COIN DE LA DOCUMENTALISTE – NOVEMBRE 2015

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ADMINISTRATION DE LA SANTÉ

  • Depuis le premier avril, une nouvelle page d’histoire commence pour le réseau de la santé et des services sociaux québécois. Au-delà d’une refonte de structures, c’est une transformation de la vision même de notre réseau et de son offre de soins et de services qui se dessine. Il va de soi que  » l’expérience usager « , vécue avec une accessibilité, une qualité et une continuité accrues des soins et services, fera foi de la réussite de la transformation du réseau. Voilà la promesse faite à la population, Mais comment réaliser cet audacieux défi ? L’auteure de cet article, coordonnatrice Planetree au CISSS de l’Estrie, nous présente le modèle Planetree.

    Source : Poulin, Marie-Claude. (2015). Le point en santé et services sociaux, 11(2), 19-21.

AGRESSIONS – VIOLENCE

  • Patient violence and aggression towards healthcare providers is a significant health and public affairs problem receiving international attention. Such violence is found to occur regardless of healthcare setting or provider discipline. However, most of the evidence of a high frequency of incidents perpetrated against providers is anecdotal and solid data on the prevalence of these incidents is not yet available. Studies have shown that accurate incident reporting remains one of the primary impediments to creating organizational policies and procedures to ensure the safety of the clinical direct care healthcare provider. Yet there is no clear evidence base currently existing to suggest what measures are of most utility in remedying this underreporting. This article contributes to the literature by conducting a systematic review of existing instruments designed to measure and report incidents of patient violence against health care workers.

    Source : Campbell, Colleen L., Burg, Mary Ann, & Gammonley, Denise. (2015). Aggression and Violent Behavior. Prépublication. doi:10.1016/j.avb.2015.09.014

  • Les violences internes sont généralement le fait de dérives organisationnelles et relationnelles se déroulant au sein d’une même organisation de travail. Afin de guider l’action de prévention, l’INRS propose un modèle général d’analyse permettant d’identifier les processus délétères en cause et, ainsi, d’agir là où se concentrent les difficultés.

    Source : Favaro, Marc. (2015). Hygiène et sécurité du travail, 240, 6-9. Repéré à http://www.hst.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/HST_DC%2010/$File/DC10.pdf

AMÉNAGEMENT – ARCHITECTURE

  • Traditionnaly, a centralized Nurses’ Station has been a prominent feature in long-term care homes. Often it was located at the entrance to the residential living areas and served as a control point for visiting family members and residents. The design of the station acted as a barrier separating staff from residents – closed-in offices or behind high counters – thereby reinforcing the institutional aspect. Solutions to this centralized design involve breaking up the Nurses’ Stations into smaller, more welcoming decentralized stations – or the creating of a hybrid form.

    Source : Benbow, Bill. (2015, September / October). Canadian Nursing Home,  26(3), 4-9.

AMIANTE

  • Les activités reliées à des travaux d’aménagement, de sécurisation ou de réhabilitation de sites contaminés par de l’amiante peuvent entraîner la mise en suspension de fibres dans l’air. Les concentrations de fibres dans l’air peuvent dépendre de plusieurs paramètres dont la connaissance peut influer sur le choix de mesures de prévention et de protection des travailleurs. La présente étude visait donc à dresser l’état des connaissances sur la relation entre les concentrations de fibres d’amiante dans le sol et celles dans l’air. En résumé, le taux d’humidité du sol, sa concentration en amiante et le genre d’activités sur le site (qui est directement lié au brassage du sol), apparaissent comme étant les caractéristiques les plus influentes de la libération des fibres dans l’air. Des facteurs de moindre importance, tels que la nature du sol, le type d’amiante et la distance de la source d’émission peuvent également avoir une incidence. Enfin, les conditions météorologiques (pluie, vent et ensoleillement), la présence de couvert végétal et la friabilité des matériaux pourraient avoir un effet de moindre impact sur l’émission de fibres d’amiante aéroportées.

    Source : Lévesque, Martine, Dion, Chantal, Labrèche, France, & Zayed, Joseph. (2015). Montréal : IRSST, ix, 36 p. (Études et recherches, Rapport R-880). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-880.pdf

APPROCHE RELATIONNELLE DE SOINS (ARS)

  • Le projet dont il est ici question a été élaboré autour d’un objectif principal : mettre en place une démarche participative de prévention des problèmes de santé psychologique au travail pour les préposés aux bénéficiaires (PAB). Cette démarche vise tout particulièrement à contrer les effets du travail émotionnellement exigeant chez les PAB. Ce document propose un bilan des rencontres individuelles réalisées dans le cadre de l’étape préparatoire.

    Source : Allaire, Émilie, Jauvin, Nathalie, & Duchesne, Audrey. (2015). Démarche de prévention pour contrer les effets du travail émotionnellement exigeant chez les préposés aux bénéficiaires du CIUSSS de la Capitale-Nationale – CSSS de la Vieille-Capitale : bilan des rencontres exploratoires. [Québec] : CIUSSS de la Capitale-Nationale et CSSS de la Vieille-Capitale, 14 p. Repéré à http://www.ripost.qc.ca/fileadmin/user_upload/publications/fichiers/PAB_TEE-_bilan_des_rencontres_exploratoires_Version_FINALE__ms_NJ_EA_3__Web_.pdf

  • Dementia, including Alzheimer’s disease, is a health condition saddled with social stigmas and is widely misunderstood. Person-centered care practices can positively improve the psychosocial experience of living with dementia and have become the gold standard for care because of the resulting beneficial outcomes. The purpose of the current article is to describe four person-centered principles that form the foundation for dementia care practice: (a) the idea that individuals can and do live fully with dementia; (b) quality of life depends not only on the care received but also on the value that others put on their abilities and life; (c) being meaningfully engaged and having purpose are vital to well-being; and (d) respect, dignity, and choice are not only foundational to person-centered care but for basic human rights. Although efforts have been made to mandate person-centered practices, challenges remain that can direct future research and practice efforts.

    Source : Love, Karen, & Femia, Elia. (2015). Journal of Gerontological Nursing, 41(11), 9-14. DOI: 10.3928/00989134-20151015-02

ASTHME PROFESSIONNEL

  • An abiding feature of current occupational epidemiology has been the observation-in Europe and North America-of high rates of asthma-like symptoms in professional cleaners. In comparison with ‘referent’ occupational groups such as office workers, risk estimates of around 1.5 have repeatedly been reported. Since there are very large numbers of people who work as cleaners one might expect these to be reflected in the experience of clinicians who see patients with asthma and in particular those with a special interest in work-related disease. This does not, however, appear to be the case. In the past decade, for example, fewer than 200 cases of occupational asthma (OA) in cleaners, most of them female, were reported to the UK national surveillance scheme for occupational respiratory diseases (SWORD).

    Source : De Matteis, Sara, & Cullinan, Paul. (2015). Occupational & Environmental Medicine, 72(11), 755-756. doi:10.1136/oemed-2015-102985

AVIS ET RAPPELS DE SANTÉ CANADA

  • Le présent rappel vise les modèles « Original Bedside Assistant® » (BA10W), « Travel Handles™ » (BA11W) (ensemble de deux) et « Adjustable Bedside Assistant® » (AJ1) de barres d’appui pour le lit. Lorsqu’elles sont installées sur un lit pour adulte sans courroies de retenue, les barres peuvent se déplacer. Le cas échéant, un vide dangereux peut se créer entre ces dernières et le côté du matelas, ce qui présente un risque grave de coincement, d’étranglement et de décès. Au Canada, aucun incident ni aucune blessure n’ont été signalés à Bed Handles Inc. ou à Santé Canada relativement à l’utilisation de ces produits. Quatre décès ont été signalés aux États Unis.

    Source : Santé Canada. (23 octobre 2015). Rappel élargi : Bed Handles Inc. annonce de nouveau le rappel de barres d’appui portatives pour le lit pour adultes après le signalement d’un quatrième décès par coincement. Canadiens en santé. Repéré à http://canadiensensante.gc.ca/recall-alert-rappel-avis/hc-sc/2015/55502r-fra.php

CANCERS PROFESSIONNELS

  • Ce résumé du rapport de l’Observatoire européen des risques s’intéresse à plusieurs facteurs professionnels importants: expositions chimiques, physiques et biologiques et autres conditions de travail où l’environnement est potentiellement cancérigène (tel que le travail posté ou de nuit). Il examine également les possibilités d’identifier les nouvelles causes qui provoquent ou favorisent le cancer. La question des groupes vulnérables de travailleurs (par exemple: femmes, jeunes travailleurs, travailleurs soumis à une forte exposition aux cancérigènes, travailleurs qui travaillent dans des conditions précaires) est traitée. Les groupes cibles visés sont les chercheurs et les décideurs politiques, les intervenants en SST. Ce rapportl peut également être utile pour définir des priorités ainsi qu’aux personnes qui doivent gérer les évaluations des risques au travail.

    Source : Lißner, Lothar, Kuhl, Klaus, Kauppinen, Timo, & Uuksulainen, Sanni. (2014). Luxembourg: Office des publications de l’Union européenne, 29 p. Repéré à https://osha.europa.eu/en/file/72479/

Pour consulter le rapport complet disponible en anglais seulement :

https://osha.europa.eu/sites/default/files/publications/documents/en/publications/reports/report-soar-work-related-cancer/616-SoaR-work-related-cancer-with-executive-summary.pdf

CONCILIATION TRAVAIL – VIE PERSONNELLE

  • The authors investigated associations of work–family conflict and work and family conditions with objectively measured cardiometabolic risk and sleep.  Having a lower level occupation (nursing assistant vs. nurse) was associated with increased cardiometabolic risk, whereas being married and having younger children at home was protective. A significant Age × Work-to-Family Conflict interaction revealed that higher work-to-family conflict was more strongly associated with increased cardiometabolic risk in younger employees. High family-to-work conflict was significantly associated with shorter sleep duration. Working long hours and having children at home were both independently associated with shorter sleep duration. High work-to-family conflict was associated with longer sleep duration. These results indicate that different dimensions of work–family conflict may pose threats to cardiometabolic health and sleep duration for employees.

    Source : Berkman, Lisa F., Liu, Sze Lian, Hammer, Leslie, Moen, Phyllis, Klein, Laura Cousino, Kelly, Erin,…Buxton, Orfeu M. (2015). Journal of Occupational Health Psychology, 20(4), 420-433. Repéré à http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2015-20348-001

DÉPLACEMENT DES BÉNÉFICIAIRES

  • Patient handling increases the risk of musculoskeletal complaints and diseases among healthcare workers. Thus, the use of small aids for patient handling is recommended. Small aids are non-electrical and handy assistive devices that support caregivers during patient handling. To date, there is no evidence about the clinical efficacy of small aids. Hence, the objective of this systematic review was to systematically analyze whether the use of small aids during patient handling leads to a decreased occurrence of musculoskeletal disorders.

    Source : Freiberg, A., Euler, U., Girbig, M., Nienhaus, A., Freitag, S., & Seidler, A. (2015). International Archives of Occupational and Environmental Health. Prépublication. Doi:10.1007/s00420-015-1094-2

  • Many health care organizations have developed and implemented safe resident handling practices for reducing the risk of MSIs due to resident handling activities, to improve the safety of both care providers and residents. This document brings many of those best practices together, in the form of provincial safe resident handling standards for MSI prevention, so that residential care facilities across the province can review them and implement relevant policies and practices in their own organizations. The standards cover 10 areas: policy, management strategies, education and training, equipment, and six sets of safe work practices for particularly high risk resident handling activities (i.e., transfers and ambulation, bed care / repositioning, positioning seated residents, resident toileting, resident bathing, and resident dressing).

    Source : Provincial Residential Care Care Musculoskeletal Injury Prevention Team. (2015). [British Columbia : s.n.], 94 p. Repéré à http://www.phsa.ca/Documents/Occupational-Health-Safety/HandbookProvincialSafeResidentHandlingStandardsfor.pdf

ENQUÊTE ET ANALYSE D’ACCIDENT

  • Patient violence and aggression towards healthcare providers is a significant health and public affairs problem receiving international attention. Such violence is found to occur regardless of healthcare setting or provider discipline. However, most of the evidence of a high frequency of incidents perpetrated against providers is anecdotal and solid data on the prevalence of these incidents is not yet available. Studies have shown that accurate incident reporting remains one of the primary impediments to creating organizational policies and procedures to ensure the safety of the clinical direct care healthcare provider. Yet there is no clear evidence base currently existing to suggest what measures are of most utility in remedying this underreporting. This article contributes to the literature by conducting a systematic review of existing instruments designed to measure and report incidents of patient violence against health care workers.

    Source : Campbell, Colleen L., Burg, Mary Ann, & Gammonley, Denise. (2015). Aggression and Violent Behavior. Prépublication. doi:10.1016/j.avb.2015.09.014

ENTRETIEN MÉNAGER À DOMICILE

  • An abiding feature of current occupational epidemiology has been the observation-in Europe and North America-of high rates of asthma-like symptoms in professional cleaners. In comparison with ‘referent’ occupational groups such as office workers, risk estimates of around 1.5 have repeatedly been reported. Since there are very large numbers of people who work as cleaners one might expect these to be reflected in the experience of clinicians who see patients with asthma and in particular those with a special interest in work-related disease. This does not, however, appear to be the case. In the past decade, for example, fewer than 200 cases of occupational asthma (OA) in cleaners, most of them female, were reported to the UK national surveillance scheme for occupational respiratory diseases (SWORD).

    Source : De Matteis, Sara, & Cullinan, Paul. (2015). Occupational & Environmental Medicine, 72(11), 755-756. doi:10.1136/oemed-2015-102985

ÉQUIPEMENT DE PROTECTION

  • Contamination of the skin and clothing of health care personnel during removal of personal protective equipment (PPE) contributes to dissemination of pathogens and places personnel at risk for infection. The objectives was to determine the frequency and sites of contamination on the skin and clothing of personnel during PPE removal and to evaluate the effect of an intervention on the frequency of contamination.

    Source : Tomas, Myreen E., Kundrapu, Sirisha, Thota, Priyaleela, Sunkesula, Venkata C.K., Cadnum, Jennifer L., Mana, Thriveen Sankar Chittoor,…Donskey, Curtis J. (2015, October 12). JAMA Internal Medicine. Prépublication. doi:10.1001/jamainternmed.2015.4535 Text S

  • Yet there are still many misunderstandings and misconceptions surrounding the use of respiratory protection. Whether it is about responding to a possible chemical spill incident in the lab, processing chemical wastes, working in a confined space, or just dealing with routine chemical storage in the course of normal activities, we often get questions on the proper use of respirators. So, let’s get started and begin at the beginning.

    Source : McLeod, Vince. (2015, October). Lab Manager, 10(9), 36, 38-39. Repéré à http://www.labmanager.com/lab-health-and-safety/2015/10/a-breath-of-fresh-air?fw1pk=2#.VjDnCbcvdQI

  • Health care workers frequently contaminate their skin and clothing when removing gloves or gowns, and researchers from the Cleveland Veterans Affairs Medical Center are recommending additional education and redesigned personal protective equipment.

    Source : National Safety Council. (2015, October 13). Safety+Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/13144-redesign-ppe-to-reduce-contamination-risks-researchers-suggest

  • Quantitative information on the effectiveness of safety-engineered devices (SEDs) is needed to support decisions regarding their implementation. The aim of this study was to elucidate the effects of SED use in winged steel needles, intravenous (IV) catheter stylets and suture needles on needlestick injury (NSI) incidence rates in Japan. The results indicated that SED use substantially reduces the incidence of NSIs, and is therefore recommended as a means to prevent occupational infections in healthcare workers and improve healthcare safety.

    Source : Fukuda, H., & Yamanaka, N. (2015). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2015.09.019

  • Switching from active to passive needle safety device dramatically reduced needlesticks in an 11-facility healthcare system, creating cost avoidance in reporting, treating, and follow-up that justified the additional expenditure for the devices, reported Ashleigh J. Goris, manager of infection prevention and control at Missouri Baptist Medical Center in St. Louis.

    Source : Going to a passive needle safety system reduces injuries and costs. (2015, November). Hospital Employee Health, 34(11), 128-129. Repéré à http://www.ahcmedia.com/articles/136435-going-to-a-passive-needle-safety-system-reduces-injuries-and-costs

GESTION – LEADERSHIP

  • « J’ai rencontré Deepak Chopra. Oui, le médecin, penseur et auteur à succès d’origine indienne et de nationalité américaine qui a signé des bestsellers comme Le Livre des coïncidences et Les Sept lois spirituelles du succès. Celui qui a fait office de coach pour nombre de célébrités. Celui que le magazine Time a déjà considéré comme l’une des 100 personnalités les plus influentes du monde. Cette rencontre s’est produite la semaine dernière à Montréal, à l’occasion d’une conférence organisée par l’organisme haligonien Autopoetic Ideas. Une conférence renversante d’intelligence et de profondeur, durant laquelle Deepak Chopra a fait une brève allusion à sa propre conception du leadership, à savoir le leadership inspiré. »

    Source : Schmouker, Olivier. (20 octobre 2015). J’ai rencontré Deepak Chopra et découvert le leadership inspiré. [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/j-ai-rencontre-deepak-chopra-et-decouvert-le-leadership-inspire/582566

  • Les professeurs en sciences de la gestion Marie-Noëlle Albert et Michel Fortier proposent une nouvelle façon de concevoir la gestion des ressources humaines. Misant sur la gestion des personnes, cette approche novatrice a fait l’objet d’une publication dans la revue scientifique SAGE Open. La gestion des ressources humaines moderne peine à offrir une prise en compte éthique des êtres humains dans les organisations, observe le professeur Fortier. « Notre recherche met de l’avant un changement conceptuel proposant le passage de ressource à être humain et que nous définissons comme « gestion des personnes ».

    Source : Fortier, Michel, & Albert, Marie-Noëlle. (2015). From Resource to Human Being : Toward Persons Management. SAGE Open, 1-13. Repéré à http://sgo.sagepub.com/content/spsgo/5/3/2158244015604347.full.pdf

GESTION DE LA SST

  • Cette chronique traite notamment du non-respect des règles de sécurité et mesures disciplinaires, de la norme sur la santé et sécurité psychologiques au travail, des coûts reliés aux accidents de travail et maladies professionnelles, de l’utilisation de Facebook dans les dossiers CSST, de l’imputation des frais médicaux après consolidation.

    Source : Morneau Shepell (9 octobre 2015). Chronique Santé et sécurité. Repéré à http://arihq.com/la-sante-et-securite-au-travail-dans-tous-ses-etats/

  • Cette forme d’organisation du travail en 12 heures, même si elle est partiellement plébiscitée par certains, présente des risques pour la santé et la sécurité des personnels qui y sont soumis (de gré ou de force). Un projet de guide, composé en plusieurs parties, identifie entre autres des points de vigilance et des mesures de prévention. Ils sont brièvement exposés dans ce billet.

    Source : Denis. (2015, 26 octobre). Conditions encadrant la mise en place d’une organisation du travail en douze heures. Le blog des hospitaliers F.O. santé [Billet de blogue]. Repéré à http://fo-sante.org/2015/10/conditions-encadrant-la-mise-en-place-dune-organisation-du-travail-en-douze-heures/

  • Les tableaux de bord de gestion (TBG) sont devenus à la mode. Cette expression émaille de plus en plus les conversations dans le monde de la gestion. Toutefois, à part quelques exceptions notables, et on pense entre autres ici à ceux qu’on retrouve dans quelques grandes entreprises, ce type d’outil est encore trop peu utilisé dans le domaine de la santé et de la sécurité au travail (SST).

    Source : Pérusse, Michel. (2015, Septembre). Travail et santé, 31(3), 36-39.

  • À qui revient la responsabilité de la gestion de la santé et de la sécurité ?Voilà un débat que l’on entend régulièrement dans les organisations. Ce débat peut sembler complexe, mais il l’est moins que ce qu’il en a l’air.

    Source : Ferron, Marc-André. (2015, Septembre). Travail et santé, 31(3), 20-21.

  • Trop d’organisations peinent encore à considérer les aspects comportementaux dans leur système de gestion de la santé, de la sécurité et de l’environnement (SSE). Soit qu’elles l’ignorent, se complaisent, ou ne savent  tout simplement pas comment attaquer le sujet. Dans un ou l’autre des cas, cela nuit grandement à l’atteinte  des objectifs stratégiques et à la performance globale de l’organisation.

    Source : Laberge, Marie. (2015, Septembre). Travail et santé, 31(3), 6-8.

GESTION DES DÉCHETS

  • This is the fourth edition of CSA Z317.10, Handling of health care waste materials. It supersedes the previous edition, published in 2009 under the title Handling of waste materials in health care facilities and veterinary health care facilities. It is one of a series of Standards related to health care facility engineering and sets forth preventive measures intended to protect patients, staff, visitors, and the public from exposure to potentially hazardous waste materials. It specifies requirements for the packaging, collection, storage, handling, treatment, and disposal of waste materials within health care facilities and veterinary health care facilities. It also includes guidance for health care waste materials generated outside of traditional health care settings (e.g., health care in the home environment, waste generated or recovered during emergency response activities). It is also intended to assist in the reduction of waste by providing recommended recycling practices.

    Source : Canadian Standard Association. (2015). Handling of health care waste materials. Mississauga, Ont. : CSA, 61 p. (CSA: Z317.10-15). Repéré à http://shop.csa.ca/en/invt/27013402015?utm_source=update-service&utm_medium=email&utm_term=Z317.10-09%20(R2014)&utm_content=html-txt-link&utm_campaign=various&utm_language=en

HARCÈLEMENT AU TRAVAIL

  • Les violences internes sont généralement le fait de dérives organisationnelles et relationnelles se déroulant au sein d’une même organisation de travail. Afin de guider l’action de prévention, l’INRS propose un modèle général d’analyse permettant d’identifier les processus délétères en cause et, ainsi, d’agir là où se concentrent les difficultés.

    Source : Favaro, Marc. (2015). Hygiène et sécurité du travail, 240, 6-9. Repéré à http://www.hst.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/HST_DC%2010/$File/DC10.pdf

HORAIRE DE TRAVAIL

  • Roughly one-third of Canada’s employees are required to work outside of conventional daytime hours, and the ensuing disruption to their natural rythms has been linked to numerous health and safety risks. But the contributing factors are wide-ranging, making it difficult to predict outcomes for individual workers. Many who are not shift workers face similar risks. In recent years, dozens of studies have demonstrated the vulnerability of shift workers to illnesses, such as cancer, heart disease, diabetes, obesity and depression. Insufficient sleep due to shift work has been implicated in accidents.

    Source : Stoller, Jacob. (2015, September/October). OHS Canada, 31(5), 30-35.

  • Based on the current evidence, action to reduce workplace exposures linked to breast cancer is imperative. The Breast Cancer Fund has spent nearly 15 years translating the science that links environmental exposures to breast cancer, and advocating for change. In the past several years, it has become increasingly evident that the workplace may be a substantive source of many of these exposures and of the resulting risk for breast cancer. A well-established body of scientific evidence has identified five occupational groupings that are associated with considerably increased risk of breast cancer compared to the risk for the general population. This literature review confims the scientific consensus of these occupations : * Nurses – Up to 50% higher risk than for the general population * Teachers – Up to double the risk  * Librarians, lawyers, journalists and other professionals – Up to 4 times higher risk * Radiological technicians – Up to double the risk * Lab technicians, factory workers and others who work with chemical solvents – Up to 3 times higher risk.

    Source: Engel, Connie, & Rasanayagam, Sharima. (2015). [San Francisco, CA] : Breast Cancer Fund, 102 p. Repéré à http://www.breastcancerfund.org/assets/pdfs/publications/working-women-and-breast-cancer.pdf

  • The purpose of this study was to evaluate the association of work schedule and physical factors with fecundity. Women currently employed outside the home and trying to get pregnant (n=1739) in the Nurses’ Health Study 3 cohort (2010-2014) were included in this analysis. Work schedule and physical labour were self-reported on the baseline questionnaire, and every 6 months thereafter the women reported the duration of their ongoing pregnancy attempt.

    Source : Gaskins, Audrey, J., Rich-Edwards, Janet W., Lawson, Christina C., Schernhammer, Eva S., Missmer, Stacey A., & Chavarro, Jorge E. (2015). Occupational & environmental medicine, 72(11), 777-783. doi:10.1136/oemed-2015-103026

  • Cette forme d’organisation du travail en 12 heures, même si elle est partiellement plébiscitée par certains, présente des risques pour la santé et la sécurité des personnels qui y sont soumis (de gré ou de force). Un projet de guide, composé en plusieurs parties, identifie entre autres des points de vigilance et des mesures de prévention. Ils sont brièvement exposés dans ce billet.

    Source : Denis. (2015, 26 octobre). Conditions encadrant la mise en place d’une organisation du travail en douze heures. Le blog des hospitaliers F.O. santé [Billet de blogue]. Repéré à http://fo-sante.org/2015/10/conditions-encadrant-la-mise-en-place-dune-organisation-du-travail-en-douze-heures/

  • The authors investigated associations of work–family conflict and work and family conditions with objectively measured cardiometabolic risk and sleep.  Having a lower level occupation (nursing assistant vs. nurse) was associated with increased cardiometabolic risk, whereas being married and having younger children at home was protective. A significant Age × Work-to-Family Conflict interaction revealed that higher work-to-family conflict was more strongly associated with increased cardiometabolic risk in younger employees. High family-to-work conflict was significantly associated with shorter sleep duration. Working long hours and having children at home were both independently associated with shorter sleep duration. High work-to-family conflict was associated with longer sleep duration. These results indicate that different dimensions of work–family conflict may pose threats to cardiometabolic health and sleep duration for employees.

    Source : Berkman, Lisa F., Liu, Sze Lian, Hammer, Leslie, Moen, Phyllis, Klein, Laura Cousino, Kelly, Erin,…Buxton, Orfeu M. (2015). Journal of Occupational Health Psychology, 20(4), 420-433. Repéré à http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2015-20348-001

  • The aim of this study was to investigate whether rotating shift work increases occupational stress in nurses. This study measured shift work scheduling and occupational stress by using the Effort-Reward Imbalance model with self-reported questionnaires in a sample of 654 female nurses. The authors concluded that the nurses who worked rotating shifts tended to experience work-related stress, but their stress levels improved if they had at least 2 days off after their most recent night shift and if they were not scheduled to work 7 consecutive days. These empirical data can be used to optimize work schedules for nurses to alleviate work stress.

    Source : Lin, Pei-Chen, Chen, Chung-Hey, Pan, Shung-Mei, Chen, Yoa-Mei, Pan, Chih-Hong, Hung, Hsin-Chia, & Wu, Ming-Tsang. (2015). Journal of Occupational Health. Prépublication. http://doi.org/10.1539/joh.13-0284-OA

  • Emergency medical services (EMS) clinicians are shift workers deployed in two-person teams. Extended shift duration, workplace fatigue, poor sleep and lack of familiarity with teammates are common in the EMS workforce and may contribute to workplace injury. We sought to examine the relationship between shift length and occupational injury while controlling for relevant shift work and teamwork factors. We obtained 3 years of shift schedules and occupational injury and illness reports were from 14 large EMS agencies. The results indicated that shift length is associated with increased risk of occupational injury and illness in this sample of EMS shift workers.

    Source : Weaver, Matthew D., Patterson, P. Daniel, Fabio, Anthony, Moore, Charity G., Freiberg, Matthew S., & Songer, Thomas J. (2015). Occupational & Environmental Medicine, 72(11), 798-804. doi:10.1136/oemed-2015-102966

  • The aim of the current study was to elucidate prospective effects of both shift schedules and work environment on mental distress. A total of 2059 nurses participated at baseline (38.1%), and 1582 nurses completed wave 2 of the survey (76.8%). The results indicated that whether psychosocial working conditions buffer mental health effects of shiftwork remains undecided. Prospective studies with multiple measurement points are needed to elucidate potential mutual relationships between work factors and mental distress.

    Source : Berthelsen, Mona Cand., Pallesen, Ståle, Magerøy, Nils, Tyssen, Reidar, Bjorvatn, Bjørn, Moen, Bente Elisabeth, & Knardahl, Stein. (2015). JOEM : Journal of Occupational & Environmental Medicine, 57(10), 1127-1137. doi: 10.1097/JOM.0000000000000532

HYGIÈNE ET SALUBRITÉ

  • An abiding feature of current occupational epidemiology has been the observation-in Europe and North America-of high rates of asthma-like symptoms in professional cleaners. In comparison with ‘referent’ occupational groups such as office workers, risk estimates of around 1.5 have repeatedly been reported. Since there are very large numbers of people who work as cleaners one might expect these to be reflected in the experience of clinicians who see patients with asthma and in particular those with a special interest in work-related disease. This does not, however, appear to be the case. In the past decade, for example, fewer than 200 cases of occupational asthma (OA) in cleaners, most of them female, were reported to the UK national surveillance scheme for occupational respiratory diseases (SWORD).

    Source : De Matteis, Sara, & Cullinan, Paul. (2015). Occupational & Environmental Medicine, 72(11), 755-756. doi:10.1136/oemed-2015-102985

  • Viruses with pandemic potential including H1N1, H5N1, and H5N7 influenza viruses, and severe acute respiratory syndrome (SARS)/Middle East respiratory syndrome (MERS) coronaviruses (CoV) have emerged in recent years. SARS-CoV, MERS-CoV, and influenza virus can survive on surfaces for extended periods, sometimes up to months. Factors influencing the survival of these viruses on surfaces include: strain variation, titre, surface type, suspending medium, mode of deposition, temperature and relative humidity, and the method used to determine the viability of the virus.

    Source : Otter, J.A., Donskey, C., Yezli, S., Douthwaite, S., Goldenberg, S.D., & Weber, D.J. (2015). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2015.08.027

  • Contamination of the healthcare environment with pathogenic organisms contributes to the burden of healthcare-associated infection (HCAI). Antimicrobial surfaces are designed to reduce microbial contamination of healthcare surfaces. To determine whether antimicrobial surfaces prevent HCAI, transmission of antibiotic-resistant organisms (AROs), or microbial contamination. The authors conducted a systematic review of the use of antimicrobial surfaces in patient rooms.

    Source : Muller, M.P., MacDougall, C., & Lim, M. (2015). Journal of Hospital Infection. Prépublication.  doi:10.1016/j.jhin.2015.09.008

  • The use of disinfectant-pre-soaked wipes (DPW) to decontaminate high-touch environmental surfaces (HTES) by wiping is becoming increasingly widespread in the healthcare environment. However, DPW are rarely tested using conditions simulating their field use, and the label claims of environmental surface disinfectants seldom include wiping action. The aim of this study was to evaluate the new E2967-15 standard test specific to wipes, particularly their ability to decontaminate surfaces and to transfer acquired contamination to clean surfaces.

    Source : Sattar, S.A., Bradley, C., Kibbee, R., Wesgate, R.,  Wilkinson, M.A.C., Sharpe, T., & Maillard, J.-Y. (2015). Journal of hospital Infection. Prépublication. doi:10.1016/j.jhin.2015.08.026

  • IMAGERIE MÉDICALE

  • Based on the current evidence, action to reduce workplace exposures linked to breast cancer is imperative. The Breast Cancer Fund has spent nearly 15 years translating the science that links environmental exposures to breast cancer, and advocating for change. In the past several years, it has become increasingly evident that the workplace may be a substantive source of many of these exposures and of the resulting risk for breast cancer. A well-established body of scientific evidence has identified five occupational groupings that are associated with considerably increased risk of breast cancer compared to the risk for the general population. This literature review confims the scientific consensus of these occupations : * Nurses – Up to 50% higher risk than for the general population * Teachers – Up to double the risk  * Librarians, lawyers, journalists and other professionals – Up to 4 times higher risk * Radiological technicians – Up to double the risk * Lab technicians, factory workers and others who work with chemical solvents – Up to 3 times higher risk.

    Source: Engel, Connie, & Rasanayagam, Sharima. (2015). [San Francisco, CA] : Breast Cancer Fund, 102 p. Repéré à http://www.breastcancerfund.org/assets/pdfs/publications/working-women-and-breast-cancer.pdf

  • The authors evaluated factors associated with increased radiation exposure dose in nursing staff who assisted patients with 18F-fluorodeoxyglucose positron emission tomography (PET), computed tomography (CT) examinations. Three nurses self-measured their radiation exposure dose while assisting patients during each PET examination. Disturbance factors during PET examinations (use of a stretcher or wheelchair, use of lines or tubes connected to the patient, use of diapers or urethral catheterization, patient age), 18F-FDG injection dose, and previous PET/CT experience in the patients and outpatient or inpatient status were evaluated as factors possibly associated with increased radiation exposure.

    Source :  Ito, Kimiteru, Suzuki, Maki, Yamazaki, Aino, Suzuki, Naoki Yokokawa, Yoshiko, Oosawa, Tatsufumi , & Tokumaru, Aya M. (2015). Journal of Occupational Health. Prépublication. Doi: http://doi.org/10.1539/joh.14-0282-OA

MÉDICAMENTS DANGEREUX

  • With the completion of this year’s study, we can now reflect on 5 years of compliance data, and the results are mixed. Certainly there has been real and measurable improvement in USP Chapter <797> scores in this study, but is it enough? The authors do not think it is, not nearly so. As such, they would like to take this opportunity to share their perspectives on compliance. Their thoughts are drawn from this and previous years’ study results; in addition, they are informed from the hundreds of emails, telephone calls, and visits they have conducted with sterile compounding personnel and regulators over the same time period.

    Source : Douglass, Kate, Cantor, Peter, & Kastango, Eric S. (2015, October). Pharmacy Purchasing & Products Magazine, 12(10, suppl.), S2-S4. Repéré à http://www.pppmag.com/article/1774

    Pour voir tous les résultats de cette enquête sur la compliance : http://www.pppmag.com/article/1775

  • In May 2009, the National Institute for Occupational Safety and Health (NIOSH) received a confidential employee request for a health hazard evaluation (HHE) at a Florida oncology clinic, concerning possible employee exposure to chemotherapy drugs. A second evaluation of the facility occurred in November 2010, when surface wipe samples for platinum-containing chemotherapy drugs were collected (in similar locations to the first evaluation), as well as surface wipe samples for cyclophosphamide, ifosfamide, and doxorubicin at the start of the work day, prior to unpacking chemotherapy, and at the end of the work day, after the last chemotherapy treatment was completed. The results of these evaluations highlight important findings.

    Source : Karpinski, Jennifer. (2015, October). Pharmacy Purchasing & Products Magazine, 12(10), 16-18. Repéré à http://www.pppmag.com/article/1770

MILIEU DE VIE

  • Traditionnaly, a centralized Nurses’ Station has been a prominent feature in long-term care homes. Often it was located at the entrance to the residential living areas and served as a control point for visiting family members and residents. The design of the station acted as a barrier separating staff from residents – closed-in offices or behind high counters – thereby reinforcing the institutional aspect. Solutions to this centralized design involve breaking up the Nurses’ Stations into smaller, more welcoming decentralized stations – or the creating of a hybrid form.

    Source : Benbow, Bill. (2015, September / October). Canadian Nursing Home,  26(3), 4-9.

  • Le projet dont il est ici question a été élaboré autour d’un objectif principal : mettre en place une démarche participative de prévention des problèmes de santé psychologique au travail pour les préposés aux bénéficiaires (PAB). Cette démarche vise tout particulièrement à contrer les effets du travail émotionnellement exigeant chez les PAB. Ce document propose un bilan des rencontres individuelles réalisées dans le cadre de l’étape préparatoire.

    Source : Allaire, Émilie, Jauvin, Nathalie, & Duchesne, Audrey. (2015). Démarche de prévention pour contrer les effets du travail émotionnellement exigeant chez les préposés aux bénéficiaires du CIUSSS de la Capitale-Nationale – CSSS de la Vieille-Capitale : bilan des rencontres exploratoires. [Québec] : CIUSSS de la Capitale-Nationale et CSSS de la Vieille-Capitale, 14 p. Repéré à http://www.ripost.qc.ca/fileadmin/user_upload/publications/fichiers/PAB_TEE-_bilan_des_rencontres_exploratoires_Version_FINALE__ms_NJ_EA_3__Web_.pdf

  • Dementia, including Alzheimer’s disease, is a health condition saddled with social stigmas and is widely misunderstood. Person-centered care practices can positively improve the psychosocial experience of living with dementia and have become the gold standard for care because of the resulting beneficial outcomes. The purpose of the current article is to describe four person-centered principles that form the foundation for dementia care practice: (a) the idea that individuals can and do live fully with dementia; (b) quality of life depends not only on the care received but also on the value that others put on their abilities and life; (c) being meaningfully engaged and having purpose are vital to well-being; and (d) respect, dignity, and choice are not only foundational to person-centered care but for basic human rights. Although efforts have been made to mandate person-centered practices, challenges remain that can direct future research and practice efforts.

    Source : Love, Karen, & Femia, Elia. (2015). Journal of Gerontological Nursing, 41(11), 9-14. DOI: 10.3928/00989134-20151015-02

  • La ministre de la Famille, ministre responsable des Aînés, ministre responsable de la Lutte contre l’intimidation et ministre responsable de la région de Laval, Mme Francine Charbonneau, et le ministre de la Santé et des Services sociaux, M. Gaétan Barrette, ont confié le mandat au Comité national d’éthique sur le vieillissement de produire un avis sur les préoccupations éthiques relatives à l’utilisation de caméras vidéo dans les différents milieux de vie des aînés. Les ministres précisent leur demande en invitant le Comité à analyser la question dans une perspective éthique et à proposer des principes directeurs en tenant compte des différents acteurs concernés soit : les familles éprouvant le besoin de communiquer avec leur proche aîné et de veiller à leur sécurité, les aînés et leur droit à la vie privée et à l’intégrité, le personnel soignant et la préservation de leur réputation et des relations professionnelles.

    Source : Rozon, Nicole, & Boucher, Mylène. (2015). Aspects éthiques de l’utilisation de caméras vidéo dans les milieux de vie des aînés. [S.l.] : Comité national d’éthique sur le vieillissement. 106 p. Repéré à https://www.ivpsa.ulaval.ca/sites/ivpsa.ulaval.ca/files/avis_rapport_complet.pdf

NORMES ET LÉGISLATION

  • With the completion of this year’s study, we can now reflect on 5 years of compliance data, and the results are mixed. Certainly there has been real and measurable improvement in USP Chapter <797> scores in this study, but is it enough? The authors do not think it is, not nearly so. As such, they would like to take this opportunity to share their perspectives on compliance. Their thoughts are drawn from this and previous years’ study results; in addition, they are informed from the hundreds of emails, telephone calls, and visits they have conducted with sterile compounding personnel and regulators over the same time period.

    Source : Douglass, Kate, Cantor, Peter, & Kastango, Eric S. (2015, October). Pharmacy Purchasing & Products Magazine, 12(10, suppl.), S2-S4. Repéré à http://www.pppmag.com/article/1774

    Pour voir tous les résultats de cette enquête sur la compliance : http://www.pppmag.com/article/1775

  • This is the fourth edition of CSA Z317.10, Handling of health care waste materials. It supersedes the previous edition, published in 2009 under the title Handling of waste materials in health care facilities and veterinary health care facilities. It is one of a series of Standards related to health care facility engineering and sets forth preventive measures intended to protect patients, staff, visitors, and the public from exposure to potentially hazardous waste materials. It specifies requirements for the packaging, collection, storage, handling, treatment, and disposal of waste materials within health care facilities and veterinary health care facilities. It also includes guidance for health care waste materials generated outside of traditional health care settings (e.g., health care in the home environment, waste generated or recovered during emergency response activities). It is also intended to assist in the reduction of waste by providing recommended recycling practices.

    Source : Canadian Standard Association. (2015). Handling of health care waste materials. Mississauga, Ont. : CSA, 61 p. (CSA: Z317.10-15). Repéré à http://shop.csa.ca/en/invt/27013402015?utm_source=update-service&utm_medium=email&utm_term=Z317.10-09%20(R2014)&utm_content=html-txt-link&utm_campaign=various&utm_language=en

PRÉVENTION DES INFECTIONS

  • Switching from active to passive needle safety device dramatically reduced needlesticks in an 11-facility healthcare system, creating cost avoidance in reporting, treating, and follow-up that justified the additional expenditure for the devices, reported Ashleigh J. Goris, manager of infection prevention and control at Missouri Baptist Medical Center in St. Louis.

    Source : Going to a passive needle safety system reduces injuries and costs. (2015, November). Hospital Employee Health, 34(11), 128-129. Repéré à http://www.ahcmedia.com/articles/136435-going-to-a-passive-needle-safety-system-reduces-injuries-and-costs

  • Contamination of the skin and clothing of health care personnel during removal of personal protective equipment (PPE) contributes to dissemination of pathogens and places personnel at risk for infection. The objectives was to determine the frequency and sites of contamination on the skin and clothing of personnel during PPE removal and to evaluate the effect of an intervention on the frequency of contamination.

    Source : Tomas, Myreen E., Kundrapu, Sirisha, Thota, Priyaleela, Sunkesula, Venkata C.K., Cadnum, Jennifer L., Mana, Thriveen Sankar Chittoor,…Donskey, Curtis J. (2015, October 12). JAMA Internal Medicine. Prépublication. doi:10.1001/jamainternmed.2015.4535 Text S

  • Health care workers frequently contaminate their skin and clothing when removing gloves or gowns, and researchers from the Cleveland Veterans Affairs Medical Center are recommending additional education and redesigned personal protective equipment.

    Source : National Safety Council. (2015, October 13). Safety+Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/13144-redesign-ppe-to-reduce-contamination-risks-researchers-suggest

  • The American Nurses Association is calling for all registered nurses to receive the seasonal flu vaccination and to encourage their patients to get vaccinated. The association approved an immunization position statement in July that coincides with CDC guidance urging all individuals older than 5 months to get vaccinated each flu season. ANA’s position statement offers exceptions for medical and religious reasons. The position also agrees with ANA’s Code of Ethics for Nurses with Interpretive Statements, which explains that registered nurses have an ethical duty to display « the same health maintenance and health promotion measures that they teach and research, » according to an Oct. 27 press release.

    Source :  All nurses should get a flu shot, American Nurses Association says. (2015, October 28). Safety+Health Magazine Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/13235-all-nurses-should-get-a-flu-shot-american-nurses-association-says

  • Le vaccin proposé lors de la campagne de vaccination contre la grippe 2014-2015 n’a pas présenté toute l’efficacité souhaitée, les souches circulantes étant quelque peu différentes de celles proposées dans le vaccin.  Pour cette campagne 2015-2016, la confiance est restaurée car les premières données des centres nationaux de référence européens et américains, ne détectent que le virus A (H3N2) identique à a souche vaccinale (A/Switzerland/9715293/2013).

    Source : L’efficacité du vaccin grippe 2015-2016 sera au rendez-vous. (15 octobre 2015). Camip.Info : Revue de la santé au travail. Repéré à http://www.camip.info/L-efficacite-du-vaccin-grippe-2015.html

  • Quantitative information on the effectiveness of safety-engineered devices (SEDs) is needed to support decisions regarding their implementation. The aim of this study was to elucidate the effects of SED use in winged steel needles, intravenous (IV) catheter stylets and suture needles on needlestick injury (NSI) incidence rates in Japan. The results indicated that SED use substantially reduces the incidence of NSIs, and is therefore recommended as a means to prevent occupational infections in healthcare workers and improve healthcare safety.

    Source : Fukuda, H., & Yamanaka, N. (2015). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2015.09.019

  • In developed countries, the incidence of inpatient hospital-acquired infections has been estimated to range between 5.1% and 11.6%, worsening patients’ health and leading to a number of deaths that would not have been expected on the basis of the pathologies for which they had been admitted. Water in the mains plays an important role in the onset of hospital-acquired infections, particularly given the rise in pulmonary disease due to Legionella pneumophila.

    Source : De Lorenzi, S., Salvatorelli, G., & Antonioli, P.M. (2015). Journal of Hospital Infection. Prépublication.  doi:10.1016/j.jhin.2015.09.015

  • Viruses with pandemic potential including H1N1, H5N1, and H5N7 influenza viruses, and severe acute respiratory syndrome (SARS)/Middle East respiratory syndrome (MERS) coronaviruses (CoV) have emerged in recent years. SARS-CoV, MERS-CoV, and influenza virus can survive on surfaces for extended periods, sometimes up to months. Factors influencing the survival of these viruses on surfaces include: strain variation, titre, surface type, suspending medium, mode of deposition, temperature and relative humidity, and the method used to determine the viability of the virus. <

    Source : Otter, J.A., Donskey, C., Yezli, S., Douthwaite, S., Goldenberg, S.D., & Weber, D.J. (2015). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2015.08.027

  • Contamination of the healthcare environment with pathogenic organisms contributes to the burden of healthcare-associated infection (HCAI). Antimicrobial surfaces are designed to reduce microbial contamination of healthcare surfaces. To determine whether antimicrobial surfaces prevent HCAI, transmission of antibiotic-resistant organisms (AROs), or microbial contamination. The authors conducted a systematic review of the use of antimicrobial surfaces in patient rooms.

    Source : Muller, M.P., MacDougall, C., & Lim, M. (2015). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2015.09.008

  • The use of disinfectant-pre-soaked wipes (DPW) to decontaminate high-touch environmental surfaces (HTES) by wiping is becoming increasingly widespread in the healthcare environment. However, DPW are rarely tested using conditions simulating their field use, and the label claims of environmental surface disinfectants seldom include wiping action. The aim of this study was to evaluate the new E2967-15 standard test specific to wipes, particularly their ability to decontaminate surfaces and to transfer acquired contamination to clean surfaces.

    Source : Sattar, S.A., Bradley, C., Kibbee, R., Wesgate, R.,  Wilkinson, M.A.C., Sharpe, T., & Maillard, J.-Y. (2015). Journal of hospital Infection. Prépublication. doi:10.1016/j.jhin.2015.08.026

  • The risks to patients from pathogens present on healthcare workers’ (HCWs’) hands are high; however, compliance with hand hygiene among HCWs is low. We devised a prospective intervention trial of a new hand-hygiene dispensing technology to improve HCWs’ compliance with hand hygiene. Baseline hand-hygiene compliance was observed for three months before and after an intervention consisting of implementation of an electronic device that reminds people to comply with hand hygiene after restroom visits. Compliance in hand-hygiene performance after restroom visits increased among HCWs from 66% to 91% after the intervention.

    Source : Møller-Sørensen, H., Korshin, A., Morgensen, T., & Høiby, N. (2015). Journal of Hospital Infection. Prépublication.  doi:10.1016/j.jhin.2015.09.012

  • The aim of this study was to estimate the prevalence of viral hepatitis C (HCV) infection among healthcare workers (HCWs) compared to the general population. A systematic search for the years 1989–2014 was conducted in the Medline, Embase and Cochrane databases. Studies on hepatitis C in HCWs were included if they incorporated either a control group or reference data for the general population. The pooled analysis indicates that the prevalence of infection is significantly higher in HCWs than in the general population. The highest prevalence was observed among medical and laboratory staff. Prospective studies that focus on HCW-specific activity and personal risk factors for HCV infection are needed.

    Source : Westermann, Claudia, Peters, Claudia, Lisiak, Birgitte, Lamberti, Monica, & Nienhaus, Albert. (2015). Occupational & environmental medicine. Prépublication. doi:10.1136/oemed-2015-102879

PRODUITS TOXIQUES

  • Au Canada et dans la plupart des pays industrialisés, l’eau domestique distribuée par les municipalités doit faire l’objet d’un traitement et de contrôles rigoureux afin de prévenir toute contamination par des agents chimiques ou biologiques. Dans bien des cas cependant, la qualité de l’eau domestique risque de se dégrader tout au long de son cheminement à l’intérieur du réseau de plomberie de l’immeuble.

    Source : Gauvin, Jean-Pierre. (2015, Septembre). Travail et santé, 31(3), 40-41.

  • Ce résumé du rapport de l’Observatoire européen des risques s’intéresse à plusieurs facteurs professionnels importants: expositions chimiques, physiques et biologiques et autres conditions de travail où l’environnement est potentiellement cancérigène (tel que le travail posté ou de nuit). Il examine également les possibilités d’identifier les nouvelles causes qui provoquent ou favorisent le cancer. La question des groupes vulnérables de travailleurs (par exemple: femmes, jeunes travailleurs, travailleurs soumis à une forte exposition aux cancérigènes, travailleurs qui travaillent dans des conditions précaires) est traitée. Les groupes cibles visés sont les chercheurs et les décideurs politiques, les intervenants en SST. Ce rapportl peut également être utile pour définir des priorités ainsi qu’aux personnes qui doivent gérer les évaluations des risques au travail.

    Source : Lißner, Lothar, Kuhl, Klaus, Kauppinen, Timo, & Uuksulainen, Sanni. (2014). Luxembourg: Office des publications de l’Union européenne, 29 p. Repéré à https://osha.europa.eu/en/file/72479/

Pour consulter le rapport complet disponible en anglais seulement :

https://osha.europa.eu/sites/default/files/publications/documents/en/publications/reports/report-soar-work-related-cancer/616-SoaR-work-related-cancer-with-executive-summary.pdf

  • There are many practices that are acceptable outside hospitals, but not inside. One of these is the application of artificial scents to our bodies. While artificial scents are designed to make us more attractive, they may result in unintended harm to those who are vulnerable. According to large surveys of the general public, about 30% of people report having some sensitivity to scents worn by others.Twenty-seven percent of people with asthma say their disease is made worse by such exposures. There is emerging evidence that asthma in some cases is primarily aggravated by artificial scents. This is particularly concerning in hospitals, where vulnerable patients with asthma or other upper airway or skin sensitivities are concentrated.

    Source : Flegel, Ken, & Martin, James G. (2015, October 5). CMAJ : Canadian Medical Association Journal. Prépublication. Repéré à http://www.cmaj.ca/content/early/2015/10/05/cmaj.151097.full.pdf+html

  • Yet there are still many misunderstandings and misconceptions surrounding the use of respiratory protection. Whether it is about responding to a possible chemical spill incident in the lab, processing chemical wastes, working in a confined space, or just dealing with routine chemical storage in the course of normal activities, we often get questions on the proper use of respirators. So, let’s get started and begin at the beginning.

    Source : McLeod, Vince. (2015, October). Lab Manager, 10(9), 36, 38-39. Repéré à http://www.labmanager.com/lab-health-and-safety/2015/10/a-breath-of-fresh-air?fw1pk=2#.VjDnCbcvdQI

  • This is the fourth edition of CSA Z317.10, Handling of health care waste materials. It supersedes the previous edition, published in 2009 under the title Handling of waste materials in health care facilities and veterinary health care facilities. It is one of a series of Standards related to health care facility engineering and sets forth preventive measures intended to protect patients, staff, visitors, and the public from exposure to potentially hazardous waste materials. It specifies requirements for the packaging, collection, storage, handling, treatment, and disposal of waste materials within health care facilities and veterinary health care facilities. It also includes guidance for health care waste materials generated outside of traditional health care settings (e.g., health care in the home environment, waste generated or recovered during emergency response activities). It is also intended to assist in the reduction of waste by providing recommended recycling practices.

    Source : Canadian Standard Association. (2015). Handling of health care waste materials. Mississauga, Ont. : CSA, 61 p. (CSA: Z317.10-15). Repéré à http://shop.csa.ca/en/invt/27013402015?utm_source=update-service&utm_medium=email&utm_term=Z317.10-09%20(R2014)&utm_content=html-txt-link&utm_campaign=various&utm_language=en

  • Il s’agit d’un  » test de lecture  » (questions et réponses) relatif à un article paru en juillet 2015.

    Source : Mise au point sur les risques toxiques lors de l’utilisation professionnelle des photocopieurs. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.06.006

Source de l’article original :  Desmond, C., Verdun-Esquer, C., Rinaldo, M., Courtois, A., & Labadie, M. (2015). Mise au point sur les risques toxiques lors de l’utilisation professionnelle des photocopieurs. Archives des Maladies Professionnelles et de l’Environnement. Prépublication.  doi:10.1016/j.admp.2015.04.045

  • Based on the current evidence, action to reduce workplace exposures linked to breast cancer is imperative. The Breast Cancer Fund has spent nearly 15 years translating the science that links environmental exposures to breast cancer, and advocating for change. In the past several years, it has become increasingly evident that the workplace may be a substantive source of many of these exposures and of the resulting risk for breast cancer. A well-established body of scientific evidence has identified five occupational groupings that are associated with considerably increased risk of breast cancer compared to the risk for the general population. This literature review confims the scientific consensus of these occupations : * Nurses – Up to 50% higher risk than for the general population * Teachers – Up to double the risk  * Librarians, lawyers, journalists and other professionals – Up to 4 times higher risk * Radiological technicians – Up to double the risk * Lab technicians, factory workers and others who work with chemical solvents – Up to 3 times higher risk.

    Source: Engel, Connie, & Rasanayagam, Sharima. (2015). [San Francisco, CA] : Breast Cancer Fund, 102 p. Repéré à http://www.breastcancerfund.org/assets/pdfs/publications/working-women-and-breast-cancer.pdf

  • Les activités reliées à des travaux d’aménagement, de sécurisation ou de réhabilitation de sites contaminés par de l’amiante peuvent entraîner la mise en suspension de fibres dans l’air. Les concentrations de fibres dans l’air peuvent dépendre de plusieurs paramètres dont la connaissance peut influer sur le choix de mesures de prévention et de protection des travailleurs. La présente étude visait donc à dresser l’état des connaissances sur la relation entre les concentrations de fibres d’amiante dans le sol et celles dans l’air. En résumé, le taux d’humidité du sol, sa concentration en amiante et le genre d’activités sur le site (qui est directement lié au brassage du sol), apparaissent comme étant les caractéristiques les plus influentes de la libération des fibres dans l’air. Des facteurs de moindre importance, tels que la nature du sol, le type d’amiante et la distance de la source d’émission peuvent également avoir une incidence. Enfin, les conditions météorologiques (pluie, vent et ensoleillement), la présence de couvert végétal et la friabilité des matériaux pourraient avoir un effet de moindre impact sur l’émission de fibres d’amiante aéroportées.

    Source : Lévesque, Martine, Dion, Chantal, Labrèche, France, & Zayed, Joseph. (2015). Montréal : IRSST, ix, 36 p. (Études et recherches, Rapport R-880). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-880.pdf

  • PROTECTION RESPIRATOIRE (V.A. QUALITÉ DE L’AIR)

  • Yet there are still many misunderstandings and misconceptions surrounding the use of respiratory protection. Whether it is about responding to a possible chemical spill incident in the lab, processing chemical wastes, working in a confined space, or just dealing with routine chemical storage in the course of normal activities, we often get questions on the proper use of respirators. So, let’s get started and begin at the beginning.

    Source : McLeod, Vince. (2015, October). Lab Manager, 10(9), 36, 38-39. Repéré à http://www.labmanager.com/lab-health-and-safety/2015/10/a-breath-of-fresh-air?fw1pk=2#.VjDnCbcvdQI

  • QUALITÉ DE L’AIR

  • There are many practices that are acceptable outside hospitals, but not inside. One of these is the application of artificial scents to our bodies. While artificial scents are designed to make us more attractive, they may result in unintended harm to those who are vulnerable. According to large surveys of the general public, about 30% of people report having some sensitivity to scents worn by others.Twenty-seven percent of people with asthma say their disease is made worse by such exposures. There is emerging evidence that asthma in some cases is primarily aggravated by artificial scents. This is particularly concerning in hospitals, where vulnerable patients with asthma or other upper airway or skin sensitivities are concentrated.

    Source : Flegel, Ken, & Martin, James G. (2015, October 5). CMAJ : Canadian Medical Association Journal. Prépublication. Repéré à http://www.cmaj.ca/content/early/2015/10/05/cmaj.151097.full.pdf+html

  • In developed countries, the incidence of inpatient hospital-acquired infections has been estimated to range between 5.1% and 11.6%, worsening patients’ health and leading to a number of deaths that would not have been expected on the basis of the pathologies for which they had been admitted. Water in the mains plays an important role in the onset of hospital-acquired infections, particularly given the rise in pulmonary disease due to Legionella pneumophila.

    Source : De Lorenzi, S., Salvatorelli, G., & Antonioli, P.M. (2015). Journal of Hospital Infection. Prépublication.  doi:10.1016/j.jhin.2015.09.015

  • Les activités reliées à des travaux d’aménagement, de sécurisation ou de réhabilitation de sites contaminés par de l’amiante peuvent entraîner la mise en suspension de fibres dans l’air. Les concentrations de fibres dans l’air peuvent dépendre de plusieurs paramètres dont la connaissance peut influer sur le choix de mesures de prévention et de protection des travailleurs. La présente étude visait donc à dresser l’état des connaissances sur la relation entre les concentrations de fibres d’amiante dans le sol et celles dans l’air. En résumé, le taux d’humidité du sol, sa concentration en amiante et le genre d’activités sur le site (qui est directement lié au brassage du sol), apparaissent comme étant les caractéristiques les plus influentes de la libération des fibres dans l’air. Des facteurs de moindre importance, tels que la nature du sol, le type d’amiante et la distance de la source d’émission peuvent également avoir une incidence. Enfin, les conditions météorologiques (pluie, vent et ensoleillement), la présence de couvert végétal et la friabilité des matériaux pourraient avoir un effet de moindre impact sur l’émission de fibres d’amiante aéroportées.

    Source : Lévesque, Martine, Dion, Chantal, Labrèche, France, & Zayed, Joseph. (2015). Montréal : IRSST, ix,  36 p. (Études et recherches, Rapport R-880). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-880.pdf

  • QUALITÉ DE L’EAU

  • Au Canada et dans la plupart des pays industrialisés, l’eau domestique distribuée par les municipalités doit faire l’objet d’un traitement et de contrôles rigoureux afin de prévenir toute contamination par des agents chimiques ou biologiques. Dans bien des cas cependant, la qualité de l’eau domestique risque de se dégrader tout au long de son cheminement à l’intérieur du réseau de plomberie de l’immeuble.

    Source : Gauvin, Jean-Pierre. (2015, Septembre). Travail et santé, 31(3), 40-41.

  • RADIOPROTECTION

  • The authors evaluated factors associated with increased radiation exposure dose in nursing staff who assisted patients with 18F-fluorodeoxyglucose positron emission tomography (PET), computed tomography (CT) examinations. Three nurses self-measured their radiation exposure dose while assisting patients during each PET examination. Disturbance factors during PET examinations (use of a stretcher or wheelchair, use of lines or tubes connected to the patient, use of diapers or urethral catheterization, patient age), 18F-FDG injection dose, and previous PET/CT experience in the patients and outpatient or inpatient status were evaluated as factors possibly associated with increased radiation exposure.

    Source :  Ito, Kimiteru, Suzuki, Maki, Yamazaki, Aino, Suzuki, Naoki Yokokawa, Yoshiko, Oosawa, Tatsufumi , & Tokumaru, Aya M. (2015). Journal of Occupational Health. Prépublication. Doi: http://doi.org/10.1539/joh.14-0282-OA

  • RETOUR AU TRAVAIL

  • Souvent, lorsque les gens ne comprennent pas certains comportements, ils émettent des hypothèses. Faire des suppositions peut les amener à prononcer des paroles que leurs interlocuteurs pourraient trouver blessantes, bouleversantes ou auxquelles ils se sentent obligés de répondre. Généralement, les gens ne causent pas de tort volontairement. Il est possible qu’ils ne réalisent pas à quel point leurs paroles peuvent blesser. Cet article examine quelques-unes des réponses qu’un employé absent du travail en raison d’un trouble de santé mentale peut fournir à ses collègues qui l’interrogent à son retour au travail. Lisez cet article sous l’angle de la compréhension des paroles et des suppositions pouvant être perçues comme blessantes par ceux qui souffrent mentalement. Il vous invite à réfléchir à comment vous répondriez si vous étiez dans une situation similaire.

    Source : Great-West. Centre pour la santé mentale en milieu de travail et Mood Disorders Association of Ontario. (2015). Se rétablir en travaillant : Les discussions avec vos collègues. Repéré à http://www.strategiesdesantementale.com/wti/SectionResource.aspx?SectionID=5&ResourceID=16&captions=false

  • SÉCURITÉ DES MACHINES – CADENASSAGE

  • À la fin du processus de conception et malgré les efforts de protection, il peut subsister des risques. Les travailleurs ne devant évidemment pas être exposés aux phénomènes dangereux résiduels associés à ces risques, d’autres moyens complémentaires doivent être mis en œuvre. Cet article est le dernier d’une série qui détaille la démarche de réduction du risque proposée dans la norme ISO 12100:2010.

    Source : (2015, Septembre). Travail et santé, 31(3), 16-19.

  • Many employers have invested a lot of time, money and effort into making their workplace safety programs as effective as possible. Precautions against excessive noise, respirable contamination, fall protection and many other hazards emphasize the role workers have in performing their job tasks using required safety equipment and methods. Let’s take a closer look at where some of these efforts fall short, at strong examples of companies with the best lockout programs, and where investments in lockout programs truly protect their people and bottom line.

    Source : Grover, Todd. (2015, October 13). Simple Ways to Improve Your Facility Lockout Practices : Taking a closer look at lockout equipment, training and procedures. EHS today. Repéré à http://ehstoday.com/safety/simple-ways-improve-your-facility-lockout-practices

  • You must assess all the machines in your facility for safety compliance and guarding. You have a very limited budget. Where do you begin ? The obvious thought would be to start with the most dangerous machines, but how do you determine that? You need a risk assessment. Budget, time and prioritization are common challenges for most plant or safety managers with respect to machine safeguarding. The solution might be a relatively new service called a high-level assessment, sometimes referred to as a « safety check. »

    Source : Harris, Richard, (2015, October 9). EHS Today. Repéré à http://ehstoday.com/safety/risk-assessments-prioritizing-your-machine-safety-requirements

  • SANTÉ PSYCHOLOGIQUE

  • De nombreuses recherches scientifiques montrent aujourd’hui que l’expression «prendre le temps de souffler» est plus qu’une façon de parler. S’arrêter quelque peu pour respirer profondément amène en effet une forme de recul qui peut nous éviter fatigue et tensions inutiles.

    Source : Lafleur, Jacques. (2015, septembre). Travail et santé, 31(3), 32-34. Repéré à http://www.apprivoisersonstress.ca/outils/pauses-respiration/

  • Environ 33 % des employés disent avoir éprouvé ou ressentir actuellement des troubles reliés à la santé mentale tels que l’anxiété et la dépression selon un sondage pancanadien de Morneau Shepell. Ce même sondage révèle que 31% des travailleurs ont confié avoir pris des journées de congé à cause du stress. Et si la solution résidait dans le fait de choisir de vivre ce stress différemment ?

    Source : Banville, Julie, & Ayotte, Jacinthe. (2015, Septembre). Travail et santé, 31(3), 42-43.

  • Depuis le premier avril, une nouvelle page d’histoire commence pour le réseau de la santé et des services sociaux québécois. Au-delà d’une refonte de structures, c’est une transformation de la vision même de notre réseau et de son offre de soins et de services qui se dessine. Il va de soi que  » l’expérience usager « , vécue avec une accessibilité, une qualité et une continuité accrues des soins et services, fera foi de la réussite de la transformation du réseau. Voilà la promesse faite à la population, Mais comment réaliser cet audacieux défi ? L’auteure de cet article, coordonnatrice Planetree au CISSS de l’Estrie, nous présente le modèle Planetree.

    Source : Poulin, Marie-Claude. (2015). Le point en santé et services sociaux, 11(2), 19-21.

  • Saluer ses collègues en arrivant au travail le matin ou avant de partir le soir paraît simple, voire même banal. Pourtant, ce n’est pas si anodin ! Cela fait partie des règles implicites qui agrémentent la vie en collectivité.

    Source : La santé psychologique au travail : la civilité. (Automne 2015). Graphiprévention, 31(3), 2-3.Repéré à http://www.aspimprimerie.qc.ca/fichier/graphiprevention/Vol31No3.pdf

  • Le projet dont il est ici question a été élaboré autour d’un objectif principal : mettre en place une démarche participative de prévention des problèmes de santé psychologique au travail pour les préposés aux bénéficiaires (PAB). Cette démarche vise tout particulièrement à contrer les effets du travail émotionnellement exigeant chez les PAB. Ce document propose un bilan des rencontres individuelles réalisées dans le cadre de l’étape préparatoire.

    Source : Allaire, Émilie, Jauvin, Nathalie, & Duchesne, Audrey. (2015). Démarche de prévention pour contrer les effets du travail émotionnellement exigeant chez les préposés aux bénéficiaires du CIUSSS de la Capitale-Nationale – CSSS de la Vieille-Capitale : bilan des rencontres exploratoires. [Québec] : CIUSSS de la Capitale-Nationale et CSSS de la Vieille-Capitale, 14 p. Repéré à http://www.ripost.qc.ca/fileadmin/user_upload/publications/fichiers/PAB_TEE-_bilan_des_rencontres_exploratoires_Version_FINALE__ms_NJ_EA_3__Web_.pdf

  • Chronic musculoskeletal pain is prevalent among laboratory technicians and work-related stress may aggravate the problem.  This study investigated the effect of a multifaceted worksite intervention on pain and stress among laboratory technicians with chronic musculoskeletal pain using individually tailored physical and cognitive elements.

    Source : Jay, Kenneth, Brandt, Mikkel, Hansen, Klaus, Sundstrup, Emil, Jakobsen, Markus D., Mc Schraefel, Sjoggard, Gisela, & Andersen, Lars L. (2015). Pain Physician, 18(5), 459-471. Repéré à http://www.painphysicianjournal.com/current/pdf?article=MjQwNw%3D%3D&journal=91

  • « J’ai rencontré Deepak Chopra. Oui, le médecin, penseur et auteur à succès d’origine indienne et de nationalité américaine qui a signé des bestsellers comme Le Livre des coïncidences et Les Sept lois spirituelles du succès. Celui qui a fait office de coach pour nombre de célébrités. Celui que le magazine Time a déjà considéré comme l’une des 100 personnalités les plus influentes du monde. Cette rencontre s’est produite la semaine dernière à Montréal, à l’occasion d’une conférence organisée par l’organisme haligonien Autopoetic Ideas. Une conférence renversante d’intelligence et de profondeur, durant laquelle Deepak Chopra a fait une brève allusion à sa propre conception du leadership, à savoir le leadership inspiré. »

    Source : Schmouker, Olivier. (20 octobre 2015). J’ai rencontré Deepak Chopra et découvert le leadership inspiré. [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/j-ai-rencontre-deepak-chopra-et-decouvert-le-leadership-inspire/582566

  • The aim of this study was to investigate whether rotating shift work increases occupational stress in nurses. This study measured shift work scheduling and occupational stress by using the Effort-Reward Imbalance model with self-reported questionnaires in a sample of 654 female nurses. The authors concluded that the nurses who worked rotating shifts tended to experience work-related stress, but their stress levels improved if they had at least 2 days off after their most recent night shift and if they were not scheduled to work 7 consecutive days. These empirical data can be used to optimize work schedules for nurses to alleviate work stress.

    Source : Lin, Pei-Chen, Chen, Chung-Hey, Pan, Shung-Mei, Chen, Yoa-Mei, Pan, Chih-Hong, Hung, Hsin-Chia, & Wu, Ming-Tsang. (2015). Journal of Occupational Health. Prépublication. http://doi.org/10.1539/joh.13-0284-OA

  • Les professeurs en sciences de la gestion Marie-Noëlle Albert et Michel Fortier proposent une nouvelle façon de concevoir la gestion des ressources humaines. Misant sur la gestion des personnes, cette approche novatrice a fait l’objet d’une publication dans la revue scientifique SAGE Open. La gestion des ressources humaines moderne peine à offrir une prise en compte éthique des êtres humains dans les organisations, observe le professeur Fortier. « Notre recherche met de l’avant un changement conceptuel proposant le passage de ressource à être humain et que nous définissons comme « gestion des personnes ».

    Source : Fortier, Michel, & Albert, Marie-Noëlle. (2015). From Resource to Human Being : Toward Persons Management. SAGE Open, 1-13. Repéré à http://sgo.sagepub.com/content/spsgo/5/3/2158244015604347.full.pdf

  • The aim of the current study was to elucidate prospective effects of both shift schedules and work environment on mental distress. A total of 2059 nurses participated at baseline (38.1%), and 1582 nurses completed wave 2 of the survey (76.8%). The results indicated that whether psychosocial working conditions buffer mental health effects of shiftwork remains undecided. Prospective studies with multiple measurement points are needed to elucidate potential mutual relationships between work factors and mental distress.

    Source : Berthelsen, Mona Cand., Pallesen, Ståle, Magerøy, Nils, Tyssen, Reidar, Bjorvatn, Bjørn, Moen, Bente Elisabeth, & Knardahl, Stein. (2015). JOEM : Journal of Occupational & Environmental Medicine, 57(10), 1127-1137. doi: 10.1097/JOM.0000000000000532

  • MSDs are one of our largest OHS problems, but workplace risk management procedures do not reflect current evidence concerning their work-related causes. Inadequate attention is given to assessing and controlling risk from psychosocial hazards, and the conventional risk management paradigm focuses too narrowly on risk from individual hazards rather than promoting the more holistic approach needed to manage the combined effects of all relevant hazards. Achievement of such changes requires new MSD risk management tools and better integration of the roles of OHS personnel with those of line managers.

    Source : MacDonald, Wendy, & Oakman, Jodi. (2015). BMC Musculoskeletal Disorders, 16:293. doi:10.1186/s12891-015-0750-8

  • Souvent, lorsque les gens ne comprennent pas certains comportements, ils émettent des hypothèses. Faire des suppositions peut les amener à prononcer des paroles que leurs interlocuteurs pourraient trouver blessantes, bouleversantes ou auxquelles ils se sentent obligés de répondre. Généralement, les gens ne causent pas de tort volontairement. Il est possible qu’ils ne réalisent pas à quel point leurs paroles peuvent blesser. Cet article examine quelques-unes des réponses qu’un employé absent du travail en raison d’un trouble de santé mentale peut fournir à ses collègues qui l’interrogent à son retour au travail. Lisez cet article sous l’angle de la compréhension des paroles et des suppositions pouvant être perçues comme blessantes par ceux qui souffrent mentalement. Il vous invite à réfléchir à comment vous répondriez si vous étiez dans une situation similaire.

    Source : Great-West. Centre pour la santé mentale en milieu de travail et Mood Disorders Association of Ontario. (2015). Se rétablir en travaillant : Les discussions avec vos collègues. Repéré à http://www.strategiesdesantementale.com/wti/SectionResource.aspx?SectionID=5&ResourceID=16&captions=false

  • SERVICES À DOMICILE

  • The number of personnel providing in-home health care services is increasing substantially. The unique configuration of environmental hazards in individual client homes has a significant impact on the safety and health of home health care providers (HHPs). This mixed-methods study used data from a standardized questionnaire, focus groups, and individual interviews to explore environmental health and safety hazards encountered by HHPs in client homes. Findings indicate the need for broader training to enable HHPs to identify and address hazards they encounter in client homes.

    Source : Polivka, Barbara J., Wills, Celia E., Darragh, Amy, Lavender, Steven, Sommerich, Carolyn, & Stredney, Donald. (2015). Workplace Health & Safety, 63(11), 512-522. Doi: 10.1177/2165079915595925

    Voir aussi les questions à choix multiple relatives à cet article : http://whs.sagepub.com/content/63/11/523.full

  • Despite numerous initiatives to improve the working environment for nursing aides, musculoskeletal disorders (pain) is still a considerable problem because of the prevalence, and pervasive consequences on the individual, the workplace and the society. Discrepancies between effort and effect of workplace health initiatives might be due to the fact that pain and the consequences of pain are affected by various individual, interpersonal and organizational factors in a complex interaction. Recent health literacy models pursue an integrated approach to understanding health behavior and have been suggested as a suitable framework for addressing individual, organizational and interpersonal factors concomitantly. Therefore, the aim of the trial is to examine the effectiveness of an intervention to improve health literacy (building knowledge, competences and structures for communication and action) at both the organizational and individual level and reduce pain among nursing aides.

    Source : Larsen, Anne Konring, Holtermann, Andreas, Mortensen, Ole Steen, Punnett, Laura, Rod, Morten Hulvej, & Jørgensen, Marie Birk. (2015). BMC Nursing, 14, 46. doi:10.1186/s12912-015-0096-4. Repéré à  http://www.biomedcentral.com/1472-6955/14/46

  • SERVICES AMBULANCIERS

  • Emergency medical services (EMS) clinicians are shift workers deployed in two-person teams. Extended shift duration, workplace fatigue, poor sleep and lack of familiarity with teammates are common in the EMS workforce and may contribute to workplace injury. We sought to examine the relationship between shift length and occupational injury while controlling for relevant shift work and teamwork factors. We obtained 3 years of shift schedules and occupational injury and illness reports were from 14 large EMS agencies. The results indicated that shift length is associated with increased risk of occupational injury and illness in this sample of EMS shift workers.

    Source : Weaver, Matthew D., Patterson, P. Daniel, Fabio, Anthony, Moore, Charity G., Freiberg, Matthew S., & Songer, Thomas J. (2015). Occupational & Environmental Medicine, 72(11), 798-804. doi:10.1136/oemed-2015-102966

  • SERVICES D’HÉBERGEMENT

  • Traditionnaly, a centralized Nurses’ Station has been a prominent feature in long-term care homes. Often it was located at the entrance to the residential living areas and served as a control point for visiting family members and residents. The design of the station acted as a barrier separating staff from residents – closed-in offices or behind high counters – thereby reinforcing the institutional aspect. Solutions to this centralized design involve breaking up the Nurses’ Stations into smaller, more welcoming decentralized stations – or the creating of a hybrid form.

    Source : Benbow, Bill. (2015, September / October). Canadian Nursing Home,  26(3), 4-9.

  • Le projet dont il est ici question a été élaboré autour d’un objectif principal : mettre en place une démarche participative de prévention des problèmes de santé psychologique au travail pour les préposés aux bénéficiaires (PAB). Cette démarche vise tout particulièrement à contrer les effets du travail émotionnellement exigeant chez les PAB. Ce document propose un bilan des rencontres individuelles réalisées dans le cadre de l’étape préparatoire.

    Source : Allaire, Émilie, Jauvin, Nathalie, & Duchesne, Audrey. (2015). Démarche de prévention pour contrer les effets du travail émotionnellement exigeant chez les préposés aux bénéficiaires du CIUSSS de la Capitale-Nationale – CSSS de la Vieille-Capitale : bilan des rencontres exploratoires. [Québec] : CIUSSS de la Capitale-Nationale et CSSS de la Vieille-Capitale, 14 p. Repéré à http://www.ripost.qc.ca/fileadmin/user_upload/publications/fichiers/PAB_TEE-_bilan_des_rencontres_exploratoires_Version_FINALE__ms_NJ_EA_3__Web_.pdf

  • Dementia, including Alzheimer’s disease, is a health condition saddled with social stigmas and is widely misunderstood. Person-centered care practices can positively improve the psychosocial experience of living with dementia and have become the gold standard for care because of the resulting beneficial outcomes. The purpose of the current article is to describe four person-centered principles that form the foundation for dementia care practice: (a) the idea that individuals can and do live fully with dementia; (b) quality of life depends not only on the care received but also on the value that others put on their abilities and life; (c) being meaningfully engaged and having purpose are vital to well-being; and (d) respect, dignity, and choice are not only foundational to person-centered care but for basic human rights. Although efforts have been made to mandate person-centered practices, challenges remain that can direct future research and practice efforts.

    Source : Love, Karen, & Femia, Elia. (2015). Journal of Gerontological Nursing, 41(11), 9-14. DOI: 10.3928/00989134-20151015-02

  • La ministre de la Famille, ministre responsable des Aînés, ministre responsable de la Lutte contre l’intimidation et ministre responsable de la région de Laval, Mme Francine Charbonneau, et le ministre de la Santé et des Services sociaux, M. Gaétan Barrette, ont confié le mandat au Comité national d’éthique sur le vieillissement de produire un avis sur les préoccupations éthiques relatives à l’utilisation de caméras vidéo dans les différents milieux de vie des aînés. Les ministres précisent leur demande en invitant le Comité à analyser la question dans une perspective éthique et à proposer des principes directeurs en tenant compte des différents acteurs concernés soit : les familles éprouvant le besoin de communiquer avec leur proche aîné et de veiller à leur sécurité, les aînés et leur droit à la vie privée et à l’intégrité, le personnel soignant et la préservation de leur réputation et des relations professionnelles.

    Source : Rozon, Nicole, & Boucher, Mylène. (2015). Aspects éthiques de l’utilisation de caméras vidéo dans les milieux de vie des aînés. [S.l.] : Comité national d’éthique sur le vieillissement. 106 p. Repéré à https://www.ivpsa.ulaval.ca/sites/ivpsa.ulaval.ca/files/avis_rapport_complet.pdf

  • SERVICES DE GARDE – CPE

  • La ministre de la Famille, ministre responsable des Aînés et ministre responsable de la Lutte contre l’intimidation, Mme Francine Charbonneau, a annoncé aujourd’hui qu’elle rend obligatoire la présence d’un appareil de détection de monoxyde de carbone dans tous les services de garde éducatifs à l’enfance. Cette obligation est rendue possible grâce à une modification au Règlement sur les services de garde éducatifs à l’enfance.

    Source: Famille Québec. (2015, 21 octobre). La ministre de la Famille rend obligatoire l’installation d’appareils de détection du monoxyde de carbone dans les services de garde éducatifs du Québec. Repéré à https://www.mfa.gouv.qc.ca//fr/ministere/centre-presse/actualites//Pages/actualites.aspx?urlPage=fr%2fNouvelles%2fPages%2fnouvelle_2015-10-21-2.aspx&retour=%2ffr%2fministere%2fcentre-presse%2factualites%2f%2fPages%2findex.aspx

  • TRAVAIL DE BUREAU

  • Epidemiological studies have demonstrated that sedentary behaviour, particularly prolonged sitting, increases total and cardiovascular mortality even in individuals who meet the recommended goals of weekly physical activity. More recent studies, assessing the association between sedentary lifestyle and health, highlight the possible role of standing (vs. sitting) to prevent obesity and metabolic dysregulation. The message regarding the importance of decreasing sedentary lifestyle, even for people who perform regular exercise, may be confusing at first, as those two behaviours may be wrongly considered as mutually exclusive. People can be physically active performing hours of vigorous physical activity every week and still spend many hours in sedentary mode. Other people might be moving all day long without performing any formal or structured exercise. Adding more confusion to this is the message highlighting the importance of standing vs. sitting, as standing is not seen as a form of physical activity.

    Source : Lopez-Jimenez, Francisco. European Heart Journal. Prépublication. DOI: http://dx.doi.org/10.1093/eurheartj/ehv356

  • While excessive sitting time is related adversely to cardio-metabolic health, it is unknown whether standing is a suitable replacement activity or whether ambulatory movement is required. Using isotemporal substitution analyses, we modelled cross-sectional associations with cardio-metabolic risk biomarkers of reallocating time (2 h/day) from sitting to standing or to stepping.

    Source : Healy, Genevieve N., Winkler, Elizabeth A.H., Owen, Neville, Anuradha, Satyamurthy, & Dunstan, David W. (2015). European Heart Journal. Prépublication. DOI: http://dx.doi.org/10.1093/eurheartj/ehv308

  • Il s’agit d’un  » test de lecture  » (questions et réponses) relatif à un article paru en juillet 2015. Source : Mise au point sur les risques toxiques lors de l’utilisation professionnelle des photocopieurs. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.06.006

    Source de l’article original : Desmond, C., Verdun-Esquer, C., Rinaldo, M., Courtois, A., & Labadie, M. (2015). Mise au point sur les risques toxiques lors de l’utilisation professionnelle des photocopieurs. Archives des Maladies Professionnelles et de l’Environnement. Prépublication.  doi:10.1016/j.admp.2015.04.045

  • Sitting behaviours have been linked with increased risk of all-cause mortality independent of moderate to vigorous physical activity (MVPA). Previous studies have tended to examine single indicators of sitting or all sitting behaviours combined. This study aims to enhance the evidence base by examining the type-specific prospective associations of four different sitting behaviours as well as total sitting with the risk of all-cause mortality.

    Source : Pulsford, Richard M., Stamatakis, Emmanuel, Britton, Annie R., Brunner, Eric J., & Hillsdon, Melvyn. (2015). International Journal of Epidemiology. Prépublication. doi: 10.1093/ije/dyv191

  • TRAVAIL EN ÉQUIPE

  • Emergency medical services (EMS) clinicians are shift workers deployed in two-person teams. Extended shift duration, workplace fatigue, poor sleep and lack of familiarity with teammates are common in the EMS workforce and may contribute to workplace injury. We sought to examine the relationship between shift length and occupational injury while controlling for relevant shift work and teamwork factors. We obtained 3 years of shift schedules and occupational injury and illness reports were from 14 large EMS agencies. The results indicated that shift length is associated with increased risk of occupational injury and illness in this sample of EMS shift workers.

    Source : Weaver, Matthew D., Patterson, P. Daniel, Fabio, Anthony, Moore, Charity G., Freiberg, Matthew S., & Songer, Thomas J. (2015). Occupational & Environmental Medicine, 72(11), 798-804. doi:10.1136/oemed-2015-102966

  • TRAVAIL EN LABORATOIRE

  • Yet there are still many misunderstandings and misconceptions surrounding the use of respiratory protection. Whether it is about responding to a possible chemical spill incident in the lab, processing chemical wastes, working in a confined space, or just dealing with routine chemical storage in the course of normal activities, we often get questions on the proper use of respirators. So, let’s get started and begin at the beginning.

    Source : McLeod, Vince. (2015, October). Lab Manager, 10(9), 36, 38-39. Repéré à http://www.labmanager.com/lab-health-and-safety/2015/10/a-breath-of-fresh-air?fw1pk=2#.VjDnCbcvdQI

  • Chronic musculoskeletal pain is prevalent among laboratory technicians and work-related stress may aggravate the problem.  This study investigated the effect of a multifaceted worksite intervention on pain and stress among laboratory technicians with chronic musculoskeletal pain using individually tailored physical and cognitive elements.

    Source : Jay, Kenneth, Brandt, Mikkel, Hansen, Klaus, Sundstrup, Emil, Jakobsen, Markus D., Mc Schraefel, Sjoggard, Gisela, & Andersen, Lars L. (2015). Pain Physician, 18(5), 459-471. Repéré à http://www.painphysicianjournal.com/current/pdf?article=MjQwNw%3D%3D&journal=91

  • TRAVAIL SÉDENTAIRE

  • Epidemiological studies have demonstrated that sedentary behaviour, particularly prolonged sitting, increases total and cardiovascular mortality even in individuals who meet the recommended goals of weekly physical activity. More recent studies, assessing the association between sedentary lifestyle and health, highlight the possible role of standing (vs. sitting) to prevent obesity and metabolic dysregulation. The message regarding the importance of decreasing sedentary lifestyle, even for people who perform regular exercise, may be confusing at first, as those two behaviours may be wrongly considered as mutually exclusive. People can be physically active performing hours of vigorous physical activity every week and still spend many hours in sedentary mode. Other people might be moving all day long without performing any formal or structured exercise. Adding more confusion to this is the message highlighting the importance of standing vs. sitting, as standing is not seen as a form of physical activity.

    Source : Lopez-Jimenez, Francisco. European Heart Journal. Prépublication. DOI: http://dx.doi.org/10.1093/eurheartj/ehv356

  • While excessive sitting time is related adversely to cardio-metabolic health, it is unknown whether standing is a suitable replacement activity or whether ambulatory movement is required. Using isotemporal substitution analyses, we modelled cross-sectional associations with cardio-metabolic risk biomarkers of reallocating time (2 h/day) from sitting to standing or to stepping.

    Source : Healy, Genevieve N., Winkler, Elizabeth A.H., Owen, Neville, Anuradha, Satyamurthy, & Dunstan, David W. (2015). European Heart Journal. Prépublication. DOI: http://dx.doi.org/10.1093/eurheartj/ehv308

  • Sitting behaviours have been linked with increased risk of all-cause mortality independent of moderate to vigorous physical activity (MVPA). Previous studies have tended to examine single indicators of sitting or all sitting behaviours combined. This study aims to enhance the evidence base by examining the type-specific prospective associations of four different sitting behaviours as well as total sitting with the risk of all-cause mortality.

    Source : Pulsford, Richard M., Stamatakis, Emmanuel, Britton, Annie R., Brunner, Eric J., & Hillsdon, Melvyn. (2015). International Journal of Epidemiology. Prépublication. doi: 10.1093/ije/dyv191

  • TRAVAILLEUSE ENCEINTE – GROSSESSE

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  • The purpose of this study was to evaluate the association of work schedule and physical factors with fecundity. Women currently employed outside the home and trying to get pregnant (n=1739) in the Nurses’ Health Study 3 cohort (2010-2014) were included in this analysis. Work schedule and physical labour were self-reported on the baseline questionnaire, and every 6 months thereafter the women reported the duration of their ongoing pregnancy attempt.

    Source : Gaskins, Audrey, J., Rich-Edwards, Janet W., Lawson, Christina C., Schernhammer, Eva S., Missmer, Stacey A., & Chavarro, Jorge E. (2015). Occupational & environmental medicine, 72(11), 777-783. doi:10.1136/oemed-2015-103026

  • TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • Lorsqu’une entreprise désire atteindre des objectifs précis en matière de prévention, de santé et de sécurité sur sa chaine de production, la compréhension du travail s’avère un atout important pour mieux intervenir notamment dans la prévention des troubles musculosquelettiques (TMS).

    Source : Verreault, Charles. (2015, Septembre). Travail et santé, 31(3), 10-14.

  • Chronic musculoskeletal pain is prevalent among laboratory technicians and work-related stress may aggravate the problem.  This study investigated the effect of a multifaceted worksite intervention on pain and stress among laboratory technicians with chronic musculoskeletal pain using individually tailored physical and cognitive elements.

    Source : Jay, Kenneth, Brandt, Mikkel, Hansen, Klaus, Sundstrup, Emil, Jakobsen, Markus D., Mc Schraefel, Sjoggard, Gisela, & Andersen, Lars L. (2015). Pain Physician, 18(5), 459-471. Repéré à http://www.painphysicianjournal.com/current/pdf?article=MjQwNw%3D%3D&journal=91

  • MSDs are one of our largest OHS problems, but workplace risk management procedures do not reflect current evidence concerning their work-related causes. Inadequate attention is given to assessing and controlling risk from psychosocial hazards, and the conventional risk management paradigm focuses too narrowly on risk from individual hazards rather than promoting the more holistic approach needed to manage the combined effects of all relevant hazards. Achievement of such changes requires new MSD risk management tools and better integration of the roles of OHS personnel with those of line managers.

    Source : MacDonald, Wendy, & Oakman, Jodi. (2015). BMC Musculoskeletal Disorders, 16:293. doi:10.1186/s12891-015-0750-8

  • Despite numerous initiatives to improve the working environment for nursing aides, musculoskeletal disorders (pain) is still a considerable problem because of the prevalence, and pervasive consequences on the individual, the workplace and the society. Discrepancies between effort and effect of workplace health initiatives might be due to the fact that pain and the consequences of pain are affected by various individual, interpersonal and organizational factors in a complex interaction. Recent health literacy models pursue an integrated approach to understanding health behavior and have been suggested as a suitable framework for addressing individual, organizational and interpersonal factors concomitantly. Therefore, the aim of the trial is to examine the effectiveness of an intervention to improve health literacy (building knowledge, competences and structures for communication and action) at both the organizational and individual level and reduce pain among nursing aides.

    Source : Larsen, Anne Konring, Holtermann, Andreas, Mortensen, Ole Steen, Punnett, Laura, Rod, Morten Hulvej, & Jørgensen, Marie Birk. (2015). BMC Nursing, 14, 46. doi:10.1186/s12912-015-0096-4. Repéré à  http://www.biomedcentral.com/1472-6955/14/46

  • VACCINATION

  • The American Nurses Association is calling for all registered nurses to receive the seasonal flu vaccination and to encourage their patients to get vaccinated. The association approved an immunization position statement in July that coincides with CDC guidance urging all individuals older than 5 months to get vaccinated each flu season. ANA’s position statement offers exceptions for medical and religious reasons. The position also agrees with ANA’s Code of Ethics for Nurses with Interpretive Statements, which explains that registered nurses have an ethical duty to display « the same health maintenance and health promotion measures that they teach and research, » according to an Oct. 27 press release.

    Source :  All nurses should get a flu shot, American Nurses Association says. (2015, October 28). Safety+Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/13235-all-nurses-should-get-a-flu-shot-american-nurses-association-says

  • Le vaccin proposé lors de la campagne de vaccination contre la grippe 2014-2015 n’a pas présenté toute l’efficacité souhaitée, les souches circulantes étant quelque peu différentes de celles proposées dans le vaccin.  Pour cette campagne 2015-2016, la confiance est restaurée car les premières données des centres nationaux de référence européens et américains, ne détectent que le virus A (H3N2) identique à a souche vaccinale (A/Switzerland/9715293/2013).

    Source : L’efficacité du vaccin grippe 2015-2016 sera au rendez-vous. (15 octobre 2015). Camip.Info : Revue de la santé au travail. Repéré à http://www.camip.info/L-efficacite-du-vaccin-grippe-2015.html

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