COIN DE LA DOCUMENTALISTE – AOÛT-SEPTEMBRE 2013

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ACCIDENTS DE TRAVAIL

Les pieds peuvent subir des blessures au travail. Ils peuvent être perforés, écrasés, lacérés ou foulés. Le manque d’attention portée à la sécurité des pieds peut également causer des glissades et des trébuchements et des chutes. Les pieds ne subissent pas des blessures uniquement lorsqu’ils sont en mouvement, ils peuvent également subir des blessures lorsqu’on se tient debout trop longtemps au même endroit.

Source : CCHST (2013). Rapport sur la santé, 11(7). Repéré à http://www.cchst.ca/newsletters/hsreport/issues/2013/07/ezine.html?p=543195

This study examines nonwage losses after occupational injury among health care workers and the factors associated with the magnitude of these losses. Inception cohort of workers filing an occupational injury claim in a Canadian province. Most workers (84%) had musculoskeletal injuries (MSIs). Each MSI resulted in nonwage economic losses of Can$313, lost wages of Can$5286, and 7.9 quality-adjusted days of life lost within 12 weeks after injury. Losses varied with type of injury, region of the province, and occupation. Non-MSIs were associated with smaller losses. In conclusion, These estimates of nonwage losses should be considered in workers’ injury compensation policies and in economic evaluation studies.

Source : Guzman, Jaime et al. (2013). Journal of Occupational & Environmental Medicine, 55(8), 910-916.

AGRESSIONS ET VIOLENCE

Fruit de 4 ans de travail sur la thématique de la violence à l’hôpital, la MACSF innove et crée un nouvel outil pour analyser et lutter contre les actes de violence dans les établissements de soins. L’objectif de cet outil est de faire sortir la parole de l’hôpital, pour permettre à chacun, citoyen, famille de soignant ou de patient, de découvrir ce sujet qui ne cesse de préoccuper les hospitaliers. Il permet aussi d’offrir aux personnels de santé une expérience et un vécu de la violence à l’hôpital par des pairs et des collègues.

Source : ANACT (2013). Travail & sécurité, 742, 6.

Emergency room (ER) work includes dealing with situations of conflict and aggression. The diversity and unpredictability of these situations and the lack of pre-established procedures to guide workers in dealing with these phenomena affect and weaken their physical and mental health. The purpose of the article is to learn about conflict and aggression at work and its impact on the workers in a hospital emergency room. The article recommends changes in the work process that can simultaneously improve both the quality of care for patients and provide protective measures for workers.

Source : Lancman, Selma, Ferreira Mângia, Elisabete et Tieko Muramoto, Melissa (2013). Work, 45(4), 519-527. Repéré à http://iospress.metapress.com/content/91k0282526847xl0/

This study examined home care workers’ experiences of violence while providing care to consumer employers, the patients who hire and manage home care workers. Focus groups and interviews were conducted in Oregon with 83 home care workers, 99 Oregon Department of Human Services (DHS) employees, and 11 consumer employers.

Source : Nakaishi, Lindsay et al. (2013). Workplace Health & Safety, 61 (sous presse). Repéré à http://www.healio.com/nursing/journals/aaohn/%7B69665690-3178-429e-9ae2-bab93df7261e%7D/exploring-workplace-violence-among-home-care-workers-in-a-consumer-driven-home-health-care-program

ALLERGIES PROFESSIONNELLES

There is a disproportionately high number of cases of work-related asthma occurring in health care occupations due to agents such as glutaraldehyde, latex and cleaning products. The objective is to understand the causes and measure trends over time of occupational asthma in health care workers (HCWs).

Source : Walters, G.I. et al. (2013). Occupational Medicine (sous presse), 4 p. Repéré à http://occmed.oxfordjournals.org/content/early/2013/08/07/occmed.kqt093.abstract.html?papetoc

Although the incidence of type 1 latex allergy has decreased in recent years with the introduction of powder-free low-protein (PFLP) latex gloves, type 1 latex allergy is still commonly found among workers who use natural rubber latex (NRL) gloves at work. The aims of this study was to elucidate the optimal management of workers with type 1 latex allergy whose work necessitates the use of NRL gloves in the workplace.

Source : Madan, I., Cullinan, P. et Ahmed, S.M. (2013). Occupational Medicine, 63(6), 395-404.

AMÉNAGEMENT-ARCHITECTURE

The objective of the study was to perform a literature review on the health consequences of working rotating shifts and implications for structural design. A literature search was performed in June 2012 and a selection of the most relevant peer-review articles was included in the present review. This article summarizes the known health effects of shift work and discusses how light can be used as a countermeasure to minimize circadian disruption at night while maintaining alertness. In the context of the lighted environment, implications for the design of newborn intensive care units are also discussed.

Source : Figueiro, MG et White, RD (2013). Journal of Perinatology, 33 (Suppl.1), s17-s23.

A field study was conducted to evaluate the illumination levels, to examine the effect of lighting conditions (including lighting characteristics and disturbances) on employee satisfaction, job performance, safety and health, and to compare the employees’ perception of lighting level with actual illuminance levels in a hospital setting using both questionnaire and physical illuminance measurements. The findings suggest that environmental ergonomics should be given a more prominent role in hospital building and workplace design to support safer healthcare facilities (for staff and potentially for patients).

Source : Dianat, Iman et al. (2013). Ergonomics, 56 (sous presse). Repéré à http://www.tandfonline.com/doi/abs/10.1080/00140139.2013.820845#.UkMDzNJLOH8

APPROCHE LEAN

Modèle d’organisation du travail très répandu, le Lean vise la performance de l’entreprise en prenant en compte les salariés, via notamment leur implication dans l’organisation. Mais qu’en est-il concrètement des conditions de travail ? Faut-il en rester à un modèle formaté ?

Source : Agence nationale pour l’amélioration des conditions de travail (2013). Travail et changement, 351, 16 p.

Bien que de vives critiques aient été exprimées à maintes reprises par différents intervenants, chercheurs, associations d’usagers et organisations syndicales, l’application de mesures d’optimisation des services émanant de la méthode Lean (semblable, pour l’essentiel, à la méthode Toyota) se poursuit dans le réseau de la santé et des services sociaux.

Source : Boudou-Laforce, Étienne (13 septembre 2013). Le Huffington Post. Repéré à http://quebec.huffingtonpost.ca/etienne-boudou-laforce/methode-lean-sante_b_3761879.html

BLOC OPÉRATOIRE

The objective of this study was to assess the associations between operating room (OR) nursing, a category of health care workers at high risk of exposure to various inhaled agents, and asthma severity/control among women with asthma. The level of severity/control in nurses with prevalent doctor-diagnosed asthma in 1998/2000 was compared.

Source : Le Moual, Nicole et al. Journal of Occupational & Environmental Medicine, 55 (sous presse). Repéré à http://journals.lww.com/joem/pages/articleviewer.aspx?year=2013&issue=08000&article=00019&type=abstract

Operating rooms (OR) are where medical teams work to improve the health of a patient. However, because of the complexity of the procedures, errors and unsafe situations are likely to occur. These complications can lead to harm to the patient or medical professionals. Human factors and ergonomic professionals have been working to improve these unsafe conditions in the OR for over a century. However, with advances in technology, increased surgical complexity, as well as an increase in medical team members in the OR, there are still numerous improvements yet to be accomplished. Minimally invasive surgeries require an even more advanced approach to prevent errors due to technology, fatigue, and miscommunication. Human factors and ergonomic techniques provide the ability to greatly improve conditions for patients and surgeons alike. It is imperative that human factors and ergonomics continue to grow and facilitate technological advancements in healthcare.

Source : Lowndes, Bethany R. et Hallbeck, M. Susan (2013). Human Factors and Ergonomics in Manufacturing & Service Industries, 23(sous presse). Repéré à http://onlinelibrary.wiley.com/doi/10.1002/hfm.20383/abstract

CHUTES ET GLISSADES

Les pieds peuvent subir des blessures au travail. Ils peuvent être perforés, écrasés, lacérés ou foulés. Le manque d’attention portée à la sécurité des pieds peut également causer des glissades et des trébuchements et des chutes. Les pieds ne subissent pas des blessures uniquement lorsqu’ils sont en mouvement – ils peuvent également subir des blessures lorsqu’on se tient debout trop longtemps au même endroit.

Source : CCHST (2013). Rapport sur la santé, 11(7), [4] p. Repéré à http://www.cchst.ca/newsletters/hsreport/issues/2013/07/ezine.html?p=543195

CONCILIATION TRAVAIL-VIE PERSONNELLE

A growing body of evidence suggests that work–family conflict is an important risk factor for workers’ health and well-being. The goal of this study is to examine association between work–family conflict and musculoskeletal pain among hospital patient care workers. Given the consistent associations between work–family conflict and self-reported musculoskeletal pains, the results suggest that work–family conflict could be an important domain for health promotion and workplace policy development among hospital patient care workers.

Source : Kim, Seung-Sup et al. (2013). American Journal of Industrial Medicine, 56(4), 488-495.

La Chaire de gestion de la santé et de la sécurité du travail de l’Université Laval vient de publier des outils pour implanter l’harmonisation travail-vie personnelle dans les organisations. Le coffret complet comprend des outils pour les personnes en emploi, les gestionnaires, les superviseurs et les représentants syndicaux. Les entreprises qui souhaitent se procurer uniquement les outils pour les personnes en emploi pour les offrir à leur personnel peuvent aussi se les procurer.

Source : Chrétien, L., Létourneau, I., et Lécine, M.-È. (2013). Harmonisation travail-vie personnelle : coffret pour les personnes en emploi et les organisations. Québec : Chaire de gestion de la santé et de la sécurité du travail de l’Université Laval. (Pour se les procurer, écrire à Lise.Chretien@fsa.ulaval.ca)

Les travailleurs ayant accès à une ou plusieurs pratiques de conciliation travail et vie personnelle présentent un portrait plus favorable sur le plan de la santé mentale. C’est ce que révèlent les résultats de l’étude réalisée à partir des données de l’Enquête sur des conditions de travail, d’emploi et de santé et de sécurité du travail (EQCOTESST).

Source : Institut de la statistique du Québec (17 septembre 2013). Communiqué de presse. Repéré à
http://www.stat.gouv.qc.ca/salle-presse/communiq/2013/septembre/sept1317.htm

DÉPLACEMENTS DES BÉNÉFICIAIRES

Lettre à l’éditeur commentant un article déjà publié : Restrepo, TE et al. (2013). « Safe lifting programs at long-term care facilities and their impact on workers’ compensation costs ». Journal of Occupational and Environmental Medicine, 55, 37-35.

Source : Kuijer, P. Paul F.M., Verbeek, Jos H. (2013). Journal of Occupational and Environmental Medicine, 55(8). 861-862.

Researchers have pointed out that people with physical disabilities find it difficult to obtain suitable clothing. In this study a set of wheelchair user oriented functional clothing was designed. Attention was paid to the wheelchair users’ daily living activities related with clothing. Results showed that with the new clothing wheelchair users’ competence of managing toilet was increased by 52.9%. The time needed for toilet was reduced by 45.7%. Their capability of managing dressing and undressing was improved by 24.6%. The study indicated that the newly designed clothing could facilitate wheelchair users’ daily living activities related with clothing.

Source : Wang, Yunyi, Wu, Daiwei, Zhao, Mengmeng et Li, Jun (2013). Applied Ergonomics, 44 (sous presse). Repéré à
http://www.sciencedirect.com/science/article/pii/S0003687013001506

This prospective cohort study investigates work-related risk factors for occupational back injury among healthcare workers. The study comprised 5017 female healthcare workers in eldercare from 36 municipalities in Denmark who responded to a baseline and follow-up questionnaire in 2005 and 2006, respectively.

Source : Andersen, LL et al. (2013). Scandinavian Journal of Work, Environment & health, 39 (sous presse), Repéré à http://www.sjweh.fi/show_abstract.php?abstract_id=3382

ÉQUIPEMENTS – AVIS ET RETRAITS

Le présent rappel vise un harnais de sécurité jaune et noir muni de sangles de 4,5 centimètres s’attachant aux jambes et à la poitrine par des boucles. Des essais réalisés par 3M montrent que le produit ne respecte pas les exigences du test de résistance des harnais établies par l’ACNOR, ce qui présente un risque de chute.

Source : Santé Canada. Canadiens en santé [Site Web]. Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2013/35015r-fra.php

ÉQUIPEMENTS DE PROTECTION

Healthcare personnel (HCP) is exposed to bloodborne pathogens through occupational risk factors. The objective of this study was to compare the incidence of needlestick injuries (NSIs) before and after the introduction of safety devices in all departments of our hospital. Data was extracted from mandatory needlestick report forms of the hospital’s Occupational Health Service. Serological results of patients and healthcare personnel (HCP) were reviewed in the laboratory information system.

Source : Hoffmann, Cornelia, Buchholz, Lutz et Schnitzler, Paul (2013). Journal of Occupational Medicine and Toxicology, 8(1), 5 p. Repéré à http://www.occup-med.com/content/pdf/1745-6673-8-20.pdf

ERGONOMIE

This study describes workplace conditions, the environment, and activities that may contribute to musculoskeletal injuries among nurses, as well as identifies solutions to decrease these risks and improve work-related conditions. The study used a mixed-methods design. Participants included nurses and stakeholders from five hospitalss, as well as with representatives from the American Nurses Association, Veterans Health Administration hospital, and National Institute for Occupational Safety and Health.

Source : Rogers, Bonnie, Buckheit, Kathleen et Ostendorf, Judith (2013). Workplace Health & Safety, 61 (sous presse). Repéré à http://www.healio.com/nursing/journals/aaohn/%7Ba7ec5bb8-bf2d-4bb9-9840-5a51386e00ff%7D/ergonomics-and-nursing-in-hospital-environments

GESTION DE LA SST

Since 2010, French companies must integrate or retain seniors to avoid a fine of 1% of their payroll. This work examines how to integrate the aging of employees into occupational health policies. The literature on the complex relationships between age, work and health has been reviewed, and the feasibility of potential actions has been addressed. This position paper makes recommendations for adapting work organization and occupational medical care. Protective measures for seniors should be integrated in a global approach to improving work conditions for all. Aging employees need some leeway to develop experience-based strategies for bypassing new difficulties. Revising work rhythms and developing autonomy seem to be means for progress.

Source : Bonnet-Belfais, Monique et al. (2013), Work, 45 (sous presse). Repéré à http://iospress.metapress.com/content/g5786544j34122g4/

This study examines nonwage losses after occupational injury among health care workers and the factors associated with the magnitude of these losses. Inception cohort of workers filing an occupational injury claim in a Canadian province. Most workers (84%) had musculoskeletal injuries (MSIs). Each MSI resulted in nonwage economic losses of Can$3131, lost wages of Can$5286, and 7.9 quality-adjusted days of life lost within 12 weeks after injury. Losses varied with type of injury, region of the province, and occupation. Non-MSIs were associated with smaller losses. In conclusion, These estimates of nonwage losses should be considered in workers’ injury compensation policies and in economic evaluation studies.

Source : Guzman, Jaime et al. (2013). Journal of Occupational & Environmental Medicine, 55(8), 910-916.

HORAIRE DE TRAVAIL

The aim of this study was to investigate whether night work is related to breast cancer receptor status. The effect of night work on the risk of estrogen receptor, and progesterone receptor, defined breast cancers was evaluated in 513 nurses diagnosed with breast cancer between 1996 and 2007 and in 757 frequency-matched controls, all of whom were selected from a cohort of Norwegian nurses.

Source : Lie, Jenny-Anne S. et al. (2013). American Journal of Epidemiology, 178 (sous presse). Repéré à http://aje.oxfordjournals.org/content/178/1/110

This study had identified individual, situational and lifestyle variables related to shift work tolerance among nurses who have worked night shifts for less than 1 year and nurses who have worked night shift for more than 6 years, all engaged in rotating shift work. There were no statistically significant differences in shift work tolerance between the new to night work nurses and the nurses who were experienced in night work. Young age was related to higher shift work tolerance. Hardiness was positively related to shift work tolerance in both groups. For the new to night work nurses, morningness was positively related to shift work tolerance. For the experienced in night work nurses, languidity, work hours per week and caffeine consumption were negatively, but flexibility was positively, related to shift work tolerance.

Source : Saksvik-Lehouillier, Ingvild et al. (2013). Journal of Advanced Nursing, 69(5), 1136-1146.

Morningness and eveningness preference (chronotype), an endogenous component of the circadian clock could play a key role in a worker’s ability for adjusting to shift work. Morning types are those individuals who prefer going to bed and waking up early, whereas Evening types tend to sleep at later hours and find it difficult to get up in the morning. The objective of this study was to survey, the relationship between morningness-eveningness type, sleep quality and insomnia in shift worker nurses.

Source : Yazdi, Zohreh, Sadeghniiat-Haghighi, Khosro, Haj Seid Javadi, Ali Reza, et Rikhtegar, Ghasem (2013). Work, 45 (sous presse). Repéré à http://iospress.metapress.com/content/x42177q23391666v/

The objective of the study was to perform a literature review on the health consequences of working rotating shifts and implications for structural design. A literature search was performed in June 2012 and a selection of the most relevant peer-review articles was included in the present review. This article summarizes the known health effects of shift work and discusses how light can be used as a countermeasure to minimize circadian disruption at night while maintaining alertness. In the context of the lighted environment, implications for the design of newborn intensive care units are also discussed.

Source : Figueiro, MG et White, RD (2013). Journal of Perinatology, 33 (Suppl.1), s17-s23.

The risk of lung cancer among night-shift workers is unknown. Over 20 years of follow-up (1988–2008), we documented 1,455 incident lung cancers among 78,612 women in the Nurses’ Health Study. To examine the relationship between rotating night-shift work and lung cancer risk, we used multivariate Cox proportional hazard models adjusted for detailed smoking characteristics and other risk factors. These results suggest that there are modestly increased risks of lung cancer associated with extended periods of night-shift work among smokers but not among nonsmokers. Though it is possible that this observation was residually confounded by smoking, our findings could also provide evidence of circadian disruption as a “second hit” in the etiology of smoking-related lung tumors.

Source :  Schernhammer, Eva S., Feskanich, Diane, Liang, Geyu et Han, Jiali (2013). American Journal of Epidemiology, 178 (sous presse). Repéré à http://aje.oxfordjournals.org/content/early/2013/09/18/aje.kwt155.short?rss=1#corresp-1

The objective was to assess if less than 11 hours off work between work shifts (quick returns) was related to insomnia, sleepiness, fatigue, anxiety, depression and shift work disorder among nurses. A questionnaire was administered to 1990 Norwegian nurses.The authors found found a significant positive association between quick returns and insomnia, excessive sleepiness, excessive fatigue and shift work disorder. Anxiety and depression were not related to working quick returns. In conclusion, there is a health hazard associated with quick returns. Further research should aim to investigate if workplace strategies aimed at reducing the number of quick returns may reduce complaints among workers.

Source : Eldevik MF, Flo E, Moen BE, Pallesen S, Bjorvatn B (2013). PLoS ONE 8(8), e70882. Repéré à http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0070882

HYGIÈNE ET SALUBRITÉ

The objective of this study was to determine the agents causing asthmatic reactions during specific inhalation challenges (SICs) in workers with cleaning-related asthma symptoms and to assess the pattern of bronchial responses in order to identify the mechanisms involved in cleaning-related asthma.

Source : Vandenplas, Olivier et al. (2013). BMJ Open, 3(9), 7 p.

MANUTENTION

The National Institute for Occupational Safety and Health (NIOSH) Revised Lifting Equation (RNLE) was adapted to derive recommended weight limits (RWLs) for pregnant workers and to develop corresponding guidelines for clinicians. Based on our review of the available evidence, the authors present lifting thresholds that most pregnant workers with uncomplicated pregnancies should be able to perform without increased risk of adverse maternal and fetal health consequences. Except for restrictions involving lifting from the floor and overhead, the provisional guidelines presented are compatible with NIOSH lifting recommendations adopted in the early 1990s for the general working population.

Source : Waters, Thomas R., MacDonald, Leslie A. et Hudock, Stephen D. (2013). Human Factors (sous presse). Repéré à http://hfs.sagepub.com/content/early/2013/08/21/0018720813502223.abstract?rss=1

MÉDICAMENTS DANGEREUX

Closed system transfer devices are widely used for preparation of hazardous drugs. Reports indicate the Phaseal® closed system transfer device maintains sterility in vials for 7 days, suggesting the unused portion of single-use vials could be salvaged. This study was done to determine whether using a closed system transfer device to extend the beyond-use date of single-use vials of antineoplastic medications would result in a measurable cost saving.

Source : Edwards, Michael S. et al. (2013). Journal of Oncology Phramacy Practice (sous presse), Repéré à http://opp.sagepub.com/content/early/2013/08/23/1078155213499387.abstract

The US NIOSH list and evaluation criteria have provided an important foundation to help institutions identify and create a list of hazardous formulary drugs. However, further guiding principles were needed to make the adoption feasible at our organization. The BC Cancer Agency developed separate directives for determining the inherent hazardous toxicity of a drug and for the requirements for safe handling based on dosage forms (exposure risks) of these drugs. Secondly, the Agency created a systematic approach in determining the scope of the drugs reviewed by US NIOSH. Thirdly, was treamlined their review process by defining which drugs needed to be evaluated by the organization. Finally, were considered the pros and cons of creating a tiered system for classifying hazardous drugs beyond those recommended by US NIOSH.

Source : Badry, Nadine, Fabbro, Joan et de Lemos, Mario L. (2013), Journal of Oncology Pharmacy Practice,19 (sous presse). Repéré à http://opp.sagepub.com/content/early/2013/08/20/1078155213496675.abstract?papetoc

The purpose of this stdy was to measure the urinary excretion of antineoplastic drugs of three patients during 48 h after the administration of cyclophosphamide (two patients) and 5-fluorouracil (one patient). Furthermore, the authors evaluated environmental contamination with antineoplastic drugs via excreta of patients in the home setting, and exposure of family members to antineoplastic drugs by measuring the drugs in their urine during the 48 h after completion of the chemotherapy. The findings of this study indicate the importance of strict precautions by the members of treated cancer patients as well as healthcare workers, to reduce the risk of exposure to antineoplastic drugs.

Source : Yuki, Michiko (2013). Journal of Oncology Pharmacy Practice, 19(3), 208-217.

Despite the implementation of control measures to minimize exposure, detectable levels of drug residual are still found on hospital work surfaces. Cleaning these surfaces is considered as one means to minimize the exposure potential. However, there are no consistent guiding principles related to cleaning of contaminated surfaces resulting in hospitals to adopt varying practices. As such, this pilot study sought to evaluate current cleaning protocols and identify those factors that were most effective in reducing contamination on drug preparation surfaces.

Source : Hon, Chun-Yip (2013). Journal of Oncology Pharmacy Practice, 19 (sous presse). Repéré à http://opp.sagepub.com/content/early/2013/08/08/1078155213497070.abstract?papetoc

Ovarian cancer is the leading cause of death from gynecologic malignancies in the United States. In 2006, the National Cancer Institute released an announcement supporting the use of intraperitoneal (IP) chemotherapy in advanced ovarian cancer. In preparation for a clinical trial in which chemotherapy would be administered intra-operatively, the question of exposure to healthcare personnel arose, therefore, the purpose of this study was to perform an evaluation of healthcare personnel exposure to cisplatin during a mock demonstration of intraperitoneal chemotherapy administration.

Source : Kushnir, Christina L. et al. (2013). Gynecologic Oncology, 130 (2), 350–353.

PRÉVENTION DES INFECTIONS

Needlestick injuries are a serious concern for nurses and other healthcare workers. One of the main clinical risks from needlestick injury is the possible infection by blood-borne diseases, such as hepatitis and HIV. A number of different measures have been introduced to minimise the risk and impact of needlestick injuries, including the use of fixed-needle safety syringes. However, some healthcare workers refuse to use such devices, for reasons that include the perceived need to change syringe needles between drawing up a medicine and its administration to a patient. This paper will explore the literature relating to needlestick injuries and the reasons commonly given for not using fixed-needle safety syringes.

Source : Higginson, Ray et Parray, Andy (2013). British Journal of Nursing, 22 (SS5), s4-s12.

New guidelines from the United States Public Health Service update the recommendations for the management of healthcare personnel (HCP) with occupational exposure to HIV and use of postexposure prophylaxis (PEP). The guidelines, published online in Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America (SHEA), emphasize the immediate use of a PEP regimen containing three or more antiretroviral drugs after any occupational exposure to HIV. The guidance eliminates the previous recommendation to assess the level of risk associated with individual exposures to help determine the appropriate number of drugs recommended for PEP.

Source : Society for Healthcare Epidemiology of America (2013). Shea News [Page Web]. Repéré à http://www.shea-online.org/View/ArticleId/231/New-Federal-Guidelines-for-Managing-Occupational-Exposures-to-HIV.aspx

Vaccination of health care workers (HCWs) is an important patient safety initiative. It prevents influenza infection among patients and reduces staff illness and absenteeism. Despite these benefits, HCW influenza immunization uptake is low. Therefore, strategies to achieve high immunization coverage in HCWs, barriers to uptake, and perceptions of mandatory influenza immunization policies were discussed in key informant interviews with influenza immunization program planners. Telephone interviews were conducted with 23 influenza immunization program planners from 21 organizations (7 acute care hospitals, 6 continuing care facilities, and 8 public health organizations) across Canada. A content analysis was used  to identify themes from the interviews.

Source : Quach, Susan et al. (2013). American Journal of Infection Control, 41 (sous presse). Repéré à http://www.ajicjournal.org/article/PIIS0196655313009413/abstract?rss=yes

Healthcare personnel (HCP) is exposed to bloodborne pathogens through occupational risk factors. The objective of this study was to compare the incidence of needlestick injuries (NSIs) before and after the introduction of safety devices in all departments of our hospital. Data was extracted from mandatory needlestick report forms of the hospital’s Occupational Health Service. Serological results of patients and healthcare personnel (HCP) were reviewed in the laboratory information system.

Source : Hoffmann, Cornelia, Buchholz, Lutz et Schnitzler, Paul (2013). Journal of Occupational Medicine and Toxicology, 8(1), 5 p. Repéré à http://www.occup-med.com/content/pdf/1745-6673-8-20.pdf

Cette fiche présente les consignes à appliquer en cas d’exposition au sang. Elle a été conçue en collaboration avec des agences de la santé et des services sociaux et les centres de santé et de services sociaux.

Source : Commission de la santé et de la sécurité du travail, en collaboration avec les agences de la santé et des services sociaux et les centres de santé et de services sociaux (2013), [S.l.], CSST, 2 p. (DC 100-498-1)

This report updates US Public Health Service recommendations for the management of healthcare personnel (HCP) who experience occupational exposure to blood and/or other body fluids that might contain human immunodeficiency virus (HIV). Although the principles of exposure management remain unchanged, recommended HIV postexposure prophylaxis (PEP) regimens and the duration of HIV follow-up testing for exposed personnel have been updated. This report emphasizes the importance of primary prevention strategies, the prompt reporting and management of occupational exposures, adherence to recommended HIV PEP regimens when indicated for an exposure, expert consultation in management of exposures, follow-up of exposed HCP to improve adherence to PEP, and careful monitoring for adverse events related to treatment, as well as for virologic, immunologic, and serologic signs of infection.

Source : Kuhar, David T. et al. (2013). Infection Control and Hospital Epidemiology, 34(9), 875-892.

Ce rapport propose un modèle pour le choix de la protection respiratoire contre les bioaérosols infectieux et non infectieux applicable à l’ensemble des milieux de travail et s’adressant aux hygiénistes du travail et autres intervenants en santé et en sécurité du travail, ainsi qu’aux experts membres de sociétés savantes. Ce modèle, qui fait suite au Guide sur la protection respiratoire contre les bioaérosols, publié par l’Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) en 2007, s’appuie sur les connaissances relatives aux bioaérosols et s’inspire d’approches de gestion graduée du risque développées notamment pour les contaminants chimiques et les nanoparticules.

Source : Lavoie, Jacques et al. (2013). Montréal, Institut de recherche Robert-Sauvé en santé et sécurité du travail, 57 p. (Études et recherches / Rapport  R-766).

PRODUITS TOXIQUES

This objective of this study was to assess the associations between operating room (OR) nursing, a category of health care workers at high risk of exposure to various inhaled agents, and asthma severity/control among women with asthma. The level of severity/control in nurses with prevalent doctor-diagnosed asthma in 1998/2000 was compared.

Source : Le Moual, Nicole et al. Journal of Occupational & Environmental Medicine (sous presse). Repéré à http://journals.lww.com/joem/pages/articleviewer.aspx?year=2013&issue=08000&article=00019&type=abstract

There is a disproportionately high number of cases of work-related asthma occurring in health care occupations due to agents such as glutaraldehyde, latex and cleaning products. The objective is

to understand the causes and measure trends over time of occupational asthma in health care workers (HCWs).

Source : Walters, G.I. et al. (2013). Occupational Medicine (sous presse), 4 p. Repéré à http://occmed.oxfordjournals.org/content/early/2013/08/07/occmed.kqt093.abstract.html?papetoc

Une partie importante du matériel médical comporte des phtalates, substances chimiques aujourd’hui reconnues comme perturbateurs endocriniens. Au-delà du constat, il s’agit de trouver des alternatives afin d’éviter des conséquences désastreuses à long terme.

Source : Cordey, Lucie et Gauthier, Fanny (2013). Krankenpflege = Soins infirmiers, 106(7), 74-75.

This article describes an incident in which 12 hospital employees presented to the emergency department after exposure to a potent pulmonary irritant gas, chlorine, following an unfortunate accident. These cases are used to illustrate how planning, training, and exercises assisted health care personnel in responding to a potentially catastrophic internal emergency.

Source : Oktay, Cem et al. (2013). Workplace Health & Safety, 61(9), 381-383.

PROTECTION RESPIRATOIRE

Lorsque le personnel soignant est exposé à un risque infectieux par voie respiratoire, quel masque doit-il choisir ? Comment doit-il ajuster correctement son masque de protection respiratoire ? Pour répondre aux nombreuses questions sur le sujet, l’INRS vous propose un ensemble de supports visant à sensibiliser le personnel soignant.

Source : Institut national de recherche et de sécurité pour la prévention des accidents du travail et des maladies professionnelles. (2013). [Site Web] Repéré à http://www.inrs.fr/accueil/header/actualites/port-des-masques-par-les-soignants.html

Ce rapport propose un modèle pour le choix de la protection respiratoire contre les bioaérosols infectieux et non infectieux applicable à l’ensemble des milieux de travail. Ce modèle, qui fait suite au Guide sur la protection respiratoire contre les bioaérosols, publié par l’Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) en 2007, s’appuie sur les connaissances relatives aux bioaérosols et s’inspire d’approches de gestion graduée du risque développées notamment pour les contaminants chimiques et les nanoparticules.

Source : Lavoie, Jacques et al. (2013). Montréal, Institut de recherche Robert-Sauvé en santé et sécurité du travail, 57 p. (Études et recherches / Rapport  R-766)

QUALITÉ DE L’AIR

This objective of this study was to assess the associations between operating room (OR) nursing, a category of health care workers at high risk of exposure to various inhaled agents, and asthma severity/control among women with asthma. The level of severity/control in nurses with prevalent doctor-diagnosed asthma in 1998/2000 was compared.

Source : Le Moual, Nicole et al. Journal of Occupational & Environmental Medicine (sous presse). Repéré à http://journals.lww.com/joem/pages/articleviewer.aspx?year=2013&issue=08000&article=00019&type=abstract

Une partie importante du matériel médical comporte des phtalates, substances chimiques aujourd’hui reconnues comme perturbateurs endocriniens. Au-delà du constat, il s’agit de trouver des alternatives afin d’éviter des conséquences désastreuses à long terme.

Source : Cordey, Lucie et Gauthier, Fanny (2013). Krankenpflege = Soins infirmiers, 106(7), 74-75.

This article describes an incident in which 12 hospital employees presented to the emergency department after exposure to a potent pulmonary irritant gas, chlorine, following an unfortunate accident. These cases are used to illustrate how planning, training, and exercises assisted health care personnel in responding to a potentially catastrophic internal emergency.

Source : Oktay, Cem et al. (2013). Workplace Health & Safety, 61(9), 381-383.

SANTÉ PSYCHOLOGIQUE

Dans ce numéro de la revue Pistes, la prévention des risques sera abordée dans une approche globale de la santé au travail. Le partage de connaissances et de compétences entre chercheurs et praticiens, issus de plusieurs disciplines, est nécessaire pour faire progresser l’étiologie et les méthodes d’intervention. En centrant le point de vue sur l’activité de travail, le lecteur pourra enrichir ses connaissances sur les TMS et leurs relations avec les facteurs psychosociaux. Il trouvera au travers d’exemples empiriques des moyens d’améliorer la prévention par la combinaison de méthodes visant à développer l’évaluation des déterminants des risques ainsi que l’intervention sur la conception de l’organisation du travail et de la pluridisciplinarité.

Source : IRSST (2013). Pistes : Perspectives interdisciplinaires sur le travail et la santé, 15-2, repéré à http://pistes.revues.org/

Il est certain que le travail trouve sa raison d’être dans les objectifs qu’il poursuit, soit par les objets qu’on y produit, soit par les services qu’on y rend. Par ailleurs, ces biens et services seront utilisés par des gens, ce qui peut constituer une autre dimension du sens qu’il peut revêtir. Et puis, comme on passe beaucoup de temps avec les collègues, ces relations contribuent aussi au sens du travail.

Source : Lafleur, Jacques (2013). Travail et santé, 29(3), 32-35.

Mental health professionals are at a high risk of burnout. Positive psychology outcomes of staff in acute in-patient psychiatric wards are poorly researched and unclear. The aims of this study was to quantify the satisfaction with life and work-life satisfaction of mental health staff at a large university-affiliated tertiary psychiatric centre. In conclusion, satisfaction with life and work orientation do not correlate among mental health professionals. Although highly motivated and perceiving psychiatry as a ‘calling’ psychiatrists score low on levels of satisfaction with life. Improving staff happiness may contribute to increase in moral and counter burnout.

Source : Baruch et al. Occupational Medicine, 63(6), 442-444.

Même si le principe d’un lien entre le stress professionnel et les troubles musculosquelettiques est admis, la question reste très floue. Les éléments nécessaires pour l’aborder sont dispersés dans différents champs scientifiques et ne s’articulent que partiellement. La présente enquête souligne néanmoins les résonances et les liens, hypothétiques ou avérés, entre les phénomènes de répression émotionnelle décrits par la psychopathologie du travail, la notion d’alexithymie dans le champ de la psychosomatique, les perturbations de la sécrétion et de l’activité du cortisol en cas de stress chronique et l’importance de l’inflammation dans la genèse des pathologies du stress.

Source : Davezies, Philippe (2013), Pistes : Perspectives interdisciplinaires sur le travail et la santé, 15-2. Repéré à http://pistes.revues.org/3376

Cet article décrit, à partir d’exemples, l’évolution de la pensée au regard des facteurs psychosociaux au travail associés à la santé au cours des trente dernières années. Puis, il présente un modèle conceptuel de la genèse des TMS liés au travail qui incorpore des facteurs psychosociaux du travail et le rôle médiateur possible de la détresse psychologique.

Source : Stock, Susan (2013), PISTES : Perspectives interdisciplinaires sur le travail et la santé, 15-2. Repéré à http://pistes.revues.org/3407

Dans cette vidéo, Pierre Falzon, traite du concept d’environnement capacitant, de son origine et de ses implications. Le conférencier est à l’origine de ce concept d’environnement capacitant qui consiste à considérer toutes les ressources positives d’un milieu qui peuvent favoriser la prévention et la réadaptation durables.

Source : Lemay, Philippe (Réalisateur). (2013). Des environnements capacitants à l’ergonomie participative [Vidéo en ligne]. Repéré à http://www.irsst.qc.ca/-webtv-concept-environnement-capacitant.html

Cette présentation d’Alessia Negrini, chercheure à l’IRSST, s’inscrit dans le cadre de la psychologie positive, une approche théorique qui se focalise sur le fonctionnement optimal de l’individu, plutôt que sur ses points faibles. Le modèle demandes-ressources (Demerouti et al., 2001), intégrant à la fois les exigences professionnelles et les ressources pour y faire face, y est illustré pour expliquer le lien entre les conditions de travail, la santé psychologique au travail et le comportement de l’individu dans l’organisation.

Source : Lemay, Philippe (Réalisateur). (2013). La santé psychologique au travail : une tentative d’intégration [Vidéo en ligne]. Repéré à http://www.irsst.qc.ca/-webtv-sante-psychologique-travail.html

Les travailleurs ayant accès à une ou plusieurs pratiques de conciliation travail et vie personnelle présentent un portrait plus favorable sur le plan de la santé mentale. C’est ce que révèlent les résultats de l’étude réalisée à partir des données de l’Enquête sur des conditions de travail, d’emploi et de santé et de sécurité du travail (EQCOTESST).

Source : Institut de la statistique du Québec (17 septembre 2013). Communiqué de presse. Repéré à
http://www.stat.gouv.qc.ca/salle-presse/communiq/2013/septembre/sept1317.htm

SÉCURITÉ DES MACHINES

Ce numéro du bulletin publié par l’ASP imprimerie et activités connexes porte sur la sécurité des machines et le cadenassage.

Source : Association paritaire de santé et de sécurité du travail secteur imprimerie et activités connexes (2013). Graphiprévention, 29(3), 1-7.

SERVICES À DOMICILE

Researchers have pointed out that people with physical disabilities find it difficult to obtain suitable clothing. In this study a set of wheelchair user oriented functional clothing was designed. Attention was paid to the wheelchair users’ daily living activities related with clothing. Results showed that with the new clothing wheelchair users’ competence of managing toilet was increased by 52.9%. The time needed for toilet was reduced by 45.7%. Their capability of managing dressing and undressing was improved by 24.6%. The study indicated that the newly designed clothing could facilitate wheelchair users’ daily living activities related with clothing.

Source : Wang, Yunyi, Wu, Daiwei, Zhao, Mengmeng et Li, Jun (2013). Applied Ergonomics, 44 (sous presse). Repéré à http://www.sciencedirect.com/science/article/pii/S0003687013001506

SIMDUT-SGH

La réglementation finale concernant l’application du Système général harmonisé (SGH) au Canada devrait être publiée au début de 2014 pour une mise en vigueur d’ici juin 2015. L’article présente les dates prévues selon le Centre canadien d’hygiène et de sécurité au travail.

Source : Richards, Robert (2013). Travail et santé, 29(3), 16-17.

STATISTIQUES EN SST

Women working in health care occupations in British Columbia accounted for the largest share of back strain injuries between 2003 and 2012, newly released statistics from WorkSafeBC show. Of those women in the health and medicine sectors experiencing back strain injury, the single largest occupation was nurse aides and orderlies, accounting for almost one-half of the total number of women filing claims (at 46 per cent). The second- and third-largest occupations were registered nurses and registered nursing assistants, accounting for another 27 and 17 per cent respectively.

Source : Contant, Jason (Aug 26, 2013). OHS Canada. Repéré à http://www.ohscanada.com/news/worksafebc-takes-aim-at-back-strain-injuries/1002549667/?ref=rss&ctid=1002549667

TRAVAIL DE BUREAU

The use of forearm and palm supports has been associated with lower neck and shoulder muscle activity as well as reduced musculoskeletal discomfort during keyboard use, however, few studies have investigated their effect during computer mouse use. Eight men and eight women completed several computer mousing tasks in six arm support conditions. These results provide recommendations for office workstation setup and inform ergonomists of effective ways to reduce musculoskeletal exposures.

Source : Onyebekea, Lynn C. et al. (2013). Applied Ergonomics, 44 (sous presse). Repéré à http://www.sciencedirect.com/science/article/pii/S0003687013001580#

TRAVAILLEURS JEUNES/ÂGÉS

Since 2010, French companies must integrate or retain seniors to avoid a fine of 1% of their payroll. This work examines how to integrate the aging of employees into occupational health policies. The literature on the complex relationships between age, work and health has been reviewed, and the feasibility of potential actions has been addressed. This position paper makes recommendations for adapting work organization and occupational medical care. Protective measures for seniors should be integrated in a global approach to improving work conditions for all. Aging employees need some leeway to develop experience-based strategies for bypassing new difficulties. Revising work rhythms and developing autonomy seem to be means for progress.

Source : Bonnet-Belfais, Monique et al. (2013), Work, 45 (sous presse). Repéré à http://iospress.metapress.com/content/g5786544j34122g4/

TROUBLES MUSCULOSQUELETTIQUES

Dans ce numéro de la revue Pistes, la prévention des risques sera abordée dans une approche globale de la santé au travail. Le partage de connaissances et de compétences entre chercheurs et praticiens, issus de plusieurs disciplines, est nécessaire pour faire progresser l’étiologie et les méthodes d’intervention. En centrant le point de vue sur l’activité de travail, le lecteur pourra enrichir ses connaissances sur les TMS et leurs relations avec les facteurs psychosociaux. Il trouvera au travers d’exemples empiriques des moyens d’améliorer la prévention par la combinaison de méthodes visant à développer l’évaluation des déterminants des risques ainsi que l’intervention sur la conception de l’organisation du travail et de la pluridisciplinarité.

Source : IRSST (2013). PISTES: Perspectives interdisciplinaires sur le travail et la santé, 15-2, repéré à http://pistes.revues.org/

A growing body of evidence suggests that work–family conflict is an important risk factor for workers’ health and well-being. The goal of this study is to examine association between work–family conflict and musculoskeletal pain among hospital patient care workers. Given the consistent associations between work–family conflict and self-reported musculoskeletal pains, the results suggest that work–family conflict could be an important domain for health promotion and workplace policy development among hospital patient care workers.

Source : Kim, Seung-Sup et al. (2013). American Journal of Industrial Medicine, 56(4), 488-495.

Les pieds peuvent subir des blessures au travail. Ils peuvent être perforés, écrasés, lacérés ou foulés. Le manque d’attention portée à la sécurité des pieds peut également causer des glissades et des trébuchements et des chutes. Les pieds ne subissent pas des blessures uniquement lorsqu’ils sont en mouvement – ils peuvent également subir des blessures lorsqu’on se tient debout trop longtemps au même endroit.

Source : CCHST (2013). Rapport sur la santé, 11(7). Repéré à http://www.cchst.ca/newsletters/hsreport/issues/2013/07/ezine.html?p=543195

Women working in health care occupations in British Columbia accounted for the largest share of back strain injuries between 2003 and 2012, newly released statistics from WorkSafeBC show. Of those women in the health and medicine sectors experiencing back strain injury, the single largest occupation was nurse aides and orderlies, accounting for almost one-half of the total number of women filing claims (at 46 per cent). The second and third largest occupations were registered nurses and registered nursing assistants, accounting for another 27 and 17 per cent respectively.

Source :Contant, Jason (Aug 26, 2013). OHS Canada. Repéré à http://www.ohscanada.com/news/worksafebc-takes-aim-at-back-strain-injuries/1002549667/?ref=rss&ctid=1002549667

Même si le principe d’un lien entre le stress professionnel et les troubles musculosquelettiques est admis, la question reste très floue. Les éléments nécessaires pour l’aborder sont dispersés dans différents champs scientifiques et ne s’articulent que partiellement. La présente enquête souligne néanmoins les résonances et les liens, hypothétiques ou avérés, entre les phénomènes de répression émotionnelle décrits par la psychopathologie du travail, la notion d’alexithymie dans le champ de la psychosomatique, les perturbations de la sécrétion et de l’activité du cortisol en cas de stress chronique et l’importance de l’inflammation dans la genèse des pathologies du stress.

Source : Davezies, Philippe (2013), PISTES : Perspectives interdisciplinaires sur le travail et la santé, 15-2. Repéré à http://pistes.revues.org/3376

Cet article décrit, à partir d’exemples, l’évolution de la pensée au regard des facteurs psychosociaux au travail associés à la santé au cours des trente dernières années. Puis, il présente un modèle conceptuel de la genèse des TMS liés au travail qui incorpore des facteurs psychosociaux du travail et le rôle médiateur possible de la détresse psychologique.

Source : Stock, Susan (2013), PISTES : Perspectives interdisciplinaires sur le travail et la santé, 15-2. Repéré à http://pistes.revues.org/3407

A cross-sectional study design was applied on 273 nurses to investigate associations of physical job demands, age, and musculoskeletal disorders (MSDs) in nursing. Concurrently, participants reported on various physical job demands with a standardized questionnaire for Hospital Work. There were significant differences in the frequencies of MSD between the young/middle age-group and the old age-group in most locations, while the only significant difference between the young and the middle age-group was found for shoulder-MSD. The study provides further indication for development of age-adapted preventive measures.

Source : Heiden, Barbara, Weigl, Matthias, Angerer, Peter et Müller, Andreas (2013). Applied Ergonomics, 44(4), 652-658.

This study describes workplace conditions, the environment, and activities that may contribute to musculoskeletal injuries among nurses, as well as identifies solutions to decrease these risks and improve work-related conditions. The study used a mixed-methods design. Participants included nurses and stakeholders from five hospitalss, as well as with representatives from the American Nurses Association, Veterans Health Administration hospital, and National Institute for Occupational Safety and Health.

Source : Rogers, Bonnie, Buckheit, Kathleen et Ostendorf, Judith (2013). Workplace Health & Safety, 61 (sous presse). Repéré à http://www.healio.com/nursing/journals/aaohn/%7Ba7ec5bb8-bf2d-4bb9-9840-5a51386e00ff%7D/ergonomics-and-nursing-in-hospital-environments

VACCINATION

Vaccination of health care workers (HCWs) is an important patient safety initiative. It prevents influenza infection among patients and reduces staff illness and absenteeism. Despite these benefits, HCW influenza immunization uptake is low. Therefore, strategies to achieve high immunization coverage in HCWs, barriers to uptake, and perceptions of mandatory influenza immunization policies were discussed in key informant interviews with influenza immunization program planners. Telephone interviews were conducted with 23 influenza immunization program planners from 21 organizations (7 acute care hospitals, 6 continuing care facilities, and 8 public health organizations) across Canada. A content analysis was used  to identify themes from the interviews.

Source : Quach, Susan et al. (2013). American Journal of Infection Control, 41 (sous presse). Repéré à http://www.ajicjournal.org/article/PIIS0196655313009413/abstract?rss=yes

En dépit des campagnes de vaccination antigrippales  organisées annuellement dans les établissements du réseau de la santé et des différentes activités mises en place pour promouvoir la vaccination, les couvertures vaccinales chez les travailleurs de la santé demeurent en deçà de l’objectif provincial fixé à 80 %. Le présent rapport vise à proposer des pistes pour améliorer les stratégies de promotion de la vaccination contre la grippe saisonnière chez les travailleurs de la santé. L’ASSTSAS a collaboré à cette étude.

Source : Vivion, Maryline, Dubé, Ève et Caron, Dominique (2013). [S.l.], Institut national de santé publique du Québec (INSPQ), Direction des risques biologiques et de la santé au travail, v, 57 p.

This study employed the risk perception attitude (RPA) framework to determine whether health care personnel (HCP) influenza-related risk perceptions and efficacy beliefs could be used to segment individuals into meaningful groups related to vaccination uptake, absenteeism, and patient safety beliefs. In conclusion, the RPA framework is a valid health promotion tool for improving patient safety, targeting specific groups for interventions, and improving HCP influenza vaccination rates.

Source : Real, Kevin, Kim, Sujin et Conigliaro, Joseph (2013). American Journal of Infection Control, 41(8), 691-696.

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