healthcare facilities. The standard or « chapter » will become part of healthcare quality standards included in the United States Pharamcopeia-National Formulary (USP-NF). The USP posted the following frequently asked questions on the new chapter.

        Source : USP Issues New Hazardous Drug Standard. (2016, July 1). Hospital Employee Health, 35(7), 79. Repéré à http://www.ahcmedia.com/articles/138065-usp-issues-new-hazardous-drug-standardLes modifications que vous avez apportées ne seront peut-être pas enregistrées.

        Pour accéder aux FAQ de la United States Pharmacopeial Convention (USP) : http://www.usp.org/frequently-asked-questions/hazardous-drugs-handling-healthcare-settings

      • The authors aimed to determine the strength of evidence on the effectiveness of legislative and regulatory policy levers in creating incentives for organizations to improve occupational health and safety processes and outcomes. A systematic review was undertaken to assess the strength of evidence on the effectiveness of specific policy levers using a “best-evidence” synthesis approach.

        Source : Tompa, Emile, Kalcevich, Christina, Foley, Michael, McLeod, Chris, Hogg-Johnson, Sheilah, Cullen, Kim, MacEachen, Ellen, Mahood, Quenby, & Irvin, Emma. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22605

    ORGANISATION DU TRAVAIL

      • Ward organization is a major determinant for nurses’ well-being on the job. The majority of previous research on this relationship is based on single source methods, which have been criticized as skewed estimations mainly due to subjectivity of the ratings and due to common source bias. The objective of this study was to investigate the association of ward organization characteristics and nurses’ exhaustion by combining observation-based assessments with nurses’ self-reports.

        Source : Stab, Nicole, Hacker, Winfried, & Weigl, Matthias. (2016). International Journal of Nursing Studies, 61(9), 52-62. doi:10.1016/j.ijnurstu.2016.05.012

    PATIENTS OBÈSES

      • Powered drives designed to assist with moving hospital beds are commercially available but no studies have evaluated whether they reduce the push and pull forces likely contributing to injury in caregivers. This study measured hand forces of 10 caregivers maneuvering a manual and powered bariatric bed through simulated hospital environments (hallway, elevator, and ramp).

        Source : Wiggermann, Neal. (2017). Applied Ergonomics, 58(1), 59-65. Doi:10.1016/j.apergo.2016.05.015

    PRÉVENTION DES INFECTIONS

      • The authors evaluated the clinical impact of implementing hydrogen peroxide vapour (HPV) for disinfecting rooms vacated by Clostridium difficile infection (CDI) patients. Breakpoint time series analysis indicated a significant reduction in the rate of CDI that occurred at the time when HPV was implemented, resulting in a reduction in the rate of CDI from 1.0 to 0.4 cases per 1000 patient days in the 2 years before vs. the first 2 years of HPV usage. HPV should be considered to augment the terminal disinfection of rooms vacated by patients with CDI.

        Source : McCord, Julie, Prewitt, Malinda, Dyakova, Eleonora, Mookerjee, Siddharth, & Otter, Jonathan A. (2016). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2016.05.014

      • Tout professionnel impliqué dans les soins aux patients est concerné par l’hygiène des mains. L’hygiène des mains est un élément essentiel dans la lutte contre les infections. Ce dépliant explique dans quels cas il est recommandé de faire une friction hydroalcoolique ou un lavage des mains à l’eau et au savon, et quand il faut pratiquer l’hygiène des mains.

        Source : Institut national de recherche et de sécurité (2016). Paris : INRS, 4 p. (ED 6257). Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/ED/TI-ED-6257/ed6257.pdf

      • Les travailleurs de la santé sont souvent exposés au sang à la suite de piqûres d’aiguilles accidentelles. Ces événements, qui semblent banals, ont parfois de lourdes conséquences. Plusieurs règles de sécurité simples peuvent pourtant aider à les prévenir. Cette fiche technique vous les présente brièvement.

        Source : ASSTSAS. (2016). Prévention des infections : Mesures pour éviter les piqûres d’aiguilles. Montréal : ASSTSAS, 2 p. (Fiche technique ; 1). Repéré à http://www.asstsas.qc.ca/sites/default/files/publications/documents/Fiches/FT01-piqures-WEB.PDF

      • Ce guide, révisé en 2016, présente l’ensemble des composantes à mettre en place pour un programme complet de prévention des expositions au sang chez les travailleurs de la santé. Il aide à cibler les priorités d’action et il offre de nombreux outils pour agir en prévention.

        Source :Bouchard, Françoise. (2016). Programme de prévention : expositions au sang chez les travailleurs de la santé (Éd. rev.). Montréal : ASSTSAS, 102 p. (Guide de prévention ; 68). Repéré à http://www.asstsas.qc.ca/sites/default/files/publications/documents/Guides_Broch_Depl/gp68_guide_pes_2016_web.pdf

      • IHP disinfectants effectively reduce contamination of hospital surfaces, but there are few data on their impact on healthcare-associated infections (HAIs). We compared the impact on surface contamination and HAI rates of two disinfectants containing IHP or Quat.

        Source : Boyce, John M., Guercia, Kerri A., Havill, Nancy L., & Sullivan, Linda K. (2016). AJIC : American Journal of Infection Control, 44(6 suppl.), S28. DOI: http://dx.doi.org/10.1016/j.ajic.2016.04.191

      • Health Care Workers (HCWs) often cite irritant contact dermatitis (ICD) as a barrier to Hand Hygiene (HH) compliance. Literature supports the cause of ICD on hands, but little data exists on steps HCWs follow to address ICD. The objective of this survey was to quantify knowledge, perception and actions of HCWs to ICD.

        Source : McGuckin, Maryanne, & Govednik, John. (2016). AJIC : American Journal of Infection Control, 44(6 suppl.), S22. DOI: http://dx.doi.org/10.1016/j.ajic.2016.04.196

      • The purpose of this quality improvement project was to identify differences in cleaning practices between isolation rooms and standard precaution rooms in the hospital setting. An ultravoilet marking system was used to evaluate high-touch surfaces throughout the patient environment. Results reveal the importance of refining training systems to reflect staff perceptions and improve evaluation processes across systems in an effort to reduce health care–associated infections.

        Source : Zelikoff, Allison, Dellit, Timothy H., Lynch, John, McNamara, Elizabeth A., & Makarewicz, Vanessa A. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.04.220

      • Standard precautions (SPs) are designed to limit bloodborne pathogen exposures among health care workers (HCWs) and health care–associated infections. SP adherence is globally suboptimal; however, reasons are underexplored. This study aim was to explore the relationships among safety climate factors and SP adherence by HCWs in hospitals using newly developed survey and observational tools.

        Source : Hessels, Amanda, J., Genovese-Schek, Vinni, Agarwal, Mansi, Wurmser, teri, & Larson, Elaine L. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.060

      • Influenza is a significant problem within hospitals, leading to extended hospital stays, excess morbidity and mortality, and economic loss. Prevention and control strategies are generally “bundled”; therefore, the individual effects of particular strategies and the value of combined strategies cannot be determined directly, making it difficult to discern the optimal strategy. To quantify the individual and joint effectiveness of several known influenza infection control measures used in general hospitals, the authors simulated influenza transmission at a hypothetical hospital during a 1-yeat seasonal epidemic, using a susceptible-exposed-infected-recovered compartmental model.

        Source : Blanco, Natalia, Eisenberg, Marisa C., Stillwell, Terri, & Foxman, Betsy. (2016). American Journal of Epidemiology, 183(11), 1045-1054. doi: 10.1093/aje/kwv293

      • Ce guide national porte sur la manipulation ou l’entreposage des agents pathogènes touchant les humains, des agents pathogènes touchant les animaux terrestres et des toxines au Canada. La NCB énonce les exigences physiques en matière de confinement, les exigences opérationnelles et les exigences relatives aux essais de vérification et de performance nécessaires pour qu’il soit possible de manipuler ou d’entreposer en toute sécurité les agents pathogènes humains, les agents pathogènes d’animaux terrestres et les toxines. La NCB met à jour plusieurs exigences afin qu’ils soient plus axés sur les risques, les éléments probants et le rendement, et de nouveaux éléments d’information du domaine de l’ingénierie du bioconfinement ont été intégrés.

        Source : Gouvernement du Canada. Norme canadienne sur la biosécurité. 2e édition. Ottawa : Agence de la santé publique du Canada, xxxvi, 168 p. Repéré à http://canadianbiosafetystandards.collaboration.gc.ca/cbs-ncb/assets/pdf/cbsg-nldcb-fra.pdf

      • PRODUITS TOXIQUES

      • A study in press for publication by the National Institute of Occupational Safety and Health (NIOSH) will report that, despite longstanding hazard warnings, healthcare workers are still frequently exposed to toxic smoke and plumes created by burning tissue during laser surgery and electrosurgery, Hospital Employee Health has learned. In a particularly disturbing finding, almost half of those surveyed said they never received any training about the potent mix of chemicals and biologicals found in the smoke created from burning tissue. The NIOSH study had not been published as this issue went to press, but one of the authors previewed some of the findings in Chicago at the November 3, 2015 meeting of the American Public Health Association (APHA).

        Source : Evans, Gary. (2016, July 1). NIOSH: Healthcare Workers Still Face Surgical Smoke Hazards : Twenty years of toxic plume warnings yield little progress. Hospital Employee Health, 35(7), 73-77. Repéré à http://www.ahcmedia.com/articles/138062-niosh-healthcare-workers-still-face-surgical-smoke-hazards

      • PROTECTION RESPIRATOIRE

      • This article compares hospital managers’ (HM), unit managers’ (UM), and health care workers’ (HCW) perceptions of respiratory protection safety climate in acute care hospitals. The article is based on survey responses from 215 HMs, 245 UMs, and 1,105 HCWs employed by 98 acute care hospitals in six states. Ten survey questions assessed five of the key dimensions of safety climate commonly identified in the literature: managerial commitment to safety, management feedback on safety procedures, coworkers’ safety norms, worker involvement, and worker safety training.

        Source : Peterson, Kristina, Rogers, Bonnie M. E., Brosseau, Lisa M., Payne, Julianne, Cooney, Jennifer, Joe, Lauren, & Novak, Debra. (2016). Workplace Health & Safety. 64(7), 326-336. doi: 10.1177/2165079916640550

      • Influenza is a significant problem within hospitals, leading to extended hospital stays, excess morbidity and mortality, and economic loss. Prevention and control strategies are generally “bundled”; therefore, the individual effects of particular strategies and the value of combined strategies cannot be determined directly, making it difficult to discern the optimal strategy. To quantify the individual and joint effectiveness of several known influenza infection control measures used in general hospitals, the authors simulated influenza transmission at a hypothetical hospital during a 1-yeat seasonal epidemic, using a susceptible-exposed-infected-recovered compartmental model.

        Source : Blanco, Natalia, Eisenberg, Marisa C., Stillwell, Terri, & Foxman, Betsy. (2016). American Journal of Epidemiology, 183(11), 1045-1054. doi: 10.1093/aje/kwv293

      • Consensus organizations, government bodies, and healthcare organization guidelines recommend that surgical smoke be evacuated at the source by local exhaust ventilation (LEV) (i.e., smoke evacuators or wall suctions with inline filters). Data are from NIOSH’s Health and Safety Practices Survey of Healthcare Workers module on precautionary practices for surgical smoke. Four thousand five hundred thirty-three survey respondents reported exposure to surgical smoke: 4,500 during electrosurgery; 1,392 during laser surgery procedures. Respondents were mainly nurses (56%) and anesthesiologists (21%). Only 14% of those exposed during electrosurgery reported LEV was always used during these procedures, while 47% reported use during laser surgery. Those reporting LEV was always used were also more likely to report training and employer standard procedures addressing the hazards of surgical smoke. Few respondents reported use of respiratory protection.

        Source : Steege, Andrea L., Boiano, James M., & Sweeney, Marie H. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22614

    SANTÉ – BIEN-ÊTRE AU TRAVAIL

      • Nurses’ job satisfaction is a critical factor in health-care organisations because of its association with nurse turnover and quality of patient care. Nurses continue to report high levels of job dissatisfaction. The primary aim of this study was to examine the relationships between structural empowerment, psychological empowerment and job satisfaction among staff nurses, after controlling for their leaders’ use of empowering behaviours. Cross-sectional data for 1007 Canadian staff nurses were analysed using hierarchical multiple regression. The results showed that nurses’ job satisfaction is most influenced by their access to organisational empowerment structures. Leader empowering behaviours, structural empowerment, and psychological empowerment, operating together, enhance nurses’ job satisfaction.

        Source : Dahinten, V.S., Lee, S.N., MacPhee, M. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12407

      • The aim of this study was to conduct a cost-effectiveness and return-on-investment analysis comparing a mindfulness-based worksite intervention to usual practice. Two hundred fifty-seven governmental research institute employees were randomized to the intervention or control group. Intervention group participants received an eight-week mindfulness training, e-coaching, and supporting elements. Outcomes included work engagement, general vitality, job satisfaction, work ability, and costs. Cost-effectiveness analyses were conducted from the societal and employer’s perspective, and a return-on-investment analysis from the employer’s perspective.

        Source : van Dongen, Johanna, van Berkel, Jantien, Boot, Cécile R.L., Bosmans, Judith E., Proper, Karin I., Bongers, Paulien,… van Wier, Marieke F. (2016). Long-Term Cost-Effectiveness and Return-on-Investment of a Mindfulness-Based Worksite Intervention: Results of a Randomized Controlled Trial. JOEM : Journal of Occupational & Environmental Medicine, 58(6), 550-560. doi: 10.1097/JOM.0000000000000736

      • Après avoir tant entendu parler de souffrance au travail (stress, épuisement professionnel, etc.), voici que le bonheur au travail est aujourd’hui à l’honneur. En débarrassant notamment les employés des lourdeurs bureaucratiques, des entreprises dites libérées souhaitent réconcilier bonheur et travail. Certaines d’entre elles, par exemple Harley-Davidson ou Zappos, ont tenté l’expérience et en ont tiré trois grands principes dont vous pouvez vous inspirer.

        Source : Barel, Yvan, & Frémeaux, Sandrine.(été 2016), Gestion, 41(2), 82-84. Repéré à http://www.revuegestion.ca/catalog/revue-gestion/articles/volume-50/bonheur-au-travail-les-trois-conditions-de-la-reussite.html

    SANTÉ PSYCHOLOGIQUE

      • Nurses’ job satisfaction is a critical factor in health-care organisations because of its association with nurse turnover and quality of patient care. Nurses continue to report high levels of job dissatisfaction. The primary aim of this study was to examine the relationships between structural empowerment, psychological empowerment and job satisfaction among staff nurses, after controlling for their leaders’ use of empowering behaviours. Cross-sectional data for 1007 Canadian staff nurses were analysed using hierarchical multiple regression. The results showed that nurses’ job satisfaction is most influenced by their access to organisational empowerment structures. Leader empowering behaviours, structural empowerment, and psychological empowerment, operating together, enhance nurses’ job satisfaction.

        Source : Dahinten, V.S., Lee, S.N., MacPhee, M. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12407

      • This study’s purpose was twofold: first, to examine the relative importance of job demands and resources as predictors of burnout and engagement, and second, the relative importance of engagement and burnout related to health, depressive symptoms, work ability, organizational commitment, and turnover intentions in two samples of health care workers. In both samples, job demands predicted burnout more strongly than job resources, and job resources predicted engagement more strongly than job demands. Engagement held more weight than burnout for predicting commitment, and burnout held more weight for predicting health outcomes, depressive symptoms, and work ability. Results have implications for the design, evaluation, and effectiveness of workplace interventions to reduce burnout and improve engagement among health care workers. Actionable recommendations for increasing engagement and decreasing burnout in health care organizations are provided.

        Source : Fragoso, Zachary L., Holcombe, Kyla J., McCluney, Courtney, Fisher, Gwenith G., McGonagle, Alyssa K., & Friebe, Susan J. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916653414

      • A better knowledge of the job aspects that may predict home healthcare nurses’ burnout and work engagement is important in view of stress prevention and health promotion. The Job Demands-Resources model predicts that job demands and resources relate to burnout and work engagement, but has not previously been tested in the specific context of home healthcare nursing. The current study offers a comprehensive test of the Job-Demands Resources model in home healthcare nursing. We investigate the main and interaction effects of distinctive job demands (workload, emotional demands and aggression) and resources (autonomy, social support and learning opportunities) on burnout and work engagement.

        Source : Vander Elst, Tinne, Cavents, Carolien, Daneels, Katrien, Johannik, Kristien, Baillien, Elfi, Van des Broeck, Anja, & Godderis, Lode. (2016). Job demands resources predicting burnout and work engagement among Belgian home healthcare nurses: A cross-sectional study. Nursing Outlook. Prépublication. DOI: http://dx.doi.org/10.1016/j.outlook.2016.06.004

      • Both work- and person-related factors may trigger workplace bullying. Work-related factors, such as role stressors, can create a stressful work environment leading to bullying. Additionally, person-related factors, such as emotion-focused coping, could make employees more vulnerable to bullying. In this study, the searchers aimed to develop a comprehensive model integrating these factors. Studies published between 1984 and 2014 were reviewed. Results suggested a model in which reappraisal coping, confrontive coping, practical coping, direct coping, active coping, social support (problem-focused coping) and self-care (emotion-focused coping) decrease the association between work stressors and bullying (i.e. buffer-effect). Wishful thinking, emotional coping, avoidance, recreation, social support and suppression (emotion-focused coping) increase this association (i.e. boost-effect). Coping resources (locus of control, self-efficacy, optimism, co-workers support, supervisor support, task complexity, participation in decision-making, autonomy and continuance commitment) related positively to problem-focused coping strategies and negatively to emotion-focused coping strategies.

        Source : Van den Brande, Whitney, aillien, Elfi, De Witte, Hans, Vander Elst, Tinne, & Godderis, Lode. (2016). Agression and Violent Behavior. Prépublication. doi:10.1016/j.avb.2016.06.004

      • Pour mieux comprendre les effets du travail en horaires postés, ont été étudiées les variations des perceptions de l’environnement de travail selon le poste travaillé et la phase du poste. Le questionnaire mesure les perceptions de demandes, contrôle et soutien social et deux dimensions supplémentaires : les ressources techniques et humaines et les interférences travail-hors travail. Les résultats montrent des demandes psychologiques globalement plus élevées en début et milieu de poste et des demandes physiques plus élevées en fin de poste. Lors du poste de nuit, les personnels perçoivent davantage d’autonomie et moins de soutien des collègues.

        Source : Cascino, Nadine, Mélan, Claudine, & Galy, Édith. (2016). Étude des perceptions de l’environnement de travail au cours du poste chez des travailleurs postés : intérêt d’une évaluation subjective et temporellement située de la charge de travail. Le Travail humain, 79(2), 97-124. Repéré à http://www.cairn.info/resume.php?ID_ARTICLE=TH_792_0097

      • Health care bullying is a pervasive, underestimated, and underreported problem that results in poor outcomes for staff, patients, and health care organizations. The most common form of health care bullying occurs between nurses. Nurse managers hold an important role in the prevention and elimination of frontline nurse-to-nurse bullying. An anonymous Web-based survey was conducted to uncover what behaviors nurse managers perceive as bullying and how they respond to bullying acts. Respondents who had witnessed or been victimized by bullying were more apt to identify bullying and those who had been victimized or supervised nurses for more than 20 years were more prone to act upon bullying behaviors. There was only a moderate correlation between the identification of and response to bullying behaviors. Finally, overt bullying elicited a stronger response for intervention than covert bullying. Although nurse managers are well positioned to prevent and eliminate nurse-to-nurse bullying, they may not recognize it and often lack the skills and support necessary to address it. Decreases in nurse-to-nurse bullying reduce health care costs, improve nurse and patient satisfaction, and enhance patient outcomes. Therefore, nurse managers at all levels need education and support to ensure proper identification of bullying and, furthermore, to prevent and eliminate the behaviors.

        Source : Gilbert, Rebecca T., Hudson, John S., & Strider, David. (2016). Nursing Administration Quaterly, 40(3), E1-E11. doi: 10.1097/NAQ.0000000000000175

      • The aim of this study was to conduct a cost-effectiveness and return-on-investment analysis comparing a mindfulness-based worksite intervention to usual practice. Two hundred fifty-seven governmental research institute employees were randomized to the intervention or control group. Intervention group participants received an eight-week mindfulness training, e-coaching, and supporting elements. Outcomes included work engagement, general vitality, job satisfaction, work ability, and costs. Cost-effectiveness analyses were conducted from the societal and employer’s perspective, and a return-on-investment analysis from the employer’s perspective.

        Source : van Dongen, Johanna, van Berkel, Jantien, Boot, Cécile R.L., Bosmans, Judith E., Proper, Karin I., Bongers, Paulien,… van Wier, Marieke F. (2016). Long-Term Cost-Effectiveness and Return-on-Investment of a Mindfulness-Based Worksite Intervention: Results of a Randomized Controlled Trial. JOEM : Journal of Occupational & Environmental Medicine, 58(6), 550-560. doi: 10.1097/JOM.0000000000000736

      • Ward organization is a major determinant for nurses’ well-being on the job. The majority of previous research on this relationship is based on single source methods, which have been criticized as skewed estimations mainly due to subjectivity of the ratings and due to common source bias. The objective of this study was to investigate the association of ward organization characteristics and nurses’ exhaustion by combining observation-based assessments with nurses’ self-reports.

        Source : Stab, Nicole, Hacker, Winfried, & Weigl, Matthias. (2016). International Journal of Nursing Studies, 61(9), 52-62. doi:10.1016/j.ijnurstu.2016.05.012

      • Après avoir tant entendu parler de souffrance au travail (stress, épuisement professionnel, etc.), voici que le bonheur au travail est aujourd’hui à l’honneur. En débarrassant notamment les employés des lourdeurs bureaucratiques, des entreprises dites libérées souhaitent réconcilier bonheur et travail. Certaines d’entre elles, par exemple Harley-Davidson ou Zappos, ont tenté l’expérience et en ont tiré trois grands principes dont vous pouvez vous inspirer.

        Source : Barel, Yvan, & Frémeaux, Sandrine.(été 2016), Gestion, 41(2), 82-84. Repéré à http://www.revuegestion.ca/catalog/revue-gestion/articles/volume-50/bonheur-au-travail-les-trois-conditions-de-la-reussite.html

      • Une étude longitudinale en deux volets permet de mieux comprendre le processus d’implantation d’interventions en prévention des risques psychosociaux (RPS) en milieu de travail. Quatre organisations engagées dans une telle démarche ont participé à l’étude. Une séance d’information a aussi permis aux participants de se familiariser avec 25 outils de gestion des RPS.

        Source : Biron, Caroline, St-Hilaire, France, Baril-Gingras, Geneviève, Paradis, Marie-Esther, Chabot, Shrirley, Lefebvre, Rébecca,… Brisson, Chantal. (2016). Conditions facilitant l’appropriation de démarches préventives en santé psychologique au travail par les gestionnaires. Montréal : IRSST, ix,90 p. (Études et recherches, rapport R-921). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-921.pdf

    SERVICES À DOMICILE

      • A better knowledge of the job aspects that may predict home healthcare nurses’ burnout and work engagement is important in view of stress prevention and health promotion. The Job Demands-Resources model predicts that job demands and resources relate to burnout and work engagement, but has not previously been tested in the specific context of home healthcare nursing. The current study offers a comprehensive test of the Job-Demands Resources model in home healthcare nursing. We investigate the main and interaction effects of distinctive job demands (workload, emotional demands and aggression) and resources (autonomy, social support and learning opportunities) on burnout and work engagement.

        Source : Vander Elst, Tinne, Cavents, Carolien, Daneels, Katrien, Johannik, Kristien, Baillien, Elfi, Van des Broeck, Anja, & Godderis, Lode. (2016). Job demands resources predicting burnout and work engagement among Belgian home healthcare nurses: A cross-sectional study. Nursing Outlook. Prépublication. DOI: http://dx.doi.org/10.1016/j.outlook.2016.06.004

      • This handbook is an easy-to-read overview of some of the topics covered in this course as well as topics that are not covered. It is a useful resource that contains practical tips for homecare worker safety.

        Source : NIOSH (2014). Caring for yourself while caring for others. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH), 77 p. (Publication No. 2015–103). Repéré à http://www.cdc.gov/niosh/docs/2015-103/pdf/2015-103.pdf

    SERVICES ALIMENTAIRES

    SERVICES AMBULANCIERS – PRÉHOSPITALIERS

      • The purpose of this investigation was to examine if paramedics’ frequency of being exposed to highly physically demanding activities, or their perception of physical, clinical, and emotional demands were altered by patients’ acuity level, operationalized using the Canadian Triage and Acuity Scale (CTAS).

        Source : Morales, Laura, McEachern, Brittany M., MacPhee, Renée S., & Fischer, Steven L.(2016). Applied Ergonomics, 56(9), 187-193. doi:10.1016/j.apergo.2016.04.003

    STATISTIQUES EN SST

      • Jusqu’à maintenant, l’Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) a produit des indicateurs statistiques de santé et sécurité du travail tous les cinq ans. Le besoin d’obtenir de l’information sur l’évolution annuelle depuis la dernière série d’indicateurs quinquennaux devenait cependant de plus en plus nécessaire. Ces données serviront à mieux connaître les changements récents concernant les indicateurs de lésions professionnelles et à identifier les types de lésions et les industries-catégories professionnelles pour lesquels l’évolution des indicateurs a été la moins favorable.

        Source : Duguay, Patrice, Busque, Marc-Antoine, Boucher, Alexandre, Lebeau, Martin, & Prud’homme, Pascale. (2016). Montréal : IRSST, xix, 87 p. (Études et recherches, Rapport R-922). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-922.pdf

    TRAVAIL DE BUREAU

      • The purpose of this study was to evaluate the participatory ergonomic method on the development of upper extremity musculoskeletal disorders and disability in office employees. Methods: This study is a randomized controlled intervention study. It comprised 116 office workers using computers. Those in the intervention group were taught office ergonomics and the risk assessment method. The results suggest that participatory ergonomic intervention decreases the possibility of musculoskeletal complaints and disability/symptom level in office workers.

        Source : Baydur, Hakan, Ergör, Alp, Demiral, & Yücel, Akalin, Elif. (2016). Journal of Occupational Health. 58(3), 297-309. http://doi.org/10.1539/joh.16-0003-OA

      • The objective of this study was to evaluate how different workstations may influence physical behavior in office work through motion and how that may affect spinal loads and discomfort. Twenty subjects performed a typing task in three different workstations (seated, standing, and perching) for one hour each. Measures of postural transitions, spinal loads, discomfort, and task performance were assessed in order to understand the effects of workstation interaction over time. Results indicated that standing had the most amount of motion (6–8 shifts/min), followed by perching (3–7 shifts/min), and then seating (<1 shift/min). Standing had the highest reports of discomfort and seating the least. However, spinal loads were highest in A/P shear during standing, compared to perching and seating. Perching may induce motion through supported mobility in the perching stool, whereas standing motion may be due to postural discomfort. Office workstation designs incorporating supported movement may represent a reasonable trade-off in the costs-benefits between seating and standing.

        Source : Le, Peter, & Marras, William S. (2016). Applied Ergonomics, 56(9), 170-178. doi:10.1016/j.apergo.2016.04.001

      • TRAVAIL EN HAUTEUR

      • Avant de monter sur cette échelle portable, apprenez quelles précautions vous devez prendre pour l’immobiliser et éviter de faire grimper les statistiques sur les accidents. Les chutes en bas des échelles portatives constituent une cause courante de blessures professionnelles et sont souvent attribuables à une mauvaise utilisation de l’échelle. Suivez ces 10 conseils sur la façon d’utiliser votre échelle et grimpez en toute sécurité.

        Source : Centre canadien d’hygiène et de sécurité au travail. (2016). Le rapport sur la santé et la sécurité, 14(5). Repéré à http://cchst.ca/newsletters/hsreport/issues/current.html

      • TRAVAIL EN LABORATOIRE

      • Ce guide national porte sur la manipulation ou l’entreposage des agents pathogènes touchant les humains, des agents pathogènes touchant les animaux terrestres et des toxines au Canada. La NCB énonce les exigences physiques en matière de confinement, les exigences opérationnelles et les exigences relatives aux essais de vérification et de performance nécessaires pour qu’il soit possible de manipuler ou d’entreposer en toute sécurité les agents pathogènes humains, les agents pathogènes d’animaux terrestres et les toxines. La NCB met à jour plusieurs exigences afin qu’ils soient plus axés sur les risques, les éléments probants et le rendement, et de nouveaux éléments d’information du domaine de l’ingénierie du bioconfinement ont été intégrés.

        Source : Gouvernement du Canada. Norme canadienne sur la biosécurité. 2e édition. Ottawa : Agence de la santé publique du Canada, xxxvi, 168 p. Repéré à http://canadianbiosafetystandards.collaboration.gc.ca/cbs-ncb/assets/pdf/cbsg-nldcb-fra.pdf

      • TRAVAILLEURS JEUNES/ÂGÉS

      • 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 lifting policy » had been implemented; only 32.9% indicated staffing was adequate for SPHM tasks; and only 39.4% stated the hospital had all of the equipment needed to perform SPHM safely. Thirty-nine percent of participants had already sustained a musculoskeletal injury with an additional 35% sustaining but not reporting an injury. More actions are needed to ensure a decrease in musculoskeletal injuries for new nurses.

        Source : Vendittelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

    TROUBLES MUSCULOSQUELETTIQUES (TMS)

      • 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 lifting policy » had been implemented; only 32.9% indicated staffing was adequate for SPHM tasks; and only 39.4% stated the hospital had all of the equipment needed to perform SPHM safely. Thirty-nine percent of participants had already sustained a musculoskeletal injury with an additional 35% sustaining but not reporting an injury. More actions are needed to ensure a decrease in musculoskeletal injuries for new nurses.

        Source : Vendittelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

      • The purpose of this study was to evaluate the participatory ergonomic method on the development of upper extremity musculoskeletal disorders and disability in office employees. Methods: This study is a randomized controlled intervention study. It comprised 116 office workers using computers. Those in the intervention group were taught office ergonomics and the risk assessment method. The results suggest that participatory ergonomic intervention decreases the possibility of musculoskeletal complaints and disability/symptom level in office workers.

        Source : Baydur, Hakan, Ergör, Alp, Demiral, & Yücel, Akalin, Elif. (2016). Journal of Occupational Health. 58(3), 297-309. http://doi.org/10.1539/joh.16-0003-OA

      • The objective of this study was to evaluate how different workstations may influence physical behavior in office work through motion and how that may affect spinal loads and discomfort. Twenty subjects performed a typing task in three different workstations (seated, standing, and perching) for one hour each. Measures of postural transitions, spinal loads, discomfort, and task performance were assessed in order to understand the effects of workstation interaction over time. Results indicated that standing had the most amount of motion (6–8 shifts/min), followed by perching (3–7 shifts/min), and then seating (<1 shift/min). Standing had the highest reports of discomfort and seating the least. However, spinal loads were highest in A/P shear during standing, compared to perching and seating. Perching may induce motion through supported mobility in the perching stool, whereas standing motion may be due to postural discomfort. Office workstation designs incorporating supported movement may represent a reasonable trade-off in the costs-benefits between seating and standing.

        Source : Le, Peter, & Marras, William S. (2016). Applied Ergonomics, 56(9), 170-178. doi:10.1016/j.apergo.2016.04.001

      • The effect of physical activity on risk and prognosis for neck pain has been studied earlier with inconclusive results. There is a need for large prospective studies on the subject. The aim of this study was to investigate if work related physical activity and physical activity during leisure time are of importance for the risk and prognosis of neck pain in men and women.

        Source : Palmlöf, Lina, Holm, Lena W., Alfredsson, Lars, Magnusson, Cecilia, Vingård, Eva & Eva Skillgat, Eva. (2016). The impact of work related physical activity and leisure physical activity on the risk and prognosis of neck pain : a population based cohort study on workers. BMC Musculoskeletal Disorders, 17:219. DOI: 10.1186/s12891-016-1080-1

    VACCINATION DU PERSONNEL

    • Influenza is a significant problem within hospitals, leading to extended hospital stays, excess morbidity and mortality, and economic loss. Prevention and control strategies are generally “bundled”; therefore, the individual effects of particular strategies and the value of combined strategies cannot be determined directly, making it difficult to discern the optimal strategy. To quantify the individual and joint effectiveness of several known influenza infection control measures used in general hospitals, the authors simulated influenza transmission at a hypothetical hospital during a 1-yeat seasonal epidemic, using a susceptible-exposed-infected-recovered compartmental model.

      Source : Blanco, Natalia, Eisenberg, Marisa C., Stillwell, Terri, & Foxman, Betsy. (2016). American Journal of Epidemiology, 183(11), 1045-1054. doi: 10.1093/aje/kwv293

    Article mis en avant

    COIN DE LA DOCUMENTALISTE – JUIN 2016

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    ADMINISTRATION DE LA SANTÉ

  • En 2006, un hôpital universitaire au Québec a décidé d’implanter le projet Hôpital promoteur de santé (HPS). Une étude a été menée sur le contexte interne d’implantation du projet, et plus particulièrement d’une des dimensions du projet, « le milieu de travail promoteur de santé ». La compatibilité étant un des facteurs importants et peu étudié du contexte interne, l’objectif de cet article est d’examiner s’il existe au Centre Hospitalier Universitaire (CHU) des pratiques organisationnelles compatibles avec celles de ce sous-projet dans le milieu de travail des infirmières.

    Source : Bilterys, Robert, & Dedobbeleer, Nicole. (2016). Santé Publique, 28(1), 49-59. Repéré à http://www.cairn.info/article.php?ID_ARTICLE=SPUB_161_0049

  • Lean is widely applied in hospitals, but the impact tends to be limited. This paper investigates three possible explanations: 1) maturity, 2) complexity, and 3) the value concept and analyses the bearing of these in a case study of lean application in a large Danish university hospital. The results indicate that lean tends to be applied in secondary and support functions with a logistic character and therefore has had a limited impact on the overall healthcare performance. The case study shows that there are constraints related to low lean maturity, the complexity of processes and operations as well as differences in value perceptions among the different professions (e.g., doctors, nurses, and managers) within the hospital. The conclusion is that lean is useful for hospitals, but the lean concept as well as its implementation methods need to be fitted to the organizational complexity and diverging values in hospitals in order to bring about a larger impact.

    Source : Hasle, Peter, Nielsen, Anders P., & Edwards, Kasper. (2016). Human Factors and Ergonomics in Manufacturing & Service Industries. Prépublication. DOI: 10.1002/hfm.20668

  • AGRESSIONS ET VIOLENCE

  • A priori, une salle d’attente dans un bureau de service n’a rien d’un milieu de travail dangereux. Ce n’est pas un espace clos, la température y est confortable, nulle machine coupante ni aucun produit chimique en vue. Pourtant, dans cette salle, un citoyen peut s’énerver d’attendre. Insatisfait et exaspéré du service rendu, il s’en prend à l’employé en montant le ton, puis secoue le comptoir avant de devenir menaçant à l’égard du travailleur. Il est devenu dangereux pour l’employé et les autres clients. Il n’y a pas que dans les bureaux de service que le public peut se montrer dangereux. Dans les hôpitaux, les centres jeunesse, les autobus, notamment, des employés sont aussi exposés à la violence du public. Comme pour n’importe quel danger, la violence du public doit être analysée et faire l’objet de mesures préventives, et les employés doivent être informés et formés en conséquence.

    Source : Levée, Valérie. (2016, Été). Prévention au travail, 29(2), 9-13. Repéré à http://preventionautravail.com/reportages/346-clientele-agressive-un-mal-sous-estime.html

  • En décembre 2014, l’APSAM a publié une fiche de sensibilisation présentant la Démarche de prévention de la violence dans les rapports avec la clientèle. Cette démarche comporte les quatre étapes suivantes : l’engagement de l’organisation, l’analyse de la situation, les mesures préventives, puis le suivi, le contrôle et l’évaluation. Pour vous soutenir dans la mise en œuvre de ces étapes, l’APSAM vient tout juste de publier plusieurs nouveaux outils sur son thème Violence et clientèle agressive.

    Source : Association paritaire pour la santé et la sécurité du travail, secteur "affaires municipales". (2016, 29 avril). Violence au travail : de nouveaux outils à votre disposition. [Billet de blogue]. Repéré à http://www.apsam.com/blogue/violence-au-travail-de-nouveaux-outils-votre-disposition

  • M. Villeneuve, 66 ans, souffre de la maladie d’Alzheimer. Hébergé en CHSLD, il sème la terreur auprès des autres patients et du personnel. Imposant, il déambule en menaçant de donner des coups avec sa canne à tout le monde. Un soir, il a attaqué un soignant, le frappant violemment. On vous téléphone: «Au secours Docteur, M. Villeneuve est agressif, vous devez faire quelque chose!». De 25% à 50% des personnes atteintes d’un trouble neurocognitif majeur auront des comportements agressifs au cours de l’évolution de leur maladie. Il n’existe pas de consensus formel définissant l’agressivité chez cette clientèle. On peut décrire des comportements physiques (pincer, frapper, griffer, cracher) et verbaux agressifs (ex.: blasphémer, crier, menacer). La prise en charge de ces comportements constitue un réel défi pour le médecin et l’équipe soignante.

    Source : Ménard, Caroline, & Léveillé, Guy. (2016, mars). Le Médecin du Québec, 51(3), 22-26. Repéré à https://fmoq-mdq.s3.amazonaws.com/2016/03/021-026-MmeMenard-0316.pdf

  • ALLERGIES PROFESSIONNELLES

  • The FDA’s recently proposed rule to ban powdered latex gloves was welcomed by occupational health advocates, but there was some sentiment that the FDA was finally addressing a problem clinicians long since had to solve themselves. "Latex allergies have dropped a lot in the last few years – it was really tough about eight or nine years ago," says Bobby Quentin Lanier, MD, executive medical director of the American College of Allergy, Asthma, and Immunology (ACAAI). Indeed, there are still healthcare facilities using powdered latex gloves, which pose a threat of allergic reactions in healthcare workers. Thus, the Association of Occupational Health Professionals in Healthcare (AOHP) welcomed the ban and didn’t quibble about the timing.

    Source : Better late than never? FDA proposed ban on powdered gloves welcomed, questioned. (2016, May). Hospital Employee Health, 35(5), 54-56. Repéré à http://www.ahcmedia.com/articles/137644-better-late-than-never-fda-proposed-ban-on-powdered-gloves-welcomed-questioned

  • Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most commonly phenolics, quaternary ammonium compounds, improved hydrogen peroxides, and hypochlorites. Concern has been raised that the use of germicides by health care personnel may increase the risk of these persons for developing respiratory illnesses (principally asthma) and contact dermatitis. The data demonstrate that dermatitis and respiratory symptoms (eg, asthma) as a result of chemical exposures, including low-level disinfectants, are exceedingly rare. Unprotected exposures to high-level disinfectants may cause dermatitis and respiratory symptoms. Engineering controls (eg, closed containers, adequate ventilation) and the use of personal protective equipment (eg, gloves) should be used to minimize exposure to high-level disinfectants. The scientific evidence does not support that the use of low-level disinfectants by health care personnel is an important risk for the development of asthma or contact dermatitis.

    Source : Weber, David J., Consoli, Stephanie A., & Rutala, William A. (2016). AJIC : American Journal of Infection Control, 44 (5), suppl.) e85-e89. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.030

  • AMÉNAGEMENT – ARCHITECTURE

  • Open-plan offices account for 60% of French office workspaces. The noise levels recorded in this type of environment are much lower than those encountered in industrial workplaces. Nevertheless, surveys show that noise is considered by employees as the main source of discomfort. A first questionnaire dedicated to noise discomfort was produced in 2013 and tested on a panel made up of 217 people working in 7 French companies. Today, it also makes it possible to address the issues of fatigue related to ambient sound, but above all, the survey aims to study the differences in how ambient noise is perceived depending on the type of open-plan office. On the basis of that new version, a second survey has been conducted in 23 open-plan offices, making it possible to collect the responses from 617 employees.

    Source : Perrin Jegen, N., & Chevret, P. (2016). Ergonomics. DOI:10.1080/00140139.2016.1172737

  • Health care organizations are taking a holistic view that considers their responsibility to people, the planet and profits, known as the three pillars of sustainability, when choosing interior design materials, and that includes flooring. Specific attributes of flooring that affect the health and safety of patients, visitors and staff include the material’s contribution to indoor-air quality; its slip-resistance, acoustic and ergonomic properties; and its capacity to be maintained through green cleaning methods. Life-cycle cost also is important to health facilities. In addition, many flooring companies are addressing and voluntarily disclosing the total environmental impact of their products.

    Source : Earth-friendly flooring for health care facilities. (2016), Health Facilities Management. Repéré à http://www.hfmmagazine.com/display/HFM-news-article.dhtml?dcrPath=%2Ftemplatedata%2FHF_Common%2FNewsArticle%2Fdata%2FHFM%2FMagazine%2F2016%2Fjun%2F-sustainable-flooring-interior-design

  • APPROCHE LEAN – TOYOTA

  • Lean is widely applied in hospitals, but the impact tends to be limited. This paper investigates three possible explanations: 1) maturity, 2) complexity, and 3) the value concept and analyses the bearing of these in a case study of lean application in a large Danish university hospital. The results indicate that lean tends to be applied in secondary and support functions with a logistic character and therefore has had a limited impact on the overall healthcare performance. The case study shows that there are constraints related to low lean maturity, the complexity of processes and operations as well as differences in value perceptions among the different professions (e.g., doctors, nurses, and managers) within the hospital. The conclusion is that lean is useful for hospitals, but the lean concept as well as its implementation methods need to be fitted to the organizational complexity and diverging values in hospitals in order to bring about a larger impact.

    Source : Hasle, Peter, Nielsen, Anders P., & Edwards, Kasper. (2016). Human Factors and Ergonomics in Manufacturing & Service Industries. Prépublication. DOI: 10.1002/hfm.20668

  • APPROCHE RELATIONNELLE DE SOINS (ARS)

  • The older population is increasing worldwide. Currently, there is a shift in care for older people from institutional care to home care. Providing home care in a person’s home involves several challenges, including the complexity of communication. The aim of this study was to explore communicative challenges in encounters between nurse assistants and older persons during home care visits. A descriptive observational design with a qualitative approach was used.

    Source : Sundler, Annelie J., Eide, Hilde, van Dulmen, Sandra, & Holmström, Inger K. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12996

  • ASTHME PROFESSIONEL

  • Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most commonly phenolics, quaternary ammonium compounds, improved hydrogen peroxides, and hypochlorites. Concern has been raised that the use of germicides by health care personnel may increase the risk of these persons for developing respiratory illnesses (principally asthma) and contact dermatitis. The data demonstrate that dermatitis and respiratory symptoms (eg, asthma) as a result of chemical exposures, including low-level disinfectants, are exceedingly rare. Unprotected exposures to high-level disinfectants may cause dermatitis and respiratory symptoms. Engineering controls (eg, closed containers, adequate ventilation) and the use of personal protective equipment (eg, gloves) should be used to minimize exposure to high-level disinfectants. The scientific evidence does not support that the use of low-level disinfectants by health care personnel is an important risk for the development of asthma or contact dermatitis.

    Source : Weber, David J., Consoli, Stephanie A., & Rutala, William A. (2016). AJIC : American Journal of Infection Control, 44 (5), suppl.) e85-e89. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.030

  • BLOC OPÉRATOIRE

  • Surgical smoke generated during electrocautery contains toxins which may cause adverse health effects to operating room (OR) personnel. The objective of this study was to investigate the performance of surgical masks (SMs), which are routinely used in ORs, more efficient N95 surgical mask respirator (SMRs) and N100 filtering facepiece respirator (FFRs), against surgical smoke. The results showed that SMs do not provide measurable protection against surgical smoke. SMRs offer considerably improved protection versus SMs, while the N100 FFRs showed significant improvement over the SMRs.

    Source : Gao, Shuang, Koehler, Richard H., Yermakov, Michael, & Grinshpun, Sergey A. (2016). The Annals of Occupational Hygiene, 60(5), 608-618. doi: 10.1093/annhyg/mew006

  • BRUIT EN MILIEU DE TRAVAIL

  • Workers in many occupational sectors, including manufacturing, mining, construction, transportation, and emergency services, often perform their jobs while exposed to high levels of occupational noise. Long-term exposure to noise can result in both hearing loss and stress-related illness. In addition, noise can interfere with critical communications and warning signals. For these reasons, it is critically important to identify these hazardous situations and implement preventative measures to help protect the hearing of workers. The first in a series of standards on occupational noise control, helps address these potential threats to worker health and safety. The standard helps guide your business in establishing a management process for an effective hearing loss prevention program and is part of CSA Group’s portfolio of OHS Management Systems Standards, based on the foundation of Z1000 – Occupational Health and Safety Management.

    Source : Canadian Standard Association. (2016). Hearing loss prevention program (HLPP) management. Toronto, Ont.: Groupe CSA, (CSA Z1007-16). Repéré à http://shop.csa.ca/fr/canada/hearing-protection/z1007-16/invt/27039462016

  • Open-plan offices account for 60% of French office workspaces. The noise levels recorded in this type of environment are much lower than those encountered in industrial workplaces. Nevertheless, surveys show that noise is considered by employees as the main source of discomfort. A first questionnaire dedicated to noise discomfort was produced in 2013 and tested on a panel made up of 217 people working in 7 French companies. Today, it also makes it possible to address the issues of fatigue related to ambient sound, but above all, the survey aims to study the differences in how ambient noise is perceived depending on the type of open-plan office. On the basis of that new version, a second survey has been conducted in 23 open-plan offices, making it possible to collect the responses from 617 employees.

    Source : Perrin Jegen, N., & Chevret, P. (2016). Ergonomics. DOI:10.1080/00140139.2016.1172737

  • CANCERS PROFESSIONNELS

  • Le cancer du sein constitue un problème majeur de santé publique et chaque année dans le monde, surviennent 1,7 million de nouveaux cas et 500 000 décès. Certaines expositions professionnelles ont été incriminées dans le cancer du sein à savoir les rayonnements ionisants, le travail de nuit, les perturbateurs endocriniens. D’autres facteurs de risque liés au travail sont suspectés mais sans lien avéré : les médicaments antinéoplasiques des groupes 1A et 2A, les champs électromagnétiques d’extrême basse fréquence, l’oxyde d’éthylène, etc.

    Source : Facteurs de risques professionnels du cancer du sein. (2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Facteurs-de-risques-professionnels,5164.html

  • CHAMPS ÉLECTROMAGNÉTIQUES

  • Le cancer du sein constitue un problème majeur de santé publique et chaque année dans le monde, surviennent 1,7 million de nouveaux cas et 500 000 décès. Certaines expositions professionnelles ont été incriminées dans le cancer du sein à savoir les rayonnements ionisants, le travail de nuit, les perturbateurs endocriniens. D’autres facteurs de risque liés au travail sont suspectés mais sans lien avéré : les médicaments antinéoplasiques des groupes 1A et 2A, les champs électromagnétiques d’extrême basse fréquence, l’oxyde d’éthylène, etc.

    Source : Facteurs de risques professionnels du cancer du sein. (2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Facteurs-de-risques-professionnels,5164.html

  • CONCILIATION TRAVAIL – VIE PERSONNELLE

  • On entend souvent qu’un travailleur passe plus de temps avec ses collègues qu’avec sa famille. Qu’en est-il réellement ? Combien de temps les Québécois passent-ils au travail annuellement, et combien leur en reste-t-il pour leur vie personnelle ?

    Source : Travail vs vie personnelle : l’heureux déséquilibre. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 12.

  • CONSTRUCTION

  • Does anyone have an easy way to remember the angle to place the ladder ? What do you all do to make sure people use ladders safely ? In this toolbox talk guide, there are some ways we can prevent falls from ladder. 

    Source : Oregon Health & Science University. Oregon Fatality Assessment and Control Evaluation (OR-FACE). Repéré à http://www.ohsu.edu/xd/research/centers-institutes/oregon-institute-occupational-health-sciences/outreach/or-face/publications/upload/2005-01-Fall-from-ladder-that-slipped.pdf

  • Les chutes de hauteur sont encore aujourd’hui une des causes majeures d’accidents du travail. Trop souvent, les travailleurs ne s’attachent pas, faute de point d’ancrage disponible, ou parce qu’ils trouvent que les points d’attache fixes restreignent trop leurs mouvements. Cette restriction peut toutefois être levée grâce aux systèmes de corde d’assurance horizontale (SCAH). Le présent rapport constitue la mise à jour du guide technique T-18 publié en 1991 et rend ce dernier caduc. Cette mise à jour était devenue nécessaire à la suite de l’introduction, en 2001, au Code de sécurité pour les travaux de construction (CSTC), de l’obligation d’équiper les cordons d’assujettissement d’un absorbeur d’énergie. De plus, puisque les ancrages des SCAH sont généralement flexibles, plutôt que rigides (une colonne structurale est un exemple d’ancrage rigide), il nous est apparu important d’en tenir compte dans la présente mise à jour. Source : Galy, Bertrand, & Lan, André. (2016). Montréal : Institut de recherche Robert-Sauvé en santé et en sécurité du travail, xi, 77 p. (Études et recherches; rapport R-902). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-902.html

  • Les systèmes de corde d’assurance horizontale (SCAH) sont un moyen peu coûteux et efficace de protéger les travailleurs contre les chutes de hauteur. Cependant, leur conception pose un problème complexe en raison de la nature dynamique de la charge et des non-linéarités du câble. Destiné autant aux ingénieurs en conception de systèmes actifs de protection contre les chutes qu’aux préventeurs voulant vérifier la conformité d’un système en place, l’IRSST a développé un nouvel outil qui permet le dimensionnement des systèmes de corde d’assurance horizontale (SCAH), aussi appelés systèmes d’ancrage continu flexible ou ligne de vie. Intégrant les abaques élaborés lors de la mise à jour du guide et l’ensemble des paramètres de conception du SCAH, il permet de façon simple de calculer la tension dans le câble, sa flèche lors de l’arrêt d’une chute, ainsi que le dégagement nécessaire par rapport au câble.

    Source : Institut de recherche Robert-Sauvé en santé et en sécurité du travail. (2016, 28 avril). IRSST. Actualités. Repéré à http://www.irsst.qc.ca/scah

  • CONTRAINTES THERMIQUES

  • Chaque été, certaines tâches deviennent davantage difficiles à effectuer en raison de la chaleur, et ce, surtout en période de canicule. Pourquoi? L’organisme humain doit maintenir, en tout temps, sa température interne à 37 °C et, pour ce faire, en ambiance chaude, certains mécanismes se mettent en marche. Ainsi, la chaleur à l’intérieur du corps est transférée vers la peau, par une circulation sanguine périphérique plus importante : il y a alors augmentation de la fréquence cardiaque. Pour abaisser la température de la peau, la transpiration est un mécanisme de choix! Résultat : notre corps se fatigue et se déshydrate plus rapidement et cela peut entraîner une baisse de la capacité physique et intellectuelle.

    Source : Centre patronal de santé et de sécurité du Québec. (2016, Avril). Info SST. Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/contraintes-thermiques/gerer-les-contraintes-thermiques.html

  • CPE – SERVICES DE GARDE

  • Pour s’assurer que les mesures de prévention des blessures au dos sont bien respectées, la CNESST dépêche des inspecteurs qui détiennent le pouvoir de faire appliquer la loi. Or, la Loi sur la santé et la sécurité du travail (LSST) et les règlements qui en découlent sont pratiquement muets quant aux moyens à déployer pour prévenir les maux de dos, puisque chaque milieu de travail est unique et présente des particularités qui lui sont propres. Les solutions à appliquer dans un CPE ne sont certainement pas les mêmes que dans un garage ou un hôpital !

    Source : Association québécoise des CPE. (2016, 16 mai). Bulletin Mutuelle de prévention des CPE. Repéré à http://www.aqcpe.com/nouvelles/dossier-special-maux-de-dos-lapproche-des-inspecteurs-de-la-cnesst/

  • Daycare employees, specifically caregivers, are a distinct population that may experience increased risk of injury due to the high exposure to bent postures, lifting conditions and high stress associated with their work. The objectives of the study were to collect up to date data on daycare workers and to compare the data between groups working with children of different ages (Infant, Toddler and Preschool). Results suggested that these employees experience an elevated risk of low back injury caused by their occupational tasks and thus, further research is required to determine appropriate worker accommodations and safe work practices to help mediate these risks for all daycare caregivers.

    Source : Labaj, Adam, Diesbourg, Tara, Dumas, Geneviève, Plamondon, André, Mercheri, Hakim, & Larue, Christian. (2016). International Journal of Industrial Ergonomics, 54(7), 83-92. doi:10.1016/j.ergon.2016.05.003

  • To improve influenza immunization rates, it is essential to understand why adults are not immunized and the factors that influence their decisions. This information can be used to tailor educational materials and outreach.  For this reason, employees of a manufacturing plant and day care center were offered free influenza immunizations and asked to complete a survey regarding factors influencing their decisions to be vaccinated.

    Source : McKeirnan, Kimberly C. (2016). Workplace Health & Safety, 64(5), 228. doi: 10.1177/2165079916632773

  • En service de garde, 50 % des réclamations pour des lésions professionnelles sont en lien avec des blessures au dos. Il s’agit du milieu où l’on retrouve la plus grande proportion de ce type de lésions, surclassant les hôpitaux (46 %), les établissements de soins infirmiers et les résidences pour personnes âgées (45 %), révèlent les données de l’Association paritaire pour la santé et la sécurité du travail du secteur des affaires sociales. Toutefois, il est possible de réduire ces risques en adoptant des mesures de prévention en santé et sécurité au travail.

    Source : Association québécoise des CPE. (2016, 16 mai). Bulletin Mutuelle de prévention des CPE. Repéré à http://www.aqcpe.com/nouvelles/dossier-special-ne-tournez-pas-le-dos-a-la-prevention/

  • En 2015, environ 40 % des dossiers de réclamation de la Mutuelle de prévention des CPE étaient reliés à une blessure au dos. Loin d’être marginale, cette proportion est relativement stable année après année, plaçant cette catégorie de lésions parmi les plus fréquentes. Il est donc primordial de s’attarder à la moelle du problème. L’entorse lombaire et la lombalgie sont les deux diagnostics les plus courants, dans un contexte de santé et sécurité au travail (SST). Bien qu’il s’agisse de deux choses complètement différentes, plusieurs méprennent l’une pour l’autre.

    Source : Association québécoise des CPE. (2016, 16 mai). Bulletin Mutuelle de prévention des CPE. Repéré à http://www.aqcpe.com/nouvelles/dossier-special-les-blessures-au-dos-mettre-le-doigt-sur-le-bon-bobo/

  • DÉPLACEMENTS DES BÉNÉFICIAIRES

  • IWH cost-benefit analysis finds training program nearly cost-neutral while lowering injury rates by a third. The program was introduced in British Columbia across 15 long-term care facilities between 2006 and 2011. It led to a 34 per cent reduction in injury rates during the program time period and a 56 per cent drop after the program was over, a benefit of 84 cents for every dollar spent on the program, according to the study.

    Source : Institute for Work & Health. (2016, Spring). At Work, 84. Repéré à https://www.iwh.on.ca/at-work/84/peer-coaching-on-patient-lifts-lowers-injury-but-at-a-small-cost

  • Patient handling through lifting and moving of patients or residents, especially in a long-term care setting, is a key risk factor leading to injuries in healthcare workers.These injuries cause enormous pain and suffering to the healthcare workers and their families, as well as impose an enormous economic burden on society through productivity losses, and increase in healthcare costs and workers compensation costs. Many of these patient handling injuries can be prevented through appropriate use of engineering control interventions, for example, through the introduction of overhead lift equipment, in long-term care facilities.

    Source : Lahiri, Supriya. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-103416

  • The Kinaesthetics care conception is a nursing approach for patient handling which aims to prevent work-related complaints and diseases. The evidence about the influence of Kinaesthetics on musculoskeletal disorders among persons who handle patients is unclear to date. The purposes of the scoping review are to gain insight into the current state of research regarding the clinical effectiveness of Kinaesthetics (in terms of perceived exertion and musculoskeletal complaints) among persons who handle patients and to identify potential research gaps. A scoping review was conducted. 

    Source : Freiberg, Alice, Girbig, Maria, Euler, Ulrike, Scharfe, Julia, Nienhaus, Albert, Freitag, Sonja, & Seidler, Andreas. (2016). Journal of Occupational Medicine and Toxicology. Prépublication. DOI: 10.1186/s12995-016-0113-x

  • In recent years, safe patient handling in the health care industry has been addressed by various stakeholders, but much work remains to reduce health care worker injuries, and improve safety and care quality for patients. Recently, safe patient handling in ambulatory care settings has gained attention. As health care delivery evolves, demands on ambulatory care will increase and more dependent patients will visit ambulatory care clinics. Typically, ambulatory care clinics are not equipped with appropriate safe patient handling equipment. Examination tables, standard in ambulatory care clinics, currently have fixed height and are not easily accessible. This study investigated the benefits of introducing new height-adjustable examination tables to an ambulatory care setting. The results of this study indicate that by using height-adjustable examination tables, work-related musculoskeletal disorder (WMSD) risk for caregivers can be significantly reduced.

    Source : Fragala, Guy. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916642776

  • DERMATOSES PROFESSIONNELLES

  • Santé Canada informe les consommateurs des risques éventuels liés à l’utilisation de la méthylisothiazolinone en association avec la méthylchloroisothiazolinone (MI/MCI) comme agent de conservation dans certains produits sans rinçage, dont des cosmétiques, des médicaments en vente libre et des produits de santé naturels. Hydratants pour la peau, produits de massage, maquillage, antisudorifiques, désodorisants, écrans solaires, nettoyants antiseptiques, produits analgésiques topiques, lotions contre l’acné et produits de traitement de l’érythème fessier sont des exemples de produits sans rinçage. Chez certaines personnes, l’exposition répétée à ces substances peut provoquer certains symptômes qui peuvent survenir à chaque utilisation et s’intensifier avec une utilisation répétée.

    Source : Santé Canada. (2016, 10 mai). Santé Canada informe les Canadiens des risques liés à certains agents de conservation utilisés dans des cosmétiques, des médicaments en vente libre et des produits de santé naturels. Canadiens en santé. Repéré à http://canadiensensante.gc.ca/recall-alert-rappel-avis/hc-sc/2016/58290a-fra.php

  • The FDA’s recently proposed rule to ban powdered latex gloves was welcomed by occupational health advocates, but there was some sentiment that the FDA was finally addressing a problem clinicians long since had to solve themselves. "Latex allergies have dropped a lot in the last few years – it was really tough about eight or nine years ago," says Bobby Quentin Lanier, MD, executive medical director of the American College of Allergy, Asthma, and Immunology (ACAAI). Indeed, there are still healthcare facilities using powdered latex gloves, which pose a threat of allergic reactions in healthcare workers. Thus, the Association of Occupational Health Professionals in Healthcare (AOHP) welcomed the ban and didn’t quibble about the timing.

    Source : Better late than never? FDA proposed ban on powdered gloves welcomed, questioned. (2016, May). Hospital Employee Health, 35(5), 54-56. Repéré à http://www.ahcmedia.com/articles/137644-better-late-than-never-fda-proposed-ban-on-powdered-gloves-welcomed-questioned

  • Staphylococcus aureus is known to form a biofilm and colonize on damaged skin of the hands. We investigated changes in the quantity of S aureus on the hands and changes in skin damage when using a hand-cleansing formulation with potassium oleate but without a sanitizer (formulation A), which is highly effective in removing S aureus biofilm and causes minimal skin damage.

    Source : Asaoka, Kentaro, Endo, Shiro, Suzuki, Yuki, Komuro, Satoru, Nemoto, Tadanobu, & Kaku, Mitsuo. (2016). AJIC : American Journal of Infection Control. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.037

  • Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most commonly phenolics, quaternary ammonium compounds, improved hydrogen peroxides, and hypochlorites. Concern has been raised that the use of germicides by health care personnel may increase the risk of these persons for developing respiratory illnesses (principally asthma) and contact dermatitis. The data demonstrate that dermatitis and respiratory symptoms (eg, asthma) as a result of chemical exposures, including low-level disinfectants, are exceedingly rare. Unprotected exposures to high-level disinfectants may cause dermatitis and respiratory symptoms. Engineering controls (eg, closed containers, adequate ventilation) and the use of personal protective equipment (eg, gloves) should be used to minimize exposure to high-level disinfectants. The scientific evidence does not support that the use of low-level disinfectants by health care personnel is an important risk for the development of asthma or contact dermatitis.

    Source : Weber, David J., Consoli, Stephanie A., & Rutala, William A. (2016). AJIC : American Journal of Infection Control, 44 (5), suppl.) e85-e89. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.030

  • ENTRETIEN MÉNAGER À DOMICILE

  • Don’t ignore your cleaning staff when considering worker safety and personal protective equipment. Safety continues to be a major concern in professional cleaning. Invariably, cleaning workers focus on cleaning chemicals, equipment and tools to perform their tasks, but safety equipment often takes a backseat. "Cleaning workers suffer more injuries than many other workers in private industry," says Vicky Adams, category manager for safety, gloves and foodservice products for Impact Products. "Studies going back to 2007 find that full-time custodians are injured on the job sometimes as much as two times that of other workers in private industry."

    Source : Smith, Sandy. (2016, May 26). EHS Today. Safety. Repéré à http://ehstoday.com/safety/safety-supply-checklist-cleaning-professionals

  • ÉQUIPEMENT DE PROTECTION

  • The FDA’s recently proposed rule to ban powdered latex gloves was welcomed by occupational health advocates, but there was some sentiment that the FDA was finally addressing a problem clinicians long since had to solve themselves. "Latex allergies have dropped a lot in the last few years – it was really tough about eight or nine years ago," says Bobby Quentin Lanier, MD, executive medical director of the American College of Allergy, Asthma, and Immunology (ACAAI). Indeed, there are still healthcare facilities using powdered latex gloves, which pose a threat of allergic reactions in healthcare workers. Thus, the Association of Occupational Health Professionals in Healthcare (AOHP) welcomed the ban and didn’t quibble about the timing.

    Source : Better late than never? FDA proposed ban on powdered gloves welcomed, questioned. (2016, May). Hospital Employee Health, 35(5), 54-56. Repéré à http://www.ahcmedia.com/articles/137644-better-late-than-never-fda-proposed-ban-on-powdered-gloves-welcomed-questioned

  • Current regulations require annual fit testing before an employee can wear a respirator during work activities. The goal of this research is to determine whether respirator fit measured with two TSI Portacount instruments simultaneously sampling ambient particle concentrations inside and outside of the respirator facepiece is similar to fit measured during an ambient aerosol condensation nuclei counter quantitative fit test.

    Source : Sietsema, Margaret, & Brosseau, Lisa M. (2016). Journal of Occupational and Environmental Hygiene, 13(8), 621-627. DOI: 10.1080/15459624.2016.1159690

  • Surgical smoke generated during electrocautery contains toxins which may cause adverse health effects to operating room (OR) personnel. The objective of this study was to investigate the performance of surgical masks (SMs), which are routinely used in ORs, more efficient N95 surgical mask respirator (SMRs) and N100 filtering facepiece respirator (FFRs), against surgical smoke. The results showed that SMs do not provide measurable protection against surgical smoke. SMRs offer considerably improved protection versus SMs, while the N100 FFRs showed significant improvement over the SMRs.

    Source : Gao, Shuang, Koehler, Richard H., Yermakov, Michael, & Grinshpun, Sergey A. (2016). The Annals of Occupational Hygiene, 60(5), 608-618. doi: 10.1093/annhyg/mew006

  • ÉTABLISSEMENTS D’HÉBERGEMENT

  • M. Villeneuve, 66 ans, souffre de la maladie d’Alzheimer. Hébergé en CHSLD, il sème la terreur auprès des autres patients et du personnel. Imposant, il déambule en menaçant de donner des coups avec sa canne à tout le monde. Un soir, il a attaqué un soignant, le frappant violemment. On vous téléphone: «Au secours Docteur, M. Villeneuve est agressif, vous devez faire quelque chose!». De 25% à 50% des personnes atteintes d’un trouble neurocognitif majeur auront des comportements agressifs au cours de l’évolution de leur maladie. Il n’existe pas de consensus formel définissant l’agressivité chez cette clientèle. On peut décrire des comportements physiques (pincer, frapper, griffer, cracher) et verbaux agressifs (ex.: blasphémer, crier, menacer). La prise en charge de ces comportements constitue un réel défi pour le médecin et l’équipe soignante.

    Source : Ménard, Caroline, & Léveillé, Guy. (2016, mars). Le Médecin du Québec, 51(3), 22-26. Repéré à https://fmoq-mdq.s3.amazonaws.com/2016/03/021-026-MmeMenard-0316.pdf

  • FORMATION EN SST

  • IWH cost-benefit analysis finds training program nearly cost-neutral while lowering injury rates by a third. The program was introduced in British Columbia across 15 long-term care facilities between 2006 and 2011. It led to a 34 per cent reduction in injury rates during the program time period and a 56 per cent drop after the program was over, a benefit of 84 cents for every dollar spent on the program, according to the study.

    Source : Institute for Work & Health. (2016, Spring). At Work, 84. Repéré à https://www.iwh.on.ca/at-work/84/peer-coaching-on-patient-lifts-lowers-injury-but-at-a-small-cost

  • Patient handling through lifting and moving of patients or residents, especially in a long-term care setting, is a key risk factor leading to injuries in healthcare workers.These injuries cause enormous pain and suffering to the healthcare workers and their families, as well as impose an enormous economic burden on society through productivity losses, and increase in healthcare costs and workers compensation costs. Many of these patient handling injuries can be prevented through appropriate use of engineering control interventions, for example, through the introduction of overhead lift equipment, in long-term care facilities.

    Source : Lahiri, Supriya. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-103416

  • Effective use of personal protective equipment (PPE) is essential to protect personnel and patients in health care settings. However, in a survey of 222 health care personnel, PPE training was often suboptimal with no requirement for demonstration of proficiency. Fourteen percent of physicians reported no previous training in use of PPE.

    Source : John, Amrita, Tomas, Myreen E., Cadnum, Jennifer L., Mana, Thriveen S.C., Jencson, Annette, Shaikh, Aaron, … Donskey, Curtis J. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.031

  • FUMÉES CHIRURGICALES

  • Surgical smoke generated during electrocautery contains toxins which may cause adverse health effects to operating room (OR) personnel. The objective of this study was to investigate the performance of surgical masks (SMs), which are routinely used in ORs, more efficient N95 surgical mask respirator (SMRs) and N100 filtering facepiece respirator (FFRs), against surgical smoke. The results showed that SMs do not provide measurable protection against surgical smoke. SMRs offer considerably improved protection versus SMs, while the N100 FFRs showed significant improvement over the SMRs.

    Source : Gao, Shuang, Koehler, Richard H., Yermakov, Michael, & Grinshpun, Sergey A. (2016). The Annals of Occupational Hygiene, 60(5), 608-618. doi: 10.1093/annhyg/mew006

  • GESTION DE LA SST

  • La réussite d’un traitement thérapeutique repose en grande partie sur la relation de confiance qui s’établit entre le clinicien et le patient, laquelle est grandement favorisée s’ils partagent un objectif commun et la même opinion sur la façon d’y parvenir. Si le patient est un travailleur souffrant d’un trouble musculosquelettique (TMS) persistant qui l’empêche de retourner en emploi, la situation peut se compliquer du fait que d’autres acteurs clés jouent un rôle dans sa démarche de réadaptation, soit son employeur, son syndicat et son assureur. Il s’agit d’un enjeu de taille. 

    Source : Thivierge, Claire. (2016, Été).  Prévention au travail, 29(2), 17-20. Repéré à http://preventionautravail.com/recherche/331-prise-de-decision-partagee-en-readaptation-la-clef-pour-favoriser-le-deroulement-optimal-du-processus.html

  • This study examines the relationships between the workplace culture of health (CoH), job satisfaction, and turnover intention. We also examined the moderating effect of job classification. The results showed that a workplace CoH is related to job satisfaction and intention to leave. Supporting health at the workplace has implications beyond health that benefit both employees and the organization.

    Source : Kwon, Youngbum, & Marzec, Mary L. (2016). JOEM : Journal of Occupational & Environmental Medicine, 58(5), 448-454. doi: 10.1097/JOM.0000000000000724

  • GESTION DU CHANGEMENT