COIN DE LA DOCUMENTALISTE – MAI 2015

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ADMINISTRATION DE LA SANTÉ

  • La Drees en France a publié l’édition 2014 de son panorama des établissements de santé. Le rapport intègre notamment un chapitre complet sur les conditions de travail particulières de ce secteur : contraintes de rythme de travail élevées, exposition à des produits dangereux, tensions avec le public, confrontation à la souffrance des patients. Le document présente aussi un état des lieux des risques psychosociaux auxquels sont confrontés les salariés du secteur hospitalier, qui y sont plus souvent exposés que l’ensemble des salariés.

    Source : Loquet, Julien, & Ricroch, Layla. (2015). Dossier : Les conditions de travail dans les établissements de santé. Dans Boisguérin, Bénédicte, & Brilhaut, Gwennaëlle (coord.). Le panorama des établissements de santé : édition 2014. (9-30). Paris : Ministère des Affaires sociales et de la Santé. Direction de la recherche, des études, de l’évaluation et des statistiques. (Collection Études et statistiques, 2014). Repéré à http://www.drees.sante.gouv.fr/IMG/pdf/panorama2014_dossier1.pdf

  • Entre contraintes économiques et changements sociétaux, les trois fonctions publiques vivent une profonde mutation. Devant les tensions croissantes et la perte de repères ressentie par les agents, la question des conditions de travail et de la qualité de vie au travail s’impose.

    Source : Réseau Anact-Aract pour l’amélioration des conditions de travail. (Avril-mai-juin 2015). Conditions de travail et performance des organisations publiques : Accompagner les transformations, s’adapter aux spécificités, associer les agents. Travail & changement, 359, 15 p. Repéré à http://www.anact.fr/portal/pls/portal/docs/1/16720391.PDF

AGRESSIONS ET VIOLENCE

  • Nurses and allied health professionals are at increased risk of workplace violence, and yet there remain challenging barriers to preventing violence in the hospital setting, researchers report.

    Source : Common barriers to workplace violence prevention include lack of incident follow-up : Safety should trump costs, but even violent patients may be valued as customers. (March 2015). Hospital Employee Health, 34(4), 46-47. Repéré à http://www.ahcmedia.com/articles/134877-common-barriers-to-workplace-violence-prevention-include-lack-of-incident-follow-up

  • Health care and social service workers are almost four times as likely to be injured as a result of violence than the average private sector worker. To reduce the risk, the Occupational Safety and Health Administration today released an update to its previous guidelines (1996, 2004). The revised guidelines incorporate research in the last decade into the causes of workplace violence on healthcare and social service settings, risk factors that accompany working with patients or clients who display violent behavior, and the appropriate preventive measures that can be taken, amid the variety of settings in which health care and social service employees work. The guidelines also stress the importance of developing a written workplace violence prevention program. The program should include management commitment and employee participation, worksite analysis, hazard prevention and control, safety and health training, and recordkeeping and program evaluation.

    Source :  U.S. Department of Labor. Occupational  Safety and Health Administration. (2015). Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers. Wahington, DC : OSHA, 52 p. (OSHA 3148-04R 2015). Repéré à https://www.osha.gov/Publications/osha3148.pdf

AMÉNAGEMENT-ARCHITECTURE

  • Recognizing where one is, and where one is going, are critical aspects enabling residents with dementia to be self-sufficient. In unfamiliar situations residents rely on environmental cues to find their way. When these cues are not easily interpreted due to cognitive impairment, autonomy gives way to dependency. The purpose of this pilot study was to develop a signage system that supports wayfinding.

    Source : Brush, Jennifer, Camp, Cameron, Bohach, Shara, & Gertsberg, Nelly. (March/April, 2015). Canadian Nursing Home, 26(1), 4-11. NON DISPONIBLE EN VERSION NUMÉRIQUE

  • An academic hospital used Transforming Care at the Bedside (TCAB) principles as the framework for generating evidence-based recommendations for the design of an expansion of the current hospital. The interdisciplinary team used the table of evidence-based data to advocate for a patient- and family-centered, safe, and positive work environment. A nurse project manager acted as liaison between the TCAB design team, architects, and facilities and design consultants. Part 2 of this series describes project evaluation outcomes.

    Source : Devine, Deborah, Wenger, Barb, Krugman, Mary, Zwink, Jennifer, Shiskowsky, Kaycee, Hagman, Jan, Limon, Shelly, Sanders, Carolyn, & Reeves, Catherine. (2015). JONA : The Journal of Nursing Administration, 45(2), 74-83. doi: 10.1097/NNA.0000000000000161

  • The quality and readiness of the health and social care estate is vital for high quality, safe and efficient health and social care. This HBN sets out the design guidance for dementia-friendly health and social care environments. The design principles and the core design features together with a selection of case studies provide guidance for the development of new design solutions and the adaptation/ extension of existing facilities.

    Source : Pantzartzis, Efthimia, Pascale, Federica, Price, Andrew D.F. (2015). [S.l : United Kingdom Department of Health], xiv, 164 p. (Health Building Note 08-02)

  • Les projets d’investissement réalisés dans les organisations représentent une porte d’entrée intéressante pour déployer des interventions de prévention. Plusieurs tendances actuelles dans les organisations s’avèrent favorables à une intégration de la prévention en amont de la création de nouvelles situations de travail. Qu’il s’agisse d’intervenir à la source du risque ou de créer des environnements de travail capacitants, les projets constituent un défi pour les préventeurs. Trois grands principes sont ici proposés : intégrer l’enjeu des situations de travail tout au long d’un projet ; mobiliser les différentes logiques de fonctionnement de l’entreprise dans la structuration du projet ; et concevoir en s’appuyant sur la réalité du travail et ses évolutions possibles. Une démarche est également exposée afin d’articuler ces principes au déroulement d’un projet. Elle comporte six dimensions : enrichir les objectifs d’un projet ; analyser des situations de référence ; participer à l’élaboration du cahier des charges ; simuler au plus tôt le travail futur ; intervenir lors de l’implantation et du démarrage ; et réaliser un retour d’expérience.

    Source : Bellemare, M., Ledoux, E., & Caroly, S. (2015). Pathologie professionnelle et de l’environnement, 10(2), 1-8. Doi : 10.1016/S1877-7856(14)63067-1

AMIANTE

  • Pour respecter ses obligations en santé et sécurité du travail, un entrepreneur doit identifier les matériaux susceptibles de contenir de l’amiante avant d’entreprendre des travaux sur un bâtiment ou un ouvrage de génie civil. Si les travaux à réaliser peuvent émettre de la poussière venant de matériaux susceptibles de contenir de l’amiante, il doit en vérifier la présence (et le type, le cas échéant) dans ceux-ci, afin de déterminer les méthodes de travail appropriées et assurer la santé et la sécurité des travailleurs. Ce document contient des informations sur l’identification des matériaux susceptibles de contenir de l’amiante.

    Source : CSST. (2015). Identification des matériaux susceptibles de contenir de l’amiante. [S.l.]: CSST, 2 p. Repéré à http://www.csst.qc.ca/publications/100/Pages/DC_100_2017.aspx

ASTHME PROFESSIONNEL

  • Ortho-phthalaldehyde (OPA) is an aromatic dialdehyde that has largely replaced glutaraldehyde as a new high-level disinfectant for heat-sensitive medical devices, including endoscopes. Reports of immunological reactions have been reported in workers exposed to OPA-disinfected cystocopes. The authors describe  the case of a 55-year-old woman who consulted at the emergency department with dyspnoea, wheezing, conjunctival redness and low peak expiratory flow. She had been promoted to the endoscopic sterilisation service of a regional hospital 2 months earlier, where OPA (Cidex OPA) was used for disinfection of endoscopes.

    Source : Robitaille, Catherine, & Poulet, Louis-Philippe. (2015). Occupational & Environmental Medicine, 72(5), 381. doi:10.1136/oemed-2015-102847

BRUIT EN MILIEU DE SOINS

  • L’objectif de cette étude est d’évaluer dans un service de réanimation le bruit et les alarmes, leur retentissement sur la santé et le travail, proposer des mesures correctrices pour améliorer la qualité de vie au travail, la qualité des soins et préserver la santé des soignants. Les données recueillies lors des enquêtes PRESST-NEXT et SESMAT ont permis d’évaluer la perception de l’exposition au bruit des soignants européens et médecins français et leur score d’épuisement professionnel. Le travail infirmier en réanimation est caractérisé par des observations ergonomiques dont deux analysées à l’aide du logiciel KRONOS-ACTOGRAM (Octares). Des mesures de bruit ambiant ont été réalisées au poste central de surveillance et dans une chambre. L’exposition au bruit des soignants a été mesurée à l’aide de dosimètres de bruit. L’enregistrement de certaines alarmes a permis d’analyser le spectre et la variation du niveau sonore en fonction du temps.

    Source : Raffier-Peres, D., & Estryn-Behar, M. (2015). Archives des maladies professionnelles et de l’environnement, 76(2), 115-130. doi:10.1016/j.admp.2014.09.003

CIGARETTE ÉLECTRONIQUE

  • Public health efforts to prevent disease caused by tobacco use have been underway for the past half century, but more remains to be done to achieve a society free of tobacco-related death and disease. The Centers for Disease Control and Prevention (CDC), of which NIOSH is a part, has recently proclaimed a « Winnable Battle » to reduce tobacco use.

    Source : Castellan, Robert M., Chosewood, L. Casey, Trout, Douglas, Wagner, Gregory R., & Weissman, David N. (2015). [Cincinnati, OH] : U.S. Department of Health, Education, and Welfare, Center for Disease Control, National Institute for Occupational Safety and Health, xviii, 78 p. (Current Intelligence Bulletin ; 67). Repéré à http://www.cdc.gov/niosh/docs/2015-113/pdfs/cib-67_2015-113_v5.pdf

  • A new NIOSH report recommends that all workplaces become tobacco free and also that employers should make tobacco cessation programs available to their employees. The recommendations also cover the use of e-cigarettes, saying workers should be protected from their emissions, as well. This is NIOSH’s first time to issue recommendations on e-cigarettes; NIOSH recommends that they be included in indoor smoking bans.

    Source : NIOSH Wants All Workplaces Smoke Free (April 03, 2015). OH&S : Occupational Helath and Safty online. Repéré à http://ohsonline.com/articles/2015/04/03/niosh-wants-all-workplaces-smoke-free.aspx

CIVILITÉ AU TRAVAIL

  • This study examined the relation between daily incivility and afterwork recovery, hypothesizing that workplace incivility would have a negative effect on situational wellbeing, afterwork recovery experiences (psychological detachment and relaxation) and next-morning recovery level. Results emphasize the ongoing impact of rudeness and disrespect in the workplace on employee wellbeing and offer an explanation for the long-term negative outcomes of what is typically thought of as a less severe workplace stressor.

    Source : Nicholson, Tahnee, & Griffin, Barbara. (2015). Journal of Occupational Health Psychology, 20(2), 218-225.

    Repéré à http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2014-48745-001

CPE – SERVICES DE GARDE

  • Children are subject to multiple hazards on a daily basis, including in child care facilities. Research has shown that children in the child care setting may be exposed to lead, radon, pesticides, and multiple chemicals that are associated with known or suspected adverse health effects. The authors’ study used an existing environmental health endorsement program to describe current practices of child care facilities as related to environmental health and safety. The facilities varied greatly in size and were located mainly in the U.S. with a few from Canada and Australia. A few checklist items had nearly a 100% positive response rate; however, some of the items had more than 10% of the facilities answer « false » or « don’t know. » Although many areas exist in which these sampled child care facilities are being environmentally responsible, further education is needed, particularly as related to the use of wall-to-wall carpeting, radon testing, aerosols, and air fresheners.

    Source : Gilden, R., McElroy, K., Friedmann, E., Witherspoon, N.O., & Paul, H. (2015). Journal of Environmental Health, 77(7), 22-28. Repéré à http://www.cehn.org/files/Gilden%20et%20al_March2015_EHCCchecklistAnalysis.pdf

COMITÉS DE SANTÉ ET DE SÉCURITÉ DU TRAVAIL (CPSST)

  • An evidence-based assessment tool has been developed to help joint health and safety committees (JHSCs) establish improvement goals and ensure sustained effectiveness. In this plenary, Dr. Linn Holness shares the research behind the 21-item tool and discusses how this study, conducted in a health-care setting, could have application across Canadian workplaces.

    Source : Nichol, Kathryn, Kudla, Irena, Hayes, Laureen, Nincic, Vera, Robson, Lynda, Hon, Chun-Yip,…Holness, Linn. (21 April 2015). Joint Health and Safety Committees in Hospitals : a journey to improve effectiveness. Repéré à http://www.iwh.on.ca/system/files/plenaries/2015-04-21_lholness.pdf

    Pour accéder à la conférence sur Youtube :  https://www.youtube.com/watch?feature=player_embedded&v=NeqsR9gBpXc

DERMATOSES

  • Dermatological disorders are a common workplace injury. Workers in many occupations are at increased risk of developing dermatological skin disorders due to chemical and physical hazards in the workplace. Contact irritant dermatitis can have adverse health effects on workers and may cause permanent scarring and disability. An occupational risk assessment may identify those workers at risk, and provide strategies to decrease the risk of developing contact irritant dermatitis and treatment options.

    Source : Lurati, Ann R. (2015). Workplace Health & Safety, 63(2), 81-87. doi: 10.1177/2165079914565351

ÉBOLA

  • OSHA has offered compliance assistance rather than conducting inspections in the wake of Ebola, although several standards do apply.

    Source : Post-Ebola: OSHA steps of HCW involvement, says deadly virus falls under bloodborne standard : No citations, but bloodborne, PPE standards apply. (March 2015). Hospital Employee Health, 34(4), 40-41. Repéré à http://www.ahcmedia.com/articles/134873-post-ebola-osha-steps-of-hcw-involvement-says-deadly-virus-falls-under-bloodborne-standard

  • In early September 2014, The authors were the first to publicly challenge the guidelines of the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC) and those of many countries which suggested that medical masks be used by health care workers (HCWs) treating Ebola virus disease (EVD). They argued in a previous editorial in this journal that in situations where there is uncertainty around the transmission mode, a risk analysis framework should be used to select personal protective equipment (PPE) and that the safety of HCWs should be a priority. This editorial attracted considerable attention and comment. The CDC has since changed their guidelines, but the WHO has yet to do so. In this paper, the authors discuss the events that influenced the modification of EVD guidelines and factors to be considered in developing frameworks for protection of HCWs.

    Source : MacIntyre, C. Raina, Chughtai, Abrar Ahmad, Seale, Holly, Richards, Guy A., & Davidson, Patricia M. (2015). International Journal of Nursing Studies, 52(5), 899-903. doi:10.1016/j.ijnurstu.2014.12.001

  • In light of the threat of Ebola virus disease, it is important to emphasize the use of proper precautions for infection control in health care settings. The routes of Ebola virus transmission include direct contact with an affected person’s body fluids and indirect contact by means of contaminated instruments or supplies. PPE is available to minimize the potential harm from exposure to pathogens such as the Ebola virus. When PPE is worn, removed, and discarded properly, it is effective in protecting the person wearing it and the patients and health care workers with whom that person comes into contact.

    Source : Ortega, Rafael, Bhadelia, Nahid, Obanor, Osamede, Cyr, Kyle, Yu, Priscilla, McMahon, Maureen, & Gotzmann, Dahlia. (March 19, 2015). The New England Journal of Medicine, 371, e16. DOI: 10.1056/NEJMvcm1412105

ÉCLAIRAGE

  • The purpose of this study was to examine the effect of designed dynamic light on staff’s quality of sleep with regard to sleep efficiency, level of melatonin in saliva, and subjective perceptions of quality of sleep. An intervention group working in designed dynamic light was compared with a control group working in ordinary institutional light at two comparable intensive care units (ICUs). The study found no significant differences in monitored sleep efficiency and melatonin level. Nurses from the intervention-ICU subjectively assessed their sleep as more effective than participants from the control-ICU.

    Source : Jensen, Hanne Irene, Markvart, Jakob, Holst, René, Damgaard Thomsen, Tina, West Larsen, Jette, Eg, Dorthe Maria, & Seest Nielsen, Lisa. (2015). International Archives of Occupational and Envrionmental Health. Prépublication. doi : 10.1007/s00420-015-1051-0

ÉQUIPEMENTS DE PROTECTION

  • OSHA has offered compliance assistance rather than conducting inspections in the wake of Ebola, although several standards do apply.

    Source : Post-Ebola: OSHA steps of HCW involvement, says deadly virus falls under bloodborne standard : No citations, but bloodborne, PPE standards apply. (March 2015). Hospital Employee Health, 34(4), 40-41. Repéré à http://www.ahcmedia.com/articles/134873-post-ebola-osha-steps-of-hcw-involvement-says-deadly-virus-falls-under-bloodborne-standard

  • In early September 2014, The authors were the first to publicly challenge the guidelines of the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC) and those of many countries which suggested that medical masks be used by health care workers (HCWs) treating Ebola virus disease (EVD). They argued in a previous editorial in this journal that in situations where there is uncertainty around the transmission mode, a risk analysis framework should be used to select personal protective equipment (PPE) and that the safety of HCWs should be a priority. This editorial attracted considerable attention and comment. The CDC has since changed their guidelines, but the WHO has yet to do so. In this paper, the authors discuss the events that influenced the modification of EVD guidelines and factors to be considered in developing frameworks for protection of HCWs.

    Source : MacIntyre, C. Raina, Chughtai, Abrar Ahmad, Seale, Holly, Richards, Guy A., & Davidson, Patricia M. (2015). International Journal of Nursing Studies, 52(5), 899-903. doi:10.1016/j.ijnurstu.2014.12.001

  • In light of the threat of Ebola virus disease, it is important to emphasize the use of proper precautions for infection control in health care settings. The routes of Ebola virus transmission include direct contact with an affected person’s body fluids and indirect contact by means of contaminated instruments or supplies. PPE is available to minimize the potential harm from exposure to pathogens such as the Ebola virus. When PPE is worn, removed, and discarded properly, it is effective in protecting the person wearing it and the patients and health care workers with whom that person comes into contact.

    Source : Ortega, Rafael, Bhadelia, Nahid, Obanor, Osamede, Cyr, Kyle, Yu, Priscilla, McMahon, Maureen, & Gotzmann, Dahlia. (March 19, 2015). The New England Journal of Medicine, 371, e16. DOI: 10.1056/NEJMvcm1412105

ERGONOMIE

  • Les projets d’investissement réalisés dans les organisations représentent une porte d’entrée intéressante pour déployer des interventions de prévention. Plusieurs tendances actuelles dans les organisations s’avèrent favorables à une intégration de la prévention en amont de la création de nouvelles situations de travail. Qu’il s’agisse d’intervenir à la source du risque ou de créer des environnements de travail capacitants, les projets constituent un défi pour les préventeurs. Trois grands principes sont ici proposés : intégrer l’enjeu des situations de travail tout au long d’un projet ; mobiliser les différentes logiques de fonctionnement de l’entreprise dans la structuration du projet ; et concevoir en s’appuyant sur la réalité du travail et ses évolutions possibles. Une démarche est également exposée afin d’articuler ces principes au déroulement d’un projet. Elle comporte six dimensions : enrichir les objectifs d’un projet ; analyser des situations de référence ; participer à l’élaboration du cahier des charges ; simuler au plus tôt le travail futur ; intervenir lors de l’implantation et du démarrage ; et réaliser un retour d’expérience.

    Source : Bellemare, M., Ledoux, E., & Caroly, S. (2015). Pathologie professionnelle et de l’environnement, 10(2), 1-8. Doi : 10.1016/S1877-7856(14)63067-1

ÉVALUATION DES RISQUES EN SST

  • L’identification et l’évaluation des risques à la santé et à la sécurité du travail sont les premières étapes pour l’élaboration d’un bon plan d’action en santé et en sécurité du travail. Elles permettent de dépister les risques et les dangers spécifiques auxquels les travailleurs sont exposés. Cette activité de prévention permet à l’employeur de remplir une partie de ses obligations légales en matière de prévention en se donnant une méthode et des techniques afin d’identifier les risques et, par la suite, les éliminer et les contrôler. En adoptant une méthode d’évaluation des risques, les établissements s’assurent de prioriser leurs actions en fonction de l’importance de chaque risque. Des outils adaptables (en format Word ou Excel) vous sont proposés tout au long de la démarche afin de vous aider à consigner les résultats recueillis.

    Source : Bélanger, Louise, Brouillard, Josianne, & Buteau, Andrée-Anne. (2015). Montréal : ASSTSAS, 75 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/GP70_Identification_risques_370-0415.pdf

GESTION DE LA SST

  • Entre contraintes économiques et changements sociétaux, les trois fonctions publiques vivent une profonde mutation. Devant les tensions croissantes et la perte de repères ressentie par les agents, la question des conditions de travail et de la qualité de vie au travail s’impose.

    Source : Réseau Anact-Aract pour l’amélioration des conditions de travail. (Avril-mai-juin 2015). Conditions de travail et performance des organisations publiques : Accompagner les transformations, s’adapter aux spécificités, associer les agents. Travail & changement, 359, 15 p. Repéré à http://www.anact.fr/portal/pls/portal/docs/1/16720391.PDF

  • La Drees en France a publié l’édition 2014 de son panorama des établissements de santé. Le rapport intègre notamment un chapitre complet sur les conditions de travail particulières de ce secteur : contraintes de rythme de travail élevées, exposition à des produits dangereux, tensions avec le public, confrontation à la souffrance des patients. Le document présente aussi un état des lieux des risques psychosociaux auxquels sont confrontés les salariés du secteur hospitalier, qui y sont plus souvent exposés que l’ensemble des salariés.

    Source : Loquet, Julien, & Ricroch, Layla. (2015). Dossier : Les conditions de travail dans les établissements de santé. Dans Boisguérin, Bénédicte, & Brilhaut, Gwennaëlle (coord.). Le panorama des établissements de santé : édition 2014. (9-30). Paris : Ministère des Affaires sociales et de la Santé. Direction de la recherche, des études, de l’évaluation et des statistiques. (Collection Études et statistiques, 2014). Repéré à http://www.drees.sante.gouv.fr/IMG/pdf/panorama2014_dossier1.pdf

  • An evidence-based assessment tool has been developed to help joint health and safety committees (JHSCs) establish improvement goals and ensure sustained effectiveness. In this plenary, Dr. Linn Holness shares the research behind the 21-item tool and discusses how this study, conducted in a health-care setting, could have application across Canadian workplaces.

    Source : Nichol, Kathryn, Kudla, Irena, Hayes, Laureen, Nincic, Vera, Robson, Lynda, Hon, Chun-Yip,…Holness, Linn. (21 April 2015). Joint Health and Safety Committees in Hospitals : a journey to improve effectiveness. Repéré à http://www.iwh.on.ca/system/files/plenaries/2015-04-21_lholness.pdf

Pour accéder à la conférence sur Youtube : https://www.youtube.com/watch?feature=player_embedded&v=NeqsR9gBpXc

    • Pour se dédouaner de ces obligations, les directeurs d’établissement privilégient les actions de prévention très individualisées. Par exemple l’apprentissage de techniques de relaxation ou de gestion du stress, la formation, la mise en place de temps « libérés » destinés à des micro-siestes ou à des séances de massage, les consultations de psychologue, etc. En quelque sorte ces « activités occupationnelles » tendent à donner à chaque agent un capital psychologique permettant de mieux supporter les contraintes des organisations du travail. (Yves Clot – Michel Gollac – Le travail peut-il devenir supportable ?).

      Source : Denis. (13 avril 2015). Le blog des hospitaliers F.O. santé [Billet de blogue]. Repéré à http://fo-sante.org/wp-content/uploads/2015/04/La-pr%C3%A9vention-%C3%A9tourn%C3%A9e-des-risques-psychosociaux.pdf

HORAIRE DE TRAVAIL

    • This study explored the differences in the circadian salivary cortisol profiles between nurses working night shifts and regular day shifts following a slow rotating shift schedule to assess the number of days required for adjusting the circadian rhythm of salivary cortisol levels in nurses working consecutive night shifts and the number of days off required to restore the diurnal circadian rhythm of salivary cortisol levels. This was a prospective, longitudinal, parallel-group comparative study. The participants were randomly assigned to night and day-shift groups, and saliva samples were collected to measure their cortisol levels and circadian secretion patterns. The authors concluded that nurses working night shifts require at least 4 days to adjust their circadian rhythms of cortisol secretions. Moreover, on changing from night shift to other shifts, nurses must be allowed more than 2 days off work.

      Source : Niu, Shu-Fen, Chung, Min-Huey, Chu, Hsin, Tsai, Jui-Chen, Lin, Chun-Chieh, Liao, Yuan-Mei,… Chou, Kuei-Ru. (2015).  International Journal of Nursing Studies. Prépublication. Repéré à http://www.sciencedirect.com/science/article/pii/S0020748915001029

    • The objective was to determine the effect of working 12 h or more on a single shift in an acute care hospital setting compared with working less than 12 h on rates of error among nurses. Following review of title and abstract of 5429 publications, 26 studies were identified as meeting the inclusion criteria and selected for full retrieval and assessment for methodological quality. Of these, 13 were of sufficient quality to be included for review. In conclusion, the risk of making an error appears higher among nurses working 12 h or longer on a single shift in acute care hospitals. Hospitals and units currently operating 12 h shift systems should review this scheduling practice due to the potential negative impact on patient outcomes. Further research is required to consider factors that may mitigate the risk of error where 12 h shifts are scheduled and this cannot be changed.

      Source :  Clendon, Jill, & Gibbons, Veronique. (2015). International Journal of Nursing Studies. Prépublication. Repéré à http://www.sciencedirect.com/science/article/pii/S0020748915000735

    • The purpose of this study was to examine the effect of designed dynamic light on staff’s quality of sleep with regard to sleep efficiency, level of melatonin in saliva, and subjective perceptions of quality of sleep. An intervention group working in designed dynamic light was compared with a control group working in ordinary institutional light at two comparable intensive care units (ICUs). The study found no significant differences in monitored sleep efficiency and melatonin level. Nurses from the intervention-ICU subjectively assessed their sleep as more effective than participants from the control-ICU.

      Source : Jensen, Hanne Irene, Markvart, Jakob, Holst, René, Damgaard Thomsen, Tina, West Larsen, Jette, Eg, Dorthe Maria, & Seest Nielsen, Lisa. (2015). International Archives of Occupational and Envrionmental Health. Prépublication. doi : 10.1007/s00420-015-1051-0

    • This study investigates whether different shift work schedules, compared to day work, are associated with need for recovery (NFR), future disability, and retirement intentions for employees employed within different economic sectors over the course of their careers. Shift work exposure duration and the healthy worker effect are also examined. The results indicated in healthcare irregular shift work was a risk factor for disability among older shift workers. In conclusion, shift work was associated with higher levels of NFR and a higher risk of disability. However, shift work is a multifaceted concept as different types of shift work schedules are differently associated with these outcomes. Different shift work types exist and shift work schedules allow for optimization, indicating that measures to prevent adverse outcomes should be tailored for different types of shift work and over the course of the work career.

      Source : Gommans, F., Jansen, N., Stynen, D., de Grip A., & Kant, I. (2015). Scandinavian Journal of Work, Environment & Health. Prépublication. doi:10.5271/sjweh.3497

HYGIÈNE ET SALUBRITÉ

    • Dermatological disorders are a common workplace injury. Workers in many occupations are at increased risk of developing dermatological skin disorders due to chemical and physical hazards in the workplace. Contact irritant dermatitis can have adverse health effects on workers and may cause permanent scarring and disability. An occupational risk assessment may identify those workers at risk, and provide strategies to decrease the risk of developing contact irritant dermatitis and treatment options.

      Source : Lurati, Ann R. (2015). Workplace Health & Safety, 63(2), 81-87. doi: 10.1177/2165079914565351

    • En remplacement des dégraissants et nettoyants traditionnels à base de solvants ou de tensioactifs, on trouve des préparations à base de bactéries non pathogènes et d’enzymes. Dans les hôpitaux, le nettoyage des instruments chirurgicaux et de diagnostic utilise des enzymes. L’exposition des travailleurs peut se faire par contact cutané ou inhalation. Au terme d’une étude publiée en juillet 2014, des chercheurs canadiens indiquent une bonne performance technique, une bonne acceptabilité aux yeux des opérateurs et des coûts abordables.

      Source : Dégraissants et nettoyants bactériens et enzymatiques : quels sont les risques ? (20 avril 2015). CAMIP.Info : revue de la santé au travail. Repéré à http://camip.info/Degraissants-et-nettoyants.html

    • Environmental surfaces in health care facilities contaminated with Clostridium difficile spores can be a reservoir that contribute to transmission of hospital-acquired infections. Microfiber cleaning cloths may improve the effectiveness of surface cleaning. The objective of this study was to assess the removal and transfer of C difficile spores on surfaces cleaned by microfiber compared with cotton cloths. The results indicated that of 4.4 log10C difficile spores inoculated on a ceramic surface, microfiber and cotton cloths removed 2.4 and 1.7 log10, respectively. Microfiber cloths containing 4.2 log10C difficile spores transferred 1.7 log10 C difficile spores when used to wipe a ceramic surface compared with cotton cloths that transferred 2.4 log10. Similarly microfiber wipes transferred fewer spores on consecutive surfaces wiped compared with cotton cloths (0.8 log10 vs 1.80 log10).

      Source :Trajtman, Adriana N., Manickam, Kanchana, & Alfa, Michelle J. (2015). American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.03.002

    • The authors analized 91 samples  of high-touch surfaces obtained within the first hour after daily cleaning in intensive care unit rooms occupied with patients with multidrug-resistant organisms (MDROs). They determined that 22% of high-touch surfaces in rooms with methicillin-resistant Staphylococcus aureus patients and 5% of high-touch surfaces in rooms with multiresistant Pseudomonas aeruginosa patients were colonized with the same strain as the patient. We postulated that textile cleaning wipes could be contaminated with MDROs and may contribute to its spreading within the room.

      Source : Gavaldà, Laura, Pequeño, Sandra, Soriano, Ana, & Dominguez, M. Angeles. (2015). American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.03.009

    • Le Clostridium difficile est la principale cause infectieuse de diarrhée nosocomiale chez l’adulte et affecte 0,3-2 % des patients hospitalisés.  L’incidence de la DACD est extrêmement variable d’un établissement à un autre et à l’intérieur même de l’établissement. Afin de préserver la qualité des soins et un environnement sécuritaire pour les patients, le personnel et les visiteurs, le CINQ a entrepris de rédiger un document pour améliorer la prise en charge des éclosions de DACD en centres hospitaliers de soins de courte durée. L’ensemble des mesures préventives a été recensé à travers les données récentes de la littérature et à partir des avis d’experts dans le domaine. Les outils présentés permettront une prise en charge optimale en situation d’éclosion de DACD afin de limiter et de contrôler la dissémination de cet agent pathogène.

      Source : Comité sur les infections nosocomiales du Québec (CINQ). (2015). [Montréal] : Institut national de santé publique du Québec, 12, [1] p. Repéré à http://www.inspq.qc.ca/pdf/publications/1964_Reponse_Eclosion_CDifficile_Hospitalier.pdf

IMAGERIE MÉDICALE

    • Cette fiche recense les postes susceptibles de présenter un risque cancérogène pour les activités d’imagerie médicale, qu’il s’agisse de radiographie, de scanner, de scintigraphie ou de Pet Scan : réception et entreposage des sources, contrôle qualité et préparation des solutions de radionucléides, administration des radionucléides et des produits de contraste, prise et développement de clichés, gestion des déchets et excrétas, entretien médical et consigne de sortie au patient, secrétariat médical et étalonnage, maintenance et entretien des équipements. Pour chaque poste de travail, les cancérogènes avérés ou suspectés susceptibles d’être rencontrés sont listés.

      Source : CNAMTS, INRS, & CARSAT. (2015).  Imagerie médicale (radiographie, scanner, scintigraphie, Pet Scan) : Fiche d’aide au repérage de produit cancérogène.  Paris : Institut national de recherche et de sécurité, 2 p. (FAR 54). Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/FICHE/TI-FAR-54/far54.pdf

    • The authors compared the frequency of lens opacities among physicians with and without occupational exposure to ionizing radiation, and estimated dose-response between cumulative dose and opacities. They conducted ophthalmologic examinations of 21 physicians with occupational exposure to radiation and 16 unexposed physicians. The findings do not indicate an increased frequency of lens opacities in physicians with occupational exposure to ionizing radiation. However, the subjects in this study have received relatively low doses and therefore the results do not exclude small increases in lens opacities or contradict the studies reporting increases among interventional cardiologists with materially higher cumulative doses.

      Source : Auvinen, Anssi, Kivela, Tero, Heinävaara, Sirpa, & Mrena, Samy. (2015). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/mev022

MÉDICAMENTS DANGEREUX

    • Even the best safety program can’t eliminate the risk to employees handling hazardous drugs, so workers who are pregnant, trying to conceive or breastfeeding should be offered alternative duty, the National Institute for Occupational Safety and Health concluded in a draft guidance document. This is the first such recommendation from NIOSH, and although it is voluntary guidance, it represents a strong endorsement of alternative duty for those with reproductive risks related to working with chemotherapy agents and other hazardous drugs.

      Source :  NIOSH: Pregnant workers should avoid hazardous drug exposures : Proposed guidance backs alternative duty for reproductive safety. (March 2015). Hospital Employee Health, 34(4), 37-40. Repéré à http://www.ahcmedia.com/articles/134871-niosh-pregnant-workers-should-avoid-hazardous-drug-exposures

    • This is a joint position statement from the Oncology Nursing Society, the American Society of Clinical Oncology, and the Hematology/Oncology Pharmacy Association.

      Source : Oncology Nursing Society, American Society of Clinical Oncology, & Hematology/Oncology Pharmacy Association. (2015). Ensuring Healthcare Worker Safety When Handling Hazardous Drugs. Repéré à https://www.ons.org/advocacy-policy/positions/practice/hazardous-drugs

    • In January 2011 the National Institute for Occupational Safety and Health (NIOSH) received a request from three employees in the inpatient oncology unit of a university hospital in Wisconsin concerning a potential multiple sclerosis (MS) cluster. Three of the 41 nurses in the unit were diagnosed with MS between 2007 and 2010, and employees were concerned about their exposures to chemotherapy drugs and helicopter exhaust. The employees were also concerned that exposure to acrolein, a metabolite from exposure to some chemotherapy drugs that is also present in helicopter engine exhaust, may be associated with MS.

      Source : Page, Helena, H., Couch, James R., & de Perio, Marie A. (2015). Journal of Occupational and Environmental Hygiene, 12(5), D54-D59. DOI:10.1080/15459624.2014.989359

MILIEU DE VIE

    • The purpose of this study was to assess and honor older adults’ preferences is a fundamental step in providing person-centered care in long-term care facilities. Researchers and practitioners have begun to develop measures to assess nursing home (NH) residents’ everyday preferences. However, little is known about how residents interpret and conceptualize their preferences and what specific clinical response may be needed to balance health and safety concerns with preferences.

      Source : Bangerter, Lauren R., Van Haitsma, Kimberly, Heid, Allison R., & Abbott, Katherine. (2015). The Gerontologist. Prépublication.  doi: 10.1093/geront/gnv026

    • Recognizing where one is, and where one is going, are critical aspects enabling residents with dementia to be self-sufficient. In unfamiliar situations residents rely on environmental cues to find their way. When these cues are not easily interpreted due to cognitive impairment, autonomy gives way to dependency. The purpose of this pilot study was to develop a signage system that supports wayfinding.

      Source :  Brush, Jennifer, Camp, Cameron, Bohach, Shara, & Gertsberg, Nelly. (March/April, 2015). Canadian Nursing Home, 26(1), 4-11.  NON DISPONIBLE EN VERSION NUMÉRIQUE

    • The quality and readiness of the health and social care estate is vital for high quality, safe and efficient health and social care. This HBN sets out the design guidance for dementia-friendly health and social care environments. The design principles and the core design features together with a selection of case studies provide guidance for the development of new design solutions and the adaptation/ extension of existing facilities.

      Source : Pantzartzis, Efthimia, Pascale, Federica, Price, Andrew D.F. (2015). [S.l : United Kingdom Department of Health], xiv, 164 p. (Health Building Note 08-02)

    • Ce rapport analyse les résultats d’un projet de recherche/action et expose les problèmes rencontrés par les employés du domaine de la santé qui sont eux-même le proche aidant d’un membre de leur famille. Les résultats de ce projet ont permis de mettre en avant les défis auxquels sont confrontés les « proches aidants double-fonction » et les moyens par lesquels l’employeur peut y répondre.

      Source : Orzeck, Pam, Brotman, Shari, Drummond, JD, Silverman, Marjorie, Shiller, Ilana, & Barylak, Lucy. (2014). Montréal : Centre de recherche et d’expertise en gérontologie sociale, (Les cahiers du CREGÉS; 1), 11 p. Repéré à http://www.creges.ca/site/images/Cahier_du_CREG%C3%89S/Caregivers_in_the_Healthcare_Workplace_final.pdf

PRÉVENTION DES INFECTIONS

    • OSHA has offered compliance assistance rather than conducting inspections in the wake of Ebola, although several standards do apply.

      Source : Post-Ebola: OSHA steps of HCW involvement, says deadly virus falls under blodborne standard : No citations, but bloodborne, PPE standards apply. (March 2015). Hospital Employee Health, 34(4), 40-41. Repéré à http://www.ahcmedia.com/articles/134873-post-ebola-osha-steps-of-hcw-involvement-says-deadly-virus-falls-under-bloodborne-standard

    • In early September 2014, The authors were the first to publicly challenge the guidelines of the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC) and those of many countries which suggested that medical masks be used by health care workers (HCWs) treating Ebola virus disease (EVD). They argued in a previous editorial in this journal that in situations where there is uncertainty around the transmission mode, a risk analysis framework should be used to select personal protective equipment (PPE) and that the safety of HCWs should be a priority. This editorial attracted considerable attention and comment. The CDC has since changed their guidelines, but the WHO has yet to do so. In this paper, the authors discuss the events that influenced the modification of EVD guidelines and factors to be considered in developing frameworks for protection of HCWs.

      Source : MacIntyre, C. Raina, Chughtai, Abrar Ahmad, Seale, Holly, Richards, Guy A., & Davidson, Patricia M. (2015). International Journal of Nursing Studies, 52(5), 899-903. doi:10.1016/j.ijnurstu.2014.12.001

    • Asking health-care workers to complete forms explaining why they didn’t get the flu vaccine may be a cost-effective way to improve vaccination rates, a new study finds. « Evidence suggests that declination form programs which require health-care workers to provide a reason for declination and sign to acknowledge risk to self and patients by not getting vaccinated are effective at (improving) health-care worker influenza vaccination rates, and that these improvements are sustainable, » lead author Sherri LaVela told Reuters Health by email.

      Source : Rapaport, Lisa. (15 April 2015). Canadian Occupational Safety. Repéré à http://www.cos-mag.com/health-page/health-page-stories/4442-declination-forms-may-boost-flu-vaccination-rate-in-health-care-workers.html

    • Environmental surfaces in health care facilities contaminated with Clostridium difficile spores can be a reservoir that contribute to transmission of hospital-acquired infections. Microfiber cleaning cloths may improve the effectiveness of surface cleaning. The objective of this study was to assess the removal and transfer of C difficile spores on surfaces cleaned by microfiber compared with cotton cloths. The results indicated that of 4.4 log10C difficile spores inoculated on a ceramic surface, microfiber and cotton cloths removed 2.4 and 1.7 log10, respectively. Microfiber cloths containing 4.2 log10C difficile spores transferred 1.7 log10 C difficile spores when used to wipe a ceramic surface compared with cotton cloths that transferred 2.4 log10. Similarly microfiber wipes transferred fewer spores on consecutive surfaces wiped compared with cotton cloths (0.8 log10 vs 1.80 log10).

      Source : Trajtman, Adriana N., Manickam, Kanchana, & Alfa, Michelle J. (2015) American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.03.002

    • The authors analized 91 samples  of high-touch surfaces obtained within the first hour after daily cleaning in intensive care unit rooms occupied with patients with multidrug-resistant organisms (MDROs). They determined that 22% of high-touch surfaces in rooms with methicillin-resistant Staphylococcus aureus patients and 5% of high-touch surfaces in rooms with multiresistant Pseudomonas aeruginosa patients were colonized with the same strain as the patient. We postulated that textile cleaning wipes could be contaminated with MDROs and may contribute to its spreading within the room.

      Source : Gavaldà, Laura, Pequeño, Sandra, Soriano, Ana, & Dominguez, M. Angeles. (2015). American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.03.009

    • A number of jurisdictions have used regulation to promote the adoption of safety-engineered needles as a primary solution to reduce the risk of needlestick injuries among healthcare workers. Regulatory change has not been complemented by ongoing efforts to monitor needlestick injury trends which limits opportunities to evaluate the need for additional investment in this area. The objective of this study was to describe trends in the incidence of needlestick injuries in Ontario prior to and following the establishment of regulation to promote the adoption of safety-engineered needles.

      Source : Chambers, Andrea, Mustard, Cameron A., & Etches, Jacob. (2015). BMC Health Services Research, 15, 127. doi:10.1186/s12913-015-0798-z

    • In light of the threat of Ebola virus disease, it is important to emphasize the use of proper precautions for infection control in health care settings. The routes of Ebola virus transmission include direct contact with an affected person’s body fluids and indirect contact by means of contaminated instruments or supplies. PPE is available to minimize the potential harm from exposure to pathogens such as the Ebola virus. When PPE is worn, removed, and discarded properly, it is effective in protecting the person wearing it and the patients and health care workers with whom that person comes into contact.

      Source : Ortega, Rafael, Bhadelia, Nahid, Obanor, Osamede, Cyr, Kyle, Yu, Priscilla, McMahon, Maureen, & Gotzmann, Dahlia. (March 19, 2015). The New England Journal of Medicine, 371, e16. DOI: 10.1056/NEJMvcm1412105

    • Le Clostridium difficile est la principale cause infectieuse de diarrhée nosocomiale chez l’adulte et affecte 0,3-2 % des patients hospitalisés.  L’incidence de la DACD est extrêmement variable d’un établissement à un autre et à l’intérieur même de l’établissement. Afin de préserver la qualité des soins et un environnement sécuritaire pour les patients, le personnel et les visiteurs, le CINQ a entrepris de rédiger un document pour améliorer la prise en charge des éclosions de DACD en centres hospitaliers de soins de courte durée. L’ensemble des mesures préventives a été recensé à travers les données récentes de la littérature et à partir des avis d’experts dans le domaine. Les outils présentés permettront une prise en charge optimale en situation d’éclosion de DACD afin de limiter et de contrôler la dissémination de cet agent pathogène.

      Source : Comité sur les infections nosocomiales du Québec (CINQ). (2015). [Montréal] : Institut national de santé publique du Québec, 12, [1] p. Repéré à http://www.inspq.qc.ca/pdf/publications/1964_Reponse_Eclosion_CDifficile_Hospitalier.pdf

PRODUITS TOXIQUES

    • Dermatological disorders are a common workplace injury. Workers in many occupations are at increased risk of developing dermatological skin disorders due to chemical and physical hazards in the workplace. Contact irritant dermatitis can have adverse health effects on workers and may cause permanent scarring and disability. An occupational risk assessment may identify those workers at risk, and provide strategies to decrease the risk of developing contact irritant dermatitis and treatment options.

      Source : Lurati, Ann R. (2015). Workplace Health & Safety, 63(2), 81-87. doi: 10.1177/2165079914565351

    • Ortho-phthalaldehyde (OPA) is an aromatic dialdehyde that has largely replaced glutaraldehyde as a new high-level disinfectant for heat-sensitive medical devices, including endoscopes. Reports of immunological reactions have been reported in workers exposed to OPA-disinfected cystocopes. The authors describe  the case of a 55-year-old woman who consulted at the emergency department with dyspnoea, wheezing, conjunctival redness and low peak expiratory flow. She had been promoted to the endoscopic sterilisation service of a regional hospital 2 months earlier, where OPA (Cidex OPA) was used for disinfection of endoscopes.

      Source : Robitaille, Catherine, & Poulet, Louis-Philippe. (2015). Occupational & Environmental Medicine, 72(5), 381. doi:10.1136/oemed-2015-102847

    • Cette fiche recense les postes susceptibles de présenter un risque cancérogène pour les activités d’imagerie médicale, qu’il s’agisse de radiographie, de scanner, de scintigraphie ou de Pet Scan : réception et entreposage des sources, contrôle qualité et préparation des solutions de radionucléides, administration des radionucléides et des produits de contraste, prise et développement de clichés, gestion des déchets et excrétas, entretien médical et consigne de sortie au patient, secrétariat médical et étalonnage, maintenance et entretien des équipements. Pour chaque poste de travail, les cancérogènes avérés ou suspectés susceptibles d’être rencontrés sont listés.

      Source : CNAMTS, INRS, & CARSAT. (2015).  Imagerie médicale (radiographie, scanner, scintigraphie, Pet Scan) : Fiche d’aide au repérage de produit cancérogène.  Paris : Institut national de recherche et de sécurité, 2 p. (FAR 54). Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/FICHE/TI-FAR-54/far54.pdf

    • Cette fiche recense les postes susceptibles de présenter un risque cancérogène pour l’activité des laboratoires d’anatomo-cyto-pathologie : manipulation des pièces avant préparation, préparation des pièces, coloration des lames, entretien de l’appareillage, manipulation et élimination des matériaux et déchets, désinfection terminale des surfaces et du matériel. Pour chaque poste de travail, les cancérogènes avérés ou suspectés sont listés.

      Source : CNAMTS, INRS, & CARSAT. (2015). Laboratoire d’anatomie et de cytologie pathologiques : Fiche d’aide au repérage de produit cancérogène. Paris : Institut national de recherche et de sécurité, 2 p. (FAR 3). Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/FICHE/TI-FAR-3/FAR3.pdf

    • Pour respecter ses obligations en santé et sécurité du travail, un entrepreneur doit identifier les matériaux susceptibles de contenir de l’amiante avant d’entreprendre des travaux sur un bâtiment ou un ouvrage de génie civil. Si les travaux à réaliser peuvent émettre de la poussière venant de matériaux susceptibles de contenir de l’amiante, il doit en vérifier la présence (et le type, le cas échéant) dans ceux-ci, afin de déterminer les méthodes de travail appropriées et assurer la santé et la sécurité des travailleurs. Ce document contient des informations sur l’identification des matériaux susceptibles de contenir de l’amiante.

      Source : CSST. (2015). Identification des matériaux susceptibles de contenir de l’amiante. [S.l.]: CSST, 2 p. Repéré à http://www.csst.qc.ca/publications/100/Pages/DC_100_2017.aspx

    • Les situations de pollution de l’air intérieur en milieu professionnel sont susceptibles de mettre en difficulté l’entreprise et le médecin du travail. L’évaluation des risques chimiques peut paraître complexe, mais est à la portée de tout professionnel de santé à condition de suivre une démarche rigoureuse multi-étapes, comme celle présentée dans cet article.

      Source : Maisant, S.-C., Hasni-Pichard, H., Langrand, J., Cavezza, S., Villa, A., & Garnier, R. (2015). Archives des maladies professionnelles et de l’environnement. Prépublication. doi:10.1016/j.admp.2014.11.005

RADIOPROTECTION

    • Cette fiche recense les postes susceptibles de présenter un risque cancérogène pour les activités d’imagerie médicale, qu’il s’agisse de radiographie, de scanner, de scintigraphie ou de Pet Scan : réception et entreposage des sources, contrôle qualité et préparation des solutions de radionucléides, administration des radionucléides et des produits de contraste, prise et développement de clichés, gestion des déchets et excrétas, entretien médical et consigne de sortie au patient, secrétariat médical et étalonnage, maintenance et entretien des équipements. Pour chaque poste de travail, les cancérogènes avérés ou suspectés susceptibles d’être rencontrés sont listés.

      Source : CNAMTS, INRS, & CARSAT. (2015).  Imagerie médicale (radiographie, scanner, scintigraphie, Pet Scan) : Fiche d’aide au repérage de produit cancérogène.  Paris : Institut national de recherche et de sécurité, 2 p. (FAR 54). Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/FICHE/TI-FAR-54/far54.pdf

    • The authors compared the frequency of lens opacities among physicians with and without occupational exposure to ionizing radiation, and estimated dose-response between cumulative dose and opacities. They conducted ophthalmologic examinations of 21 physicians with occupational exposure to radiation and 16 unexposed physicians. The findings do not indicate an increased frequency of lens opacities in physicians with occupational exposure to ionizing radiation. However, the subjects in this study have received relatively low doses and therefore the results do not exclude small increases in lens opacities or contradict the studies reporting increases among interventional cardiologists with materially higher cumulative doses.

      Source : Auvinen, Anssi, Kivela, Tero, Heinävaara, Sirpa, & Mrena, Samy. (2015). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/mev022

SANTÉ – BIEN-ÊTRE EN MILIEU DE TRAVAIL

    • Total Worker Health (TWH) was introduced and the term was trademarked in 2011 by the National Institute for Occupational Safety and Health (NIOSH) to formally signal the expansion of traditional occupational safety and health (OSH) to include wellness and well-being. The authors searched PubMed, PsychINFO, and other databases. Only 17 published studies met the criteria. All but 1 of the 17 TWH interventions improved risk factors for injuries and/or chronic illnesses, and 4 improved 10 or more risk factors. Several TWH interventions reported sustained improvements for over a year, although only 1 is readily available for dissemination. These results suggest that TWH interventions that address both injuries and chronic diseases can improve workforce health effectively and more rapidly than the alternative of separately employing more narrowly focused programs to change the same outcomes in serial fashion. These 17 articles provide useful examples of how TWH interventions can be structured. The promise of simultaneous improvements in safety, health, and well-being leads to the call to pursue TWH research to identify and disseminate best practices.

      Source : Anger, W, Kent, Elliot, Diane L., Bodner, Todd, Olson, Ryan, Rohlman, Diane S., Truxillo, Donald M.,… Montgomery, Dede. (2015). Journal of Occupational Health Psychology, 20(2), 226-247. http://dx.doi.org/10.1037/a0038340

SANTÉ PSYCHOLOGIQUE

    • Entre contraintes économiques et changements sociétaux, les trois fonctions publiques vivent une profonde mutation. Devant les tensions croissantes et la perte de repères ressentie par les agents, la question des conditions de travail et de la qualité de vie au travail s’impose.

      Source : Réseau Anact-Aract pour l’amélioration des conditions de travail. (Avril-mai-juin 2015). Conditions de travail et performance des organisations publiques : Accompagner les transformations, s’adapter aux spécificités, associer les agents. Travail & changement, 359, 15 p. Repéré à http://www.anact.fr/portal/pls/portal/docs/1/16720391.PDF

    • The objective was to determine whether a workplace stress-reduction intervention decreases reactivity to stress among personnel exposed to a highly stressful occupational environment. Personnel from a surgical intensive care unit were randomized to a stress-reduction intervention or a waitlist control group. The 8-week group mindfulness-based intervention included mindfulness, gentle yoga, and music. Psychological and biological markers of stress were measured 1 week before and 1 week after the intervention. The findings suggest that this type of intervention could decrease not only reactivity to stress but also the risk of burnout.

      Source : Duchemin, Anne-Marie, Steinberg, Beth A., Marks, Donald R., Vanover, Kristin, & Klatt, Maryanna. (2015). A Small Randomized Pilot Study of a Workplace Mindfulness-Based Intervention for Surgical Intensive Care Unit Personnel: Effects on Salivary α-Amylase Levels. JOEM : Journal of Occupational & Environmental Medicine, 57(4), 393-399. doi: 10.1097/JOM.0000000000000371

    • The objective was to develop a team-based Total Worker Health™ (injury prevention + health promotion) intervention for home care workers and estimate intervention effects on workers’ well-being and health and safety behaviors. Home care workers met monthly in teams for education and social support using a scripted, peer-led approach. Meeting process measures and pre-/postintervention outcome measures were collected.

      Source : Olson, Ryan, Wright, Robert R., Elliot, Diane L., Hess, Jennifer A., Thompson, Sharon, Buckmaster, Annie, Luther, Kristy, & Wipfli, Brad. (2015). JOEM : Journal of occupational and Environmental Medicine, 57, 4, 406-416. doi: 10.1097/JOM.0000000000000374

    • Theory and research on status attainment in work groups primarily focuses on members’ abilities and characteristics that make them appear competent as predictors of their status in the group. The authors complement the abilities perspective with a social identity perspective by arguing that another important determinant of a member’s status is based on the extent to which the member serves the group’s interests. Specifically, they assert that a member’s identification with the group affects performance on behalf of the group, which in turn affects other members’ assessment of the member’s status. They test this social identity perspective on status attainment by studying the influence of members’ group identification on their performance and status in the group, while controlling for the members’ abilities and status characteristics.

      Source : Meeussen, Loes, & van Dijk, Hans. (2015). European Journal of Work and Organizational Psychology. Prépublication. DOI:10.1080/1359432X.2015.1028378

    • Pour se dédouaner de ces obligations, les directeurs d’établissement privilégient les actions de prévention très individualisées. Par exemple l’apprentissage de techniques de relaxation ou de gestion du stress, la formation, la mise en place de temps « libérés » destinés à des micro-siestes ou à des séances de massage, les consultations de psychologue, etc. En quelque sorte ces « activités occupationnelles » tendent à donner à chaque agent un capital psychologique permettant de mieux supporter les contraintes des organisations du travail. (Yves Clot – Michel Gollac – Le travail peut-il devenir supportable ?).

      Source : Denis. (13 avril 2015). Le blog des hospitaliers F.O. santé [Billet de blogue]. Repéré à http://fo-sante.org/wp-content/uploads/2015/04/La-pr%C3%A9vention-%C3%A9tourn%C3%A9e-des-risques-psychosociaux.pdf

    • L’objectif de cette étude est d’évaluer dans un service de réanimation le bruit et les alarmes, leur retentissement sur la santé et le travail, proposer des mesures correctrices pour améliorer la qualité de vie au travail, la qualité des soins et préserver la santé des soignants. Les données recueillies lors des enquêtes PRESST-NEXT et SESMAT ont permis d’évaluer la perception de l’exposition au bruit des soignants européens et médecins français et leur score d’épuisement professionnel. Le travail infirmier en réanimation est caractérisé par des observations ergonomiques dont deux analysées à l’aide du logiciel KRONOS-ACTOGRAM (Octares). Des mesures de bruit ambiant ont été réalisées au poste central de surveillance et dans une chambre. L’exposition au bruit des soignants a été mesurée à l’aide de dosimètres de bruit. L’enregistrement de certaines alarmes a permis d’analyser le spectre et la variation du niveau sonore en fonction du temps.

      Source : Raffier-Peres, D., & Estryn-Behar, M. (2015). Archives des maladies professionnelles et de l’environnement, 76(2), 115-130. doi:10.1016/j.admp.2014.09.003

    • This study examined the relation between daily incivility and afterwork recovery, hypothesizing that workplace incivility would have a negative effect on situational wellbeing, afterwork recovery experiences (psychological detachment and relaxation) and next-morning recovery level. Results emphasize the ongoing impact of rudeness and disrespect in the workplace on employee wellbeing and offer an explanation for the long-term negative outcomes of what is typically thought of as a less severe workplace stressor.

      Source : Nicholson, Tahnee, & Griffin, Barbara. (2015). Journal of Occupational Health Psychology, 20(2), 218-225.

      Repéré à http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2014-48745-001

    • Bien qu’étant de plus en plus étudié dans le champ des comportements organisationnels positifs, de nombreuses zones d’ombre entourent encore le bien-être au travail. L’ambition des auteurs est de montrer l’intérêt de l’appréhender de manière différenciée plutôt qu’au travers d’un score global, afin de décrire les relations qu’il entretient avec des attitudes positives et négatives. Cette approche centrée sur les personnes est rendue possible par la multi dimensionnalité du concept.

      Source : Biétry, Franck, & Creusier, Jordane. (2015). Relations industrielles, 70(1), 11-35. DOI : 10.7202/1029278ar

    • Les facteurs de risques psychosociaux peuvent être regroupés en six familles : intensité et charge de travail, exigences émotionnelles, manque d’autonomie dans le travail, altération des rapports sociaux, conflits de valeur et insécurité de la situation de travail. Les conséquences en termes de santé sont plus ou moins documentées selon les facteurs et les pathologies considérées. Les contraintes relatives à l’intensité du travail, l’autonomie, le support de la part des collègues et de l’encadrement, la reconnaissance des efforts ont des associations consistantes avec les maladies cardiovasculaires, les troubles musculosquelettiques ou la santé mentale. Les mécanismes en jeu (hormonaux, neurobiologiques, etc.) commencent à être bien identifiés. La prévention des risques psychosociaux, a donné lieu à des démarches multiples selon la précocité de l’intervention, selon la finalité de l’intervention (optimisation de comportements individuels versus amélioration des facteurs organisationnels), selon le modèle sous-jacent de l’intervention (approche de type projet, intervention ergonomique, etc.) et selon la cible, centrée sur les risques psychosociaux ou incluse dans des démarches plus globales de promotion de la santé, bien-être ou qualité de vie au travail. La prévention à la source, qui vise à améliorer le fonctionnement organisationnel et collectif d’une organisation, semble la plus efficace dans la durée.

      Source : Chouanière, D. (2015). Pathologie professionnelle et de l’environnement, 10(2), 1-12.  Doi : 10.1016/S1877-7856(14)63075-0

SERVICES À DOMICILE

    • The objective was to develop a team-based Total Worker Health™ (injury prevention + health promotion) intervention for home care workers and estimate intervention effects on workers’ well-being and health and safety behaviors. Home care workers met monthly in teams for education and social support using a scripted, peer-led approach. Meeting process measures and pre-/postintervention outcome measures were collected.

      Source : Olson, Ryan, Wright, Robert R., Elliot, Diane L., Hess, Jennifer A., Thompson, Sharon, Buckmaster, Annie, Luther, Kristy, & Wipfli, Brad. (2015). JOEM : Journal of occupational and Environmental Medicine, 57, 4, 406-416. doi: 10.1097/JOM.0000000000000374

SOINS INTENSIFS

    • L’objectif de cette étude est d’évaluer dans un service de réanimation le bruit et les alarmes, leur retentissement sur la santé et le travail, proposer des mesures correctrices pour améliorer la qualité de vie au travail, la qualité des soins et préserver la santé des soignants. Les données recueillies lors des enquêtes PRESST-NEXT et SESMAT ont permis d’évaluer la perception de l’exposition au bruit des soignants européens et médecins français et leur score d’épuisement professionnel. Le travail infirmier en réanimation est caractérisé par des observations ergonomiques dont deux analysées à l’aide du logiciel KRONOS-ACTOGRAM (Octares). Des mesures de bruit ambiant ont été réalisées au poste central de surveillance et dans une chambre. L’exposition au bruit des soignants a été mesurée à l’aide de dosimètres de bruit. L’enregistrement de certaines alarmes a permis d’analyser le spectre et la variation du niveau sonore en fonction du temps.

      Source : Raffier-Peres, D., & Estryn-Behar, M. (2015). Archives des maladies professionnelles et de l’environnement, 76(2), 115-130. doi:10.1016/j.admp.2014.09.003

SST EN MILIEU DE SOINS

    • La Drees en France a publié l’édition 2014 de son panorama des établissements de santé. Le rapport intègre notamment un chapitre complet sur les conditions de travail particulières de ce secteur : contraintes de rythme de travail élevées, exposition à des produits dangereux, tensions avec le public, confrontation à la souffrance des patients. Le document présente aussi un état des lieux des risques psychosociaux auxquels sont confrontés les salariés du secteur hospitalier, qui y sont plus souvent exposés que l’ensemble des salariés.

      Source : Loquet, Julien, & Ricroch, Layla. (2015). Dossier : Les conditions de travail dans les établissements de santé. Dans Boisguérin, Bénédicte, & Brilhaut, Gwennaëlle (coord.). Le panorama des établissements de santé : édition 2014. (9-30). Paris : Ministère des Affaires sociales et de la Santé. Direction de la recherche, des études, de l’évaluation et des statistiques. (Collection Études et statistiques, 2014). Repéré à http://www.drees.sante.gouv.fr/IMG/pdf/panorama2014_dossier1.pdf

STATISTIQUES EN SST

    • La Drees en France a publié l’édition 2014 de son panorama des établissements de santé. Le rapport intègre notamment un chapitre complet sur les conditions de travail particulières de ce secteur : contraintes de rythme de travail élevées, exposition à des produits dangereux, tensions avec le public, confrontation à la souffrance des patients. Le document présente aussi un état des lieux des risques psychosociaux auxquels sont confrontés les salariés du secteur hospitalier, qui y sont plus souvent exposés que l’ensemble des salariés.

      Source : Loquet, Julien, & Ricroch, Layla. (2015). Dossier : Les conditions de travail dans les établissements de santé. Dans Boisguérin, Bénédicte, & Brilhaut, Gwennaëlle (coord.). Le panorama des établissements de santé : édition 2014. (9-30). Paris : Ministère des Affaires sociales et de la Santé. Direction de la recherche, des études, de l’évaluation et des statistiques. (Collection Études et statistiques, 2014). Repéré à http://www.drees.sante.gouv.fr/IMG/pdf/panorama2014_dossier1.pdf

STÉRILISATION

    • Ortho-phthalaldehyde (OPA) is an aromatic dialdehyde that has largely replaced glutaraldehyde as a new high-level disinfectant for heat-sensitive medical devices, including endoscopes. Reports of immunological reactions have been reported in workers exposed to OPA-disinfected cystocopes. The authors describe  the case of a 55-year-old woman who consulted at the emergency department with dyspnoea, wheezing, conjunctival redness and low peak expiratory flow. She had been promoted to the endoscopic sterilisation service of a regional hospital 2 months earlier, where OPA (Cidex OPA) was used for disinfection of endoscopes.

      Source : Robitaille, Catherine, & Poulet, Louis-Philippe. (2015). Occupational & Environmental Medicine, 72(5), 381. doi:10.1136/oemed-2015-102847

TABAGISME

    • Public health efforts to prevent disease caused by tobacco use have been underway for the past half century, but more remains to be done to achieve a society free of tobacco-related death and disease. The Centers for Disease Control and Prevention (CDC), of which NIOSH is a part, has recently proclaimed a « Winnable Battle » to reduce tobacco use.

      Source : Castellan, Robert M., Chosewood, L. Casey, Trout, Douglas, Wagner, Gregory R., & Weissman, David N. (2015). [Cincinnati, OH] : U.S. Department of Health, Education, and Welfare, Center for Disease Control, National Institute for Occupational Safety and Health, xviii, 78 p. (Current Intelligence Bulletin ; 67). Repéré à http://www.cdc.gov/niosh/docs/2015-113/pdfs/cib-67_2015-113_v5.pdf

    • A new NIOSH report recommends that all workplaces become tobacco free and also that employers should make tobacco cessation programs available to their employees. The recommendations also cover the use of e-cigarettes, saying workers should be protected from their emissions, as well. This is NIOSH’s first time to issue recommendations on e-cigarettes; NIOSH recommends that they be included in indoor smoking bans. <

      Source : NIOSH Wants All Workplaces Smoke Free(April 03, 2015). OH&S : Occupational Health and Safety Online. Repéré à http://ohsonline.com/articles/2015/04/03/niosh-wants-all-workplaces-smoke-free.aspx

TRAVAIL EN ÉQUIPE

    • Theory and research on status attainment in work groups primarily focuses on members’ abilities and characteristics that make them appear competent as predictors of their status in the group. The authors complement the abilities perspective with a social identity perspective by arguing that another important determinant of a member’s status is based on the extent to which the member serves the group’s interests. Specifically, they assert that a member’s identification with the group affects performance on behalf of the group, which in turn affects other members’ assessment of the member’s status. They test this social identity perspective on status attainment by studying the influence of members’ group identification on their performance and status in the group, while controlling for the members’ abilities and status characteristics.

      Source : Meeussen, Loes, & van Dijk, Hans. (2015). European Journal of Work and Organizational Psychology. Prépublication. DOI:10.1080/1359432X.2015.1028378

TRAVAIL EN LABORATOIRE

    • Cette fiche recense les postes susceptibles de présenter un risque cancérogène pour l’activité des laboratoires d’anatomo-cyto-pathologie : manipulation des pièces avant préparation, préparation des pièces, coloration des lames, entretien de l’appareillage, manipulation et élimination des matériaux et déchets, désinfection terminale des surfaces et du matériel. Pour chaque poste de travail, les cancérogènes avérés ou suspectés sont listés.

      Source : CNAMTS, INRS, & CARSAT. (2015). Laboratoire d’anatomie et de cytologie pathologiques : Fiche d’aide au repérage de produit cancérogène. Paris : Institut national de recherche et de sécurité, 2 p. (FAR 3). Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/FICHE/TI-FAR-3/FAR3.pdf

    • Les situations de pollution de l’air intérieur en milieu professionnel sont susceptibles de mettre en difficulté l’entreprise et le médecin du travail. L’évaluation des risques chimiques peut paraître complexe, mais est à la portée de tout professionnel de santé à condition de suivre une démarche rigoureuse multi-étapes, comme celle présentée dans cet article.

      Source : Maisant, S.-C., Hasni-Pichard, H., Langrand, J., Cavezza, S., Villa, A., & Garnier, R. (2015). Archives des maladies professionnelles et de l’environnement. Prépublication. doi:10.1016/j.admp.2014.11.005

TRAVAILLEURS JEUNES/ÂGÉS

    • Age-associated physical musculoskeletal alterations increase elder adults’ (age 55 and older) risk for injury. Research has demonstrated that on-the-job injuries result in increased absenteeism, and fatalities are more common for the elder adult population. Older adults aged above 65 years comprise the fastest-growing segment of the U.S. population, growing from 40.2 million in 2010 to 88.5 million projected by 2050; this population shift will generate challenges for occupational health nurses providing care for older workers. A paucity of evidence-based “best practices” exists in which occupational health nurses can assess the physical status of older workers, evaluate their risk for age-related musculoskeletal injuries, and educate these workers on injury prevention. This article provides a critical synthesis of research on age-related physical and cognitive changes and their impact on safety, providing “best practice” evidence for occupational health nurses to examine and apply.

      Source : Delloiacono, Nancy. (2015). Workplace Health & Safety, 63(2), 48-53. doi: 10.1177/2165079915570299

    • Depuis plusieurs années, l’IRSST se préoccupe de l’impact des facteurs démographiques (âge, genre, immigration) sur les problématiques de santé et de sécurité du travail (SST). Ainsi, les analyses selon l’âge figurent parmi ses thématiques de recherche prioritaires. Ce dossier présente quelques statistiques qui illustrent certaines différences qui existent selon l’âge et qui montrent l’importance de considérer cette variable dans les études en SST.

      Source : Prud’homme, Pascale, Duguay, Patrice, Busque, Marc-Antoine. (2015). Montréal : IRSST, 22 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/DS-010.pdf

    • This study investigates whether different shift work schedules, compared to day work, are associated with need for recovery (NFR), future disability, and retirement intentions for employees employed within different economic sectors over the course of their careers. Shift work exposure duration and the healthy worker effect are also examined. The results indicated in healthcare irregular shift work was a risk factor for disability among older shift workers. In conclusion, shift work was associated with higher levels of NFR and a higher risk of disability. However, shift work is a multifaceted concept as different types of shift work schedules are differently associated with these outcomes. Different shift work types exist and shift work schedules allow for optimization, indicating that measures to prevent adverse outcomes should be tailored for different types of shift work and over the course of the work career.

    • Source : Gommans, F., Jansen, N., Stynen, D., de Grip A., & Kant, I. (2015). Scandinavian Journal of Work, Environment & Health. Prépublication. doi:10.5271/sjweh.3497

TRAVAILLEUSE ENCEINTE

    • Even the best safety program can’t eliminate the risk to employees handling hazardous drugs, so workers who are pregnant, trying to conceive or breastfeeding should be offered alternative duty, the National Institute for Occupational Safety and Health concluded in a draft guidance document. This is the first such recommendation from NIOSH, and although it is voluntary guidance, it represents a strong endorsement of alternative duty for those with reproductive risks related to working with chemotherapy agents and other hazardous drugs.

      Source :  NIOSH: Pregnant workers should avoid hazardous drug exposures : Proposed guidance backs alternative duty for reproductive safety. (March 2015). Hospital Employee Health, 34(4), 37-40. Repéré à http://www.ahcmedia.com/articles/134871-niosh-pregnant-workers-should-avoid-hazardous-drug-exposures

TROUBLES MUSCULOSQUELETTIQUES

    • Age-associated physical musculoskeletal alterations increase elder adults’ (age 55 and older) risk for injury. Research has demonstrated that on-the-job injuries result in increased absenteeism, and fatalities are more common for the elder adult population. Older adults aged above 65 years comprise the fastest-growing segment of the U.S. population, growing from 40.2 million in 2010 to 88.5 million projected by 2050; this population shift will generate challenges for occupational health nurses providing care for older workers. A paucity of evidence-based “best practices” exists in which occupational health nurses can assess the physical status of older workers, evaluate their risk for age-related musculoskeletal injuries, and educate these workers on injury prevention. This article provides a critical synthesis of research on age-related physical and cognitive changes and their impact on safety, providing “best practice” evidence for occupational health nurses to examine and apply.

      Source : Delloiacono, Nancy. (2015). Workplace Health & Safety, 63(2), 48-53. doi: 10.1177/2165079915570299

    • Nurses and nursing aides suffer from work-related pain and musculoskeletal disorders (MSDs). Although there have been a plethora of studies on MSDs, an overall understanding of the prevalence of MSDs and pain can lead to better prioritization of research needs with respect to the health care industry. The aim of this study was to determine the prevalence of musculoskeletal pain and reported injuries for nurses and nursing aides. A total of 132 articles on prevalence of MSD pain and injuries were included in the review. All articles were published in peer-reviewed English-speaking journals and subjected to a quality review.

      Source : Davis, Kermit G., Kotowski, Susan E. (2015). Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care : A Comprehensive Review. Human Factors. Prépublication. doi: 10.1177/0018720815581933

UNITÉ PROTHÉTIQUE

    • Recognizing where one is, and where one is going, are critical aspects enabling residents with dementia to be self-sufficient. In unfamiliar situations residents rely on environmental cues to find their way. When these cues are not easily interpreted due to cognitive impairment, autonomy gives way to dependency. The purpose of this pilot study was to develop a signage system that supports wayfinding.

      Source : Brush, Jennifer, Camp, Cameron, Bohach, Shara, & Gertsberg, Nelly. (March/April, 2015). Canadian Nursing Home, 26(1), 4-11. NON DISPONIBLE EN VERSION NUMÉRIQUE

    • The quality and readiness of the health and social care estate is vital for high quality, safe and efficient health and social care. This HBN sets out the design guidance for dementia-friendly health and social care environments. The design principles and the core design features together with a selection of case studies provide guidance for the development of new design solutions and the adaptation/extension of existing facilities.

      Source : Pantzartzis, Efthimia, Pascale, Federica, Price, Andrew D.F. (2015). [S.l : United Kingdom Department of Health], xiv, 164 p. (Health Building Note 08-02)

VACCINATION

  • Asking health-care workers to complete forms explaining why they didn’t get the flu vaccine may be a cost-effective way to improve vaccination rates, a new study finds. « Evidence suggests that declination form programs which require health-care workers to provide a reason for declination and sign to acknowledge risk to self and patients by not getting vaccinated are effective at (improving) health-care worker influenza vaccination rates, and that these improvements are sustainable, » lead author Sherri LaVela told Reuters Health by email.

    Source : Rapaport, Lisa. (15 April 2015). Canadian Occupational Safety. Repéré à http://www.cos-mag.com/health-page/health-page-stories/4442-declination-forms-may-boost-flu-vaccination-rate-in-health-care-workers.html

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