COIN DE LA DOCUMENTALISTE – AVRIL 2014

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AGRESSIONS ET VIOLENCE

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AMÉNAGEMENT-ARCHITECTURE

AMIANTE

APPROCHE RELATIONNELLE DE SOINS

  • Touch is an essential part of caregiving and has been proved to be useful to reduce pain. Nevertheless, little attention has been paid to nurses’ perceptions of touch. The aim of this article was to examine the relationship between nurses’ feelings of comfort with touch and their well-being at work. A sample of 241 nurses attending a pain management training course completed a questionnaire.

    Source : Pedrazza, Monica, Minuzzo, Stefania, Berlanda, Sabrina, et Trifiletti, Elena. (2014). Western Journal of Nursing Research. Prépublication. doi: 10.1177/0193945914527356

BLOC OPÉRATOIRE-CHIRURGIE

  • Lasers and ultrasonic devices produce plume, which contains larger particulate matter than smoke. Larger particulate matter is of more concern as a biological hazard. Smoke results from the use of electrosurgical tools; it contains a smaller particle mass than plume but is still considered dangerous because of its chemical composition. The purpose of this clinical inquiry project was to answer the following question: Are OR personnel who don’t use a smoke evacuator and wear the proper respiratory protection at increased risk for surgical smoke inhalation injury compared to those who use a smoke evacuator and wear the proper respiratory protection ?

    Source :  Coleman, Scott A. (2014). OR Nurse, 8(2), 40-46. doi: 10.1097/01.ORN.0000444110.29752.73

CHUTES ET GLISSADES

DÉPLACEMENTS DES BÉNÉFICIAIRES

ÉQUIPEMENTS DE PROTECTION

  • Healthcare workers are at risk of acquiring viral diseases such as hepatitis B, hepatitis C and HIV through exposure to contaminated blood and body fluids at work. Most often infection occurs when a healthcare worker inadvertently punctures the skin of their hand with a sharp implement that has been used in the treatment of an infected patient, thus bringing the patient’s blood into contact with their own. Such occurrences are commonly known as percutaneous exposure incidents. The objective was to determine the benefits and harms of extra gloves for preventing percutaneous exposure incidents among healthcare workers versus no intervention or alternative interventions.

    Source : Mischke C., Verbeek J.H., Saarto A., Lavoie M.C., Pahwa M., et Ijaz S. (2014). Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel. Cochrane Database of Systematic Reviews, 3. Art. No.: CD009573. doi: 10.1002/14651858.CD009573.pub2.

  • This document recommends practices for extended use and limited reuse of NIOSH-certified N95 filtering facepiece respirators. The recommendations are intended for use by professionals who manage respiratory protection programs in healthcare institutions to protect health care workers from job-related risks of exposure to infectious respiratory illnesses.

    Source : Centers for Disease Control and Prevention.  National Institute for Occupational Safety and Health Division of Safety Research. (2014). Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings. Workplace Safety & Health Topics. Repéré à  http://www.cdc.gov/niosh/topics/hcwcontrols/RecommendedGuidanceExtUse.html

  • Needlestick injuries from devices used for blood collection or for injections expose healthcare workers to the risk of blood borne infections such as hepatitis B and C, and human immunodeficiency virus (HIV). Safety features such as shields or retractable needles can possibly contribute to the prevention of these injuries and it is important to evaluate their effectiveness. This study determine the benefits and harms of safety medical devices aiming to prevent percutaneous exposure injuries caused by needles in healthcare personnel versus no intervention or alternative interventions.

    Source : Lavoie M.C., Verbeek J.Hé, et Pahwa M. (2014). Devices for preventing percutaneous exposure injuries caused by needles in healthcare personnel. Cochrane Database of Systematic Reviews, 3. Art. No.: CD009740. doi: 10.1002/14651858.CD009740.pub2.

  • For those who work in challenging and dangerous environments, keeping hazards at bay starts from the bottom by wearing the proper safety footwear. When choosing safety footwear, buyers need to know the type and level of protection required for the specific work environment.

    Source : Wolfon, Carmelle. (2014). OHS Canada, 30(1), 46-48. Repéré  à http://issuu.com/glaciermedia/docs/ohsjanfeb2014/46

FUMÉES CHIRURGICALES

  • Lasers and ultrasonic devices produce plume, which contains larger particulate matter than smoke. Larger particulate matter is of more concern as a biological hazard. Smoke results from the use of electrosurgical tools; it contains a smaller particle mass than plume but is still considered dangerous because of its chemical composition. The purpose of this clinical inquiry project was to answer the following question: Are OR personnel who don’t use a smoke evacuator and wear the proper respiratory protection at increased risk for surgical smoke inhalation injury compared to those who use a smoke evacuator and wear the proper respiratory protection ?

    Source :  Coleman, Scott A. (2014). OR Nurse, 8(2), 40-46. doi: 10.1097/01.ORN.0000444110.29752.73

GESTION-LEADERSHIP

  • Lucie répond à deux gestionnaires. L’une gère le côté administratif de son équipe de travail, composée d’une dizaine de personnes tout au plus ; l’autre est responsable de la supervision scientifique du travail. À son retour à son poste après plus de trois mois d’arrêt de travail, ni l’un ni l’autre n’était là pour l’accueillir. Pas de « bonjour », pas de « comment vas-tu ? », aucune indication quant au travail à faire.

    Source : Lafleur, Jacques. (2014). Travail et santé, 30(1), 8-12. Repéré à http://www.travailetsante.net/editions-precedentes/travail-et-sante-mars-2014/

  • This study aimed to investigate the effectiveness of a combined social and physical environmental intervention as well as the effectiveness of both separate interventions. In a 2 × 2 factorial design, 412 office employees were allocated to the combined social and physical environmental intervention, to the social environmental intervention only, to the physical environmental intervention only, or were part of the control group. Data on presenteeism, absenteeism, work performance, and work engagement were obtained with questionnaires at baseline, 6, and 12 months.

    Source : Coffeng, Jennifer K., Hendriksen, Ingrid J.M., Duijts, Saska F.A., Twisk, Jos W.R., van Mechelen, Willem, et Boot. Cécile R.L. (2014). JOEM :   Journal of Occupational & Environmental Medicine, 56(3), 258-265. doi: 10.1097/JOM.0000000000000116

GESTION DE LA SST

  • Les donneurs d’ordres ou maîtres d’œuvre ont les mêmes responsabilités légales envers les sous-traitants qu’ils embauchent que pour leurs propres employés. Les mesures de sélection, de qualification, de formation, d’information, de contrôle, et de suivi des mises en place pour gérer les sous-traitants vont permettre de démontrer l’engagement et de faire preuve d’une diligence raisonnable et d’une bonne gouvernance.

    Source : Bruneau, Jean. (2014). Travail et santé, 30(1), 14-15. Repéré à http://www.travailetsante.net/editions-precedentes/travail-et-sante-mars-2014/

  • Le 17 février 2014, Agrément Canada a terminé l’intégration du contenu du Portail de l’innovation en santé (élaboré et lancé par le Conseil canadien de la santé en 2012) à sa base de données sur les pratiques exemplaires. La base de données comprend près de 1000 pratiques novatrices, dont certaines en SST, soumises par des organismes de santé de partout au Canada. Il s’agit de pratiques d’avant-garde dans un secteur de prestation de services, dans un milieu de soins précis ou pour surmonter une difficulté particulière liée aux soins de santé. Certaines sont ingénieuses par leur simplicité. Elles sont fréquemment mises en œuvre par des organismes aux ressources limitées, démontrant comment des stratégies novatrices et créatives peuvent permettre d’obtenir des résultats positifs à peu de frais. La base de données contient aussi des pratiques dignes de mention qui, bien qu’elles ne soient ni nouvelles ni exemplaires, s’avèrent des méthodes efficientes et efficaces pour améliorer la qualité.

    Source : Agrément Canada. (2014). Base de données des pratiques exemplaires.
    Repéré à http://bit.ly/1i9LjDV

  • Les interventions des organisations en milieu de travail produisent généralement des effets plus durables sur la santé des employés que celles qui ciblent les comportements individuels. Cette revue systématique allemande a évalué l’efficacité de 39 études d’interventions ciblant une variété de conditions de travail. Les auteurs ont constaté que le taux de réussite est le plus élevé relativement aux interventions qui abordent simultanément les conditions matérielles et organisationnelles de travail.

    Source : Montano, Diego. Hoven, Hanno, et Siegrist, Johannes. (2014). BMC Public Health, 14, 135. Repéré à http://www.biomedcentral.com/content/pdf/1471-2458-14-135.pdf

  • Dans un contexte où la qualité de vie au travail, le bien-être et la santé psychologique des employés sont actuellement au coeur des préoccupations des gestionnaires et des milieux de travail, les enjeux de santé organisationnelle deviennent incontournables. Cet article propose de faire une synthèse des approches contemporaines de la santé organisationnelle et d’investiguer comment cette thématique est abordée par les chercheurs québécois.

    Source : Dagenais-Desmarais, Véronique, Dufour, Marie-Ève, St-Hilaire, France, et Hébert, Rachèle. (2013). Relations industrielles, 68(4), 661-681.

HORAIRE DE TRAVAIL

  • Healthcare organizations often have to provide patient care around the clock. Shift work (any shift outside of 7 a.m. to 6 p.m) and long work hours increase the risk for short sleep duration and sleep disturbances. Thirty-two percent of healthcare workers report they do not get enough sleep. The purpose of the article is to give an overview of the wide range of risks to nurses, patients, and employers that are linked to shift work, long work hours, and poor sleep from other sources.

    Source : Caruso, Claire C. (2014). Rehabilitation Nursing, 39(1), 16-25. doi:10.1002/rnj.107

  • Shift workers are at greater risk than day workers with respect to psychological and physical health, yet little research has linked shift work to increased sickness absence. This study investigate the relationship between shift work and sickness absence while controlling for organizational and individual characteristics and shift work attributes that have confounded previous research. The study used archive data collected from three national surveys in Canada, each involving over 20000 employees and 6000 private-sector firms in 14 different occupational groups.

    Source : Catano, V.M., et Bissonnette, A.B. (2014). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqu010

  • Une journée de travail de douze heures, trois jours par semaine. Ce sont les « douze heures », nouvelle organisation du travail qui se généralise dans les hôpitaux et institutionnalise le présentéisme. Une organisation que passe à la loupe Véronique Rivat-Caclard, directrice des soins, dans son mémoire de l’Ecole des hautes études en santé publique.

    Source : Rumeau, Jérôme, (2014). Travail & changement, 354, 10-11. Repéré à http://fr.calameo.com/download/0003337015425ada8da0c

  • Although necessary, night shifts are inherently less productive by at least five per cent. The risk of injury is also elevated by as much as 30 per cent. Rotating shift workers are more than twice as likely to have an incident compared to straight day shift workers. Reducing or mitigating the risk is the only realistic option where night shifts are required. Some preventive measures are suggested.

    Source : Rebbitt, Dave. (2014, 13 March). Canadian Occupational Safety. Repéré à http://www.cos-mag.com/safety/safety-columns/3862-night-shifts-are-they-safe.html

HYGIÈNE ET SALUBRITÉ

INSPECTION PRÉVENTIVE

  • Ces grilles élaborées par l’APSSAP ont pour objectifs d’aider à déterminer les éléments qui devraient être inspectés dans votre milieu de travail. Elles peuvent aussi servir de modèles car vous pouvez y ajouter ou y supprimer les éléments à inspecter afin que la grille corresponde à votre réalité. Elle permettent également de faire des recommandations pour les éléments qui ne sont pas conformes.

    Source :  Association paritaire pour la santé et la sécurité au travail, secteur administration provinciale. (2013?). Grilles d’inspection. Québec, APSSAP. Repéré à  http://www.asstsas.qc.ca/publications/varia/formulaires-et-grilles/grilles-dinspection-apssap.html

MANUTENTION

  • It has been suggested that the handling of heavy loads during pregnancy is associated with impaired fetal growth. We examined the association between quantity and frequency of maternal occupational lifting and the child’s size at birth, measured by weight, length, ponderal index, small-for-gestational-age (SGA), abdominal circumference, head circumference, and placental weight.

    Source : Juhl, M., Larsen, P.S., Andersen, P.K., Svendsen, S.W., Bonde, J.P., Nybo Andersen, A.-M., et Srandberg-Larsen L. (2014). Scandinavian Journal of Work & Environmental Health.  Prépublication. doi:10.5271/sjweh.3422

  • The objective of this paper was to perform a comprehensive review of psychophysically determined maximum acceptable pushing and pulling forces. Factors affecting pushing and pulling forces are identified and discussed. Recent studies show a significant decrease (compared to previous studies) in maximum acceptable forces for males but not for females when pushing and pulling on a treadmill. A comparison of pushing and pulling forces measured using a high inertia cart with those measured on a treadmill shows that the pushing and pulling forces using high inertia cart are higher for males but are about the same for females. It is concluded that the recommendations of Snook and Ciriello (1991) for pushing and pulling forces are still valid and provide reasonable recommendations for ergonomics practitioners. Regression equations as a function of handle height, frequency of exertion and pushing/pulling distance are provided to estimate maximum initial and sustained forces for pushing and pulling acceptable to 75% male and female workers.

    Source : Gard, Arun, Waters, Thomas, Kapellusch, Jay, et Karwowski, Waldemar. (2014).  International Journal of Industrial Ergonomics, 44(3), 281-291.  http://dx.doi.org/10.1016/j.ergon.2012.09.005

MÉDICAMENTS DANGEREUX

  • Oral anticancer agents give many cancer patients freedom from numerous hospital visits, allowing them to obtain their medications from their local community pharmacy. However, a major concern with increased use of oral anticancer agents is shift of responsibility in ensuring the proper use of anticancer agents from the hospital/clinical oncology team to the patient/caregiver and other healthcare providers such as the community pharmacists who may not be appropriately trained for this. This study assessed the readiness of community pharmacists across Canada to play this increased role with respect to oral anticancer agents.

    Source : Abbott, Rick. (2014). Journal of Oncology Pharmacy Practice, 20(1), 29-39. doi: 10.1177/1078155213504975

  • The purpose of this study was to perform a comparative cyclophosphamide contamination level test with Becton Dickinson® syringe plungers with Phaseal® Closed System Transfer Devices and Equashield® syringe plungers under routine oncological compounding conditions. In conclusion, significant contamination levels of 2000 ng and greater were detected on most Becton Dickinson® syringe plungers with Phaseal® Closed System Transfer Devices, whereas all Equashield® syringes remained uncontaminated at undetectable levels.

    Source : Smith, Stephen T., et Szlaczky, Mark C. (2014). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155214526428

  • Even though anticancer drugs are prepared in dedicated pharmaceutical units, nurses remain exposed to cytotoxic agents during administration to patients. The aim of this study was to assess this occupational exposure during the intravenous line–purging procedure at the patient’s bedside before administration in oncology departments. This prospective study was conducted over a 4-week period in the hematology and oncology departments at a university hospital. Amounts of doxorubicin and cyclophosphamide on the surface of nurses’ gloves were measured after the intravenous line purge of the infusion bag and the connection to the patient.

    Source : Rioufol, Catherine, Ranchon, Florence, Schwiertz, Vérane, Vantard, Nicolas, Joue, Elsa, Gourc, Chloé, (…) Guitton, Jérôme. (2014). Clinical Therapeutics, 36(3), 401-407. http://dx.doi.org/10.1016/j.clinthera.2014.01.016

  • Because anti-cancer drugs are non-selective, they affect both cancerous and non-cancerous cells. Being carcinogenic and mutagenic, many anticancer drugs therefore present a major health risk to healthcare staff working with them. This paper reviews the means by which exposure to anti-cancer drugs in the workplace may be monitored, assessed and reduced. Both biological monitoring, using non-selective methods or compound-selective methods, and environmental monitoring have provided information on the nature and degree of exposure in the workplace.

    Source : Vyas, Nitin, Yiannakis, Dennis, Turner, Andrew, et Sewell, Graham J. (2014). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155213498630

  • Antineoplastics, commonly used to destroy or control the growth and proliferation of cancer cells by interfering with DNA replication, are increasingly being used in chemotherapy and veterinary medicine and to treat other medical ailments, such as rheumatoid arthritis and multiple sclerosis, As these drugs can also disrupt healthy cells, protecting healthcare workers from the adverse effects of occupational exposure necessitates safe work practices.

    Source : Handle with care. (2014). OHS Canada, 30(1), 44-45.
    Repéré à  http://issuu.com/glaciermedia/docs/ohsjanfeb2014/44

  • The presence of drug residual on surfaces suggests that healthcare workers involved in some capacity with the system may be exposed through dermal contact. The purpose of this paper was to determine the dermal contamination levels of healthcare employees working throughout a hospital and to identify factors that may influence dermal contamination. We selected participants from six hospitals and wiped the front and back of workers’ hands. Wipe samples were analyzed for cyclophosphamide (CP), a commonly used antineoplastic drug, using high-performance liquid chromatography-tandem mass spectrometry.

    Source : Hon, Chun-Yip, Teschke, Kay, Demers, Paul A., et Venners, Scott. (2014). The Annals of Occupational Hygiene.  Prépublication. doi: 10.1093/annhyg/meu019 

MILIEU DE VIE

  • L’avènement des soins centrés sur la personne signale un changement dans la façon dont les services de santé voient l’implication des patients. Ce rapport présente une synthèse des recherches menées pour évaluer jusqu’à quel point les soins sont axés sur la personne, et comprend un tableau répertoriant 160 outils de mesure. Les auteurs constatent qu’une combinaison de différentes méthodes et outils est susceptible de fournir la mesure la plus robuste des soins centrés sur la personne.

    Source : de Silva, Debra. (2014). Helping measure person-centred care. London : The Health Foundation, 76 p. Repéré à http://www.health.org.uk/publications/helping-measure-person-centred-care/

  • Le CHSLD Sainte-Elizabeth, dans la région de Lanaudière, demande à des personnes ayant des talents de peintre de devenir des artisans du bonheur, en réalisant un paysage ou une scène attrayante sur des tuiles de plafond suspendu. C’est pour mettre « un peu de baume dans le regard et le cœur des résidents de la maison », comme le mentionne un communiqué de la direction du centre, que le projet a vu le jour au CHSLD, avec la collaboration de la technicienne en loisirs et celle des intervenants du centre hospitalier.

    Source :  Curateur public du Québec. (2014). Le Point, 13(1), 10. Repéré à
     http://www.curateur.gouv.qc.ca/cura/pdf/le_point_vol_13_no_01.pdf#10

  • Comment transformer un objet contraignant, en l’occurrence une barrière, en un élément de décor intéressant ? En y mettant de la couleur et des motifs, grâce à des pans de tissu maintenus par du velcro! C’est ce que proposent des CHSLD de différentes régions pour rendre plus attrayantes les barrières usuelles utilisées dans les unités où des personnes font de l’errance. Les demi-portes qui donnent accès aux chambres sont aussi recouvertes de tissu décoratif. Voilà une façon simple et originale de créer un milieu plus chaleureux pour les résidents !

    Source : Curateur public du Québec. (2014). Le Point, 13(1), 10. Repéré à http://www.curateur.gouv.qc.ca/cura/pdf/le_point_vol_13_no_01.pdf#10

  • Le 12 février dernier, le Curateur public du Québec a présenté un mémoire devant les membres de la Commission de la santé et des services sociaux. Cette commission parlementaire permanente se penche depuis le 21 janvier 2014 sur les conditions de vie des adultes vivant en centre d’hébergement et de soins de longue durée (CHSLD).

    Source : Curateur public du Québec. (2014). Le point, 13(1), p. 6-7. Repéré à http://www.curateur.gouv.qc.ca/cura/pdf/le_point_vol_13_no_01.pdf#6

    Pour télécharger le mémoire : http://www.curateur.gouv.qc.ca/cura/publications/mem_20140212.pdf

PRÉVENTION DES INFECTIONS

  • The aims of this study were to  to compare the contamination level of physicians’ hands and stethoscopes and to explore the risk of cross-transmission of microorganisms through the use of stethoscopes.

    Source : Longtin, Yves, Schneider, Alexis, Tschopp, Clément, Renzi, Gesuèle, Gayet-Ageron, Angèle, Schrenzel, Jacques et Pittet, Didier. (2014). Mayo Clinics Proceedings. 89(3), 291-299. http://dx.doi.org/10.1016/j.mayocp.2013.11.016

  • Regulations are a powerful tool to promote the adoption of health and safety practices and policies. But regulations alone may not produce intended results. How regulations are implemented matters. That was one finding from an Institute for Work & Health (IWH) study on an Ontario regulation to reduce needlestick injuries in health-care settings. Lead researcher Dr. Andrea Chambers presented a plenary on her study at IWH last November. It examined how three Ontario acute-care hospitals responded to a 2007 regulation requiring health-care organizations to replace conventional needles with safety-engineered needles.“The effectiveness of the regulation depended on a complex interplay of factors, including the technolog itself,” says Chambers.

    Source : Institute for Work and Health. (2014). At work, 75, 7. Repéré à http://www.iwh.on.ca/at-work/75/safer-needles-rollout-study-identifies-factors-for-implementation-success

  • Healthcare workers are at risk of acquiring viral diseases such as hepatitis B, hepatitis C and HIV through exposure to contaminated blood and body fluids at work. Most often infection occurs when a healthcare worker inadvertently punctures the skin of their hand with a sharp implement that has been used in the treatment of an infected patient, thus bringing the patient’s blood into contact with their own. Such occurrences are commonly known as percutaneous exposure incidents. The objective was to determine the benefits and harms of extra gloves for preventing percutaneous exposure incidents among healthcare workers versus no intervention or alternative interventions.

    Source : Mischke C., Verbeek J.H., Saarto A., Lavoie M.C., Pahwa M. et Ijaz S. (2014). Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel. Cochrane Database of Systematic Reviews,  3. Art. No.: CD009573. doi: 10.1002/14651858.CD009573.pub2.

  • This document recommends practices for extended use and limited reuse of NIOSH-certified N95 filtering facepiece respirators. The recommendations are intended for use by professionals who manage respiratory protection programs in healthcare institutions to protect health care workers from job-related risks of exposure to infectious respiratory illnesses.

    Source : Centers for Disease Control and Prevention.  National Institute for Occupational Safety and Health Division of Safety Research. (2014). Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings. Workplace Safety & Health Topics. Repéré à http://www.cdc.gov/niosh/topics/hcwcontrols/RecommendedGuidanceExtUse.html

  • Needlestick injuries have been identified as an important modifiable risk factor associated with the transmission of blood-borne pathogens between patients and health-care workers. A number of jurisdictions, including the province of Ontario, turned to regulation to accelerate the adoption of safety-engineered needles (SENs) for the prevention of needlestick injuries. Yet surveillance data available in work-related emergency department and workers’ compensation claims records demonstrates that needlestick injuries have not declined substantially in Ontario. Case studies were carried out in three acute-care hospitals in Ontario to help stakeholders understand why needlestick injuries continue to occur and what might challenge and support further progress in this area. The findings from these case studies are included in this report.

    Source : Chambers Andrea, et Mustard, Cameron. (2014). Toronto : Institute for Work and Health. ii, 52 p. Repéré à http://www.iwh.on.ca/needlestick-injury-prevention-lessons-learned-from-acute-care-hospitals-in-ontario

  • Despite the decline of tuberculosis in the population at large, healthcare workers (HCW) are still at risk of infection. There is an increased risk of infection not only in pneumology and laboratories with regular contact with tuberculosis patients or infectious materials. Epidemiological studies have also verified an increased risk of infection from activities that involve close contact with patients’ breath (e.g. bronchoscopy, intubation) or close contact with patients in need of care in geriatric medicine or geriatric nursing.

    Source : Nienhaus, Albert, Schablon, Anja, Preisser, Alexandra M., Ringshausen, Felix C., et Diel, Roland. (2014). Journal of Occupational Medicine and Toxicology, 9. Prépublication. doi: 10.1186/1745-6673-9-9

  • Needlestick injuries from devices used for blood collection or for injections expose healthcare workers to the risk of blood borne infections such as hepatitis B and C, and human immunodeficiency virus (HIV). Safety features such as shields or retractable needles can possibly contribute to the prevention of these injuries and it is important to evaluate their effectiveness. This study determine the benefits and harms of safety medical devices aiming to prevent percutaneous exposure injuries caused by needles in healthcare personnel versus no intervention or alternative interventions.

    Source : Lavoie M.C., Verbeek J.H., et Pahwa M. (2014). Devices for preventing percutaneous exposure injuries caused by needles in healthcare personnel. Cochrane Database of Systematic Reviews, 3. Art. No.: CD009740. doi: 10.1002/14651858.CD009740.pub2.

  • Sharps injuries and the related risk of infections such as hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) represent one of the major occupational health risks for healthcare workers (HCWs). An overview of available data on the incidence of sharps injuries and the related HBV, HCV and HIV infections and ensuing costs is provided. Sharps injuries remain a frequent threat amongst HCWs. The follow-up and treatment of sharps injuries and the deriving consequences represent a significant cost factor.

    Source : Elseviers M.M., Arias-Guillén M., Gorke A., et Arens H.-J. (2014). Journal of Renal Care. Prépublication. doi: 10.1111/jorc.12050

  • Improving rates of hand hygiene compliance (HHC) has been shown to reduce nosocomial disease. We compared the HHC for a traditional wall-mounted unit and a novel sanitizer-dispensing door handle device in a hospital inpatient ultrasound area. HHC increased 24.5%-77.1% (P < .001) for the exam room with the sanitizer-dispensing door handle, whereas it remained unchanged for the other rooms. Technical improvements like a sanitizer-dispensing door handle can improve hospital HHC.

    Source : Babiarz, Lukasz S., Savoie, Brent, McGuire, Mark, McConnell, Laurent, et Nagy, Paul. (2014). AJIC: American Journal of Infection Control, 42(4), 443-445. doi:10.1016/j.ajic.2013.11.009

PROTECTION RESPIRATOIRE

RADIOPROTECTION

  • Ionizing radiation injuries and illnesses are exceedingly rare; therefore, most physicians have never managed such conditions. Protection of responders, health care workers, and patients is an absolute priority for the delivery of medical care. Management of ionizing radiation injuries and illnesses, as well as radiation protection, requires a basic understanding of physics. Also, to provide a greater measure of safety when working with radioactive materials, instrumentation for detection and identification of radiation is needed. Because any health care professional could face a radiation emergency, it is imperative that all institutions have emergency response plans in place before an incident occurs. The present article is an introduction to basic physics, ionizing radiation, radiation protection, and radiation instrumentation, and it provides a basis for management of the consequences of a radiologic or nuclear incident.

    Source : Christensen, Doran M., Jenkins, Mark S., Sugarman, Stephen L., et Glassman, Erik S. (2014). Journal of the American Osteopathic Association, 114(3), 189-199. doi: 10.7556/jaoa.2014.037

SANTÉ PSYCHOLOGIQUE

  • The objective was to investigate whether experience of low meaning at work (MAW) and low affective organizational commitment (AOC) predicts long-term sickness absence (LTSA) for more than 3 consecutive weeks and whether this association is dependent on the occupational group.

    Source : Clausen, Thomas, Burr, Hermann, Vilhelm, Borg. (2014). Does Affective Organizational Commitment and Experience of Meaning at Work Predict Long-Term Sickness Absence? An Analysis of Register-Based Outcomes Using Pooled Data on 61,302 Observations in Four Occupational Groups. JOEM : Journal of Occupational and Environmental Medicine, 56(2), 129-135. doi: 10.1097/JOM.0000000000000078

  • Lucie répond à deux gestionnaires. L’une gère le côté administratif de son équipe de travail, composée d’une dizaine de personnes tout au plus ; l’autre est responsable de la supervision scientifique du travail. À son retour à son poste après plus de trois mois d’arrêt de travail, ni l’un ni l’autre n’était là pour l’accueillir. Pas de « bonjour », pas de « comment vas-tu ? », aucune indication quant au travail à faire.

    Source : Lafleur, Jacques. (2014). Travail et santé, 30(1), 8-12. Repéré à http://www.travailetsante.net/editions-precedentes/travail-et-sante-mars-2014/

  • L’employé ou le cadre qui se sent lésé a aujourd’hui accès à plusieurs tribunes lui permettant de dénoncer une situation de gestion abusive. Mais qu’en est-il du gestionnaire actuel, dont le rôle est de guider son équipe vers l’atteinte d’objectifs souvent complexes, tout en composant avec cette réglementation ainsi qu’avec une convention collective qui lui dicte plusieurs règles additionnelles? Comment se débrouille-t-il avec un employé difficile qui ne performe pas suffisamment? Comment distinguer harcèlement et saine gestion? Comment survivre dans cet environnement quasi juridique? Quels outils utiliser?

    Source : Malenfant, Jacques. (2014, 25 février). Le Coin de l’expert. Repéré à  http://www.portailrh.org/expert/ficheSA.aspx?p=561934

  • Dépasser ses horaires en permanence, travailler le soir et le week-end, ne pas prendre ses congés, venir au travail même malade… autant de signes du présentéisme. La présence excessive au travail est un symptôme de dysfonctionnements qu’il faut apprendre à décrypter.

    Source : Agence nationale pour l’amélioration des conditions de travail. (2014). Travail & changement, 354, 16 p. Repéré à  http://fr.calameo.com/download/0003337015425ada8da0c

  • Alors que les nouvelles technologies de l’information devaient faciliter notre travail, elles sont devenues une source majeure de stress. Thierry Venin a conduit un important travail de recherche sur les interactions entre risques psychosociaux et TIC sur le poste de travail tertiaire. Il nous en livre les principaux enseignements.

    Source : Venin, Thierry. (2014, 19 février). Préventica. Repéré à http://www.preventica.com/actu-interview-venin-agence-departementale-numerique.php

  • This study aimed to investigate the effectiveness of a combined social and physical environmental intervention as well as the effectiveness of both separate interventions. In a 2 × 2 factorial design, 412 office employees were allocated to the combined social and physical environmental intervention, to the social environmental intervention only, to the physical environmental intervention only, or were part of the control group. Data on presenteeism, absenteeism, work performance, and work engagement were obtained with questionnaires at baseline, 6, and 12 months.

    Source : Coffeng, Jennifer K., Hendriksen, Ingrid J.M., Duijts, Saska F.A., Twisk, Jos W.R., van Mechelen, Willem, et Boot. Cécile R.L. (2014). JOEM :   Journal of Occupational & Environmental Medicine, 56(3), 258-265. doi: 10.1097/JOM.0000000000000116

  • Workplace harassment is a well-researched topic, especially in regard to the antecedents and consequences of the phenomenon. A number of criticisms of this body of research have been raised that influence our understanding of harassment, its causes, and effects. Accordingly, this methodological review was conducted to identify current methodological gaps and propose new strategies for advancing knowledge on harassment at work. A total of 234 samples, from 224 peer-reviewed articles published over a 26-year period (1987–2012 inclusive), which focused on the antecedents, consequences, or process of diverse forms of workplace harassment (e.g., bullying, abusive supervision, mobbing, and victimization), were systematically analysed for methodological content. Our analysis focused on identifying threats to construct, internal, external, and statistical conclusion validity, covering issues such as sample characteristics, research design, measurement, methods of data collection, and techniques to analyse data.

    Source : Neall, Annabelle M., et Tuckey, Michelle R. (2014). Journal of Occupational and Organizational Psychology. Prépublication. doi: 10.1111/joop.12059

  • Workplace aggression research has typically focused on groups in the health care industry considered to be high risk (e.g., nursing); however, aggression also occurs among other health care professional groups, such as those in allied health. This study aimed to investigate the antecedents and consequences of workplace aggression among allied health professionals.

    Source : Demir, Defne, Rodwell, John, et Flower, Rebecca L. (2014). Social Work in Health Care, 53(3), 250-267. doi: 10.1080/00981389.2013.873517

  • Occupational stress at work has been increasingly recognized as a major risk factor for chronic disease and poor quality of work life among employees. The purpose of this study was to examine how occupational health nurses in Finland manage work-related stress. A descriptive cross-sectional study design was used with a sample of 354 Finnish occupational nurses who responded to the survey. No specific standardized tools to assess or handle work-related stress in occupational health services or their client companies were identified.

    Source : Kinnunen-Amoroso, Maritta, et Liira, Juha. (2014). Workplace Health & Safety, 62(3), 105-112. doi: 10.3928/21650799-20140219-04

  • Staff burnout is widely believed to be problematic in mental healthcare, but few studies have linked burnout directly with quality of care. The purpose of this study was to examine the relationship between burnout and a newly developed scale for quality of care in a sample of community mental health workers (N = 113). The Self-Reported Quality of Care scale had three distinct factors (Client-Centered Care, General Work Conscientiousness, and Low Errors), with good internal consistency. Burnout, particularly personal accomplishment, and to a lesser extent depersonalization, were predictive of overall self-rated Quality of Care, over and above background variables.

    Source: Salyers, Michelle P., Fukui, Sadaaki, Rollins, Angela L. Firmin, Ruth, Gearhart, Timothy, Noll, James P. (…) Davis, C.J. (2014). Quality of Care in Community Mental Health. Prépublication. doi: 10.1007/s10488-014-0544-6

  • Touch is an essential part of caregiving and has been proved to be useful to reduce pain. Nevertheless, little attention has been paid to nurses’ perceptions of touch. The aim of this article was to examine the relationship between nurses’ feelings of comfort with touch and their well-being at work. A sample of 241 nurses attending a pain management training course completed a questionnaire.

    Source : Pedrazza, Monica, Minuzzo, Stefania, Berlanda, Sabrina, et Trifiletti, Elena. (2014). Western Journal of Nursing Research. Prépublication. doi: 10.1177/0193945914527356

  • This critical literature review explored the current state of the science regarding mindfulness-based stress reduction (MBSR) as a potential intervention to improve the ability of nurses to effectively cope with stress. Literature sources include searches from EBSCOhost, Gale PowerSearch, ProQuest, PubMed Medline, Google Scholar, Online Journal of Issues in Nursing, and reference lists from relevant articles. Empirical evidence regarding utilizing MBSR with nurses and other healthcare professionals suggests several positive benefits including decreased stress, burnout, and anxiety; and increased empathy, focus, and mood. In conclusion, nurse use of MBSR may be a key intervention to help improve nurses’ ability to cope with stress and ultimately improve the quality of patient care provided.

    Source : Smith, Sarah A. (2014). International Journal of Nursing Knowledge. Prépublication. doi: 10.1111/2047-3095.12025

  • Stress can have detrimental effects on nurse residents’ levels of job satisfaction, compassion, fatigue, and burnout. This can lead to high turnover rates and poor quality of care among novice nurses. Therefore, it is critical to identify protective factors to prevent the onset of negative nurse outcomes (compassion fatigue, burnout, and job dissatisfaction) and to promote positive nurse outcomes (job satisfaction, compassion satisfaction). This study aimed to determine whether factors such as group cohesion and organizational commitment would be protective and moderate the association between stress exposure and posttraumatic stress symptoms and other negative nurse outcomes, thus facilitating positive outcomes.

    Source : Li, Angela, Early, Sean F., Mahrer, Nicole E., Klaristenfield, Jessica L., et Gild, Jeffrey I. (2014). Journal of Professional Nursing, 30(1), 89-99. http://dx.doi.org/10.1016/j.profnurs.2013.04.004

  • Qui ne souhaite pas être heureux au travail ? Or, le bonheur au travail s’explique en grande partie par la présence de relations sociales positives et significatives. Si la collaboration se veut une interaction sociale positive, elle comporte aussi des défis. Est-ce un choix rentable ? Cet article propose une réflexion sommaire sur le sujet et présente le défi relevé par le CPE Sous les Étoiles.

    Source : Legault, Lucie. (2014). Sans pépins, 16(1), 3-5. Repéré à
     http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/SP/sp161003.pdf

  • Uncivil behaviors in the workplace can negatively influence employee health, job satisfaction, productivity, commitment and turnover. In nursing workplaces, incivility has been linked to a variety of negative organizational outcomes, including increased burnout and turnover intentions and decreased job satisfaction and commitment.

    Source : Laschinger, Heather K. Spence, Wong, Carol A., Cummings, Greta G., et Grau, Ashley L. (2014). Nursing Economics, 32(1), 5-15, 44. Repéré à  http://www.nursingeconomics.net/ce/2016/article32010515.pdf

  • Dans un contexte où la qualité de vie au travail, le bien-être et la santé psychologique des employés sont actuellement au coeur des préoccupations des gestionnaires et des milieux de travail, les enjeux de santé organisationnelle deviennent incontournables. Cet article propose de faire une synthèse des approches contemporaines de la santé organisationnelle et d’investiguer comment cette thématique est abordée par les chercheurs québécois.

    Source : Dagenais-Desmarais, Véronique, Dufour, Marie-Ève, St-Hilaire, France, et Hébert, Rachèle. (2013). Relations industrielles, 68(4), 661-681.

SÉCURITÉ DES MACHINES

SERVICES À DOMICILE

  • Depuis sa création, en 2009, l’agence Adhap Services Bourges met l’accent sur la formation des auxiliaires de vie afin que les interventions à domicile se déroulent dans les meilleures conditions de sécurité possibles. Une combinaison simulant les effets du vieillissement est utilisée pour faire mieux comprendre aux intervenantes les difficultés du quotidien des bénéficiaires.

    Source : Brasseur, Grégory. (2014). Travail & sécurité, 748, 40-41. Repéré à http://www.travail-et-securite.fr/dms/ts/ArticleTS/TI-TS748page40-41

SERVICES DE GARDE

TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS

TRAVAIL DE BUREAU

  • The present study compared the effects of using one versus two display screens on cervical muscle activity of computer users. Healthy pain-free university students were recruited (11 males and 11 females), and surface electromyography in bilateral cervical erector spinae and upper trapezius (UT) muscles was measured. Each subject performed standardized text editing tasks for 15 min using a single screen and dual screens in a randomized order. In the dual screen condition, the primary screen was placed directly in front while the secondary screen was angled to the right of the user. Significant reductions of the 50th and 90th percentile amplitudes, representative of dynamic muscle loading, were found in the right UT muscle for dual screen condition. The 10th percentile muscle activity was similar in all muscles in the two conditions. These results suggest that viewing dual screens may be associated with different postural muscle activity compared to single screen.

    Source : Szeto, Grace P.Y., Chan, Carey C.Y., Chan, Simon K.M., Lai, H.Y., et Lau, Emily P.Y. (2014). International Journal of Industrial Ergonomics, 44(3), 460-465.  http://dx.doi.org/10.1016/j.ergon.2014.01.003

  • Numerous studies have compared the postures and muscular activities induced by the various input devices available. To the authors’ knowledge, no studies have yet compared upper body posture and movement, sEMG activity and muscle co-contractions induced by use of a mouse or of a touchpad. The aim of this study was to compare posture, joint excursion and sEMG activity when using a laptop equipped with a mouse or a touchpad. In conclusion, motor tasks executed by means of the mouse allow a greater range of motions and reduce the biomechanical stress thanks to the greater postural mobility, even though the posture is less neutral. The results of our study tend to suggest that an external mouse should be preferred to the touchpad by frequent users of laptops.

    Source : Conte, carmela, Ranavolo, Alberto, Serrao, Mariano, Silvetti, Alessio, Orengo, Giancarlo, Mari, Silvia, (…) Draicchio, Francesco. (2014).  International Journal of Industrial Ergonomics, 44(3), 413-420. http://dx.doi.org/10.1016/j.ergon.2014.01.001

  • This study aimed to investigate the effectiveness of a combined social and physical environmental intervention as well as the effectiveness of both separate interventions. In a 2 × 2 factorial design, 412 office employees were allocated to the combined social and physical environmental intervention, to the social environmental intervention only, to the physical environmental intervention only, or were part of the control group. Data on presenteeism, absenteeism, work performance, and work engagement were obtained with questionnaires at baseline, 6, and 12 months.

    Source : Coffeng, Jennifer K., Hendriksen, Ingrid J.M., Duijts, Saska F.A., Twisk, Jos W.R., van Mechelen, Willem, et Boot. Cécile R.L. (2014). JOEM :   Journal of Occupational & Environmental Medicine, 56(3), 258-265. doi: 10.1097/JOM.0000000000000116

TRAVAIL EN HAUTEUR

  • Accidents involving portable ladders are a common cause of serious occupational and non-occupational injuries throughout the industrialized world. Many of these injuries could be prevented with better instruction on the proper usage of portable ladders. Research is reported that focused on both the human factors and engineering aspects of portable extension ladder usage based on common ladder setup procedures. Results of the human factors experiment revealed evidence of unsafe acts that could lead to catastrophic ladder slide-out accidents in real-life situations. Six different ladder setup methods were evaluated for safety and stability based on placement angles: the basic, 75 degree, stand–reach, L sticker, 4:1, and bubble level methods.

    Source : Campbell, Alan O., et Pagano, Christopher C. (2014). Accident Analysis & Prevention, 67, 30-39. http://dx.doi.org/10.1016/j.aap.2014.01.025

TRAVAIL EN LABORATOIRE

  • Technological advancement in the medical laboratories has exposed the laboratory technicians to various ergonomic hazards due to nature of their work. The study aimed to analyze the working postures, to find out the prevalence of work related musculoskeletal disorders and to investigate the relationship between musculoskeletal disorders with individual factors, work characteristics and the working postures. The study was conducted among 60 medical laboratory technicians. Nordic Musculoskeletal Questionnaire (NMQ), Visual Analogue Scale (VAS) and RULA were used for this study.

    Source :  Maulik, Shreya,  Iqbal, Rauf, Amitabha, De, et  Chandra, Ananga Mohan. (2014). Journal of Back and Musculoskeletal Rehabilitation. Prépublication. doi: 10.3233/BMR-140466

  • Despite the decline of tuberculosis in the population at large, healthcare workers (HCW) are still at risk of infection. There is an increased risk of infection not only in pneumology and laboratories with regular contact with tuberculosis patients or infectious materials. Epidemiological studies have also verified an increased risk of infection from activities that involve close contact with patients’ breath (e.g. bronchoscopy, intubation) or close contact with patients in need of care in geriatric medicine or geriatric nursing. In occupational disease claim proceedings on account of tuberculosis, the burden of proof can be eased for insured persons who work in these or other comparable fields.

    Source : Nienhaus, Albert, Schablon, Anja, Preisser, Alexandra M., Ringshausen, Felix C., et Diel, Roland. (2014). Journal of Occupational Medicine and Toxicology, 9. Prépublication. doi: 10.1186/1745-6673-9-9

TRAVAILLEUSE ENCEINTE

  • It has been suggested that the handling of heavy loads during pregnancy is associated with impaired fetal growth. We examined the association between quantity and frequency of maternal occupational lifting and the child’s size at birth, measured by weight, length, ponderal index, small-for-gestational-age (SGA), abdominal circumference, head circumference, and placental weight.

    Source : Juhl, M., Larsen, P.S., Andersen, P.K., Svendsen, S.W., Bonde, J.P., Nybo Andersen, A.-M., et Srandberg-Larsen L. (2014). Scandinavian Journal of Work & Environmental Health.  Prépublication. doi:10.5271/sjweh.3422

TROUBLES MUSCULOSQUELETTIQUES

  • Technological advancement in the medical laboratories has exposed the laboratory technicians to various ergonomic hazards due to nature of their work. The study aimed to analyze the working postures, to find out the prevalence of work related musculoskeletal disorders and to investigate the relationship between musculoskeletal disorders with individual factors, work characteristics and the working postures. The study was conducted among 60 medical laboratory technicians. Nordic Musculoskeletal Questionnaire (NMQ), Visual Analogue Scale (VAS) and RULA were used for this study.

    Source :  Maulik, Shreya,  Iqbal, Rauf, Amitabha, De et  Chandra, Ananga Mohan. (2014). Journal of Back and Musculoskeletal Rehabilitation. Prépublication. doi: 10.3233/BMR-140466

VACCINATION

  • The organizational literature on infection control in residential care facilities is limited. Using a nationally representative dataset, we examined the organizational factors associated with implementing at least 1 influenza-related employee vaccination policy/program, as well as the effect of vaccination policies on health care worker (HCW) influenza vaccine uptake in residential care facilities.

    Source : Apenteng, Bettye A., et Opoku, Samuel T. (2014). AJIC : American Journal of Infection Control, 42(3), 294-299. doi: 10.1016/j.ajic.2013.09.021

  • Annual influenza vaccination is recommended for health care personnel (HCP). This study describes influenza vaccination coverage among HCP during the 2010-2011 season and present reported facilitators of and barriers to vaccination. Health care personnel 18 to 65 years of age, working full time, with direct patient contact were enrolled. Participants completed an Internet-based survey at enrollment and the end of influenza season. In addition to self-reported data, we collected information about the 2010-2011 influenza vaccine from electronic employee health and medical records.

    Source : Naleway, Allison L., Henkle, Emily M., Ball, Sarah, Boseman, Sam, Gaglani, Manjusha, Kennedy, Erin D., et Thompson, Mark G. (2014). AJIC: American Journal of Infection Control, 42(4), 371-375. doi:10.1016/j.ajic.2013.11.003

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