COIN DE LA DOCUMENTALISTE – NOVEMBRE 2014

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AGRESSIONS ET VIOLENCE

  • Workplace violence is an important health and safety issue. Healthcare workers are particularly at risk of experiencing workplace violence. Despite the research that was conducted in this domain, little is known about the consequences of being a victim of workplace violence, specifically in the healthcare sector. Therefore, this article aims to review the literature regarding the consequences of exposure to workplace violence in the healthcare sector. Sixty-eight studies were included in the review and they were evaluated according to 12 criteria recommended for systematic reviews. The studies identified seven categories of consequences of workplace violence: (1) physical, (2) psychological, (3) emotional, (4) work functioning, (5) relationship with patients/quality of care, (6) social/general, and (7) financial. Psychological (e.g., posttraumatic stress, depression) and emotional (e.g., anger, fear) consequences and impact on work functioning (e.g., sick leave, job satisfaction) were the most frequent and important effects of workplace violence.

    Source : Lanctôt, Nathalie & Guay, Stéphane. (2014). Aggression and Violence Behavior, 19(5), 492-501. DOI: 10.1016/j.avb.2014.07.010

  • Hospital clinical staff routinely confront challenging behaviors in patients with dementia with limited training in prevention and management. The authors of the current article conducted a survey of staff on a chronic care hospital unit concerning knowledge about dementia, perceived educational needs, and the care environment. However, staff indicated a need for more information and skills, specifically for managing behaviors nonpharmacologically, enhancing patient safety, coping with care challenges, and involving patients in activities. Although most staff (i.e., nurses and therapists believed their care contributed a great deal to patient well-being, approximately 75% reported frustration and being overwhelmed by dementia care. Most reported being hit, bitten, or physically hurt by patients, as well as disrespected by families. Findings suggest that staff have foundational knowledge but lack the « how-to » or hands-on skills necessary to implement nonpharmacological behavioral management approaches and communicate with families.

    Source : Marx, Katherine A., Stanley, Ian H., Van Haitsma, Kimberly, Moody, Jennifer, Alonzi, Dana, Hansen, Bryan R. & Gitlin, Laura N. (2014).  Journal of Gerontological Nursing. Prépublication. DOI: 10.3928/00989134-20140905-01

  • Primary and secondary violence prevention can reduce conflict in inpatient psychiatric settings. The authors aimed to review the empirical literature about how patients and staff in these settings perceive violence prevention. They conducted a systematic review using comprehensive terms to search multiple electronic databases. There are currently no adequate psychometric tools that can measure the perception of violence prevention in the inpatient setting. No studies have established a link between perceptions about inpatient violence prevention and violence preventive behaviors. The results from included studies were synthesized into a narrative review guided by thematic analysis. Important themes are related to patient factors, care staff factors, and organizational and environmental factors. The narrative review can provide the basis for an empirically-based, descriptive, middle range theory of attitudes to violence prevention.

    Source : Hallett, Nutmeg, Huber, Jörg W., & Dickens, Geoffrey L. (2014). Agression and Violent Behavior, 19(5), 502-514. DOI: 10.1016/j.avb.2014.07.009

AMÉNAGEMENT-ARCHITECTURE

  • Des chercheurs de l’Inserm ont démontré que dans un environnement de faible luminosité, la lumière enrichie en bleu est capable d’assurer une bonne synchronisation du rythme biologique. Ces résultats pourraient aider à développer le design de stratégies lumineuses destinées à maintenir la santé, la productivité, et la sécurité des personnels. « En pratique, il suffit de remplacer l’ampoule de notre bureau par une ampoule enrichie en bleu, disponible d’ores et déjà sur le marché », conclut Raymond Najjar de l »INSERM.

    Source : Albenois, Caroline. (17 octobre 2014). L’Info Expoprotection. Repéré à http://www.info.expoprotection.com/?IdNode=1571&Zoom=88c9a1b3657bd63b8c34cd074a5e2b62

APPROCHE RELATIONNELLE DE SOINS

  • Une série de beaux petits films de quelques minutes. Des commentaires éclairants et sensibles de plusieurs spécialistes. Dans ce second film, le professeur Carteau, gériatre à Toulon, nous donne le message essentiel : le malade est toujours une personne. Si nous en faisons un objet, c’est terrible. La maladie d’Alzheimer pourrait nous amener à croire à la disparition de l’humain… Mais l’humain est toujours là ! il reste toujours en lui la capacité à ressentir l’empathie du soignant. L’Alzheimer, c’est quelqu’un qui n’a plus de devoirs, qui n’a plus que des droits.

    Source : Bouthier, Pierre. (17 octobre 2014). La boîte à outils du soin relationnel : Le deuxième de la série de beaux petits films sur la personne atteinte d’Alzheimer [billet de blogue]. Repéré à http://le-soin-relationnel.com/2014/10/17/le-deuxieme-de-la-serie-de-beaux-petits-films-sur-la-personne-atteinte-dalzheimer/

  • Outil de communication privilégié, la Process Communication favorise un dialogue optimal entre le soignant et le soigné. Elle permet de gommer les conflits parasites et d’instaurer un climat de confiance propice à l’accompagnement de la personne soignée dans son projet de vie, tout en permettant à chacun une saine gestion de son stress. Cet ouvrage donne les clés de cet outil simple à utiliser, développé par le psychologue américain Taibi Kahler, et démontre, exemples à l’appui, l’atout qu’il présente pour des relations harmonieuses et fructueuses entre soignants, soignés, accompagnants et aidants.

    Source : Frenot, Jean-Yves. (2014). Paris :  InterEditions. 320 p. (Développement personnel et accompagnement), xiii, 300 p.

BLOC OPÉRATOIRE-CHIRURGIE

  • Ce produit rest retiré du marché. Steris a appris, grâce à la rétroaction des clients et à l’expérience obtenue par le service après-vente, qu’une articulation extrême de la table ou une pression excessive exercée sur le côté ou la base de la table peut causer un défaut d’alignement du carénage recouvrant la colonne hydraulique, ainsi que des dommages à celui-ci. Dans la plupart des cas, les dommages causés au carénage sont mineurs et n’ont aucune incidence sur le déplacement vertical de la colonne hydraulique. Dans les cas où les dommages sont graves, le mauvais alignement des sections de carénage pourrait entraver le déplacement vertical de la colonne hydraulique. Ce défaut peut avoir un impact négatif sur la santé et sécurité au travail (SST), si le personnel a de la difficulté à ajuster la hauteur de la table.

    Source : Canadien en santé : Rappels et avis. (13 octobre 2014). Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/41815r-fra.php

CHUTES ET GLISSADES

CONCILIATION TRAVAIL-VIE PERSONNELLE

  • Deux modèles théoriques rivaux, soit le modèle du stress organisationnel et le modèle d’effets d’entraînement, prétendent expliquer l’influence du conflit entre le travail et la famille sur l’intention de quitter l’organisation. Le but de cette étude est de vérifier lequel de ces deux modèles théoriques explique le mieux l’influence de la conceptualisation multidimensionnelle de ce conflit sur l’intention de quitter l’organisation.

    Source : Rhnima, Aziz, Wils, Thierry, Pousa, Claudio E., & Frigon, Mélanie. (2014). Relations industrielles, 69(3), 477-500. Repéré à http://www.erudit.org/revue/ri/2014/v69/n3/index.html

DÉPLACEMENTS DES BÉNÉFICIAIRES

DERMATOSES PROFESSIONNELLES

  • Une femme de 27 ans, puéricultrice en pédiatrie générale en milieu hospitalier, était adressée par son médecin du travail à notre consultation de dermato-allergologie, pour une dermatose vésiculeuse des doigts et de la face dorsale des mains, évoluant depuis six mois. À l’examen clinique, elle présentait un eczéma surinfecté des paumes. Quel diagnostic devez-vous évoquer compte tenu de son activité professionnelle ? Quelles sont vos préconisations ?

    Source : Tran, N., Pecquet, C., & Francès, C. (2014). Archives des maladies professionnelles et de l’environnement. Prépublication. DOI: 10.1016/j.admp.2014.08.001

ÉBOLA

  • Cette procédure s’adresse aux techniciens-ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d’urgence (RMU). Entre autres, on y traite des critères d’inclusion du déclenchement de la procédure, de l’intervention auprès d’un patient à risque de MVE, et de l’intervention clinique. On rappelle en annexe les principes généraux de prévention des infections, dont le port des vêtements de protection, l’habillage et de déshabillage puis la désinfection.

    Source : Ministère de la Santé et des Services sociaux du Québec. Direction nationale des urgences, des services de traumatologie et des services préhospitaliers d’urgence. (23 octobre 2014). Procédure préhospitaliere de triage et de prise en charge des patients susceptibles d’être atteints de la maladie par virus d’Ebola (MVE) pour les techniciens ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d.urgence (RMU) : Version 3.0 (23102014). 22 p. Repéré à https://www.urgences-sante.qc.ca/wp-content/uploads/2014/05/0_Proc%C3%A9dure_Ebola_finale_2014_10_23.pdf

  • These procedures provide detailed guidance on the types of personal protective equipment (PPE) to be used and on the processes for donning and doffing (i.e., putting on and removing) PPE for all healthcare workers entering the room of a patient hospitalized with Ebola virus disease. The guidance in this document reflects lessons learned from the recent experiences of U.S. hospitals caring for Ebola patients and emphasizes the importance of training, practice, competence, and observation of healthcare workers in correct donning and doffing of PPE selected by the facility.

    Source : United States. Centers for Disease Control and Prevention. (October 20, 2014). Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing). Repéré à http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html

  • This document has been updated as of October 14, 2014, based on the best available evidence at that time. Selection of the range of personal protective quipment (PPE) supplied by an organization for the assessment and care of patient with suspected or confirmed Ebola Virus Disease (EVD) needs to be based on a site-specific risk assessment that includes a review of the care level and tasks anticipated, work and environmental conditions, and controls in place. This assessment will determine the correct PPE required for protection of the staff members who provide direct care or support services throughout the continuum of care, from out-patient assessment to critical care to recovery or mortuary care. Organizations will need to customize their inventory to ensure that the PPE selected offers effective protection for the users. Several different designs or options may be required to be able to fit different staff.

    Source : Public Health Ontario. (2014). Decision Guide on Selection of Personal Protective Equipment for Ebola Virus Disease – Isolation Gowns or Suits. [S.l.] : Public Health Ontario. 5 p.  Repéré à http://www.publichealthontario.ca/en/eRepository/EVD_PPE_Decision_Guide.pdf

  • Preventing transmission of pathogens in the health care setting with the use of personal protective equipment (PPE) has been an area of longstanding debate in the infection prevention community. Recently, reports of nosocomial transmission of Ebola virus to 2 nurses from the same patient in Texas (despite their use of PPE) has generated great concern and presents new challenges, particularly because there is no postexposure prophylaxis or effective antiviral therapy for Ebola, and approximately half of the cases are fatal. Health care workers are at particular risk for Ebola infection, accounting for one-quarter of cases in prior outbreaks.  Some health care workers should have extensive experience wearing PPE during routine care as currently recommended by the Centers for Disease Control and Prevention (CDC), and most research concerning PPE has focused on its utility for preventing the transmission of multidrug-resistant bacterial organisms (MDROs) from the clothing and hands of health care workers to patients. However, there is evidence that routine use of gowns, gloves, and masks is associated with frequent self-contamination.

    Source : Edmond, Michael B., Diekema, Daniel J., & Perencevich, Eli N. (2014). JAMA : the Journal of the American Medical Association. Prépublication. doi:10.1001/jama.2014.15497

  • The CDC and the California Department of Public Health (CDPH) have published guidance for a variety of settings, including hospitals, airlines, and laboratories. Much of this information can be found on the CDPH Ebola Virus webpage, which contains links to specific guidance, recommendations, and reporting forms.

    Source : State of California. Department of Industrial Relations. Division of Occupational Safety and Health. (2014). Repéré à http://www.dir.ca.gov/dosh/documents/Cal-OSHA-Guidance-on-Ebola-Virus.pdf

  • Workers tasked with cleaning surfaces that may be contaminated with Ebola virus, the virus that causes Ebola hemorrhagic fever (EHF), must be protected from exposure. Employers are responsible for ensuring that workers are protected from exposure to Ebola and that workers are not exposed to harmful levels of chemicals used for cleaning and disinfection. This fact sheet presents guidelines for cleaning and disinfection.

    Source : United States.Occupational Safety and Health Administration. (2014). Cleaning and Decontamination of Ebola on Surfaces : Guidance for workers and Employers in Non-Healthcare/Non-Laboratory Settings. [S.l.] : OSHA, 3 p. (OSHA FactSheet). Repéré à https://www.osha.gov/Publications/OSHA_FS-3756.pdf

  • Now that the Ebola virus has landed on U.S. soil, employers here are grappling with how to address various workplace issues, ranging from addressing irrational fears among employees to dealing with employees who may have had actual or potential exposure to the virus. First, employers should learn the facts about the Ebola virus to help stop the spread of misinformation and hysteria. Second, they should consider practices that balance employee and workplace safety with ensuring compliance with federal, state, and local laws and regulations.

    Source : Kim, Ben J. & Sanders, Rachel. (2014, October 23).  Dealing with Ebola and Ebola-Related Fears in the Workplace. OH&S : Occupational Health and Safety. Repéré à http://ohsonline.com/blogs/the-ohs-wire/2014/10/dealing-with-ebola.aspx

ÉCLAIRAGE

  • Des chercheurs de l’Inserm ont démontré que dans un environnement de faible luminosité, la lumière enrichie en bleu est capable d’assurer une bonne synchronisation du rythme biologique. Ces résultats pourraient aider à développer le design de stratégies lumineuses destinées à maintenir la santé, la productivité, et la sécurité des personnels. « En pratique, il suffit de remplacer l’ampoule de notre bureau par une ampoule enrichie en bleu, disponible d’ores et déjà sur le marché », conclut Raymond Najjar de l »INSERM.

    Source : Albenois, Caroline. (17 octobre 2014). L’Info Expoprotection. repéré à http://www.info.expoprotection.com/?IdNode=1571&Zoom=88c9a1b3657bd63b8c34cd074a5e2b62

ÉQUIPEMENTS – AVIS ET RETRAITS

  • Ce produit rest retiré du marché. Steris a appris, grâce à la rétroaction des clients et à l’expérience obtenue par le service après-vente, qu’une articulation extrême de la table ou une pression excessive exercée sur le côté ou la base de la table peut causer un défaut d’alignement du carénage recouvrant la colonne hydraulique, ainsi que des dommages à celui-ci. Dans la plupart des cas, les dommages causés au carénage sont mineurs et n’ont aucune incidence sur le déplacement vertical de la colonne hydraulique. Dans les cas où les dommages sont graves, le mauvais alignement des sections de carénage pourrait entraver le déplacement vertical de la colonne hydraulique. Ce défaut peut avoir un impact négatif sur la santé et sécurité au travail (SST), si le personnel a de la difficulté à ajuster la hauteur de la table.

    Source : Canadien en santé : Rappels et avis. (13 octobre 2014). Repéré à http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2014/41815r-fra.php

ÉQUIPEMENTS DE PROTECTION

  • Cette procédure s’adresse aux techniciens-ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d’urgence (RMU). Entre autres, on y traite des critères d’inclusion du déclenchement de la procédure, de l’intervention auprès d’un patient à risque de MVE, et de l’intervention clinique. On rappelle en annexe les principes généraux de prévention des infections, dont le port des vêtements de protection, l’habillage et de déshabillage puis la désinfection.

    Source : Ministère de la Santé et des Services sociaux du Québec. Direction nationale des urgences, des services de traumatologie et des services préhospitaliers d’urgence. (23 octobre 2014). Procédure préhospitaliere de triage et de prise en charge des patients susceptibles d’être atteints de la maladie par virus d’Ebola (MVE) pour les techniciens ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d.urgence (RMU) : Version 3.0 (23102014). 22 p. Repéré à https://www.urgences-sante.qc.ca/wp-content/uploads/2014/05/0_Proc%C3%A9dure_Ebola_finale_2014_10_23.pdf

  • These procedures provide detailed guidance on the types of personal protective equipment (PPE) to be used and on the processes for donning and doffing (i.e., putting on and removing) PPE for all healthcare workers entering the room of a patient hospitalized with Ebola virus disease. The guidance in this document reflects lessons learned from the recent experiences of U.S. hospitals caring for Ebola patients and emphasizes the importance of training, practice, competence, and observation of healthcare workers in correct donning and doffing of PPE selected by the facility.

    Source : United States. Centers for Disease Control and Prevention. (October 20, 2014). Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing). Repéré à http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html

  • This document has been updated as of October 14, 2014, based on the best available evidence at that time. Selection of the range of personal protective quipment (PPE) supplied by an organization for the assessment and care of patient with suspected or confirmed Ebola Virus Disease (EVD) needs to be based on a site-specific risk assessment that includes a review of the care level and tasks anticipated, work and environmental conditions, and controls in place. This assessment will determine the correct PPE required for protection of the staff members who provide direct care or support services throughout the continuum of care, from out-patient assessment to critical care to recovery or mortuary care. Organizations will need to customize their inventory to ensure that the PPE selected offers effective protection for the users. Several different designs or options may be required to be able to fit different staff.

    Source : Public Health Ontario. (2014). Decision Guide on Selection of Personal Protective Equipment for Ebola Virus Disease – Isolation Gowns or Suits. [S.l.] : Public Health Ontario. 5 p.  Repéré à http://www.publichealthontario.ca/en/eRepository/EVD_PPE_Decision_Guide.pdf

  • Preventing transmission of pathogens in the health care setting with the use of personal protective equipment (PPE) has been an area of longstanding debate in the infection prevention community. Recently, reports of nosocomial transmission of Ebola virus to 2 nurses from the same patient in Texas (despite their use of PPE) has generated great concern and presents new challenges, particularly because there is no postexposure prophylaxis or effective antiviral therapy for Ebola, and approximately half of the cases are fatal. Health care workers are at particular risk for Ebola infection, accounting for one-quarter of cases in prior outbreaks.  Some health care workers should have extensive experience wearing PPE during routine care as currently recommended by the Centers for Disease Control and Prevention (CDC), and most research concerning PPE has focused on its utility for preventing the transmission of multidrug-resistant bacterial organisms (MDROs) from the clothing and hands of health care workers to patients. However, there is evidence that routine use of gowns, gloves, and masks is associated with frequent self-contamination.

    Source : Edmond, Michael B., Diekema, Daniel J., & Perencevich, Eli N. (2014). JAMA : the Journal of the American Medical Association. Prépublication. doi:10.1001/jama.2014.15497

  • The CDC and the California Department of Public Health (CDPH) have published guidance for a variety of settings, including hospitals, airlines, and laboratories. Much of this information can be found on the CDPH Ebola Virus webpage, which contains links to specific guidance, recommendations, and reporting forms.

    Source : State of California. Department of Industrial Relations. Division of Occupational Safety and Health. (2014). Repéré à http://www.dir.ca.gov/dosh/documents/Cal-OSHA-Guidance-on-Ebola-Virus.pdf

ERGONOMIE

  • L’évaluation subjective est un outil précieux, précis et reproductible pour mesurer la charge de travail. Elle peut être utilisée seule (échelles d’auto-évaluation, questionnaires…) ou en parallèle aux nombreuses métrologies objectives. Après une courte présentation de l’évaluation subjective à l’aide des échelles de Borg (RPE et CR10), des exemples d’études menées en laboratoire et en situation de travail sont présentés pour argumenter leurs utilisations et leurs apports dans un bilan des conditions de travail.

    Source : Meyer, J.P. (2014). Références en santé au travail, 139, 105-122. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/PratiquesMetiers/TI-RST-TM-33/tm33.pdf

  • Des chercheurs de l’Inserm ont démontré que dans un environnement de faible luminosité, la lumière enrichie en bleu est capable d’assurer une bonne synchronisation du rythme biologique. Ces résultats pourraient aider à développer le design de stratégies lumineuses destinées à maintenir la santé, la productivité, et la sécurité des personnels. « En pratique, il suffit de remplacer l’ampoule de notre bureau par une ampoule enrichie en bleu, disponible d’ores et déjà sur le marché », conclut Raymond Najjar de l »INSERM.

    Source : Albenois, Caroline. (17 octobre 2014). L’Info Expoprotection. repéré à http://www.info.expoprotection.com/?IdNode=1571&Zoom=88c9a1b3657bd63b8c34cd074a5e2b62

GESTION-LEADERSHIP

  • This study aimed to explore the associations of organizational social capital (OSC) with the presence of « gossip and slander, » the presence of « conflicts and quarrels, » sick leave prevalence, and prevalence of poor work ability in frontline working personnel of nursing homes. A total of 239 subjects (81 % participation), working in 11 different nursing homes, took part in a cross-sectional questionnaire study. Following end points were considered, they are as follows: prevalence of « gossip and slander, » « conflicts and quarrels, » sick leave, and poor work ability. Associations with OSC were explored at individual level and on group level.

    Source : Kiss, Philippe, De Meester, Marc, Kristensen, Tage S., & Braeckman, Lutgart. (2014). International Archives of Occupational and Environmental Health, 87(8), 929-936. doi: 10.1007/s00420-014-0937-6

GESTION DE LA SST

  • A study was conducted to advance the state of knowledge and practice on the topic of using leading indicators to measure occupational health and safety (OHS) performance of organizations. The specific research aims were to (1) describe the extent to which OHS practitioners understand leading indicators; (2) explore organizational practices pertaining to tracking, analyzing, and applying information provided by leading indicators to improve OHS performance; and (3) identify barriers and factors that enable the use of leading indicators. The study design included an expert panel and a quantitative survey to explore the views and experiences of OHS practitioners in relation to leading indicators.

    Source : Sinelnikov, Sergey, Inouye, Joy, et Kerper, Sarah. (2015). Safety Science, 72, 240-248. DOI: 10.1016/j.ssci.2014.09.010

  • Hospitals with solid organizational practices and policies including better ergonomic practices, have lower injury rates among nurses, a new study finds. Lower injury rates also were reported by nurses in units where they described better safety leadership, greater safety diligence, stronger people-oriented culture, and higher social support from coworkers.

    Source : Fantastic 4: Diligence, culture, leaders, ergonomics: Practices and policies reduce injury rates. (November 2014). Hospital Employee Health, 33(11), 126-127.

HORAIRE DE TRAVAIL

  • Un bilan général des études concernant les effets des horaires postés sur la santé montre que ce mode d’organisation du temps de travail a des conséquences néfastes dans quatre grands domaines : le sommeil, la fonction digestive, l’appareil cardiovasculaire, le cancer. Ces altérations de la santé résultent au premier chef des perturbations de la rythmicité circadienne, mais aussi en partie des discordances des horaires de travail avec les rythmes de la vie sociofamiliale. L’impact de ces situations de désynchronisation se conjugue, en outre, avec les effets pathogènes propres à la nature du travail accompli. Les systèmes d’horaires postés se caractérisent par une série de paramètres dont la combinaison aboutit à une grande diversité de situations. Le délai d’apparition et l’ampleur des altérations de la santé subies par les travailleurs postés sont fonction des caractéristiques du système pratiqué : les données acquises à ce sujet fournissent une série de repères aidant à concevoir un système d’horaires aussi appropriés que possible aux contextes professionnel et socioéconomique et aux caractéristiques des salariés concernés (âge, sexe, etc.).

    Source : Gadbois, C. & Prunier-Poulmaire, S. (2014). Pathologie professionnelle et de l’environnement. Prépublication. Doi : 10.1016/S1877-7856(14)63066-X

  • The aim of this study was to compare the psychophysiological strain related to a conventional shift schedule and new ergonomically improved two- and three-shift schedules using heart rate variability (HRV) analysis. The specific aim was to determine whether the introduced ergonomic shift arrangement had any positive effects on the psychophysiological strain such as increased HRV or decrease in the sympathovagal balance of the autonomic nervous system (ANS).

    Source : Järvelin-Pasanen, Susanna,  Ropponen, Annina, Tarvainen, Mika, Paukkonen, Marja, Tarja Hakola6), Sampsa Puttonen,… Pohjonen, Tiina. (2013). Journal of Occupational Health, 55 (4), 225-233. Repéré à https://www.jstage.jst.go.jp/article/joh/55/4/55_12-0250-OA/_pdf

  • Specific physical activities or working conditions are suspected for increasing the risk of preterm birth (PTB). The aim of this meta-analysis is to review and summarize the pre-existing evidence on the effect of shift work or long working hours on the risk of PTB. A systematic search in MEDLINE and EMBASE (1990-2013) for observational and intervention studies with original data was conducted.

    Source : van Melick, M.J.G.J., van Beukering, M.D.M., Mol, B.W., Frings-Dresen, M.H.W., & Hulshof, C.T.J. (2014). International Archives of Occupational and Environmental Health, 87(8), 835-849. doi: 10.1007/s00420-014-0934-9

HYGIÈNE ET SALUBRITÉ

  • Microbes tend to attach to available surfaces and form biofilms readily, which is problematic in healthcare settings. Biofilms are traditionally associated with wet or damp surfaces such as indwelling medical devices and tubing on medical equipment. However, microbes can survive for extended periods in a desiccated state on dry hospital surfaces, and biofilms have recently been discovered on dry hospital surfaces. Microbes attached to surfaces and in biofilms are less susceptible to biocides, antibiotics and physical stress. Thus, surface attachment and/or biofilm formation may explain how vegetative bacteria can survive on surfaces for weeks to months (or more), interfere with attempts to recover microbes through environmental sampling, and provide a mixed bacterial population for the horizontal transfer of resistance genes. The capacity of existing detergent formulations and disinfectants to disrupt biofilms may have an important and previously unrecognized role in determining their effectiveness in the field, which should be reflected in testing standards.

    Source : Otter, J.A., Vickery, K., Walker, J., deLancey Pulcini, E., Stoodley, P., Goldenberg, S.D.,… Edgeworth, J.D. (2014). Journal of Hospital Infection. Prépublication. DOI: 10.1016/j.jhin.2014.09.008

  • Healthcare workers have an elevated prevalence of asthma and related symptoms associated with the use of cleaning/disinfecting products. The objective of this study was to identify and characterize cleaning/disinfecting tasks and products used among hospital occupations. Workers from 14 occupations at five hospitals were monitored for 216 shifts, and work tasks and products used were recorded at five-minute intervals. The major chemical constituents of each product were identified from safety data sheets. Cleaning and disinfecting tasks were performed with a high frequency at least once per shift in many occupations. Medical equipment preparers, housekeepers, floor strippers/waxers, and endoscopy technicians spent on average 108-177 min/shift performing cleaning/disinfecting tasks. Many occupations used products containing amines and quaternary ammonium compounds for >100 min/shift. This analysis demonstrates that many occupations besides housekeeping incur exposures to cleaning/disinfecting products, albeit for different durations and using products containing different chemicals.

    Source : Saito, Rena, Virji, M. Abbas, Henneberger, Paul K., Humann, Micahel J., LeBouf, Ryan F., Stanton, Marcia L., Liang, Xiaoming & Stefaniak, Aleksandr B. (2014). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22393

  • Workers tasked with cleaning surfaces that may be contaminated with Ebola virus, the virus that causes Ebola hemorrhagic fever (EHF), must be protected from exposure. Employers are responsible for ensuring that workers are protected from exposure to Ebola and that workers are not exposed to harmful levels of chemicals used for cleaning and disinfection. This fact sheet presents guidelines for cleaning and disinfection.

    Source : United States.Occupational Safety and Health Administration. (2014). Cleaning and Decontamination of Ebola on Surfaces : Guidance for workers and Employers in Non-Healthcare/Non-Laboratory Settings. [S.l.] : OSHA, 3 p. (OSHA FactSheet). Repéré à https://www.osha.gov/Publications/OSHA_FS-3756.pdf

MANUTENTION

  • Le site Web Manutention a été réalisé dans le cadre d’un projet de recherche de l’IRSST et mis en ligne pour la première fois en 2008. Sa refonte a mené à mettre en ligne, en juin 2014, un site restructuré et intitulé Manutention en milieu de travail. Tous ceux qui ont à coeur la prévention des troubles musculosquelettiques en lien avec le travail de manutention y trouveront des informations utiles, que vous ayez ou non des connaissances de base en ergonomie, que vous soyez ergonome, kinésiologue, préventeur, conseiller SST, gestionnaire, superviseur, contremaître, ingénieur, technicien, manutentionnaire débutant ou expérimenté.

    Source : Institut de recherche Robert-Sauvé en santé et sécurité du travail. (2014). Manutention en milieu de travail [Site Web]. Repéré à http://manutention.irsst.qc.ca/

MÉDICAMENTS DANGEREUX

  • Contamination of workplace surfaces by antineoplastic drugs presents an exposure risk for healthcare workers. Traditional instrumental methods to detect contamination such as liquid chromatography-mass spectrometry/mass spectrometry (LC-MS/MS) are sensitive and accurate but expensive. Since immunochemical methods may be cheaper and faster than instrumental methods, we wanted to explore their use for routine drug residue detection for preventing worker exposure. The authors concluded that the use of FCMIA with a simple sampling technique has potential for low cost simultaneous detection and semi-quantitative measurement of surface contamination from multiple antineoplastic drugs.

    Source : Smith, Jerome P., Sammons, Deborah, L. Robertson, Shirley A., Pretty, Jack R., DeBord, D. Gayle, Connor, Thomas H., & Snawder, John E. (2014). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155214554407

  • NIOSH adds new chemotherapy to hazardous drugs list. For the first time, conjugated monoclonal antibodies have been added to a list of drugs that pose an occupational hazard. The new cancer treatment targets tumors with deadly toxins, but also can produce some residue that could put health care workers at risk, safety experts caution. In 2014, 27 new drugs were added and 12 removed based on NIOSH criteria. The list will be updated again in 2016.

    Source : NIOSH: Beware of new targeted cancer drugs: Repeated exposures can add up to a significant hazard. (November 2014). Hospital Employee Health, 33(11), 123-125.  Pour accéder à la nouvelle liste du NIOSH : http://www.cdc.gov/niosh/docs/2014-138/pdfs/2014-138_v3.pdf

MILIEU DE VIE

  • L’isolement social des personnes âgées est une réalité souvent observée dans les centres d’hébergement et de soins de longue durée (CHSLD). Des liens entre l’isolement social et le taux de mortalité, la dépression ou encore les déficits cognitifs chez les personnes âgées sont même rapportés. Pour contrer ce phénomène, l’Hôpital Sainte-Anne a tablé sur l’avantage technologique : connecter les résidents avec leurs proches par le biais de visioconférences sur Skype.

    Source : Bouchard, Martin. (Novembre-Décembre 2014). Synergie, 14-17. Repéré à http://www.myvirtualpaper.com/doc/aqesss/synergie-octobre-novembre-2014/2014092901/15.html#14

  • Hospital clinical staff routinely confront challenging behaviors in patients with dementia with limited training in prevention and management. The authors of the current article conducted a survey of staff on a chronic care hospital unit concerning knowledge about dementia, perceived educational needs, and the care environment. However, staff indicated a need for more information and skills, specifically for managing behaviors nonpharmacologically, enhancing patient safety, coping with care challenges, and involving patients in activities. Although most staff (i.e., nurses and therapists believed their care contributed a great deal to patient well-being, approximately 75% reported frustration and being overwhelmed by dementia care. Most reported being hit, bitten, or physically hurt by patients, as well as disrespected by families. Findings suggest that staff have foundational knowledge but lack the « how-to » or hands-on skills necessary to implement nonpharmacological behavioral management approaches and communicate with families.

    Source : Marx, Katherine A., Stanley, Ian H., Van Haitsma, Kimberly, Moody, Jennifer, Alonzi, Dana, Hansen, Bryan R. & Gitlin, Laura N. (2014).  Journal of Gerontological Nursing. Prépublication. DOI: 10.3928/00989134-20140905-01

  • Agitation is not only a frequent and disturbing behavior for many patients with dementia, but it also troubles their caregivers and families. Many serious problems and side effects are associated with the use of medications to treat agitation; therefore, alternative approaches to treating agitation must be assessed. The current article presents results from a quality improvement pilot project that examined the usefulness of a specially designed, multisensory room intervention for geriatric psychiatric inpatients with mild to moderate agitation. In conclusion, the multisensory room intervention was effective in decreasing some symptoms of agitation in the geriatric psychiatric patient, thus contributing to positive patient, family, and nursing outcomes.

    Source : Mitchell, Ann M., Chiappetta, Laurel, Boucek, Lynn, Cain, Michelle, Patterson, Georgia, Owens, Kim,…Hetager Stark, Kirsti.(2014). Journal of Gerontological Nursing. Prépublication. DOI: 10.3928/00989134-20141014-02

  • Rising numbers of residents in nursing homes present a challenge for general practice and nursing in most Western countries. In Germany, general practitioners visit their patients in nursing homes, where nurses work in shifts. This leads to a big variety of contacts with regard to persons involved and ways of communication. This study explores the current state of collaboration and communication between nurses and general practitioners in nursing homes, as well as needs and expectations of nursing home residents and their families. Finally, we aim to develop a new model of collaboration and communication.

    Source : Mueller, Christiane A., Tetzlaff, Britta, Theile, Gudrun, Fleishmann, Nina, Cavazzini, Christoph, Geister, Christina,… Hummers-Pradier, Eva. (2014). Journal of Advancing Nursing. Prépublication. DOI: 10.1111/jan.12545

  • Outil de communication privilégié, la Process Communication favorise un dialogue optimal entre le soignant et le soigné. Elle permet de gommer les conflits parasites et d’instaurer un climat de confiance propice à l’accompagnement de la personne soignée dans son projet de vie, tout en permettant à chacun une saine gestion de son stress. Cet ouvrage donne les clés de cet outil simple à utiliser, développé par le psychologue américain Taibi Kahler, et démontre, exemples à l’appui, l’atout qu’il présente pour des relations harmonieuses et fructueuses entre soignants, soignés, accompagnants et aidants.

    Source : Frenot, Jean-Yves. (2014). Paris :  InterEditions. 320 p. (Développement personnel et accompagnement), xiii, 300 p.

NORMES EN SST

  • Dans le domaine de la santé, le personnel doit pouvoir travailler avec les meilleurs équipements qui soient afin de contribuer pour le mieux au rétablissement des patients. Pour les ambulanciers, cela se traduit par l’utilisation d’ambulances bien construites et fiables qui permettent de prodiguer les meilleurs soins médicaux d’urgence possibles tout en accordant le maximum de sécurité pour les occupants. La norme BNQ 1013-110, qui s’adresse aux monteurs d’ambulances, couvre ce domaine en particulier. Elle établit les exigences minimales, les paramètres de performance et les critères essentiels concernant les ambulances utilisées pour le transport de patients, et ce, en tenant compte de l’aménagement intérieur, de la fonctionnalité, de l’aspect extérieur, du confort et de la sécurité. Pour que les ambulances soient conformes à cette norme, leurs caractéristiques doivent respecter plusieurs exigences.

    Source : Bureau de normalisation du Québec. (2014). Ambulances – Caractéristiques du véhicule. Norme BNQ 1013-110.  Québec : BNQ, 79 p. Repéré à https://bnq.qc.ca/fr/certification/sante-et-securite/ambulances.html

  • La bonne santé des travailleurs représente un enjeu important pour les entreprises, puisqu’elle est liée à une plus grande fidélité, à une meilleure productivité et à une économie substantielle, notamment en ce qui a trait au cout des invalidités. C’est dans cette optique que le BNQ a élaboré la norme BNQ 9700-800, appelée communément « Entreprise en santé ». Cette norme s’adresse à toute entreprise ou organisation, quels que soient sont type, sa taille et le produit ou service offerts. La norme fournit un encadrement et spécifie des exigences en matière de bonnes pratiques organisationnelles pour favoriser : l’acquisition de saines habitudes de vie par les employés; le maintien d’un milieu de travail favorable à la santé; l’amélioration durable de la santé des personnes. La norme « Entreprise en santé » est une initiative du Groupe entreprises en santé (anciennement le GP2S). Elle permet aux entreprises, au personnel, aux syndicats, aux fournisseurs de services et aux autres intervenants en milieu de travail de collaborer en vue de créer un milieu de travail plus sain.

    Source : Bureau de normalisation du Québec. (2014). Prévention, promotion et pratiques organisationnelles favorables à la santé en milieu de travail : protocole de certification. Norme BNQ 9700-880. Québec : BNQ, 15 p. Repéré à https://bnq.qc.ca/fr/boutique/recherche-et-catalogue.html?numeroprogramme=&isbn=&motcle=promotion+certification&datePublication=

PRÉVENTION DES INFECTIONS

  • Patient-care workers are frequently exposed to sharps injuries, which can involve the risk of serious illness. Underreporting of these injuries can compromise prevention efforts. The authors linked survey responses of 1,572 non-physician patient-care workers with the Occupational Health Services (OHS) database at two academic hospitals. We determined whether survey respondents who said they had sharps injuries indicated that they had reported them and whether reported injuries were recorded in the OHS database.

    Source : Boden, Leslie I., Petrofsky, Yolanta V., Hopcia, Karen, Wagner, Gregory R., & Hashimoto, Dean. (2014). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22392

  • Sharps injuries remain a common factor in occupational exposure of healthcare workers to blood-borne viruses. The extent to which the introduction of safety-engineered devices has been effective in reducing such injuries among healthcare workers is unclear. This study investigated the incidence of sharp object injury among healthcare workers in the Capital Health Region of Alberta, Canada and to determine the effectiveness of the introduction of safety- engineered devices in preventing these.

    Source : Lu, Y., Senthilselvan, A., Joffe, A.M., & Beach, J. (2014). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqu152

  • Les recommandations formulées dans le présent document proviennent d’un comité d’experts québécois et concernent l’évaluation et le suivi des soignants (professionnels de la santé ou étudiants) infectés par le virus de l’hépatite C (VHC), en vue d’être utilisées par le Service d’évaluation des risques de transmissions d’infections hématogènes (SERTIH). Ces recommandations serviront de référence aux experts siégeant sur les différents comités d’évaluation du SERTIH et seront utilisées avec discernement, laissant place au jugement professionnel des experts en fonction du dossier soumis. Comme ces recommandations peuvent avoir à être actualisées en fonction de l’évolution de la connaissance scientifique, ce document de référence sera mis à jour tous les deux ans ou plus fréquemment, si jugé nécessaire.

    Source : Comité scientifique SERTIH – VHC. (2014). [Montréal] : Institut national de santé publique du Québec. iii, 24 p. Repéré à http://www.inspq.qc.ca/pdf/publications/1872_Evaluation_Suivi_Soignants_VHC.pdf

  • Cette procédure s’adresse aux techniciens-ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d’urgence (RMU). Entre autres, on y traite des critères d’inclusion du déclenchement de la procédure, de l’intervention auprès d’un patient à risque de MVE, et de l’intervention clinique. On rappelle en annexe les principes généraux de prévention des infections, dont le port des vêtements de protection, l’habillage et de déshabillage puis la désinfection.

    Source : Ministère de la Santé et des Services sociaux du Québec. Direction nationale des urgences, des services de traumatologie et des services préhospitaliers d’urgence. (23 octobre 2014). Procédure préhospitaliere de triage et de prise en charge des patients susceptibles d’être atteints de la maladie par virus d’Ebola (MVE) pour les techniciens ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d.urgence (RMU) : Version 3.0 (23102014). 22 p. Repéré à https://www.urgences-sante.qc.ca/wp-content/uploads/2014/05/0_Proc%C3%A9dure_Ebola_finale_2014_10_23.pdf

  • These procedures provide detailed guidance on the types of personal protective equipment (PPE) to be used and on the processes for donning and doffing (i.e., putting on and removing) PPE for all healthcare workers entering the room of a patient hospitalized with Ebola virus disease. The guidance in this document reflects lessons learned from the recent experiences of U.S. hospitals caring for Ebola patients and emphasizes the importance of training, practice, competence, and observation of healthcare workers in correct donning and doffing of PPE selected by the facility.

    Source : United States. Centers for Disease Control and Prevention. (October 20, 2014). Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing). Repéré à http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html

  • This document has been updated as of October 14, 2014, based on the best available evidence at that time. Selection of the range of personal protective quipment (PPE) supplied by an organization for the assessment and care of patient with suspected or confirmed Ebola Virus Disease (EVD) needs to be based on a site-specific risk assessment that includes a review of the care level and tasks anticipated, work and environmental conditions, and controls in place. This assessment will determine the correct PPE required for protection of the staff members who provide direct care or support services throughout the continuum of care, from out-patient assessment to critical care to recovery or mortuary care. Organizations will need to customize their inventory to ensure that the PPE selected offers effective protection for the users. Several different designs or options may be required to be able to fit different staff.

    Source : Public Health Ontario. (2014). Decision Guide on Selection of Personal Protective Equipment for Ebola Virus Disease – Isolation Gowns or Suits. [S.l.] : Public Health Ontario. 5 p.  Repéré à http://www.publichealthontario.ca/en/eRepository/EVD_PPE_Decision_Guide.pdf

  • Preventing transmission of pathogens in the health care setting with the use of personal protective equipment (PPE) has been an area of longstanding debate in the infection prevention community. Recently, reports of nosocomial transmission of Ebola virus to 2 nurses from the same patient in Texas (despite their use of PPE) has generated great concern and presents new challenges, particularly because there is no postexposure prophylaxis or effective antiviral therapy for Ebola, and approximately half of the cases are fatal. Health care workers are at particular risk for Ebola infection, accounting for one-quarter of cases in prior outbreaks.  Some health care workers should have extensive experience wearing PPE during routine care as currently recommended by the Centers for Disease Control and Prevention (CDC), and most research concerning PPE has focused on its utility for preventing the transmission of multidrug-resistant bacterial organisms (MDROs) from the clothing and hands of health care workers to patients. However, there is evidence that routine use of gowns, gloves, and masks is associated with frequent self-contamination.

    Source : Edmond, Michael B., Diekema, Daniel J., & Perencevich, Eli N. (2014). JAMA : the Journal of the American Medical Association. Prépublication. doi:10.1001/jama.2014.15497

  • The CDC and the California Department of Public Health (CDPH) have published guidance for a variety of settings, including hospitals, airlines, and laboratories. Much of this information can be found on the CDPH Ebola Virus webpage, which contains links to specific guidance, recommendations, and reporting forms.

    Source : State of California. Department of Industrial Relations. Division of Occupational Safety and Health. (2014). Repéré à http://www.dir.ca.gov/dosh/documents/Cal-OSHA-Guidance-on-Ebola-Virus.pdf

  • Workers tasked with cleaning surfaces that may be contaminated with Ebola virus, the virus that causes Ebola hemorrhagic fever (EHF), must be protected from exposure. Employers are responsible for ensuring that workers are protected from exposure to Ebola and that workers are not exposed to harmful levels of chemicals used for cleaning and disinfection. This fact sheet presents guidelines for cleaning and disinfection.

    Source : United States.Occupational Safety and Health Administration. (2014). Cleaning and Decontamination of Ebola on Surfaces : Guidance for workers and Employers in Non-Healthcare/Non-Laboratory Settings. [S.l.] : OSHA, 3 p. (OSHA FactSheet). Repéré à https://www.osha.gov/Publications/OSHA_FS-3756.pdf

  • Now that the Ebola virus has landed on U.S. soil, employers here are grappling with how to address various workplace issues, ranging from addressing irrational fears among employees to dealing with employees who may have had actual or potential exposure to the virus. First, employers should learn the facts about the Ebola virus to help stop the spread of misinformation and hysteria. Second, they should consider practices that balance employee and workplace safety with ensuring compliance with federal, state, and local laws and regulations.

    Source : Kim, Ben J. & Sanders, Rachel. (2014, October 23).  Dealing with Ebola and Ebola-Related Fears in the Workplace. OH&S : Occupational Health and Safety. Repéré à http://ohsonline.com/blogs/the-ohs-wire/2014/10/dealing-with-ebola.aspx

PRODUITS TOXIQUES

  • Que faire en cas de bris de thermomètres médicaux au mercure pour éviter une pollution de l’environnement et prévenir les intoxications aux postes de travail ? On casse probablement beaucoup moins de thermomètre au mercure que par le passé, parce qu’on ne peut plus en fabriquer depuis 1998 et qu’on en casse continuellement. Avant l’interdiction en 1998, on avait estimé que le nombre de bris était d’environ 1,5 million par an. En cas de bris de thermomètre, la conduite recommandée pour la décontamination des surfaces est présentée dans cet article.

    Source : Garnier, R. (2014). Archives des maladies professionnelles et de l’environnement, 75(5), 543. DOI: 10.1016/j.admp.2014.07.006

  • AIHA has described the potential exposures and health risks associated with the use of electronic cigarettes in a new white paper. It reviewed current scientific information and evaluated the effects of chemicals used in e-cigarettes and emitted from them. The paper indicated they can emit airborne contaminants that may affect both the user and people nearby.

    Source : AIHA Cautions Against Indoor Use of Electronic Cigarettes. (2014, October 26). OH&S : Occupational Health and Safety. Repéré à http://ohsonline.com/articles/2014/10/26/aiha-cautions-against-indoor-use-of-electronic-cigarettes.aspx?admgarea=news

  • Although the literature reviewed for this report in most cases supports findings that e-cigarettes are likely to be much less harmful than tobacco smoking, many questions remain regarding the potential human health risks posed by the use of e-cigarettes indoors, especially among bystanders from secondhand and thirdhand exposures. The purpose of this white paper is to provide a critical and objective review of the available literature on what is currently known and not known with respect to public exposures and health risks from e-cigarettes. A key outcome of this review is the identification of key data gaps and areas of uncertainty that hinder a more quantitative assessment of health risk. Recommendations for additional research are also provided.

    Source : Indoor Environmental Quality Committee and Risk Assessment Committee. (2014). White Paper : Electronic Cigarettes in the Indoor Environment. Falls Chruch, VA : American Industrial Hygiene Association, 34 p. Repéré à https://www.aiha.org/government-affairs/Documents/Electronc%20Cig%20Document_Final.pdf

  • Ce guide a pour objet de faciliter l’utilisation et la compréhension des renseignements que contient la fiche signalétique d’un produit, conformément au Système d’information sur les matières dangereuses utilisées au travail (SIMDUT). Il fournit des explications sur le contenu des sections : 1) ingrédients dangereux, 2) caractéristiques physiques, 3) risques d’incendie ou  d’explosion, 4) réactivité, 5) propriétés toxicologiques, 6) mesures préventives et 7) premiers soins.

    Source : Commission de la santé et de la sécurité du travail (2014). [Montréal], CSST, 85 p. Repéré à http://www.csst.qc.ca/publications/200/Documents/DC200_338web.pdf

  • Le SIMDUT fera bientôt l’objet de changements, à savoir la mise en œuvre de nouvelles règles de classification et d’étiquetage et de nouvelles fiches de données de sécurité conformes aux normes internationales et cadrant avec celles du Système général harmonisé de classification et d’étiquetage des produits chimiques (SGH). Santé Canada est l’organisme du gouvernement chargé d’apporter les changements nécessaires aux lois fédérales sur le SIMDUT. Santé Canada s’affaire actuellement à faire concorder le plus possible la mise en œuvre du SGH pour les produits chimiques utilisés dans les milieux de travail au Canada avec la mise en œuvre finale du SGH conforme à la norme de communication des risques de 2012 pour les produits chimiques utilisés aux États-Unis.

    Source : Centre canadien d’hygiène et de sécurité au travail. Rapport sur la santé et la sécurité, 12(10). Repéré à http://www.cchst.ca/newsletters/hsreport/issues/2014/10/ezine.html?p=595237#youasked

  • Approximately 13 million U.S. children less than 6 years old spend some time in early childhood education (ECE) facilities where they may be exposed to potentially harmful chemicals during critical periods of development. We measured five phthalate esters in indoor dust and indoor and outdoor air at ECE facilities in Northern California. This is the largest study to measure phthalate exposure in U.S. ECE facilities and findings indicate wide phthalate contamination and potential risk to developing children.

    Source : Gaspar, Fraser W., Castorina, Rosemary, Maddalena, Randy L., Nishioka, Marcia G., McKone, Thomas E., & Bradman, Asa. (2014). Environmental Science & Technology, 48(13), 7593-7601. DOI: 10.1021/es501189t

  • The aim of this study is to provide a systematic review of the existing literature on health consequences of vaporing of electronic cigarettes (ECs). The authors included 76 studies investigating content of fluid/vapor of ECs, reports on adverse events and human and animal experimental studies. Serious methodological problems were identified. In 34% of the articles the authors had a conflict of interest. Studies found fine/ultrafine particles, harmful metals, carcinogenic tobacco-specific nitrosamines, volatile organic compounds, carcinogenic carbonyls (some in high but most in low/trace concentrations), cytotoxicity and changed gene expression. Of special concern are compounds not found in CCs, e.g. propylene glycol. Experimental studies found pulmonary obstruction after short-term exposure. Reports on short-term adverse events were often flawed by selection bias. In conclusion, due to many methodological problems, severe conflicts of interest, the relatively few and often small studies, the inconsistencies and contradictions in results, and the lack of long-term follow-up no firm conclusions can be drawn on the safety of ECs. However, they can hardly be considered harmless.

    Source : Pisinger, Charlotta & Døssing, Martin. (2014). Preventive Medicine. Prépublication. DOI: 10.1016/j.ypmed.2014.10.009

  • Healthcare workers have an elevated prevalence of asthma and related symptoms associated with the use of cleaning/disinfecting products. The objective of this study was to identify and characterize cleaning/disinfecting tasks and products used among hospital occupations. Workers from 14 occupations at five hospitals were monitored for 216 shifts, and work tasks and products used were recorded at five-minute intervals. The major chemical constituents of each product were identified from safety data sheets. Cleaning and disinfecting tasks were performed with a high frequency at least once per shift in many occupations. Medical equipment preparers, housekeepers, floor strippers/waxers, and endoscopy technicians spent on average 108-177 min/shift performing cleaning/disinfecting tasks. Many occupations used products containing amines and quaternary ammonium compounds for >100 min/shift. This analysis demonstrates that many occupations besides housekeeping incur exposures to cleaning/disinfecting products, albeit for different durations and using products containing different chemicals.

    Source : Saito, Rena, Virji, M. Abbas, Henneberger, Paul K., Humann, Micahel J., LeBouf, Ryan F., Stanton, Marcia L., Liang, Xiaoming & Stefaniak, Aleksandr B. (2014). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22393

  • Une femme de 27 ans, puéricultrice en pédiatrie générale en milieu hospitalier, était adressée par son médecin du travail à notre consultation de dermato-allergologie, pour une dermatose vésiculeuse des doigts et de la face dorsale des mains, évoluant depuis six mois. À l’examen clinique, elle présentait un eczéma surinfecté des paumes. Quel diagnostic devez-vous évoquer compte tenu de son activité professionnelle ? Quelles sont vos préconisations ?

    Source : Tran, N., Pecquet, C., & Francès, C. (2014). Archives des maladies professionnelles et de l’environnement. Prépublication. DOI: 10.1016/j.admp.2014.08.001

PROMOTION DE LA SANTÉ

  • La bonne santé des travailleurs représente un enjeu important pour les entreprises, puisqu’elle est liée à une plus grande fidélité, à une meilleure productivité et à une économie substantielle, notamment en ce qui a trait au cout des invalidités. C’est dans cette optique que le BNQ a élaboré la norme BNQ 9700-800, appelée communément « Entreprise en santé ». Cette norme s’adresse à toute entreprise ou organisation, quels que soient sont type, sa taille et le produit ou service offerts. La norme fournit un encadrement et spécifie des exigences en matière de bonnes pratiques organisationnelles pour favoriser : l’acquisition de saines habitudes de vie par les employés; le maintien d’un milieu de travail favorable à la santé; l’amélioration durable de la santé des personnes. La norme « Entreprise en santé » est une initiative du Groupe entreprises en santé (anciennement le GP2S). Elle permet aux entreprises, au personnel, aux syndicats, aux fournisseurs de services et aux autres intervenants en milieu de travail de collaborer en vue de créer un milieu de travail plus sain.

    Source : Bureau de normalisation du Québec. (2014). Prévention, promotion et pratiques organisationnelles favorables à la santé en milieu de travail : protocole de certification. Norme BNQ 9700-880. Québec : BNQ, 15 p. Repéré à https://bnq.qc.ca/fr/boutique/recherche-et-catalogue.html?numeroprogramme=&isbn=&motcle=promotion+certification&datePublication=

PROTECTION RESPIRATOIRE

  • Cette procédure s’adresse aux techniciens-ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d’urgence (RMU). Entre autres, on y traite des critères d’inclusion du déclenchement de la procédure, de l’intervention auprès d’un patient à risque de MVE, et de l’intervention clinique. On rappelle en annexe les principes généraux de prévention des infections, dont le port des vêtements de protection, l’habillage et de déshabillage puis la désinfection.

    Source : Ministère de la Santé et des Services sociaux du Québec. Direction nationale des urgences, des services de traumatologie et des services préhospitaliers d’urgence. (23 octobre 2014). Procédure préhospitaliere de triage et de prise en charge des patients susceptibles d’être atteints de la maladie par virus d’Ebola (MVE) pour les techniciens ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d.urgence (RMU) : Version 3.0 (23102014). 22 p. Repéré à https://www.urgences-sante.qc.ca/wp-content/uploads/2014/05/0_Proc%C3%A9dure_Ebola_finale_2014_10_23.pdf

  • These procedures provide detailed guidance on the types of personal protective equipment (PPE) to be used and on the processes for donning and doffing (i.e., putting on and removing) PPE for all healthcare workers entering the room of a patient hospitalized with Ebola virus disease. The guidance in this document reflects lessons learned from the recent experiences of U.S. hospitals caring for Ebola patients and emphasizes the importance of training, practice, competence, and observation of healthcare workers in correct donning and doffing of PPE selected by the facility.

    Source : United States. Centers for Disease Control and Prevention. (October 20, 2014). Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing). Repéré à http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html

  • This document has been updated as of October 14, 2014, based on the best available evidence at that time. Selection of the range of personal protective quipment (PPE) supplied by an organization for the assessment and care of patient with suspected or confirmed Ebola Virus Disease (EVD) needs to be based on a site-specific risk assessment that includes a review of the care level and tasks anticipated, work and environmental conditions, and controls in place. This assessment will determine the correct PPE required for protection of the staff members who provide direct care or support services throughout the continuum of care, from out-patient assessment to critical care to recovery or mortuary care. Organizations will need to customize their inventory to ensure that the PPE selected offers effective protection for the users. Several different designs or options may be required to be able to fit different staff.

    Source : Public Health Ontario. (2014). Decision Guide on Selection of Personal Protective Equipment for Ebola Virus Disease – Isolation Gowns or Suits. [S.l.] : Public Health Ontario. 5 p.  Repéré à http://www.publichealthontario.ca/en/eRepository/EVD_PPE_Decision_Guide.pdf

  • Preventing transmission of pathogens in the health care setting with the use of personal protective equipment (PPE) has been an area of longstanding debate in the infection prevention community. Recently, reports of nosocomial transmission of Ebola virus to 2 nurses from the same patient in Texas (despite their use of PPE) has generated great concern and presents new challenges, particularly because there is no postexposure prophylaxis or effective antiviral therapy for Ebola, and approximately half of the cases are fatal. Health care workers are at particular risk for Ebola infection, accounting for one-quarter of cases in prior outbreaks.  Some health care workers should have extensive experience wearing PPE during routine care as currently recommended by the Centers for Disease Control and Prevention (CDC), and most research concerning PPE has focused on its utility for preventing the transmission of multidrug-resistant bacterial organisms (MDROs) from the clothing and hands of health care workers to patients. However, there is evidence that routine use of gowns, gloves, and masks is associated with frequent self-contamination.

    Source : Edmond, Michael B., Diekema, Daniel J., & Perencevich, Eli N. (2014). JAMA : the Journal of the American Medical Association. Prépublication. doi:10.1001/jama.2014.15497

  • The CDC and the California Department of Public Health (CDPH) have published guidance for a variety of settings, including hospitals, airlines, and laboratories. Much of this information can be found on the CDPH Ebola Virus webpage, which contains links to specific guidance, recommendations, and reporting forms.

    Source : State of California. Department of Industrial Relations. Division of Occupational Safety and Health. (2014). Repéré à http://www.dir.ca.gov/dosh/documents/Cal-OSHA-Guidance-on-Ebola-Virus.pdf

QUALITÉ DE L’AIR

  • AIHA has described the potential exposures and health risks associated with the use of electronic cigarettes in a new white paper. It reviewed current scientific information and evaluated the effects of chemicals used in e-cigarettes and emitted from them. The paper indicated they can emit airborne contaminants that may affect both the user and people nearby.

    Source : AIHA Cautions Against Indoor Use of Electronic Cigarettes. (2014, October 26). OH&S : Occupational Health and Safety. Repéré à http://ohsonline.com/articles/2014/10/26/aiha-cautions-against-indoor-use-of-electronic-cigarettes.aspx?admgarea=news

  • Although the literature reviewed for this report in most cases supports findings that e-cigarettes are likely to be much less harmful than tobacco smoking, many questions remain regarding the potential human health risks posed by the use of e-cigarettes indoors, especially among bystanders from secondhand and thirdhand exposures. The purpose of this white paper is to provide a critical and objective review of the available literature on what is currently known and not known with respect to public exposures and health risks from e-cigarettes. A key outcome of this review is the identification of key data gaps and areas of uncertainty that hinder a more quantitative assessment of health risk. Recommendations for additional research are also provided.

    Source : Indoor Environmental Quality Committee and Risk Assessment Committee. (2014). White Paper : Electronic Cigarettes in the Indoor Environment. Falls Chruch, VA : American Industrial Hygiene Association, 34 p. Repéré à https://www.aiha.org/government-affairs/Documents/Electronc%20Cig%20Document_Final.pdf

  • Le tabac affecte les fumeurs et leurs proches à trois reprises. Directement, lorsqu’il est fumé; indirectement, avec la fumée secondaire, et à long terme, avec la fumée tertiaire. La fumée tertiaire, c’est l’odeur et la couleur que laisse sur les murs, les meubles et les vêtements l’usage du tabac. En plus d’être désagréables pour l’œil et le nez, ces résidus tactiles et olfactifs peuvent causer plusieurs maladies.

    Source : Perreault-Labelle, Anick. (Septembre-octobre 2014). Info-tabac.ca, 102, 14. repéré à http://info-tabac.ca/les-dangers-de-la-fumee-tertiaire/#.VE_0VPmG_is

  • The aim of this study is to provide a systematic review of the existing literature on health consequences of vaporing of electronic cigarettes (ECs). The authors included 76 studies investigating content of fluid/vapor of ECs, reports on adverse events and human and animal experimental studies. Serious methodological problems were identified. In 34% of the articles the authors had a conflict of interest. Studies found fine/ultrafine particles, harmful metals, carcinogenic tobacco-specific nitrosamines, volatile organic compounds, carcinogenic carbonyls (some in high but most in low/trace concentrations), cytotoxicity and changed gene expression. Of special concern are compounds not found in CCs, e.g. propylene glycol. Experimental studies found pulmonary obstruction after short-term exposure. Reports on short-term adverse events were often flawed by selection bias. In conclusion, due to many methodological problems, severe conflicts of interest, the relatively few and often small studies, the inconsistencies and contradictions in results, and the lack of long-term follow-up no firm conclusions can be drawn on the safety of ECs. However, they can hardly be considered harmless.

    Source : Pisinger, Charlotta & Døssing, Martin. (2014). Preventive Medicine. Prépublication. DOI: 10.1016/j.ypmed.2014.10.009

  • La cigarette électronique est populaire. Très populaire. Ce fort engouement engendre un grand débat : l’e-cigarette est-elle un bon outil pour lutter contre le tabagisme, un recul pour la santé publique ou… un peu des deux? Pour l’instant, difficile de trancher! Pour y voir plus clair, Info-tabac va décortiquer au fil des prochains numéros les différents aspects de l’e-cigarette, incluant son marketing, son encadrement, son impact sur le tabagisme et la présence de l’industrie du tabac dans ce créneau.

    Source : Perreault-Labelle, Anick. (Septembre-octobre 2014). Info-tabac.ca, 102, [1]-3. Repéré à http://info-tabac.ca/wp-content/uploads/2014/09/info-tabac_no102_sept_oct2014-ref.pdf

SANTÉ PSYCHOLOGIQUE

  • Workplace bullying is a serious psychosocial occupational hazard. Despite a wealth of empirical study, research has rarely examined the mechanisms through which bullying has its negative effects. Accordingly, using both between- and within-person approaches, we investigated the erosion of job (Study 1) and personal (Study 2) resources following workplace bullying, mediated by the depletion of emotional energy. The consistent pattern across both studies supports the idea of a resource loss process whereby exposure to bullying at work erodes job and personal resources by depleting energy. Future research should clarify the role of exhaustion in utilizing resources to respond to bullying, focus on predictors of within-person variability in bullying exposure, and more explicitly model the resource loss spiral following workplace bullying.

    Source : Tuckey, Michelle R. & Neall, Annabelle M. (2014). Journal of Occupational Health Psychology, 19(4), 413-424. doi: 10.1037/a0037728

  • As the proportion of older employees in the workforce is growing, researchers have become increasingly interested in the association between age and occupational well-being. The curvilinear nature of relationships between age and job satisfaction and between age and emotional exhaustion is well-established in the literature, with employees in their late 20s to early 40s generally reporting lower levels of occupational well-being than younger and older employees. However, the mechanisms underlying these curvilinear relationships are so far not well understood due to a lack of studies testing mediation effects. Based on an integration of role theory and research from the adult development and career literatures, this study examined time pressure, work-home conflict, and coworker support as mediators of the relationships between age and job satisfaction and between age and emotional exhaustion.

    Source : Zacher, Hannes, Jimmieson, Nerina L., & Prashant, Bordia. (2014). Journal of Occupational Health Psychology, 19(4), 462-475. doi: 10.1037/a0036995

  • Work-related psychosocial hazards are associated with adverse health outcomes among workers. The association between psychosocial hazards and physiological health outcomes among laboratory technicians has not been studied previously. The objective of this study was to measure the association between work-related psychosocial hazards and the level of urinary catecholamines of laboratory technicians.

    Source : Ghaddar, Ali, Hajj Omar, Kayan, Dokmak, Maha, Kansour, Nadine Abou, Jbara, Zeina, Laham, Sandy, & Ali, Samanha. (2014). Journal of Occupational Health, 55(5), 398-404. Repéré à https://www.jstage.jst.go.jp/article/joh/55/5/55_13-0050-FS/_article

  • L’approche bien-être au travail voudrait que la préservation de la motivation et de l’implication des salariés soit prise en compte au même titre que leur santé. Le respect de la singularité de chacun garantirait un travail plus créatif, innovant et consensuel, et favoriserait alors l’efficacité économique. Après un rappel théorique sur les notions de risques psychosociaux, d’autorégulation des systèmes organisationnels, de feed-back, deux modalités d’interventions sont explicitées en terme de méthodologie et de mise en oeuvre. Ces démarches peuvent aider à résoudre des situations de blocage ou conduire à des améliorations concertées touchant à l’organisation. Le cadre non normatif retenu pour les supports au dialogue renforce chez les salariés les possibilités de développer des solutions novatrices et des manières d’agir collectivement, permettant de travailler dans un plus grand bien-être.

    Source : Grosjean, V., Formet, N., Althaus, V., Kop, J.L., & Brangier, É. (2014). Références en santé au travail, 139, 29-39. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/GrandAngle/TI-RST-TC-148/tc148.pdf

  • «J’ai eu récemment l’occasion de faire une belle rencontre. Une rencontre marquante. Oui, j’ai eu le privilège de rencontrer Diane Musho Hamilton, une Américaine qui pratique la méditation depuis une trentaine d’années, qui est aujourd’hui moniale zen et qui a été la première directrice du Bureau de résolution alternative des conflits du système judiciaire de l’Utah (États-Unis) (…) Cette rencontre a eu lieu lors d’une conférence donnée par Mme Hamilton, dans le cadre d’une soirée organisée à Montréal par Pyxis, un cabinet-conseil en management qui s’est fait une spécialité de la méthode Agile. Une soirée où chacun a pu découvrir comment mieux aborder les conflits qui parsèment notre existence, en particulier au travail. Et je vais, bien entendu, me faire un plaisir de partager tout cela avec vous maintenant…».

    Source : Schmouker, Olivier. (2014, 10 octobre). Et si vous deveniez zen face aux conflits de bureau… [billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/et-si-vous-deveniez-zen-face-aux-conflits-de-bureau/573047

  • La profession infirmière est aux prises avec un enjeu de plus en plus préoccupant, soit celui de la santé mentale du personnel infirmier. Les nombreuses difficultés que vivent les infirmières et les infirmiers dans leur milieu de travail peuvent s’avérer être néfastes au maintien d’un état mental optimal. À l’égard de ces souffrances, plusieurs stratégies peuvent être déployées et utilisées par le personnel infirmier et les gestionnaires. Cette présente recension d’écrits vise à faire le point sur les difficultés et souffrances vécues par le personnel infirmier et les stratégies employées pour assurer la préservation d’une santé mentale, d’un sens et d’une performance au travail. Elle vise également à offrir au personnel infirmier et aux gestionnaires du système de la santé des pistes de réflexion permettant de favoriser une santé mentale optimale du personnel infirmier.

    Source : Boivin-Desrochers, Camille & Alderson, Marie. (2014). Recherche en soins infirmiers, 118, 85-86. Repéré à http://www.cairn.info/resume.php?ID_ARTICLE=RSI_118_0085

  • Rising numbers of residents in nursing homes present a challenge for general practice and nursing in most Western countries. In Germany, general practitioners visit their patients in nursing homes, where nurses work in shifts. This leads to a big variety of contacts with regard to persons involved and ways of communication. This study explores the current state of collaboration and communication between nurses and general practitioners in nursing homes, as well as needs and expectations of nursing home residents and their families. Finally, we aim to develop a new model of collaboration and communication.

    Source : Mueller, Christiane A., Tetzlaff, Britta, Theile, Gudrun, Fleishmann, Nina, Cavazzini, Christoph, Geister, Christina,… Hummers-Pradier, Eva. (2014). Journal of Advancing Nursing. Prépublication. DOI: 10.1111/jan.12545

  • This study aimed to explore the associations of organizational social capital (OSC) with the presence of « gossip and slander, » the presence of « conflicts and quarrels, » sick leave prevalence, and prevalence of poor work ability in frontline working personnel of nursing homes. A total of 239 subjects (81 % participation), working in 11 different nursing homes, took part in a cross-sectional questionnaire study. Following end points were considered, they are as follows: prevalence of « gossip and slander, » « conflicts and quarrels, » sick leave, and poor work ability. Associations with OSC were explored at individual level and on group level.

    Source : Kiss, Philippe, De Meester, Marc, Kristensen, Tage S., & Braeckman, Lutgart. (2014). International Archives of Occupational and Environmental Health, 87(8), 929-936. doi: 10.1007/s00420-014-0937-6

  • Hypertension is a major risk factor for cardiovascular disease and other leading causes of death, and now a new study has found that some hospital workers have significantly higher risk of developing the disease. Hospital workers have an 18% greater chance of dying from hypertensive disease as someone in the general population, according to the Centers for Disease Control and Prevention (CDC’s) workplace safety data.

    Source : Hypertension a major risk for many hospital workers. (2014). Hospital Employee Health, 33(11), 129.

    Pour consulter les statistiques du CDC : http://www.cdc.gov/niosh/topics/noms/noms2charts/healthcare/noncancer-index.html

  • Burnout syndrome is well established as a condition that affects a significant proportion of practising doctors. Although much literature exists on the prevalence of burnout, only specific variables associated with this condition have been analysed. The purpose of this study was to identify and categorize key factors that are associated with burnout across various medical specialities and geographical locations.

    Source : Amoafo, E., Hanbali, N., Patel, A., et Singh, P. (2014). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqu144

  • Agressions verbales, physiques, attitudes méprisantes, atteintes dégradantes, déni de reconnaissance… La violence au travail, dite externe, est une réalité pour de nombreux salariés. Que recouvre exactement le terme de  » violences externes  » ? Quelles en sont les différentes formes ? De quels  » maux  » sont-elles l’expression ? Quelles préventions peut-on mobiliser ? Cet article apporte des éclairages sur le sujet.

    Source : Guyot, Sandrine. (2014). Hygiène et sécurité du travail, 236, 6-10. Repéré à http://www.inrs.fr/accueil/dms/inrs/CataloguePapier/HST/TI-DC-6/dc6.pdf

SERVICES À DOMICILE

  • Le tabac affecte les fumeurs et leurs proches à trois reprises. Directement, lorsqu’il est fumé; indirectement, avec la fumée secondaire, et à long terme, avec la fumée tertiaire. La fumée tertiaire, c’est l’odeur et la couleur que laisse sur les murs, les meubles et les vêtements l’usage du tabac. En plus d’être désagréables pour l’œil et le nez, ces résidus tactiles et olfactifs peuvent causer plusieurs maladies.

    Source : Perreault-Labelle, Anick. (Septembre-octobre 2014). Info-tabac.ca, 102, 14. repéré à http://info-tabac.ca/les-dangers-de-la-fumee-tertiaire/#.VE_0VPmG_is

SERVICES AMBULANCIERS

  • Cette procédure s’adresse aux techniciens-ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d’urgence (RMU). Entre autres, on y traite des critères d’inclusion du déclenchement de la procédure, de l’intervention auprès d’un patient à risque de MVE, et de l’intervention clinique. On rappelle en annexe les principes généraux de prévention des infections, dont le port des vêtements de protection, l’habillage et de déshabillage puis la désinfection.

    Source : Ministère de la Santé et des Services sociaux du Québec. Direction nationale des urgences, des services de traumatologie et des services préhospitaliers d’urgence. (23 octobre 2014). Procédure préhospitaliere de triage et de prise en charge des patients susceptibles d’être atteints de la maladie par virus d’Ebola (MVE) pour les techniciens ambulanciers-paramédics (TAP), premiers répondants (PR), PR nordiques et répartiteurs médicaux d.urgence (RMU) : Version 3.0 (23102014). 22 p. Repéré à https://www.urgences-sante.qc.ca/wp-content/uploads/2014/05/0_Proc%C3%A9dure_Ebola_finale_2014_10_23.pdf

  • Dans le domaine de la santé, le personnel doit pouvoir travailler avec les meilleurs équipements qui soient afin de contribuer pour le mieux au rétablissement des patients. Pour les ambulanciers, cela se traduit par l’utilisation d’ambulances bien construites et fiables qui permettent de prodiguer les meilleurs soins médicaux d’urgence possibles tout en accordant le maximum de sécurité pour les occupants. La norme BNQ 1013-110, qui s’adresse aux monteurs d’ambulances, couvre ce domaine en particulier. Elle établit les exigences minimales, les paramètres de performance et les critères essentiels concernant les ambulances utilisées pour le transport de patients, et ce, en tenant compte de l’aménagement intérieur, de la fonctionnalité, de l’aspect extérieur, du confort et de la sécurité. Pour que les ambulances soient conformes à cette norme, leurs caractéristiques doivent respecter plusieurs exigences.

    Source : Bureau de normalisation du Québec. (2014).  Ambulances – Caractéristiques du véhicule. Norme BNQ 1013-110,  Québec : BNQ, 79 p. Repéré à https://bnq.qc.ca/fr/certification/sante-et-securite/ambulances.html

SERVICES DE GARDE

  • Approximately 13 million U.S. children less than 6 years old spend some time in early childhood education (ECE) facilities where they may be exposed to potentially harmful chemicals during critical periods of development. We measured five phthalate esters in indoor dust and indoor and outdoor air at ECE facilities in Northern California. This is the largest study to measure phthalate exposure in U.S. ECE facilities and findings indicate wide phthalate contamination and potential risk to developing children.

    Source : Gaspar, Fraser W., Castorina, Rosemary, Maddalena, Randy L., Nishioka, Marcia G., McKone, Thomas E., & Bradman, Asa. (2014). Environmental Science & Technology, 48(13), 7593-7601. DOI: 10.1021/es501189t

SIMDUT-SGH

  • Le SIMDUT fera bientôt l’objet de changements, à savoir la mise en œuvre de nouvelles règles de classification et d’étiquetage et de nouvelles fiches de données de sécurité conformes aux normes internationales et cadrant avec celles du Système général harmonisé de classification et d’étiquetage des produits chimiques (SGH). Santé Canada est l’organisme du gouvernement chargé d’apporter les changements nécessaires aux lois fédérales sur le SIMDUT. Santé Canada s’affaire actuellement à faire concorder le plus possible la mise en œuvre du SGH pour les produits chimiques utilisés dans les milieux de travail au Canada avec la mise en œuvre finale du SGH conforme à la norme de communication des risques de 2012 pour les produits chimiques utilisés aux États-Unis.

    Source : Centre canadien d’hygiène et de sécurité au travail. Rapport sur la santé et la sécurité, 12(10). Repéré à http://www.cchst.ca/newsletters/hsreport/issues/2014/10/ezine.html?p=595237#youasked

STATISTIQUES EN SST

  • Hypertension is a major risk factor for cardiovascular disease and other leading causes of death, and now a new study has found that some hospital workers have significantly higher risk of developing the disease. Hospital workers have an 18% greater chance of dying from hypertensive disease as someone in the general population, according to the Centers for Disease Control and Prevention (CDC’s) workplace safety data.

    Source : Hypertension a major risk for many hospital workers. (2014). Hospital Employee Health, 33(11), 129.

    Pour consulter les statistiques du CDC : http://www.cdc.gov/niosh/topics/noms/noms2charts/healthcare/noncancer-index.html

  • Ce document présente les statistiques de 2013 concernant la situation des jeunes travailleurs sur le plan de la santé et de la sécurité du travail. On y fait notamment état de la nature et de la fréquence des accidents dont les jeunes ont été victimes dans les différents secteurs d’activité.

    Source : Commission de la Santé et de la Sécurité du travail. Direction de la comptabilité et de la gestion de l’information. Centre de la statistique et de l’information de gestion, & Demers, M. (2014). Québec : CSST, 24 p. Repéré à http://www.csst.qc.ca/publications/300/Documents/DC300_1018web.pdf

STÉRILISATION

  • Healthcare workers have an elevated prevalence of asthma and related symptoms associated with the use of cleaning/disinfecting products. The objective of this study was to identify and characterize cleaning/disinfecting tasks and products used among hospital occupations. Workers from 14 occupations at five hospitals were monitored for 216 shifts, and work tasks and products used were recorded at five-minute intervals. The major chemical constituents of each product were identified from safety data sheets. Cleaning and disinfecting tasks were performed with a high frequency at least once per shift in many occupations. Medical equipment preparers, housekeepers, floor strippers/waxers, and endoscopy technicians spent on average 108-177 min/shift performing cleaning/disinfecting tasks. Many occupations used products containing amines and quaternary ammonium compounds for >100 min/shift. This analysis demonstrates that many occupations besides housekeeping incur exposures to cleaning/disinfecting products, albeit for different durations and using products containing different chemicals.

    Source : Saito, Rena, Virji, M. Abbas, Henneberger, Paul K., Humann, Micahel J., LeBouf, Ryan F., Stanton, Marcia L., Liang, Xiaoming & Stefaniak, Aleksandr B. (2014). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22393

TRAVAIL DE BUREAU

  • The purpose of this study was to examine whether the introduction of intermittent standing bouts during the workday using a height-adjustable workstation can improve subjective levels of fatigue, musculoskeletal discomfort and work productivity relative to seated work. In conclusion, transitioning from a seated to a standing work posture every 30 min across the workday, relative to seated work, led to a significant reduction in fatigue levels and lower back discomfort in overweight/obese office workers, while maintaining work productivity. Future investigations should be directed at understanding whether sustained use of height-adjustable workstations promote concentration and productivity at work.

    Source : Thorp, Alicia A., Kingwell, Bronwyn A., Owen, Neville, & Dunstan, David W. (2014). Occupational & Environmental Medicine, 71(11), 765-771. doi:10.1136/oemed-2014-102348

TRAVAIL EN HAUTEUR

TRAVAIL EN LABORATOIRE

  • Work-related psychosocial hazards are associated with adverse health outcomes among workers. The association between psychosocial hazards and physiological health outcomes among laboratory technicians has not been studied previously. The objective of this study was to measure the association between work-related psychosocial hazards and the level of urinary catecholamines of laboratory technicians.

    Source : Ghaddar, Ali, Hajj Omar, Kayan, Dokmak, Maha, Kansour, Nadine Abou, Jbara, Zeina, Laham, Sandy, & Ali, Samanha. (2014). Journal of Occupational Health, 55(5), 398-404. Repéré à https://www.jstage.jst.go.jp/article/joh/55/5/55_13-0050-FS/_article

TRAVAILLEURS OBÈSES

  • The purpose of this study was to examine whether the introduction of intermittent standing bouts during the workday using a height-adjustable workstation can improve subjective levels of fatigue, musculoskeletal discomfort and work productivity relative to seated work. In conclusion, transitioning from a seated to a standing work posture every 30 min across the workday, relative to seated work, led to a significant reduction in fatigue levels and lower back discomfort in overweight/obese office workers, while maintaining work productivity. Future investigations should be directed at understanding whether sustained use of height-adjustable workstations promote concentration and productivity at work.

    Source : Thorp, Alicia A., Kingwell, Bronwyn A., Owen, Neville, & Dunstan, David W. (2014). Occupational & Environmental Medicine, 71(11), 765-771. doi:10.1136/oemed-2014-102348

TRAVAILLEUSE ENCEINTE

  • Specific physical activities or working conditions are suspected for increasing the risk of preterm birth (PTB). The aim of this meta-analysis is to review and summarize the pre-existing evidence on the effect of shift work or long working hours on the risk of PTB. A systematic search in MEDLINE and EMBASE (1990-2013) for observational and intervention studies with original data was conducted.

    Source : van Melick, M.J.G.J., van Beukering, M.D.M., Mol, B.W., Frings-Dresen, M.H.W., & Hulshof, C.T.J. (2014). International Archives of Occupational and Environmental Health, 87(8), 835-849. doi: 10.1007/s00420-014-0934-9

TRAVAILLEURS JEUNES/ÂGÉS

  • As the proportion of older employees in the workforce is growing, researchers have become increasingly interested in the association between age and occupational well-being. The curvilinear nature of relationships between age and job satisfaction and between age and emotional exhaustion is well-established in the literature, with employees in their late 20s to early 40s generally reporting lower levels of occupational well-being than younger and older employees. However, the mechanisms underlying these curvilinear relationships are so far not well understood due to a lack of studies testing mediation effects. Based on an integration of role theory and research from the adult development and career literatures, this study examined time pressure, work-home conflict, and coworker support as mediators of the relationships between age and job satisfaction and between age and emotional exhaustion.

    Source : Zacher, Hannes, Jimmieson, Nerina L., & Prashant, Bordia. (2014). Journal of Occupational Health Psychology, 19(4), 462-475. doi: 10.1037/a0036995

  • Ce document présente les statistiques de 2013 concernant la situation des jeunes travailleurs sur le plan de la santé et de la sécurité du travail. On y fait notamment état de la nature et de la fréquence des accidents dont les jeunes ont été victimes dans les différents secteurs d’activité.

    Source : Commission de la Santé et de la Sécurité du travail. Direction de la comptabilité et de la gestion de l’information. Centre de la statistique et de l’information de gestion, & Demers, M. (2014). Québec : CSST, 24 p. Repéré à http://www.csst.qc.ca/publications/300/Documents/DC300_1018web.pdf

TROUBLES MUSCULOSQUELETTIQUES

  • The purpose of this study was to examine whether the introduction of intermittent standing bouts during the workday using a height-adjustable workstation can improve subjective levels of fatigue, musculoskeletal discomfort and work productivity relative to seated work. In conclusion, transitioning from a seated to a standing work posture every 30 min across the workday, relative to seated work, led to a significant reduction in fatigue levels and lower back discomfort in overweight/obese office workers, while maintaining work productivity. Future investigations should be directed at understanding whether sustained use of height-adjustable workstations promote concentration and productivity at work.

    Source : Thorp, Alicia A., Kingwell, Bronwyn A., Owen, Neville, & Dunstan, David W. (2014). Occupational & Environmental Medicine, 71(11), 765-771. doi:10.1136/oemed-2014-102348

  • L’évaluation subjective est un outil précieux, précis et reproductible pour mesurer la charge de travail. Elle peut être utilisée seule (échelles d’auto-évaluation, questionnaires…) ou en parallèle aux nombreuses métrologies objectives. Après une courte présentation de l’évaluation subjective à l’aide des échelles de Borg (RPE et CR10), des exemples d’études menées en laboratoire et en situation de travail sont présentés pour argumenter leurs utilisations et leurs apports dans un bilan des conditions de travail.

    Source : Meyer, J.P. (2014). Références en santé au travail, 139, 105-122. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/PratiquesMetiers/TI-RST-TM-33/tm33.pdf

VACCINATION

  • S’inscrivant dans la foulée de la démarche de promotion de la vaccination au Québec, ce document présente une synthèse des études sur les connaissances, attitudes et pratiques au regard à la vaccination au Québec et des interventions efficaces pour favoriser des attitudes positives par rapport à la vaccination, et ce, autant chez la population que les professionnels de la santé. Cette mise à jour de la littérature permet de mieux circonscrire les facteurs externes et internes susceptibles d’avoir un impact sur le processus de planification des interventions de promotion de la vaccination.

    Source : Gagnon, Dominique & Dubé, Ève. (2014). [Montréal] : Institut national de santé publique du Québec. v, 163 p. Repéré à http://www.inspq.qc.ca/pdf/publications/1870_Agir_Maintenir_Confiance.pdf

  • Too many « unknown » in your flu vaccination reporting can make it seem that your hospital’s rate is lower it really is. Hospitals shared successful strategies they used to track vaccination status of licensed independant practitionners (physicians, advanced practice nurses and physician assistants) with the National Healthcare Safety Network of the CDC.

    Source :  Strategies to track flu shots : Work with credentialing offices, sister facilities. (November 2014). Hospital Employee Health, 33(11), 122.

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