COIN DE LA DOCUMENTALISTE – NOVEMBRE 2013

Vous travaillez pour un service de garde ou pour un établissement de santé ou de services sociaux, un service ambulancier ou une clinique dentaire ? Notre documentaliste vous propose chaque mois quelques ouvrages dignes d’intérêt.

Si le lien Internet ne permet pas d’accéder à la version complète d’un document, vous pourrez l’obtenir par le biais du service de P.E.B. de votre centre de documentation.

Pour contacter notre documentaliste :

Suzie Désilets : 514 253-6871 ou 1 800 361-4528

AGRESSIONS ET VIOLENCE

  • Travailler auprès d’humains en difficulté nous expose à leurs sautes d’humeur et à leurs réactions plus ou moins contrôlées de frustration, d’anxiété, d’exaspération ou de souffrance. Dans certains cas, ces réactions menacent notre santé et notre sécurité, soit par leur brutalité soudaine, soit parce qu’elles nous usent à petit feu. Peu importe la vocation de la RI, le risque est présent.

    Source : Robitaille, Marie Josée. (2013). Le Point sur les RI : Le cahier des ressources intermédiaires. 34-36. Repéré à http://www.arihq.com/default.aspx?page=165

    La version imprimée de ce cahier figure à l’intérieur de la revue Le point en administration de la santé et des services sociaux, 9(3), automne 2013.

  • Of the nonfatal injuries and lost days due to occupational violence, 32% occur in the health care setting. The annual incidence rate for violence against nurses is 22 incidents per 1,000 nurses. When an occupational health professional analyzes an exposure, engineering controls, administrative controls, and personal protective equipment policies are drafted to ensure the future safety of employees. This literature review identifies best practice controls used to protect health care workers from violence in the workplace.

    Source : Brown, Bethany G., Burns, Candace. (2013). Workplace Health & Safety, 61(11): 475-478. doi: 10.3928/21650799-20131025-21

  • Previously we reported a cross-sectional relationship between physical assaults at work and musculoskeletal pain. This follow-up provides stronger evidence of the effect of workplace violence on musculoskeletal outcomes within the same workforce over two years. This study examined prospectively the effect of workplace violence on musculoskeletal symptoms among nursing home workers.

    Source : Miranda, Helena, Punnett, Laura, Gore, Rebecca J., et ProCare Research Team. (2013) Human Factors. Prépublication. doi:  10.1177/0018720813508778

  • L’intimidation ne porte pas seulement atteinte aux sentiments d’une personne. Elle est de plus en plus reconnue comme un problème grave en milieu de travail qui peut causer un stress excessif, de l’anxiété et le découragement chez les employés. Renforcez le message affirmant que l’intimidation ne fait pas partie du travail en installant cette affiche dans votre lieu de travail. Rappelez à vos travailleurs les types de comportements qu’ils doivent signaler à une autorité désignée dans votre lieu de travail, à un superviseur, à un représentant syndical ou à une personne qui peut apporter son aide.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2013). Hamilton, ON : CCHST, 1 affiche.

  • This study explored the relationships among perceived workplace incivility, stress, burnout, perceived turnover intentions, and perceived level of psychological empowerment among acute care nurses (medical-surgical and critical care) in community and tertiary hospitals through the lens of complexity science. An exploratory study was conducted, and findings demonstrate significant relationships among workplace incivility, stress, burnout, turnover intentions, total years of nursing experience, and RN education levels. Creating targeted retention strategies and policies that will be sensitive to the needs and interests of nurses at high risk for leaving their organizations is imperative for nurse executives.

    Source : Oyeleye, Olubunmi, Hanson, Patricia, O’Connor, Nancy, et Dunn, Deborah. (2013). Journal of Nursing Administration, 43(10), 536-542. doi: 10.1097/NNA.0b013e3182a3e8c9

AMIANTE

  • Ce dossier vous présente l’amiante, et plus particulièrement le nouveau règlement entré en vigueur le 6 juin 2013 visant à mieux circonscrire les risques pour la santé de ce produit très répandu.

    Source : Sabourin, Guy. (2013). Prévention au travail, 26(4), [7]-14. Repéré à http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/V26_04/7-14.pdf

  • APPROCHE LEAN

  • To date, experiences of leaders in the implementation of Lean after a Lean Training Programme have not been systematically investigated within teaching hospitals. Existing studies have identified barriers and facilitators only from an improvement programme perspective and have not considered the experiences of leaders themselves. This study aims to bridge this gap.

    Source : Aij, Kjeld Harald. (2013). BMJ Open, 3(10). doi:10.1136/bmjopen-2013-003605

  • COMITÉ DE SANTÉ ET SÉCURITÉ AU TRAVAIL (CPSST)

  • L’APSSAP a créé une trousse d’outils en santé psychologique au travail. La trousse vise à stimuler la prise en charge de la prévention des problèmes de santé psychologique au travail par les milieux et à favoriser les actions structurées visant la qualité de vie au travail. Elle contient 14 outils, dont un atelier, un guide, trois affiches, trois formulaires d’évaluation et six fiches d’information. La trousse s’adresse, à prime abord, aux comités de santé et de sécurité du travail.

    Source : Drouin, Annie, et Lamonde, Jean-Philippe (2013). Santé psychologique : Trousse en santé et sécurité [Page web]. Repéré à http://apssap.qc.ca/documents/trousse-en-sante-psychologique

  • DÉPLACEMENTS DES BÉNÉFICIAIRES

  • The most fundamental issues raised by residents and caregivers when using safe patient handling and movement equipment are that the use of the equipment seems impersonal and distant. The evidence presented throughout this supplement, however, demonstrate that for the caregivers  to provide optimum care to their residents, adopting safer ways of lifting, transferring, repositionning, and mobilizing residents needs to be embraced rather then regarded as one more change.

    Source : Monaghan, Heather M., Murray, Esther, Severson, Lori, et Kissing, Jackie. (2013). American Journal of Safe Patient Handling and Movement, 3(3, suppl.), S1-S20. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=72_75&product_id=117

  • Cet article présente traite de l’organisation du régime de santé et sécurité au travail en Colombie-Britannique ainsi que de son évolution. L’accent est mis sur la prévention des accidents de travail et des maladies professionnelles dans les services de santé, et particulièrement ceux attribuables aux déplacements des patients.

    Source : Filek, Sue, et Brims, Marjorie. (2013). American Journal of Safe Patient Handling and Movement, 3(3), 110-112. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=72_75&product_id=116

  • The Health Belief Model is a psychosocial model that explains and predicts health behaviors by focussing on attitudes and beliefs. This framework was used in a case-control study exploring associations with patient handling injuries to clinical nurses. Cases were injured nurses who required leave from their clinical position as a result of a manual handling incident and controls were a random sample of nurses employed in clinical positions at participating hospitals.

    Source : Adams, Jillian. (2013). American Journal of Safe Patient Handling and Movement, 3(3), 84-93. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=72_75&product_id=113

  • In Quebec, home health aides are gradually being involved in choosing bathing equipment for community-dwelling clients with bathing difficulties, a task traditionally performed by occupational therapists. This article explores the support home health aides want in assuming this clinical task. Three home health aides having previously intervened with clients with bathing difficulties. Home health aides were first observed while performing an assessment, followed by an in-depth individual interview. Results indicate that participants wish to be trained to acquire further knowledge about bathing equipment and learn to use a tool that would guide and document their observations. They sought partnership with a designated occupational therapist, who would be available to answer questions and assess clients with a complex clinical situation. These results suggest that needs of home health aides are not currently met and highlight clinical as well as organizational implications.

    Source : Guay, Manon, Levasseur, Mélanie, Turgeon-Londeï, Sophie, Dubois, Marie-France, et Johanne Desrosiers. (2013). Work: A Journal of Prevention, Assessment and Rehabilitation, 46(3), 263-271. doi: 10.3233/WOR-121527

  • The Nurse and Health Care Worker Protection Act of 2013 would establish a safe patient handling, mobility and injury prevention standard. The American Industrial Hygiene Association® (AIHA) has issued a letter supporting a bill that would protect both health care workers and patients from injuries.  The legislation, titled the “Nurse and Health Care Worker Protection Act of 2013,” would direct the U.S. Secretary of Labor to reduce injuries to patients, nurses and other healthcare workers by establishing a safe patient handling, mobility and injury prevention standard.

    Source : Racadag, Nicole. (2013, 23 septembre). AIHA Supports Legislation to Prevent Injuries to Healthcare Workers, Patients. 2013 Press Releases. Repéré à http://www.aiha.org/about-aiha/Press/2013PressRelease/Pages/AIHA-Supports-Legislation-to-Prevent-Injuries–to-Healthcare-Workers,-Patients.aspx

  • Ergonomic exposures of health care workers include manual handling of patients and many non-neutral postures. A comprehensive assessment requires the integration of loads from these varied exposures into a single metric. The aim of this study was to obtain a comprehensive analysis of the physical workload of clinical staff in long-term care facilities, before and after a safe resident handling program (SRHP).

    Source : Kurowski, Alicia, Buchholz, Bryan, ProCare Research Team, et Punnett, Laura. (2013). Human Factors. Prépublication. doi: 10.1177/0018720813509268

  • The objective of this study was to investigate the prevalence and work avoidance of work-related musculoskeletal complaints and to compare patient handling tasks and psychosocial factors of physical therapists (PTs) and nurses in a rehabilitation hospital. Cross-sectional observational study was carried out using questionnaires relating to basic demographics, prevalence of musculoskeletal morbidity, workload, and job satisfaction. Comparing 26 PTs and 54 nurses, all females, lower back pain was significantly more prevalent in PTs, even after adjusting for the confounding demographic factors; PTs performed full and partial manual patient transfer, as well as trunk bending and walking assistance more frequently than the nurses and were significantly more satisfied. Unique physical load could be the main factor for the high prevalence of lower back pain in PTs. They should urgently initiate a “no-lift policy” in treatment.

    Source :  Alperovitch-Najenson, D., Treger, I, et Kalichman, L. (2013). Archives of Environmental & Occupational Health, 69(1), 33-39. doi: 10.1080/19338244.2012.719555

  • ÉQUIPEMENT DE PROTECTION

  • Currently there is an ongoing debate and limited evidence on the use of masks and respirators for the prevention of respiratory infections in health care workers (HCWs). This study aimed to examine available policies and guidelines around the use of masks and respirators in HCWs and to describe areas of consistency between guidelines, as well as gaps in the recommendations, with reference to the WHO and the CDC guidelines.

    Source : Chughtai, Abrar Ahmad, Seale, Holly, et MacIntyre, Chandini Raina. (2013). BMC Reasearch Notes, 6. 9 p. doi: 10.1186/1756-0500-6-216.

  • Measuring the effect of the Needlestick Safety and Prevention Act (NSPA) is challenging. No agreement exists on a common denominator for calculating injury rates. Does it make a difference? How are the law and safety-engineered devices related? What is the effect on injuries and costs? This study examines those issues in assessing the impact of the legislation on hospital worker percutaneous injuries.

    Source : Phillips, E.K., Conaway, M., Parker, G., Perry, J., et Jagger, J. (2013). Infection Control and Hospital Epidemiology,  34 (9), 935-939. Repéré à : http://www.jstor.org/stable/10.1086/671733

  • Using two gloves during surgical procedures is more protective than one in relation to percutaneous needle injuries, but it remains unclear whether the use of two thin-walled gloves is equally as protective as a single thicker-walled glove. The aim of this study was to compare the volume of contaminant transmitted from fluid-coated solid cutting suture needles through the same thickness of the same glove material made up of differing numbers of layers during simulated needlestick injuries.

    Source : Din, S.U., et Tidley, M.G. (2013). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqt135

  • The effect of gloves on practitioners’ performance has not been a major factor in their design. To determine the critical elements of performance and design appropriate tests, data from clinicians were needed. Semistructured interviews were carried out with medical practitioners from various disciplines, in which they were asked about their glove use, their views on gloves, medical tasks requiring the highest manual performance or most affected by gloves, and what the main issues with glove use were.

    Source : Mylon, Peter, Lewis, Roger, Carré, Matt J., Martin, Nicolas, et Brown, Steven. (2013). AJIC : American Journal of Infection Control. Prépublication.  doi: 10.1016/j.ajic.2013.07.009

  • The guidance highlights the importance of using a risk assessment process to decide when to use gloves and the type of glove required. It also draws attention to biological hazards in the form of micro-organisms and chemical hazards, such as those present in disinfectants, and the relevant quality standards required to support purchasing and availability of gloves.

    Source : Gallagher, Rose, et Sunley, Kim. (2013). London : Royal College of Nursing, 2012. 39 p. Repéré à http://www.rcn.org.uk/__data/assets/pdf_file/0003/450507/RCNguidance_glovesdermatitis_WEB2.pdf

  • ERGONOMIE

  • The purpose of this chapter on human factors in critical care medical environments is to provide a systematic review of the human factors and ergonomics contributions that led to significant improvements in patient safety over the last five decades. The review will focus on issues that contributed to patient injury and fatalities and how human factors and ergonomics can improve performance of providers in critical care. Given the complexity of critical care delivery, a review needs to cover a wide range of subjects. In this review, I take a sociotechnical systems perspective on critical care and discuss the people, their technical and nontechnical skills, the importance of teamwork, technology, and ergonomics in this complex environment. After a description of the importance of a safety climate, the chapter will conclude with a summary on how human factors and ergonomics can improve quality in critical care delivery.

    Source : Drews, Frank A. (2013). Reviews of Human Factors and Ergonomics, 8(1), 103-148. doi: 10.1177/1557234X13493250

  • GESTION-LEADERSHIP

  • Les centres d’hébergement font face à de nombreux défis quant à la planification de la main-d’œuvre. Afin de faciliter le partage et l’appropriation des connaissances pour les gestionnaires de ces milieux quant aux pratiques prometteuses en organisation des soins, des services et du travail (OSST), le ministère de la Santé et des Services sociaux (MSSS) du Québec a confié à l’agence de la santé et des services sociaux de la Montérégie le mandat de produire cette recension d’une trentaine de pratiques prometteuses en OSST en hébergement.

    Source : Gélinas, Marie-Chantal. (2013). Longueuil : Agence de la santé et des services sociaux de la Montérégie, 114 p. Repéré à http://extranet.santemonteregie.qc.ca/depot/document/3535/Recension+de+pratiques+OSST+hebergement+VF+2013+11+05.pdf

  • GESTION DE LA SST

  • Cet article traite de l’organisation du régime de santé et sécurité au travail en Colombie-Britannique ainsi que de son évolution. L’accent est mis sur la prévention des accidents de travail et des maladies professionnelles dans les services de santé, et particulièrement ceux attribuables aux déplacements des patients.

    Source : Filek, Sue, et Brims, Marjorie. (2013). American Journal of Safe Patient Handling and Movement, 3(3), 110-112. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=72_75&product_id=116

  • Of the nonfatal injuries and lost days due to occupational violence, 32% occur in the health care setting. The annual incidence rate for violence against nurses is 22 incidents per 1,000 nurses. When an occupational health professional analyzes an exposure, engineering controls, administrative controls, and personal protective equipment policies are drafted to ensure the future safety of employees. This literature review identifies best practice controls used to protect health care workers from violence in the workplace.

    Source : Brown, Bethany G., Burns, Candace. (2013). Workplace Health & Safety, 61(11): 475-478. doi: 10.3928/21650799-20131025-21

  • HORAIRE DE TRAVAIL

  • Dans ce documentaire disponible sur le Web, on traite des effets de l’électrification de la lumière (téléviseurs, écrans d’ordinateurs, lumière artificielle) de plus en plus présente dans nos vies « modernes », de jour comme de nuit. Les effets perturbateurs sur le rythme circadien, et par conséquent le système endocrinien, seraient importants. De plus, le manque d’exposition à la lumière naturelle, parce que nous passons de plus en plus de temps à l’intérieur, serait responsable de l’augmentation de l’obésité, du cancer du sein, de la dépression et des maladies cardiovasculaires dans les pays occidentaux faisant grand usage de lumière artificielle. Entre autres, on présente des résultats extraits de la méga étude longitudinale « Nurses’ Health Study » qui démontre une nette prépondérance de l’obésité et du cancer du sein chez les travailleuses de nuit. Quelques solutions pour pallier aux effets néfastes du manque de lumière naturelle et de l’exposition trop élevée à des sources de lumière artificielle sont énoncées. La particularité de ce documentaire est qu’on y traite pas seulement du manque de lumière naturelle, mais aussi des effets délétères de plusieurs sources de lumière artificielle sur le corps humain.

    Source : CBC Television. Suzuki, David. (2013). The Nature of Things : Lights Out! [Vidéo en ligne]. Repéré à http://www.cbc.ca/player/Shows/Shows/The+Nature+of+Things/ID/2313199682/

  • HYGIÈNE ET SALUBRITÉ

  • Le présent guide permet de situer la qualité relativement aux activités d’hygiène et de salubrité. Son principal objectif est d’outiller les responsables des services d’hygiène et salubrité quant à la gestion de la qualité et, par le fait même, à uniformiser leurs pratiques d’évaluation. Il est divisé en deux sections. Les principaux aspects relatifs à la qualité : définitions, concept de la roue de Deming, application en hygiène et salubrité, etc. sont présentés dans la première section. Dans la deuxième section, on retrouve les trois principaux types d’audits proposés, soit les audits de résultats, les audits de procédures et les audits de structure. Des tableaux sont utilisés au besoin afin de faciliter la lecture de l’information. En annexe, des grilles et des fiches techniques sont offertes afin de permettre au lecteur de réaliser les audits dans son milieu de travail.

    Source : Québec : Bédard, Sylvie, Beauchemin, Marc, Champagne, Jean-François, Dubreuil, Mario, Marchand, Richard, Paillé, Michel, … Sicotte, Danielle. (2013). Québec : MSSS. 65 p. Repéré à http://http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2013/13-602-02W.pdf

  • MANUTENTION

  • Battery powered bed movers are becoming increasingly common within the hospital setting. The use of powered bed movers is believed to result in reduced physical efforts required by health care workers, which may be associated with a decreased risk of occupation related injuries. However, little work has been conducted assessing how powered bed movers impact on levels of physiological strain and muscle activation for the user. The muscular efforts associated with moving hospital beds using three different methods; powered StaminaLift Bed Mover (PBM1), powered Gzunda Bed Mover (PBM2) and manual pushing were measured on six male subjects.

    Source : Daniell, Nathan, Merrett, Simon, et Paul, Gunther. (2013). Applied Ergonomics. Prépublication. Repéré à
    http://dx.doi.org/10.1016/j.apergo.2013.11.001

  • MÉDICAMENTS DANGEREUX

  • The objective of this study was to reduce the preparation time for oral anticancer drugs, reduce the exposure to drug preparations, and develop drug preparation equipment without external drug leaks in a closed state. In the newly developed closed oral drug preparation device, a 10 mL disposable syringe that was replaced with one projection for crushing tablets and a no-processing 30 mL disposable syringe were connected to a three-way stopcock. In conclusion, the closed oral drug preparation device may permit the preparation and administration of toxic drugs to patients while greatly reducing the risk of occupational exposure among health-care workers and caregivers.

    Source :  Wakui, Nobuyuki. (2013). Journal of Oncology Pharmacy Practice, 19(4), 315-320. doi: 10.1177/1078155212467554

  • MILIEU DE VIE

  • Le présent rapport vise à établir un portrait des pratiques reliées à l’utilisation des mesures de remplacement dans les établissements de santé du RUIS-UL ainsi que des facteurs qui facilitent ou limitent le recours à ces mesures.

    Source : Rhainds, Marc, Lalancette, Diane, Bélanger, Lynda, Hamel, Mélanie, et Coulombe, Martin. (2013). [Québec] : UETMIS-CHU de Québec. xv, 50 p. (Rapport d’évaluation 05-13). Repéré à http://www.chuq.qc.ca/NR/rdonlyres/921BAFA8-212C-4E0D-BE4A-1DC5DF2FDD62/0/RAP_Portrait_contention_05_13VF.pdf

  • Les alarmes de lit sont au nombre des mesures alternatives à la contention et à l’isolement ayant fait l’objet de ce rapport. La veille scientifique réalisée en suivi de la publication du rapport a permis d’identifier une étude randomisée de Shorr et al. publiée en novembre 2012 dans Annals of Internal Medicine portant  sur le recours aux alarmes de lit pour prévenir les chutes chez les patients hospitalisés.

    Source : Coulombe, Martin, et Rhainds, Marc. (2012). [Québec] : UETMIS-CHU de Québec, 2 p. (Rapport de veille scientifique 09-12). Repéré à http://www.chuq.qc.ca/NR/rdonlyres/322BF710-9B52-4E22-A6EB-D884E07F3470/0/RVS_alarmesdelit_VF.pdf

  • The objective was to evaluate the effects of interventions on mealtime difficulties in older adults with dementia. The authors used a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement.

    Source : Liu, Wen, Cheon, Jooyoung Thomas, Sue A. (2013). International Journal of Nursing Studies, 51(1), 14-27. Repéré à http://dx.doi.org/10.1016/j.ijnurstu.2012.12.021

  • Les centres d’hébergement font face à de nombreux défis quant à la planification de la main-d’œuvre. Afin de faciliter le partage et l’appropriation des connaissances pour les gestionnaires de ces milieux quant aux pratiques prometteuses en organisation des soins, des services et du travail (OSST), le ministère de la Santé et des Services sociaux (MSSS) du Québec a confié à l’Agence de la santé et des services sociaux de la Montérégie le mandat de produire cette recension d’une trentaine de pratiques prometteuses en OSST en hébergement.

    Source : Gélinas, Marie-Chantal. (2013). Longueuil : Agence de la santé et des services sociaux de la Montérégie, 114 p. Repéré à http://extranet.santemonteregie.qc.ca/depot/document/3535/Recension+de+pratiques+OSST+hebergement+VF+2013+11+05.pdf

  • Comme toute autre personne, les aînés vivant en centre d’hébergement sont des êtres humains sexués et sexualisés qui ont, à des degrés divers, des désirs érotiques et des besoins affectifs. Ils utilisent différents moyens pour exprimer leurs besoins sexuels, entre autres la parole et le toucher. Dans une large mesure, les besoins sexuels des résidents ne peuvent être satisfaits que si les soignants les reconnaissent, les comprennent et offrent l’aide nécessaire pour améliorer leur qualité de vie sexuelle. L’observation partagée des manifestations sexuelles sert d’outil de connaissance et de reconnaissance de la sexualité des aînés. Cette démarche contribue à reconnaître l’importance de la vie sexuelle et la pertinence d’une approche positive de la sexualité.
    Source : Dupras, André, et Dionne, Hélène. (2013). Pluriâges, 4(1), 24-30. Repéré à  http://www.creges.ca/site/images/Pluriages_Automne2013_Final.pdf

  • Cet outil, issu du travail de partenaires multisectoriels de l’Estrie et de la Capitale-Nationale, avec l’appui des coordonnateurs régionaux en maltraitance de ces deux régions, aidera entre autres à prévenir et à repérer les cas de maltraitance envers les aînés, mais aussi à mieux intervenir pour y mettre fin. Le Guide de référence se veut complémentaire par rapport à ce qui existe déjà comme moyen de lutter contre la maltraitance, et ce, au bénéfice des personnes aînées victimes de maltraitance et de leurs proches.

    Source : Ministère de la Santé et des Services sociaux du Québec. (2013). [Québec] : MSSS, xxx, 430 p. Repéré à http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2013/13-830-10F.pdf

  • PRÉVENTION DES INFECTIONS

  • The use of sharp safety devices in healthcare is considered the most important means of preventing occupational percutaneous injuries and has been mandated for use in most hospitals in industrialized countries including in Canada. However, clinical personnel’s perceptions on the use of safety devices needs further characterization to improve compliance. This study’s objective was to identify health care provider perspectives on different aspects of sharp safety device use and on how use could be increased.

    Source : Stringer, Bernadette, Astrakianakis, George, et Haines, Ted. (2013). Contemporary Nurse, 44(2), 144-155. Repéré  http://pubs.e-contentmanagement.com/doi/pdf/10.5172/conu.2013.44.2.144

  • The Association of Occupational Health Professionals in Healthcare (AOHP) released the alarming results from a recently conducted survey of its members that sought to establish the first nationally representative blood exposure database and benchmark resource. The results of the EXPO-S.T.O.P. (EXPOsure Survey of Trends in Occupational Practice) survey, described by the association as the largest annual survey of its kind conducted in the United States, were released in the Fall 2013 edition of the AOHP Journal.

    Source : AOHP Sounds Alarm on U.S. Sharps Injuries (November 19, 2013). Occupational Health & Safety. Repéré à http://ohsonline.com/Articles/2013/11/19/AOHP-Sounds-Alarm-on-US-Sharps-Injuries.aspx?p=1

  • The effect of gloves on practitioners’ performance has not been a major factor in their design. To determine the critical elements of performance and design appropriate tests, data from clinicians were needed. Semistructured interviews were carried out with medical practitioners from various disciplines, in which they were asked about their glove use, their views on gloves, medical tasks requiring the highest manual performance or most affected by gloves, and what the main issues with glove use were.

    Source : Mylon, Peter, Lewis, Roger, Carré, Matt J., Martin, Nicolas, et Brown, Steven. (2013). AJIC : American Journal of Infection Control. Prépublication.  doi: 10.1016/j.ajic.2013.07.009

  • Using two gloves during surgical procedures is more protective than one in relation to percutaneous needle injuries, but it remains unclear whether the use of two thin-walled gloves is equally as protective as a single thicker-walled glove. The aim of this study was to compare the volume of contaminant transmitted from fluid-coated solid cutting suture needles through the same thickness of the same glove material made up of differing numbers of layers during simulated needlestick injuries.

    Source : Din, S.U., et Tidley, M.G. (2013). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqt135

  • Measuring the effect of the Needlestick Safety and Prevention Act (NSPA) is challenging. No agreement exists on a common denominator for calculating injury rates. Does it make a difference? How are the law and safety-engineered devices related? What is the effect on injuries and costs? This study examines those issues in assessing the impact of the legislation on hospital worker percutaneous injuries.

    Source : Phillips, E.K., Conaway, M., Parker, G., Perry J., et Jagger, J. (2013). Infection Control and Hospital Epidemiology,  34 (9),  935-939. Repéré à http://www.jstor.org/stable/10.1086/671733

  • Immunization is the most effective measure available to prevent influenza and its complications, and health care workers (HCWs) play a pivotal role. We conducted a cross-sectional survey study to determine HCWs knowledge and opinions regarding influenza vaccine and its acceptance at our institution. The most important reason for vaccine uptake was because it required formal declination (33%); physicians were more likely to be vaccinated because of patient care, whereas nurses were more likely to be vaccinated because it required formal declination.

    Source : Oluwatosin, Jaiyeoba,  Oluwatosin, Villers, Margaret, Soper, David E., Korte, Jeffrey, et Salgado, Cassandra D. (2013). American Journal of Infection Control. Prépublication. doi:10.1016/j.ajic.2013.06.020

  • Amy Behrman believes that mandatory vaccination is needed to protect vulnerable patients, but Will Offley argues that evidence on effectiveness is not sufficient to over-ride healthcare workers’ right to choose.

    Source : Behrman, Amy, et Offley, Will (2013). British Medical Journal. Prépublication. Repéré à http://dx.doi.org/10.1136/bmj.f6705

  • The U.S. Public Health Service has released new recommendations for the management of health care personnel who experience occupational exposures to blood or other body fluids that might contain human immunodeficiency virus.

    Source : Chalupka, Stephanie. (2013). Workplace Health & Safety, 61(11):504. doi: 10.3928/21650799-20131025-18

  • In 2007, Ontario introduced regulation to promote the adoption of safety-engineered needles for the prevention of needlestick injuries. However, needlestick injury declines in the province (2004-2011) have not been substantial.  Ontario’s regulatory standard, designed to allow for local flexibility in the selection and implementation of these safety devices, relies heavily on the actions and conditions of regulated workplaces. In this plenary, Andrea Chambers shares findings on how implementation at three acute care hospitals played out.

    Source : Chambers, Andrea (November 19, 2013). Preventing needlestick injuries in Ontario’s acute care hospitals: Progress and ongoing challenges. Communication présentée à l’Institute for Work and Health, Toronto (Ontario). [39] p. Repéré à http://www.iwh.on.ca/system/files/plenaries/2013-11-19_achambers.pdf.

    Pour écouter la pléniaire et visionner: http://www.iwh.on.ca/plenaries/2013-nov-19

  • PRODUITS TOXIQUES

  • The objective was to estimate the prevalence of current asthma and the proportion of asthma that is work-related among health care and non-health care workers. The authors used 008 and 2010 Behavioral Risk Factor Surveillance System High Risk/Health Care Worker Module and Asthma Call-Back Survey data collected in 35 states and the District of Columbia to estimate prevalence ratios (PRs). In conclusion, the results of this study are consistent with previous research showing that health care workers with asthma have higher proportions of asthma attacks than non-health care workers.

    Source : White, Gretchen E., Mazurek, Jacek, et Moorman, Jeanne E. (2013). Journal of Occupational and Environmental Medicine, 55(12), 1463-1468. doi: 10.1097/JOM.0000000000000006

  • Ce dossier vous présente l’amiante, et plus particulièrement le nouveau règlement entré en vigueur le 6 juin 2013 visant à mieux circonscrire les risques pour la santé de ce produit très répandu.

    Source : Sabourin, Guy. (2013). Prévention au travail, 26(4), [7]-14. Repéré à http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/V26_04/7-14.pdf

  • One of the most commonly-used chemical is glutaraldehyde. The effects of its exposure are well known in the hospital setting; however there is very little information available with regards to the primary health care domain. This study determines and measures the exposure of health workers in Primary Health Care Centres. Environmental exposure to glutaraldehyde and staff concentration will be measured and compared with regulated Occupational Exposure Limits.

    Source : Jara, M. Angel, Mora Hidalgo, Alfonso, Gulin, J. Carlos, Lopez Albiach, Carlos, Muñoz Ortiz, Laura,  Monserrat,  Pere Torán, Ollé, Xavier Esteva. (2013). Journal of Occupational Medicine and Toxicology. Prépublication. doi:10.1186/1745-6673-8-31

  • PROMOTION DE LA SANTÉ

  • Frequent computer use is associated with an increase in musculoskeletal complaints. The present study aims at comparing the relative efficacy of three novel interventions for the prevention of musculoskeletal complaints in frequent computer users. Participants were assigned on the basis of preference to one of the following interventions of 8 week duration: Nordic Walking, biofeedback assisted relaxation and stretching, balance exercises on a wobble board or a waiting list control group. Outcome measures were musculoskeletal complaints, emotional well-being, fatigue, job dissatisfaction as well as neuromuscular activity in the neck/shoulder region at rest and during computer work assessed before and after the intervention and at 3 months follow-up.

    Source: Blasche, Gerhard, Pfeffer, Manuela, Thaler, Helga, Gollner, Erwin. (2013). Work: A Journal of Prevention, Assessment and Rehabilitation, 46 (3), 233-241. doi: 10.3233/WOR-121520

  • Lifestyle-related health issues affect the economic position of organizations and contribute to reduced productivity, increased absenteeism and health care costs. The objectives is to summarize the effectiveness of different workplace health interventions for promoting healthy lifestyle, preventing diseases and reducing health care costs.

    Source :  Schröer, S., Haupt, J., et Pieper, C. (2013). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqt136

  • Premier ministère certifié Entreprise en santé, le MSSS a adopté une nouvelle politique favorable à la santé et au mieux-être des personnes au travail. Elle vise à promouvoir de saines habitudes de vie ainsi que l’adoption de pratiques de gestion souscrivant à ces objectifs. L’application de cette politique a permis la mise en place du programme de santé et de mieux-être Vivactif à l’intention de l’ensemble du personnel.

    Source : Ministère de la Santé et des Services sociaux du Québec. (2013). [Québec] : MSSS, 5 p. Repéré à http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2013/13-401-36W.pdf

  • PROTECTION RESPIRATOIRE

  • Currently there is an ongoing debate and limited evidence on the use of masks and respirators for the prevention of respiratory infections in health care workers (HCWs). This study aimed to examine available policies and guidelines around the use of masks and respirators in HCWs and to describe areas of consistency between guidelines, as well as gaps in the recommendations, with reference to the WHO and the CDC guidelines.

    Source : Chughtai, Abrar Ahmad, Seale, Holly, et MacIntyre, Chandini Raina. (2013). BMC Reasearch Notes, 6. 9 p. doi: 10.1186/1756-0500-6-216.

  • RADIOPROTECTION

  • L’exposition aux champs électromagnétiques est de plus en plus présente en milieu professionnel, liée à de nombreuses avancées technologiques. Après un rappel des connaissances indispensables, cet article permet de faire le point sur le syndrome d’intolérance environnementale idiopathique attribué aux champs électromagnétiques, le tableau clinique, ses étiologies et sa prise en charge.

    Source : Ben Sefa-Colas, L., et Ranchoux-Lamodiere, A. (2013). Références en santé au travail, 135, 27-37. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/GrandAngle/TI-RST-TC-145/tc145.pdf

  • L’Agence nationale de sécurité sanitaire, de l’alimentation, de l’environnement et du travail (ANSES) présente les résultats de l’évaluation des risques liés à l’exposition aux radiofréquences sur la base d’une revue de la littérature scientifique internationale. Ainsi ce rapport actualise l’état des connaissances publié en 2009, sans mettre en évidence d’effet sanitaire avéré et ne conduit pas à proposer de nouvelles valeurs limites d’exposition de la population. L’Agence pointe toutefois, avec des niveaux de preuve limités, différents effets biologiques chez l’Homme ou chez l’animal.

    Source : Comité d’experts spécialisé « Agents physiques, nouvelles technologies et grands aménagements », et Groupe de travail « Radiofréquences et santé ». (2013). Radiofréquences et santé : Mise à jour de l’expertise. Maison-Alfort Cedex : ANSES, 30, 428 p. (Avis de l’Anses ; Rapport de l’expertise collective). Repéré à http://www.anses.fr/fr/documents/AP2011sa0150Ra.pdf

  • RETOUR AU TRAVAIL

  • Ce guide a été conçu pour vous aider à élaborer une démarche d’accompagnement et de soutien au retour au travail d’un employé à la suite d’une absence liée à un problème de santé psychologique, afin de faciliter son rétablissement et son retour au travail. Il s’agit d’un outil pratique, qui allie l’accompagnement individuel et les changements organisationnels.

    Source : St-Arnaud, Louise, et Pelletier, Mariève. (2013). Montréal : Direction des communications et de la valorisation de la recherche IRSST, 38 p. (Guide technique ; RG0758). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/RG-758.pdf

  • SANTÉ PSYCHOLOGIQUE

  • Les infirmières jouent un rôle majeur dans les soins palliatifs au Québec. Ces infirmières vivent un contexte de travail particulier, car elles ont à prodiguer dans un temps restreint à la fois des soins curatifs parfois complexes et à la fois des SP de fin de vie (approche mixte). Dans ces milieux où la visée curative domine, la mort est souvent perçue comme un échec. Cette situation crée des sources de stress et d’insatisfaction au travail chez les infirmières qui doivent conjuguer avec des deuils multiples et des morts difficiles. Elles peuvent vivre des conflits de valeurs et une souffrance éthique. S’ajoutent à cela d’autres facteurs de stress, comme le manque d’autonomie et l’intensification du travail, ce qui peut affecter leur satisfaction au travail et leur bien-être.

    Source : Fillion, Lise, Truchon, Manon, L’Heureux, Michel, Gélinas. Céline, Bellemare, Marie, Langlois, Lyse, Dallaire, Jean-François, … Robitaille, Marie-Anik. (2013). Montréal : IRSST, iv. 76 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-794.pdf

  • Ce guide a été conçu pour vous aider à élaborer une démarche d’accompagnement et de soutien au retour au travail d’un employé à la suite d’une absence liée à un problème de santé psychologique, afin de faciliter son rétablissement et son retour au travail. Il s’agit d’un outil pratique, qui allie l’accompagnement individuel et les changements organisationnels.

    Source : St-Arnaud, Louise, et Pelletier, Mariève. (2013). Montréal : Direction des communications et de la valorisation de la recherche IRSST, 38 p. (Guide technique ; RG0758). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/RG-758.pdf

  • Ce guide vise à aider les membres des comités de santé et de sécurité à mieux comprendre leur rôle dans la prévention des problèmes de santé psychologique dans leur milieu de travail. On y démontre également comment ils peuvent s’acquitter de ce mandat, en respectant les obligations de l’employeur et les responsabilités des autres intervenants.

    Source : Drouin, Annie, Lamonde, Jean-Philippe, Ouellet, Marc, et Gratton, Pierre (2013). La santé psychologique au travail : Guide pour les comités de santé et de sécurité et les mécanismes de participation du secteur de l’Administration provinciale à jouer leur rôle dans la prévention des problèmes de santé psychologique au travail. Québec : Association paritaire pour la santé et la sécurité du travail, secteur Administration provinciale, 34 p. http://apssap.qc.ca/wp-content/uploads/2013/10/Guide_sante_psychologique.pdf

  • L’APSSAP a créé une trousse d’outils en santé psychologique au travail. La trousse vise à stimuler la prise en charge de la prévention des problèmes de santé psychologique au travail par les milieux et à favoriser les actions structurées visant la qualité de vie au travail. Elle contient 14 outils, dont un atelier, un guide, trois affiches, trois formulaires d’évaluation et six fiches d’information. La trousse s’adresse, à prime abord, aux comités de santé et de sécurité du travail.

    Source : Drouin, Annie, et Lamonde, Jean-Philippe (2013). Santé psychologique : Trousse en santé et sécurité [Page web]. Repéré à http://apssap.qc.ca/documents/trousse-en-sante-psychologique

  • This study examine the relationship of musculoskeletal pain and depressive symptoms, occurring alone or both together, with self-rated current work ability and thoughts of early retirement.

    Source : Shiri, Rahman, Kaila-Kangas, Leena, Ahola, Kirs, Kivekäs, Teija, Viikari-Juntura, Eira, Heliövaara, Markku, Miranda, Helena, et Leino-Arjas, Päivi.(2013). Journal of Occupational & Environmental Medicine, 55(11), 1281-1285. doi: 10.1097/JOM.0b013e3182a4ffc4

  • This study explored the relationships among perceived workplace incivility, stress, burnout, perceived turnover intentions, and perceived level of psychological empowerment among acute care nurses (medical-surgical and critical care) in community and tertiary hospitals through the lens of complexity science. An exploratory study was conducted, and findings demonstrate significant relationships among workplace incivility, stress, burnout, turnover intentions, total years of nursing experience, and RN education levels. Creating targeted retention strategies and policies that will be sensitive to the needs and interests of nurses at high risk for leaving their organizations is imperative for nurse executives.

    Source : Oyeleye, Olubunmi, Hanson, Patricia, O’Connor, Nancy, et Dunn, Deborah. (2013). Journal of Nursing Administration, 43(10), 536-542. doi: 10.1097/NNA.0b013e3182a3e8c9

  • The study aimed to examine shiftworkers fatigue and the longitudinal relationships that impact on fatigue such as team climate, work life conflict, control of shifts and shift type in shift working nurses. In conclusion, control over shift scheduling can have significant effects on fatigue for both two-shift and three-shift workers. Fatigue increased over time when there was a lack of control over rosters. A positive team climate reduces fatigue for 2-shift but not 3-shift workers. Work life conflict was the strongest predictor of concurrent fatigue, but not over time.

    Source : Pisarski, Anne, et Barbour, Jennifer P. (2013). Applied Ergonomics. Prépublication. Repéré à  http://dx.doi.org/10.1016/j.apergo.2013.10.010

  • L’intimidation ne porte pas seulement atteinte aux sentiments d’une personne. Elle est de plus en plus reconnue comme un problème grave en milieu de travail qui peut causer un stress excessif, de l’anxiété et le découragement chez les employés. Renforcez le message affirmant que l’intimidation ne fait pas partie du travail en installant cette affiche dans votre lieu de travail. Rappelez à vos travailleurs les types de comportements qu’ils doivent signaler à une autorité désignée dans votre lieu de travail, à un superviseur, à un représentant syndical ou à une personne qui peut apporter son aide.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2013). Hamilton, ON : CCHST, 1 affiche.

  • The aims of this study were to compare job demand-control (JDC) and effort-reward imbalance (ERI) models in examining the association of job stress with work-related musculoskeletal symptoms and to evaluate the utility of a combined model. This study analyzed cross-sectional survey data obtained from a nationwide random sample of 304 intensive-care unit (ICU) nurses. Demographic and job factors were controlled in the analyses using logistic regression.

    Source : Lee, Soo-Jeong, Lee, Joung Hee, Gillen, Marion, et Krause, Niklas. (2013). American Journal of Industrial Medicine. Prépublication. doi: 10.1002/ajim.22274

  • Studies estimate that up to 60 percent of physicians experience burnout, which can affect the quality of patient care and increase the likelihood of medical errors. Doctors often tell patients that stress can be harmful to their health. Yet when it comes to reducing their own stress levels, physicians sometimes don’t heed their own advice. Part of the problem, according to researchers at Wake Forest Baptist Medical Center, is that medical schools don’t include meditation and stress-reduction training in their curriculums. That’s not the case at Wake Forest Baptist. For the past three years, all third-year students have received guided relaxation and mindfulness meditation training known as applied relaxation and applied mindfulness.

    Source : Cable, Josh. (2013, 20 novembre). EHS Today. Repéré à http://ehstoday.com/health/using-meditation-reduce-stress-prevent-burnout-medical-professionals

  • Regulatory fit theory predicts that motivation and performance are enhanced when individuals pursue goals framed in a way that fits their regulatory orientation (promotion vs. prevention focus). Our aim was to test the predictions of the theory when individuals deal with change. We expected and found in three studies that regulatory fit is beneficial only when a prevention focus is involved.

    Source : Petroub, Paraskevas,  Demeroutia, Evangelia, et Häfnerb, Michael. (2013). European Journal of Work and Organizational Psychology. Prépublication. doi: 10.1080/1359432X.2013.832209

  • The ongoing demographic changes in many industrialized countries affect managerial decisions in many ways, and require sound knowledge of systematic age differences in central work-related variables. The current paper addresses age differences in the experience of work-related stress. Based on life-span approaches, we focus on age differences in different components of the work-related stress process and meta-analyze existing empirical studies on the relationship between age and short-term indicators of work-related stress (i.e., irritation). The authors conducted both a literature review and a meta-analysis of age and indicators of work-related stress.

    Source : Rauschenbach, Cornelia, Krumm, Stefan, Thielgen, Markus et Hertel, Guido. (2013). Journal of Managerial Psychology, 28 (7/8). Repéré à http://www.emeraldinsight.com/journals.htm?issn=0268-3946&volume=28&issue=7&articleid=17100058&show=abstract

  • De nombreux secteurs d’activité sont actuellement préoccupés par la question du vieillissement de la main-d’œuvre au travail. Ce problème prend un relief tout particulier au sein des institutions hospitalières, notamment dans les secteurs de soins infirmiers.  Dans ce travail, on propose d’évaluer l’impact de la charge socioprofessionnelle sur la qualité de vie et la capacité du travail des professionnels des soins infirmiers en tenant compte des dimensions de l’âge et du genre.

    Source : Merchaoui, I., Amri, C., Harzallah, L., Melki, A., et Chaari, N. (2013). Archives des Maladies Professionnelles et de l’Environnement, 74(6), 676-677. Repéré à http://dx.doi.org/10.1016/j.admp.2013.09.040

  • Le stress professionnel est un risque professionnel à double titre : des études scientifiques ont mis en évidence des liens entre des situations de travail stressantes et l’apparition de problèmes de santé mineurs ou des maladies plus sérieuses. Cette étude a pour objectif d’évaluer le stress dans l’exercice quotidien du personnel des urgences d’un CHU et de son impact sur leur qualité de vie.

    Source : Merchaoui, I., Bouzgarrou, L., Amri, C., Mahfoudh, A., et Chaari, N. (2013). Archives des Maladies Professionnelles et de l’Environnement, 74(6), 677. Repéré à http://dx.doi.org/10.1016/j.admp.2013.09.041

  • SÉCURITÉ DES URGENCES

  • Le stress professionnel est un risque professionnel à double titre : des études scientifiques ont mis en évidence des liens entre des situations de travail stressantes et l’apparition de problèmes de santé mineurs ou des maladies plus sérieuses. Cette étude a pour objectif d’évaluer le stress dans l’exercice quotidien du personnel des urgences d’un CHU et de son impact sur leur qualité de vie.

    Source : Merchaoui, I., Bouzgarrou, L., Amri, C., Mahfoudh, A., et Chaari, N. (2013). Archives des Maladies Professionnelles et de l’Environnement, 74(6), 677. Repéré à http://dx.doi.org/10.1016/j.admp.2013.09.041

  • SERVICES À DOMICILE

  • In Quebec, home health aides are gradually being involved in choosing bathing equipment for community-dwelling clients with bathing difficulties, a task traditionally performed by occupational therapists. This article explores the support home health aides want in assuming this clinical task. Three home health aides having previously intervened with clients with bathing difficulties. Home health aides were first observed while performing an assessment, followed by an in-depth individual interview. Results indicate that participants wish to be trained to acquire further knowledge about bathing equipment and learn to use a tool that would guide and document their observations. They sought partnership with a designated occupational therapist, who would be available to answer questions and assess clients with a complex clinical situation. These results suggest that needs of home health aides are not currently met and highlight clinical as well as organizational implications.

    Source : Guay, Manon, Levasseur, Mélanie, Turgeon-Londeï, Sophie, Dubois, Marie-France, et Johanne Desrosiers. (2013). Work: A Journal of Prevention, Assessment and Rehabilitation, 46(3), 263-271. doi: 10.3233/WOR-121527

  • SOINS INTENSIFS

  • The purpose of this chapter on human factors in critical care medical environments is to provide a systematic review of the human factors and ergonomics contributions that led to significant improvements in patient safety over the last five decades. The review will focus on issues that contributed to patient injury and fatalities and how human factors and ergonomics can improve performance of providers in critical care. Given the complexity of critical care delivery, a review needs to cover a wide range of subjects. In this review, I take a sociotechnical systems perspective on critical care and discuss the people, their technical and nontechnical skills, the importance of teamwork, technology, and ergonomics in this complex environment. After a description of the importance of a safety climate, the chapter will conclude with a summary on how human factors and ergonomics can improve quality in critical care delivery.

    Source : Drews, Frank A. (2013). Reviews of Human Factors and Ergonomics, 8(1), 103-148. doi: 10.1177/1557234X13493250

  • SST EN MILIEU HOSPITALIER

  • The goal of this guide is to briefly summarize the various hazards faced by hospital workers and effective control methods for these hazards; and to present the information in a way that it is easily accessible to hospital employees and healthcare safety professionnals. This information is supplemented with a list of internet resources for further information for the reader.

    Source : Gorman, Theresa, Dropkin, Jonathan, Kamen, Jacob, Nimbalkar, Somashekhar, Zuckerman, Norman, Lowe, Thomas, … Freund, Alice. (2013). News Solutions : A Journal of Environmental and Occupational Health Policy, 23 (Suppl.), 1-167. Repéré à http://dx.doi.org/10.2190/NS.23.Suppl

  • According to American Nurses Association, free HealthyNurse Health Risk Appraisal, launched Nov. 18, takes about 20-30 minutes to complete and is compliant with the Health Insurance Portability and Accountability Act. It guides nurses through a series of questions regarding demographics; work environment; and health, safety and wellness. After completing the survey, nurses are given their results, which they can compare to both the national average and the ideal standard.

    Source : New survey allows nurses to assess workplace risks (Novembre 19, 2013). Safety + Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/9556-new-survey-allows-nurses-to-assess-workplace-risks

  • Cet article traite de l’organisation du régime de santé et sécurité au travail en Colombie-Britannique ainsi que de son évolution. L’accent est mis sur la prévention des accidents de travail et des maladies professionnelles dans les services de santé, et particulièrement ceux attribuables aux déplacements des patients.

    Source : Filek, Sue, et Brims, Marjorie. (2013). American Journal of Safe Patient Handling and Movement, 3(3), 110-112. Repéré à  http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=72_75&product_id=116

  • STATISTIQUES EN SST

  • The Association of Occupational Health Professionals in Healthcare (AOHP) released the alarming results from a recently conducted survey of its members that sought to establish the first nationally representative blood exposure database and benchmark resource. The results of the EXPO-S.T.O.P. (EXPOsure Survey of Trends in Occupational Practice) survey, described by the association as the largest annual survey of its kind conducted in the United States, were released in the Fall 2013 edition of the AOHP Journal.

    Source : AOHP Sounds Alarm on U.S. Sharps Injuries (November 19, 2013). Occupational Health & Safety. Repéré à http://ohsonline.com/Articles/2013/11/19/AOHP-Sounds-Alarm-on-US-Sharps-Injuries.aspx?p=1

  • STÉRILISATION

  • One of the most commonly-used chemical is glutaraldehyde. The effects of its exposure are well known in the hospital setting; however there is very little information available with regards to the primary health care domain. This study determines and measures the exposure of health workers in Primary Health Care Centres. Environmental exposure to glutaraldehyde and staff concentration will be measured and compared with regulated Occupational Exposure Limits.

    Source : Jara, M. Angel, Mora Hidalgo, Alfonso, Gulin, J. Carlos, Lopez Albiach, Carlos, Muñoz Ortiz, Laura,  Monserrat,  Pere Torán, Ollé, Xavier Esteva. (2013).  Journal of Occupational Medicine and Toxicology. Prépublication. doi:10.1186/1745-6673-8-31

  • TRAVAIL DE BUREAU

  • Cet outil fournit  des consignes  d’installation et  d’ajustement  simples à partir  des équipements  déjà présents sur les lieux de travail.

    Source : Agence de la santé et des services sociaux de la Montérégie. Direction de santé publique. (2013). [Longueuil] : Direction de santé publique, Agence de la santé et des services sociaux de la Montérégie, 2 p. Repéré à http://www.santeautravail.qc.ca/documents/13347/375318/389244_doc-RQci1.pdf

  • This study evaluated the impact on neck movement and muscle activity of placing documents in three commonly used locations: in-line, flat desktop left of the keyboard and laterally placed level with the computer screen. Neck excursion during three standard head movements between the computer monitor and each document location and neck extensor and upper trapezius muscle activity during a 5 min typing task for each of the document locations was measured in 20 healthy participants. Results indicated that muscle activity and neck flexion were least when documents were placed laterally suggesting it may be the optimal location. The desktop option produced both the greatest neck movement and muscle activity in all muscle groups. The in-line document location required significantly more neck flexion but less lateral flexion and rotation than the laterally placed document. Evaluation of other holders is needed to guide decision making for this commonly used office equipment.

    Source :  Goostrey, Sonya, Treleaven, Julia, et Johnston, Venerina. (2013). Applied Ergonomics. Prépublication. Repéré à http://dx.doi.org/10.1016/j.apergo.2013.10.007

  • Alors que le syndrome du canal carpien (SCC) est la neuropathie la plus fréquente du membre supérieur, il existe des discussions sur son lien avec le travail sur ordinateur. L’objectif est de réaliser une méta-analyse à partir des études épidémiologiques entre le travail sur ordinateur et le SCC. Les auteurs ont conclu qu’outre l’hétérogénéité des études, de la difficulté de définir le SCC et d’évaluer l’exposition au travail sur ordinateur, cette méta-analyse rejoint les conclusions de revues récentes : il n’est pas possible actuellement de retenir un lien causal entre utilisation de l’outil informatique et SCC. Cela n’exclut pas pour autant que certaines circonstances de travaux particuliers avec utilisation de la souris à cadence intensive par exemple, peuvent être associées au SCC.

    Source : Mediouni, Z., de Roquemaurel, A., Dumontier, C., Bécourt. B., Roquelaure, Y., Garrabé, H., et Descatha, A. (2013). Archives des Maladies Professionnelles et de l’Environnement, 74(6), 670-671. Repéré à http://dx.doi.org/10.1016/j.admp.2013.09.026

  • Frequent computer use is associated with an increase in musculoskeletal complaints. The present study aims at comparing the relative efficacy of three novel interventions for the prevention of musculoskeletal complaints in frequent computer users. Participants were assigned on the basis of preference to one of the following interventions of 8 week duration: Nordic Walking, biofeedback assisted relaxation and stretching, balance exercises on a wobble board or a waiting list control group. Outcome measures were musculoskeletal complaints, emotional well-being, fatigue, job dissatisfaction as well as neuromuscular activity in the neck/shoulder region at rest and during computer work assessed before and after the intervention and at 3 months follow-up.

    Source: Blasche, Gerhard, Pfeffer, Manuela, Thaler, Helga, Gollner, Erwin. (2013). Work: A Journal of Prevention, Assessment and Rehabilitation, 46 (3), 233-241. doi: 10.3233/WOR-121520

  • TRAVAILLEURS JEUNES/ÂGÉS

  • Increasing age diversity in the workforce points to the need to understand the dynamics of interpersonal relations across age groups. An important element of these interactions involves interpersonal perceptions, including both what an individual believes about members of other age groups (stereotypes) and what individuals believe other age groups think of their own group (metastereotypes). We explore the content and accuracy of the stereotypes and metastereotypes in a sample of 247 younger, middle-aged, and older workers.

    Source : Finkelstein, Lisa M., Ryan, Katherine M., et King, Eden B. (2013). European Journal of Work and Organizational Psychology, 22(6), 633-657. doi: 10.1080/1359432X.2012.673279

  • The article introduces two special issues of the Journal of Managerial Psychology on age diversity in organizations. It reviews two frameworks for understanding age diversity. The first framework focuses on age stereotypes and bias that have a negative influence on human resource decision making about older workers. The second framework emphasizes that the retirement of older workers will create a shortage of talented employees in organizations. As a result, we need to find ways of retaining older workers in organizations, and these goals are more important in some nations than others.

    Source : Stone, Dianna L., et Tetrick, Lois E. (2013). Journal of Managerial Psychology, 28(7/8), 725-728. doi: 10.1108/JMP-07-2013-0226

  • This paper examines the impact of individual and group level variables on knowledge exchange and identification in age diverse teams. From a diversity perspective, influences of age related diversity perceptions and diversity beliefs (level 1) are compared with effects of objective age diversity (level 2). From a management perspective, the paper goes beyond age diversity and investigates the incremental effects of team and individual characteristics from a team learning perspective.

    Source :  Ellwart, Thomas, Bündgens, Silke, et Rack, Oliver. (2013). Journal of Managerial Psychology, 28(7/8). Repéré à http://www.emeraldinsight.com/journals.htm?issn=0268-3946&volume=28&issue=7&articleid=17100044&show=abstract

  • De nombreux secteurs d’activité sont actuellement préoccupés par la question du vieillissement de la main-d’œuvre au travail. Ce problème prend un relief tout particulier au sein des institutions hospitalières, notamment dans les secteurs de soins infirmiers.  Dans ce travail, on propose d’évaluer l’impact de la charge socioprofessionnelle sur la qualité de vie et la capacité du travail des professionnels des soins infirmiers en tenant compte des dimensions de l’âge et du genre.

    Source : Merchaoui, I., Amri, C., Harzallah, L., Melki, A., et Chaari, N. (2013). Archives des Maladies Professionnelles et de l’Environnement, 74(6), 676-677. Repéré à http://dx.doi.org/10.1016/j.admp.2013.09.040

  • TROUBLES MUSCULOSQUELETTIQUES

  • This study examine the relationship of musculoskeletal pain and depressive symptoms, occurring alone or both together, with self-rated current work ability and thoughts of early retirement.

    Source : Shiri, Rahman, Kaila-Kangas, Leena, Ahola, Kirs, Kivekäs, Teija, Viikari-Juntura, Eira, Heliövaara, Markku, Miranda, Helena, et Leino-Arjas, Päivi. (2013). Journal of Occupational & Environmental Medicine, 55(11), 1281-1285. doi: 10.1097/JOM.0b013e3182a4ffc4

  • Previously we reported a cross-sectional relationship between physical assaults at work and musculoskeletal pain. This follow-up provides stronger evidence of the effect of workplace violence on musculoskeletal outcomes within the same workforce over two years. This study examined prospectively the effect of workplace violence on musculoskeletal symptoms among nursing home workers.

    Source : Miranda, Helena, Punnett, Laura, Gore, Rebecca J., et ProCare Research Team. (2013). Human Factors. Prépublication. doi:  10.1177/0018720813508778

  • The aims of this study were to compare job demand-control (JDC) and effort-reward imbalance (ERI) models in examining the association of job stress with work-related musculoskeletal symptoms and to evaluate the utility of a combined model. This study analyzed cross-sectional survey data obtained from a nationwide random sample of 304 intensive-care unit (ICU) nurses. Demographic and job factors were controlled in the analyses using logistic regression.

    Source : Lee, Soo-Jeong, Lee, Joung Hee, Gillen, Marion, et Krause, Niklas. (2013). American Journal of Industrial Medicine. Prépublication. doi: 10.1002/ajim.22274

  • Alors que le syndrome du canal carpien (SCC) est la neuropathie la plus fréquente du membre supérieur, il existe des discussions sur son lien avec le travail sur ordinateur. L’objectif est de réaliser une méta-analyse à partir des études épidémiologiques entre le travail sur ordinateur et le SCC. Les auteurs ont conclu qu’outre l’hétérogénéité des études, de la difficulté de définir le SCC et d’évaluer l’exposition au travail sur ordinateur, cette méta-analyse rejoint les conclusions de revues récentes : il n’est pas possible actuellement de retenir un lien causal entre utilisation de l’outil informatique et SCC. Cela n’exclut pas pour autant que certaines circonstances de travaux particuliers avec utilisation de la souris à cadence intensive par exemple, peuvent être associées au SCC.

    Source : Mediouni, Z., de Roquemaurel, A., Dumontier, C., Bécourt. B., Roquelaure, Y., Garrabé, H., et Descatha, A. (2013). Archives des Maladies Professionnelles et de l’Environnement, 74(6), 670-671. Repéré à http://dx.doi.org/10.1016/j.admp.2013.09.026

  • Frequent computer use is associated with an increase in musculoskeletal complaints. The present study aims at comparing the relative efficacy of three novel interventions for the prevention of musculoskeletal complaints in frequent computer users. Participants were assigned on the basis of preference to one of the following interventions of 8 week duration: Nordic Walking, biofeedback assisted relaxation and stretching, balance exercises on a wobble board or a waiting list control group. Outcome measures were musculoskeletal complaints, emotional well-being, fatigue, job dissatisfaction as well as neuromuscular activity in the neck/shoulder region at rest and during computer work assessed before and after the intervention and at 3 months follow-up.

    Source: Blasche, Gerhard, Pfeffer, Manuela, Thaler, Helga, Gollner, Erwin. (2013). Work: A Journal of Prevention, Assessment and Rehabilitation, 46 (3), 233-241. doi: 10.3233/WOR-121520

  • VACCINATION

  • Amy Behrman believes that mandatory vaccination is needed to protect vulnerable patients, but Will Offley argues that evidence on effectiveness is not sufficient to over-ride healthcare workers’ right to choose.

    Source : Behrman, Amy, et Offley, Will (2013). British Medical Journal. Prépublication. Repéré à http://dx.doi.org/10.1136/bmj.f6705

  • Immunization is the most effective measure available to prevent influenza and its complications, and health care workers (HCWs) play a pivotal role. We conducted a cross-sectional survey study to determine HCWs knowledge and opinions regarding influenza vaccine and its acceptance at our institution. The most important reason for vaccine uptake was because it required formal declination (33%); physicians were more likely to be vaccinated because of patient care, whereas nurses were more likely to be vaccinated because it required formal declination.

    Source : Oluwatosin, Jaiyeoba,  Oluwatosin, Villers, Margaret, Soper, David E., Korte, Jeffrey, et Salgado, Cassandra D. (2013). American Journal of Infection Control. Prépublication. doi:10.1016/j.ajic.2013.06.020

Laisser un commentaire

Entrez vos coordonnées ci-dessous ou cliquez sur une icône pour vous connecter:

Logo WordPress.com

Vous commentez à l'aide de votre compte WordPress.com. Déconnexion / Changer )

Image Twitter

Vous commentez à l'aide de votre compte Twitter. Déconnexion / Changer )

Photo Facebook

Vous commentez à l'aide de votre compte Facebook. Déconnexion / Changer )

Photo Google+

Vous commentez à l'aide de votre compte Google+. Déconnexion / Changer )

Connexion à %s