COIN DE LA DOCUMENTALISTE – FÉVRIER 2014

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ACCIDENTS DE TRAVAIL

  • The impact of job stress due to the lack of organisational support on occupational injury

    The aim of this study was to analyse the association between job stress and occupational injuries. A prospective cohort study in a sample of 10 667 workers belonging to the insured population of the Mutual Insurance Company in Spain. Job stress was assessed with the Spanish version of the Job Stress Survey. After adjusting for confounders, a significant association between LOS and increased incidence of occupational injuries was found.

    Source : Julià, Mireia, Catalina-Romero, Carlos, Calvo-Bonacho, Eva et Benavides, et Fernando G. (2013). Occupational & Environmental Medicine (sous presse), 7 p. doi:10.1136/oemed-2012-101184

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. Certaines de 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 ressource intermédiaire, le risque est présent.

    Source : Robitaille, Marie Josée. (2014). OP : Objectif prévention, 37(1), 4-5. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op371004_RI.pdf

  • The purpose of this course is to help healthcare workers better understand the scope and nature of violence in the healthcare workplace.  Participants will learn how to recognize the key elements of a comprehensive workplace violence prevention program, how organizational systems impact workplace violence, how to apply individual strategies, and develop skills for preventing and responding to workplace violence. Content is derived from content experts and from the OSHA 2004 Guidelines for Preventing Workplace Violence for Health Care & Social Service Workers (OSHA 3148-01R 2004).

    Source : Centers for Disease Control and Prevention.  National Institute for Occupational Safety and Health Division of Safety Research. (2013). Workplace Violence Prevention for Nurses [Cours en ligne]. Repéré à  http://www.cdc.gov/niosh/topics/violence/training_nurses.html

  • « Avant que le pire ne se produise ». Violence externe, incivilités, agressions… Quels que soient les noms donnés, les relations entre l’entreprise et son environnement extérieur peuvent être l’objet d’incompréhensions, être sources de tension ou de conflits. Un phénomène qui tend à se généraliser et à s’amplifier dans les économies de service. Ce dossier dresse un rapide état des lieux des violences externes et incivilités au travail et présente différentes approches de prévention.

    Source : Bondéelle, Antoine, Brasseur, Grégory, et Vaudoux, Delphine. (2014). Travail & Sécurité, 747, 13-25. Repéré à  http://www.travail-et-securite.fr/archivests/archivests.nsf/(alldocparref)/TS747Complet_1/$file/TS747Complet.pdf?openelement

  • While there is a large body of research on the effects of being a direct target of workplace aggression, there is far less research on the vicarious experience of aggression at work, despite the fact that more people experience workplace aggression vicariously (i.e., observe it or hear about it) than they do directly. In this study, we develop and test a model of the effects of direct and vicarious exposure to aggression that is directed at employees by customers.

    Source : Dupré, Kathryne E., Barling, Julian, et Dawe, Kimberly-Anne. (2014). Journal of Interpersonal Violence. Prépublication. doi: 10.1177/0886260513518841

  • Previous studies have shown that healthcare workers experience high levels of aggression from patients. Prevention packages to address this have received little research support. Communication skills have been shown to influence individuals’ experience of aggression and are also amenable to training. This study aims to deliver a communication skills training package that will reduce the experience of aggression in the workplace for healthcare workers.

    Source : Swain, Nicola, et Gale, Christopher. (2014). International Journal of Nursing Studies. Prépublication. http://dx.doi.org/10.1016/j.ijnurstu.2014.01.016

  • According to data from the Bureau of Labor Statistics, the most common source of nonfatal injuries and illnesses requiring days away from work in the health care and social assistance industry was assault on the health care worker. What is not well understood are the precursors and sequelae of violence perpetrated against emergency nurses and other health care workers by patients and visitors. The purpose of this study was to better understand the experience of emergency nurses who have been physically or verbally assaulted while providing patient care in US emergency departments.

    Source : Wolf, Lisa A., Delao, Altair M., et Perhats, Cydne. (2014). Journal of Emergency Nursing. Prépublication.  doi:10.1016/j.jen.2013.11.006

ALLERGIES PROFESSIONNELLES

  • Allergens are one group of respiratory hazards in the workplace of healthcare workers (HCWs). The purpose of this review is to summarize the recent advances in occupational allergy as well as potential hazardous agents in HCWs. The review covers new developments on the epidemiology, diagnosis and management of occupational allergy in HCWs. This article also provides updated information on the prevalence of work-related respiratory symptoms, as well as on respiratory hazards among healthcare providers.

    Source :  Wiszniewska, Marta, et Walusiak-Skorupa, Jolanta. (2014). Current Opinion in Advance and Clinical Immunology. Prépublication. doi: 10.1097/ACI.0000000000000039

  • Asthma is common in the general population, including those in the workforce. Work exposures can cause or exacerbate asthma and can also be associated with asthma variants (e.g., eosinophilic bronchitis and aluminum potroom asthma) as well as symptoms that mimic asthma (e.g., the irritable larynx syndrome). In addition, even non–work-related asthma can affect the ability to work. This review focuses on current data about occupational asthma, defined as asthma due to conditions attributable to work exposures and not to causes outside the workplace.

    Source : Tarlo, Susan M., et Lemiere, Catherine. (2014). New England Journal of Medicine, 370 (7), 640-649. doi: 10.1056/NEJMra1301758

  • L’asthme est dite professionnelle lorsqu’elle est causée par certains agents présents dans le milieu de travail tels que la poussière, les agents dérivés de protéines végétales ou animales ou des substances chimiques. Il peut apparaître après une longue période de latence ou se manifester par une réaction aigüe. Que prévoient les lois en santé et sécurité au travail au sujet de ce type de lésions professionnelles ?

    Source : Ranger, Véronique. (2014). Prévention au travail, 27(1), 15. Repéré à  http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/v27_01/15.pdf

AMÉNAGEMENT-ARCHITECTURE

  • Interaction between the users and their environment is spontaneous and unavoidable. This interaction can be positive or negative. A good interior space is about considering all the physical, environmental and cognitive elements and harmonizing them to make it a space that feels right, functionally and emotionally. The important element that has to be considered the most in an interior space is the “user”. Balancing all these elements is a challenging job and results in a perfect interior space design. This paper intends to bring to light the necessity of designing an optimum interior space, which is a balance of the user’s choice and the mandatory standards that ought to be followed for user safety and convenience. There has to be an intervening domain of ergonomics which will guide to bring out a balance between the personal choice of the user and the usual standards followed. It should also provide a step-by-step information, guidance and direction to act to the specifications and standards systematically to adapt an integrated approach of handling all the elements holistically which will indeed result in a good interior space.

    Source : Reddy, Swathi Matta, Chakrabarti, Debkumar, et Karmakar, Sougata. (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 1072-1078. doi: 10.3233/WOR-2012-0284-1072

  • Associations between self-reported needs for aesthetic and ergonomic improvements were studied to analyse a possible impact of aesthetic needs on job performance as compared to ergonomic needs in 11 occupational groups. The perceived needs for aesthetic and ergonomic improvements showed significantly different distributions. Aesthetic needs were more frequently reported. No gender related differences were observed. Sick leave was stronger related to ergonomics. The study results show a relation between not only work place ergonomics but also work place aesthetics to health and well-being. Future work health promotion and prevention may benefit from the inclusion of workplace aesthetics.

    Source : Schell, Elisabet, Theorell, Tores, et Saraste, Helena. (2012).  Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 1430-1440. doi: 10.3233/WOR-2012-0334-1430

  • A prospective study of the office environment’s effect on employees is motivated by the high rates of sick leaves in the workforce. The results indicate differences between office types, depending on the number of people sharing workspace and the opportunity to exert personal control as influenced by the features that define the office types.

    Source : Danielsson, Christina Bodin, Chungkham, Holendro Singh, Wulff, Cornelia, et Westerlund, Hugo. (2014). Ergonomics. Prépublication. doi:10.1080/00140139.2013.871064

AMIANTE

APPROCHE LEAN

  • Pourquoi certaines théories parviennent à s’imposer et influencer les pratiques organisationnelles de manière significative? Les auteurs se penchent sur le système de soins de santé au Québec et s’intéressent plus particulièrement à la méthode Lean récemment implantée et devenue figure imposante du paysage québécois. Sur la base d’une approche longitudinale multiniveau, ils mettent l’accent sur les conditions susceptibles d’entraîner et d’augmenter la performativité, tout en considérant de quelle manière ce processus se poursuit dans le temps. Comment la méthode Lean a-t-elle réussi à s’imposer dans la structure actuelle? Une question à laquelle tentent de répondre les auteurs à travers cette réflexion. 

    Source : Sergi, Viviane, Lusiani, Maria, Langley, Ann, et Denis, Jean-Louis. (2014). Saying what you do and doing what you say: The  performative dynamics of lean management theory. Venezia : Università Ca’Foscari. Department of Management, 36 p. (Working paper Series). Repéré à  http://virgo.unive.it/wpideas/storage/2013wp35.pdf

  • The design, layout, and placement of laboratories have significant impact on lab processes, behaviors, and communications. A good design will proactively support lean processes including flow, visual management, standard work, and excellence in workplace organization, whereas a bad design may actually create waste and make flow more difficult. In a unique collaboration of lab design companies and lean experts, including Flad Jacobs, Foster Wheeler, BSM, and end users at Novartis, a workshop was held in Rosia, Italy, in 2012, to develop laboratory design guidelines to support lean operations. The output of this workshop was subsequently developed into the white paper, "Incorporating Lean Principles into Pharmaceutical QC Laboratory Design: building design influencing laboratory behaviors and effectiveness.

    Source : Reynolds, Tom, et Scharton-Kersten. Tanya. (2013, December 6).  Designing Labs for Lean Operation. Lab Manager. Repéré à  http://www.labmanager.com/lab-design-and-furnishings/2013/12/designing-labs-for-lean-operation#.UvqZBGJ5MlJ

    Pour télécharger les lignes directrices : http://www.bsm-usa.com

  • C’est dans le cadre d’un projet Lean visant l’optimisation des processus de prêt à court terme des fauteuils roulants que l’idée d’un fauteuil adapté au milieu hospitalier a germé. Lors de l’atelier Kaizen, l’équipe de projet a identifié les critères du fauteuil idéal pour les usagers et les employés d’un hôpital.

    Source : Gouvernement du Québec. (2014, 14 février). Réseau Info Santé. [Site Web].  Repéré à  http://www.guidesanteenligne.com/detail_news.php?ID=470288&cat=;28

APPROCHE RELATIONNELLE DE SOINS

  • Increased lifespan in western societies causes the increase of hospitalization in the old age, notably for patient showing forms of dementia including Altzheimer disease. These patients relate poorly to care givers and nurses, and cases of maltreatment have repeatedly been reported. To prevent abuse and increase patient’s quality of life, Gineste and Pelissier (2007) proposed a philosophy of care based on the Humanitude® concept. Acknowledging that being human is being vertical and related to other humans, the pillars of Humanitude® are gaze, touch, talk, and standing. These modes of relation are systematically developed in care giving techniques derived from the concept. After several studies in geriatric hospitals, to assess psychosocial and ergonomic aspects of work, we present an analysis of the gap between the logic of human care and the logic of hospital organization, impacting employees work conditions and psychological welfare. Care giving is not only a "one to one" relation with the patient but needs to be integrated in the whole organization. Psychologists and ergonomists should be instrumental in defining the project and the organization linking human care giving towards the patients and better work conditions for healthcare employees.

    Source : Biquand, Sylvain, et Zittel, Benoît. (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 1828-1831. doi: 10.3233/WOR-2012-0392-1828

  • Previous studies have shown that healthcare workers experience high levels of aggression from patients. Prevention packages to address this have received little research support. Communication skills have been shown to influence individuals’ experience of aggression and are also amenable to training. This study aims to deliver a communication skills training package that will reduce the experience of aggression in the workplace for healthcare workers.

    Source : Swain, Nicola, et Gale, Christopher. (2014). International Journal of Nursing Studies. Prépublication. http://dx.doi.org/10.1016/j.ijnurstu.2014.01.016

BLOC OPÉRATOIRE-CHIRURGIE

  • Résumé Tuberculosis (TB) infection in healthcare personnel occurs mostly by mycobacteria inhalation and contact with infected material. Here, we report a case of primary inoculation TB in a surgeon resulting from an accidental scalpel injury. Standard anti-TB treatment produced a good result, and no relapses occurred in the 18-month follow-up period. Given the increased incidence of TB and the use of surgery to treat multidrug-resistant (MDR) strains, this report underscores the need to take special precautions during lesion excision in TB patients.

    Source : Huang, D., et Yin. H. (2012). Infection, 41(4), 841-844.

  • Invasive cardiologists and angiologists are exposed to long-term, low-dose occupational radiation. Increased workload and specialization require more detailed knowledge of the extent and cause of the radiation exposure. This study sought to evaluate differences in radiation exposure of the operator depending on the type of catheterization lab procedure.

    Source : Ingwersen, Maja, Drabik, Anna, Kulka, Ulrike, Oestreicher, Ursula, Fricke, Simon, Krankenberg, Hans, … Mathey, Detlef. (2013). JACC : Cardiovascular Interventions, 6(10), 1095-1102. Repéré à http://www.sciencedirect.com/science/article/pii/S1936879813012260

  • Obese patients are difficult to transport between emergency departments, imaging facilities, operating rooms, intensive care units, acute care units, and rehabilitation facilities. Each move, along with turning, bathing, and access to bathrooms, poses risks of injury to patients and personnel. Similarly, inadequate mobilization raises the risk of pressure ulcers. The costs can be prohibitive. On 6 pilot units, mobilization of patients was delegated to trained lift team technicians who covered the units in pairs, 24 hours per day, 7 days per week, to assist with moving and lifting of patients weighing 200 pounds or more, with a Braden Scale score of 18 or less and/or the presence of pressure ulcers.

    Source : Walden, Christine, Scott, Bankard, Bradford, Cayer, Floyd, William B., Garrison, Herbert G., Hickey, Todd,… Pories, Walter J. (2013). Annals of Surgery, 258(4), 646-651. 

  • In the present study, we evaluated the induced genome damage in peripheral blood lymphocytes from a sample of nurses occupationally exposed to low doses of different chemicals. The study included 20 nurses and 20 control subjects matched in age, gender and smoking habits. Nurses were exposed to different chemicals, such as cytostatic drugs, anaesthetics, formaldehyde and other sterilizing gases.

    Source : Santovito, A., Cervella, P., et Delpero, M. (2013). Human and Experimental Toxicology. Prépublication.  doi: 10.1177/0960327113512338

  • Legislation and position statements geared toward ensuring the safety of patients and health care workers have not resulted in significantly reduced sharps injuries in perioperative settings. Awareness and understanding of the types of percutaneous injuries that occur in perioperative settings is fundamental to developing an effective sharps injury prevention program. The AORN "Recommended practices for sharps safety" clearly delineates evidence-based recommendations for sharps injury prevention. Perioperative RNs can lead efforts to change practice for the safety of patients and perioperative team members by promoting the elimination of sharps hazards; the use of engineering, work practice, and administrative controls; and the proper use of personal protective equipment, including double gloving.

    Source : Ford DA. (2014). Association of Operating Room Nurses Journal, 99(1), 106-120. doi: 10.1016/j.aorn.2013.11.013.

  • Poly-methyl methacrylate bone cements contain methyl methacrylate (MMA), which is known for its sensitizing and toxic properties. The use of vacuum mixing systems can significantly reduce airborne MMA concentrations during bone setting. The goal was to test two commonly used vacuum mixing systems (Palamix® and Optivac®) using Palacos® R bone cement for their effectiveness at preventing MMA vapor release in a series of standardized trials in a laboratory as well as in an operating theatre.

    Source : Jelecevic Jasmin, MaidanJuk, Stanislaw, Leithner, Andrwas, Loewe, Kai, et Kuehn, Klaus-Dieter. (2014). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/meu001

  • The rapid growth of image-guided surgery has revolutionized procedures and reduced recovery time for patients, but it has increased risks of radiation exposure to the operating room staff. To alert hospitals of this emerging hazard, ECRI Institute, an independent health care research firm based in Plymouth Meeting, PA, has included radiation in "hybrid" ORs as one of the nation’s top 10 health technology hazards for 2014.

    Source :  OR radiation is a top 10 technology hazard. (2014). Hospital Employee Health, 33(1), 9-10. Repéré à  http://ovidsp.tx.ovid.com/sp-3.11.0a/ovidweb.cgi?&S=AMCNFPHAHEDDDPGONCMKACFBDIPBAA00&Complete+Reference=S.sh.22.24.25.28%7c7%7c1

  • Surgical smoke plumes contain may intact viral DNA, but with no definitive evidence to show it’s infectious, a federal advisory panel said the use of N95 respirators during smoke-generating procedures is not currently warranted. The hazards of surgical smoke have long been a concern of peri-operative nurses. The Association of peri-Operative Registered Nurses (AORN) recommends the use of smoke evacuation systems for electrocautery and laser procedures and says facilities "should consider" N95 respirators as personal protective equipment when procedures involve infectious material.

    Source :  N95 use questioned for surgical smoke. (2014). Hospital Employee Health, 33(1),10-11. Repéré à  http://ovidsp.tx.ovid.com/sp-3.11.0a/ovidweb.cgi?&S=AMCNFPHAHEDDDPGONCMKACFBDIPBAA00&Complete+Reference=S.sh.22.24.25.28%7c9%7c1

CHAMPS ÉLECTROMAGNÉTIQUES

  • Some of the strongest electromagnetic fields (EMF) are found in the workplace. A European Directive sets limits to workers’ exposure to EMF. This review summarizes its origin and contents and compares magnetic field exposure levels in high-risk workplaces with the limits set in the revised Directive. The focus was on EMF with frequencies up to 10 MHz, which can cause stimulation of the nervous system.

    Source : Stam, Rianne. (2014). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/meu010

CHUTES ET GLISSADES

  • Laboratory facilities are prime candidates for slips and falls. The constantly wet surfaces, frequent spills and splashes, constant washing of glassware, etc., all combine to make laboratories some of the places most vulnerable to slips, trips, and falls. So in this issue, the Safety Guys offer a few tips on preventing these types of accidents.

    Source : McLeod, Vince. (2013, April 4). Slippery Business. Repéré à http://www.labmanager.com/lab-health-and-safety/2013/04/slippery-business#.UvqUQGJ5Meg

  • Slips and falls contribute to occupational injuries and fatalities globally. Both floor slipperiness and floor roughness affect the occurrence of slipping and falling. Investigations on fall-related phenomena are important for the safety and health of workers. The purposes of this study were to: compare the perceived floor slipperiness before and after walking on the floor; compare the perceived floor slipperiness with and without shoes for males and females; discuss the perceived floor roughness based on barefoot walking; and establish regression models to describe the relationship between perceived floor slipperiness and actual friction of the floors.

    Source : Yu, Ruifeng, et Way, Kai. (2014). Work: A Journal of Prevention, Assessment and Rehabilitation. doi: 10.3233/WOR-141830

  • Trousse conçue pour les enseignants travaillant avec des étudiants de niveau intermédiaire et avancé – contenant de nombreux éléments qui peuvent être adaptés pour des étudiants plus jeunes. Les glissades, les trébuchements et les chutes peuvent se produire n’importe où. Par conséquent, pour réduire les risques, vous devez comprendre les facteurs de risque qui y sont associés.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2014). Trousse pédagogique sur la santé et la sécurit&eacute. [Site Web]. CCHST. Repéré à http://www.cchst.ca/teach_tools/phys_hazards/slips.html

    Pour accéder aux autres trousses: http://www.cchst.ca/teach_tools/view_all.html

CLINIQUES DENTAIRES

  • The authors wished to evaluate the comprehensive literature on carpal tunnel syndrome to discover work specific to carpal tunnel syndrome among dentists in order to determine whether there is any correlation with dentists having a higher prevalence of its occurrence. A review of dental literature involving carpal tunnel syndrome was undertaken.

    Source : Abichandani, S., Shaikh, S., et Nadiger, R. (2013). International Dental Journal, 63(5), 230-236. doi: 10.1111/idj.12037

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • Installer un tube de glissement sous le piqué d’un client qui a de la difficulté à se tourner, ou ne peut le faire, n’est pas simple. En effet, pour la mise en place, le soignant doit passer le bras sous le creux du dos du client, ce qui lui cause de l’inconfort.

    Source : Tremblay, Denis. (2014). OP : Objectif prévention, 37(1), 31. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op371031_Dossier_Tubes.pdf

  • Obese patients are difficult to transport between emergency departments, imaging facilities, operating rooms, intensive care units, acute care units, and rehabilitation facilities. Each move, along with turning, bathing, and access to bathrooms, poses risks of injury to patients and personnel. Similarly, inadequate mobilization raises the risk of pressure ulcers. The costs can be prohibitive. On 6 pilot units, mobilization of patients was delegated to trained lift team technicians who covered the units in pairs, 24 hours per day, 7 days per week, to assist with moving and lifting of patients weighing 200 pounds or more, with a Braden Scale score of 18 or less and/or the presence of pressure ulcers.

    Source : Walden, Christine, Scott, Bankard, Bradford, Cayer, Floyd, William B., Garrison, Herbert G., Hickey, Todd,… Pories, Walter J. (2013). Annals of Surgery, 258(4), 646-651.  Repéré à http://journals.lww.com/annalsofsurgery/pages/articleviewer.aspx?year=2013&issue=10000&article=00016&type=abstract

  • Biomechanical, postural and ergonomic aspects during real patient-assisting tasks performed by nurses using an electric versus a hydraulic hospital bed were observed. While there were no differences in the flexed postures the nurses adopted, longer performance times were recorded when electric beds were used. Subjective effort, force exertion and lumbar shear forces exceeding safety limits proved electric beds were superior. Patients’ dependency level seemed to influence the type of nurses’ intervention (duration and force actions), irrespective of the bed used. The nurses greatly appreciated the electric bed. Its use seemed to reduce the level of effort perceived during care giving and the postural load during critical subtasks. Ergonomics and organizational problems related to adopting electric beds in hospital wards should be addressed further to make their use more efficient.

    Source : Capodaglio, Edda Maria. (2013). International journal of occupational safety and ergonomics (JOSE), 19(4), 597-606. Repéré à http://www.ciop.pl/63032

  • International standards highlight the steps required by risk assessment and involving first hazard identification, then risk evaluation and finally, if necessary, risk assessment. To check approach appropriateness to “risk evaluation” from manual patient handling through MAPO, a cross study was carried out in view of checking relationship between this new risk assessment model and occurrence of acute low back pain. After proper training the MAPO screening method was assessed in 31 wards, 411 exposed subjects of geriatric hospitals. The study results indicate that MAPO screening may represent a useful tool to estimate the risk from manual handling patients.

    Source : Battevi, Natale, et Menoni, Olga. (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 1920-1927. doi: 10.3233/WOR-2012-0408-1920.

  • C’est dans le cadre d’un projet Lean visant l’optimisation des processus de prêt à court terme des fauteuils roulants que l’idée d’un fauteuil adapté au milieu hospitalier a germé. Lors de l’atelier Kaizen, l’équipe de projet a identifié les critères du fauteuil idéal pour les usagers et les employés d’un hôpital.

    Source : Gouvernement du Québec. (2014, 14 février). Réseau Info Santé. [Site Web]  Repéré à  http://www.guidesanteenligne.com/detail_news.php?ID=470288&cat=;28

  • A new report offers the first glimpse into the safe patient handling practices at hospitals. A survey of 88 hospitals by the Massachusetts Department of Public Health found that many hospitals have aspects of a formalized, comprehensive program, but there is great variation in their practices.

    Source :  Heavy lifting still brings toll of injuries. (2014). Hospital Employee Health, 33(2), 17-18. Repéré à  http://ovidsp.tx.ovid.com/sp-3.11.0a/ovidweb.cgi?&S=JCLGFPKAKPDDDPJPNCMKHAIBPPGMAA00&Complete+Reference=S.sh.22.23%7c4%7c1

  • This paper reports the iterative development of a Technical Report (ISO/TR 12296) by the international standards Technical Committee ISO/TC 159, Ergonomics, Subcommittee SC 3, Anthropometry and Biomechanics representing 23 participating and 12 observing countries with expert support from the European Panel on Patient Handling Ergonomics. The process included 6 reviews over 3 years to produce a consensus document as a state of science summary. It has an overarching framework of risk management with sections on risk estimation and evaluation, organisational aspects, aids and equipment, buildings and the environment, staff training and education and intervention evaluation.

    Source : Hignett, S. Fray, M., Battevi, N., Occhipinti, E., Menoni, O., Tamminen-Peter, L.,…Jäger, M. (2014). International Journal of Industrial Ergonomics, 44(1), 191-195.  http://dx.doi.org/10.1016/j.ergon.2013.10.004

ENQUÊTE ET ANALYSE D’ACCIDENTS

  • Injuries reported to workers’ compensation (WC) system are often used to estimate incidence of health outcomes and evaluate interventions in musculoskeletal epidemiology studies. However, WC claims represent a relatively small subset of all musculoskeletal disorders among employed individuals, and perhaps not a representative subset. This study determined the influence of workplace and individual factors on filing of workers’ compensation claims by nursing home employees with back pain.

    Source : Qin, Jin, Kurowski, Alicia, Gore, Rebecca, et Punnett, Laura. (2014). BMC Musculoskeletal Disorders, 15, 29. doi: 10.1186/1471-2474-15-29

ÉQUIPEMENTS INNOVATEURS

ÉQUIPEMENTS DE PROTECTION

  • Respiratory protection relies heavily on user compliance to be effective, but compliance among health care personnel is less than ideal. n 2008, the Department of Veterans Affairs formed the Project Better Respiratory Equipment using Advanced Technologies for Healthcare Employees (BREATHE) Working Group, composed of a variety of federal stakeholders, to discuss strategies for improving respirator compliance, including the need for more comfortable respirators. The Working Group developed 28 desirable performance characteristics that can be grouped into 4 key themes. As a necessary next step, the Working Group identified the need for a new class of respirators, to be called “B95,” which would better address the unique needs of health care personnel.

    Source : Gosch, Megan E., Shaffer, Ronald E., Eagan, Aaron E., Roberge, Raymond J., Davey, Victoria J., et Radonovich, Lewis J. (2013). American Journal of Infection Control, 41(12), 1224-1230. http://dx.doi.org/10.1016/j.ajic.2013.03.293

  • In this paper, glove and hand research to-date was reviewed, for the purpose of laying out the current state of scientific knowledge with regard to medical glove design and identifying key areas for further research. Recommendations were made for the development of tests that better simulate medical tasks.

    Source : Mylon, Peter, Lewis, Roger, Carré, Matt J., et Martin, Nicolas. (2013). Ergonomics. Prépublication. doi:10.1080/00140139.2013.853104

  • The human eye is a complex and intricate organ that provides us with the invaluable sense of sight. Commonly referred to as our windows to the world, eyes allow us to take in the majority of information we obtain about the environment around us. In fact, experts agree that the eyes contribute nearly 85 percent of an individual’s total knowledge. Because we rely on our eyes for nearly every activity we perform, most individuals value the sense of sight above all others.

    Source : Honeywell Safety Products. (2013). How to Identify Safe and Effective Emergency Eyewash and the Hidden Dangers to Avoid. Smithfield, RI : Honeywell International Inc., 8 p. Repéré à http://ohsonline.com/~/media/022B3073895640649BE129F632712006.pdf

ERGONOMIE

  • The effectiveness of ergonomics application is achieved in the course of this research by reviewing ergonomics literature, internet searches and case studies of a number of work related musculoskeletal disorders (WMSD’s) and other ergonomic related workplace incidence rate. The results of ergonomic intervention control measures such as engineering controls, administrative controls and personnel protective equipment were also studied. The findings in this paper may help to development model for analysing and solving ergonomic problems in the workplace. It concludes on the need for management to support ergonomics intervention programme for effective cost saving, litigation avoidance and better productivity.

    Source : Ugbebor, J.N., et Adaramola, S.S. (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 484-486. doi: 10.3233/WOR-2012-0200-484

  • Conçue par des prescripteurs de prévention, cette brochure propose une méthode d’analyse des risques liés à la charge physique de travail. Elle permet de repérer et d’analyser les facteurs de risques pour l’appareil locomoteur en tenant compte de la globalité des composantes de l’activité. Elle permet également d’établir des priorités, d’orienter vers des pistes pertinentes de prévention et d’en évaluer l’efficacité.

    Source : Atain-Kouadio, Jean-Jacques, Claudon, Laurent, Mazière, Patricia, Meyer, Jean-Pierre, Navier, Francis, Turpin-Legendre, Emmanuelle,… Zana, Jean-Pierre. (2014). Paris : INRS, 39 p. Repéré à http://www.inrs.fr/accueil/dms/inrs/CataloguePapier/ED/TI-ED-6161/ed6161.pdf

ÉVACUATION D’URGENCE

  • Le Regroupement québécois des résidences pour aînés (RQRA), en collaboration avec le Département de sécurité incendie de Laval, a réalisé une vidéo de sensibilisation sur les stratégies d’évacuation en cas d’incendie. a vidéo offre aux gestionnaires des résidences la possibilité de réunir leur équipe et d’évaluer leur capacité à assurer la sécurité des résidents et du personnel. Destinée au personnel travaillant auprès des personnes âgées, la vidéo a été conçue en conformité avec les nouvelles lignes directrices du ministère de la Sécurité publique et du Complément au guide pratique La prévention des incendies et l’évacuation des résidences hébergeant des personnes âgées. Le contenu servira à la formation des infirmières, des préposés, des concierges, des cuisiniers, du personnel de bureau et des professionnels travaillant dans ces résidences. On peut sélectionner la vidéo qui correspond à notre type de résidence : petite, moyenne ou grande.

    Source : Formarez. (2013). Prévention des incendies [Vidéo en ligne]. Repéré à http://www.formarez.com/prevention-des-incendies

FUMÉES CHIRURGICALES

  • The Health and Safety Practices Survey of Healthcare Workers describes current practices used to minimize chemical exposures and barriers to using recommended personal protective equipment for the following: antineoplastic drugs, anesthetic gases, high level disinfectants, surgical smoke, aerosolized medications (pentamidine, ribavirin, and antibiotics), and chemical sterilants.Twenty-one healthcare professional practice organizations collaborated with NIOSH to develop and implement the web-based survey.

    Source : Steege, Andrea L., Boiano, James M., et Sweeney, Marie H. (2014). American Journal of Industrial Medicine. Prépublication. doi: 10.1002/ajim.22305

GESTION-LEADERSHIP

  • Research has shown that work engagement, both at the individual and team levels, is relevant to understand employee performance and well-being. Nonetheless, there is no theoretical model that explains the development of work engagement in teams that takes into consideration what is already known about team dynamics and processes. This study addresses this gap in the literature, presenting a model for the emergence of team work engagement. The model proposes team inputs, outputs, and mediators as predictors of team work engagement and highlights their recursive influences over time. This conceptual work provides a starting point for further research on team work engagement, allowing for distinguishing individual and team constructs.

    Source : Costa, Patricia L., Passos, Ana M., et Bakker, Arnold B. (2014). Journal of Occupational and Organizational Psychology. Prépublication. doi: 10.1111/joop.12057

  • Appreciative inquiry (AI) provides an alternative approach to the inquisitional style of uncovering “what went wrong and who is at fault” to instead “what can be done to make things better,” thus creating an environment that enables one to discover (investigate), dream (what could have been done instead), design (what needs to be done to bring about change), and deliver/destiny (working with a whole of health and community approach to obtain the positive outcomes for mental health consumers). AI is transformational in nature and provides a way of viewing organizations from an enabling perspective. This article discusses the concept of AI, highlights opportunities and challenges that may be encountered, and explores the possibility of applying the AI concept to mental health research/inquiry.

    Source : Hennessy, Julia L., et Hugues, Frances. (2014). Journal of Psychosocial Nursing and Mental Health Services. Prépublication. doi: 10.3928/02793695-20140127-02

GESTION DE LA SST

  • The effectiveness of ergonomics application is achieved in the course of this research by reviewing ergonomics literature, internet searches and case studies of a number of work related musculoskeletal disorders (WMSD’s) and other ergonomic related workplace incidence rate. The results of ergonomic intervention control measures such as engineering controls, administrative controls and personnel protective equipment were also studied. The findings in this paper may help to development model for analysing and solving ergonomic problems in the workplace. It concludes on the need for management to support ergonomics intervention programme for effective cost saving, litigation avoidance and better productivity.

    Source : Ugbebor, J.N., et Adaramola, S.S. (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 484-486. doi: 10.3233/WOR-2012-0200-484

  • Injuries reported to workers’ compensation (WC) system are often used to estimate incidence of health outcomes and evaluate interventions in musculoskeletal epidemiology studies. However, WC claims represent a relatively small subset of all musculoskeletal disorders among employed individuals, and perhaps not a representative subset. This study determined the influence of workplace and individual factors on filing of workers’ compensation claims by nursing home employees with back pain.

    Source : Qin, Jin, Kurowski, Alicia, Gore, Rebecca, et Punnett, Laura. (2014). BMC Musculoskeletal Disorders, 15, 29. doi: 10.1186/1471-2474-15-29

  • L’Association canadienne des soins de santé reconnaît l’importance de la santé psychologique comme un élément clé de la création d’une main-d’œuvre productive, efficace et en bonne santé psychologique, et elle encourage vivement ses membres et tous les intervenants du système de santé à adopter la Norme en matière de santé et de sécurité psychologiques en milieu de travail.

    Source : Association canadienne des soins de santé. (2013). Psychological Health and Safety in Canadian Healthcare Settings: Santé et sécurité psychologiques dans les établissements de soins de santé. Ottawa : Association canadienne des soins de santé,  [10] p. Repéré à http://www.cha.ca/wp-content/uploads/2012/11/CHA_Psychological-Hlth-Safety_policy-statement-FINAL.pdf

  • A prospective study of the office environment’s effect on employees is motivated by the high rates of sick leaves in the workforce. The results indicate differences between office types, depending on the number of people sharing workspace and the opportunity to exert personal control as influenced by the features that define the office types.

    Source : Danielsson, Christina Bodin, Chungkham, Holendro Singh, Wulff, Cornelia, et Westerlund, Hugo. (2014). Ergonomics. Prépublication. doi:10.1080/00140139.2013.871064

  • Appreciative inquiry (AI) provides an alternative approach to the inquisitional style of uncovering “what went wrong and who is at fault” to instead “what can be done to make things better,” thus creating an environment that enables one to discover (investigate), dream (what could have been done instead), design (what needs to be done to bring about change), and deliver/destiny (working with a whole of health and community approach to obtain the positive outcomes for mental health consumers). AI is transformational in nature and provides a way of viewing organizations from an enabling perspective. This article discusses the concept of AI, highlights opportunities and challenges that may be encountered, and explores the possibility of applying the AI concept to mental health research/inquiry.

    Source : Hennessy, Julia L., et Hugues, Frances. (2014). Journal of Psychosocial Nursing and Mental Health Services. Prépublication. doi: 10.3928/02793695-20140127-02

  • Qu’on soit gestionnaire ou employé, il n’est pas toujours facile de faire passer ses messages en SST. Parfois, on répète et répète le même message mais il ne passe tout simplement pas. Dominique Beaudoin, conseillère au CPSST, a abordé les principes d’une communication efficace en utilisant l’analyse transactionnelle lors du dernier Grand Rendez-vous en santé et sécurité au travail.

    Source : Mélaçon, Julie. Prévention au travail, 27(1), 36-37. repéré à http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/v27_01/36-37.pdf

HORAIRE DE TRAVAIL

  • Burnout, defined as a syndrome derived from prolonged exposure to stressors at work, is often seen in health care workers. Shift work is considered one of the occupational risks for burnout in health care workers. Shift work is considered one of the occupational risks for burnout in health care workers. The objective is to dentify and describe the association between shift work and burnout among health care workers.

    Source :  Wisetborisut, A. Angkurawaranon,C., Jiraporncharoen, W. Uaphanthasath, R. et Wiwatanadate, P. (2014). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqu009

  •  Two statistical surveys in France revealed both widespread dissatisfaction about shift change handovers and the feeling of being frequently disturbed by interruptions. Shift change handovers (SCHs) are being reduced or eliminated in France to reduce staff costs. The objective of our study is to clarify the consequences of short SCHs on efficiency, team function, and quality of care.

    Source : Estryn-Behar, Madeleine, Milanini-Magny, Giuliana, Chaumon, Elise, Deslandes, Hélène. Fry, Clementine, Garcia, Frederic, et Ravache, Anne-Emilie. (2014).Journal of Patient Safety, 10(1), 29-44. doi: 10.1097/PTS.0000000000000066

  • Les mécanismes potentiels qui lient le travail posté de nuit avec le cancer du sein ont été largement discutés. Dans la présente étude, les auteurs allemands ont exploré l’association entre le travail posté et le cancer du sein dans des sous-groupes de patientes ayant des tumeurs à RO-positifs et négatifs. GENICA (Gene-Environment Interaction and breast Cancer) est une enquête cas-témoin en population générale allemande sur le cancer du sein avec des informations détaillées sur le travail posté portant sur 857 cas de cancer du sein et 892 témoins.

    Source :  Travail de nuit et état des récepteurs oestrogéniques du cancer du sein – résultats de l’enquête allemande GENICA (2014, 30 janvier). CAMIP.Info : revue de la santé au travail. Repéré à  http://camip.info/Travail-de-nuit-et-etat-des.html

HYGIÈNE ET SALUBRITÉ

IMAGERIE MÉDICALE

  • Radiologists are intensive computer users as they review and interpret radiological examinations using the Picture Archiving and Communication Systems (PACS). Since their computer tasks require the prolonged use of pointing devices, a high prevalence of Musculoskeletal Disorders (MSDs) is reported. The first phase of this study involved conducting a Cognitive Work Analysis in conjunction with a Participatory Ergonomics approach to perform a total work system analysis. We also conducted an ergonomic survey as well as collected computer use data, specifically for the mouse and keyboard. The goal of the study was to reduce the physical exposures for radiologists. This paper presents Phase I results describing the analyses and redesign process of the radiologists tasks, training design, computer use, and selected survey results.

    Source : Robertson, Michelle M., Boiselle, Philip, Eisenberg, Ronald, Siegal, Dainel, Chang, Che-Hsu (Joe), Dainoff, Marvin,…Dennerlein, Jack. (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 1818-1820. doi: 10.3233/WOR-2012-0391-1818

  • Long-term use of medical imaging devices requires significant improvements to the user experience. One factor that impact upon such experience is whether the device is ergonomically built, ecologically designed, and leverages the current medical practice. In this research, we took a holistic and systematic approach to design an effective and biomechanically-fit ultrasound system. Research methods from behavior science (e.g., contextual inquiry, pseudo experiments) had been adopted to involve the users (sonographers) early in the design process. The end results – product design guideline for a cart type ultrasound system and control panel layout – were reviewed by the users and adjusted so that the design is within the range of an acceptable learning curve while maintaining innovativeness, a differentiated value over competitor’s ultrasound devices.

    Source : Park, Sung, Yim, Jinho, et Goeun, Lee. (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 2037-2042. doi: 10.3233/WOR-2012-0428-2037

  • Ionizing radiation (IR) is known as a classical mutagen capable of inducing various kinds of stable and unstable chromosomal aberrations (CA) including the possibility of increasing the incidence of DNA damage. This study aims to assess occupationally induced CA in workers chronically exposed to low doses of IR in Radiology (RL), Cardiology (CL) and Orthopedic (OL) Laboratories in hospitals of Tamil Nadu.

    Source :  Vellingiria, Balachandar, Shanmugama, Sureshkumar, Subramaniama, Mohana Devi , Balasubramaniana, Balamuralikrishnan Meyyazhagana, Arun, Alagamuthua,  Karthickkumar,… Keshavarao, Sasikala . (2014). Ecotoxicology and Environmental Safety, 100, 266-274. http://dx.doi.org/10.1016/j.ecoenv.2013.09.036

  • The objectives were to investigate levels and sources of job stress, job satisfaction and burnout experienced by radiation therapists (RTs) in an Australian cancer hospital, and determine the factors of emotion-focussed patient care and communication that contribute to RTs’ stress and burnout.

    Source : Diggens, Justine, et Chesson, Therese. (2014). Journal of Radiotherapy in Practice, 13(1), 4-17. doi: http://dx.doi.org/10.1017/S146039691300006X

MANUTENTION

MÉDICAMENTS DANGEREUX

  • Étant donné le peu d’études réalisées sur la manipulation des médicaments dangereux en pharmacie communautaire, nous nous sommes intéressés, avec la collaboration de l’Institut national de santé publique du Québec (INSPQ), à la contamination environnementale par les médicaments dangereux et, plus particulièrement, le méthotrexate en pharmacie communautaire.

    Source : Merger, Delphine, Tanguay, Cynthia, et Bussières, Jean-François.  (2014). OP : Objectif prévention, 37(1), 8-9. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op371008_M%C3%A9dic.pdf

  • In the present study, we evaluated the induced genome damage in peripheral blood lymphocytes from a sample of nurses occupationally exposed to low doses of different chemicals. The study included 20 nurses and 20 control subjects matched in age, gender and smoking habits. Nurses were exposed to different chemicals, such as cytostatic drugs, anaesthetics, formaldehyde and other sterilizing gases.

    Source : Santovito, A., Cervella, P., et Delpero, M. (2013). Human and Experimental Toxicology. Prépublication.  doi: 10.1177/0960327113512338

  • The Health and Safety Practices Survey of Healthcare Workers describes current practices used to minimize chemical exposures and barriers to using recommended personal protective equipment for the following: antineoplastic drugs, anesthetic gases, high level disinfectants, surgical smoke, aerosolized medications (pentamidine, ribavirin, and antibiotics), and chemical sterilants.Twenty-one healthcare professional practice organizations collaborated with NIOSH to develop and implement the web-based survey.

    Source : Steege, Andrea L., Boiano, James M., et Sweeney, Marie H. (2014). American Journal of Industrial Medicine. Prépublication. doi: 10.1002/ajim.22305

  • Environmental contamination, product contamination and technicians exposure were measured following preparation of iv bags with cyclophosphamide using the robotic system CytoCare. Wipe samples were taken inside CytoCare, in the clean room environment, from vials, and prepared iv bags including ports and analysed for contamination with cyclophosphamide. Contamination with cyclophosphamide was also measured in environmental air and on the technicians hands and gloves used for handling the drugs.

    Source : Sessink, Paul J.M., Leclercq, Gisèle M., Wouters, Dominique-Marie, Halbardier, Loïc, Hammad, Chaïma, et Kassoul, Nassima. (2014). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155214522840

  • The objective was to evaluate biological and environmental exposure to cyclophosphamide in nurses at a single institution. Biological exposure to cyclophosphamide in nurses administering cyclophosphamide was compared with two control groups: nononcology nurses not administering cyclophosphamide and community members without recent hospital exposure.

    Source : Ramphal, Raveena, Tejinder, Bains, Vaillancourt, Régis B., Osmond, Martin H., Barrowman, Nicholas. (2014). JOEM : Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000097

  • This study investigates the surface contamination levels of cyclophosphamide and platinum (a marker of platinum-containing drugs) in storage and preparation areas of hospital pharmacies and their relationship to working conditions surveyed by questionnaire. In total, 259 wipe samples were collected in 13 hospital pharmacies over 4 sampling campaigns.

    Source : Odraska, Pavel, Dolezalova, Lenka, Kuta, Jan, Oravec, Michal, Piler, Pavel, Synek, Stanislav, et Blaha, Ludek. (2014). Archives of Environmental & Occupational Health, 69(3), 148-158. doi: 10.1080/19338244.2013.763757

MILIEU DE VIE

  • 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. Certaines de 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 ressource intermédiaire, le risque est présent.

    Source : Robitaille, Marie Josée. (2014). OP : Objectif prévention, 37(1), 4-5. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op371004_RI.pdf

  • Increased lifespan in western societies causes the increase of hospitalization in the old age, notably for patient showing forms of dementia including Altzheimer disease. These patients relate poorly to care givers and nurses, and cases of maltreatment have repeatedly been reported. To prevent abuse and increase patient’s quality of life, Gineste and Pelissier (2007) proposed a philosophy of care based on the Humanitude® concept. Acknowledging that being human is being vertical and related to other humans, the pillars of Humanitude® are gaze, touch, talk, and standing. These modes of relation are systematically developed in care giving techniques derived from the concept. After several studies in geriatric hospitals, to assess psychosocial and ergonomic aspects of work, we present an analysis of the gap between the logic of human care and the logic of hospital organization, impacting employees work conditions and psychological welfare. Care giving is not only a "one to one" relation with the patient but needs to be integrated in the whole organization. Psychologists and ergonomists should be instrumental in defining the project and the organization linking human care giving towards the patients and better work conditions for healthcare employees.

    Source : Biquand, Sylvain, et Zittel, Benoît. (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 1828-1831. doi: 10.3233/WOR-2012-0392-1828

  • Le Regroupement québécois des résidences pour aînés (RQRA), en collaboration avec le Département de sécurité incendie de Laval, a réalisé une vidéo de sensibilisation sur les stratégies d’évacuation en cas d’incendie. a vidéo offre aux gestionnaires des résidences la possibilité de réunir leur équipe et d’évaluer leur capacité à assurer la sécurité des résidents et du personnel. Destinée au personnel travaillant auprès des personnes âgées, la vidéo a été conçue en conformité avec les nouvelles lignes directrices du ministère de la Sécurité publique et du Complément au guide pratique La prévention des incendies et l’évacuation des résidences hébergeant des personnes âgées. Le contenu servira à la formation des infirmières, des préposés, des concierges, des cuisiniers, du personnel de bureau et des professionnels travaillant dans ces résidences. On peut sélectionner la vidéo qui correspond à notre type de résidence : petite, moyenne ou grande.

    Source : Formarez. (2013). Prévention des incendies [Vidéo en ligne]. Repéré à http://www.formarez.com/prevention-des-incendies

  • Existing reviews have focused on people with dementia and cognitive impairment, but not those with other mental health conditions or in mental health settings. The objective of this review is to evaluate the effectiveness of fall prevention interventions for older people with mental health problems being cared for across all settings.

    Source : Bunn, Frances, Dickinson, Angela, Simpson, Charles, Narayanan, Venkat, Humphrey, Deborah, Griffiths, Caroline, … Victor, Christina. (2014). BMC Nursing, 14. doi:10.1186/1472-6955-13-4

  • Ce mémoire a été présenté à la Commission de la Santé et des Services sociaux le 18 février 2014. Il décrit les clientèles des CHSLD et présente un modèle de soins infirmiers pour assurer aux résidents de ces centres les soins infirmiers dont ils ont besoin. Les infirmières doivent être présentes en nombre suffisant 24 heures par jour, 7 jours par semaine.

    Source : Lauzier, Madeleine, Lapointe, Johanne. (2014). Les conditions de vie des adultes hébergés en centre d’hébergement et de soins de longue durée (CHSLD) : Mémoire présenté à la Commission de la santé et des services sociaux le 18 février 2014. Montréal : Ordre des infirmières et infirmiers du Québec, i, 29, [2] p. repéré à nbsp;http://www.oiiq.org/sites/default/files/3401_memoire-chsld.pdf

NORMES ET LÉGISLATION EN SST

PATIENTS OBÈSES

  • Obese patients are difficult to transport between emergency departments, imaging facilities, operating rooms, intensive care units, acute care units, and rehabilitation facilities. Each move, along with turning, bathing, and access to bathrooms, poses risks of injury to patients and personnel. Similarly, inadequate mobilization raises the risk of pressure ulcers. The costs can be prohibitive. On 6 pilot units, mobilization of patients was delegated to trained lift team technicians who covered the units in pairs, 24 hours per day, 7 days per week, to assist with moving and lifting of patients weighing 200 pounds or more, with a Braden Scale score of 18 or less and/or the presence of pressure ulcers.

    Source : Walden, Christine, Scott, Bankard, Bradford, Cayer, Floyd, William B., Garrison, Herbert G., Hickey, Todd,… Pories, Walter J. (2013). Annals of Surgery, 258(4), 646-651. Repéré à http://journals.lww.com/annalsofsurgery/pages/articleviewer.aspx?year=2013&issue=10000&article=00016&type=abstract

PHYSIOTHÉRAPEUTES – ERGOTHÉRAPEUTES

  • 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.

    Source : Alperovitch-Najenson, D., Treger, I. et Kalichman, L. (2014). Archives of Environmental & Occupational Health, 69(1), 33-39. doi: 0.1080/19338244.2012.719555

PRÉVENTION DES INFECTIONS

  • Résumé Tuberculosis (TB) infection in healthcare personnel occurs mostly by mycobacteria inhalation and contact with infected material. Here, we report a case of primary inoculation TB in a surgeon resulting from an accidental scalpel injury. Standard anti-TB treatment produced a good result, and no relapses occurred in the 18-month follow-up period. Given the increased incidence of TB and the use of surgery to treat multidrug-resistant (MDR) strains, this report underscores the need to take special precautions during lesion excision in TB patients.

    Source : Huang, D., et Yin. H. (2012). Infection, 41(4), 841-844.

  • Legislation and position statements geared toward ensuring the safety of patients and health care workers have not resulted in significantly reduced sharps injuries in perioperative settings. Awareness and understanding of the types of percutaneous injuries that occur in perioperative settings is fundamental to developing an effective sharps injury prevention program. The AORN "Recommended practices for sharps safety" clearly delineates evidence-based recommendations for sharps injury prevention. Perioperative RNs can lead efforts to change practice for the safety of patients and perioperative team members by promoting the elimination of sharps hazards; the use of engineering, work practice, and administrative controls; and the proper use of personal protective equipment, including double gloving.

    Source : Ford DA. (2014). Association of Operating Room Nurses Journal, 99(1), 106-120. doi: 10.1016/j.aorn.2013.11.013.

  • In this editorial, the authors discuss the nature of influenza, the effectiveness and safety of influenza vaccines, the rationale for vaccinating healthcare professionals, the effectiveness of voluntary and mandatory vaccination schemes and, finally, yhe ethical arguments for (and against) the latter.

    Source : Hooper, C.R., Breathnach, A., et Iqbal, R. (2014). Anaesthesia, 69, 2, 95-100. doi: 10.1111/anae.12561

  • This report contains CDC guidance that augments the 2011 recommendations of the Advisory Committee on Immunization Practices (ACIP) for evaluating hepatitis B protection among health-care personnel (HCP) and administering post-exposure prophylaxis. Explicit guidance is provided for persons working, training, or volunteering in health-care settings who have documented hepatitis B (HepB) vaccination years before hire or matriculation (e.g., when HepB vaccination was received as part of routine infant [recommended since 1991] or catch-up adolescent [recommended since 1995] vaccination).

    Source : Schillie, Sarah, Murhy, Trudy V., Sawyer, Mark, Ly, Kathleen, Hughes, Elixabeth, Jiles, Ruth,… Ward, John W. (2013). MMWR Recommendations and Reports, 62(rr10), 1-19. Repéré à  http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6210a1.htm

  • Observational and survey methods have limitations in measuring hand hygiene behavior. The ability of a personal digital assistant to anonymously gather data at the point of decision making could potentially address these. Participants were provided with a personal digital assistant to be used for three 2-hour periods and asked to rate influential factors of the Health Belief Model (HBM). Participants were also required to enter what they thought they should do and what they actually did.

    Source : Lee, Karen, Burnett, Emma, Morrison, Kenny, et Ricketts, Ian. (2014). AJIC : American Journal of Infection Control, 42(2), 133-138. doi:10.1016/j.ajic.2013.08.010

  • From the first survey of its scope, the Association of Occupational Health Professionals in Healthcare (AOHP) estimates that health care workers are sustaining 320,000 needlesticks and 119,000 mucocutaneous, or splash, incidents each year in hospital and non-hospital settings. AOHP members from 125 hospitals in 29 states responded to the EXPO-S.T.O.P. survey (Exposure Survey of Trends in Occupational Practice), representing every region in the United States.

    Source : Health care workers still suffer 320,000 needlestick a year. (2014). Hospital Employee Health, 33(2), 13-26. Repéré à  http://ovidsp.tx.ovid.com/sp-3.11.0a/ovidweb.cgi?&S=DKCDFPABGODDDPLLNCMKNFOBJOAMAA00&Complete+Reference=S.sh.22.23%7c1%7c1

  • In 2010, managers at a Texas hospital became concerned when 35 employees on a single medicalsurgical unit tested positive for exposure to Mycobacterium tuberculosis. Local health department officers discovered that a patient with undiagnosed active TB had been treated on the unit for a month and was not placed in isolation. Still, the hospital wanted to check its ventilation system.

    Source :  Do your isolation rooms have proper ventilation ? (2014). Hospital Employee Health, 33(2), 22-23. Repéré à  http://ovidsp.tx.ovid.com/sp-3.11.0a/ovidweb.cgi?&S=HHHJFPJAAIDDDPCONCMKMCOBEHFIAA00&Complete+Reference=S.sh.22.23%7c9%7c1

  • Health care workers should be required to receive all vaccinations – not just seasonal flu shots – recommended by federal public health authorities, according to a consensus of three leading infection prevention  organizations, Hospital Employee Health has learned. The organizations – the Infectious Diseases Society of America (IDSA), the Society for Healthcare Epidemiology of America (SHEA), and the Pediatric Infectious Diseases Society were poised to issue a joint statement.

    Source :  Push for HCW vaccine mandates goes beyond flu (2014). Hospital Employee Health, 33(1), 1-4. Repéré à  http://ovidsp.tx.ovid.com/sp-3.11.0a/ovidweb.cgi?&S=AMCNFPHAHEDDDPGONCMKACFBDIPBAA00&Complete+Reference=S.sh.22.24.25.28%7c1%7c1

  • In order to achieve adequate immunisation rates in HCWs, mandatory vaccination policies are occasionally implemented by healthcare authorities, but such policies have raised considerable controversy. Here we review the background of this debate, analyse arguments for and against mandatory vaccination policies, and consider the principles and virtues of clinical, professional, institutional and public health ethics. We conclude that there is a moral imperative for HCWs to be immune and for healthcare institutions to ensure HCW vaccination, in particular for those working in settings with high-risk groups of patients. If voluntary uptake of vaccination by HCWs is not optimal, patients’ welfare, public health and also the HCW’s own health interests should outweigh concerns about individual autonomy: fair mandatory vaccination policies for HCWs might be acceptable. Differences in diseases, patient and HCW groups at risk and available vaccines should be taken into consideration when adopting the optimal policy.

    Source : Galanakis, E., Jansen, A., Lopalco, P.L., et Giesecke, J. (2013). Eurosurveillance, 18(45), 8 p. Repéré à  http://www.eurosurveillance.org/images/dynamic/EE/V18N45/art20627.pdf

  • The risk to healthcare professionals of bloodborne pathogen transmission from percutaneous sharps injuries initially decreased with the 2001 enactment of the OSHA Needlestick Safety and Prevention Act, but has remained static since. This paper outlines the findings of a sharps container contents audit conducted in Florida in September 2012 that determined more than 64% of healthcare professionals placed themselves at risk by recapping or discarding naked needles. The high proportion of devices being capped or discarded with an unprotected sharp may be a possible reason for the continued high sharps injury incidence in the United States. A new vigor encompassing competency training, safety ownership and adoption of passive safety engineered devices wherever possible is needed to protect healthcare workers.

    Source : Grimmond, Terry. (2014). AOHP : Journal of the Association of Occupational Health Professionals in Healthcare, 34(1), 13-15. Repéré à  http://aohp.org/aohp/MEMBERSERVICES/Journal/Abstracts.aspx

PRODUITS TOXIQUES

  • In the present study, we evaluated the induced genome damage in peripheral blood lymphocytes from a sample of nurses occupationally exposed to low doses of different chemicals. The study included 20 nurses and 20 control subjects matched in age, gender and smoking habits. Nurses were exposed to different chemicals, such as cytostatic drugs, anaesthetics, formaldehyde and other sterilizing gases.

    Source : Santovito, A., Cervella, P., et Delpero, M. (2013). Human and Experimental Toxicology. Prépublication.  doi: 10.1177/0960327113512338

  • Allergens are one group of respiratory hazards in the workplace of healthcare workers (HCWs). The purpose of this review is to summarize the recent advances in occupational allergy as well as potential hazardous agents in HCWs. The review covers new developments on the epidemiology, diagnosis and management of occupational allergy in HCWs. This article also provides updated information on the prevalence of work-related respiratory symptoms, as well as on respiratory hazards among healthcare providers.

    Source :  Wiszniewska, Marta, et Walusiak-Skorupa, Jolanta. (2014). Current Opinion in Advance and Clinical Immunology. Prépublication. doi: 10.1097/ACI.0000000000000039

  • Asthma is common in the general population, including those in the workforce. Work exposures can cause or exacerbate asthma and can also be associated with asthma variants (e.g., eosinophilic bronchitis and aluminum potroom asthma) as well as symptoms that mimic asthma (e.g., the irritable larynx syndrome). In addition, even non–work-related asthma can affect the ability to work. This review focuses on current data about occupational asthma, defined as asthma due to conditions attributable to work exposures and not to causes outside the workplace.

    Source : Tarlo, Susan M., et Lemiere, Catherine. (2014). New England Journal of Medicine, 370 (7), 640-649. doi: 10.1056/NEJMra1301758

  • The Health and Safety Practices Survey of Healthcare Workers describes current practices used to minimize chemical exposures and barriers to using recommended personal protective equipment for the following: antineoplastic drugs, anesthetic gases, high level disinfectants, surgical smoke, aerosolized medications (pentamidine, ribavirin, and antibiotics), and chemical sterilants.Twenty-one healthcare professional practice organizations collaborated with NIOSH to develop and implement the web-based survey.

    Source : Steege, Andrea L., Boiano, James M., et Sweeney, Marie H. (2014). American Journal of Industrial Medicine. Prépublication. doi: 10.1002/ajim.22305

  • Poly-methyl methacrylate bone cements contain methyl methacrylate (MMA), which is known for its sensitizing and toxic properties. The use of vacuum mixing systems can significantly reduce airborne MMA concentrations during bone setting. The goal was to test two commonly used vacuum mixing systems (Palamix® and Optivac®) using Palacos® R bone cement for their effectiveness at preventing MMA vapor release in a series of standardized trials in a laboratory as well as in an operating theatre.

    Source : Jelecevic Jasmin, MaidanJuk, Stanislaw, Leithner, Andrwas, Loewe, Kai, et Kuehn, Klaus-Dieter. (2014). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/meu001

  • Au quotidien, les travailleurs peuvent avoir à manipuler toutes sortes de produits sur leur lieu de travail, dont des matières dangereuses. En plus de les manipuler de façon sécuritaire, il faut s’assurer de les entreposer adéquatement, car le mélange accidentel de deux produits incompatibles peut mener à de graves conséquences.

    Source : Pelletier, Laura. (2014). Prévention au travail, 27(1), 38-39. Repéré à  http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/v27_01/38-39.pdf

PROTECTION RESPIRATOIRE

  • Respiratory protection relies heavily on user compliance to be effective, but compliance among health care personnel is less than ideal. n 2008, the Department of Veterans Affairs formed the Project Better Respiratory Equipment using Advanced Technologies for Healthcare Employees (BREATHE) Working Group, composed of a variety of federal stakeholders, to discuss strategies for improving respirator compliance, including the need for more comfortable respirators. The Working Group developed 28 desirable performance characteristics that can be grouped into 4 key themes. As a necessary next step, the Working Group identified the need for a new class of respirators, to be called “B95,” which would better address the unique needs of health care personnel.

    Source : Gosch, Megan E., Shaffer, Ronald E., Eagan, Aaron E., Roberge, Raymond J., Davey, Victoria J., et Radonovich, Lewis J. (2013). American Journal of Infection Control, 41(12), 1224-1230. http://dx.doi.org/10.1016/j.ajic.2013.03.293

  • Surgical smoke plumes contain may intact viral DNA, but with no definitive evidence to show it’s infectious, a federal advisory panel said the use of N95 respirators during smoke-generating procedures is not currently warranted. The hazards of surgical smoke have long been a concern of peri-operative nurses. The Association of peri-Operative Registered Nurses (AORN) recommends the use of smoke evacuation systems for electrocautery and laser procedures and says facilities "should consider" N95 respirators as personal protective equipment when procedures involve infectious material.

    Source :  N95 use questioned for surgical smoke. (2014). Hospital Employee Health, 33(1),10-11. Repéré à  http://ovidsp.tx.ovid.com/sp-3.11.0a/ovidweb.cgi?&S=AMCNFPHAHEDDDPGONCMKACFBDIPBAA00&Complete+Reference=S.sh.22.24.25.28%7c9%7c1

QUALITÉ DE L’AIR

RADIOPROTECTION

SANTÉ PSYCHOLOGIQUE

  • The overall aim of this thesis is to increase knowledge about the relationships between managers’ psychosocial work conditions, their health, and their leadership; and to elucidate differences between managers at different managerial levels in these relationships. The thesis consists of four separate papers with specific aims.

    Source : Lundqvist, Daniel. (2013). Psychosocial work conditions, health, and leadership of managers. (Thèse de doctorat, Linköping University, Linköping, Suède). 72 p. (Linköping University Medical Dissertations No. 1367). Repéré à http://www.diva-portal.org/smash/get/diva2:643342/FULLTEXT01.pdf

  • L’évolution des réformes hospitalières conduit désormais les établissements de santé à être jugés sur la production de leur activité de soins et la performance économique obtenue par celle-ci. De ce fait, les soignants sont confrontés à des paradoxes souvent difficiles à dénouer performance économique versus qualité, cadres réglementaire et normatif versus personnalisation de la prise en charge, cloisonnement professionnel versus continuité de l’intervention auprès de patients, valeurs organisationnelles versus valeurs professionnelles. Le métier de soin se déqualifie : on exige des soignants de devenir des gens "efficaces" au regard non plus du travail sur l’humain mais de la gestion des coûts de leur activité de soin. Cet article s’interroge sur l’impact des mutations hospitalières sur la santé des soignants.

    Source : Safy-Godineau, Fatéma. (2013). La Nouvelle revue du travail, 3. doi: 10.4000/nrt.1042

  • Une étude du cabinet Technologia relance le débat sur le burn out. Et réclame sa reconnaissance au tableau des maladies professionnelles. Et si, plutôt que de stigmatiser la souffrance, on apprenait aux individus à moins s’y exposer, et à l’organisation à s’interroger sur son mode de management ? 

    Source : Péters, Sophie. (6 février 2014). La Tribune. Repéré à  http://www.latribune.fr/blogs/mieux-dans-mon-job/20140206trib000813984/le-burn-out-maladie-professionnelle-ou-pas.html

  • It has been known that home healthcare workers are frequently exposed to a variety of potentially serious occupational hazards. Furthermore, emotional labor is frequently high in this profession. This paper describes an ergonomic study conducted at a home healthcare service. The research focuses on analyzing working conditions of home healthcare aides and nurses, as well as the impacts of their work in terms of job satisfaction, well-being, emotions at work, relationships with the others and occupational stress. The study show that employee strategies are specifically centered around preserving the relationship between patients and workers and coping with the job demands. This paper also shows that home healthcare workers express emotions and conceal them from others. Finally, recommendations discussed with the manager and workers to improve working conditions in this sector led to practical proposals: for example, implementing certain equipment items better suited to difficult care, encouraging assistance between healthcare workers when operations require this through adequate organizational measures, extending work emotion-focused discussion groups with management involvement. 

    Source :  De Weerdt, Corinne, et Baratta, René (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 1-4. doi: 10.3233/WOR-2012-0127-1

  • Work in dialysis facilities involves long term contact with chronically ill patients. International comparisons make it clear that dialysis work is being concentrated, staff is being reduced and more patients are being treated. It is more than 20 years since the last German publication on job strains and job satisfaction experienced by dialysis staff was published. The present study examines the stress and strain currently experienced by the staff of German dialysis facilities.

    Source : Kersten, Maren, Kozak, Agnessa, Wendeler, Dana, Paderow, Lara, Nübling, Matthias, et Nienhaus, Albert. (2014). Psychological stress and strain on employees in dialysis facilities: a cross-sectional study with the Copenhagen Psychosocial Questionnaire. Journal of Occupational Medicine and Toxicology. Prépublication. Repéré à  http://www.occup-med.com/content/pdf/1745-6673-9-4.pdf

  • L’Internet et l’utilisation des ordinateurs portables, des téléphones mobiles et des tablettes ont accru l’importance du « travail nomade». Ce type de travail, sans contrainte de lieu ni de temps, peut entraîner une plus grande autonomie et une plus grande flexibilité pour les travailleurs, mais il comporte néanmoins de sérieux risques aussi bien physiques que psychosociaux.L’auteur de ce rapport met l’accent sur ​​les dangers cachés du travail nomade : technostress, techno-dépendance, estompement de la frontière entre travail et vie privée, épuisement et burn out, risques liés à la sécurité et problèmes ergonomiques.

    Source : Popma, Jan. (2013). Bruxelles : ETUI, 49 p.   Repéré à http://www.etui.org/fr/content/download/12197/101001/file/13+WP+2013+07+Popma+Technostress+FR+Web+version.pdf

  • Burnout, defined as a syndrome derived from prolonged exposure to stressors at work, is often seen in health care workers. Shift work is considered one of the occupational risks for burnout in health care workers. Shift work is considered one of the occupational risks for burnout in health care workers. The objective is to dentify and describe the association between shift work and burnout among health care workers.

    Source :  Wisetborisut, A. Angkurawaranon,C., Jiraporncharoen, W. Uaphanthasath, R. et Wiwatanadate, P. (2014), Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqu009

  • Stress, suicide, harcèlement, épuisement professionnel, workaholism… Au-delà de la souffrance qu’elles désignent, ces notions souvent récentes constituent une approche inédite, et demandent à mieux être comprises, dans leur ensemble et isolément. Le lecteur y trouvera représentés, avec les 314 entrées (rédigées par 251 contributeurs) qui le composent, tous les champs disciplinaires s’intéressant à la souffrance au travail.

    Source : Zawieja, Philippe, et Guarnieri, Franck. Dictionnaire des risques psychosociaux, Paris : Éditions du Seuil, 888 p.

  • La mesure du stress professionnel, problématique désormais incontournable dans le monde de l’entreprise, reste peu consensuelle, les outils visant à l’évaluer présentant des failles méthodologiques ou conceptuelles. Cette étude vise à développer un outil de mesure de l’exposition au stress professionnel afin de pallier le manque de questionnaires validés, accessibles et généraux en langue française.

    Source : Baggio, S., Iglesias-Rutishauser, K., et Sutter, P.-E. (2014). Archives des Maladies Professionnelles et de l’Environnement, 75(1), 34-42.  http://dx.doi.org/10.1016/j.admp.2013.09.001

  • L’Association canadienne des soins de santé reconnaît l’importance de la santé psychologique comme un élément clé de la création d’une main-d’œuvre productive, efficace et en bonne santé psychologique, et elle encourage vivement ses membres et tous les intervenants du système de santé à adopter la Norme en matière de santé et de sécurité psychologiques en milieu de travail.

    Source : Association canadienne des soins de santé. (2013). Psychological Health and Safety in Canadian Healthcare Settings: Santé et sécurité psychologiques dans les établissements de soins de santé. Ottawa : Association canadienne des soins de santé,  [10] p. Repéré à http://www.cha.ca/wp-content/uploads/2012/11/CHA_Psychological-Hlth-Safety_policy-statement-FINAL.pdf

  • Research has shown that work engagement, both at the individual and team levels, is relevant to understand employee performance and well-being. Nonetheless, there is no theoretical model that explains the development of work engagement in teams that takes into consideration what is already known about team dynamics and processes. This study addresses this gap in the literature, presenting a model for the emergence of team work engagement. The model proposes team inputs, outputs, and mediators as predictors of team work engagement and highlights their recursive influences over time. This conceptual work provides a starting point for further research on team work engagement, allowing for distinguishing individual and team constructs.

    Source : Costa, Patricia L., Passos, Ana M., et Bakker, Arnold B. (2014). Journal of Occupational and Organizational Psychology. Prépublication. doi: 10.1111/joop.12057

  • The objectives were to investigate levels and sources of job stress, job satisfaction and burnout experienced by radiation therapists (RTs) in an Australian cancer hospital, and determine the factors of emotion-focussed patient care and communication that contribute to RTs’ stress and burnout.

    Source : Diggens, Justine, et Chesson, Therese. (2014). Journal of Radiotherapy in Practice, 13(1), 4-17. doi: http://dx.doi.org/10.1017/S146039691300006X

  • Les problèmes de santé mentale au travail représentent actuellement l’une des plus importantes causes d’absence du travail, et ce phénomène a connu une croissance marquée au cours des dernières années. Les travaux antérieurs des auteurs ont révélé que la majorité des travailleurs qui se sont absentés en raison d’un problème de santé mentale font référence aux difficultés vécues dans le cadre de leur activité professionnelle comme facteur ayant contribué à la détérioration de leur état de santé et de leur arrêt de travail, d’où l’importance d’orienter les pratiques de retour au travail vers la modification des facteurs de l’organisation du travail. L’objectif général de ce projet est de tracer le passage d’une démarche individuelle de soutien au retour au travail et au maintien en emploi des travailleurs qui se sont absentés en raison d’un problème de santé mentale à une démarche organisationnelle visant la prévention des problèmes de santé mentale dans le milieu de travail.

    Source : St-Arnaud, Louise, Pelletier, Mariève, Vézina, Michel, Briand, Catherine, Paillé, Pascal, et Demers, Émélie. (2014). Montréal, IRSST, 45 p. (Études et recherches / Rapport R-807). Repéré à  http://www.irsst.qc.ca/media/documents/PubIRSST/R-807.pdf

  • Cet article traite des résultats d’une étude publiée par l’IRSST qui s’est intéressée notamment aux effets de l’organisation du travail sur la santé et la sécurité du travail (SST) des infirmières qui offrent des soins palliatifs de fin de vie. Plus précisément, on a appliqué un modèle théorique permettant de comprendre la satisfaction des infirmières par rapport aux demandes qu’on leur adresse et aux ressources dont elles disposent dans des situations de stress.

    Source : Thibault, Marjolaine. (2014). Prévention au travail, 27(1), 23. Repéré à  http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/v27_01/22-23.pdf

SÉCURITÉ ROUTIÈRE

  • Les accidents de la route au travail (ART) comptent pour 2 % des accidents du travail. Ils sont responsables de 25 % à 30 % des décès accidentels au travail, ce qui en fait la première cause de ces pertes de vie, tant au Québec qu’ailleurs au Canada, aux États-Unis et en Europe. Il existe peu d’études sur les caractéristiques et les facteurs de risque propres à ces accidents du travail. Selon les chercheurs, les accidents routiers dans le secteur des services médicaux et sociaux représentent 10% des accidents routiers au travail. 

    Source : Pichette, Loraine. (2014). Prévention au travail, 27(1), 17-20. Repéré à  http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/v27_01/17-20.pdf

SERVICES À DOMICILE

  • Est-il possible d’entreposer des équipements hospitaliers et de réduire leur soulèvement ? Bien sûr ! C’est le défi constant de l’équipe du CSSS de la Haute-Yamaska affectée aux prêts d’équipements thérapeutiques pour desservir 1 500 clients du soutien à domicile du CLSC. Elle s’est bien équipée pour faciliter les manutentions.

    Source : Duval, Lisette. (2014). OP : Objectif prévention, 37(1), 20-22. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op371020_Dossier_prets.pdf

  • It has been known that home healthcare workers are frequently exposed to a variety of potentially serious occupational hazards. Furthermore, emotional labor is frequently high in this profession. This paper describes an ergonomic study conducted at a home healthcare service. The research focuses on analyzing working conditions of home healthcare aides and nurses, as well as the impacts of their work in terms of job satisfaction, well-being, emotions at work, relationships with the others and occupational stress. The study show that employee strategies are specifically centered around preserving the relationship between patients and workers and coping with the job demands. This paper also shows that home healthcare workers express emotions and conceal them from others. Finally, recommendations discussed with the manager and workers to improve working conditions in this sector led to practical proposals: for example, implementing certain equipment items better suited to difficult care, encouraging assistance between healthcare workers when operations require this through adequate organizational measures, extending work emotion-focused discussion groups with management involvement. 

    Source :  De Weerdt, Corinne, et Baratta, René (2012). Work: A Journal of Prevention, Assessment and Rehabilitation, (41, Suppl. 1), 1-4. doi: 10.3233/WOR-2012-0127-1

SERVICES ALIMENTAIRES

SERVICES AMBULANCIERS

  • Les accidents de la route au travail (ART) comptent pour 2 % des accidents du travail. Ils sont responsables de 25 % à 30 % des décès accidentels au travail, ce qui en fait la première cause de ces pertes de vie, tant au Québec qu’ailleurs au Canada, aux États-Unis et en Europe. Il existe peu d’études sur les caractéristiques et les facteurs de risque propres à ces accidents du travail. Selon les chercheurs, les accidents routiers dans le secteur des services médicaux et sociaux représentent 10% des accidents routiers au travail. 

    Source : Pichette, Loraine. (2014). Prévention au travail, 27(1), 17-20. Repéré à  http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/v27_01/17-20.pdf

SERVICES DE DIALYSE

  • Work in dialysis facilities involves long term contact with chronically ill patients. International comparisons make it clear that dialysis work is being concentrated, staff is being reduced and more patients are being treated. It is more than 20 years since the last German publication on job strains and job satisfaction experienced by dialysis staff was published. The present study examines the stress and strain currently experienced by the staff of German dialysis facilities.

    Source : Kersten, Maren, Kozak, Agnessa, Wendeler, Dana, Paderow, Lara, Nübling, Matthias, et Nienhaus, Albert. (2014). Psychological stress and strain on employees in dialysis facilities: a cross-sectional study with the Copenhagen Psychosocial Questionnaire. Journal of Occupational Medicine and Toxicology. Prépublication. Repéré à  http://www.occup-med.com/content/pdf/1745-6673-9-4.pdf

SERVICES DE GARDE

SERVICES DES ARCHIVES

TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS

  • L’Internet et l’utilisation des ordinateurs portables, des téléphones mobiles et des tablettes ont accru l’importance du « travail nomade». Ce type de travail, sans contrainte de lieu ni de temps, peut entraîner une plus grande autonomie et une plus grande flexibilité pour les travailleurs, mais il comporte néanmoins de sérieux risques aussi bien physiques que psychosociaux.L’auteur de ce rapport met l’accent sur ​​les dangers cachés du travail nomade : technostress, techno-dépendance, estompement de la frontière entre travail et vie privée, épuisement et burn out, risques liés à la sécurité et problèmes ergonomiques.

    Source : Popma, Jan. (2013). Bruxelles : ETUI,  49 p. Repéré à http://www.etui.org/fr/content/download/12197/101001/file/13+WP+2013+07+Popma+Technostress+FR+Web+version.pdf

TRANSFERT DES CONNAISSANCES

  • Une équipe de recherche interdisciplinaire1 a réalisé une étude sur la transmission des savoirs de métier et de prudence par les travailleurs expérimentés dans quatre métiers différents, dont celui des auxiliaires en santé et services sociaux (ASSS). L’étude du cas des ASSS s’est effectuée dans un service de soutien à domicile (SAD).  Source : Cloutier, Esther, et Ledoux, Élise. (2014). OP : Objectif prévention, 37(1), 6-7. repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op371006_ASSS.pdf

  • TRAVAIL DE BUREAU

    • A meta-analysis on epidemiological studies was undertaken to assess association between carpal tunnel syndrome (CTS) and computer work. Four databases (PubMed, Embase, Web of Science, and Base de Donnees de Sante Publique) were searched with cross-references from published reviews.

      Source : Mediouni, Zakia, de Roquemaurel, Alexis, Dumontier, Christian, Bécourt. Bertrand, Garrabé, Hélène, Roquelaure, Yves, et Descatha, Alexis (2014). JOEM : Journal of Occupational and Environmental Medicine, 56(2). 204-208. doi: 10.1097/JOM.0000000000000080

    • A prospective study of the office environment’s effect on employees is motivated by the high rates of sick leaves in the workforce. The results indicate differences between office types, depending on the number of people sharing workspace and the opportunity to exert personal control as influenced by the features that define the office types.

      Source : Danielsson, Christina Bodin, Chungkham, Holendro Singh, Wulff, Cornelia, et Westerlund, Hugo. (2014). Ergonomics. Prépublication. doi:10.1080/00140139.2013.871064

    TRAVAIL EN LABORATOIRE

    • Laboratory facilities are prime candidates for slips and falls. The constantly wet surfaces, frequent spills and splashes, constant washing of glassware, etc., all combine to make laboratories some of the places most vulnerable to slips, trips, and falls. So in this issue, the Safety Guys offer a few tips on preventing these types of accidents.

      Source : McLeod, Vince. (2013, April 4). Slippery Business. Repéré à http://www.labmanager.com/lab-health-and-safety/2013/04/slippery-business#.UvqUQGJ5Meg

    • Research laboratories are challenging places to work safely. This month the Safety Guys alert you to a potential significant radiation hazard present in the workplace: UV. UV is short for ultraviolet light. And most of us remember from high school science class that UV represents a small band on the electromagnetic spectrum and that the sun is our largest source of UV. Perhaps many of us work with UV daily and are well versed in the science of electromagnetic radiation.

      Source : McLeod, Vince. (2014, February 5). Don’t Get Burned! Lab manager. Repéré à http://www.labmanager.com/lab-health-and-safety/2014/02/don-t-get-burned-#.UvqXr2J5MlI

    • The design, layout, and placement of laboratories have significant impact on lab processes, behaviors, and communications. A good design will proactively support lean processes including flow, visual management, standard work, and excellence in workplace organization, whereas a bad design may actually create waste and make flow more difficult. In a unique collaboration of lab design companies and lean experts, including Flad Jacobs, Foster Wheeler, BSM, and end users at Novartis, a workshop was held in Rosia, Italy, in 2012, to develop laboratory design guidelines to support lean operations. The output of this workshop was subsequently developed into the white paper, "Incorporating Lean Principles into Pharmaceutical QC Laboratory Design: building design influencing laboratory behaviors and effectiveness.

      Source : Reynolds, Tom, et Scharton-Kersten. Tanya. (2013, December 6).  Designing Labs for Lean Operation. Lab Manager. Repéré à  http://www.labmanager.com/lab-design-and-furnishings/2013/12/designing-labs-for-lean-operation#.UvqZBGJ5MlJ

      Pour télécharger les lignes directrices : http://www.bsm-usa.com

    • Poly-methyl methacrylate bone cements contain methyl methacrylate (MMA), which is known for its sensitizing and toxic properties. The use of vacuum mixing systems can significantly reduce airborne MMA concentrations during bone setting. The goal was to test two commonly used vacuum mixing systems (Palamix® and Optivac®) using Palacos® R bone cement for their effectiveness at preventing MMA vapor release in a series of standardized trials in a laboratory as well as in an operating theatre.

      Source : Jelecevic Jasmin, MaidanJuk, Stanislaw, Leithner, Andrwas, Loewe, Kai, et Kuehn, Klaus-Dieter. (2014). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/meu001

    • The human eye is a complex and intricate organ that provides us with the invaluable sense of sight. Commonly referred to as our windows to the world, eyes allow us to take in the majority of information we obtain about the environment around us. In fact, experts agree that the eyes contribute nearly 85 percent of an individual’s total knowledge. Because we rely on our eyes for nearly every activity we perform, most individuals value the sense of sight above all others.

      Source : Honeywell Safety Products. (2013). How to Identify Safe and Effective Emergency Eyewash and the Hidden Dangers to Avoid. Smithfield, RI : Honeywell International Inc., 8 p. Repéré à http://ohsonline.com/~/media/022B3073895640649BE129F632712006.pdf

    • Au quotidien, les travailleurs peuvent avoir à manipuler toutes sortes de produits sur leur lieu de travail, dont des matières dangereuses. En plus de les manipuler de façon sécuritaire, il faut s’assurer de les entreposer adéquatement, car le mélange accidentel de deux produits incompatibles peut mener à de graves conséquences.

      Source : Pelletier, Laura. (2014). Prévention au travail, 27(1), 38-39. Repéré à  http://www.irsst.qc.ca/prevention-au-travail/media/documents/fr/prev/v27_01/38-39.pdf

    TRAVAIL ET GENRE

    • Ce rapport donne un aperçu des tendances concernant l’emploi et les conditions de travail des femmes, des risques auxquels elles sont exposées ainsi que des accidents et des problèmes de santé liés au travail qu’elles peuvent subir. Le rapport analyse certains enjeux (expositions combinées, cancer d’origine professionnelle, accès aux services de réadaptation, femmes et travail informel, professions féminines " émergentes ", par exemple soins à domicile et travail domestique). L’étude présente le type de travail effectué par les femmes, les enjeux auxquels sont confrontées les femmes plus jeunes et plus âgées, la croissance du secteur des services, la violence et le harcèlement ainsi que les facteurs de risque majeurs que représentent les horaires de travail de plus en plus variés. Ces facteurs peuvent avoir une incidence sur les risques professionnels auxquels les femmes sont exposées et sur l’approche à adopter pour évaluer ces risques et les éliminer.

      Source : European Agency for Safety and Health at Work. Topic Centre Occupational Safety and Health, Gervais, Roxane, Schneider, Elke. (2013). New risks and trends  in the safety and health  of women at work : European Risk Observatory Literature review. Luxembourg : Publications Office of the European Union, 384 p. Repéré à : https://osha.europa.eu/en/publications/reports/new-risks-and-trends-in-the-safety-and-health-of-women-at-work

    TRAVAILLEURS JEUNES/ÂGÉS

    • Une équipe de recherche interdisciplinaire1 a réalisé une étude sur la transmission des savoirs de métier et de prudence par les travailleurs expérimentés dans quatre métiers différents, dont celui des auxiliaires en santé et services sociaux (ASSS). L’étude du cas des ASSS s’est effectuée dans un service de soutien à domicile (SAD).  

      Source : Cloutier, Esther, et Ledoux, Élise. (2014).  OP : Objectif prévention, 37(1), 6-7. repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op371006_ASSS.pdf

    • Dans les pays industrialisés, le vieillissement de la population active, l’allongement de la vie professionnelle et la hausse du taux d’emploi des seniors depuis plusieurs années font des questions de vieillissement au travail et de pénibilité les points centraux des enjeux actuels de santé au travail. Malgré l’importance de ces questions, le terme de pénibilité reste flou, bien souvent cantonné à ses dimensions les plus aisément mesurables d’exposition aux agents et conditions de travail reconnus comme pathogènes. Dans ce chapitre, nous proposons de distinguer trois facettes de la pénibilité dans leur relation à trois approches du vieillissement au travail ; chacune est ensuite explicitée en revenant sur des études empiriques. Cette perspective permet d’identifier et de comprendre les régulations possibles dans l’activité quotidienne de travail ou les contraintes qui font obstacle. Elle permet également d’envisager diverses perspectives de prévention et d’action en situation.

      Source : Delgoulet, C., Volkoff, S. (2014). Pathologie professionnelle et de l’environnement. Prépublication. doi: 10.1016/S1877-7856(13)63466-2

    • Trousse conçue pour les enseignants travaillant avec des étudiants de niveau intermédiaire et avancé – contenant de nombreux éléments qui peuvent être adaptés pour des étudiants plus jeunes. Les glissades, les trébuchements et les chutes peuvent se produire n’importe où. Par conséquent, pour réduire les risques, vous devez comprendre les facteurs de risque qui y sont associés.

      Source : Centre canadien d’hygiène et de sécurité au travail. (2014). Trousse pédagogique sur la santé et sécurité. [Site Web]. CCHST. Repéré à http://www.cchst.ca/teach_tools/phys_hazards/slips.html

      Pour accéder aux autres trousses: http://www.cchst.ca/teach_tools/view_all.html

    TROUBLES MUSCULOSQUELETTIQUES

    • Biomechanical, postural and ergonomic aspects during real patient-assisting tasks performed by nurses using an electric versus a hydraulic hospital bed were observed. While there were no differences in the flexed postures the nurses adopted, longer performance times were recorded when electric beds were used. Subjective effort, force exertion and lumbar shear forces exceeding safety limits proved electric beds were superior. Patients’ dependency level seemed to influence the type of nurses’ intervention (duration and force actions), irrespective of the bed used. The nurses greatly appreciated the electric bed. Its use seemed to reduce the level of effort perceived during care giving and the postural load during critical subtasks. Ergonomics and organizational problems related to adopting electric beds in hospital wards should be addressed further to make their use more efficient.

      Source : Capodaglio, Edda Maria. (2013). International journal of occupational safety and ergonomics (JOSE), 19(4), 597-606. Repéré à http://www.ciop.pl/63032

    • This article is Part 2 of a 2 part review of "Job Analysis Techniques for Distal Upper Extremity Disorders," a chapter written by researchers Arun Garg and Jay Kapellusch, appearing in Reviews of Human Factors and Ergonomics. In Part 2, I’ll summarize their review of the specific analysis tools mentioned above, and include my own thoughts based on real-world field use of the methods. 

      Source : Budnick, Peter. (2014, February 19). Ergoweb. [Site web] Repéré à  http://ergoweb.com/review-of-handwristarm-ergonomics-job-analysis-methods-part-2/?utm_source=Newsletter.02.19.14&utm_campaign=feb-19-14-newsletter&utm_medium=email

    • When Ergoweb teaches job assessment techniques, we often start with the scientific foundation for the methods we believe to be the most useful in the identification and prevention of work-related musculoskeletal disorders (WMSDs). There are numerous assessment techniques in use, but only some of them are evidence based. Garg and Kapellusch do an admirable job summarizing the state of distal upper extremity – hand/wrist/arm – analysis methods. They cover biomechanical, physiological and psychophysical analysis, the epidemiology of physical risk factors, and specific job analysis tools. In this article, Part 1 of a 2 part series, I’ll provide an brief overview of their review of the applicable science, summarizing specific data regarding hand/wrist/arm characteristics and MSD risk.

      Source : Budnick, Peter. (2014, Fevruary 5th). Ergoweb. [Site web] Repéré à http://ergoweb.com/review-of-hand-wrist-arm-ergonomics-job-analysis-methods-part-1/

    • 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.

      Source : Alperovitch-Najenson, D., Treger, I. et Kalichman, L. (2014). Archives of Environmental & Occupational Health, 69(1), 33-39. doi: 0.1080/19338244.2012.719555

    • The authors wished to evaluate the comprehensive literature on carpal tunnel syndrome to discover work specific to carpal tunnel syndrome among dentists in order to determine whether there is any correlation with dentists having a higher prevalence of its occurrence. A review of dental literature involving carpal tunnel syndrome was undertaken.

      Source : Abichandani, S., Shaikh, S., et Nadiger, R. (2013). International Dental Journal, 63(5), 230-236. doi: 10.1111/idj.12037

    • Les troubles musculosquelettiques (TMS) peuvent apparaître dans tous les secteurs d’activité et tous les types d’emplois. Ces troubles peuvent être la source d’inconfort, de fatigue, de douleur, de blessures et de maladies chez les travailleurs. Les blessures musculosquelettiques liées au travail sont celles qui occasionnent le plus de jours de travail perdus et elles constituent la plus grande part des coûts d’indemnisation pour journées de travail perdues au Canada.

      Source : Centre canadien d’hygiène et de sécurité au travail. (2014). Les troubles musculo-squelettiques : sensibilisation [Cours en ligne]. Repéré à  http://www.cchst.ca/products/courses/msd_awareness/

    • A novel approach to protecting worker’s shoulder complex by comparing the Liberty Mutual Table guidelines for pushing tasks to biomechanically derived pushing guidelines is presented. These biomechanically derived guidelines are based on muscle activation levels of the subscapularis muscle as determined using a biomechanical model of the shoulder complex. The subscapularis muscle may be a marker for subacromial impingement syndrome. In general, the psychophysical guidelines and the biomechanical guidelines achieve general agreement with respect to magnitude and shape. Differences between the two models range from 6 to 67%.

      Source : Steele, Travis, Merryweather, Andrew, et Vloswock, Donald. (2014). International Journal of Industrial Ergonomics. Prépublication. http://dx.doi.org/10.1016/j.ergon.2013.10.008

    • A meta-analysis on epidemiological studies was undertaken to assess association between carpal tunnel syndrome (CTS) and computer work. Four databases (PubMed, Embase, Web of Science, and Base de Donnees de Sante Publique) were searched with cross-references from published reviews.

      Source : Mediouni, Zakia, de Roquemaurel, Alexis, Dumontier, Christian, Bécourt. Bertrand, Garrabé, Hélène, Roquelaure, Yves, et Descatha, Alexis (2014). JOEM : Journal of Occupational and Environmental Medicine, 56(2). 204-208. doi: 10.1097/JOM.0000000000000080

    VACCINATION

    • In this editorial, the authors discuss the nature of influenza, the effectiveness and safety of influenza vaccines, the rationale for vaccinating healthcare professionals, the effectiveness of voluntary and mandatory vaccination schemes and, finally, yhe ethical arguments for (and against) the latter.

      Source : Hooper, C.R., Breathnach, A., et Iqbal, R. (2014). Anaesthesia, 69, 2, 95-100. doi: 10.1111/anae.12561

    • Health care workers should be required to receive all vaccinations – not just seasonal flu shots – recommended by federal public health authorities, according to a consensus of three leading infection prevention  organizations, Hospital Employee Health has learned. The organizations – the Infectious Diseases Society of America (IDSA), the Society for Healthcare Epidemiology of America (SHEA), and the Pediatric Infectious Diseases Society were poised to issue a joint statement.

      Source :  Push for HCW vaccine mandates goes beyond flu (2014). Hospital Employee Health, 33(1), 1-4. Repéré à  http://ovidsp.tx.ovid.com/sp-3.11.0a/ovidweb.cgi?&S=AMCNFPHAHEDDDPGONCMKACFBDIPBAA00&Complete+Reference=S.sh.22.24.25.28%7c1%7c1

    • In order to achieve adequate immunisation rates in HCWs, mandatory vaccination policies are occasionally implemented by healthcare authorities, but such policies have raised considerable controversy. Here we review the background of this debate, analyse arguments for and against mandatory vaccination policies, and consider the principles and virtues of clinical, professional, institutional and public health ethics. We conclude that there is a moral imperative for HCWs to be immune and for healthcare institutions to ensure HCW vaccination, in particular for those working in settings with high-risk groups of patients. If voluntary uptake of vaccination by HCWs is not optimal, patients’ welfare, public health and also the HCW’s own health interests should outweigh concerns about individual autonomy: fair mandatory vaccination policies for HCWs might be acceptable. Differences in diseases, patient and HCW groups at risk and available vaccines should be taken into consideration when adopting the optimal policy.

      Source : Galanakis, E., Jansen, A., Lopalco, P.L., et Giesecke, J. (2013). Eurosurveillance, 18(45), 8 p. Repéré à  http://www.eurosurveillance.org/images/dynamic/EE/V18N45/art20627.pdf

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