COIN DE LA DOCUMENTALISTE – AOÛT 2014

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AMÉNAGEMENT-ARCHITECTURE

  • Past efforts have been made to design single-user workstations to accommodate users’ anthropometric and preference distributions. However, there is a lack of methods for designing workstations for group interaction. This paper introduces a method for sizing workstations to allow for a personal work area for each user and a shared space for adjacent users. Highlights : A method for sizing workstations with both personal and shared spaces is presented. The accommodation of pairs (not simply individuals) is considered. The method incorporates the anthropometric distributions of a target population. The method is applied to examples for sizing polygonal and circular workstations.

    Source : Mahoney, Joseph M., Kurczewski, Nicolas A., et Froede, Erick W. (2014). Applied Ergonomics. Prépublication. doi: 10.1016/j.apergo.2014.07.003

APPROCHE LEAN

  • Quelle place pour l’encadrement de proximité dans une démarche de type Lean ? Comment partager les différents enjeux (productivité, coûts, conditions de travail et d’emploi…) entre la direction et les salariés autour de sa mise en oeuvre ? Quelles possibilités d’ajuster les objectifs ou solutions en cours de démarche ? Cette nouvelle fiche pratique d’Aravis vous propose des pistes de réflexion et d’action sur les démarches Lean à partir de trois cas d’entreprises.

    Source : Agence Rhône-Alpes pour la valorisation de l’innovation sociale et l’amélioration des conditions de travail. (2014). Lyon, France : Agence Rhône-Alpes pour la valorisation de l’innovation sociale et l’amélioration des conditions de travail. 6 p. (ARAVIS, Fiche pratique no 30). Repéré à http://www.anact.fr/portal/pls/portal/docs/1/15324381.PDF

  • Popularisation of Lean in healthcare has led to emphasis on Lean quality improvement tools in isolation, with inconsistent results. We argue that delivery of safer, more efficient, and higher quality-patient focused care requires organisational transformation of which the Lean toolkit is only one component. To successfully facilitate system transformation toward higher quality care at lower cost, Lean tools must be part of a comprehensive management system, within a supportive institutional culture, and with committed leadership.

    Source : Kaplan, Gary S., Patterson, Sarah H. Ching, Joan M., et Blackmore, C. Craig. (2014). BMJ Quality and Safety. Prépublication.  doi:10.1136/bmjqs-2014-003248

CHAMPS ÉLECTROMAGNÉTIQUES

  • Static magnetic fields (SMFs) and time-varying electromagnetic fields exposure is necessary to obtain the diagnostic information regarding the structure of patient’s tissues, by the use of magnetic resonance imaging (MRI) scanners. A diagnostic procedure may also include the administration of pharmaceuticals called contrast, which are to be applied to a patient during the examination. The nurses involved in administering contrast into a patient during the pause in examination are approaching permanently active magnets of MRI scanners and are exposed to SMF. There were performed measurements of spatial distribution of SMF in the vicinity of MRI magnets and parameters of personal exposure of nurses (i.e. individual exposimetric profiles of variability in time of SMF affecting the nurse who is performing tasks in the vicinity of magnet, characterized by statistical parameters of recorded magnetic flux density affecting the nurse). The SMF exposure in the vicinity of various MRI magnets depends on both magnetic flux density of the main field B 0 (applicable to a patient) and the construction of the scanner, but the most important factor determining the workers’ exposure is the work practice. 

    Source : Karpowicz, Jolanta, et Gryz, Krzystof. (2013). Electromagnetic Biology and Medicine, 32(2), 182-191. doi:10.3109/15368378.2013.776428

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • Le présent rappel vise les dossiers fixes Aquatec. Un dossier fixe Aquatec est un accessoire pour douche mobile et chaise d’aisance et est utilisé pour fixer le positionnement du patient de façon sécuritaire.  Le dossier fixe Aquatec peut se détacher du cadre lorsque l’utilisateur applique une charge inégale au moyen du dos soit au bas ou dans le haut du dossier, pouvant causer la chute de l’utilisateur. Un incident a été signalé à Invacare Canada LP, mais aucune blessure n’a été déclarée. Les modèles Ocean, Ocean VIP et Ocean E-VIP sont concernés par cet avis. Aucun incident ni aucune blessure n’ont été signalés à Santé Canada relativement à l’utilisation de ce produit.

    Source : Santé Canada. (4 juillet 2014). Canadiens en santé : rappels et avis. Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/40369r-fra.php

  • In Quebec, occupational therapy guidelines allow non–occupational therapists, such as home health aides, to select bathing equipment for “straightforward” cases of clients living at home as long as the aides use a decision-making tool. The aim was to develop a tool that met the common needs of Quebec’s health and social services centres (HSSCs), which involve home health aides in selecting bathing equipment for home-dwelling clients. The authors followed an ongoing iterative process involving a literature review as well as (a) a synthesis of 40 in-house tools, (b) feedback from 10 occupational therapists (two questionnaires and one focus group), (c) pretests, and (d) translation.

    Source : Guay, Manon, Dubois, Marie-France, Robitaille, Judith, et Desrosiers, Johanne, (2014). Canadian Journal of Occupational Therapy. Prépublication. doi: 10.1177/0008417414539643

  • Current evidence demonstrates why turning and positioning patients in bed presents a serious occupational risk of musculoskeletal disorders for caregivers. Results of the laboratory study investigating a new method of turning and positioning patients in bed are presented. The study was designed to evaluate how this new method reduced the risk of occupational musculoskeletal disorders to caregivers and may improve outcomes for patients.

    Source : Fragala, Guy, et Fragala, Maren. (2014). Workplace Health & Safety, 62(7), 268-273. doi: 10.3928/21650799-20140617-01

  • Occupational back injuries are an ongoing hazard in health care, particularly among nurses who have to move patients and perform other tasks that could cause injury. Melody Rasmor suggests five steps for conducting a neuro-musculoskeletal assessment of injured workers. 

    Source : Assessing back pain, injuries, interventions : medical history is first priority. (August 2014). Hospital Employee Health, 33(8), 92-93.

  • Predicted work-related injuries for nurses and home healthcare workers are on the rise given the many risk factors in the home environment and the escalating demands for home healthcare workers in the United States. Fortunately, safe patient handling and mobility programs can dramatically decrease injuries. Despite strides being made to promote safe patient handling and mobility programs in acute care, more can be done to establish such initiatives in the home care setting.

    Source : Beauvais, Audrey, et Frost, Lenore. (2014). Home Healthcare Nurse, 32(7), 430-434.

ÉQUIPEMENTS – AVIS ET RETRAITS

  • Le présent rappel vise les dossiers fixes Aquatec. Un dossier fixe Aquatec est un accessoire pour douche mobile et chaise d’aisance et est utilisé pour fixer le positionnement du patient de façon sécuritaire.  Le dossier fixe Aquatec peut se détacher du cadre lorsque l’utilisateur applique une charge inégale au moyen du dos soit au bas ou dans le haut du dossier, pouvant causer la chute de l’utilisateur. Un incident a été signalé à Invacare Canada LP, mais aucune blessure n’a été déclarée. Les modèles Ocean, Ocean VIP et Ocean E-VIP sont concernés par cet avis. Aucun incident ni aucune blessure n’ont été signalés à Santé Canada relativement à l’utilisation de ce produit.

    Source : Santé Canada. (4 juillet 2014). Canadiens en santé : rappels et avis. Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/40369r-fra.php

  • Le présent rappel vise le modèle Stampede PH104 de bottes de sécurité Phoenix portant la date de fabrication « janvier 2014 » et le numéro de fabricant 8532. Ces renseignements figurent sur la languette de la botte. Les bottes portent une étiquette sur laquelle figure le signe oméga « Ω », ce qui indique que le produit est certifié comme pouvant résister aux décharges électriques. Toutefois, le groupe CSA n’a pas délivré de certificat confirmant que le produit est en mesure de résister aux décharges électriques (certification ESR). Ce produit peut donc présenter un risque pour le consommateur lorsque celui-ci a besoin d’une telle protection.

    Source : Santé Canada. (17 juillet 2014). Canadiens en santé : Rappels et avis. Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/40591r-fra.php

  • Le produit a été retiré du marché. Stryker a reçu des plaintes voulant qu’une roulette se soit brisée au haut de la tige de roulette, à l’endroit où la biellette du frein s’insère dans la roulette. Si plus d’une roulette est endommagée, les fonctions de freinage et, par conséquent, la force de maintien des freins, pourraient être réduites. Si seule une roulette est endommagée, les fonctions de freinage demeurent conformes aux spécifications.

    Source : Santé Canada. (2 juillet 2014). Tige de roulette du lit InTouch (2014-07-02). Canadiens en santé : rappels et avis. Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/40565r-fra.php

  • Le produit a été retiré du marché. Au cours des huit dernières années, Hill-Rom a reçu treize rapports d’établissements américains signalant la chute de la section pieds amovible du lit, ce qui aurait entraîné trois cas de blessures mineures. Les analyses suggèrent que le mécanisme de verrouillage pourrait avoir été tordu lors d’une manipulation inadéquate de la section pieds, notamment en l’échappant au sol.

    Source : Santé Canada (20 juin 2014). Lit d’accouchement Affinity 4 P3700B (2014-06-20). Canadiens en santé : rappels et avis. Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/40281r-fra.php

ÉQUIPEMENTS DE PROTECTION

  • Due to their potential mutagenic, carcinogenic and teratogenic effects occupational exposure to chemotherapy drugs should be kept to a minimum. Utilization of personnel protective devices, especially the use of protective medical gloves, is a mainstay to avoid skin contact. The choice of appropriate gloves is of outstanding importance. For optimal protection in the oncology setting it is essential to establish general guidelines evaluating appropriate materials and defining quality standards. Establishing these guidelines can facilitate better handling and avoid potential hazards and late sequelae. Nitrile or natural rubber latex is a preferred basic glove material, while vinyl is considered inappropriate because of its generally increased permeability. For extended exposure to chemotherapy drugs, double gloving, the use of thicker gloves and the frequent change of gloves increases their protective power.

    Source : Landeck, Lilla, Gonzalez, Ernesto, et Koch, Olaf Manfred. (2014). International Journal of Cancer. Prépublication. doi: 10.1002/ijc.29058

  • This new, one-of-a kind ASTM reference guide provides the latest information on safety and occupational footwear. Topics cover: Construction of footwear;  Component materials ;  Performance requirements ;  Use and maintenance. As well as an in-depth understanding into specific areas of concern, such as slip resistance, the number one cause of concern across all industries.

    Source : Ells, William. (2014). West Conshohocken, PA : ASTM International. ix, 66 p. Repéré à http://www.astm.org/DIGITAL_LIBRARY/MNL/SOURCE_PAGES/MNL71.htm

  • Use of personal protective equipment (PPE) and safety medical devices is mandated for healthcare workers to reduce the risk of infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) from exposure to patients’ blood. Research has shown that a strong safety climate may promote increased use of PPE. Therefore, the objective of this study was to examine the association between safety climate and use of PPE among homecare/hospice nurses in North Carolina. The percentage of nurses who used the specified PPE was two to three times greater among nurses who had a strong safety climate. Safety climate was only weakly associated with using safety devices. These results suggest that improving safety climate may be a powerful tool for increasing use of PPE.

    Source : Leiss, Jack K. (2014). Industrial Health. Prépublication. Repéré à https://www.jstage.jst.go.jp/article/indhealth/advpub/0/advpub_2014-0074/_pdf

EVALUATION DES RISQUES À LA SST

  • The Occupational Medicine Forum is prepared by the ACOEM Occupational and Environmental Medical Practice Committee and does not necessarily represent an official ACOEM position. "Risk assessment" has different meanings in different fields, such as regulatory policy (where it usually applies to evaluation with the intent to regulate a hazard), insurance (where it applies to assessing exposure to a claim), loss prevention (where it refers to the probability of costs or loss of assets). Confusingly, our colleagues in clinical preventive medicine also use the term as a synonym for health risk appraisal, to ascertain personal risk for individual.

    Source : Guidotti, Tee L. (2014). JOEM : Journal of Occupational & Environmental Medicine, 56(6), e44-445. doi: 10.1097/JOM.0b013e3181e5a37b

GESTION-LEADERSHIP

  • Quelle place pour l’encadrement de proximité dans une démarche de type Lean ? Comment partager les différents enjeux (productivité, coûts, conditions de travail et d’emploi…) entre la direction et les salariés autour de sa mise en oeuvre ? Quelles possibilités d’ajuster les objectifs ou solutions en cours de démarche ? Cette nouvelle fiche pratique d’Aravis vous propose des pistes de réflexion et d’action sur les démarches Lean à partir de trois cas d’entreprises.

    Source : Agence Rhône-Alpes pour la valorisation de l’innovation sociale et l’amélioration des conditions de travail. (2014). Lyon, France :  Agence Rhône-Alpes pour la valorisation de l’innovation sociale et l’amélioration des conditions de travail. 6 p. (ARAVIS, Fiche pratique no 30). Repéré à http://www.anact.fr/portal/pls/portal/docs/1/15324381.PDF

  • Comment réussir et choisir sa vie en toute liberté ? Pourquoi certains ont-ils la réussite dans la peau? Du chef d’État, au champion du monde de danse sur glace, Franck Nicolas observe et explore ce qui fait vraiment la différence chez ces gagnants. Il est formel, c’est en grande partie cette sereine assurance qui rend tous les défis possibles. Ce livre s’adresse donc à toutes celles et ceux qui refusent le statu quo, qui sont prêts à sortir de leur zone de confort pour passer au niveau supérieur, qui attendent plus de leur vie. Il s’adresse aussi à tous ceux qui, porteurs d’un projet, rêvent de devenir de grands leaders.

    Source : Nicolas. Franck. (2014). Confiance illimitée : La méthode Spark. Brossard : Les Éditions Un monde différent. 237 p. Repéré à http://www.umd.ca/index.php?option=com_virtuemart&page=shop.product_details&flypage=flypage.tpl&category_id=48&product_id=1000&Itemid=63&vmcchk=1&Itemid=63

  • C’est l’été, les vacances. Le moment de décrocher. Même les hauts dirigeants en éprouvent le besoin. Faire le vide remet en forme. De retour au travail, les idées sont plus claires. En Californie, un demi-siècle après le mouvement hippie, c’est en pratiquant la méditation qu’on décroche. Avec la bénédiction des directions des ressources humaines des entreprises, qui en font la promotion comme outil de bien-être au travail. Chez Google, un ingénieur en développement informatique a conçu une formation. À ce jour plus de 2000 employés l’ont suivi, a-t-il raconté au journal Les Affaires dans une entrevue.

    Source : Dansereau, Suzanne (19 juillet 2014). Les Affaires, 26, 12-13. Repéré à http://www.lesaffaires.com/strategie-d-entreprise/management/mediter-pour-decrocher-et-mieux-gerer/570594

  • Le moral de votre équipe laisse à désirer. C’est qu’il règne en son sein une mauvaise ambiance, laquelle découle à première vue de la présence de conflits larvés. Pour être plus précis, de tensions difficilement perceptibles pour ceux qui ne sont pas directement concernés, mais des tensions telles qu’elles pourrissent le travail des uns et des autres, au point de nuire à la productivité de l’ensemble de l’équipe. Des conflits? Des tensions? Dès que nous prenons conscience de leur existence, nous avons tous le même réflexe : nous cherchons à identifier les personnes concernées, puis nous cherchons à identifier les animosités entre elles. Pas vrai? Mais voilà, est-ce là la bonne façon d’aborder le problème? Eh bien, la réponse à cette interrogation est : non, pas vraiment.

    Source : Schmouker, Olivier. (2014, 10 juillet). Quelles sont les vraies racines des conflits en entreprise ? [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/quelles-sont-les-vraies-racines-des-conflits-en-entreprise/570455

  • La question saute aux yeux : comment se fait-il que les membres de votre équipe ne sourient pas plus que ça?  Comment se fait-il, même, qu’ils ne sautent pas de joie, de temps à autre? Hein? D’après vous? Je pense avoir trouvé une réponse fort intéressante à cette interrogation existentielle dans une étude intitulée Unhappy cities. Celle-ci est le fruit du travail de deux professeurs d’économie : Edward Glaeser, de Harvard (États-Unis), assisté de son étudiant Oren Ziv; et Joshua Gottlieb, de l’Université de Colombie-Britannique à Vancouver (Canada). Elle montre que l’explication est on ne peut plus simple…  Ainsi, les trois chercheurs se sont intéressés aux villes américaines les plus malheureuses. C’est-à-dire celles où les gens se disent peu, ou pas, heureux de vivre. Leur objectif était de découvrir pourquoi les gens ne désertaient pas carrément ces endroits-là, et mieux, pourquoi ces villes continuaient malgré tout d’attirer de nouveaux arrivants.

    Source : Schmouker, Olivier. (2014, 21 juillet). Pourquoi votre équipe n’est-elle pas heureuse ? [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/pourquoi-votre-equipe-n-est-elle-pas-heureuse/570583

  • La génération Y arrive sur le marché du travail, tant bien que mal en raison de la crise économique qui perdure depuis 2007. Et les baby-boomers, eux, s’en vont, même si cela se produit au ralenti. L’air de rien, on assiste ainsi à un bouleversement démographique considérable, qui va être accompagné – même si on ne le réalise pas vraiment aujourd’hui – par un choc générationnel phénoménal. Oui, phénoménal. Je pèse mes mots. Pourquoi suis-je aussi catégorique? Parce que j’ai mis la main sur un sondage mondial passionnant mené auprès de 11 500 employés à temps plein œuvrant dans 14 pays, dont le Canada. Il en ressort que l’arrivée de la génération Y va bouleverser notre quotidien au bureau. Et ce, pour le mieux ! C’est que les membres de la génération Y – en l’occurrence, les 18-24 ans – ont de toutes autres valeurs que les baby-boomers – les 55-65 ans -, du moins concernant le travail. Et cela aura un impact direct et majeur sur nombre de dimensions fondamentales du travail, comme le bonheur, la motivation et la productivité.

    Source : Schmouker, Olivier. (2014, 11 juillet). La vie de bureau bientôt métamorphosée et c’est tant mieux. [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/la-vie-de-bureau-bientot-metamorphosee-et-c-est-tant-mieux/570479

GESTION DE LA SST

  • To allocate available resources as efficiently as possible, decision makers need information on the relative economic merits of occupational health and safety (OHS) interventions. Economic evaluations can provide this information by comparing the costs and consequences of alternatives. Nevertheless, only a few of the studies that consider the effectiveness of OHS interventions take the extra step of considering their resource implications. Moreover, the methodological quality of those that do is generally poor. Therefore, this study aims to help occupational health researchers conduct high-quality trial-based economic evaluations by discussing the theory and methodology that underlie them, and by providing recommendations for good practice regarding their design, analysis, and reporting. This study also helps consumers of this literature with understanding and critically appraising trial-based economic evaluations of OHS interventions.

    Source : Van Dongen, JoHanna, van Wier, Marieke, Tompa, Emile, Bongers, Paulien M. van der Beek, Allard J., van Tulder, Maurits, et Bosmans, Judith E. (2014). JOEM : Journal of Occupational and Environmental Medicine, 56(6), 563-572. doi: 10.1097/JOM.0000000000000165

  • The Occupational Medicine Forum is prepared by the ACOEM Occupational and Environmental Medical Practice Committee and does not necessarily represent an official ACOEM position. "Risk assessment" has different meanings in different fields, such as regulatory policy (where it usually applies to evaluation with the intent to regulate a hazard), insurance (where it applies to assessing exposure to a claim), loss prevention (where it refers to the probability of costs or loss of assets). Confusingly, our colleagues in clinical preventive medicine also use the term as a synonym for health risk appraisal, to ascertain personal risk for individual.

    Source : Guidotti, Tee L. (2014). JOEM : Journal of Occupational & Environmental Medicine, 56(6), e44-445. doi: 10.1097/JOM.0b013e3181e5a37b

  • The aim of this critical-incident interview study was to identify organizational and social-psychological conditions and processes that Swedish physicians and nurses perceived as important for patient and/or staff safety, and participative safety behavior. Injury due to psychological overload was the most salient type of healthcare worker hazard. Patient and healthcare worker safety went hand in hand. Good patient safety was present when caregivers had good access to their psychological and social capacities. These functions were jeopardized by stress. Our results indicated that quantitative overload, excessive cognitive and emotional complexity, lack of social support and good teamwork, organizational instability, and distrust for and frustration with the way healthcare organizations were managed, caused stress related function impairment in staff, which lead to mistakes and near misses. These aspects also in themselves contributed to risks. Good safety was associated with adequate resources and routines, workplace learning, and supportive unit level managers and colleagues. Features of professional cultures related to ethical norms to offer best possible care for the patient, in spite of insufficient resources, contributed to acceptance of working conditions that could lead to stress and overload.

    Source : Eklöf, Mats, Törner, Marianne, et Pousette, Anders. (2014). Safety Science, 70, 211-221. doi: 10.1016/j.ssci.2014.06.007

  • Nurses’ use of the Internet and social media has surfaced as a critical concern requiring further exploration and consideration by all health care organizations and nursing associations. In an attempt to support this need, the American Nurses Association (2011) published six principles of social networking that offered guidance and direction for nurses. In addition, the National Council of State Boards of Nursing (2011) published a nurse’s guide to using social media. Surfing the Internet and using social media for professional and personal needs is extremely common among nurses. What is concerning is when nurses do not separate their professional and personal presence in the virtual world. This article presents an Institutional Review Board-approved pilot survey that explored nurses’ use of social media personally and professionally and offers recommendations specifically directed to the occupational health nurse. 

    Source : Wolf, Debra M., Anton, Bonnie B., et Wenskovitch, John. (2014). Workplace Health & Safety, 62(7), 302-306. doi: 10.3928/21650799-20140617-02

HORAIRE DE TRAVAIL

  • Associations between shift work and chronic disease have been observed, but relatively little is known about how to mitigate these adverse health effects. This critical review aimed to (i) synthesize interventions that have been implemented among shift workers to reduce the chronic health effects of shift work and (ii) provide an overall evaluation of study quality.

    Source : Neil, Sarah E., Pahwa, Manisha, Demers, Paul A., et Gotay Carolyn C. (2014). Scandinavian Journal of Work, Envrionment & Health. Prépublication. doi: 10.5271/sjweh.3445

  • Previous epidemiological studies have shown that shift work is associated with higher levels of obesity and diabetes, possibly related to physiological maladaptation as a direct result of sleeping and eating at abnormal circadian times.1 In a previously performed cross-sectional study, shift work was associated with higher levels of triglycerides, lower levels of high-density lipoprotein cholesterol, and higher odds of metabolic syndrome in a multiple logistic regression analysis .2 We performed an analysis of the cross-sectional NHANES data3 for 2007–2008 and compared the different metabolic parameters between regular daytime workers and shift workers.

    Source : Santhanam, Prasanna, Driscoll, Henry K., Gress, Todd W., et Khthir, Rodhan. (2014). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2014-102352

HYGIÈNE ET SALUBRITÉ

  • En remplacement des dégraissants et nettoyants traditionnels, on retrouve actuellement sur le marché des préparations à base de bactéries et d’enzymes pour le nettoyage de surfaces en milieux industriel et institutionnel. Des préparations enzymatiques sont également utilisées en milieu de soins pour le nettoyage d’instruments chirurgicaux et diagnostiques.  Mises à part les fiches de données de sécurité et les fiches techniques fournies par les fabricants, les spécialistes du domaine de la santé et de la sécurité du travail ne possèdent que des données fragmentaires sur la composition de ces préparations. De plus, ces préparations sont souvent publicisées comme des produits idéaux, verts et atoxiques. Cette monographie présente les connaissances sur les aspects de la santé, de la sécurité, de l’environnement et techniques de ces produits biotechnologiques, de manière à guider les intervenants qui sont appelés à les évaluer, à les recommander ou à les utiliser. La méthode retenue consiste principalement en une revue de la littérature scientifique et technique. Cette recherche repose aussi sur la consultation d’intervenants représentant divers secteurs d’activité et sur l’observation de quelques milieux dans lesquels les travailleurs sont exposés à ce genre de préparations.

    Source : Bégin, Denis, Gérin, Michel, Lavoie, Jacques. (2014). Montréal, IRSST, 103 p. (Études et recherches / rapport R-829)

  • Afin de tenter de limiter la fermeture des unités de soins touchées et de maintenir l’accessibilité aux soins, le présent document apporte des précisions aux recommandations existantes sur le contrôle des éclosions de gastro-entérite virale (Norovirus) en milieux de soins. Il vise à guider une prise en charge rapide et efficace de la situation dans les milieux touchés par cette problématique pour en limiter l’ampleur. Ce document se divise en trois principales sections : la première porte sur les définitions, la deuxième apporte des précisions sur les mesures à appliquer lors d’éclosions majeures, et la troisième énonce les critères sur lesquels les équipes doivent se baser pour déterminer si la fermeture d’une unité aux admissions est requise. Un outil d’application se retrouve en annexe.

    Source : Comité sur les infections nosocomiales du Québec. (2014). [Montréal] : Institut national de santé publique du Québec. v. 27 p. Repéré à http://www.inspq.qc.ca/pdf/publications/1849_Gestion_Eclosion_Novovirus.pdf

  • When the University of Chicago’s new hospital pavilion opened in February 2013, it looked pristine. Floors shone, and stainless steel gurneys gleamed in the new Center for Care and Discovery. Even after the doors opened and the first patients were admitted, surfaces still looked largely sterile. It was exactly as it seemed a hospital should be: as devoid of microbial life as humans could possibly make it. Jack Gilbert and his team’s data told a different story. Armed with cotton swabs, they focused their efforts on the floors devoted to surgery and oncology. They repeated this process several times a day for more than a year as part of the Hospital Microbiome Project to learn more about the microbial community, or microbiome, in various hospital environments-how microorganisms transfer between humans and surfaces, and how the microbiomes develop over time.

    Source : Arnold, Carrie (2014). Environmental Health Perspectives, 122(7), A182-A187. Repéré à http://ehp.niehs.nih.gov/wp-content/uploads/122/7/ehp.122-A182.pdf

MANUTENTION

  • Systematically review observational studies concerning the question whether workers that perform pushing/pulling activities have an increased risk for upper extremity symptoms as compared to workers that perform no pushing/pulling activities. Studies had to examine exposure to pushing/pulling in relation to upper extremity symptoms. Two authors performed the literature selection and assessment of the risk of bias in the studies independently. A best evidence synthesis was used to draw conclusions in terms of strong, moderate or conflicting/insufficient evidence. In conclusion, there is insufficient or conflicting evidence that pushing/pulling is related to (combinations of) upper arm, elbow, forearm, wrist or hand symptoms.

    Source : Hoozemans, Marco J.M., Knelange, E.B., Frings-Dresen, M.H.W., Veeger, H.E.J., et Kuijer, P.P.F.M. (2014). Occupational & Environmental Medicine. doi:10.1136/oemed-2013-101837

  • This leaflet includes the Manual Handling Assessment Charts (MAC). MAC is a tool developed to help users identify high-risk workplace manual handling activities. Employers and safety representatives can use the tool to assess the risks posed by lifting, carrying and team manual handling activities. It will help them understand, interpret and categorise the level of risk of the various known risk factors associated with manual handling activities. MAC has a numerical and colour coding score system to highlight high-risk manual handling tasks. There were some errors in the previous version, published in January 2014, which means that the authors have to issue a revised version.

    Source : Manual handling assessment charts (the MAC tool). (2014). [Sudbury, Suffolk, G.B.]: HSE, 15 p. Repéré à http://www.hse.gov.uk/pubns/indg383.pdf

MÉDICAMENTS DANGEREUX

  • Therapy-related leukemia has been a recognized sequela of cancer treatment for decades with “signature” abnormalities of chromosomes 5, 7, and 11 observed in treated patients. Risk to oncology personnel handling anti-cancer agents has also been documented by non-specific measures of genotoxicity in blood and urine. Using chromosomal markers applied in clinical practice, we previously demonstrated in oncology workers, a dose-related increase in abnormalities of chromosomes 5 and 7, known to be targets of alkylating agent exposure. In the analysis presented here, we extended that work to also assess damage resulting from non-alkylating drug exposure. Participants recorded drug handling events over a 6 week period. Important co-variates were considered.

    Source : McDiarmid, Melissa A., Rogers, Bonnie, et Oliver, Marc S. (2014). Environmental and Molecular Mutagenesis, 55(4), 369-374. doi: 10.1002/em.21852

  • Due to their potential mutagenic, carcinogenic and teratogenic effects occupational exposure to chemotherapy drugs should be kept to a minimum. Utilization of personnel protective devices, especially the use of protective medical gloves, is a mainstay to avoid skin contact. The choice of appropriate gloves is of outstanding importance. For optimal protection in the oncology setting it is essential to establish general guidelines evaluating appropriate materials and defining quality standards. Establishing these guidelines can facilitate better handling and avoid potential hazards and late sequelae. Nitrile or natural rubber latex is a preferred basic glove material, while vinyl is considered inappropriate because of its generally increased permeability. For extended exposure to chemotherapy drugs, double gloving, the use of thicker gloves and the frequent change of gloves increases their protective power.

    Source : Landeck, Lilla, Gonzalez, Ernesto, et Koch, Olaf Manfred. (2014). International Journal of Cancer. Prépublication. doi: 10.1002/ijc.29058

MILIEU DE VIE

  • Social support and social relationships have been repeatedly identified as essential to nursing home resident quality of life. However, little is known about ways residents develop relationships with peers or staff. Fifteen cognitively intact nursing home residents from two facilities were interviewed for this grounded theory study. Sampling, interviewing, and analysis occurred in a cyclical process with results at each stage of the study informing decisions about data collection and analysis in the next. Unstructured interviews and field observations were conducted. The results provide possible explanations for the success of interventions in the literature designed to improve staff responsiveness to residents. The results suggest that adapting these kinds of interventions for use with peers may also be successful. The conceptual model also presents a number of opportunities for developing interventions for residents.

    Source : Roberts, Tonya, Bowers, Barbara. (2014). International Journal of Nursing Studies. Prépublication. doi: 10.1016/j.ijnurstu.2014.07.008

  • Shortcomings in elderly care have been reported in many parts of the world, including Sweden. However, national guidelines for elderly care have been introduced in Sweden, which contain core values and local guarantees of dignity. These highlight the need for dignity and well-being, and organising the older person’s daily life so that they perceive it as meaningful. Therefore, the aim of the present study was to describe older persons’ experience and knowledge about obstacles, opportunities and solutions to developing a meaningful daily life for those living in nursing homes.

    Source : James, Inger, Blomberg, Karin, et Kihlgren, Annica. (2014). BMC Nursing, 13.
    13 p.  doi:10.1186/1472-6955-13-19

PRÉVENTION DES INFECTIONS

  • Afin de tenter de limiter la fermeture des unités de soins touchées et de maintenir l’accessibilité aux soins, le présent document apporte des précisions aux recommandations existantes sur le contrôle des éclosions de gastro-entérite virale (Norovirus) en milieux de soins. Il vise à guider une prise en charge rapide et efficace de la situation dans les milieux touchés par cette problématique pour en limiter l’ampleur. Ce document se divise en trois principales sections : la première porte sur les définitions, la deuxième apporte des précisions sur les mesures à appliquer lors d’éclosions majeures, et la troisième énonce les critères sur lesquels les équipes doivent se baser pour déterminer si la fermeture d’une unité aux admissions est requise. Un outil d’application se retrouve en annexe.

    Source : Comité sur les infections nosocomiales du Québec. (2014). [Montréal] : Institut national de santé publique du Québec. v, 27 p. Repéré à http://www.inspq.qc.ca/pdf/publications/1849_Gestion_Eclosion_Novovirus.pdf

  • When the University of Chicago’s new hospital pavilion opened in February 2013, it looked pristine. Floors shone, and stainless steel gurneys gleamed in the new Center for Care and Discovery. Even after the doors opened and the first patients were admitted, surfaces still looked largely sterile. It was exactly as it seemed a hospital should be: as devoid of microbial life as humans could possibly make it. Jack Gilbert and his team’s data told a different story. Armed with cotton swabs, they focused their efforts on the floors devoted to surgery and oncology. They repeated this process several times a day for more than a year as part of the Hospital Microbiome Project to learn more about the microbial community, or microbiome, in various hospital environments-how microorganisms transfer between humans and surfaces, and how the microbiomes develop over time.

    Source : Arnold, Carrie (2014). Environmental Health Perspectives, 122(7), A182-A187. Repéré à http://ehp.niehs.nih.gov/wp-content/uploads/122/7/ehp.122-A182.pdf

  • A majority of U.S. hospitals has achieved the Healthy People 2010 goal of vaccinating at least 90% of their employees against influenza, but they have struggled to track the vaccinations of doctors, advanced practice nurses and physician assistants.

    Source : Hospitals hit the 90% mark for health care worker flu shots. (August 2014). Hospital Employee Health, 33(8), 85-87. 

  • The aftermath of a needlestick is fraught with anxiety, but thanks to advances in HIV testing and treatment, health care workers can get swift and clear post-exposure guidance. A new drug regimen lowers the risk of contracting HIV, with fewer side effects.

    Source : New HIV testing eases HCW fears : but late stigma laws create PEP barriers. (August 2014). Hospital Employee Health, 33(8), 85-96.

  • Nursing home (NH) employee influenza vaccination is associated with reductions in morbidity and mortality among residents. Little is known regarding associations between NH characteristics and employee influenza vaccination rates (EVRs). This study identifies NH characteristics that may be associated with EVRs. In conclusion, given that NHs generally have low employee influenza vaccination rates, it may be necessary to target low-performing facilities to achieve substantial improvements. However, significant correlates of this study cannot be easily addressed by NH management or policymakers. Without policy change encouraging key components of vaccination programs, public reporting may be insufficient to improve EVRs.

    Source : Campbell, Lauren J., Li Qinghua, et Li, Yue. (2014). Journal of the American Medical Directors Association. Prépublication. doi: 10.1016/j.jamda.2014.06.005

  • Use of personal protective equipment (PPE) and safety medical devices is mandated for healthcare workers to reduce the risk of infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) from exposure to patients’ blood. Research has shown that a strong safety climate may promote increased use of PPE. Therefore, the objective of this study was to examine the association between safety climate and use of PPE among homecare/hospice nurses in North Carolina. The percentage of nurses who used the specified PPE was two to three times greater among nurses who had a strong safety climate. Safety climate was only weakly associated with using safety devices. These results suggest that improving safety climate may be a powerful tool for increasing use of PPE.

    Source : Leiss, Jack K. (2014). Industrial Health. Prépublication. Repéré à https://www.jstage.jst.go.jp/article/indhealth/advpub/0/advpub_2014-0074/_pdf

PRODUITS TOXIQUES

  • En remplacement des dégraissants et nettoyants traditionnels, on retrouve actuellement sur le marché des préparations à base de bactéries et d’enzymes pour le nettoyage de surfaces en milieux industriel et institutionnel. Des préparations enzymatiques sont également utilisées en milieu de soins pour le nettoyage d’instruments chirurgicaux et diagnostiques.  Mises à part les fiches de données de sécurité et les fiches techniques fournies par les fabricants, les spécialistes du domaine de la santé et de la sécurité du travail ne possèdent que des données fragmentaires sur la composition de ces préparations. De plus, ces préparations sont souvent publicisées comme des produits idéaux, verts et atoxiques. Cette monographie présente les connaissances sur les aspects de la santé, de la sécurité, de l’environnement et techniques de ces produits biotechnologiques, de manière à guider les intervenants qui sont appelés à les évaluer, à les recommander ou à les utiliser. La méthode retenue consiste principalement en une revue de la littérature scientifique et technique. Cette recherche repose aussi sur la consultation d’intervenants représentant divers secteurs d’activité et sur l’observation de quelques milieux dans lesquels les travailleurs sont exposés à ce genre de préparations.

    Source : Bégin, Denis, Gérin, Michel, Lavoie, Jacques. (2014). Montréal, IRSST, 103 p. (Études et recherches / rapport R-829)

  • Lorsqu’un accident ou un attentat terroriste se produit, des personnes peuvent être exposées à des matières chimiques, biologiques, radiologiques ou nucléaires (CBRN) et ainsi être contaminées. Il est donc indispensable de pouvoir les décontaminer dans les meilleurs délais, tout en limitant les risques de contamination secondaire. Ce guide contient des propositions ayant pour but de favoriser une préparation optimale des centres hospitaliers qui pourraient avoir à décontaminer plusieurs personnes.

    Source : Bernier, Simon. (2014). [Québec] : Direction des communications du ministère de la Santé et des Services sociaux. 62 p. Repéré à http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2013/13-860-09W.pdf

  • The objective was to identify and summarise volatile organic compound (VOC) exposure profiles of healthcare occupations. Personal (n=143) and mobile area (n=207) evacuated canisters were collected and analysed by a gas chromatograph/mass spectrometer to assess exposures to 14 VOCs among 14 healthcare occupations in five hospitals. Participants were volunteers identified by their supervisors. In conclusion, healthcare workers are exposed to a variety of chemicals that vary with the activities and products used during activities. These VOC profiles are useful for estimating exposures for occupational hazard ranking for industrial hygienists as well as epidemiological studies.

    Source : LeBouf, Ryan F., Virji, M. Abbas, Saitom Rena, Henneberger, Paul, K., Simcox, Nancy, et Stefaniak, Aleksandr B. (2014). Occupational & Environmental Medicine. doi: 10.1136/oemed-2014-102080

  • Le cancer est la première cause de mortalité dans les pays industrialisés et il est estimé que de 2% à 8% de ces maladies résultent d’une exposition à des substances cancérogènes d’origine professionnelle. Même si les cancérogènes sont présents dans de nombreux environnements de travail, ils font l’objet d’une certaine banalisation, car leurs effets surviennent plusieurs années après le début de l’exposition. Pourtant, les cancers d’origine professionnelle pourraient être évités en réduisant l’exposition aux cancérogènes en milieu de travail tant en nombre qu’en intensité. Ce formulaire inscriptible est un outil qui servira à réaliser le plan d’action. Il a été élaboré dans le cadre du projet "Activité de valorisation: Document de sensibilisation sur la réduction des risques liés à l’exposition aux cancérogènes".

    Source : Labrèche, France, Roberge, Brigitte, Gravel, Sabrina, d’Amours, Marie-France. (2014). Montréal: IRSST. 1 p. (DI-790).

  • This study uses pulmonary function tests and chest x-ray examinations to examine the relationship between toner-handling work and its health effects. The subjects were 1504 male workers in a Japanese toner and photocopier manufacturing company, in the age range from 19 to 50 years in 2003. Personal exposure measurements, pulmonary function tests, chest x-ray examinations, biomarker measurements, and a questionnaire about respiratory symptoms were conducted. In conclusion, No evidence of adverse effects on pulmonary function indices and chest x-rays was present in the toner-handling workers as compared to the nonspecifically exposed workers. Although the toner exposure concentration is quite low in the current well-controlled working environment, even among the toner-handling workers, we would like to continue this study in the future to verify the toner exposure health effects.

    Source : Kitamura, H., Terunuma, N., Kurosaki, S., Hata, K., Masuda, M., Kochi, T…., Higashi, T. (2014). A cohort study using pulmonary function tests and x-ray examination in toner-handling workers : Cross-sectional and longitudinal analyses from 2003 to 2008. Human & Experimental Toxicology. Prébublication. doi: 10.1177/0960327113520018

PROMOTION DE LA SANTÉ

  • The objective is to explore the relationship between worksite physical environment and employee dietary intake, physical activity behavior, and weight status. Two trained research assistants completed audits (Checklist of Health Promotion Environments at Worksites) at each worksite (n = 28). Employees (n = 6261) completed a brief health survey before participation in a weight loss program. In conclusion, selected environmental factors in worksites were significantly associated with employee behaviors and weight status, providing additional intervention targets to change the worksite environment and promote employee weight loss.

    Source : Almeida, Fabio A., Wall, Sarah S., You, Wen, Harden, Samantha, Hill, Jennie L., Krippendorf, Blake E., et Estabrooks, Paul A. (2014). JOEM : Journal of Occupational and Environmental Medicine, 56(7), 779-784. doi: 10.1097/JOM.0000000000000180

  • Au travail, nous sommes interrompus en moyenne toutes les trois minutes (appels, courriels, textos…). Les pressions de toutes natures rendent la vie professionnelle de plus en plus stressante. Ce livre propose une méthode de méditation, validée par de nombreuses études scientifiques, pour nous permettre de nous ressourcer et de gagner en sérénité. Il comporte des exercices simples et brefs ainsi que des astuces à utiliser au bureau pour développer notre concentration, notre écoute et notre créativité.

    Source : Chaskalson, Michael. (2014). Montréal : Les Éditions transcontinentales. 272 p.

  • C’est l’été, les vacances. Le moment de décrocher. Même les hauts dirigeants en éprouvent le besoin. Faire le vide remet en forme. De retour au travail, les idées sont plus claires. En Californie, un demi-siècle après le mouvement hippie, c’est en pratiquant la méditation qu’on décroche. Avec la bénédiction des directions des ressources humaines des entreprises, qui en font la promotion comme outil de bien-être au travail. Chez Google, un ingénieur en développement informatique a conçu une formation. À ce jour plus de 2000 employés l’ont suivi, a-t-il raconté au journal Les Affaires dans une entrevue.

    Source : Dansereau, Suzanne (19 juillet 2014). Les Affaires, 26, 12-13. Repéré à http://www.lesaffaires.com/strategie-d-entreprise/management/mediter-pour-decrocher-et-mieux-gerer/570594

  • The objective was to examine whether employees selected appropriate health change targets (HCTs) compared with self-reported lifestyle factors (smoking, nutrition, alcohol, physical activity [PA], sedentariness, weight status, and psychological distress) and readiness to change their HCT. A Cross-sectional data of 3367 state-government employees from Tasmania, Australia, were collected in 2010. verall, respondents chose HCTs relevant to their health behaviors. The most frequently selected HCTs were PA, diet, and weight. The majority was in the "action" stage for their HCT, except for those nominating smoking cessation, changes to work characteristics, and moderating alcohol intake.

    Source : Kilpatrick, Michelle, Sanderson, Kristy, Blizzard, Leigh, Nelson, Mark, Frendin, Sue, Teale, Brook, et Venn, Alison. (2014). JOEM : Journal of Occupational & Environmental Medicine, 56(6), 645-651. doi: 10.1097/JOM.0000000000000161

  • The objective of this study was to determine whether a mindfulness program, created for the workplace, was both practical and efficacious in decreasing employee stress while enhancing resiliency and well-being. In conclusion, this online mindfulness intervention seems to be both practical and effective in decreasing employee stress, while improving resiliency, vigor, and work engagement, thereby enhancing overall employee well-being.

    Source : Aikens, Kimberly A., Astin, John, Pelletier, Kenneth R., Levaronich, Kristin, Baase, Catherine, Park, Yeo Yung, et Bodnar, Catherine. (2014). JOEM : Journal of Occupational & Environmental Medicine, 56(7), 721-731. doi: 10.1097/JOM.0000000000000209

QUALITÉ DE L’AIR

  • The objective was to identify and summarise volatile organic compound (VOC) exposure profiles of healthcare occupations. Personal (n=143) and mobile area (n=207) evacuated canisters were collected and analysed by a gas chromatograph/mass spectrometer to assess exposures to 14 VOCs among 14 healthcare occupations in five hospitals. Participants were volunteers identified by their supervisors. In conclusion, healthcare workers are exposed to a variety of chemicals that vary with the activities and products used during activities. These VOC profiles are useful for estimating exposures for occupational hazard ranking for industrial hygienists as well as epidemiological studies.

    Source : LeBouf, Ryan F., Virji, M. Abbas, Saitom Rena, Henneberger, Paul, K., Simcox, Nancy, et Stefaniak, Aleksandr B. (2014). Occupational & Environmental Medicine. doi:10.1136/oemed-2014-102080

RADIOPROTECTION

  • Static magnetic fields (SMFs) and time-varying electromagnetic fields exposure is necessary to obtain the diagnostic information regarding the structure of patient’s tissues, by the use of magnetic resonance imaging (MRI) scanners. A diagnostic procedure may also include the administration of pharmaceuticals called contrast, which are to be applied to a patient during the examination. The nurses involved in administering contrast into a patient during the pause in examination are approaching permanently active magnets of MRI scanners and are exposed to SMF. There were performed measurements of spatial distribution of SMF in the vicinity of MRI magnets and parameters of personal exposure of nurses (i.e. individual exposimetric profiles of variability in time of SMF affecting the nurse who is performing tasks in the vicinity of magnet, characterized by statistical parameters of recorded magnetic flux density affecting the nurse). The SMF exposure in the vicinity of various MRI magnets depends on both magnetic flux density of the main field B 0 (applicable to a patient) and the construction of the scanner, but the most important factor determining the workers’ exposure is the work practice. 

    Source : Karpowicz, Jolanta, et Gryz, Krzystof. (2013). Electromagnetic Biology and Medicine, 32(2), 182-191. doi:10.3109/15368378.2013.776428

SANTÉ PSYCHOLOGIQUE

  • C’est l’été, les vacances. Le moment de décrocher. Même les hauts dirigeants en éprouvent le besoin. Faire le vide remet en forme. De retour au travail, les idées sont plus claires. En Californie, un demi-siècle après le mouvement hippie, c’est en pratiquant la méditation qu’on décroche. Avec la bénédiction des directions des ressources humaines des entreprises, qui en font la promotion comme outil de bien-être au travail. Chez Google, un ingénieur en développement informatique a conçu une formation. À ce jour plus de 2000 employés l’ont suivi, a-t-il raconté au journal Les Affaires dans une entrevue.

    Source : Dansereau, Suzanne (19 juillet 2014). Les Affaires, 26, 12-13. Repéré à http://www.lesaffaires.com/strategie-d-entreprise/management/mediter-pour-decrocher-et-mieux-gerer/570594

  • This field study examined associations between workplace stressors and office workers’ computer use patterns. We collected keyboard and mouse activities of 93 office workers (68F, 25M) for approximately two work weeks. Linear regression analyses examined the associations between self-reported effort, reward, overcommitment, and perceived stress and software-recorded computer use duration, number of short and long computer breaks, and pace of input device usage. Daily duration of computer use was, on average, 30 min longer for workers with high compared to low levels of overcommitment and perceived stress. The number of short computer breaks (30 s-5 min long) was approximately 20% lower for those with high compared to low effort and for those with low compared to high reward. These outcomes support the hypothesis that office workers’ computer use patterns vary across individuals with different levels of workplace stressors.

    Source : Eijckelhofa, Belinda H.W, Huysmansa, Maaike A, Blatterb, Birgitte M.,  Leidera, Priscilla C., Johnson, Peter W., van Dieënb, Jaap H., … van der BeeK, Allard J. (2014). Applied Ergonomics. Prépublication. doi: 10.1016/j.apergo.2014.05.013

  • This study of selected jobs in the health care sector explored a range of physical and psychosocial factors to identify those that most strongly predicted work-related musculoskeletal disorders (WMSD) risk. A self-report survey was used to collect data on physical and psychosocial risk factors from employees in three health care organisations in Victoria, Australia. Multivariate analyses demonstrated the importance of both psychosocial and physical hazards in predicting WMSD risk and provides evidence for risk management of WMSDs to incorporate a more comprehensive and integrated approach. Use of a risk management toolkit is recommended to address WMSD risk in the workplace.

    Source : Oakman, Jodi, Macdonald, Wendy, Wells, Yvonne. (2014). Applied Ergonomics. Prépublication. doi: 10.1016/j.apergo.2014.05.016

  • Au travail, nous sommes interrompus en moyenne toutes les trois minutes (appels, courriels, textos…). Les pressions de toutes natures rendent la vie professionnelle de plus en plus stressante. Ce livre propose une méthode de méditation, validée par de nombreuses études scientifiques, pour nous permettre de nous ressourcer et de gagner en sérénité. Il comporte des exercices simples et brefs ainsi que des astuces à utiliser au bureau pour développer notre concentration, notre écoute et notre créativité.

    Source : Chaskalson, Michael. (2014). Montréal : Les Éditions transcontinentales. 272 p.

  • The objective of this study was to determine whether a mindfulness program, created for the workplace, was both practical and efficacious in decreasing employee stress while enhancing resiliency and well-being. In conclusion, this online mindfulness intervention seems to be both practical and effective in decreasing employee stress, while improving resiliency, vigor, and work engagement, thereby enhancing overall employee well-being.

    Source : Aikens, Kimberly A., Astin, John, Pelletier, Kenneth R., Levaronich, Kristin, Baase, Catherine, Park, Yeo Yung, et Bodnar, Catherine. (2014). JOEM : Journal of Occupational & Environmental Medicine, 56(7), 721-731. doi: 10.1097/JOM.0000000000000209

  • As suggested in the literature, nursing burnout has been a prominent concern for the profession. Because of the complexities of today’s healthcare environment-from patient care and clerical duties to digital storage systems and digital documentation-the work responsibilities of a nurse are challenging and technically complex, making the daily work load very demanding. Research on interventions for burnout are limited, but the nursing literature is replete with studies on how to address the issue of burnout in nursing and reduce job dissatisfaction through better scheduling, improved training, improved job descriptions, and better selection of students by schools of nursing. Although these approaches hold promise, nursing dissatisfaction and burnout continue to plague the profession. We suggest an alternative approach that nurse managers should consider to address these issues in the nursing profession through the practice of "mindfulness."

    Source : Lichtenberg, Pamela, Hartman, Sherry, et Bushardt, Stephen C., ( November 2013). Nursing Management, 44(11) : 24-29. Repéré à http://www.nursingcenter.com/lnc/JournalArticle?Article_ID=1618249&Journal_ID=54013&Issue_ID=1618166

  • Meaningfulness of the job, collaboration among colleagues, trustworthiness of the closest superior and bullying have previously been shown to be major covariates of intention to quit the job. The aim of this study was to test if these elements of the psychosocial work environment are also the most essential covariates of sickness absence. In conclusion, elements of the psychosocial work environment which have previously been shown to have a significant independent association with intention to quit the job were also the most essential covariates of high sickness absence.

    Source : Suadicani, P., Olesen, K., Bonde, J.-P., et Gyntelberg, F. (2014). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqu064

  • The aim of this critical-incident interview study was to identify organizational and social-psychological conditions and processes that Swedish physicians and nurses perceived as important for patient and/or staff safety, and participative safety behavior. Injury due to psychological overload was the most salient type of healthcare worker hazard. Patient and healthcare worker safety went hand in hand. Good patient safety was present when caregivers had good access to their psychological and social capacities. These functions were jeopardized by stress. Our results indicated that quantitative overload, excessive cognitive and emotional complexity, lack of social support and good teamwork, organizational instability, and distrust for and frustration with the way healthcare organizations were managed, caused stress related function impairment in staff, which lead to mistakes and near misses. These aspects also in themselves contributed to risks. Good safety was associated with adequate resources and routines, workplace learning, and supportive unit level managers and colleagues. Features of professional cultures related to ethical norms to offer best possible care for the patient, in spite of insufficient resources, contributed to acceptance of working conditions that could lead to stress and overload.

    Source : Eklöf, Mats, Törner, Marianne, et Pousette, Anders. (2014). Safety Science, 70, 211-221. doi: 10.1016/j.ssci.2014.06.007

  • Le moral de votre équipe laisse à désirer. C’est qu’il règne en son sein une mauvaise ambiance, laquelle découle à première vue de la présence de conflits larvés. Pour être plus précis, de tensions difficilement perceptibles pour ceux qui ne sont pas directement concernés, mais des tensions telles qu’elles pourrissent le travail des uns et des autres, au point de nuire à la productivité de l’ensemble de l’équipe. Des conflits? Des tensions? Dès que nous prenons conscience de leur existence, nous avons tous le même réflexe : nous cherchons à identifier les personnes concernées, puis nous cherchons à identifier les animosités entre elles. Pas vrai? Mais voilà, est-ce là la bonne façon d’aborder le problème? Eh bien, la réponse à cette interrogation est : non, pas vraiment.

    Source : Schmouker, Olivier. (2014, 10 juillet). Quelles sont les vraies racines des conflits en entreprise ? [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/quelles-sont-les-vraies-racines-des-conflits-en-entreprise/570455

  • La question saute aux yeux : comment se fait-il que les membres de votre équipe ne sourient pas plus que ça?  Comment se fait-il, même, qu’ils ne sautent pas de joie, de temps à autre? Hein? D’après vous? Je pense avoir trouvé une réponse fort intéressante à cette interrogation existentielle dans une étude intitulée Unhappy cities. Celle-ci est le fruit du travail de deux professeurs d’économie : Edward Glaeser, de Harvard (États-Unis), assisté de son étudiant Oren Ziv; et Joshua Gottlieb, de l’Université de Colombie-Britannique à Vancouver (Canada). Elle montre que l’explication est on ne peut plus simple…  Ainsi, les trois chercheurs se sont intéressés aux villes américaines les plus malheureuses. C’est-à-dire celles où les gens se disent peu, ou pas, heureux de vivre. Leur objectif était de découvrir pourquoi les gens ne désertaient pas carrément ces endroits-là, et mieux, pourquoi ces villes continuaient malgré tout d’attirer de nouveaux arrivants.

    Source : Schmouker, Olivier. (2014, 21 juillet). Pourquoi votre équipe n’est-elle pas heureuse ? [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/pourquoi-votre-equipe-n-est-elle-pas-heureuse/570583

  • La génération Y arrive sur le marché du travail, tant bien que mal en raison de la crise économique qui perdure depuis 2007. Et les baby-boomers, eux, s’en vont, même si cela se produit au ralenti. L’air de rien, on assiste ainsi à un bouleversement démographique considérable, qui va être accompagné – même si on ne le réalise pas vraiment aujourd’hui – par un choc générationnel phénoménal. Oui, phénoménal. Je pèse mes mots. Pourquoi suis-je aussi catégorique? Parce que j’ai mis la main sur un sondage mondial passionnant mené auprès de 11 500 employés à temps plein œuvrant dans 14 pays, dont le Canada. Il en ressort que l’arrivée de la génération Y va bouleverser notre quotidien au bureau. Et ce, pour le mieux ! C’est que les membres de la génération Y – en l’occurrence, les 18-24 ans – ont de toutes autres valeurs que les baby-boomers – les 55-65 ans -, du moins concernant le travail. Et cela aura un impact direct et majeur sur nombre de dimensions fondamentales du travail, comme le bonheur, la motivation et la productivité.

    Source : Schmouker, Olivier. (2014, 11 juillet). La vie de bureau bientôt métamorphosée. Et c’est tant mieux! [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/la-vie-de-bureau-bientot-metamorphosee-et-c-est-tant-mieux/570479

  • Health care workers are more stressed than workers in anay other industry, a recent survey found.The finding made national headlines, mirroring other recent studies of worker stress. It is a bell-wether of problems that could affect both patient care and worker health, says Naomi Swanson.

    Source : HCWs are nation’s most stressed workers. (August 2014). Hospital Employee Health, 33(8), 88-90. 

  • Hospital employee health directors often find it difficult to quantify a return on investment for hospital leadership because much of their department’s value cannot be measured. "We bring a sense of trust into workplace, a sense of caring, and people feeling valued," says Karen Mastroianni, president of Dimensions in Occupational Health & Safety in Raleigh, NC.

    Source : Show employee health’s return on investment : Greatest value is staff satisfaction. (August 2014). Hospital Employee Health, 33(8), 94-95.

  • The relationship of burnout (BO), compassion fatigue (CF), compassion satisfaction (CS), and secondary traumatic stress (STS) to personal/environmental characteristics, coping mechanisms, and exposure to traumatic events was explored in 128 trauma nurses. Of this sample, 35.9% had scores consistent with BO, 27.3% reported CF, 7% reported STS, and 78.9% had high CS scores. High BO and high CF scores predicted STS. Common characteristics correlating with BO, CF, and STS were negative coworker relationships, use of medicinals, and higher number of hours worked per shift. High CS correlated with greater strength of supports, higher participation in exercise, use of meditation, and positive coworker relationships. Caring for trauma patients may lead to BO, CF, and STS; identifying predictors of these can inform the development of interventions to mitigate or minimize BO, CF, and STS in trauma nurses.

    Source : Hinderer, Katherine A., VonRueden, Kathryn T., Friedmann, Erika, McQuillan, Karen A., Gilmore, Rebecca, Kramer, Betsy, et Murray, Mary. (2014). Journal of Trauma Nursing, 21(4), 160-169. doi: 10.1097/JTN.0000000000000055

SERVICES À DOMICILE

  • Le présent rappel vise les dossiers fixes Aquatec. Un dossier fixe Aquatec est un accessoire pour douche mobile et chaise d’aisance et est utilisé pour fixer le positionnement du patient de façon sécuritaire.  Le dossier fixe Aquatec peut se détacher du cadre lorsque l’utilisateur applique une charge inégale au moyen du dos soit au bas ou dans le haut du dossier, pouvant causer la chute de l’utilisateur. Un incident a été signalé à Invacare Canada LP, mais aucune blessure n’a été déclarée. Les modèles Ocean, Ocean VIP et Ocean E-VIP sont concernés par cet avis. Aucun incident ni aucune blessure n’ont été signalés à Santé Canada relativement à l’utilisation de ce produit.

    Source : Santé Canada. (4 juillet 2014). Canadiens en santé : rappels et avis. Repéré à  http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/40369r-fra.php

  • Use of personal protective equipment (PPE) and safety medical devices is mandated for healthcare workers to reduce the risk of infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) from exposure to patients’ blood. Research has shown that a strong safety climate may promote increased use of PPE. Therefore, the objective of this study was to examine the association between safety climate and use of PPE among homecare/hospice nurses in North Carolina. The percentage of nurses who used the specified PPE was two to three times greater among nurses who had a strong safety climate. Safety climate was only weakly associated with using safety devices. These results suggest that improving safety climate may be a powerful tool for increasing use of PPE.

    Source : Leiss, Jack K. (2014). Industrial Health. Prépublication. Repéré à https://www.jstage.jst.go.jp/article/indhealth/advpub/0/advpub_2014-0074/_pdf

  • Predicted work-related injuries for nurses and home healthcare workers are on the rise given the many risk factors in the home environment and the escalating demands for home healthcare workers in the United States. Fortunately, safe patient handling and mobility programs can dramatically decrease injuries. Despite strides being made to promote safe patient handling and mobility programs in acute care, more can be done to establish such initiatives in the home care setting.

    Source : Beauvais, Audrey, et Frost, Lenore. (2014). Home Healthcare Nurse, 32(7), 430-434.

TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS

  • Nurses’ use of the Internet and social media has surfaced as a critical concern requiring further exploration and consideration by all health care organizations and nursing associations. In an attempt to support this need, the American Nurses Association (2011) published six principles of social networking that offered guidance and direction for nurses. In addition, the National Council of State Boards of Nursing (2011) published a nurse’s guide to using social media. Surfing the Internet and using social media for professional and personal needs is extremely common among nurses. What is concerning is when nurses do not separate their professional and personal presence in the virtual world. This article presents an Institutional Review Board-approved pilot survey that explored nurses’ use of social media personally and professionally and offers recommendations specifically directed to the occupational health nurse. 

    Source : Wolf, Debra M., Anton, Bonnie B., et Wenskovitch, John. (2014). Workplace Health & Safety, 62(7), 302-306. doi: 10.3928/21650799-20140617-02

TRAVAIL DE BUREAU

  • Past efforts have been made to design single-user workstations to accommodate users’ anthropometric and preference distributions. However, there is a lack of methods for designing workstations for group interaction. This paper introduces a method for sizing workstations to allow for a personal work area for each user and a shared space for adjacent users. Highlights : A method for sizing workstations with both personal and shared spaces is presented. The accommodation of pairs (not simply individuals) is considered. The method incorporates the anthropometric distributions of a target population. The method is applied to examples for sizing polygonal and circular workstations.

    Source : Mahoney, Joseph M., Kurczewski, Nicolas A., et Froede, Erick W. (2014). Applied Ergonomics. Prépublication. doi: 10.1016/j.apergo.2014.07.003

  • This study uses pulmonary function tests and chest x-ray examinations to examine the relationship between toner-handling work and its health effects. The subjects were 1504 male workers in a Japanese toner and photocopier manufacturing company, in the age range from 19 to 50 years in 2003. Personal exposure measurements, pulmonary function tests, chest x-ray examinations, biomarker measurements, and a questionnaire about respiratory symptoms were conducted. In conclusion, No evidence of adverse effects on pulmonary function indices and chest x-rays was present in the toner-handling workers as compared to the nonspecifically exposed workers. Although the toner exposure concentration is quite low in the current well-controlled working environment, even among the toner-handling workers, we would like to continue this study in the future to verify the toner exposure health effects.

    Source : Kitamura, H., Terunuma, N., Kurosaki, S., Hata, K., Masuda, M., Kochi, T…., Higashi, T. (2014). A cohort study using pulmonary function tests and x-ray examination in toner-handling workers : Cross-sectional and longitudinal analyses from 2003 to 2008. Human & Experimental Toxicology. Prébublication. doi: 10.1177/0960327113520018

  • On consacre plus de la moitié de sa vie éveillée au boulot, le saviez-vous ? Si on a un emploi de bureau, cela signifie qu’on passe des dizaines de milliers d’heures en posture assise prolongée. On sait maintenant que cette habitude s’avère aussi dommageable pour la santé que le tabagisme. On parle même d’une pathologie de la posture assise (en anglais, sitting disease). Peut-on s’en sauver ? Sophie Allard fait le point.

    Source : Allard, Sophie. (2 juillet 2014). S’assoir et mourir à petit feu. La Presse. Repéré à http://www.lapresse.ca/vivre/sante/201407/02/01-4780469-sasseoir-et-mourir-a-petit-feu.php

  • Obesity in the workplace is associated with loss of productivity, high medical care expenses, and increased rates of work-related injuries and illness. Thus, effective, low-cost interventions are needed to accommodate the size of today’s obese office worker while alleviating potential physical harm associated with musculoskeletal disorders. Utilizing a sample of 22 overweight and obese office workers, this pilot study assessed the impact of introducing an alternative, more ergonomically-sound keyboard on perceptions about design, acceptability, and usability; self-reported body discomfort; and typing productivity. The intervention duration was six weeks. Findings suggest that such interventions may be introduced into the workforce with positive gains for workers without reducing short-term worker productivity.

    Source : Smith, Matthew Lee, Pickens, Adam W., Ahn, SangNam, Ory, Marcia G., DeJoy, David M., Young, Kristi,…Congleton, Jerome J. (2014). Applied Ergonomics. Prépublication. doi: 10.1016/j.apergo.2014.06.004

TRAVAILLEURS JEUNES/ÂGÉS

  • La génération Y arrive sur le marché du travail, tant bien que mal en raison de la crise économique qui perdure depuis 2007. Et les baby-boomers, eux, s’en vont, même si cela se produit au ralenti. L’air de rien, on assiste ainsi à un bouleversement démographique considérable, qui va être accompagné – même si on ne le réalise pas vraiment aujourd’hui – par un choc générationnel phénoménal. Oui, phénoménal. Je pèse mes mots. Pourquoi suis-je aussi catégorique? Parce que j’ai mis la main sur un sondage mondial passionnant mené auprès de 11 500 employés à temps plein œuvrant dans 14 pays, dont le Canada. Il en ressort que l’arrivée de la génération Y va bouleverser notre quotidien au bureau. Et ce, pour le mieux ! C’est que les membres de la génération Y – en l’occurrence, les 18-24 ans – ont de toutes autres valeurs que les baby-boomers – les 55-65 ans -, du moins concernant le travail. Et cela aura un impact direct et majeur sur nombre de dimensions fondamentales du travail, comme le bonheur, la motivation et la productivité.

    Source : Schmouker, Olivier. (2014, 11 juillet). La vie de bureau bientôt métamorphosée et c’est tant mieux! [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/la-vie-de-bureau-bientot-metamorphosee-et-c-est-tant-mieux/570479

TRAVAILLEURS OBÈSES

  • Obesity in the workplace is associated with loss of productivity, high medical care expenses, and increased rates of work-related injuries and illness. Thus, effective, low-cost interventions are needed to accommodate the size of today’s obese office worker while alleviating potential physical harm associated with musculoskeletal disorders. Utilizing a sample of 22 overweight and obese office workers, this pilot study assessed the impact of introducing an alternative, more ergonomically-sound keyboard on perceptions about design, acceptability, and usability; self-reported body discomfort; and typing productivity. The intervention duration was six weeks. Findings suggest that such interventions may be introduced into the workforce with positive gains for workers without reducing short-term worker productivity.

    Source : Smith, Matthew Lee, Pickens, Adam W., Ahn, SangNam, Ory, Marcia G., DeJoy, David M., Young, Kristi,…Congleton, Jerome J. (2014). Applied Ergonomics. Prépublication. doi: 10.1016/j.apergo.2014.06.004

TROUBLES MUSCULOSQUELETTIQUES

  • Les troubles musculo-squelettiques (TMS) liés au travail sont une cause très importante d’incapacité dans la population active québécoise. Le Programme de prévention des TMS liés au travail du Réseau de santé publique en santé au travail (RSPSAT) a été mis en place en avril 2008. Il vise l’identification de la présence de TMS liés au travail et des facteurs de risque professionnels associés aux TMS et l’intégration des risques TMS aux programmes de santé spécifiques aux entreprises (PSSE), au même titre que les autres risques à la santé au travail. Il vise également la mobilisation des entreprises ayant des facteurs de risque de TMS importants à s’engager dans des activités de prévention. Son implantation nécessitait de nouvelles compétences chez les intervenants. Il était important d’évaluer le processus et le degré d’implantation de ce nouveau programme incluant les obstacles et les facteurs facilitant l’implantation. Le but du projet était de mieux comprendre les défis et les besoins des équipes de santé au travail dans l’application des activités de prévention des TMS afin de mieux soutenir les intervenants dans leur travail.

    Source : Stock, Susan, Tissot, France, Lazreg, Faïza. (2014). [Montréal] : Institut national de santé publique du Québec, v, 21 p. Repéré à http://www.inspq.qc.ca/pdf/publications/1832_Evaluation_Troubles_Musculo-Squelettiques.pdf

  • This study of selected jobs in the health care sector explored a range of physical and psychosocial factors to identify those that most strongly predicted work-related musculoskeletal disorders (WMSD) risk. A self-report survey was used to collect data on physical and psychosocial risk factors from employees in three health care organisations in Victoria, Australia. Multivariate analyses demonstrated the importance of both psychosocial and physical hazards in predicting WMSD risk and provides evidence for risk management of WMSDs to incorporate a more comprehensive and integrated approach. Use of a risk management toolkit is recommended to address WMSD risk in the workplace.

    Source : Oakman, Jodi, Macdonald, Wendy, et Wells, Yvonne. (2014). Applied Ergonomics. Prépublication. doi: 10.1016/j.apergo.2014.05.016

  • Systematically review observational studies concerning the question whether workers that perform pushing/pulling activities have an increased risk for upper extremity symptoms as compared to workers that perform no pushing/pulling activities. Studies had to examine exposure to pushing/pulling in relation to upper extremity symptoms. Two authors performed the literature selection and assessment of the risk of bias in the studies independently. A best evidence synthesis was used to draw conclusions in terms of strong, moderate or conflicting/insufficient evidence. In conclusion, there is insufficient or conflicting evidence that pushing/pulling is related to (combinations of) upper arm, elbow, forearm, wrist or hand symptoms.

    Source : Hoozemans, Marco J.M., Knelange, E.B., Frings-Dresen, M.H.W., Veeger, H.E.J., et Kuijer, P.P.F.M. (2014). Occupational & Environmental Medicine. doi:10.1136/oemed-2013-101837

  • Occupational back injuries are an ongoing hazard in health care, particularly among nurses who have to move patients and perform other tasks that could cause injury. Melody Rasmor suggests five steps for conducting a neuro-musculoskeletal assessment of injured workers. 

    Source : Assessing back pain, injuries, interventions : medical history is first priority. (August 2014). Hospital Employee Health, 33(8), 92-93.

  • The aim is to compare the prevalence of those complaints in nurses working in rehabilitation departments and nursing homes, and to evaluate factors associated with them. Data were obtained from questionnaires relating to basic demographics, prevalence of musculoskeletal complaints, potentially harmful positions and actions and job satisfaction. Multivariate analyses demonstrated higher work-related musculoskeletal complaints for nurses in rehabilitation than nursing home nurses. Trunk bending, static posture, repetitive tasks, and recognition of superiors were associated with low back pain. Freedom to choose work techniques and degree of diversity at work were associated with neck-shoulder pain. In conclusion, differences between the nurse groups as to work tasks might be a reason for differences in musculoskeletal complaints.

    Source : Alperovitch-Najenson, Deborah, Sheffer, Dvora, Finkels, Tova, et Kalichman, Leonid. (2014). Rehabilitation nursing. Prépublication. doi: 10.1002/rnj.172

  • Predicted work-related injuries for nurses and home healthcare workers are on the rise given the many risk factors in the home environment and the escalating demands for home healthcare workers in the United States. Fortunately, safe patient handling and mobility programs can dramatically decrease injuries. Despite strides being made to promote safe patient handling and mobility programs in acute care, more can be done to establish such initiatives in the home care setting.

    Source : Beauvais, Audrey, et Frost, Lenore. (2014). Home Healthcare Nurse, 32(7), 430-434.

VACCINATION

  • A majority of U.S. hospitals has achieved the Healthy People 2010 goal of vaccinating at least 90% of their employees against influenza, but they have struggled to track the vaccinations of doctors, advanced practice nurses and physician assistants.

    Source : Hospitals hit the 90% mark for health care worker flu shots. (August 2014). Hospital Employee Health, 33(8), 85-87. 

  • Nursing home (NH) employee influenza vaccination is associated with reductions in morbidity and mortality among residents. Little is known regarding associations between NH characteristics and employee influenza vaccination rates (EVRs). This study identifies NH characteristics that may be associated with EVRs. In conclusion, given that NHs generally have low employee influenza vaccination rates, it may be necessary to target low-performing facilities to achieve substantial improvements. However, significant correlates of this study cannot be easily addressed by NH management or policymakers. Without policy change encouraging key components of vaccination programs, public reporting may be insufficient to improve EVRs.

    Source : Campbell, Lauren J., Li Qinghua, et Li, Yue. (2014). Journal of the American Medical Directors Association. Prépublication. doi: 10.1016/j.jamda.2014.06.005

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