COIN DE LA DOCUMENTALISTE – AOÛT 2015

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

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

Pour contacter notre documentaliste :

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

Le Coin de la documentaliste prend des vacances dans les prochaines semaines et vous reviendra avec la page de SEPTEMBRE – OCTOBRE 2015. BON ÉTÉ!

AGRESSIONS ET VIOLENCE

Pour visionner l’enregistrement du webinaire : http://forum.asstsas.qc.ca/2015-010/0mx4k1plisc3

AMÉNAGEMENT – ARCHITECTURE

  • Noise has been identified as a major stressor in hospitals,  with ambient noise frequently exceeding recommended levels set by the WHO and reportedly as high as alarm clocks. Although hospitals frequently attempt to reduce noise through traditional methods such as shielding the patient (eg, closing doors), moving equipment or altering staff behaviours, these approaches disrupt workflow and ignore the realities of sound generation required in modern hospitals, which potentially limits their impact on quality and patient safety. An unexplored method of reducing hospital noise borrowed from other industries is to use sound acoustic panels that diffuse noise rather than attempt to eliminate it. The authors performed a pilot study to determine whether strategically placed, sound acoustic panels applied in hospitals would acutely reduce noise in hallways adjacent to patient rooms. If true, this option could serve as an architectural design solution to enhance patient care and experience during hospitalisation.

    Source : Farrehi, Peter M., Nallamothu, Brahmajee K., & Navvab, Mojtaba. (2015). BMJ Quality & Safety. Prépublication. doi:10.1136/bmjqs-2015-004205

  • The challenges in investigating the effects of the physical environment on residents with dementia include having a sample of comparable study groups and a lack of long-term follow-up evaluation. The current study attempted to address these two challenges by carefully matching residents and analyzing long-term measurement data. The aim of the study was to examine whether residents with dementia (N = 12) living in a traditional large-scale setting or a small-scale, home-like setting exhibit any difference in health and behaviors over time.

    Source : Young Lee, Sook, Chaudhury, Habib, & Hung, Lillian. (2015). Research in Gerontological Nursing. Prépublication. DOI: 10.3928/19404921-20150709-01

  • Consider bringing a sterile products cleanroom up to USP <797> and proposed USP <800> standards without shutting down operations or limiting patient care services. An increasing number of hospital pharmacies are facing this exact challenge, particularly as the practice of converting physician office practices from private to hospital provider status is becoming widespread. In order to achieve compliance with USP <797> and soon-to-be <800> standards for compounded sterile preparation (CSP) production, major remodeling of the compounding facility often is necessary. The difficulty lies in the number of patients that are reliant on these sites for their treatment, such as chemotherapy. Closing a site, even temporarily, not only creates inconveniences, but also may make it impossible for some patients to obtain care. The following case studies illustrate dilemmas that are all too common in hospital pharmacy’s endeavors to produce safe, compliant CSPs, while simultaneously exploring creative solutions.

    Source : Siegel, Jerry. (July 2015). Pharmacy Purchasing & Products Magazine, 17(2), 2-4. Repéré à http://www.pppmag.com/article/1716/July_2015/Three_Case_Studies_in_Cleanroom_Renovation/

  • Ce guide de planification immobilière expose les performances attendues pour la programmation, la conception et la construction d’une unité des technologies de l’information et des communications, incluant les centres de traitement informatique de données, de soutien et d’expertise, ainsi que les centres de développement, que l’on retrouve dans tous les types de bâtiment du réseau de la santé et des services sociaux. Les recommandations touchent principalement les établissements qui possèdent leur propre salle des serveurs.

    Source : Drolet, Céline, Rinfret, Esther, Bouffard, Sylvie, Pelletier, Daniel, Matte, André, & Pelletier, Anne. (2015). Québec : Direction des communications du ministère de la Santé et des Services sociaux. 34 p. (Répertoire des guides de planification immobilière). Repéré à http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2015/15-610-02W.pdf

APPROCHE RELATIONNELLE DE SOINS (ARS)

  • Language carries and conveys meaning which feeds assumptions and judgments that can lead to the development of stereotypes and discrimination. As a result, this study closely examined the specific language that is used to communicate attitudes and perceptions of aging and older adults. The authors conducted a qualitative study of a twitter assignment for 236 students participating in a senior mentoring program. Three hundred fifty-four tweets were qualitatively analyzed to explore language-based age discrimination using a thematic analytic approach.

    Source : Gendron, Tracey L., Welleford, E. Ayn, Inker, Jennifer, & White, John T. (2015). The Gerontologist. Prépublication. doi: 10.1093/geront/gnv066

  • Les préposés aux bénéficiaires (PaB) sont aux premières loges lorsque l’on parle des enjeux de qualité des pratiques envers les personnes âgées, aussi bien dans les centres d’hébergement publics et privés que dans les ressources intermédiaires. La forte médiatisation de certains actes de négligence, voire de maltraitance, a conduit de nombreux responsables d’établissements de santé à revoir leur processus de sélection du personnel. De même, la qualité des pratiques est devenue progressivement un enjeu central autant pour les directions d’établissements que pour le MSSS. Une question récurrente réapparaît au gré de l’actualité : les préposés aux bénéficiaires sont-ils suffisamment compétents pour répondre aux besoins des personnes hébergées, notamment les plus fragilisées? D’autres formations doivent-elles être développées pour soutenir cette qualité?

    Source : Aubry, François, & Bergeron-Vachon, Frédérike. (Avril 2015). Le Relief, 1(2),10-15. Repéré à http://arihq.com/wp-content/uploads/2015/04/LERELIEF_volume1_no22.pdf

BRUIT EN MILIEU DE TRAVAIL

  • Noise has been identified as a major stressor in hospitals,  with ambient noise frequently exceeding recommended levels set by the WHO and reportedly as high as alarm clocks. Although hospitals frequently attempt to reduce noise through traditional methods such as shielding the patient (eg, closing doors), moving equipment or altering staff behaviours, these approaches disrupt workflow and ignore the realities of sound generation required in modern hospitals, which potentially limits their impact on quality and patient safety. An unexplored method of reducing hospital noise borrowed from other industries is to use sound acoustic panels that diffuse noise rather than attempt to eliminate it. The authors performed a pilot study to determine whether strategically placed, sound acoustic panels applied in hospitals would acutely reduce noise in hallways adjacent to patient rooms. If true, this option could serve as an architectural design solution to enhance patient care and experience during hospitalisation.

    Source : Farrehi, Peter M., Nallamothu, Brahmajee K., & Navvab, Mojtaba. (2015). BMJ Quality & Safety. Prépublication. doi:10.1136/bmjqs-2015-004205

  • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

    Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

CIVILITÉ EN MILIEU DE TRAVAIL

CONTENTION – DÉCONTENTION

CONTRAINTES THERMIQUES

  • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

    Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

DÉPLACEMENT DES BÉNÉFICIAIRES

  • The purpose of this study was to examine the prevalence and risk factors of occupational musculoskeletal injuries (OMIs) among occupational therapy practitioners over a 12-month period. A self-administered questionnaire mailed to 500 randomly selected practicing occupational therapists (OTs) and occupational therapy assistants (OTAs) living in the state of Texas. A response rate of 38 % was attained with 192 questionnaires returned. In a 12-months working period, 23 % of occupational therapy practitioners experienced musculoskeletal injuries. No factors were significantly associated with injuries among OTs. In conclusion, patient handling was the primary factor associated with injuries. Also, minimal experience and older age were concluded as risk factors that might contribute to OMIs.

    Source : Alnaser, Musaed Z. (2015). Journal of Occupational Rehabilitation. Prépublication. DOI: 10.1007/s10926-015-9584-3

  • The rationale for the tough, new policy: Hospitals have an injury rate that is almost twice as high as that of private industry as a whole, OSHA noted. U.S. hospitals recorded nearly 58,000 work-related injuries and illnesses in 2013, amounting to 6.4 work-related injuries and illnesses for every 100 full-time employees – almost twice as high as the overall rate for private industry, OSHA said in announcing the new enforcement program. While the other issues are critical areas of occupational safety, an epidemic of patient-handling injuries is likely the primary driver of the OSHA action. Scathing reports of nurses with chronic back pain and permanent disabilities caused by patient handling incidents have continued to raise the inevitable question: Why doesn’t OSHA do something about this?

    Source : OSHA: Patient handling injuries, other top worker hazards targeted. (August 2015). Hospital Employee Health, 34(8), [85]-87. Repéré à http://www.ahcmedia.com/articles/135831-osha-patient-handling-injuries-other-top-worker-hazards-targeted

  • The Occupational Safety and Health Administration’s new instructions to inspectors includes the following section on musculoskeletal disorders (MSDs) : 1) Ergonomics: MSD Risk Factors Relating to Patient/Resident Handling 2) Establishment Evaluation 3) Program Evaluation 4) Program Management 5) Program Implementation and 6) Employee training.

    Source : OSHA inspector: ‘What is the decision logic for use of lift, transfer, or repositioning devices?’ (August 2015). Hospital Employee Health, 34(8), 88-89. Repéré à http://www.ahcmedia.com/articles/135832-osha-inspector-what-is-the-decision-logic-for-use-of-lift-transfer-or-repositioning-devices#

ÉCLAIRAGE

  • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

    Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

ÉQUIPEMENT DE PROTECTION

  • In a study certain to stir controversy, researchers in Canada report that N95 respirators were no better than surgical masks in preventing respiratory infections in healthcare workers in clinical settings. « Although N95 respirators compared to surgical masks may have a protective advantage in laboratory evaluations, our meta-analysis identified that data from clinical settings does not provide evidence that N95 respirators offer superior protection for healthcare workers against transmissible acute respiratory infections in a clinical setting, » the authors reported recently in Victoria, British Columbia, at the Infection Prevention and Control (IPAC) Canada 2015 National Education Conference.

    Source : Study: In actual clinical practice, N95 respirators no more protective to HCWs than surgical masks. (August 2015). Hospital Employee Health, 34(8), 95. Repéré à http://www.ahcmedia.com/articles/135837-study-in-actual-clinical-practice-n95-respirators-no-more-protective-to-hcws-than-surgical-masks

    Pour accéder à la présentation des auteurs de la recherche : http://www.ipac-canada.org/conf/15_conf/presentations/oral_tues_smith.pdf

  • Ebola. H1N1. MERS. SARS. The stakes are high when health care workers care for patients with an emerging infectious disease, and gaps in respiratory protection can have deadly consequences. Yet studies show those gaps persist. Three leading safety agencies have released comprehensive resources to address longstanding weaknesses in respiratory protection programs in hospitals. They provide a kind of primer, an effort to improve training, compliance, awareness, and coordination. The OSHA/NIOSH toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection programs. The document also includes an editable respiratory tool that hospitals can customize to reflect their program.

    Source : Are you prepared for the next airborne disease? (August 2015). Hospital Employee Health, 34(8), 90-93. Repéré à http://www.ahcmedia.com/articles/135834-are-you-prepared-for-the-next-airborne-disease

  • Healthcare workers frequently experience percutaneous exposure to body fluids. These injuries place them at risk for infectious diseases including hepatitis B, hepatitis C and human immunodeficiency virus (HIV). Several interventions exist to prevent infection including the use of gloves as personal protective equipment. Wearing multiple gloves, gloves made from special materials, or gloves with an indicator system has the potential to prevent contaminant transmission. Because there are several ways to reduce percutaneous exposure incidents, it is important to know which are effective. In the operating room (OR), there are multiple preventative strategies for prevention of injury including double gloving and the use of special gloves. However, the question is which is most effective.

    Source : Ashcraft, Alyce S. (2015).The Online journal of Issues in Nursing, 20(3). DOI: 10.3912/OJIN.Vol20No03CRBCol03

ERGOTHÉRAPIE – PHYSIOTHÉRAPIE

  • The purpose of this study was to examine the prevalence and risk factors of occupational musculoskeletal injuries (OMIs) among occupational therapy practitioners over a 12-month period. A self-administered questionnaire mailed to 500 randomly selected practicing occupational therapists (OTs) and occupational therapy assistants (OTAs) living in the state of Texas. A response rate of 38 % was attained with 192 questionnaires returned. In a 12-months working period, 23 % of occupational therapy practitioners experienced musculoskeletal injuries. No factors were significantly associated with injuries among OTs. In conclusion, patient handling was the primary factor associated with injuries. Also, minimal experience and older age were concluded as risk factors that might contribute to OMIs.

    Source : Alnaser, Musaed Z. (2015). Journal of Occupational Rehabilitation. Prépublication. DOI: 10.1007/s10926-015-9584-3

  • The purpose of this study was to review empirical research on adverse health and pregnancy outcomes associated with physiotherapists’ occupational exposure to radiofrequency electromagnetic fields (RF EMFs) from shortwave (SWD) and microwave (MWD) diathermy devices. A systematic review of peer reviewed literature published from 1990 to 2010 in the English language searched in eight online bibliographic databases.

    Source : Shah, Syed Ghulam Sarwar, & Farrow, Alexandra. (2014). Journal of Occupational Health, 56(5), 313-331. Doi: http://doi.org/10.1539/joh.13-0196-RA

ÉTABLISSEMENTS D’HÉBERGEMENT

  • The challenges in investigating the effects of the physical environment on residents with dementia include having a sample of comparable study groups and a lack of long-term follow-up evaluation. The current study attempted to address these two challenges by carefully matching residents and analyzing long-term measurement data. The aim of the study was to examine whether residents with dementia (N = 12) living in a traditional large-scale setting or a small-scale, home-like setting exhibit any difference in health and behaviors over time.

    Source : Young Lee, Sook, Chaudhury, Habib, & Hung, Lillian. (2015). Research in Gerontological Nursing. Prépublication. DOI: 10.3928/19404921-20150709-01

  • The purpose of this study is to describe key adaptive challenges and leadership behaviors to implement culture change for person-directed care. The study design was a qualitative, observational study of nursing home staff perceptions of the implementation of culture change in each of 3 nursing homes. We conducted 7 focus groups of licensed and unlicensed nursing staff, medical care providers, and administrators. Questions explored perceptions of facilitators and barriers to culture change. Using a template organizing style of analysis with immersion/crystallization, themes of barriers and facilitators were coded for adaptive challenges and leadership.

    Source : Corazzini, Kirsten, Twersky, Jack, White, Heidi K., Buhr, Gwendolen T., McConnell, Eleanor S., Weiner, Madeline, & Colón-Emeric, Cathleen. (2015). The Gerontologist, 55(4), 616-627. doi: 10.1093/geront/gnt170

  • Les préposés aux bénéficiaires (PaB) sont aux premières loges lorsque l’on parle des enjeux de qualité des pratiques envers les personnes âgées, aussi bien dans les centres d’hébergement publics et privés que dans les ressources intermédiaires. La forte médiatisation de certains actes de négligence, voire de maltraitance, a conduit de nombreux responsables d’établissements de santé à revoir leur processus de sélection du personnel. De même, la qualité des pratiques est devenue progressivement un enjeu central autant pour les directions d’établissements que pour le MSSS. Une question récurrente réapparaît au gré de l’actualité : les préposés aux bénéficiaires sont-ils suffisamment compétents pour répondre aux besoins des personnes hébergées, notamment les plus fragilisées? D’autres formations doivent-elles être développées pour soutenir cette qualité?

    Source : Aubry, François, & Bergeron-Vachon, Frédérike. (Avril 2015). Le Relief, 1(2),10-15. Repéré à http://arihq.com/wp-content/uploads/2015/04/LERELIEF_volume1_no22.pdf

GESTION DE LA SST

  • The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach.

    Source : Yazdani, Amin, Neumann, W. Patrick, Imbeau, Daniel, Bigelow, Philip, Pagell, Mark, & Wells, Richard. (2015). Applied Ergonomics, 51. Prépublication, 255-262. doi:10.1016/j.apergo.2015.05.006

HORAIRE DE TRAVAIL

  • A systematic literature search was carried out to investigate the relationship between quick returns (i.e., 11.0 hours or less between two consecutive shifts) and outcome measures of health, sleep, functional ability and work-life balance. A total of 22 studies published in 21 articles were included. Three types of quick returns were differentiated (from evening to morning/day, night to evening, morning/day to night shifts) where sleep duration and sleepiness appeared to be differently affected depending on which shifts the quick returns occurred between. There were some indications of detrimental effects of quick returns on proximate problems (e.g., sleep, sleepiness and fatigue), although the evidence of associations with more chronic outcome measures (physical and mental health and work-life balance) was inconclusive.

    Source : Vedaa, Øystein, Harris, Anette, Bjorvatn, Bjørn, Waage, Siri, Sivertsen, Børge, Tuckerf, Philip, & Pallesen,  Ståle. (2015). Ergonomics. Prépublication. http://dx.doi.org/10.1080/00140139.2015.1052020

  • La fatigue est une sensation d’épuisement, de lassitude ou de somnolence consécutive au manque de sommeil, à une activité mentale ou physique prolongée, ou à de longues périodes de stress ou d’angoisse. Les tâches fastidieuses ou répétitives peuvent intensifier le sentiment de fatigue. Nous avons besoin en moyenne d’au moins 7,5 à 8,5 heures de sommeil chaque nuit. Ce document infographique indique les signes dénotant un état de fatigue, explique la façon dont la fatigue influe sur notre santé et notre sécurité au travail, et donne aux travailleurs et aux employeurs des conseils pour les aider à lutter contre la fatigue.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2015). La fatique et le travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/fatigue.jpg

  • This study compares two « 3 × 8 » shift rotas with backward rotation and quick return (morning and night shift in the same day) in a 5- or 6-day shift cycle, and a « 2 × 12 » shift rota with forward rotation in a 5-d shift cycle. A total of 294 nurses (72.6% women, mean age 33.8) were examined in a survey on work-related stress, including the Standard Shiftwork Index. Ten nurses per each shift roster recorded their activity and rest periods by actigraphy, rated sleepiness and sleep quality, and collected salivary cortisol throughout the whole shift cycle.

    Source : Costa, Giovanni, Anelli, Matteo M., Castellini, Giovanna, Fustinoni, Silvia, & Neri, Luca. (2014). Chronobiology International, 31(10), 1169-1178. doi:10.3109/07420528.2014.957309

HYGIÈNE ET SALUBRITÉ

MÉDECINE NUCLÉAIRE

  • The number of nuclear medicine procedures has increased substantially over the past several decades, with uncertain health risks to the medical workers who perform them. We estimated risks of incidence and mortality from cancer and circulatory disease associated with performing procedures involving the use of radionuclides. From a nationwide cohort of 90 955 US radiologic technologists who completed a mailed questionnaire during 1994-1998, 22 039 reported ever performing diagnostic radionuclide procedures, brachytherapy, radioactive iodine therapy, or other radionuclide therapy. We calculated multivariable-adjusted HRs and 95% CIs for incidence (through 2003-2005) and mortality (through 2008) associated with performing these procedures.

    Source : Kitahara, Cari M., Linet, Martha S., Drozdovitch, Vladimir, Alexander, Bruce H., Preston, Dale L., Simon, Steven L. … Doody, Michele M. (2015). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-102834

  • Ionizing radiation causes detrimental health effects such as cancer and genetic damage. The study aim was to determine predictors for micronuclei (MN) occurrence and frequency in peripheral blood lymphocytes of health workers professionally exposed to radiation. Health workers, age matched, selected for the study on regular check-ups, were divided according to the radiation exposure. The exposed group involved nuclear medicine department employees (54) and the control group comprised workers from other departments (36).

    Source : Terzic, Sanja, Milovanovic, Aleksandar, Dotlic, Jelena, Rakic, Boban, & Terzic, Milan. (2015). Journal of Occupational Medicine and Toxicology. Prépublication. Repéré à http://www.occup-med.com/content/10/1/25

MÉDICAMENTS DANGEREUX

  • Traditionally, the process of creating compounded sterile preparations (CSPs) is one of the least automated in hospital pharmacy practice. Given the required resources, detailed preparation process, and overall cost related to CSP production, many pharmacies choose to outsource the task. However, pharmacies that outsource must consider the impact of relinquishing control over a process that has the potential to cause significant patient injury. Fortunately, compounding automation has matured in recent years, introducing sophisticated solutions for various stages in the CSP process and providing pharmacies an opportunity to review their approaches to compounding sterile preparations.

    Source : Webster, David. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), 22-27. Repéré à  http://www.pppmag.com/article/1711/July_2015/Automating_the_Sterile_Compounding_Process/

  • Each year, approximately 8 million health care professionals throughout the United States are exposed to hazardous drugs (HDs) in the workplace.  Depending on the type, quantity, and duration of exposure, consequences can range from transient skin rashes to lifelong complications, including the development of reproductive issues and malignancies. These risks can be minimized through the implementation of safety processes, including engineering controls and closed system drug-transfer devices (CSTDs), policies and procedures defining safe work practices, and the use of proper personal protective equipment (PPE). Several organizations have established guidelines pertaining to antineoplastic and other HD handling.

    Source : Bennett, Stephanie C., Felt, Katelyn C., & Granko, Robert. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), 14-18. Repéré à http://www.pppmag.com/article/1714/July_2015/Prepare_Pharmacy_and_Nursing_for_USP_800/

  • Consider bringing a sterile products cleanroom up to USP <797> and proposed USP <800> standards without shutting down operations or limiting patient care services. An increasing number of hospital pharmacies are facing this exact challenge, particularly as the practice of converting physician office practices from private to hospital provider status is becoming widespread. In order to achieve compliance with USP <797> and soon-to-be <800> standards for compounded sterile preparation (CSP) production, major remodeling of the compounding facility often is necessary. The difficulty lies in the number of patients that are reliant on these sites for their treatment, such as chemotherapy. Closing a site, even temporarily, not only creates inconveniences, but also may make it impossible for some patients to obtain care. The following case studies illustrate dilemmas that are all too common in hospital pharmacy’s endeavors to produce safe, compliant CSPs, while simultaneously exploring creative solutions.

    Source : Siegel, Jerry. (July 2015). Pharmacy Purchasing & Products Magazine, 17(2), 2-4. Repéré à http://www.pppmag.com/article/1716/July_2015/Three_Case_Studies_in_Cleanroom_Renovation/

  • Many pharmacies are challenged to establish safe handling practices for cytotoxic medications, and this holds true for oral chemotherapies, particularly those not available from the manufacturer in unit dose. The additional safety realized from bar code scanning upon administration is key to avoiding medication errors with oral chemotherapy. Although many medications can now be purchased prepackaged in unit-dose, bar-coded form, some oral cytotoxic medications are available only in bulk bottles. Packaging and bar coding these medications can be problematic in the pharmacy.

    Source : Broome, Allen. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), S12. Repéré à http://www.pppmag.com/article/1718/July_2015_Hazardous_Drug_Handling/Safe_Packaging_for_Oral_Chemo_Medications/

  • Ensuring the safe handling of hazardous drugs (HDs) must be a primary concern for every health care worker who comes into contact with these medications. Given the potential dangers from improper management, organizations are wise to invest significant time in a comprehensive HD safety program. Looking at available guidelines, including the 2004 NIOSH alert,1 the ASHP guidelines on handling HDs, and proposed USP Chapter <800>, the number of steps required to safely compound HDs may appear daunting. However, safe handling of HDs is critical to effectively treating disease. In the health care environment, where facilities continually aim to improve efficiencies and reduce labor and supply costs using Lean methods, it is critical that the number of steps required to ensure the safety of critical tasks, including use of closed system drug-transfer devices (CSTDs), be carefully considered. Safety steps must never be removed in the interests of efficiency.

    Source : Berdi, Fouzia, Powell, Michael F., Sanz, Christine, Gonzalez, Richard, & Massoomi, Firouzan. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7). S4-S10. Repéré à  http://www.pppmag.com/article/1717/July_2015_Hazardous_Drug_Handling/Assessing_the_Efficiency_of_CSTDs_for_Compounding/

MILIEU DE VIE

  • The challenges in investigating the effects of the physical environment on residents with dementia include having a sample of comparable study groups and a lack of long-term follow-up evaluation. The current study attempted to address these two challenges by carefully matching residents and analyzing long-term measurement data. The aim of the study was to examine whether residents with dementia (N = 12) living in a traditional large-scale setting or a small-scale, home-like setting exhibit any difference in health and behaviors over time.

    Source : Young Lee, Sook, Chaudhury, Habib, & Hung, Lillian. (2015). Research in Gerontological Nursing. Prépublication. DOI: 10.3928/19404921-20150709-01

  • The purpose of this study is to describe key adaptive challenges and leadership behaviors to implement culture change for person-directed care. The study design was a qualitative, observational study of nursing home staff perceptions of the implementation of culture change in each of 3 nursing homes. We conducted 7 focus groups of licensed and unlicensed nursing staff, medical care providers, and administrators. Questions explored perceptions of facilitators and barriers to culture change. Using a template organizing style of analysis with immersion/crystallization, themes of barriers and facilitators were coded for adaptive challenges and leadership.

    Source : Corazzini, Kirsten, Twersky, Jack, White, Heidi K., Buhr, Gwendolen T., McConnell, Eleanor S., Weiner, Madeline, & Colón-Emeric, Cathleen. (2015). The Gerontologist, 55(4), 616-627. doi: 10.1093/geront/gnt170

  • Les préposés aux bénéficiaires (PaB) sont aux premières loges lorsque l’on parle des enjeux de qualité des pratiques envers les personnes âgées, aussi bien dans les centres d’hébergement publics et privés que dans les ressources intermédiaires. La forte médiatisation de certains actes de négligence, voire de maltraitance, a conduit de nombreux responsables d’établissements de santé à revoir leur processus de sélection du personnel. De même, la qualité des pratiques est devenue progressivement un enjeu central autant pour les directions d’établissements que pour le MSSS. Une question récurrente réapparaît au gré de l’actualité : les préposés aux bénéficiaires sont-ils suffisamment compétents pour répondre aux besoins des personnes hébergées, notamment les plus fragilisées? D’autres formations doivent-elles être développées pour soutenir cette qualité?

    Source : Aubry, François, & Bergeron-Vachon, Frédérike. (Avril 2015). Le Relief, 1(2),10-15. Repéré à http://arihq.com/wp-content/uploads/2015/04/LERELIEF_volume1_no22.pdf

PHARMACIE HOSPITALIÈRE

  • Traditionally, the process of creating compounded sterile preparations (CSPs) is one of the least automated in hospital pharmacy practice. Given the required resources, detailed preparation process, and overall cost related to CSP production, many pharmacies choose to outsource the task. However, pharmacies that outsource must consider the impact of relinquishing control over a process that has the potential to cause significant patient injury. Fortunately, compounding automation has matured in recent years, introducing sophisticated solutions for various stages in the CSP process and providing pharmacies an opportunity to review their approaches to compounding sterile preparations.

    Source : Webster, David. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), 22-27. Repéré à  http://www.pppmag.com/article/1711/July_2015/Automating_the_Sterile_Compounding_Process/

  • Each year, approximately 8 million health care professionals throughout the United States are exposed to hazardous drugs (HDs) in the workplace.  Depending on the type, quantity, and duration of exposure, consequences can range from transient skin rashes to lifelong complications, including the development of reproductive issues and malignancies. These risks can be minimized through the implementation of safety processes, including engineering controls and closed system drug-transfer devices (CSTDs), policies and procedures defining safe work practices, and the use of proper personal protective equipment (PPE). Several organizations have established guidelines pertaining to antineoplastic and other HD handling.

    Source : Bennett, Stephanie C., Felt, Katelyn C., & Granko, Robert. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), 14-18. Repéré à http://www.pppmag.com/article/1714/July_2015/Prepare_Pharmacy_and_Nursing_for_USP_800/

  • Consider bringing a sterile products cleanroom up to USP <797> and proposed USP <800> standards without shutting down operations or limiting patient care services. An increasing number of hospital pharmacies are facing this exact challenge, particularly as the practice of converting physician office practices from private to hospital provider status is becoming widespread. In order to achieve compliance with USP <797> and soon-to-be <800> standards for compounded sterile preparation (CSP) production, major remodeling of the compounding facility often is necessary. The difficulty lies in the number of patients that are reliant on these sites for their treatment, such as chemotherapy. Closing a site, even temporarily, not only creates inconveniences, but also may make it impossible for some patients to obtain care. The following case studies illustrate dilemmas that are all too common in hospital pharmacy’s endeavors to produce safe, compliant CSPs, while simultaneously exploring creative solutions.

    Source : Siegel, Jerry. (July 2015). Pharmacy Purchasing & Products Magazine, 17(2), 2-4. Repéré à http://www.pppmag.com/article/1716/July_2015/Three_Case_Studies_in_Cleanroom_Renovation/

  • Many pharmacies are challenged to establish safe handling practices for cytotoxic medications, and this holds true for oral chemotherapies, particularly those not available from the manufacturer in unit dose. The additional safety realized from bar code scanning upon administration is key to avoiding medication errors with oral chemotherapy. Although many medications can now be purchased prepackaged in unit-dose, bar-coded form, some oral cytotoxic medications are available only in bulk bottles. Packaging and bar coding these medications can be problematic in the pharmacy.

    Source : Broome, Allen. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), S12. Repéré à http://www.pppmag.com/article/1718/July_2015_Hazardous_Drug_Handling/Safe_Packaging_for_Oral_Chemo_Medications/

  • Ensuring the safe handling of hazardous drugs (HDs) must be a primary concern for every health care worker who comes into contact with these medications. Given the potential dangers from improper management, organizations are wise to invest significant time in a comprehensive HD safety program. Looking at available guidelines, including the 2004 NIOSH alert,1 the ASHP guidelines on handling HDs, and proposed USP Chapter <800>, the number of steps required to safely compound HDs may appear daunting. However, safe handling of HDs is critical to effectively treating disease. In the health care environment, where facilities continually aim to improve efficiencies and reduce labor and supply costs using Lean methods, it is critical that the number of steps required to ensure the safety of critical tasks, including use of closed system drug-transfer devices (CSTDs), be carefully considered. Safety steps must never be removed in the interests of efficiency.

    Source : Berdi, Fouzia, Powell, Michael F., Sanz, Christine, Gonzalez, Richard, & Massoomi, Firouzan. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7). S4-S10. Repéré à  http://www.pppmag.com/article/1717/July_2015_Hazardous_Drug_Handling/Assessing_the_Efficiency_of_CSTDs_for_Compounding/

PRÉVENTION DES INFECTIONS

Pour accéder à la présentation des auteurs de la recherche : http://www.ipac-canada.org/conf/15_conf/presentations/oral_tues_smith.pdf

  • Cette étude réalisée auprès des équipes de prévention est la première depuis la crise épidémique de 2003-2004 et la publication des lignes directrices québécoises sur la prévention des diarrhées associées au Clostridium difficile (DACD). Six ans après cette crise, on note un rehaussement important des ressources professionnelles en prévention des infections comme recommandé par le ministère de la Santé et des Services sociaux. L’analyse multivariée nous permet d’identifier les variables les plus fortement associées aux taux d’incidence de DACD observés. Certaines de ces variables (telles que la proportion de souche NAP1) sont bien connues de la littérature et comportent un fort rationnel théorique.

    Source : Garenc, Christophe, Frenette, Charles, Trudeau, Mélissa, Rocher, Isabelle, & Longtin, Yves. (2015). [Montréal] : Institut national de santé publique du Québec, v, 75 p. Repéré à https://www.inspq.qc.ca/pdf/publications/2013_Mesures_Installation_Clostridium_Difficile.pdf

  • A randomized controlled trial was conducted in tertiary-care hospital in a real-time setting to evaluate the effectiveness of 3 hand hygiene protocols in reducing hand carriage of methicillin-resistant and methicillin-sensitive Staphylococcus aureus among health care workers. The study shows that use of alcohol handrub, either covering all hand surfaces in no particular order or using the 7-step technique, and chlorhexidine handwashing were equally effective in removing hand carriage of these pathogens. The CDC’s alcohol handrub protocol is faster than the 7-step technique and as effective. The authors recommend promoting the CDC’s alcohol handrub protocol to health care workers.

    Source :  Hanley, J. Ho, Poh, Bee-Fong, Choudhury, Saugata, Krishnan, Prabha, Ang, Brenda, & Chow, Angela. (2015). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.06.005

  • The objective was to evaluate the relative efficacy of the World Health Organization 2005 campaign (WHO-5) and other interventions to promote hand hygiene among healthcare workers in hospital settings and to summarize associated information on use of resources. For that purpose, a systematic review and network meta-analysis were done. The findings indicated that promotion of hand hygiene with WHO-5 is effective at increasing compliance in healthcare workers. Addition of goal setting, reward incentives, and accountability strategies can lead to further improvements. Reporting of resources required for such interventions remains inadequate. Source : Luangasanatip, Nantasit, Hongsuwan, Maliwan, Limmathurotsakul, Direk, Lubell, Yoel, Lee, Andie S., Harbart, Stephan,… Cooper, Ben S. (2015). The BMJ, 351 : H3728. doi: http://dx.doi.org/10.1136/bmj.h3728

  • Ebola. H1N1. MERS. SARS. The stakes are high when health care workers care for patients with an emerging infectious disease, and gaps in respiratory protection can have deadly consequences. Yet studies show those gaps persist. Three leading safety agencies have released comprehensive resources to address longstanding weaknesses in respiratory protection programs in hospitals. They provide a kind of primer, an effort to improve training, compliance, awareness, and coordination. The OSHA/NIOSH toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection programs. The document also includes an editable respiratory tool that hospitals can customize to reflect their program.

    Source : Are you prepared for the next airborne disease? (August 2015). Hospital Employee Health, 34(8), 90-93. Repéré à http://www.ahcmedia.com/articles/135834-are-you-prepared-for-the-next-airborne-disease

  • Needlesticks and blood exposures appear to be increasing, threatening healthcare workers with bloodborne infections and the attendant mental anguish of awaiting test results for themselves or source patients, researchers report. After years of incremental gains, hard-fought adoption of needle safety devices and passage of federal regulations requiring their use in 2001, a survey of members of the Association of Occupational Health Professionals in Healthcare (AOHP) reveals a troubling trend. AOHP members from 157 hospitals in 32 states participated in EXPO-S.T.O.P. 2012, a survey to determine the incidence of sharps injuries and mucocutaneous blood exposures among healthcare workers in U.S. hospitals. The survey shows a sharps injury (SI) rate of 28.2 per 100 occupied beds, or 2.2 per 100 full-time equivalent staff.

    Source : AOHP national survey finds ‘disturbing’ increase in sharps injuries, blood exposures to HCWs. (August 2015). Hospital Employee Health, 34(8), 89-90. Repéré à http://www.ahcmedia.com/articles/135833-aohp-national-survey-finds-disturbing-increase-in-sharps-injuries-blood-exposures-to-hcws

  • Healthcare workers frequently experience percutaneous exposure to body fluids. These injuries place them at risk for infectious diseases including hepatitis B, hepatitis C and human immunodeficiency virus (HIV). Several interventions exist to prevent infection including the use of gloves as personal protective equipment. Wearing multiple gloves, gloves made from special materials, or gloves with an indicator system has the potential to prevent contaminant transmission. Because there are several ways to reduce percutaneous exposure incidents, it is important to know which are effective. In the operating room (OR), there are multiple preventative strategies for prevention of injury including double gloving and the use of special gloves. However, the question is which is most effective.

    Source : Ashcraft, Alyce S. (2015). The Online journal of Issues in Nursing, 20(3). DOI: 10.3912/OJIN.Vol20No03CRBCol03

  • Most studies on the transmission of infectious airborne disease have focused on patient room air changes per hour (ACH) and how ACH provides pathogen dilution and removal. The logical but mostly unproven premise is that greater air change rates reduce the concentration of infectious particles and thus, the probability of airborne disease transmission. Recently, a growing body of research suggests pathways between pathogenic source (patient) and control (exhaust) may be the dominant environmental factor. While increases in airborne disease transmission have been associated with ventilation rates below 2 ACH, comparatively less data are available to quantify the benefits of higher air change rates in clinical spaces. As a result, a series of tests were conducted in an actual hospital to observe the containment and removal of respirable aerosols (0.5-10 µm) with respect to ventilation rate and directional airflow in a general patient room, and, an airborne infectious isolation room.

    Source : Mousavi, Ehsan S., & Grosskopf, Kevin R., (2015). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/mev048

  • PRODUITS TOXIQUES

      • De plus en plus de salariés se plaignent auprès de leur service de santé au travail de symptômes qu’ils attribuent à leur exposition au photocopieur. Il s’agit donc de connaître les risques liés à cette exposition. Lors du processus d’impression, des poussières de toner, des composés organiques volatils, des gaz comme l’ozone, des particules ultrafines sont émis. Les émissions sont variées et variables suivant le type et le mode de fonctionnement du photocopieur. Les niveaux d’exposition sont mal connus mais se situent sous les valeurs limites d’exposition en vigueur lors des différentes études.

        Source : Desmond, C., Verdun-Esquer, C., Rinaldo, M., Courtois, A., & Labadie, M. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.04.045

      • Le Canada a aligné le Système d’information sur les matières dangereuses utilisées au travail (SIMDUT) au Système général harmonisé de classification et d’étiquetage des produits chimiques (SGH), ce qui entraîne une nouvelle série de critères normalisés en matière de classification, d’étiquetage et de fiches de données de sécurité (FDS). L’étiquette du produit est la première source d’information du travailleur sur les risques que présente le produit et sur l’utilisation sécuritaire de ce dernier. Voici une affiche qui porte sur les éléments de l’étiquette du SIMDUT 2015 pour aider les travailleurs à mieux comprendre les nouveaux renseignements qu’ils apercevront dans leur milieu de travail.

      • Source : Centre canadien d’hygiène et de sécurité au travail. (2015). Étiquettes du SIMDUT 2015 [Affiche]. Repéré à http://cchst.ca/products/posters/pdfs/labelElements.pdf

    PROTECTION RESPIRATOIRE

    Pour accéder à la présentation des auteurs de la recherche : http://www.ipac-canada.org/conf/15_conf/presentations/oral_tues_smith.pdf

      • Ebola. H1N1. MERS. SARS. The stakes are high when health care workers care for patients with an emerging infectious disease, and gaps in respiratory protection can have deadly consequences. Yet studies show those gaps persist. Three leading safety agencies have released comprehensive resources to address longstanding weaknesses in respiratory protection programs in hospitals. They provide a kind of primer, an effort to improve training, compliance, awareness, and coordination. The OSHA/NIOSH toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection programs. The document also includes an editable respiratory tool that hospitals can customize to reflect their program.

        Source : Are you prepared for the next airborne disease? (August 2015). Hospital Employee Health, 34(8), 90-93. Repéré à http://www.ahcmedia.com/articles/135834-are-you-prepared-for-the-next-airborne-disease.

    QUALITÉ DE L’AIR

      • Most studies on the transmission of infectious airborne disease have focused on patient room air changes per hour (ACH) and how ACH provides pathogen dilution and removal. The logical but mostly unproven premise is that greater air change rates reduce the concentration of infectious particles and thus, the probability of airborne disease transmission. Recently, a growing body of research suggests pathways between pathogenic source (patient) and control (exhaust) may be the dominant environmental factor. While increases in airborne disease transmission have been associated with ventilation rates below 2 ACH, comparatively less data are available to quantify the benefits of higher air change rates in clinical spaces. As a result, a series of tests were conducted in an actual hospital to observe the containment and removal of respirable aerosols (0.5-10 µm) with respect to ventilation rate and directional airflow in a general patient room, and, an airborne infectious isolation room.

        Source : Mousavi, Ehsan S., & Grosskopf, Kevin R., (2015). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/mev048

      • Electronic cigarettes (ECIGs) have continued to gain popularity among the general public since their introduction in 2003. While all ECIGs work by heating a liquid solution into an aerosol that is then inhaled by the user, there are differences in engineering characteristics and appearance of the devices as well as how the liquid is stored and heated, its nicotine concentration, its ratio of propylene glycol and/or vegetable glycerin, and the flavorants added to the liquid. Some of the research areas previously examined with ECIGs include aerosol toxicant yield, user puffing behavior, physiological effects, subjective effects, abuse liability, and effects on smoking cessation. Much of this work used earlier device models that delivered very little nicotine to the user, and additional research needs to be conducted using consistent and reliable devices, assays, and methodologies in order to gain a clearer understanding of ECIGs and their implications for individual and public health. Furthermore, the effects that ECIGs have on smoking cessation and among vulnerable populations must be addressed empirically.

        Source : Lopez, Alexa A., & Eissenberg, Thomas. (2015). Preventive Medicine. Prépublication. doi:10.1016/j.ypmed.2015.07.006

    RADIOPROTECTION

    • The number of nuclear medicine procedures has increased substantially over the past several decades, with uncertain health risks to the medical workers who perform them. We estimated risks of incidence and mortality from cancer and circulatory disease associated with performing procedures involving the use of radionuclides. From a nationwide cohort of 90 955 US radiologic technologists who completed a mailed questionnaire during 1994-1998, 22 039 reported ever performing diagnostic radionuclide procedures, brachytherapy, radioactive iodine therapy, or other radionuclide therapy. We calculated multivariable-adjusted HRs and 95% CIs for incidence (through 2003-2005) and mortality (through 2008) associated with performing these procedures.

      Source : Kitahara, Cari M., Linet, Martha S., Drozdovitch, Vladimir, Alexander, Bruce H., Preston, Dale L., Simon, Steven L. … Doody, Michele M. (2015). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-102834

    • The purpose of this study was to review empirical research on adverse health and pregnancy outcomes associated with physiotherapists’ occupational exposure to radiofrequency electromagnetic fields (RF EMFs) from shortwave (SWD) and microwave (MWD) diathermy devices. A systematic review of peer reviewed literature published from 1990 to 2010 in the English language searched in eight online bibliographic databases.

      Source : Shah, Syed Ghulam Sarwar, & Farrow, Alexandra. (2014). Journal of Occupational Health, 56(5), 313-331. Doi: http://doi.org/10.1539/joh.13-0196-RA

    • Ionizing radiation causes detrimental health effects such as cancer and genetic damage. The study aim was to determine predictors for micronuclei (MN) occurrence and frequency in peripheral blood lymphocytes of health workers professionally exposed to radiation. Health workers, age matched, selected for the study on regular check-ups, were divided according to the radiation exposure. The exposed group involved nuclear medicine department employees (54) and the control group comprised workers from other departments (36).

      Source : Terzic, Sanja, Milovanovic, Aleksandar, Dotlic, Jelena, Rakic, Boban, & Terzic, Milan. (2015). Journal of Occupational Medicine and Toxicology. Prépublication. Repéré à http://www.occup-med.com/content/10/1/25

    SANTÉ ET BIEN-ÊTRE AU TRAVAIL

    • Although several studies have examined the link between specific working conditions and health behaviours, very few have comparatively assessed the health behaviours of different occupational groups. The purpose of this study was to compare protective and risky health behaviours among police officers, ambulance workers, hospital staff (doctors and nurses) and office workers, prompted by the need to identify key areas for interventions tailored to the needs of different occupational groups. The results of the study highlight key priorities for health promotion for different occupational groups which need to be taken into consideration in policy making and developing workplace interventions.

      Source : Tsiga, E., Panagopoulou, E., & Niakas, D. (2015). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqv097

    • Total Worker Health™ is defined as a « strategy integrating occupational safety and health protection with health promotion to prevent worker injury and illness and to advance worker health and well-being. » This strategy aligns workplace safety with individual behaviors that support healthy lifestyles. The Patient Protection and Affordable Care Act of 2010 presumes that incentive-oriented worksite health promotion provides a critical pathway to reduce group health costs. Because of their scientific and clinical backgrounds, professional nurses are well qualified to educate and assist individuals with healthy lifestyle choices. Occupational health nurses and patient advocates can shape wellness initiatives that best serve both employees and their employers.

      Source : Campbell, Karen, & Burns, Candace. (2015). Workplace Health & Safety, 63(7), 316-319. doi: 10.1177/2165079915576921

    SANTÉ GLOBALE DES TRAVAILLEURS

    • Although several studies have examined the link between specific working conditions and health behaviours, very few have comparatively assessed the health behaviours of different occupational groups. The purpose of this study was to compare protective and risky health behaviours among police officers, ambulance workers, hospital staff (doctors and nurses) and office workers, prompted by the need to identify key areas for interventions tailored to the needs of different occupational groups. The results of the study highlight key priorities for health promotion for different occupational groups which need to be taken into consideration in policy making and developing workplace interventions.

      Source : Tsiga, E., Panagopoulou, E., & Niakas, D. (2015). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqv097

    • Total Worker Health™ is defined as a « strategy integrating occupational safety and health protection with health promotion to prevent worker injury and illness and to advance worker health and well-being. » This strategy aligns workplace safety with individual behaviors that support healthy lifestyles. The Patient Protection and Affordable Care Act of 2010 presumes that incentive-oriented worksite health promotion provides a critical pathway to reduce group health costs. Because of their scientific and clinical backgrounds, professional nurses are well qualified to educate and assist individuals with healthy lifestyle choices. Occupational health nurses and patient advocates can shape wellness initiatives that best serve both employees and their employers.

      Source : Campbell, Karen, & Burns, Candace. (2015). Workplace Health & Safety, 63(7), 316-319. doi: 10.1177/2165079915576921

    SANTÉ PSYCHOLOGIQUE

    Pour visionner l’enregistrement du webinaire : http://forum.asstsas.qc.ca/2015-010/0mx4k1plisc3

      • Après avoir identifié la présence de risques psychosociaux (RPS) dans l’entreprise au regard de l’analyse des indicateurs, il convient de constituer un groupe projet qui se voudra volontairement pluridisciplinaire,  en choisissant parmi les personnes qui répondent aux critères de sélection, celles qui sont à l’aise en communication et qui savent travailler en groupe projet. Le groupe ne dépassera pas 12 membres et le chef de projet sera une personne du service RH ou HSE.

        Source : Risques psychosociaux : Constituer un groupe projet pluridisciplinaire. (16 juillet 2015). CAMIP.Info : Revue de la santé au travail. Repéré à http://camip.info/Risques-psychosociaux-Constituer.html

      • Increasing speed in many life domains is currently being discussed under the term ‘social acceleration’ as a societal phenomenon which not only affects Western societies, but may also lead to job demands arising from accelerated change. Demands such as work intensification and intensified learning and their changes over time may increase emotional exhaustion, but may also induce positive effects. The purpose of this paper is to examine how increases in demands arising from accelerated change affect employee well-being. A total of 587 eldercare workers provided data on work intensification and intensified learning as well as on exhaustion and job satisfaction at two points in time. The findings indicated that work intensification was negatively related to future job satisfaction and positively related to future emotional exhaustion, whereas intensified learning was positively associated with future job satisfaction and negatively with future emotional exhaustion.

        Source : Korunka, Christian, Kubicek, Bettina, Paškvan, Matea, & Ulferts, Heike. (2015). Journal of Managerial Psychology, 30(7). Repéré à http://www.emeraldinsight.com/doi/abs/10.1108/JMP-02-2013-0065

      • This article reports on a literature review of workplace interventions (i.e., creating healthy work environments and improving nurses’ quality of work life [QWL]) aimed at managing occupational stress and burnout for nurses. A literature search was conducted using the keywords nursing, nurses, stress, distress, stress management, burnout, and intervention. All the intervention studies included in this review reported on workplace intervention strategies, mainly individual stress management and burnout interventions. Recommendations are provided to improve nurses’ QWL in health care organizations through workplace health promotion programs so that nurses can be recruited and retained in rural and northern regions of Ontario. These regions have unique human resources needs due to the shortage of nurses working in primary care.

        Source : Nowrouzi, Behdin, Lightfoot, Nancy, Larivière, Michael, Carter, Lorraine, Rukholm, Ellen, Schinke, Robert, & Bélanger-Gardner, Diane. (2015). Workplace Health & Safety, 63(7), 308-315.  doi: 10.1177/2165079915576931

      • The need for home care is rising in many Western European countries, due to the aging population and governmental policies to substitute institutional care with home care. At the same time, a general shortage of qualified home-care staff exists or is expected in many countries. It is important to retain existing nursing staff in the healthcare sector to ensure a stable home-care workforce for the future. However, to date there has been little research about the job factors in home care that affect whether staff are considering leaving the healthcare sector. The main purpose of the study was to examine how home-care nursing staff’s self-perceived autonomy relates to whether they have considered leaving the healthcare sector and to assess the possible mediating effect of work engagement.

        Source : Maurits, Erica E.M., de Veer, Anke J.E., van der Hoek, Lucas S., & Francke, Anneke L. (2015). Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector : A questionnaire survey. International Journal of Nursing Studies. Prépublication. doi:10.1016/j.ijnurstu.2015.07.006

      • In a healthcare setting, emotional labour is the act or skill involved in the caring role, in recognizing the emotions of others and in managing our own. The aims of this study is to identify the range of emotional labour employed by healthcare professionals in a healthcare setting and implications of this for staff and organisations. This review identified gendered, personal, organisational, collegial and socio-cultural sources of and barriers to emotional labour in healthcare settings. The review highlights the importance of ensuring emotional labour is recognized and valued, ensuring support and supervision is in place to enable staff to cope with the varied emotional demands of their work.

        Source : Riley, Ruth, & Weiss, Marjorie C. (2015). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12738

      • « Que chacun de nous souhaite-t-il le plus dans son quotidien au travail? La réponse est simple : être heureux. Tout bonnement. Et ce, quelle que soit la source de notre bonheur : pour certains, ça passe par un meilleur salaire; pour d’autres, par des horaires de travail plus flexibles; pour d’autres encore, par davantage de collaboration au sein de son équipe; etc. (…) M. Frey a ainsi cosigné un livre intitulé Happiness: A revolution in economics (MIT Press, 2008) dans lequel il analyse les différents facteurs permettant à chacun d’être vraiment heureux dans la vie, et en particulier au travail. Son examen du sujet s’est révélé tellement fructueux qu’il a été en mesure de mettre au jour 10 trucs ultrasimples pour y parvenir. »

        Source : Schmouker, Olivier. (28 juillet 2015). Les 10 règles d’or pour être franchement heureux au travail. [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/les-10-regles-d-or-pour-etre-franchement-heureux-au-travail/580472

      • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

        Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

      • « Vous souvenez-vous de la dernière fois où une goutte de sueur froide s’est mise à glisser dans votre dos, au travail? Lentement. Irrémédiablement. Horriblement. Vous tétanisant sur place. Avec cette seule idée en tête, martelée bien malgré vous : «Je vais me planter. C’est sûr, je vais me planter. Lamentablement.» Oui, j’en suis convaincu, vous vous en souvenez encore. Même si cela date d’une semaine, d’un mois, d’un an. »

        Source : Schmouker, Olivier. (22 juillet 2015). Gagner en confiance au travail? C’est possible! [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/gagner-en-confiance-au-travail-c-est-possible/580391

      • « Avez-vous remarqué, comme moi, la fâcheuse manie que nous avons de toujours utiliser les mêmes raccourcis? Dans la vie, nous empruntons toujours les mêmes trajets, sans y penser, sans même nous demander s’il n’y en aurait pas un meilleur, par exemple un plus joli. Et au travail, nous nous complaisons dans la routine, en effectuant tout le temps les mêmes tâches de la même manière, sans y penser, sans même nous demander s’il n’y aurait pas une meilleure méthode, par exemple une plus amusante. Du coup, nous nous fossilisons. Physiquement et intellectuellement. »

        Source : Schmouker, Olivier. (6 juillet 2015). Comment arriver à penser autrement? [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/comment-arriver-a-penser-autrement/580030

    SERVICES À DOMICILE

      • This study of home care workers in a Norwegian municipality aimed to examine the effect of two measures involving organizational (job checklists) and technological (personal digital assistants) job aids on perceived work demands and musculoskeletal health. Questionnaire data was collected in 2009 and 2011. Forty-six home care workers responded at both waves. Respondents were assigned into ‘high’, ‘moderate’ and ‘low’ strain groups based on their responses to open and closed survey questions regarding impact of the two measures.

        Source : Andersen, Gunn Robstad, Bendal, Synne, & Westgaard, Rolf H. (2015). Applied Ergonomics, 51, 172-179. Repéré à http://www.sciencedirect.com/science/article/pii/S0003687015000812#

      • The need for home care is rising in many Western European countries, due to the aging population and governmental policies to substitute institutional care with home care. At the same time, a general shortage of qualified home-care staff exists or is expected in many countries. It is important to retain existing nursing staff in the healthcare sector to ensure a stable home-care workforce for the future. However, to date there has been little research about the job factors in home care that affect whether staff are considering leaving the healthcare sector. The main purpose of the study was to examine how home-care nursing staff’s self-perceived autonomy relates to whether they have considered leaving the healthcare sector and to assess the possible mediating effect of work engagement.

        Source : Maurits, Erica E.M., de Veer, Anke J.E., van der Hoek, Lucas S., & Francke, Anneke L. (2015). Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector : A questionnaire survey. International Journal of Nursing Studies. Prépublication. doi:10.1016/j.ijnurstu.2015.07.006

      • In countries with ageing populations, home care (HC) aides are among the fastest growing jobs. There are few quantitative studies of HC occupational safety and health (OSH) conditions. The objectives of this study were to: (1) assess quantitatively the OSH hazards and benefits for a wide range of HC working conditions, and (2) compare OSH experiences of HC aides who are employed via different medical and social services systems in Massachusetts, USA. HC aides were recruited for a survey via agencies that employ aides and schedule their visits with clients, and through a labour union of aides employed directly by clients or their families. The questionnaire included detailed questions about the most recent HC visits, as well as about individual aides’ OSH experiences.

        Source : Quinn, Margaret M., Markkanen, Pia K., Galligan, Catherine J., Sama, Susan R., Kriebel, David, Gore, Rebecca J. … Davis, Letitia. (2015). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-103031

    SERVICES DE GARDE – CPE

      • Depuis que le RLEBM actuel est entré en vigueur en 2010, un certain nombre de problèmes liés à la sécurité des lits d’enfant, des berceaux et des moïses ont engendré des rapports d’incidents au Canada, notamment concernant les dangers associés aux côtés abaissables conventionnels et aux supports de matelas de lits d’enfant, ainsi que le risque auquel sont exposés les occupants qui peuvent demeurer coincés dans les espaces se trouvant dans les produits ayant des côtés en fibres textiles. En réaction à ces problèmes, Santé Canada a négocié avec les membres de l’industrie afin qu’ils procèdent volontairement à des rappels et a trouvé des moyens d’améliorer les exigences réglementaires pour remédier à ces problèmes.

        Source : Règlement sur les lits d’enfants, berceaux et moïses : Résumé de l’étude d’impact de la réglementation (25 juillet 2015). Gazette du Canada. Publications,149 (30). Repéré à http://gazette.gc.ca/rp-pr/p1/2015/2015-07-25/html/reg1-fra.php

        Pour accéder au règlement à jour au 22 juin 2015 : http://www.laws-lois.justice.gc.ca/fra/reglements/DORS-2010-261/

    SIMDUT – SGH

      • Le Canada a aligné le Système d’information sur les matières dangereuses utilisées au travail (SIMDUT) au Système général harmonisé de classification et d’étiquetage des produits chimiques (SGH), ce qui entraîne une nouvelle série de critères normalisés en matière de classification, d’étiquetage et de fiches de données de sécurité (FDS). L’étiquette du produit est la première source d’information du travailleur sur les risques que présente le produit et sur l’utilisation sécuritaire de ce dernier. Voici une affiche qui porte sur les éléments de l’étiquette du SIMDUT 2015 pour aider les travailleurs à mieux comprendre les nouveaux renseignements qu’ils apercevront dans leur milieu de travail.

        Source : Centre canadien d’hygiène et de sécurité au travail. (2015). Étiquettes du SIMDUT 2015 [Affiche]. Repéré à http://cchst.ca/products/posters/pdfs/labelElements.pdf

    STATISTIQUES EN SST

      • Ce document a été préparé par le Centre de la statistique et de l’information de gestion, Direction de la comptabilité et de la gestion de l’information. Cette publication vise à documenter les lésions attribuables aux TMS en milieu de travail sous les aspects administratif, médical et socio-économique, dans un souci de qualité et d’uniformité des informations transmises sur le sujet. Les données qu’elle contient sont tirées des banques informationnelles de la CSST. Le secteur de la santé et des affaires sociales est couvert par ces statistiques.

        Source : Provencher, Julie. (2015). Québec : Commission de la santé et de la sécurité du travail du Québec. 34 p. Repéré à http://www.csst.qc.ca/publications/300/Pages/DC_300_322.aspx

    SYSTÈME DE MANAGEMENT

      • The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach.

        Source : Yazdani, Amin, Neumann, W. Patrick, Imbeau, Daniel, Bigelow, Philip, Pagell, Mark, & Wells, Richard. (2015). Applied Ergonomics, 51. Prépublication, 255-262. doi:10.1016/j.apergo.2015.05.006

    TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

    TRAVAIL DE BUREAU

      • De plus en plus de salariés se plaignent auprès de leur service de santé au travail de symptômes qu’ils attribuent à leur exposition au photocopieur. Il s’agit donc de connaître les risques liés à cette exposition. Lors du processus d’impression, des poussières de toner, des composés organiques volatils, des gaz comme l’ozone, des particules ultrafines sont émis. Les émissions sont variées et variables suivant le type et le mode de fonctionnement du photocopieur. Les niveaux d’exposition sont mal connus mais se situent sous les valeurs limites d’exposition en vigueur lors des différentes études.

        Source : Desmond, C., Verdun-Esquer, C., Rinaldo, M., Courtois, A., & Labadie, M. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.04.045

      • An active workplace, operationally defined as a company that deploys an organizational strategy designed to encourage movement and minimize sedentary time during the workday, may benefit from more engaged employees and less productivity loss, providing benefits for both workers and the company. Evidence of effectiveness supports the introduction of programs that reduce prolonged sitting time and increase movement and activity. This article highlights the need for companies to intentionally address sedentary behavior at work and base the approach for doing so on best-practice design principles that will increase the chances for successful solutions.

        Source : Pronk, Nicolaas P. (2015).  Ergonomics in Design, 23(3), 36-40.  doi: 10.1177/1064804615585408

      • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

        Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

      • There has been a major shift toward office workstations that accommodate standing postures. This shift is attributable to negative health and musculoskeletal issues from sedentary exposures. However, changing exposures from sitting to standing does not eliminate these issues, as evidence indicates prolonged standing also induces problems. Reducing seated exposure and rotating frequently between sitting and standing has been shown to result in positive health outcomes, reduced discomfort, and increased work performance. Implementing sit-stand workstations has promise to mitigate work-related health issues, if the users are provided with training that includes accommodations for individual work patterns and preferences.

        Source : Callaghan, Jack P., De Carvalho, Diana, Gallagher, Kaitlin, Karakolis, Thomas, & Nelson-Wong, Erika. (2015). Ergonomics in Design, 23(3), 20-24. doi: 10.1177/1064804615585412

      • The new trend in office ergonomics is installing dynamic workstations that include sit-to-stand tables, treadmills, stationary bicycles, and exercise balls. The question is whether it is worth the investment to try to reduce musculoskeletal pain via these dynamic workstations. Postural change is good, but the most effective workstation seems to be the sit-to-stand table with respect to reducing discomfort suffered by office workers. Treadmills and cycle workstations do have the ability to increase energy expenditure and heart rate and thus are potentially beneficial in addressing obesity that results from sedentary work. For all outcomes, the key is to periodically get up and move around.

        Source : Davis, Kermit G., & Kotowski, Susan E. (2015). Ergonomics in Design, 23(3), 9-13. doi: 10.1177/1064804615588853

      • Although laboratory studies demonstrate increases in energy expenditure with the use of treadmill workstations, effectiveness and efficiency studies demonstrating improved energy expenditure in real workplaces have yet to build the evidence to support use of such workstations. Psychosocial barriers to using treadmill workstations are related to communication (noise and hierarchy), need for motivation, peer pressure, and adaptation that might affect performance. Answers to questions such as whether the institution is willing to pay more to acquire very-low-noise devices, whether it is able to tolerate low use of treadmills, and whether vendors exist with no-hassle return policies may help in properly implementing treadmill workstations.

        Source : Cifuentes, Manuel, & Fulmer, Scott. (2015). Ergonomics in Design, 23(3), 25-30. DOI: 10.1177/1064804615588849

      • Office workers spend a large part of their workday sitting down. Too much sitting seems bad for people’s health and puts them at risk for premature death. Workstation alternatives that allow desk work to be done while standing, walking, biking, or stepping reduce the total time spent sitting without affecting work performance much. Moreover, these alternatives seem acceptable to users. Future research is needed to determine long-term effects and whether results apply to different working populations. Ergonomists play an important role in developing recommendations for the setup and use of alternative workstations and in improving their feasibility.

        Source : Huysmans, Maaike A., van der Ploeg, Hidde P., Proper, Karin I., Speklé, Erwin M., & van der Beek, Allard J. (2015). Ergonomics in Design, 23(3), 4-8. doi: 10.1177/1064804615585410

      • Active workstations, such as treadmill and sit-to-stand workstations, enable office employees to break prolonged sitting with bouts of light-intensity walking and/or standing. Compared with sitting, walking and/or standing accumulated during the workday using these workstations will increase muscle contractions, which may influence blood flow, energy expenditure, metabolism, musculoskeletal health, and brain function. Physiological responses when using treadmill and sit-to-stand workstations may vary due to differences in muscle contraction type (dynamic vs. static) and may thus affect cardio-metabolic and musculoskeletal health and brain function in different ways.

        Source : John, Dinesh, Lydem, Kate, & Bassett, David R. (2015). Ergonomics in Design, 23(3), 14-19. doi: 10.1177/1064804615585411

    TRAVAIL DE LABORATOIRE

    TRAVAIL SÉDENTAIRE

      • An active workplace, operationally defined as a company that deploys an organizational strategy designed to encourage movement and minimize sedentary time during the workday, may benefit from more engaged employees and less productivity loss, providing benefits for both workers and the company. Evidence of effectiveness supports the introduction of programs that reduce prolonged sitting time and increase movement and activity. This article highlights the need for companies to intentionally address sedentary behavior at work and base the approach for doing so on best-practice design principles that will increase the chances for successful solutions.

        Source : Pronk, Nicolaas P. (2015).  Ergonomics in Design, 23(3), 36-40.  doi: 10.1177/1064804615585408

      • There has been a major shift toward office workstations that accommodate standing postures. This shift is attributable to negative health and musculoskeletal issues from sedentary exposures. However, changing exposures from sitting to standing does not eliminate these issues, as evidence indicates prolonged standing also induces problems. Reducing seated exposure and rotating frequently between sitting and standing has been shown to result in positive health outcomes, reduced discomfort, and increased work performance. Implementing sit-stand workstations has promise to mitigate work-related health issues, if the users are provided with training that includes accommodations for individual work patterns and preferences.

        Source : Callaghan, Jack P., De Carvalho, Diana, Gallagher, Kaitlin, Karakolis, Thomas, & Nelson-Wong, Erika. (2015). Ergonomics in Design, 23(3), 20-24. doi: 10.1177/1064804615585412

      • The new trend in office ergonomics is installing dynamic workstations that include sit-to-stand tables, treadmills, stationary bicycles, and exercise balls. The question is whether it is worth the investment to try to reduce musculoskeletal pain via these dynamic workstations. Postural change is good, but the most effective workstation seems to be the sit-to-stand table with respect to reducing discomfort suffered by office workers. Treadmills and cycle workstations do have the ability to increase energy expenditure and heart rate and thus are potentially beneficial in addressing obesity that results from sedentary work. For all outcomes, the key is to periodically get up and move around.

        Source : Davis, Kermit G., & Kotowski, Susan E. (2015). Ergonomics in Design, 23(3), 9-13. doi: 10.1177/1064804615588853

      • Although laboratory studies demonstrate increases in energy expenditure with the use of treadmill workstations, effectiveness and efficiency studies demonstrating improved energy expenditure in real workplaces have yet to build the evidence to support use of such workstations. Psychosocial barriers to using treadmill workstations are related to communication (noise and hierarchy), need for motivation, peer pressure, and adaptation that might affect performance. Answers to questions such as whether the institution is willing to pay more to acquire very-low-noise devices, whether it is able to tolerate low use of treadmills, and whether vendors exist with no-hassle return policies may help in properly implementing treadmill workstations.

        Source : Cifuentes, Manuel, & Fulmer, Scott. (2015). Ergonomics in Design, 23(3), 25-30. DOI: 10.1177/1064804615588849

      • Office workers spend a large part of their workday sitting down. Too much sitting seems bad for people’s health and puts them at risk for premature death. Workstation alternatives that allow desk work to be done while standing, walking, biking, or stepping reduce the total time spent sitting without affecting work performance much. Moreover, these alternatives seem acceptable to users. Future research is needed to determine long-term effects and whether results apply to different working populations. Ergonomists play an important role in developing recommendations for the setup and use of alternative workstations and in improving their feasibility.

        Source : Huysmans, Maaike A., van der Ploeg, Hidde P., Proper, Karin I., Speklé, Erwin M., & van der Beek, Allard J. (2015). Ergonomics in Design, 23(3), 4-8. doi: 10.1177/1064804615585410

      • Active workstations, such as treadmill and sit-to-stand workstations, enable office employees to break prolonged sitting with bouts of light-intensity walking and/or standing. Compared with sitting, walking and/or standing accumulated during the workday using these workstations will increase muscle contractions, which may influence blood flow, energy expenditure, metabolism, musculoskeletal health, and brain function. Physiological responses when using treadmill and sit-to-stand workstations may vary due to differences in muscle contraction type (dynamic vs. static) and may thus affect cardio-metabolic and musculoskeletal health and brain function in different ways.

        Source : John, Dinesh, Lydem, Kate, & Bassett, David R. (2015). Ergonomics in Design, 23(3), 14-19. doi: 10.1177/1064804615585411

    TRAVAILLEUSE ENCEINTE – GROSSESSE

    TROUBLES MUSCULOSQUELETTIQUES (TMS)

    • The purpose of this study was to examine the prevalence and risk factors of occupational musculoskeletal injuries (OMIs) among occupational therapy practitioners over a 12-month period. A self-administered questionnaire mailed to 500 randomly selected practicing occupational therapists (OTs) and occupational therapy assistants (OTAs) living in the state of Texas. A response rate of 38 % was attained with 192 questionnaires returned. In a 12-months working period, 23 % of occupational therapy practitioners experienced musculoskeletal injuries. No factors were significantly associated with injuries among OTs. In conclusion, patient handling was the primary factor associated with injuries. Also, minimal experience and older age were concluded as risk factors that might contribute to OMIs.

      Source : Alnaser, Musaed Z. (2015). Journal of Occupational Rehabilitation. Prépublication. DOI: 10.1007/s10926-015-9584-3

    • This study of home care workers in a Norwegian municipality aimed to examine the effect of two measures involving organizational (job checklists) and technological (personal digital assistants) job aids on perceived work demands and musculoskeletal health. Questionnaire data was collected in 2009 and 2011. Forty-six home care workers responded at both waves. Respondents were assigned into ‘high’, ‘moderate’ and ‘low’ strain groups based on their responses to open and closed survey questions regarding impact of the two measures.

      Source : Andersen, Gunn Robstad, Bendal, Synne, & Westgaard, Rolf H. (2015). Applied Ergonomics, 51, 172-179. Repéré à http://www.sciencedirect.com/science/article/pii/S0003687015000812#

    • Ce document a été préparé par le Centre de la statistique et de l’information de gestion, Direction de la comptabilité et de la gestion de l’information. Cette publication vise à documenter les lésions attribuables aux TMS en milieu de travail sous les aspects administratif, médical et socio-économique, dans un souci de qualité et d’uniformité des informations transmises sur le sujet. Les données qu’elle contient sont tirées des banques informationnelles de la CSST. Le secteur de la santé et des affaires sociales est couvert par ces statistiques.

      Source : Provencher, Julie. (2015). Québec : Commission de la santé et de la sécurité du travail du Québec. 34 p. Repéré à http://www.csst.qc.ca/publications/300/Pages/DC_300_322.aspx

    • The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach.

      Source : Yazdani, Amin, Neumann, W. Patrick, Imbeau, Daniel, Bigelow, Philip, Pagell, Mark, & Wells, Richard. (2015). Applied Ergonomics, 51. Prépublication, 255-262. doi:10.1016/j.apergo.2015.05.006

    Laisser un commentaire

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

    Logo WordPress.com

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

    Image Twitter

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

    Photo Facebook

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

    Photo Google+

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

    Connexion à %s