COIN DE LA DOCUMENTALISTE – SEPTEMBRE/OCTOBRE 2014

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

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

Pour contacter notre documentaliste :

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

AGRESSIONS ET VIOLENCE

  • Vingt-quatre projets ont été présentés au jury de la 8e édition du concours. Découvrez les projets qui ont remporté un Prix du jury et le choix des participants du colloque pour le Prix du public. Les projets qui se sont mérités ces prix sont : Des super-utilisateurs pour la prévention des blessures musculosquelettiques / Optimisation du processus de prêt des fauteuils roulants / On s’attache à vous pour un transfert sécuritaire ! / Utilisation de Toile-Nette pour les soins d’hygiène au lit / Pompe à formol / Chariot élévateur pour les moteurs de lève-personne sur rail au plafond / Guide de prévention er de gestion des manifestations de violence par la clientèle à l’endroit des personnes oeuvrant à l’Hôpital Rivières-des-Prairies.

    Source : Bleau, Julie (2014). OP, 37(3), 10-13. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373010_Initiative.pdf

  • A key barrier to preventing workplace violence injury is the lack of methodology for prioritizing the allocation of limited prevention resources. The hazard risk matrix was used to categorize the probability and severity of violence in hospitals to enable prioritization of units for safety intervention. Results : Forty-one hospital units were categorized as medium or high on both severity and probability and were prioritized for forthcoming interventions. Probability and severity were highest in psychiatric care units.

    Source : Arnetz, Judith E., Hamblin, Lydia, Ager, Joel, Aranyos, Deanna, Upfal, Mark J., Luborsky, Mark,…Essenmacher, Lynnette. (2014). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22371

  • L’équipe de recherche VISAGE a lancé aujourd’hui un outil Web interactif de sensibilisation aux réalités de la violence en milieu de travail qui a été développé en collaboration avec l’Association paritaire pour la santé et la sécurité du travail, secteur « affaires municipales » (APSAM) et l’Association paritaire pour la santé et la sécurité du travail, secteur « affaires sociales » (ASSTSAS). Ce projet vise les trois objectifs suivants : 1 – Aider les travailleurs à reconnaître plusieurs formes de violence verbale et physique au travail 2 – Sensibiliser les travailleurs à l’importance de parler avec leurs collègues et leurs proches des actes de violence dont ils ont été victimes ou témoins dans leur milieu de travail 3 – Augmenter la probabilité que les travailleurs déclarent ces actes de violence à leur employeur.

    Source : Équipe de recherche VISAGE (2014). Repéré à http://www.equipevisage.ca/lancement-de-loutil-web-de-sensibilisation-a-la-violence-au-travail/

    Pour consulter l’outil : http://www.violenceautravail.ca/

  • In one segment of a multifactor study conducted in 2011 at five psychiatric sites in three counties of Long Island, New York, 110 nurses were interviewed about their experiences with physical assault by psychiatric patients. Marked differences were identified between the male and female nurse participants who were assaulted. Women expressed feelings of inadequacy and questioned their competence. They felt blamed by administration and sometimes even colleagues. In addition, many did not report the incident for fear of reprisal. Women believed that violence was to be expected, and they considered it part of the job. On the other hand, men did not question their competency. They blamed external factors, such as poor staffing or unsafe design of the unit, or they stated that the patient was inadequately medicated and impossible to control. The male nurses did not feel blamed for the incident. All but one male nurse formally reported the incidents. They believed that violence in psychiatry is to be expected but should not be considered part of the job.

    Source : Biggin Moylan, Lois, Cullinan, Meritta B. & Kimpel, Jeanne E. (2014). Journal of Psychosocial Nursing and Mental Health Services. Prépublication. DOI: 10.3928/02793695-20140903-01

  • Violence by patients towards healthcare workers (Type II workplace violence) is a significant occupational hazard in hospitals worldwide. Studies to date have failed to investigate its root causes due to a lack of empirical research based on documented episodes of patient violence. The purpose of this study was to explore catalysts to, and circumstances surrounding, patient-to-worker violent incidents recorded by employees in a hospital system database.  The authors concluded that identifying catalysts and situations involved in patient violence in hospitals informs administrators about potential targets for intervention. Hospital staff can be trained to recognize these specific risk factors for patient violence and can be educated in how to best mitigate or prevent the most common forms of violent behaviour. A social–ecological model can be adapted to the hospital setting as a framework for prevention of patient violence towards staff.

    Source : Arnetz, Judith E., Hamblin, Lydia, Essenmacher, Lynnette, Upfal, Mark J. & Ager, Joel. (2014). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12494

AMÉNAGEMENT-ARCHITECTURE

  • Les portes sont-elles trop étroites pour laisser passer une civière ou un fauteuil ? S’il ne manque que 2 à 5 cm pour permettre le passage des différents équipements, voici des charnières de porte qui offrent une solution pour élargir un peu l’espace libre.

    Source : Proteau, Rose-Ange. (2014). OP, 37(3), 7. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373007_Vitrine.pdf

  • Most older persons with dementia living in nursing homes spend their days without engaging in much physical activity. This study therefore looked at the influence that the environment has on their level of physical activity, by reviewing empirical studies that measured the effects of environmental stimuli on the physical activity of nursing home residents suffering from dementia. The electronic databases PubMed, PsycINFO, EMBASE, CINAHL and the Cochrane Library were used for the search. The search covered studies published between January 1993 and December 2012, and revealed 3187 abstracts. 326 studies were selected as potentially relevant; of these, 24 met all the inclusion criteria. Positive results on the residents’ levels of physical activity were found for music, a homelike environment and functional modifications. Predominantly positive results were also found for the small-scale group living concepts. Mixed results were found for bright or timed light, the multisensory environment and differences in the building footprint.

    Source : Anderiesen, Hester, Sherder, Erik J.A., Goossens, Richard H.M. & Sonneveld, Marieke H. (2014). Applied Ergonomics, 45(6), 1678-1686. DOI: 10.1016/j.apergo.2014.05.011

CHAMPS ÉLECTROMAGNÉTIQUES

CHUTES ET GLISSADES

  • Les chutes de hauteur sont une des principales causes d’accidents graves et mortels. Au Québec, en 2009 seulement, il y a eu 62 décès reliés aux accidents de travail. Les accidents de transport arrivent en tête avec 20 décès, suivis de 15 décès dus aux contacts avec les objets et 13 décès dus aux chutes de hauteur. 12 841 chutes se sont produites pendant les heures travaillées et depuis le 1er janvier 2009, 70 % des arrêts de travail et 58 % des constats d’infraction dans la construction sont dus aux chutes de hauteur.

    Source : Lan, André & Galy, Bertrand. (2014). Travail et santé, 30(3), 34-37.

COMMUNICATION EN SST

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • Many health care workers have physically demanding jobs. These jobs require them to perform such tasks as moving patients from beds and repositioning them, turning and rolling patients in bed, and holding limbs while caring for wounds. All patients, with the exception of infants and those who can move themselves, are usually considered too heavy for workers to safely handle on their own. You wouldn’t lift a 100-pound box, so why is it acceptable to handle a 100-pound patient ? Chloe Eaton, occupational safety officer and former WorkSafe BC ergonomist talked about preventing musculoskeletal injuries through risk assessments, particularly in connection with patient hanling in health care.

    Source : Douglas, Marnie. (2014). Worksafe Magazine, 14(5), 5-6. Repéré à http://worksafebc.com/publications/newsletters/worksafe_magazine/Assets/PDF/current/AskanOfficer.pdf

  • Les ambulanciers s’exposent à se blesser en soulevant des personnes. Pour bien identifier la source des risques de troubles musculosquelettiques (TMS) de ce métier, une équipe de l’Université Laval a observé leur travail réel à Québec durant l’été 2011 et l’hiver 2012, puis à Montréal durant l’hiver et l’été 2013. Ces travaux consistent à inventorier l’équipement que les ambulanciers utilisent et à documenter la manière dont ils s’y prennent pour évacuer les malades. Des analyses touchant les aspects biomécanique, ergonomique et physiologique seront réalisées. " À partir de l’observation de ce que font les travailleurs dans différentes situations, nous ferons ressortir les stratégies les plus optimales, poursuit Dominique Larouche. À terme, nous voulons pourvoir les ambulanciers de façons de faire, c’est-à-dire des stratégies variées dans des contextes différents chaque fois qu’ils doivent déplacer une personne. Ils auront plus d’options. "

    Source : Sabourin, Guy. (2014). Prévention au travail, 27(3), 27. Repéré à http://www.csst.qc.ca/publications/600/Documents/DC600_202_143web.pdf#27

  • Les portes sont-elles trop étroites pour laisser passer une civière ou un fauteuil ? S’il ne manque que 2 à 5 cm pour permettre le passage des différents équipements, voici des charnières de porte qui offrent une solution pour élargir un peu l’espace libre.

    Source : Proteau, Rose-Ange. (2014). OP, 37(3), 7. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373007_Vitrine.pdf

  • Vingt-quatre projets ont été présentés au jury de la 8e édition du concours. Découvrez les projets qui ont remporté un Prix du jury et le choix des participants du colloque pour le Prix du public. Les projets qui se sont mérités ces prix sont : Des super-utilisateurs pour la prévention des blessures musculosquelettiques / Optimisation du processus de prêt des fauteuils roulants / On s’attache à vous pour un transfert sécuritaire ! / Utilisation de Toile-Nette pour les soins d’hygiène au lit / Pompe à formol / Chariot élévateur pour les moteurs de lève-personne sur rail au plafond / Guide de prévention er de gestion des manifestations de violence par la clientèle à l’endroit des personnes oeuvrant à l’Hôpital Rivières-des-Prairies.

    Source : Bleau, Julie (2014). OP, 37(3), 10-13. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373010_Initiative.pdf

  • We set and examined two hypotheses about effects of ramp slope (1:6, 1:8, 1:10, 1:12, and 1:14) by varying ramp height (0.15 m, 0.30 m, and 0.45 m) and pushing force of wheelchair users (weak, medium, and strong group). Thirty participants were recruited for the experiment, and they have ascended a ramp using a manual wheelchair. Three categories of dependent variables were measured: performance measures (total time and velocity), muscular activity measures (EMG of four upper extremity muscles) and subjective rating measures (physical discomfort and acceptability). Only the strong group used muscles constantly regardless of the ramp slope. Accessibility of the ramp decreased as the slope increased, and accessibility difference between slopes increased as the height increased. Based on the result, we suggest maximum allowable slope by ramp height: 1:8, 1:10 and 1:12 were recommended for the heights of 0.15 m, 0.30 m, and 0.45 m, respectively.

    Source : Kim, Chung Sik, Lee, Donghun, Kwon, Sunghyuk & Chung, Min K. (2014). International Journal of Industrial Ergonomics, 44(5). DOI: 10.1016/j.ergon.2014.07.001

ÉQUIPEMENTS – AVIS ET RETRAITS

ÉQUIPEMENTS DE PROTECTION

  • La norme CSA Z195 traite des exigences en matière de chaussures antistatiques, qu’elles soient ou non munies d’embouts protecteurs résistants aux chocs. Elle définit les exigences relatives aux chaussures antidérapantes, avec ou sans autres caractéristiques de protection. Elle prévoit une nouvelle catégorie de chaussures antistatiques – la catégorie « super AS » -, qui a été ajoutée pour les personnes travaillant avec de l’équipement électronique ou des instruments sensibles. Elle introduit un nouveau système d’étiquetage pour les étiquettes multiples, les étiquettes indiquant les chaussures avec protection métatarsienne et les étiquettes indiquant les chaussures « super AS ».

    Source : Canadian Standard Association (2014). Protective footwear. Mississauga, Ont.: CSA, 61 p. (CSA: Z195-14). Repéré à http://shop.csa.ca/fr/canada/protective-footwear/z195-14/invt/27015092014

  • Filtering face-piece respirators (FFRs) are one method of protecting health care workers from airborne particles; however, research suggests adherence is poor, perhaps due to worker discomfort. Three separate focus groups were conducted at two Veterans Affairs health care facilities. Seventeen health care workers who reported using FFRs as part of their job duties were in the focus groups. Focus group transcripts were coded using qualitative descriptive coding techniques. Participants described experiences of discomfort and physical mask features they believed contributed to discomfort. Participants believed FFRs influenced patient care because some patients felt uneasy and changed health care workers’ behaviors (e.g., doffing procedures, loss of concentration, rushed patient care, and avoidance of patients in isolation resulting from FFR discomfort). Assessment of comfort and tolerability should occur during fit-testing. These factors should also be taken into account by management when training employees on the proper use of FFRs, as well as in future research to improve comfort and tolerability.

    Source : Locatelli, Sara M., LaVela, Sherri L. & Gosch, Megan. (2014). Workplace Health & Safety. Prépublication. DOI: 10.3928/21650799-20140804-03

ERGONOMIE

  • The objectives of this study were to develop a questionnaire that evaluates the perception of nursing workers to job factors that may contribute to musculoskeletal symptoms, and to evaluate its psychometric properties. Internationally recommended methodology was followed: construction of domains, items and the instrument as a whole, content validity, and pre-test. Psychometric properties were evaluated among 370 nursing workers. Therefore, results indicated that the new questionnaire had good psychometric properties for use in studies involving nursing workers.

    Source : Orpinelli Coluci, Marina Zambon & Costa Alexandre, Neusa Maria. (2014). Applied Ergonomics, 45(6), 1588-1596. DOI: 10.1016/j.apergo.2014.05.007

ÉVALUATION DES RISQUES

FORMATION EN SST

GESTION-LEADERSHIP

  • Pendant de nombreuses années, les organisations ont fait appel à des firmes-conseils pour la gestion de leurs changements. Au cours de la dernière décennie, on a constaté que plusieurs organisations désirent devenir autonomes à cet égard. L’internalisation de la pratique de gestion du changement devient donc un enjeu ; d’ailleurs, les recherches récentes sur la question (Autissier et Moutot, 2010 ;Collerette, 2012) démontrent l’importance de cette tendance qui permettrait de réagir plus adéquatement à un environnement complexe (Rondeau, 2008).

    Source : Lemieux, Nathalie, Hervieux, Geneviève. (2014). Effectif, 17(4), 22-25.

GESTION DE LA SST

  • This study aimed to assess relationships between perceptions of organizational practices and policies (OPP), social support, and injury rates among workers in hospital units.  total of 1230 hospital workers provided survey data on OPP, job flexibility, and social support. Demographic data and unit injury rates were collected from the hospitals’ administrative databases.

    Source : Tveito, T.H., Sembajwe, G., Boden, L.I., Dennerlein, J.T., Wagner, G.R., Kenwood, C…. Sorensen, G. (2014). JOEM : Journal of Occupational and Environmental Medicine, 56(8), 802-808. doi: 10.1097/JOM.0000000000000189

  • Au cours de la dernière année, le processus amenant à la planification stratégique 2014-2018 a retenu particulièrement l’attention du conseil d’administration de l’ASSTSAS. L’adoption des orientations stratégiques n’est pas la fin du processus. Au contraire ! Cette planification servira de livre de bord pour les cinq prochaines années. Les grandes lignes vous sont ici présentées.

    Source : Landry, Mona & Laurion, Guy. (2014), OP, 37(3), 4-5. Repéré à   http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373004_Nouvelles_Plan_strat.pdf

  • En 2009, les services d’entretien et de fonctionnement des installations de l’Institut universitaire en santé mentale de Québec (IUSMQ) entreprenaient une réflexion sur l’amélioration de leur offre de service. Ce projet suivait le changement de vocation de l’IUSMQ et l’entrée en vigueur de nouveaux règlements à la CSST. Voici un aperçu de leur démarche et de ses résultats.

    Source : René, Mario. (2014). OP, 37(3), 8-9. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373008_Org_prev.pdf

  • Les personnes qui agissent à titre de formateur, mentor ou compagnon sont souvent préoccupées par la faible connaissance des apprentis des risques de leur métier. On attribue la situation, à tort, à la résistance des travailleurs à agir avec prudence et à braver les pratiques risquées par souci de performance. Or, la réalité est bien souvent ancrée dans des écarts de perception des risques.

    Source : Gravel, Sylvie & Zayed, Joseph. (2014). OP, 37(3), 19-21. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373019_Dossier_perception.pdf

  • Comme membre de la première cohorte de la communauté apprenante de l’AQESSS à implanter le SMSST, l’Institut universitaire de santé mentale de Québec a également choisi d’agir en tant que pionnier dans sa façon de le communiquer à l’ensemble de son personnel. Animés par la volonté unificatrice de maximiser les efforts en la matière, les représentants patronaux et syndicaux ont appuyé le travail de sensibilisation et de communication pour assurer le succès de la démarche.

    Source : Saccà, Paul & Roy-Chouinard, Geneviève. (2014). OP, 37(3), 24-25. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373024_Dossier_SMSST.pdf

  • Cette chronique apporte un complément d’information, ou présente des ressources, sur différents sujets liés à la santé et sécurité du travail. Dans ce numéro vous sont présentés deux nouvelles publications : Favoriser plus de conscience dans les comportements en santé et sécurité au travail : 52 capsules (auteure : Renée Cossette) et Méditer au travail pour rester zen dans le tourbillon (auteur : Michael Chaskalson).

    Source : Désilets, Suzie. (2014). OP, 37(3), 32. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373032_Coin_doc.pdf

  • Ce dépliant de sensibilisation présente les 5 principes fondamentaux pour un management réussi de la santé et de la sécurité du travail : écouter le réel, cadrer, innover, partager et réguler. Il rappelle également quels sont les outils INRS utilisables pour améliorer ses pratiques de prévention : grille GPS&ST (outil 17) ou grille DIGEST (outil 34), DVD-Rom "Manager la santé et la sécurité dans son entreprise" (DVD 0394).

    Source : Institut national de recherche et de sécurité pour la prévention des accidents du travail et des maladies professionnelles. (2014). Paris : INRS, 2014. 1 dépliant. Repéré à http://www.inrs.fr/accueil/dms/inrs/CataloguePapier/ED/TI-ED-6179/ed6179.pdf

  • Until now there has been a lack of effective screening instruments for health care workers at risk. To counteract the forecast shortage for health care workers, the offer of early interventions to maintain their work ability will become a central concern. The Nurse-Work Instability Scale (Nurse-WIS) seems to be suitable as a screening instrument and therefore a prospective study of a cohort of nursing staff from nursing homes was undertaken to validate the Nurse-Work Instability Scale (Nurse-WIS). In conclusion, the German version of the Nurse-WIS appears to be a valid instrument with satisfactory predictive capabilities for recording an impending long-term sick leave. Whether the Nurse-WIS can be used as a screening tool which helps to design risk adjusted prevention programs for the afflicted nurse should be studied.

    Source : Harling, Melanie, Schablon, Anja, Peters, Claudia & Nienhaus, Albert. (2014). Predictive values and other quality criteria of the German version of the Nurse-Work Instability Scale (Nurse-WIS) – follow-up survey findings of a prospective study of a cohort of geriatric care workers. Journal of Occupational Medicine and Toxicology. Prépublication. doi:10.1186/s12995-014-0030-9

  • The purpose if this study was to etermine whether state-mandated minimum nurse-to-patient staffing ratios in California hospitals had an effect on reported occupational injury and illness rates. The difference-in-differences method was applied: The change in injury rates among hospital nurses after implementation of the law in California was compared to the change in 49 other states and the District of Columbia combined. Data were drawn from the US Bureau of Labor Statistics and the California Employment Development Department, including numerator estimates of injury and illness cases and denominator estimates of the number of registered nurses (RNs) and licensed practical nurses (LPNs) employed in hospitals. The authors concluded that despite significant data restrictions and corresponding methodological limitations, the evidence suggests that the law was effective in reducing occupational injury and illness rates for both RNs and LPNs. Whether these 31.6 and 33.6 % reductions are maintained over time remains to be seen.

    Source : Leigh, J. Paul, Markis, Carrie A., Iosif, Ana-Maria & Romano, Patrick S. (2014). International Archives of Occupational and Environmenal Health. Prépublication. Doi 10.1007/s00420-014-0977-y

  • The safety of patients and of employees in healthcare have historically been separately managed and regulated. Despite efforts to reduce injury rates for employees and adverse events for patients, healthcare organizations continue to see less-than-optimal outcomes in both domains. This article challenges readers to consider how the traditional siloed approach to patient and employee safety can lead to duplication of effort, confusion, missed opportunities and unintended consequences. The authors propose that only through integrating patient and employee safety activities and challenging the paradigms that juxtapose the two will healthcare organizations experience sustained and improved safety practice and outcomes. The purpose of this paper is to accomplish the following: Outline the context through which the separation of worker and patient safety has evolved ; Describe the efforts of Island Health to move toward a goal of safety for all ; Present the challenges we have identified while moving this change forward ; Deliver a call to action to consider a way of thinking about safety in an integrated manner.

    Source : Stevenson, R. Lynn, Moss, Lesley, Newlands, Tracey & Archer, Jana. (2014). Healthcare Quaterly, 16(4), doi:10.12927/hcq.2014.23663

  • In 1978, when workers at a nearby phosphate refinery learned that the ore they processed was contaminated with radioactive dust, Karen Messing, then a new professor of molecular genetics, was called in to help. Unsure of what to do with her discovery that exposure to the radiation was harming the workers and their families, Messing contacted senior colleagues but they wouldn’t help. Neither the refinery company nor the scientific community was interested in the scary results of her chromosome studies. Over the next decades Messing encountered many more cases of workers around the world-factory workers, cleaners, checkout clerks, bank tellers, food servers, nurses, teachers-suffering and in pain without any help from the very scientists and occupational health experts whose work was supposed to make their lives easier. Arguing that rules for scientific practice can make it hard to see what really makes workers sick, in Pain and Prejudice Messing tells the story of how she went from looking at test tubes to listening to workers.

    Source : Messing, Karen. (2014). Pain and prejudice : what science can learn about work from the people who do it. Toronto, Ont.: Between the Lines, 2014. 155 p.

HORAIRE DE TRAVAIL

  • The aim of this study was to examine the risk of work injury associated with changes in shift schedules and identify whether work injury risks differ between men and women. Longitudinal panels from the Survey of Labor and Income Dynamics were used to describe work schedule patterns over a 6-year period among a representative sample of Canadian workers. Our results suggest that changing shift types may increase work injury risk among men and women, and that the risk remains increased among women who work nonstandard shifts for a prolonged period of time. This highlights the need for awareness and implementation of health and safety programs when workers initially change shift schedules and on a regular basis to maintain worker health.

    Source : Wong, IS, Smith, PM, Mustard, CA & Gignac, MAM. (2014). Scandinavian Journal of Work, Environment & Health. Prépublication. doi:10.5271/sjweh.3454

  • Shift workers have a higher rate of negative health outcomes than day shift workers. Few studies however, have examined the role of difference in workplace environment between shifts itself on such health measures. This study investigated variation in organizational climate across different types of shift work and health outcomes in nurses. Participants (n = 142) were nursing staff from a metropolitan Melbourne hospital. Demographic items elicited the type of shift worked, while the Work Environment Scale and the General Health Questionnaire measured organizational climate and health respectively. Analysis supported the hypotheses that different organizational climates occurred across different shifts, and that different organizational climate factors predicted poor health outcomes. Shift work alone was not found to predict health outcomes. Specifically, permanent night shift workers had significantly lower coworker cohesion scores compared with rotating day and evening shift workers and significantly higher managerial control scores compared with day shift workers. Further, coworker cohesion and involvement were found to be significant predictors of somatic problems. These findings suggest that differences in organizational climate between shifts accounts for the variation in health outcomes associated with shift work. Therefore, increased workplace cohesion and involvement, and decreased work pressure, may mitigate the negative health outcomes of shift workers.

    Source : von Treuer, Kathryn; Fuller-Tyszkiewicz, Matthew; Little, Glenn. (2014). Journal of Occupational Health Psychology, Vol 19(4), Oct 2014, 453-461. doi: 10.1037/a0037680

  • Le travail en amplitudes de 12 heures pose débat dans de nombreux établissements hospitaliers. En effet, compte tenu de la crise, du manque d’effectif et des contraintes excessives qui pèsent sur les personnels hospitaliers, les directions trouvent là un moyen d’économiser des emplois et certains personnels y trouvent leur compte pour, par exemple, fuir l’organisation actuelle du travail qui est devenue insupportable. Le ministère de la santé, à la demande des organisations syndicales a convoqué un groupe de travail pour examiner cette question. 

    Source : Denis. (29 septembre 2014). Le travail en 12 heures mis en examen  [Billet de blogue]. Repéré à  http://fo-sante.org/2014/09/le-travail-en-12-heures-mis-en-examen/

  • Nurse fatigue threatens both nurse and patient safety; fatigue affects nurses’ neurocognitive functioning and hinders their work performance. The authors assessed the association of work and non-work factors with acute and chronic fatigue and intershift recovery among hospital nurses working 12-hour shifts. This study used survey data from 80 nurses who provided full-time direct patient care on medical-surgical and critical care units in a large teaching hospital. Psychological job demands (e.g., work load and social support from supervisor or coworker) were significantly associated with acute and chronic fatigue and intershift recovery. Rotating shifts were significantly related to acute fatigue. Findings suggest the need for a comprehensive approach to fatigue management, including organizational support to provide healthful work schedules and favorable nursing work environments, fewer psychological and physical demands, and assistance to improve nurses’ sleep quality and quantity.

    Source : Han, Kihye, Trinkoff, Alison M. & Geiger-Brown, Jeanne. (2014). Workplace Health & Safety. Prépublication. DOI: 10.3928/21650799-20140826-01

  • Physicians’ work schedules are an important determinant of their own wellbeing and that of their patients. This study considers whether allowing physicians control over their work hours ameliorates the effects of demanding work schedules. A questionnaire was completed by hospital physicians regarding their work hours (exposure to long shifts, short inter-shift intervals, weekend duties, night duties, unpaid overtime; and work time control), sleep (quantity and disturbance) and wellbeing (burnout, stress and fatigue). Work time control moderated the negative impact that frequent night working had upon sleep quantity and sleep disturbance. For participants who never worked long shifts, work time control was associated with fewer short sleeps, but this was not the case for those who did work long shifts. Optimizing the balance between schedule flexibility and patient needs could enhance physicians’ sleep when working the night shift, thereby reducing their levels of fatigue and enhancing patient care.

    Source : Tucker, P., Bejerot, E., Kecklund, G., Aronsson, G. & Åkerstedt, T. (2015). Applied Ergonomics, 47, 109-116. DOI: 10.1016/j.apergo.2014.09.001

HYGIÈNE ET SALUBRITÉ

  • Cleaning workers are regularly exposed to cleaning products containing hazardous chemicals. This study investigated acute symptoms associated with chemical exposures among cleaning workers and their safe work practices. Results: Chemical-related symptoms (several times monthly or more often) were more common among workers who performed patient area cleaning than hospital custodians or campus custodians. After controlling for age, sex, and job title, symptoms were associated with exposure to carpet cleaners, spray products, solvents, and multi-purpose cleaners. Except for gloves, regular use of personal protective equipment was infrequent.

    Source : Lee, Soo-Jeong, Nam, Bora, Harrison, Robert & Hong, OiSaeng. (2014). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22376

  • Placing limits on antibacterial ingredients in certain hygiene products could endanger health care workers as well as patients, according to a trade association representing cleaning product producers and suppliers. In a Sept. 3 presentation, the American Cleaning Institute told the Food and Drug Administration’s Nonprescription Drugs Advisory Committee that research shows active ingredients in antibacterial hygiene products are safe and prevent bacterial transmission. ACI also claims the products help lower health care costs by reducing infections.

    Source : Limiting antibacterials could put health care workers at risk, trade group claims. (September 10, 2014). Safety+Health Magazine. Repéré à  http://www.safetyandhealthmagazine.com/articles/11080-limiting-antibacterials-could-put-health-care-workers-at-risk-trade-group-claims

IMAGERIE MÉDICALE

  • Clinical and research staff who work around magnetic resonance imaging (MRI) scanners are exposed to the static magnetic stray fields of these scanners. Although the past decade has seen strong developments in the assessment of occupational exposure to electromagnetic fields from MRI scanners, there is insufficient insight into the exposure variability that characterizes routine MRI work practice. However, this is an essential component of risk assessment and epidemiological studies. This paper describes the results of a measurement survey of shift-based personal exposure to static magnetic fields (SMF) (B) and motion-induced time-varying magnetic fields (dB/dt) among workers at 15 MRI facilities in the Netherlands.  

    Source : Schaap, Kristel, Christopher-De Vries, Yvette, Crozier, Stuart, De Vocht, Frank & Kromhout, Hans. (2014). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/meu057

  • The aim of this study was to evaluate the prevalence of upper-body-quadrant pain among ultrasonographers and to evaluate the association between individual ergonomics, musculoskeletal disorders, and occurrence of neck pain. A hundred and ten (N = 110) Belgian and Dutch male and female hospital ultrasonographers were consecutively enrolled in the study. Data on work-related ergonomic and musculoskeletal disorders were collected with an electronic inquiry, including questions regarding ergonomics (position of the screen, high-low table, and ergonomic chair), symptoms (neck pain, upper-limb pain), and work-related factors (consecutive working hours a day, average working hours a week).

    Source : Claes, Frank, Berger, Jan & Stassijns, Gäetane. (2014). Human Factors. Prépublication. doi: 10.1177/0018720814547872

INSTALLATIONS MATÉRIELLES

MANUTENTION

  • The bigger the object, the harder it falls. Risk assessment and planning are key to handling materials without injury. Stone counter tops, rolls of flooring, windows or doors stacked on end: On the surface, they appear harmless enough. Harmless that is, until they become unstable and fall over. Safe storage is the key: in fact, any material is potentially dangerous when it’s stored improperly.

    Source : Bryan, Helena. (2014). Worksafe Magazine, 14(5), 7-11. Repéré à   http://worksafebc.com/publications/newsletters/worksafe_magazine/Assets/PDF/current/cover.pdf

  • Whether you work in an office or on a warehouse floor, you’ll occasionally need to do some heavy lifting. Before you lift, stop and think about the task ahead. Remember that safe lifting practices are often an ineffective prevention measure. And, when in doubt, ask your supervisor or employer for help. WorkSafeBC senior ergonomist Peter Goyert says the best way to prevent a sprain or strain from lifting is to understand what causes a musculoskeletal injury,and most of all, your role in trying to prevent one.

    Source : Allen, Heather. (2014). Worksafe Magazine, 14(5), 18-19. Repéré à http://worksafebc.com/publications/newsletters/worksafe_magazine/Assets/PDF/current/SafetyTalks.pdf

  • Pushing and pulling are potential risk factors for work-related low back disorders (WRLBDs). While several studies have evaluated differences in work methods related to work experience, such evidence for dynamic pushing and pulling is limited. Eight novices and eight experienced workers completed dynamic push/pull tasks using a cart weighted to 250% of individual body mass in two different configurations (preferred vs. elbow handle heights).

    Source : Lee, Jungyong, Nussbaum, Maury A., Kyung, Gyouhyung. (2014). International Journal of Industrial Ergonomics, 44(5), 647-653. DOI: 10.1016/j.ergon.2014.07.007

MÉDICAMENTS DANGEREUX – PHARMACIE

  • Antineoplastic drugs are known reproductive and developmental toxicants. Our objective was to review the existing literature of reproductive health risks to workers who handle antineoplastic drugs. A structured literature review of 18 peer-reviewed, English language publications of occupational exposure and reproductive outcomes was performed.

    Source : Connor, Thomas H., Lawson, Christna, C., Polovich, Martha, & McDiarmid, Melissa. (2014). JOEM : Journal of Occupational and Environmental Médicine, 56(9), 901-910. doi: 10.1097/JOM.0000000000000249

  • 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. Results : 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., Szlaczky, Mark C. (2014). Journal of Oncology Pharmacy Practice, 20(5), 381-385. doi: 10.1177/1078155214526428

  • The aim of this study was to compare environmental contamination of cyclophosphamide (CP) during 1 week of drug compounding by conventional manual procedure in a biological safety cabinet (BSC) with laminar airflow and a new robotic drug preparation system (APOTECAchemo). During four consecutive days, similar numbers of infusion bags with cyclophosphamide were prepared with both techniques in a cross-over design. Wipe samples (49 for BSC, 50 for APOTECAchemo) were taken at several locations (gloves, infusion bags, trays, BSC-benches, floor) in the pharmacy and analyzed for CP concentrations by GC-MSMS (LOD 0.2 ng/sample). Compared to outcomes of other studies, our results underline good manufacturing procedures in this pharmacy with low contamination for both techniques (BSC and APOTECAchemo). Comparison of both preparation procedures validated that contamination of infusion bags was much lower by using the robotic system.

    Source : Schier, Rudolf, Masini, Carla, Groeneveld, Svenja, Fischer, Elke, Böhlandt, Antje, Rosini, Valeria & Paolucci, Demis. (2014). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155214551316

  • Evidence of occupational exposure risks to novel anticancer agents is limited and yet to be formally evaluated from the Australian healthcare perspective. From March to September 2013 medical databases, organizational policies, drug monographs, and the World Wide Web were searched for evidence relating to occupational exposure to monoclonal antibodies, fusion proteins, gene therapies, and other unclassified novel anticancer agents. Conclusion : Novel agents are rapidly emerging into clinical practice, and healthcare personnel have few resources to evaluate risk and provide safety recommendations. Novel agents possess differing physical, molecular and pharmacological profiles compared to traditional cytotoxic anticancer agents. Evaluation of occupational exposure risk should consider both toxicity and internalisation. Evidence-based guidance able to direct safe handling practices for novel anticancer agents across a variety of clinical settings is urgently required.

    Source : King, Julie, Alexander, Marliese, Byrne, Jenny, MacMillan, Kent, Mollo, Adele, Kirsa, Sue & Green, Michael. (2014). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155214550729

  • The occupational risk associated with handling of cytotoxic anticancer drugs is well documented and, in many countries, pharmaceutical isolators are used to contain cytotoxic residues during preparation of cytotoxic infusions. Isolators are difficult to clean leading to concerns that cytotoxic contamination from the work area could be transferred to surfaces of products leaving the isolator. This study investigated the surface contamination arising from the preparation of five anticancer drug infusions (Epirubicin, Fluorouracil, Cisplatin, Oxaliplatin and Carboplatin) in a pharmaceutical isolator and compared use of a conventional syringe and needle technique with a closed-system drug transfer device (CSDTD). Conclusion : Surface contamination from cytotoxic infusion preparation in a pharmaceutical isolator was significant and could transmit cytotoxic residues to patient and public areas via infusion surfaces. The frequency and amount of contamination were reduced by the CSDTD.

    Source : Vyas, N., Turner, A., Clark, J. & Sewell, G. Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155214544993

  • The aim of this study was to assess operators’ safety while performing a semi-closed HIPEC procedure for peritoneal carcinomatosis using cisplatin drugs. Environmental air, theater personnel urine, operators’ gloves and hand skin contamination were assessed during two non-consecutive working days. Six operating surgeons, two anesthesiologists and two theater nurses were included in the study. Glove samples were collected from the inner surface of the external glove and from the external surface of the inner glove from operating surgeons wearing a double pair of gloves. Personnel urine samples were collected before, after and 24 h from the procedure. The results suggest that two pairs of gloves are adequate to protect the skin from antiblastic drugs. No sign of direct contact or systemic absorption of drugs was ever detected from the inspected samples. Semi-closed HIPEC technique appears to be a safe procedure for operators.

    Source : Caneparo, A., Massucco, P., Vaira, M., Maina, G., Giovale, E., Coggiola, M….De Simone, M. (2014). European Journal of Surgical Oncology (EJSO), 40(8), 925-929. DOI: 10.1016/j.ejso.2014.03.013

  • Oncology nurses in ambulatory settings are at increased risk for unintentional chemotherapy exposure, due to the large volumes of agents delivered and the absence of regulatory enforcement. Given the limited data regarding the correlates of exposure, we sought to identify the relationship between the organizational structures and processes of care in ambulatory oncology settings associated with increased risk of unintentional chemotherapy. Between April 2010 and June 2010, we surveyed a state-wide sample of oncology nurses who reported their employment outside of hospital inpatient units. We examined the likelihood of self-reported exposure to chemotherapy as a function of perceived quality of the practice environment, nursing workload, and seven ambulatory chemotherapy administration safety standards. In conclusion, oncology nurses in the ambulatory setting report substantial unintentional skin and eye exposure to chemotherapy. Ensuring adequate staffing and resources and adherence to recognized practice standards may protect oncology nurses from harm.

    Source : Friese, Christopher, R, Himes-Ferris, Laurel, Frasier, Megan N., McCullagh, Marjorie C. & Griggs, Jennifer J. (2014). BMJ Quality and Safety, 21(9), 753-759. doi:10.1136/bmjqs-2011-000178

  • No occupational exposure limit exists for antineoplastic drugs. The main objective of this study was to describe environmental contamination with cyclophosphamide, ifosfamide and methotrexate in pharmacy and patient care areas of Canadian hospitals in 2013. The secondary objective was to compare the 2013 environmental monitoring results with previous studies.Six standardized sites in the pharmacy and six sites on patient care areas were sampled in each participating center. Samples were analyzed for the presence of cyclophosphamide, ifosfamide and methotrexate by UPLC-MSMS. The limit of detection (LOD) in pg/cm2 was 1.8 for cyclophosphamide, 2.2 for ifosfamide and 8.0 for methotrexate. The 75th percentile of cyclophosphamide concentration was compared between the 2013, 2008-2010 and 2012 studies. Thirty-six hospitals participated in the study and 422 samples were collected. Overall, 47% (198/422) of the samples were positive for cyclophosphamide, 18% (75/422) were positive for ifosfamide and 3% (11/422) were positive for methotrexate. In 2013, the 75th percentile value of cyclophosphamide surface concentration was reduced to 8.4pg/cm2 (n = 36), compared with 9.4pg/cm2 in 2012 (n = 33) and 40pg/cm2 (n = 25) in 2008-2010. The 75th percentile for ifosfamide and methotrexate concentration remained lower than the L D.The 2013 study shows an improvement in the surface contamination level, and a plateau effect in the proportion of positive samples.

    Source : Berruyer, M., Tanguay, C., Caron, NJ, Lefebvre, M. & Bussières, JF. (2014). Journal of Occupational and Environmental Hygiene. Prépublication. DOI:10.1080/15459624.2014.949725

  • As a means of evaluating the extent of use of primary prevention practices such as engineering, administrative and work practice controls, personal protective equipment (PPE), and barriers to using PPE, the National Institute for Safety and Health (NIOSH) conducted a web survey of health care workers in 2011. The study population primarily included members of professional practice organizations representing health care occupations which routinely use or come in contact with selected chemical agents. All respondents who indicated that they administered antineoplastic drugs in the past week were eligible to complete a hazard module addressing self-reported health and safety practices on this topic. Most (98%) of the 2069 respondents of this module were nurses. Working primarily in hospitals, outpatient care centers, and physician offices, respondents reported that they had collectively administered over 90 specific antineoplastic drugs in the past week, with carboplatin, cyclophosphamide, and paclitaxel the most common.  

    Source : Boiano, James M., Steege, Andrea L. & Sweeney, Marie H. (2014). Journal of Occupational and Environmental Hygiene, 11(11), 728-740. DOI:10.1080/15459624.2014.916809

MILIEU DE VIE

  • Most older persons with dementia living in nursing homes spend their days without engaging in much physical activity. This study therefore looked at the influence that the environment has on their level of physical activity, by reviewing empirical studies that measured the effects of environmental stimuli on the physical activity of nursing home residents suffering from dementia. The electronic databases PubMed, PsycINFO, EMBASE, CINAHL and the Cochrane Library were used for the search. The search covered studies published between January 1993 and December 2012, and revealed 3187 abstracts. 326 studies were selected as potentially relevant; of these, 24 met all the inclusion criteria. Positive results on the residents’ levels of physical activity were found for music, a homelike environment and functional modifications. Predominantly positive results were also found for the small-scale group living concepts. Mixed results were found for bright or timed light, the multisensory environment and differences in the building footprint.

    Source : Anderiesen, Hester, Sherder, Erik J.A., Goossens, Richard H.M. & Sonneveld, Marieke H. (2014). Applied Ergonomics, 45(6), 1678-1686. DOI: 10.1016/j.apergo.2014.05.011

NORMES EN SST

  • Cet article fait suite à celui publié en décembre 2013 dans Travail et santé qui présentait ce document important dans le domaine de la sécurité des machines. Cette fois, il sera question de la première partie de cette norme fondamentale en sécurité des machines, qu’est la norme ISO 12100.

    Source : Bourbonnière, Réal, & Giraud, Laurent. (2014). Travail et santé, 30(3), 42-43.

  • La norme CSA Z195 traite des exigences en matière de chaussures antistatiques, qu’elles soient ou non munies d’embouts protecteurs résistants aux chocs. Elle définit les exigences relatives aux chaussures antidérapantes, avec ou sans autres caractéristiques de protection. Elle prévoit une nouvelle catégorie de chaussures antistatiques – la catégorie « super AS » -, qui a été ajoutée pour les personnes travaillant avec de l’équipement électronique ou des instruments sensibles. Elle introduit un nouveau système d’étiquetage pour les étiquettes multiples, les étiquettes indiquant les chaussures avec protection métatarsienne et les étiquettes indiquant les chaussures « super AS ».

    Source : Canadian Standard Association (2014). Protective footwear. Mississauga, Ont.: CSA, 61 p. (CSA: Z195-14). Repéré à http://shop.csa.ca/fr/canada/protective-footwear/z195-14/invt/27015092014

  • Medical devices are used in nearly every medical procedure. Patients and health care professionals expect these medical devices to be functionally and microbiologically safe. The safety of medical devices begins with the manufacturer and is supported and maintained by a system of national standards and government regulations that includes medical device licensing, construction and performance standards, and problem reporting systems. This is the sixth edition of CSA Z314.3. This standard is intended to provide requirements for the safe and reliable steam sterilization of reusable medical devices, water and steam quality, and extended steam sterilization cycles.

    Source : Canadian Standard Association (2014). Effective sterilization in health care settings by the steam process. Mississauga, Ont.: CSA, 61 p. (CSA: Z314.3-14). Repéré à http://shop.csa.ca/fr/canada/sterilisation/z3143-14/invt/27013302014

  • La version française de cette norme publiée précédemment en anglais est maintenant disponible. Elle spécifie les exigences relatives aux conteneurs à usage unique pour objets coupants, tranchants et perforants conçus pour contenir des objets pointus et tranchants à usage médical, destinés à être détruits et potentiellement dangereux, qu’ils soient munis ou non de dispositifs de protection contre les blessures, par exemple les lames de scalpels, les trocarts, les aiguilles et seringues hypodermiques. Elle s’applique aux conteneurs pour objets coupants, tranchants et perforants fournis à l’état de produit fini par le fabricant ainsi que des conteneurs pour objets coupants, tranchants et perforants fournis sous forme de composants à assembler par l’utilisateur. Elle ne s’applique pas aux conteneurs pour objets coupants, tranchants et perforants réutilisables ou aux conteneurs extérieurs utilisés pour le transport des conteneurs à usage unique remplis.

    Source : Canadian Standard Association. (2014). Protection contre les blessures par perforants – Exigences et méthodes d’essai – Conteneurs pour objets coupants, tranchants et perforants (norme ISO 23907:2012 adoptée, première édition, 2012-09-01, avec exigences propres au Canada). Mississauga, Ont.: CSA, 38 p. (CAN/CSA-Z316.6-F14). Repéré à  http://shop.csa.ca/fr/canada/medical-laboratory-systems/cancsa-z3166-14/invt/27017482014

  • Enforceable under OSHA and many state and local regulations, NFPA 30 provides safeguards to reduce the hazards associated with the storage, handling, and use of flammable and combustible liquids. Topics covered include fire and explosion prevention and risk control, storage of liquids in containers, storage of liquids in tanks, piping systems, processing facilities, bulk loading and unloading, and wharves.

    Source : National Fire Protection Association. NFPA 30: Flammable and Combustible Liquids Code. Quincy, MA: NFPA, 2014. 154 p. (NFPA 30). Repéré à http://www.nfpa.org/codes-and-standards/document-information-pages?mode=code&code=30

OXYGÉNOTHÉRAPIE HYPERBARE

  • Les travailleurs des caissons hyperbares sont soumis à des risques dont celui de l’hyperbarie. Cependant, il existe peu de données concernant la survenue d’accidents liées à l’hyperbarie dans cette population. L’objet de cette étude est donc d’étudier le nombre d’accidents du travail en caissons hyperbares.

    Source : Pougnet, R., Henckes, A., Poignet, L., Cochard, Loddé, B…. Dewitte, J.D. (2014). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. DOI: 10.1016/j.admp.2014.05.008

PATHOLOGIE ET MORGUE

  • Vingt-quatre projets ont été présentés au jury de la 8e édition du concours. Découvrez les projets qui ont remporté un Prix du jury et le choix des participants du colloque pour le Prix du public. Les projets qui se sont mérités ces prix sont : Des super-utilisateurs pour la prévention des blessures musculosquelettiques / Optimisation du processus de prêt des fauteuils roulants / On s’attache à vous pour un transfert sécuritaire ! / Utilisation de Toile-Nette pour les soins d’hygiène au lit / Pompe à formol / Chariot élévateur pour les moteurs de lève-personne sur rail au plafond / Guide de prévention er de gestion des manifestations de violence par la clientèle à l’endroit des personnes oeuvrant à l’Hôpital Rivières-des-Prairies.

    Source : Bleau, Julie (2014). OP, 37(3), 10-13. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373010_Initiative.pdf

PRÉVENTION DES INFECTIONS

  • Les laboratoires qui reçoivent des échantillons prélevés chez des patients faisant l’objet d’examens pour la maladie à virus Ebola doivent être conscients que la manipulation inadéquate de ces échantillons présente des risques graves pour la santé du personnel de laboratoire.

    Source : Agence de la santé publique du Canada. (2014, 22 août). Lignes directrices provisoires en matière de biosécurité à l’intention des laboratoires qui manipulent des échantillons prélevés chez des patients faisant l’objet d’examens pour la maladie à virus Ebola. Repéré à http://www.phac-aspc.gc.ca/id-mi/vhf-fvh/ebola-biosafety-biosecurite-fra.php

  • Cette fiche présente les recommandations du Comité sur les infections nosocomiales du Québec (CINQ) sur les mesures de prévention et de contrôle de la maladie à virus Ebola pour les hôpitaux du Québec. Nonobstant la transmission de la maladie par contact et gouttelettes, le CINQ propose des mesures plus importantes pour prendre en compte une possible transmission aérienne, une contamination importante de l’environnement par le sang, les liquides organiques, les sécrétions ou les excrétions ainsi qu’une létalité élevée de la maladie à virus Ebola.

    Source : Comité sur les infections nosocomiales du Québec. (2014).  [S.l.]. INSPQ, 10, [1] p. Repéré à  http://www.inspq.qc.ca/pdf/publications/1896_Ebola_Prevention_Controle_MiseAJour.pdf

  • The authors sought to quantify absorption of triclosan, a potential endocrine disruptor, in health care workers with occupational exposure to soap containing this chemical. A cross-sectional convenience sample of two groups of 38 health care workers at separate inpatient medical centers: hospital 1 uses 0.3% triclosan soap in all patient care areas; hospital 2 does not use triclosan-containing products. Additional exposure to triclosan-containing personal care products was assessed through a structured questionnaire. Urine triclosan was quantified and the occupational contribution estimated through regression modeling.

    Source : MacIsaac, Julia K., Gerona, Roy R., Blanc, Paul, Apatira, Latifat, Friesen, Matthew W., Coppolino, Michael, & Janssen, Sarah. (2014). JOEM : Journal of Occupational and Environmental Medicine, 56(8), 834-839. doi: 10.1097/JOM.0000000000000183

  • Fièvre, toux, fatigue, maux de tête, douleurs musculaires… ça vous rappelle quelque chose ? Et oui, ce sont les symptômes de la grippe ! Qui dit grippe, dit campagne de vaccination auprès des travailleurs de la santé. Cette année encore, l’ASSTSAS vous propose des outils pour réussir votre campagne de vaccination.

    Source : Buteau, Andrée-Anne. (2014). OP, 37(3), 6. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373006_Vaccination.pdf

  • This briefing note is based on the existing WHO and ILO guides and recommendations for Ebola Virus Disease at the time of the publication. It will be updated as new information and recommendations become available.  

    Source : International Labour Office & World Health Organization. (5 september 2014). Repéré à http://www.who.int/occupational_health/publications/joint_who_ilo_ebola_briefingnote_5sept2014.pdf?ua=1

  • Unlike past outbreaks, the current outbreak of EVD has not been contained and has resulted in social unrest, breakdown in law and order, shortages of personal protective equipment and depletion of the healthcare workforce, with over 240 healthcare workers becoming infected and 120 deaths as of 25th August 2014 (World Health Organization (WHO), 2014c). The inability to contain this outbreak has been blamed variously on lapses in infection control, shortages of PPE and other supplies, myths and misconceptions about EVD, and the fact that it is occurring in large cities rather than small villages. HCWs, many of whom are nurses, are on the frontline of the response, and their occupational health and safety is critical to control of the outbreak and maintenance of the health workforce during a crisis. The WHO, the US Centers for Disease Control (1998) and several other countries recommend surgical masks for HCWs treating Ebola, whilst other countries and Médecins Sans Frontières have recommend the use of respirators. The authors question the recommendations for surgical masks and outline evidence on the use of respiratory protection for HCWs, and the issues that must be considered when selecting the most appropriate type of protection.

    Source :  MacIntyre, C. Raina, Chughtai, Abrar Ahmad, Seale, Holly, Richardsm Guy A. & Davidson, Patricia M. (2014). International Journal of Nursing Studies, 51(11), 1421-1426. DOI: 10.1016/j.ijnurstu.2014.09.002

  • Should caring for patients in a healthcare setting be considered a dangerous occupation? Far beyond slips, trips and falls, should we be giving healthcare workers hazard pay for putting themselves at risk of acquiring a fatal disease by virtue of the work they are doing? If a hospital does everything they can to protect their employees, then the answer to these questions is “No.” But are healthcare organizations really doing all they can? Several studies on healthcare exposures would lead one to believe they are not.

    Source : Volkman, Jacie. (September 22, 2014). EHS Today. Repéré à  http://ehstoday.com/health/splish-splash-protecting-healthcare-workers-splashes-containing-blood-borne-pathogens

  • Placing limits on antibacterial ingredients in certain hygiene products could endanger health care workers as well as patients, according to a trade association representing cleaning product producers and suppliers. In a Sept. 3 presentation, the American Cleaning Institute told the Food and Drug Administration’s Nonprescription Drugs Advisory Committee that research shows active ingredients in antibacterial hygiene products are safe and prevent bacterial transmission. ACI also claims the products help lower health care costs by reducing infections.

    Source : Limiting antibacterials could put health care workers at risk, trade group claims. (September 10, 2014). Safety+Health Magazine. Repéré à  http://www.safetyandhealthmagazine.com/articles/11080-limiting-antibacterials-could-put-health-care-workers-at-risk-trade-group-claims

  • The Advisory Committee on Immunization Practices recommends that all health care personnel (HCP) be vaccinated annually against influenza. Vaccination of HCP can reduce influenza-related morbidity and mortality among both HCP and their patients. To estimate influenza vaccination coverage among HCP during the 2013-14 season, CDC analyzed results of an opt-in Internet panel survey of 1,882 HCP conducted during April 1-16, 2014. Overall, 75.2% of participating HCP reported receiving an influenza vaccination during the 2013-14 season, similar to the 72.0% coverage among participating HCP reported in the 2012-13 season (5). Coverage was highest among HCP working in hospitals (89.6%) and lowest among HCP working in long-term care (LTC) settings (63.0%). By occupation, coverage was highest among physicians (92.2%), nurses (90.5%), nurse practitioners and physician assistants (89.6%), pharmacists (85.7%), and "other clinical personnel" (87.4%) compared with assistants and aides (57.7%) and nonclinical personnel (e.g., administrators, clerical support workers, janitors, and food service workers) (68.6%).

    Source : Centers for Disease Control and Prevention. (September 19, 2014). Morbidity and Mortality Weekly Report (MMWR), 63(37), 805-811. Repéré à http://www.cdc.gov/mmwr/pdf/wk/mm6337.pdf

  • La version française de cette norme publiée précédemment en anglais est maintenant disponible. Elle spécifie les exigences relatives aux conteneurs à usage unique pour objets coupants, tranchants et perforants conçus pour contenir des objets pointus et tranchants à usage médical, destinés à être détruits et potentiellement dangereux, qu’ils soient munis ou non de dispositifs de protection contre les blessures, par exemple les lames de scalpels, les trocarts, les aiguilles et seringues hypodermiques. Elle s’applique aux conteneurs pour objets coupants, tranchants et perforants fournis à l’état de produit fini par le fabricant ainsi que des conteneurs pour objets coupants, tranchants et perforants fournis sous forme de composants à assembler par l’utilisateur. Elle ne s’applique pas aux conteneurs pour objets coupants, tranchants et perforants réutilisables ou aux conteneurs extérieurs utilisés pour le transport des conteneurs à usage unique remplis.

    Source : Canadian Standard Association. (2014). Protection contre les blessures par perforants – Exigences et méthodes d’essai – Conteneurs pour objets coupants, tranchants et perforants (norme ISO 23907:2012 adoptée, première édition, 2012-09-01, avec exigences propres au Canada). Mississauga, Ont.: CSA, 38 p. (CAN/CSA-Z316.6-F14). Repéré à http://shop.csa.ca/fr/canada/medical-laboratory-systems/cancsa-z3166-14/invt/27017482014

PRODUITS TOXIQUES

  • Dans son répertoire annuel « TLV’ s and BEI’ s », l’ American Conference of Governmental Industrial Hygienists (ACGIH) indique les valeurs limites d’exposition à des contaminants. En fonction de leurs propriétés toxiques, on y décrit selon les contaminants les valeurs limites d’exposition moyennes sur un quart de travail complet, les limites de courte durée, les valeurs plafonds ainsi que les valeurs d’excursion à ne pas dépasser.

    Source : Gauvin, Jean-Pierre. (2014). Travail et santé, 30(3), 10-11.

  • Le 28 juin 2014, le projet de Loi C-31 portant sur l’exécution de certaines dispositions du budget fédéral a reçu la sanction royale. Il incluait, entre autres les dispositions entourant l’adoption, par le Canada, du Système général harmonisé (SGH), ouvrant la porte à la mise en place au même système qu’ont adopté avant nous, la plupart des autres pays de la planète.

    Source : Séguin, Luc. (2014). Travail et santé, 30(3), 38-39.

  • The authors sought to quantify absorption of triclosan, a potential endocrine disruptor, in health care workers with occupational exposure to soap containing this chemical. A cross-sectional convenience sample of two groups of 38 health care workers at separate inpatient medical centers: hospital 1 uses 0.3% triclosan soap in all patient care areas; hospital 2 does not use triclosan-containing products. Additional exposure to triclosan-containing personal care products was assessed through a structured questionnaire. Urine triclosan was quantified and the occupational contribution estimated through regression modeling.

    Source : MacIsaac, Julia K., Gerona, Roy R., Blanc, Paul, Apatira, Latifat, Friesen, Matthew W., Coppolino, Michael & Janssen, Sarah. (2014). JOEM : Journal of Occupational and Environmental Medicine, 56(8), 834-839. doi: 10.1097/JOM.0000000000000183

  • Cleaning workers are regularly exposed to cleaning products containing hazardous chemicals. This study investigated acute symptoms associated with chemical exposures among cleaning workers and their safe work practices. Results: Chemical-related symptoms (several times monthly or more often) were more common among workers who performed patient area cleaning than hospital custodians or campus custodians. After controlling for age, sex, and job title, symptoms were associated with exposure to carpet cleaners, spray products, solvents, and multi-purpose cleaners. Except for gloves, regular use of personal protective equipment was infrequent.

    Source : Lee, Soo-Jeong, Nam, Bora, Harrison, Robert & Hong, OiSaeng. (2014). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22376

PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

  • Le Centre de santé et de services sociaux de Chicoutimi (CSSSC), qui regroupe un centre hospitalier de 696 lits, deux CLSC et trois centres d’hébergement répartis sur six sites de part et d’autre de la rivière Saguenay, a été le premier CSSS québécois à obtenir la certification " Entreprise em santé ". Rallier 3 330 employés et quatre accréditations syndicales à la même cause n’est pas une mince tâche, mais le CSSSC y est parvenu.

    Source : Sabourin, Guy (2014). Prévention au travail, 27(3), 34-35.Repéré à http://www.csst.qc.ca/publications/600/Documents/DC600_202_143web.pdf#34

  • This study aims to respond to the question :  "Do workplace health promotion programs work?" A compilation of the evidence on workplace programs’ effectiveness coupled with recommendations for critical review of outcome studies. Also, reviewed are recent studies questioning the value of workplace programs. Evidence accumulated over the past three decades shows that well-designed and well-executed programs that are founded on evidence-based principles can achieve positive health and financial outcomes. In conclusion, employers seeking a program that “works” are urged to consider their goals and whether they have an organizational culture that can facilitate success. Employers who choose to adopt a health promotion program should use best and promising practices to maximize the likelihood of achieving positive results.

    Source : Goetzel, Ron, Henke, Rachel Mosher, Tabrizi, Maryam, Pelletier, Kenneth R., Loeppke, Ron, Ballard, David W…. Metz, R. Douglas. (2014). Journal of Occupational and Environmental Medicine, 56(9), 927-934. doi: 10.1097/JOM.0000000000000276

PROTECTION RESPIRATOIRE

  • Unlike past outbreaks, the current outbreak of EVD has not been contained and has resulted in social unrest, breakdown in law and order, shortages of personal protective equipment and depletion of the healthcare workforce, with over 240 healthcare workers becoming infected and 120 deaths as of 25th August 2014 (World Health Organization (WHO), 2014c). The inability to contain this outbreak has been blamed variously on lapses in infection control, shortages of PPE and other supplies, myths and misconceptions about EVD, and the fact that it is occurring in large cities rather than small villages. HCWs, many of whom are nurses, are on the frontline of the response, and their occupational health and safety is critical to control of the outbreak and maintenance of the health workforce during a crisis. The WHO, the US Centers for Disease Control (1998) and several other countries recommend surgical masks for HCWs treating Ebola, whilst other countries and Médecins Sans Frontières have recommend the use of respirators. The authors question the recommendations for surgical masks and outline evidence on the use of respiratory protection for HCWs, and the issues that must be considered when selecting the most appropriate type of protection.

    Source :  MacIntyre, C. Raina, Chughtai, Abrar Ahmad, Seale, Holly, Richardsm Guy A. & Davidson, Patricia M. (2014). International Journal of Nursing Studies, 51(11), 1421-1426. DOI: 10.1016/j.ijnurstu.2014.09.002

  • Filtering face-piece respirators (FFRs) are one method of protecting health care workers from airborne particles; however, research suggests adherence is poor, perhaps due to worker discomfort. Three separate focus groups were conducted at two Veterans Affairs health care facilities. Seventeen health care workers who reported using FFRs as part of their job duties were in the focus groups. Focus group transcripts were coded using qualitative descriptive coding techniques. Participants described experiences of discomfort and physical mask features they believed contributed to discomfort. Participants believed FFRs influenced patient care because some patients felt uneasy and changed health care workers’ behaviors (e.g., doffing procedures, loss of concentration, rushed patient care, and avoidance of patients in isolation resulting from FFR discomfort). Assessment of comfort and tolerability should occur during fit-testing. These factors should also be taken into account by management when training employees on the proper use of FFRs, as well as in future research to improve comfort and tolerability.

    Source : Locatelli, Sara M., LaVela, Sherri L. & Gosch, Megan. (2014). Workplace Health & Safety. Prépublication. DOI: 10.3928/21650799-20140804-03

QUALITÉ DE L’AIR

  • Electronic cigarettes are advertised as "harmless" replacements for tobacco use. Reports of adverse public health outcomes suggest regulatory restrictions over electronic cigarette manufacturing, marketing, and use are needed along with research to determine their health effects. The media often contribute to public perception, and misinformation presents challenges for occupational and environmental health nurses who often provide accurate worksite health education programs, health coaching, and policy recommendations about e-cigarettes. Scientific evidence on e-cigarettes is needed so nurses can accurately educate their workforce and promote safe use. Therefore, lacking a legitimate need in the workplace and until research suggests differently, smoking e-cigarettes at work should be restricted under the same policy as tobacco. State and local officials need support to institute regulations that prohibit tobacco and e-cigarette use in public places, including restaurants and bars.

    Source : Phillips, Jennan A.. (2014). Workplace Health & Safety, 62(9), 396. DOI: 10.3928/21650799-20140815-01

  • Le tabagisme réapparaît dans nos locaux de travail. Mais regardez-y bien : s’agit-il vraiment de nuages de fumée? Ces jours-ci, il y a de bonnes chances que vous regardiez plutôt la vapeur que produisent les cigarettes électroniques… Alors que certains fulminent au sujet des cigarettes électroniques et de leurs éventuels risques pour la santé, il n’y a pas le moindre doute quant à la popularité croissante de ces dispositifs, qui peuvent avoir une incidence sur une variété d’espaces publics, dont les lieux de travail.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2014). Rapports sur la santé et la sécurité, 12(8). Repéré à http://www.cchst.ca/newsletters/hsreport/issues/2014/08/ezine.html#inthenews

RADIOPROTECTION

  • Clinical and research staff who work around magnetic resonance imaging (MRI) scanners are exposed to the static magnetic stray fields of these scanners. Although the past decade has seen strong developments in the assessment of occupational exposure to electromagnetic fields from MRI scanners, there is insufficient insight into the exposure variability that characterizes routine MRI work practice. However, this is an essential component of risk assessment and epidemiological studies. This paper describes the results of a measurement survey of shift-based personal exposure to static magnetic fields (SMF) (B) and motion-induced time-varying magnetic fields (dB/dt) among workers at 15 MRI facilities in the Netherlands.

    Source : Schaap, Kristel, Christopher-De Vries, Yvette, Crozier, Stuart, De Vocht, Frank & Kromhout, Hans. (2014). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/meu057

SANTÉ PSYCHOLOGIQUE

  • Dans son livre « The power of intention », le Dr Wayne Dyer fait l’éloge de l’intention. Il distingue deux types d’intention. Le premier type, qui tend à être rigide, ferme et déterminé, en comparaison avec l’attitude d’un pitbull qui ne veut pas lâcher le morceau. Le deuxième, une intention qui ne réside pas dans ce que « je fais », mais bien dans ce à quoi « je connecte ». Il mentionne que la connexion à notre source de potentiel est présente en chacun de nous.

    Source : Banville, Julie, & Ayotte, Jacinthe. (2014). Travail et santé, 30(3), 40-41.

  • Pendant de nombreuses années, les organisations ont fait appel à des firmes-conseils pour la gestion de leurs changements. Au cours de la dernière décennie, on a constaté que plusieurs organisations désirent devenir autonomes à cet égard. L’internalisation de la pratique de gestion du changement devient donc un enjeu ; d’ailleurs, les recherches récentes sur la question (Autissier et Moutot, 2010 ;Collerette, 2012) démontrent l’importance de cette tendance qui permettrait de réagir plus adéquatement à un environnement complexe (Rondeau, 2008).

    Source : Lemieux, Nathalie, Hervieux, Geneviève. (2014). Effectif, 17(4), 22-25.

  • The objective was to xamine whether positive mental health (PMH)-a positively focused well-being construct-moderates the job stress-distress relationship.  Longitudinal regression was used to test two waves of matched, population-level data from a sample of older, working Australian adults (n = 3291) to see whether PMH modified the relationship between work stress and later psychological distress.

    Source : Page, Kathryn, Milner, Allison J., Martin, Angela, Turrell, Gavin, Giles-Corti, Billie, & LaMontagne Anthony D. JOEM : Journal of Occupational and Environmental Medicine, 56(8), 814-819. doi: 10.1097/JOM.0000000000000230

  • Cette conférence de Colette Verret, psychologue, a fourni des atouts à exploiter tant dans notre vie personnelle que professionnelle. Pour se sentir dans un état de bien-être et accomplir un travail productif et fructueux, tout en contribuant à la vie dans notre communauté, il faut savoir communiquer et rester authentique. Voici, résumés, quelques-uns de ses propos.

    Source : Buteau, Andrée-Anne. (2014). OP, 37(3), 22-23. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373022_Dossier_Pouvoir.pdf

  • Il n’est pas facile de développer du jour au lendemain un esprit préventif. Selon Renée Cossette, la communication est un atout majeur pour influencer les comportements, cependant tout le secret de cette influence réside dans l’approche. Une approche humaniste en dix points est proposée pour intervenir lors de l’observation d’un comportement non conforme. Comment intervenir avec doigté, pertinence et respect de l’autre ?

    Source : Cossette, Renée. (2014). OP, 37(3), 26-27. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373026_Dossier_Approche.pdf

  • Cette chronique apporte un complément d’information, ou présente des ressources, sur différents sujets liés à la santé et sécurité du travail. Dans ce numéro vous sont présentés deux nouvelles publications : Favoriser plus de conscience dans les comportements en santé et sécurité au travail : 52 capsules (auteure : Renée Cossette) et Méditer au travail pour rester zen dans le tourbillon (auteur : Michael Chaskalson).

    Source : Désilets, Suzie. (2014). OP, 37(3), 32. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373032_Coin_doc.pdf

  • L’évaluation est au centre de la démarche de prévention et de gestion de la santé au travail. Elle suppose, a minima, une certaine quantification (en termes de prévalence et/ou d’intensité) des risques de nature psychosociale et de leurs éventuelles conséquences sur la santé psychique au travail. Cet article vise donc à apporter aux lecteurs quelques repères conceptuels qui lui permettront de développer une évaluation fonctionnelle de la santé psychique au travail et/ou d’émettre un avis critique sur les évaluations existantes.

    Source : Tavani, J.L., Caroff, X., Lo Monaco, G. & Collange, J. (2014). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. DOI: 10.1016/j.admp.2014.06.001

  • Shift workers have a higher rate of negative health outcomes than day shift workers. Few studies however, have examined the role of difference in workplace environment between shifts itself on such health measures. This study investigated variation in organizational climate across different types of shift work and health outcomes in nurses. Participants (n = 142) were nursing staff from a metropolitan Melbourne hospital. Demographic items elicited the type of shift worked, while the Work Environment Scale and the General Health Questionnaire measured organizational climate and health respectively. Analysis supported the hypotheses that different organizational climates occurred across different shifts, and that different organizational climate factors predicted poor health outcomes. Shift work alone was not found to predict health outcomes. Specifically, permanent night shift workers had significantly lower coworker cohesion scores compared with rotating day and evening shift workers and significantly higher managerial control scores compared with day shift workers. Further, coworker cohesion and involvement were found to be significant predictors of somatic problems. These findings suggest that differences in organizational climate between shifts accounts for the variation in health outcomes associated with shift work. Therefore, increased workplace cohesion and involvement, and decreased work pressure, may mitigate the negative health outcomes of shift workers.

    Source : von Treuer, Kathryn; Fuller-Tyszkiewicz, Matthew & Little, Glenn. (2014). Journal of Occupational Health Psychology, Vol 19(4), Oct 2014, 453-461. doi: 10.1037/a0037680

  • Working environments that are both civil and safe are good for business and employee well-being. Civility has been empirically linked to such important outcomes as organizational performance and individuals’ positive work-related attitudes, yet research relating civility to safety is lacking. In this study, we link perceptions of civility norms to perceptions of safety climate and safety outcomes. Drawing on social exchange theory, we proposed and tested a model in 2 samples wherein civility norms indirectly relate to safety outcomes through associations with various safety climate facets. Our results supported direct relationships between civility and management safety climate and coworker safety climate. Additionally, indirect effects of civility norms on unsafe behaviors and injuries were observed. Indirect effects of civility norms on unsafe behaviors were observed through coworker safety climate and work-safety tension. Indirect effects of civility norms on injuries were observed through management safety climate and work-safety tension for full-time employees, although these effects did not hold for part-time employees. This study provides initial evidence that researchers and practitioners may want to look beyond safety climate to civility norms to more comprehensively understand the origins of unsafe behaviors and injuries and to develop appropriate preventive interventions.

    Source : McGonagle, Alyssa K., Walsh, Benjamin M., Kath, Lisa M. & Morrow, Stephanie L. (2014). Journal of Occupational Health Psychology, Vol 19(4), Oct 2014, 453-461. doi: 10.1037/a0037680

  • 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 purpose of this study was to test if these elements of the psychosocial work environment are also the most essential covariates of sickness absence.

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

  • Longitudinal studies have linked stress at work with a higher incidence of musculoskeletal pain. The authors aimed to explore the extent to which musculoskeletal pain is a cause as opposed to a consequence of perceived occupational stress. As part of the international cultural and psychosocial influences on disability study, they collected information from 305 Italian nurses, at baseline and again after 12 months, about pain during the past month in the low-back and neck/shoulder, and about effort-reward imbalance (ERI). The resukts suggest that the well-documented association between job stress and musculoskeletal pain is not explained entirely by an effect of stress on reporting of pain. It appears also that workers who report musculoskeletal pain are more likely to develop subsequent perceptions of stress. This may be because pain renders people less tolerant of the psychological demands of work. Another possibility is that reports of pain and stress are both manifestations of a general tendency to be aware of and complain about symptoms and difficulties.

    Source : Bonzini, Matteo, Bertu, Lorenza, Veronesi, Giovanni, Conti, Marco, Coggon, David, Ferrario, Marco M. (2014). International Archives of Occupational and Environmental Health. Prépublication. Repéré à http://link.springer.com/article/10.1007%2Fs00420-014-0982-1

  • Occupational stress is a major physical and mental hazard for many workers and has been found to contribute to cardiovascular disease, musculoskeletal disorders, mood disturbances, workplace injuries, and mental health problems. Health care utilization related to these physical and mental health problems costs employers billions of dollars annually. To combat this problem, employers should adopt a preventive approach and institute organizational and administrative changes that require the participation of both management and workers. This article reviews policies that could impact the quality of work life and influence organizational changes needed to achieve occupational health and safety. Occupational health nurses play a vital role in designing and implementing policies to improve work environments and reduce occupational stress.

    Source : Brown, Kathleen C., Christian, Becky J. & O’keefe, Louise C. (2014). Workplace Health & Safety. Prépublication. DOI: 10.3928/21650799-20140813-02

  • Durant leur carrière, les infirmières de tous les milieux de pratique sont susceptibles de vivre de la détresse morale. Malgré les nombreuses conséquences à court et long terme sur l’organisation de santé, la santé des infirmières, la qualité et la sécurité des soins dispensés aux patients, les actions pour prévenir la détresse morale demeurent encore peu documentées. Cet article a pour but de circonscrire, à travers les écrits, le phénomène de la détresse morale vécue par les infirmières et de proposer des stratégies d’interventions susceptibles de contribuer à la prévenir chez ces dernières. La psychodynamique du travail (PDT) guidera l’ensemble de la réflexion à l’aide des concepts centraux de cette approche, à savoir : la souffrance au travail (en lien avec l’organisation du travail) et les stratégies de défense développées par les infirmières en réaction à la souffrance au travail. Cet article a permis d’identifier, à travers les écrits, les facteurs influençant la détresse morale chez les infirmières et les conséquences qu’elle peut entraîner. Les stratégies d’intervention efficaces susceptibles de la prévenir sont proposées et des pistes d’action sont suggérées pour les organisations et les gestionnaires désireux de réduire, voire de prévenir, la détresse morale chez les infirmières.

    Source : Poisson, Claudiane, Alderson, Marie, Caux, Chantal & Brault, Isabelle. (2014). Recherche en soins infirmiers, 117, 65-74. Repéré à http://www.cairn.info/resume.php?ID_ARTICLE=RSI_117_0065#anchor_abstract

  • Des échéances impossibles à respecter, un boss hyper exigeant, des collègues méprisants… C’est à croire que tout se ligue contre vous pour vous rendre la vie au travail infernale. Pour ne pas dire pour vous rendre fou. Pas vrai ? Heureusement, vous prenez ça de manière zen. Vous suivez quelques conseils piochés ici et là pour atténuer votre stress au travail. Vous vous confiez à des proches en qui vous avez entière confiance. Bref, vous faites ce qu’il faut pour que votre quotidien au travail s’améliore. Le hic ? C’est que ça ne change pas grand-chose !

    Source : Schmouker, Olivier. (2014, 18 septembre). Comment éviter l’épuisement professionnel?  [Billet de blogue]. Repéré à  http://www.lesaffaires.com/blogues/olivier-schmouker/comment-eviter-l-epuisement-professionnel/572208

  • Vos employés sont-ils très stressés par leur travail? Si c’est le cas, ils ne sont pas les seuls. Au Canada, plus du quart des adultes sur le marché du travail déclarent se sentir très stressés au travail. Divers facteurs tels que les exigences excessives, le manque de contrôle sur son travail, les ententes de travail précaires, le manque de ressources et de soutien, ainsi que l’intimidation et le harcèlement au travail ont tous des répercussions sur le mieux-être des travailleurs. Ce webinaire gratuit, animé par John Oudyk, du Centre de santé des travailleurs et travailleuses de l’Ontario (OHCOW), examine de plus près les diverses façons d’identifier et de mesurer ces risques psychosociaux, et on y propose des outils de prévention et des ressources permettant de contrer d’éventuelles atteintes mentales afin d’aider votre organisation à combattre le stress au travail.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2014). Rapports sur la santé et la sécurité, 12(9). Repéré à http://www.cchst.ca/newsletters/hsreport/issues/2014/09/ezine.html?id=1390&link=1#ccohsnews

SÉCURITÉ DES MACHINES

  • Cet article fait suite à celui publié en décembre 2013 dans Travail et santé qui présentait ce document important dans le domaine de la sécurité des machines. Cette fois, il sera question de la première partie de cette norme fondamentale en sécurité des machines, qu’est la norme ISO 12100.

    Source : Bourbonnière, Réal, & Giraud, Laurent. (2014). Travail et santé, 30(3), 42-43.

SERVICES ALIMENTAIRES

  • Dans cette cuisine, plusieurs apprentis-pâtissiers préparent des tartelettes. Tandis que Sophie coupe des ananas, Frédérique prépare le sirop, David roule la pâte et Younes sort une plaque brûlante du four. Pendant ce temps, Marie-Pierre et Sonia font un peu de rangement. Pour les besoins de notre démonstration, ils ont tous accepté de jouer le jeu et de nous présenter ce qu’il ne faut surtout pas faire dans une cuisine. Pouvez-vous dire quelles erreurs ont été commises ?

    Source : Mélançon, Julie. (2014). Prévention au travail, 27(3), 5, 46-47. Repéré à http://www.csst.qc.ca/publications/600/Documents/DC600_202_143web.pdf#5

SERVICES À DOMICILE

  • Vingt-quatre projets ont été présentés au jury de la 8e édition du concours. Découvrez les projets qui ont remporté un Prix du jury et le choix des participants du colloque pour le Prix du public. Les projets qui se sont mérités ces prix sont : Des super-utilisateurs pour la prévention des blessures musculosquelettiques / Optimisation du processus de prêt des fauteuils roulants / On s’attache à vous pour un transfert sécuritaire ! / Utilisation de Toile-Nette pour les soins d’hygiène au lit / Pompe à formol / Chariot élévateur pour les moteurs de lève-personne sur rail au plafond / Guide de prévention er de gestion des manifestations de violence par la clientèle à l’endroit des personnes oeuvrant à l’Hôpital Rivières-des-Prairies.

    Source : Bleau, Julie (2014). OP, 37(3), 10-13. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373010_Initiative.pdf

  • A human-systems perspective is a fruitful approach to understanding home health care because it emphasizes major individual components of the system – persons, equipment/technology, tasks, and environments – as well as the interaction between these components. The goal of this research was to apply a human-system perspective to consider the capabilities and limitations of the persons, in relation to the demands of the tasks and equipment/technology in home health care. Identification of challenges and mismatches between the person(s) capabilities and the demands of providing care provide guidance for human factors interventions. A qualitative study was conducted with 8 home health Certified Nursing Assistants and 8 home health Registered Nurses interviewed about challenges they encounter in their jobs. A systematic categorization of the challenges the care providers reported was conducted and human factors recommendations were proposed in response, to improve home health. The challenges inform a human-systems model of home health care.

    Source : Beer, Jenay M., McBride, Sara E., Mitzner, Tracy L. & Rogers, Wendy A. (2014). Applied Ergonomics, 45(6), 1687-1699. DOI: 10.1016/j.apergo.2014.05.019

  • Le présent rappel vise des monte-escaliers droits Acorn 120 Superglide fabriqués de mars 2007 à mars 2011. Environ 4 400 monte-escaliers ont été vendus au Canada. Il se peut que la soudure du montant du siège n’ait pas été faiter correctement. Le cas échéant, le produit présente un risque de chute pour l’utilisateur.

    Source : Canadien en santé : Rappels et avis. (26 septembre 2014). Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/41513r-fra.php

SERVICES AMBULANCIERS

  • Les ambulanciers s’exposent à se blesser en soulevant des personnes. Pour bien identifier la source des risques de troubles musculosquelettiques (TMS) de ce métier, une équipe de l’Université Laval a observé leur travail réel à Québec durant l’été 2011 et l’hiver 2012, puis à Montréal durant l’hiver et l’été 2013. Ces travaux consistent à inventorier l’équipement que les ambulanciers utilisent et à documenter la manière dont ils s’y prennent pour évacuer les malades. Des analyses touchant les aspects biomécanique, ergonomique et physiologique seront réalisées. " À partir de l’observation de ce que font les travailleurs dans différentes situations, nous ferons ressortir les stratégies les plus optimales, poursuit Dominique Larouche. À terme, nous voulons pourvoir les ambulanciers de façons de faire, c’est-à-dire des stratégies variées dans des contextes différents chaque fois qu’ils doivent déplacer une personne. Ils auront plus d’options. "

    Source : Sabourin, Guy. (2014). Prévention au travail, Prévention au travail, 27(3), 27. Repéré à http://www.csst.qc.ca/publications/600/Documents/DC600_202_143web.pdf#27

SERVICES DE GARDE

  • Human parvovirus B19 (B19V) infection during early pregnancy increases the risk of miscarriage. Studies have inconsistently shown an elevated risk of infection among women with occupational contacts with children. Methodological differences, particularly in defining occupational exposure and in the type of reference group, may explain the conflicting findings. Results B19V infections were more common among day-care employees, than among those working in healthcare. In conclusion, day-care employees are at an increased risk of B19V infection, which warrants preventive measures.

    Source : Riipinen, Anita, Sallmen, Markku, Hedman, Lea, Ojajaärvi, Anneli, Lindbohm, Marja-Liisa, Merilioto, Mira,… Söderlung-Venermo, Maria. (2014). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2014-102217

  • The quality of the relationships between teachers and young children affects children’s social and emotional development and their academic success. Little is known, however, about whether the amount of workplace stress experienced by early childhood educators impacts the quality of their relationships with young children. The purpose of this study was to determine whether workplace stress was associated with poorer quality teacher–children relationships in Head Start.  The authors examined the associations between teacher–children relationship quality and the level of three types of perceived workplace stress: high demands, low control, and low support. Findings indicated that more workplace stress was associated with more conflict in teacher–children relationships. Interventions to address workplace stress should be evaluated for their potential to impact teacher–children relationship quality and children’s social–emotional development.

    Source : Whitaker, Robert C., Dearth-Wesley, Tracy & Gooze, Rachel A. (2014). Early Childhood Research Quarterly. Prépublication. DOI: 10.1016/j.ecresq.2014.08.008

SST EN MILIEU HOSPITALIER

  • Au cours de la dernière année, le processus amenant à la planification stratégique 2014-2018 a retenu particulièrement l’attention du conseil d’administration de l’ASSTSAS. L’adoption des orientations stratégiques n’est pas la fin du processus. Au contraire ! Cette planification servira de livre de bord pour les cinq prochaines années. Les grandes lignes vous sont ici présentées.

    Source : Landry, Mona & Laurion, Guy. (2014). OP, 37(3), 4-5. Repéré à   http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373004_Nouvelles_Plan_strat.pdf

  • En 2009, les services d’entretien et de fonctionnement des installations de l’Institut universitaire en santé mentale de Québec (IUSMQ) entreprenaient une réflexion sur l’amélioration de leur offre de service. Ce projet suivait le changement de vocation de l’IUSMQ et l’entrée en vigueur de nouveaux règlements à la CSST. Voici un aperçu de leur démarche et de ses résultats.

    Source : René, Mario. (2014). OP, 37(3), 8-9. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373008_Org_prev.pdf

  • Vingt-quatre projets ont été présentés au jury de la 8e édition du concours. Découvrez les projets qui ont remporté un Prix du jury et le choix des participants du colloque pour le Prix du public. Les projets qui se sont mérités ces prix sont : Des super-utilisateurs pour la prévention des blessures musculosquelettiques / Optimisation du processus de prêt des fauteuils roulants / On s’attache à vous pour un transfert sécuritaire ! / Utilisation de Toile-Nette pour les soins d’hygiène au lit / Pompe à formol / Chariot élévateur pour les moteurs de lève-personne sur rail au plafond / Guide de prévention er de gestion des manifestations de violence par la clientèle à l’endroit des personnes oeuvrant à l’Hôpital Rivières-des-Prairies.

    Source : Bleau, Julie (2014). OP, 37(3), 10-13. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373010_Initiative.pdf

  • L’ASSTSAS a reçu plusieurs projets dans le cadre de la 8e édition de ce concours. Les gagnants des Prix du jury ont été présentés dans un précédent article. Découvrez maintenant les autres initiatives réalisées dans les établissements. Chacune est une réussite des différents milieux de travail.

    Source : Bleau, Julie. (2014). OP. 37(3), 14-17. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373014_Fleurs_Initiative.pdf

  • Comme membre de la première cohorte de la communauté apprenante de l’AQESSS à implanter le SMSST, l’Institut universitaire de santé mentale de Québec a également choisi d’agir en tant que pionnier dans sa façon de le communiquer à l’ensemble de son personnel. Animés par la volonté unificatrice de maximiser les efforts en la matière, les représentants patronaux et syndicaux ont appuyé le travail de sensibilisation et de communication pour assurer le succès de la démarche.

    Source : Saccà, Paul & Roy-Chouinard, Geneviève. (2014). OP, 37(3), 24-25. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373024_Dossier_SMSST.pdf

  • Until now there has been a lack of effective screening instruments for health care workers at risk. To counteract the forecast shortage for health care workers, the offer of early interventions to maintain their work ability will become a central concern. The Nurse-Work Instability Scale (Nurse-WIS) seems to be suitable as a screening instrument and therefore a prospective study of a cohort of nursing staff from nursing homes was undertaken to validate the Nurse-Work Instability Scale (Nurse-WIS). In conclusion, the German version of the Nurse-WIS appears to be a valid instrument with satisfactory predictive capabilities for recording an impending long-term sick leave. Whether the Nurse-WIS can be used as a screening tool which helps to design risk adjusted prevention programs for the afflicted nurse should be studied.

    Source : Harling, Melanie, Schablon, Anja, Peters, Claudia & Nienhaus, Albert. (2014). Predictive values and other quality criteria of the German version of the Nurse-Work Instability Scale (Nurse-WIS) – follow-up survey findings of a prospective study of a cohort of geriatric care workers. Journal of Occupational Medicine and Toxicology. Prépublication. doi:10.1186/s12995-014-0030-9

  • The purpose if this study was to etermine whether state-mandated minimum nurse-to-patient staffing ratios in California hospitals had an effect on reported occupational injury and illness rates. The difference-in-differences method was applied: The change in injury rates among hospital nurses after implementation of the law in California was compared to the change in 49 other states and the District of Columbia combined. Data were drawn from the US Bureau of Labor Statistics and the California Employment Development Department, including numerator estimates of injury and illness cases and denominator estimates of the number of registered nurses (RNs) and licensed practical nurses (LPNs) employed in hospitals. The authors concluded that despite significant data restrictions and corresponding methodological limitations, the evidence suggests that the law was effective in reducing occupational injury and illness rates for both RNs and LPNs. Whether these 31.6 and 33.6 % reductions are maintained over time remains to be seen.

    Source : Leigh, J. Paul, Markis, Carrie A., Iosif, Ana-Maria & Romano, Patrick S. (2014). International Archives of Occupational and Environmenal Health. Prépublication. Doi 10.1007/s00420-014-0977-y

  • The safety of patients and of employees in healthcare have historically been separately managed and regulated. Despite efforts to reduce injury rates for employees and adverse events for patients, healthcare organizations continue to see less-than-optimal outcomes in both domains. This article challenges readers to consider how the traditional siloed approach to patient and employee safety can lead to duplication of effort, confusion, missed opportunities and unintended consequences. The authors propose that only through integrating patient and employee safety activities and challenging the paradigms that juxtapose the two will healthcare organizations experience sustained and improved safety practice and outcomes. The purpose of this paper is to accomplish the following: Outline the context through which the separation of worker and patient safety has evolved ; Describe the efforts of Island Health to move toward a goal of safety for all ; Present the challenges we have identified while moving this change forward ; Deliver a call to action to consider a way of thinking about safety in an integrated manner.

    Source : Stevenson, R. Lynn, Moss, Lesley, Newlands, Tracey & Archer, Jana. (2014). Healthcare Quaterly, 16(4), doi:10.12927/hcq.2014.23663

STÉRILISATION

  • Le présent document a pour but de rassembler les règles issues des normes et lois en vigueur, afin de soutenir les établissements de santé qui doivent transporter des dispositifs médicaux (DM) en vue de leur retraitement, dans un contexte de sous-traitance par un organisme externe. Ce document informe sur les éléments essentiels à respecter pour effectuer de façon sécuritaire la manipulation (incluant la décontamination sommaire), le confinement et le transport des DM, avant et après leur retraitement complet, facilitant ainsi l’élaboration des politiques et procédures locales.

    Source : Institut national de santé publique du Québec. Centre d’expertise en retraitement des dispositifs médicaux (CERDM). [S.l.] : INSPQ. Direction des risques biologiques et de la santé au travail, iii, 57 p. Repéré à http://www.inspq.qc.ca/pdf/publications/1874_Transport_Dispositifs_Medicaux.pdf

  • Ce présent document a pour but de rassembler l’information normative, législative, scientifique et technique relative au retraitement des dispositifs médicaux (RDM) de type critique, en vue de définir des guides de pratiques ainsi que des protocoles (ou modes opératoires) le plus encadrés possible. La diffusion de ce document contribuera à assurer l’uniformisation et la qualité des processus reliés au RDM dans tous les établissements de santé du Québec.

    Source : Institut national de santé publique du Québec. Centre d’expertise en retraitement des dispositifs médicaux (CERDM). (2014). [S.l.] : Direction des risques biologiques et de la santé au travail de l’INSPQ, vii, 226 p. Repéré à http://www.inspq.qc.ca/pdf/publications/1873_Retraitement_Dispositifs_Medicaux.pdf

  • Medical devices are used in nearly every medical procedure. Patients and health care professionals expect these medical devices to be functionally and microbiologically safe. The safety of medical devices begins with the manufacturer and is supported and maintained by a system of national standards and government regulations that includes medical device licensing, construction and performance standards, and problem reporting systems. This is the sixth edition of CSA Z314.3. This standard is intended to provide requirements for the safe and reliable steam sterilization of reusable medical devices, water and steam quality, and extended steam sterilization cycles.

    Source : Canadian Standard Association (2014). Effective sterilization in health care settings by the steam process. Mississauga, Ont.: CSA, 61 p. (CSA: Z314.3-14). Repéré à http://shop.csa.ca/fr/canada/sterilisation/z3143-14/invt/27013302014

TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

TRAVAIL DE BUREAU

  • Sedentary work entails health risks. Dynamic (or active) workstations, at which computer tasks can be combined with physical activity, may reduce the risks of sedentary behaviour. The aim of this study was to evaluate short term task performance while working on three dynamic workstations: a treadmill, an elliptical trainer, a bicycle ergometer and a conventional standing workstation. A standard sitting workstation served as control condition. Fifteen Dutch adults performed five standardised but common office tasks in an office-like laboratory setting. Both objective and perceived work performance were measured. With the exception of high precision mouse tasks, short term work performance was not affected by working on a dynamic or a standing workstation. The participant’s perception of decreased performance might complicate the acceptance of dynamic workstations, although most participants indicate that they would use a dynamic workstation if available at the workplace.

    Source : Commissaris, Dianne A.C.M., Könemann, Reinier, Hiemstra-van Mastrigt, Suzanne, Burford, Eva-Maria, Botter, Juliane, Douwes, Marjolein & Ellegast, Rolf P. (2014). Applied Ergonomics, 45(6), 1570-1578. DOI: 10.1016/j.apergo.2014.05.003

TRAVAIL EN HAUTEUR

  • Les chutes de hauteur sont une des principales causes d’accidents graves et mortels. Au Québec, en 2009 seulement, il y a eu 62 décès reliés aux accidents de travail. Les accidents de transport arrivent en tête avec 20 décès, suivis de 15 décès dus aux contacts avec les objets et 13 décès dus aux chutes de hauteur. 12 841 chutes se sont produites pendant les heures travaillées et depuis le 1er janvier 2009, 70 % des arrêts de travail et 58 % des constats d’infraction dans la construction sont dus aux chutes de hauteur.

    Source : Lan, André & Galy, Bertrand. (2014). Travail et santé, 30(3), 34-37.

TRAVAIL EN LABORATOIRE

TRAVAILLEUSE ENCEINTE

  • Antineoplastic drugs are known reproductive and developmental toxicants. Our objective was to review the existing literature of reproductive health risks to workers who handle antineoplastic drugs. A structured literature review of 18 peer-reviewed, English language publications of occupational exposure and reproductive outcomes was performed.

    Source : Connor, Thomas H., Lawson, Christna, C., Polovich, Martha, & McDiarmid, Melissa. (2014). JOEM : Journal of Occupational and Environmental Médicine, 56(9), 901-910. doi: 10.1097/JOM.0000000000000249

TROUBLES MUSCULOSQUELETTIQUES

  • Nous entendons régulièrement parler des maux de dos comme un fléau causant une panoplie de jours d’absence au travail et des frais importants. Cependant, vous seriez surpris de mesurer l’impact des atteintes aux épaules. Saviez-vous que selon les données de la CSST (2000-2007), les atteintes aux épaules impliquent deux fois plus de jours d’absence au travail que les maux de dos?

    Source : Ménard, Patrick. (2014). Travail et santé, 30(3), 13-15.

  • Vingt-quatre projets ont été présentés au jury de la 8e édition du concours. Découvrez les projets qui ont remporté un Prix du jury et le choix des participants du colloque pour le Prix du public. Les projets qui se sont mérités ces prix sont : Des super-utilisateurs pour la prévention des blessures musculosquelettiques / Optimisation du processus de prêt des fauteuils roulants / On s’attache à vous pour un transfert sécuritaire ! / Utilisation de Toile-Nette pour les soins d’hygiène au lit / Pompe à formol / Chariot élévateur pour les moteurs de lève-personne sur rail au plafond / Guide de prévention er de gestion des manifestations de violence par la clientèle à l’endroit des personnes oeuvrant à l’Hôpital Rivières-des-Prairies.

    Source : Bleau, Julie (2014). OP, 37(3), 10-13. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373010_Initiative.pdf

  • The objectives of this study were to develop a questionnaire that evaluates the perception of nursing workers to job factors that may contribute to musculoskeletal symptoms, and to evaluate its psychometric properties. Internationally recommended methodology was followed: construction of domains, items and the instrument as a whole, content validity, and pre-test. Psychometric properties were evaluated among 370 nursing workers. Therefore, results indicated that the new questionnaire had good psychometric properties for use in studies involving nursing workers.

    Source : Orpinelli Coluci, Marina Zambon & Costa Alexandre, Neusa Maria. (2014). Applied Ergonomics, 45(6), 1588-1596. DOI: 10.1016/j.apergo.2014.05.007

  • The aim of this study was to evaluate the prevalence of upper-body-quadrant pain among ultrasonographers and to evaluate the association between individual ergonomics, musculoskeletal disorders, and occurrence of neck pain. A hundred and ten (N = 110) Belgian and Dutch male and female hospital ultrasonographers were consecutively enrolled in the study. Data on work-related ergonomic and musculoskeletal disorders were collected with an electronic inquiry, including questions regarding ergonomics (position of the screen, high-low table, and ergonomic chair), symptoms (neck pain, upper-limb pain), and work-related factors (consecutive working hours a day, average working hours a week).

    Source : Claes, Frank, Berger, Jan & Stassijns, Gäetane. (2014). Human Factors. Prépublication. doi: 10.1177/0018720814547872

  • There is a high incidence of low back pain (LBP) among nurses. However, few longitudinal studies have investigated musculoskeletal disorders (MSDs) at other anatomical sites in nurses. The purpose of this study was to describe the cumulative incidence and persistence/recurrence of MSDs of the low back, neck, shoulder, elbow, wrist/hand and knee among New Zealand nurses, to investigate the impact of MSDs on work and functional tasks and to compare findings for nurses with those in postal workers and office workers. Participants completed a postal survey at baseline and again 1 year later. Information was collected about MSDs in the previous 1 month and 12 months and about the ability to attend work, undertake work duties and perform functional tasks.

    Source : Harcombe, H., Herbison, G.P., McBride, D., & Derrett, S. (2014). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqu117

  • Longitudinal studies have linked stress at work with a higher incidence of musculoskeletal pain. The authors aimed to explore the extent to which musculoskeletal pain is a cause as opposed to a consequence of perceived occupational stress. As part of the international cultural and psychosocial influences on disability study, they collected information from 305 Italian nurses, at baseline and again after 12 months, about pain during the past month in the low-back and neck/shoulder, and about effort-reward imbalance (ERI). The resukts suggest that the well-documented association between job stress and musculoskeletal pain is not explained entirely by an effect of stress on reporting of pain. It appears also that workers who report musculoskeletal pain are more likely to develop subsequent perceptions of stress. This may be because pain renders people less tolerant of the psychological demands of work. Another possibility is that reports of pain and stress are both manifestations of a general tendency to be aware of and complain about symptoms and difficulties.

    Source : Bonzini, Matteo, Bertu, Lorenza, Veronesi, Giovanni, Conti, Marco, Coggon, David, Ferrario, Marco M. (2014). International Archives of Occupational and Environmental Health. Prépublication. Repéré à http://link.springer.com/article/10.1007%2Fs00420-014-0982-1

VACCINATION

  • Fièvre, toux, fatigue, maux de tête, douleurs musculaires… ça vous rappelle quelque chose ? Et oui, ce sont les symptômes de la grippe ! Qui dit grippe, dit campagne de vaccination auprès des travailleurs de la santé. Cette année encore, l’ASSTSAS vous propose des outils pour réussir votre campagne de vaccination.

    Source : Buteau, Andrée-Anne. (2014). OP, 37(3), 6. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op373006_Vaccination.pdf

  • The Advisory Committee on Immunization Practices recommends that all health care personnel (HCP) be vaccinated annually against influenza. Vaccination of HCP can reduce influenza-related morbidity and mortality among both HCP and their patients. To estimate influenza vaccination coverage among HCP during the 2013-14 season, CDC analyzed results of an opt-in Internet panel survey of 1,882 HCP conducted during April 1-16, 2014. Overall, 75.2% of participating HCP reported receiving an influenza vaccination during the 2013-14 season, similar to the 72.0% coverage among participating HCP reported in the 2012-13 season (5). Coverage was highest among HCP working in hospitals (89.6%) and lowest among HCP working in long-term care (LTC) settings (63.0%). By occupation, coverage was highest among physicians (92.2%), nurses (90.5%), nurse practitioners and physician assistants (89.6%), pharmacists (85.7%), and "other clinical personnel" (87.4%) compared with assistants and aides (57.7%) and nonclinical personnel (e.g., administrators, clerical support workers, janitors, and food service workers) (68.6%).

    Source : Centers for Disease Control and Prevention. (September 19, 2014). Morbidity and Mortality Weekly Report (MMWR), 63(37), 805-811. Repéré à http://www.cdc.gov/mmwr/pdf/wk/mm6337.pdf

Laisser un commentaire

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

Logo WordPress.com

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

Image Twitter

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

Photo Facebook

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

Photo Google+

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

Connexion à %s