COIN DE LA DOCUMENTALISTE – JANVIER-FÉVRIER 2016

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ACCIDENTS DE TRAVAIL

  • The U.S. Department of Labor has identified the health care industry as a major source of all U.S. workplace injuries. Studies have shown that injury within the health care workforce is related to high turnover rates, burnout, poor job satisfaction, and leaving the health care workforce permanently, thus contributing to the existing health care workforce shortages. The purpose of this synthesis of the literature was twofold. The first was to conduct a comprehensive evaluation of the occupational health and safety literature to determine the key antecedents to health care provider injury. The second was to utilize the National Institute for Occupational Safety and Health (NIOSH) framework to organize the findings.

    Source : McCaughey, Deirdre, Kimmel, Ashley, Savage, Grant, Lukas, Tiana, Walsh, Erin, & Halbesleben, Jonathan. (2016). Health Care Management Review, 41(1), 42-55. doi: 10.1097/HMR.0000000000000043

  • How many times were our accidents, injuries and catastrophes literally one breath away from a different result? Isn’t a near-miss really just a “one breath away” moment? How many times in our lives have these words been meaningful?

    Source : Wojick, Tom. (2016, January 21). EHS Today. Repéré à http://ehstoday.com/safety/breath-away-catastrophe-creating-mindful-work-environments

ADMINISTRATION DE LA SANTÉ

  • Cette circulaire a pour but de préciser les attentes ministérielles envers les établissements de santé et de services sociaux dans l’organisation des services entourant l’accès à la marihuana à des fins médicales pour les personnes hospitalisées ou hébergées. Cette circulaire fait suite à l’adoption en novembre 2015 du Projet de loi nº44 visant à renforcer la lutte au tabagisme modifiant la Loi sur le tabac (RLRQ, chapitre T-0.01). On y traite également de la nécessité de protéger les travailleurs exposés à la fumée du tabac et de la marihuana séchée.

    Source :  Québec. Ministère de la Santé et des Services sociaux. (2015, 11 décembre). Organisation des services entourant l’accès à la marihuana (cannabis) à des fins médicales pour les clientèles hospitalisées ou hébergées. Répertoire des normes et pratiques de gestion, Tome II. 7 p. (Circulaire 2015-016). Repéré à http://msssa4.msss.gouv.qc.ca/fr/document/d26ngest.nsf/1f71b4b2831203278525656b0004f8bf/6eb7f4de13f52f8e85257f1c0057dce9/$FILE/2015-016.pdf

  • Health care is shifting out of hospitals into community settings. In Ontario, Canada, home care organizations continue to experience challenges recruiting and retaining nurses. However, factors influencing home care nurse retention that can be modified remain largely unexplored. Several groups of factors have been identified as influencing home care nurse intent to remain employed including job characteristics, work structures, relationships and communication, work environment, responses to work, and conditions of employment. The aim of this study was to test and refine a model that identifies which factors are related to home care nurse intentions to remain employed for the next 5 years with their current home care employer organization.

    Source : Tourangeau, Ann E., Patterson, Erin, Saari, Margaret, Thompson, Heather, & Cranley, Lisa. (2016). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000093

AGRESSIONS – VIOLENCE

  • According to a 2007 Statistics Canada report, which cited findngs from a 2004 survey about people’s experiences with violence, 17 per cent of reported incidents had occured in work environments. No one should have to fear being attacked or physically hurt while at work, but this is a problem that affects all sectors to some degree. Violence is a particular concern in healthcare and social work, in which employees routinely face assault from unstable patients with mental-health conditions.

    Source : Out of control. (2015, November-December). OHS Canada, 31(6), 46-47.

  • Aggression management training for nurses is an important part of a comprehensive strategy to reduce patient and visitor aggression in healthcare. Although training is commonplace, few scientific studies examine its benefits. The purpose of this study was to explore and describe, from a nurse’s perspective, the learning gained from attending aggression management training.

    Source : Heckermann, Birgit, Breimaier, Helga Elisabeth, Halfens, Ruud J.G., Schols, Jos M.G.A., & Hahn, Sabine. (2016). Scandinavian Journal of Caring Sciences. Prépublication. DOI: 10.1111/scs.12281

  • La violence en milieu de travail dans le système de santé canadien entraîne d’importantes répercussions, non seulement sur les travailleurs de la santé et les usagers touchés, mais sur l’ensemble du système de santé. Pour le système de santé canadien, la prévention de la violence en milieu de travail est un défi de taille qui requiert l’engagement de tout le personnel d’encadrement des organismes de soins de santé, de même qu’un suivi constant des tendances au sein de ces organismes. Le présent rapport pancanadien repose sur des données d’ensemble fournies par les organismes de soins de santé qui participent au programme Qmentum d’Agrément Canada. Il témoigne des efforts consentis par ces organismes en matière de sécurité et de prévention de la violence au travail, ainsi que des résultats du Sondage Pulse sur la qualité de vie au travail. Les renseignements ainsi recueillis présentent un point de vue unique sur les soins de santé au Canada.

    Source : Hasanaj, Qendresa, Mitchell, Jonathan, & Roman, Viktoria. (2015). Prévention de la violence et promotion de la sécurité au travail dans les organismes de santé canadiens : Rapport canadien sur l’agrément des services de santé. Ottawa : Agrément Canada, 18 p. Repéré à https://accreditation.ca/sites/default/files/rcas-2015.pdf

  • Depuis quelques années, le personnel d’HAD Nice et Régions est confronté à des situations de violence (en majorité verbale) de la part de certaines personnes qu’ils traitent, mais aussi de leur entourage. Afin d’apporter une réponse à ses salariés dont certains commençaient à développer des symptômes de stress, l’association a décidé de mener une réflexion sur le sujet avec le CHSCT de la structure. L’hospitalisation à domicile Nice et Régions est parvenue à réduire les arrêts maladie de son personnel soignant en menant une politique audacieuse de prévention basée sur une remontée systématique des événements graves ainsi que sur la formation.

    Source : Dorion, Éric. (2015, décembre). Prévenir la violence auprès des soignants. Travail & sécurité, 767, 28-29. Repéré à http://www.travail-et-securite.fr/ts/pages-transverses/revue.html

AMÉNAGEMENT – ARCHITECTURE

  • L’ergonomie étudie l’adaptation de l’homme à une situation de travail dans ses dimensions physique, cognitive et organisationnelle. Dans le cadre d’une intervention de thoracoscopie, une analyse ergonomique de l’activité de l’équipe chirurgicale a été réalisée. Les résultats mettent en valeur, à travers les trois dimensions de la discipline, les exigences de l’activité et les stratégies mises en place par les opérateurs.

    Source : Monpeyssen, Florence. (2015). Inter bloc, 34(4), 245-247. Doi: 10.1016/j.bloc.2015.10.005

  • Stairwell use is a cost-effective opportunity to increase physical activity. Although stairwell use can integrate moderate physical activity in daily work routines, little information is available to guide architects and engineers on how to design facilities that promote stairwell use. This study examined the reasons behind using stairwells versus elevators through a case study at a teaching hospital. A broad range of physical design recommendations were evaluated to understand how the design of stairwells can encourage hospital staff and students to use them. An online survey was used to collect data. Findings indicated travel distance and travel direction as primary reasons for preferring elevators. Design recommendations such as motivational signs and physical movement reinforcements (e.g., cardio indicators) are discussed.

    Source : Moatari-Kazerouni, Alfrooz, Pennathur, Priyadarshini, Tucker, Sharon J., & Leyden, Luke A. (2016). Workplace Health & Safety, 64(2), 57-64. doi: 10.1177/2165079915612789

AMIANTE

  • The numbers of cases and deaths from mesothelioma, a deadly cancer caused primarily by workplace asbestos exposure, have continued to rise and show no signs of abating, recently updated figures from Statistics Canada show. Like asbestos-related lung cancer, mesothelioma can take 20 to 40 years to develop and begin causing symptoms, among them painful coughing, shortness of breath and severe weight loss. About 60 per cent of those affected die within a year of diagnosis. The five-year relative survival rate is seven per cent. There have been thousands of cases and deaths related to occupational asbestos exposure in Canada, the world’s largest producer and exporter of chrysotile asbestos during the last century. In 2012, there were 560 new cases of mesothelioma, up from 276 cases recorded in 1992, the StatsCan website shows. Between 2000 and 2012, the most recent year for which statistics are available, deaths from the asbestos-related malignancy jumped 60 per cent, to 467 from 292.

    Source : The Canadian Press. (2016, January 21). OHS Canada. Repéré à http://www.ohscanada.com/health-safety/cases-of-mesothelioma-deadly-cancer-caused-by-asbestos-exposure-on-rise-statscan/1003349356/

BLOC OPÉRATOIRE – CHIRURGIE

  • L’ergonomie étudie l’adaptation de l’homme à une situation de travail dans ses dimensions physique, cognitive et organisationnelle. Dans le cadre d’une intervention de thoracoscopie, une analyse ergonomique de l’activité de l’équipe chirurgicale a été réalisée. Les résultats mettent en valeur, à travers les trois dimensions de la discipline, les exigences de l’activité et les stratégies mises en place par les opérateurs.

    Source : Monpeyssen, Florence. (2015). Inter bloc, 34(4), 245-247. Doi: 10.1016/j.bloc.2015.10.005

  • Nurses and other caregivers who manually lift and move patients often become patients themselves. Unless given the right tools and best practice standards to handle patients safely, healthcare workers are in serious risk of suffering musculoskeletal injuries, chronic pain, absenteeism, financial hardship and emotional distress. According to an American Nurses Association (ANA) survey, the problem is pervasive, with 42 percent of nurses reporting a significant level of risk to their safety from lifting or repositioning patients. More than 50 percent say they regularly experience shoulder, neck, back and arm pain while working. Assistant Secretary of Labor for Occupational Safety and Health at OSHA, Dr. David Michaels, says it’s time healthcare facilities get serious about implementing safe patient handling and mobility (SPHM) programs.

    Source : Dimond, Valerie J. (2016, January). Healthcare Purchasing News, 40(1), 14-16. Repéré à http://www.hpnonline.com/inside/2016-01/1601-OR-PatientHandling.html

CANCERS PROFESSIONNELS

  • The numbers of cases and deaths from mesothelioma, a deadly cancer caused primarily by workplace asbestos exposure, have continued to rise and show no signs of abating, recently updated figures from Statistics Canada show. Like asbestos-related lung cancer, mesothelioma can take 20 to 40 years to develop and begin causing symptoms, among them painful coughing, shortness of breath and severe weight loss. About 60 per cent of those affected die within a year of diagnosis. The five-year relative survival rate is seven per cent. There have been thousands of cases and deaths related to occupational asbestos exposure in Canada, the world’s largest producer and exporter of chrysotile asbestos during the last century. In 2012, there were 560 new cases of mesothelioma, up from 276 cases recorded in 1992, the StatsCan website shows. Between 2000 and 2012, the most recent year for which statistics are available, deaths from the asbestos-related malignancy jumped 60 per cent, to 467 from 292.

    Source : The Canadian Press. (2016, January 21). OHS Canada. Repéré à http://www.ohscanada.com/health-safety/cases-of-mesothelioma-deadly-cancer-caused-by-asbestos-exposure-on-rise-statscan/1003349356/

CANNABIS

CENTRE JEUNESSE

  • The use of mindfulness-based interventions (MBIs) is well documented in the mental health, medical, and education literature. There is minimal research on the use of mindfulness with social workers. As demonstrated in other professional and helping fields, mindfulness may enhance clinical skills, reduce burnout, and increase job satisfaction among social workers. In the health care field mindfulness appears integral to patient and family relationships and personal resilience. The evolving and expanding role of hospital social workers may lead to increased work stress and greater demands from both the medical system and patients and families. Research with medical providers, such as physicians and nurses, suggests mindfulness may help in reducing stress, enhancing relationships, and fostering the self-reflection required to provide patient-centered care. We systematically reviewed the existing literature to begin understanding both mindfulness qualities and practices and the effectiveness of MBIs among social workers as well as the relationship of mindfulness to patient-centered care.

    Source : Trowbridge, Kelly, & Lawson, Lisa Mische. (2016).  Mindfulness-based interventions with social workers and the potential for enhanced patient-centered care: A systematic review of the literature. Social Work in Health Care. Prépublication.  DOI:10.1080/00981389.2015.1094165

CHAMPS ÉLECTROMAGNÉTIQUE

  • En 2015, le groupe de travail sur les champs électromagnétiques du Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR), un comité d’experts chargé de conseiller la Commission Européenne à propos des risques émergents, a publié une mise à jour des connaissances relatives aux risques associés à l’exposition aux champs électromagnétiques (CEM) de 0 Hz à 20 000 GHz. Même si l’analyse du SCENIHR considère l’exposition et les effets potentiels sur la santé des  champs magnétiques statiques (0 Hz), des CEM de fréquence intermédiaire (300 Hz à 100 kHz), et du rayonnement Terahertz (0,3 à 20 THz), le présent résumé porte principalement sur les résultats concernant les CEM d’extrêmement basse fréquence (de plus de 0 Hz à 300 Hz) et des radiofréquences (100 kHz à 300 GHz).

    Source : Gauthier, Mathieu, & Gauvin, Denis. (19 janvier 2016). Effets potentiels sur la santé humaine de l’exposition aux champs électromagnétiques : résumé. BISE : Bulletin d’information en santé environnementale. Repéré à https://www.inspq.qc.ca/bise/effets-potentiels-sur-la-sante-humaine-de-l-exposition-aux-champs-electromagnetiques

CHUTES DE BÉNÉFICIAIRES

  • Sometimes tragedy can lead to positive change. This was the case of PeopleCare, where the death of one resident led to a complete  » rethink  » of the protection offered by bedrails. Bedrails are commonly believed to provide protection from falls. But alter an extensive review, PeopleCare concluded that the risks posed by bedrails outweigh their benefits in most cases, particularly for people with cognitive challenges such as dementia. Research showed there was a greater risk of resident injuries when their bedrails were left up – and these injuries were more serious than those caused by falls out of bed when rails were down.

    Source : Rethinking bedrail safety. (2015, Fall/Winter). Long Term Care Today, 26(3), 10-13. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p10

  • In October 2015, Ontario’s health quality agency issued its annual report on the health system, highlighting areas of improvement, poor performance and unequal progress Health Quality Ontario’s report, Measuring Up, looked specifically at long-term care wait times and quality of care related to restraint use, falls, and pressure ulcers. Quality of care shows improvement. The report showed good news about restraints: the daily use of restraints in long-term care homes has been cut in half in just four years.

    Source : Restraint use cut by half in Ontario in four years. (2015, Fall/Winter). Long Term Care Today, 26(3), 14. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p14

CIGARETTE ÉLECTRONIQUE

  • There are over 7,000 e-cigarette flavors currently marketed. Flavoring chemicals gained notoriety in the early 2000’s when inhalation exposure of the flavoring chemical diacetyl was found to be associated with a disease that became known as « Popcorn Lung. » There has been limited research on flavoring chemicals in e-cigarettes. The purpose of this study is to determine  if the flavoring chemical diacetyl, and two other high-priority flavoring chemicals 2,3-pentanedione, and acetoin, are present in a convenience sample of flavored e-cigarettes.

    Source : Allen, Joseph, G., Flanigan, Skye S., LeBlanc, Mallory, Vallarino, Jose, MacNaughton, Piers, Stewart, James H., & Christiani, David C. (2015). EHP : Environmental Health Perspectives. Prépublication. DOI:10.1289/ehp.1510185

CONSTRUCTION

  • Le décret 1078-2015, en date du 2 décembre 2015 a été publié dans la Gazette officielle du Québec. Ce règlement modifie le Code de sécurité pour les travaux de construction. Il vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs sur les chantiers de construction. Il prévoit l’ajout de définitions ainsi que de nouvelles mesures et normes en matière de circulation sur de tels chantiers, particulièrement en ce qui a trait aux manoeuvres de recul. Il propose aussi des modifications applicables relativement aux signaleurs, aux alarmes de recul ainsi qu’au port de vêtements de sécurité à haute visibilité.

    Source : Gouvernement du Québec. (16 décembre 2015). Décret 1078-2015, 2 décembre 2013 : Code de sécurité pour les travaux de construction – Modification. Gazette officielle du Québec, Partie 2, 147e année, no 50, 4730-4731. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=64170.pdf

CONTENTION – DÉCONTENTION

  • Sometimes tragedy can lead to positive change. This was the case of PeopleCare, where the death of one resident led to a complete  » rethink  » of the protection offered by bedrails. Bedrails are commonly believed to provide protection from falls. But alter an extensive review, PeopleCare concluded that the risks posed by bedrails outweigh their benefits in most cases, particularly for people with cognitive challenges such as dementia. Research showed there was a greater risk of resident injuries when their bedrails were left up – and these injuries were more serious than those caused by falls out of bed when rails were down.

    Source : Rethinking bedrail safety. (2015, Fall/Winter). Long Term Care Today, 26(3), 10-13. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p10

  • Physical restraints continue to be used in acute care settings, despite the challenges and calls to reduce this practice. The current guideline on restraint use is updated with evidence that includes critical care settings and issues related to restraint use in acute care units. Nurses play a significant role in the use of restraints. Factors such as nurse’s knowledge and patient characteristics combined with the culture and resources in health care facilities influence the practice of physical restraint use. Nurses can identify patients at high risk for restraint use; assess the potential causes of unsafe behaviors; and target interventions in the areas of physiological, psychological, and environmental approaches to address those unsafe behaviors. Members of the interdisciplinary team can provide additional consultation, and institutions can provide resources and education and implement monitoring processes and quality improvement practices to help reduce the practice of physical restraint use.

    Source : Lach, Helen W., Leach, Kathy M., & Butcher, Howard K. (2016). Journal of Gerontological Nursing, 42(2), 17-26. DOI: 10.3928/00989134-20160113-04

  • In October 2015, Ontario’s health quality agency issued its annual report on the health system, highlighting areas of improvement, poor performance and unequal progress Health Quality Ontario’s report, Measuring Up, looked specifically at long-term care wait times and quality of care related to restraint use, falls, and pressure ulcers. Quality of care shows improvement. The report showed good news about restraints: the daily use of restraints in long-term care homes has been cut in half in just four years.

    Source : Restraint use cut by half in Ontario in four years. (2015, Fall/Winter). Long Term Care Today, 26(3), 14. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p14

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • This study examined the effects of lifting range, hand-to-toe distance, and lifting direction on single-person lifting strengths and two-person teamwork lifting strengths. Six healthy males and seven healthy females participated in this study. Two-person teamwork lifting strengths were examined in both strength-matched and strength-unmatched groups. Our results showed that lifting strength significantly decreased with increasing lifting range or hand-to-toe distance. However, lifting strengths were not affected by lifting direction. Teamwork lifting strength did not conform to the law of additivity for both strength-matched and strength-unmatched groups. In general, teamwork lifting strength was dictated by the weaker of the two members, implying that weaker members might be imposed a higher potential danger in teamwork exertions. To avoid such overexertion in teamwork, members with significantly different strength ability should not be assigned to the same team.

    Source : Lee, Tzu-Hsien. (2016). International Journal of Occupational Safety and Ergonomics. Prépublication. Repéré à http://www.tandfonline.com/doi/abs/10.1080/10803548.2015.1133924#

  • The process of loading a stretcher into an ambulance is known to cause a high incidence of back injuries among paramedics. This study aimed to assess the forces at L5/S1 during real-life stretcher loading activities and to determine the variables that contribute significantly to these forces. Analyses involved 58 paramedics (111 shifts) and 175 stretcher loading activities. Recommendations to reduce the risk of back injuries are proposed with regard to stretcher and ambulance loading design as well as training in stretcher lifting for paramedics.

    Source : Prairie, Jérôme, Plamondon, André, Hegg-Deloye, Sandrine, Larouche, Dominique, & Corbeil, Philippe. (2016). Industrial Journal of Industrial Ergonomics, 54, 1-9. doi:10.1016/j.ergon.2015.11.014

  • Ce document constitue la première édition de la CAN/CSA-Z10535.1, Lève-personnes pour transférer des personnes handicapées – Exigences et méthodes d’essai. Il s’agit de l’adoption, avec exigences propres au Canada, de la norme ISO (Organisation internationale de normalisation) 10535 (deuxième édition, 2006-12-15) qui porte le même titre. Cette norme remplace l’édition antérieure publiée en 2003 qui portait le même titre, mais la désignation CAN/CSA-Z10535 (ISO 10535:1998 adoptée). Cette norme s’applique aux lève-personnes et aux éléments de soutien destinés au transfert de personnes handicapées ; typiquement entre un lit, un fauteuil, une civière, une baignoire, ou autre ou à les aider à se lever. Ainsi, elle s’applique aux lève-personnes et aux éléments de soutien souvent appelés lève-personnes au plafond, lève-personnes mobiles, lève-personnes mobiles au sol, verticalisateurs, chaises de bain, et leurs toiles et autres accessoires, etc.

    Source : Association canadienne de nromalisation. (2015). Lève-personnes pour transférer des personnes handicapées : exigences et méthodes d’essai (ISO 10535:2006, MOD). Toronto, Ont.: Groupe CSA, 12, vi, 51 p. (CAN/CSA-Z10535.1:F15). Repéré à http://shop.csa.ca/fr/canada/transport-et-technologie-pour-les-personnes-handicapees/cancsa-z105351f15/invt/27020012015

  • Nurses and other caregivers who manually lift and move patients often become patients themselves. Unless given the right tools and best practice standards to handle patients safely, healthcare workers are in serious risk of suffering musculoskeletal injuries, chronic pain, absenteeism, financial hardship and emotional distress. According to an American Nurses Association (ANA) survey, the problem is pervasive, with 42 percent of nurses reporting a significant level of risk to their safety from lifting or repositioning patients. More than 50 percent say they regularly experience shoulder, neck, back and arm pain while working. Assistant Secretary of Labor for Occupational Safety and Health at OSHA, Dr. David Michaels, says it’s time healthcare facilities get serious about implementing safe patient handling and mobility (SPHM) programs.

    Source : Dimond, Valerie J. (2016, January). Healthcare Purchasing News, 40(1), 14-16. Repéré à http://www.hpnonline.com/inside/2016-01/1601-OR-PatientHandling.html

ÉBOLA

  • The Ebola epidemic in West Africa presents a considerable occupational risk to the health personnel involved. The principal mode of virus transmission to health care personnel is through direct contact with the patient, although transmission by aerosols through the air may also occur. Many safety protocols have been suggested relating to personal protection and particularly respiratory protection. It is generally agreed that all health care workers should have easy access to personal protective equipment. However, the degree of respiratory safety escalates from a mask, to an adequate respirator, and finally to a whole body suit with integrated helmet and positive air pressure. Recent publications demonstrate a lack of consensus on the degree of safety necessary. The step from “safe enough” to being “absolutely safe” seems, in most countries, insurmountable because of costs and logistics.

    Source : Hanoa, R.O., & Moen, B.E. (2016). Workplace Health & Safety, 64(2), 48-50.  doi: 10.1177/2165079915608405

ÉQUIPEMENT – AVIS ET RETRAITS

ÉQUIPEMENT DE PROTECTION

  • According to this study, contamination of the skin and clothing of health care personnel occurred frequently during removal of personal protective equipment (PPE). Furthermore, many health care personnel doffed PPE incorrectly. Finally, a hospital-wide intervention that included education on proper use, practicing, and immediate visual feedback significantly reduced (but did not eliminate) the risk of contamination during the removal of PPE.

    Source : Rosenberg, Karen, & Zolot, Joan. (2016). AJN : American Journal of Nursing, 116(1), 64-65. doi: 10.1097/01.NAJ.0000476175.40993.c3

  • The Ebola epidemic in West Africa presents a considerable occupational risk to the health personnel involved. The principal mode of virus transmission to health care personnel is through direct contact with the patient, although transmission by aerosols through the air may also occur. Many safety protocols have been suggested relating to personal protection and particularly respiratory protection. It is generally agreed that all health care workers should have easy access to personal protective equipment. However, the degree of respiratory safety escalates from a mask, to an adequate respirator, and finally to a whole body suit with integrated helmet and positive air pressure. Recent publications demonstrate a lack of consensus on the degree of safety necessary. The step from “safe enough” to being “absolutely safe” seems, in most countries, insurmountable because of costs and logistics.

    Source : Hanoa, R.O., & Moen, B.E. (2016). Workplace Health & Safety, 64(2), 48-50.  doi: 10.1177/2165079915608405

  • Nosocomial infections pose a significant and escalating threat to both patients and healthcare workers (HCWs). By their nature, hospitals induce antibiotic resistance in virulent and commensal strains, leading to increasingly severe hospital-acquired infections. This study measured environmental exposure experienced by domestic staff cleaning vacated patient rooms of a community hospital to bacteria in ambient bioaerosols. While they cleaned the room, participants wore an N95 filtering facepiece respirator (FFR), from which coupons were cut and bacteria were extracted, cultured and enumerated.

    Source : Heimbuch, Brian K., Wallace, William H., Balzli, Charles L., Laning, Michelle L., Harnish, Delbert A., & Wander, Joseph D. (2016). Journal of Occupational and Environmental Hygiene, 13(2), D11-D15. DOI:10.1080/15459624.2015.1091966

  • Ce document constitue la première édition de la CAN/CSA-Z10535.1, Lève-personnes pour transférer des personnes handicapées – Exigences et méthodes d’essai. Il s’agit de l’adoption, avec exigences propres au Canada, de la norme ISO (Organisation internationale de normalisation) 10535 (deuxième édition, 2006-12-15) qui porte le même titre. Cette norme remplace l’édition antérieure publiée en 2003 qui portait le même titre, mais la désignation CAN/CSA-Z10535 (ISO 10535:1998 adoptée). Cette norme s’applique aux lève-personnes et aux éléments de soutien destinés au transfert de personnes handicapées ; typiquement entre un lit, un fauteuil, une civière, une baignoire, ou autre ou à les aider à se lever. Ainsi, elle s’applique aux lève-personnes et aux éléments de soutien souvent appelés lève-personnes au plafond, lève-personnes mobiles, lève-personnes mobiles au sol, verticalisateurs, chaises de bain, et leurs toiles et autres accessoires, etc.

    Source : Association canadienne de nromalisation. (2015). Lève-personnes pour transférer des personnes handicapées : exigences et méthodes d’essai (ISO 10535:2006, MOD). Toronto, Ont.: Groupe CSA, 12, vi, 51 p. (CAN/CSA-Z10535.1:F15). Repéré à http://shop.csa.ca/fr/canada/transport-et-technologie-pour-les-personnes-handicapees/cancsa-z105351f15/invt/27020012015

ÉQUIPEMENTS INNOVATEURS EN SST

  • This study was conducted to assess functional parameters and comfort of a new computer mouse (Ergomice) as compared with three other input devices. Functional parameters (i.e., task completion time and error rate) of each device were assessed by 10 participants using standardized software based on Standard No. ISO 9241-9:2000. Comfort evaluation was also undertaken for each device using the visual analogue scale technique. In conclusion, the  design features of Ergomice could improve its functional properties. Hand/wrist posture comfort of Ergomice was judged to be high compared with that of the other devices.

    Source : Dehgan, Naser, Choobineh, Alireza, Razeghi, Mohsen, Hasanzadeh, Jafar, Irandoost, Moslem, & Ebrahimi, Samaneh. (2015). International Journal of Occupational Safety and Ergonomics. 21(4), 493-497. Repéré à http://www.tandfonline.com/doi/full/10.1080/10803548.2015.1096060

ÉTABLISSEMENTS D’HÉBERGEMENT

  • Les professionnels qui choisissent de travailler dans le domaine du vieillissement sont confrontés aux complexités de la perte et du deuil. Les situations stressantes qui peuvent causer des sentiments d’impuissance, de désespoir et d’une perte de sens font partie des risques à travailler avec la perte. Il faut tenir compte de ces risques pour éviter l’insatisfaction au travail, l’absentéisme et l’épuisement professionnel. Cet article s’attarde aux défis personnels et professionnels des personnes œuvrant dans le domaine du vieillissement et décrit des types de réponse pouvant favoriser la résilience, un renouvellement du sens et le sentiment d’accomplissement au travail.

    Source : MacKinnon, Christopher J., & Ummel, Deborah. (2015, Automne). Pluriâges, 6(1), 12-18. Repéré à http://www.creges.ca/wp-content/uploads/2015/12/Pluriages_Vol.6_n1_Automne2015_Finale.pdf

  • Physical restraints continue to be used in acute care settings, despite the challenges and calls to reduce this practice. The current guideline on restraint use is updated with evidence that includes critical care settings and issues related to restraint use in acute care units. Nurses play a significant role in the use of restraints. Factors such as nurse’s knowledge and patient characteristics combined with the culture and resources in health care facilities influence the practice of physical restraint use. Nurses can identify patients at high risk for restraint use; assess the potential causes of unsafe behaviors; and target interventions in the areas of physiological, psychological, and environmental approaches to address those unsafe behaviors. Members of the interdisciplinary team can provide additional consultation, and institutions can provide resources and education and implement monitoring processes and quality improvement practices to help reduce the practice of physical restraint use.

    Source : Lach, Helen W., Leach, Kathy M., & Butcher, Howard K. (2016). Journal of Gerontological Nursing, 42(2), 17-26. DOI: 10.3928/00989134-20160113-04

  • Désorientation, accès de panique, chutes, fractures et hospitalisation : ce sont là des conséquences directes constatées par les gestionnaires et les propriétaires de résidences privées pour aînés (RPA) qui surviennent trop souvent lorsque se déroule un exercice d’évacuation avec leurs résidents. Rappelons que ces exercices d’évacuation sont obligatoires, y compris pour les aînés, et ce, sur une base annuelle, afin que les RPA se qualifient pour la certification du ministère. La position du RQRA à ce sujet est claire : les exercices d’évacuation incendie ont leur raison d’être, mais ils devraient être réservés aux cadres et au personnel des RPA. En ce qui concerne les aînés résidant dans les RPA, le RQRA considère que les exercices d’évacuation leur causent davantage de préjudices que de bien.

    Source : Regroupement québécois des résidences pour aînés. (2015). Montréal : RQRA, 44 p. Repéré à http://www.rqra.qc.ca/client_file/upload/20151007SondageEvacuation_Final.pdf

  • Sometimes tragedy can lead to positive change. This was the case of PeopleCare, where the death of one resident led to a complete  » rethink  » of the protection offered by bedrails. Bedrails are commonly believed to provide protection from falls. But alter an extensive review, PeopleCare concluded that the risks posed by bedrails outweigh their benefits in most cases, particularly for people with cognitive challenges such as dementia. Research showed there was a greater risk of resident injuries when their bedrails were left up – and these injuries were more serious than those caused by falls out of bed when rails were down.

    Source : Rethinking bedrail safety. (2015, Fall/Winter). Long Term Care Today, 26(3), 10-13. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p10

  • In October 2015, Ontario’s health quality agency issued its annual report on the health system, highlighting areas of improvement, poor performance and unequal progress Health Quality Ontario’s report, Measuring Up, looked specifically at long-term care wait times and quality of care related to restraint use, falls, and pressure ulcers. Quality of care shows improvement. The report showed good news about restraints: the daily use of restraints in long-term care homes has been cut in half in just four years.

    Source : Restraint use cut by half in Ontario in four years. (2015, Fall/Winter). Long Term Care Today, 26(3), 14. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p14

ÉVACUATION D’URGENCE

  • Désorientation, accès de panique, chutes, fractures et hospitalisation : ce sont là des conséquences directes constatées par les gestionnaires et les propriétaires de résidences privées pour aînés (RPA) qui surviennent trop souvent lorsque se déroule un exercice d’évacuation avec leurs résidents. Rappelons que ces exercices d’évacuation sont obligatoires, y compris pour les aînés, et ce, sur une base annuelle, afin que les RPA se qualifient pour la certification du ministère. La position du RQRA à ce sujet est claire : les exercices d’évacuation incendie ont leur raison d’être, mais ils devraient être réservés aux cadres et au personnel des RPA. En ce qui concerne les aînés résidant dans les RPA, le RQRA considère que les exercices d’évacuation leur causent davantage de préjudices que de bien.

    Source : Regroupement québécois des résidences pour aînés. (2015). Montréal : RQRA, 44 p. Repéré à http://www.rqra.qc.ca/client_file/upload/20151007SondageEvacuation_Final.pdf

ÉVALUATION DES RISQUES

  • Pour identifier, corriger et contrôler les risques dans votre établissement, vous devez mettre en œuvre une démarche de prévention. Cette démarche nécessite de mettre en place des moyens pour identifier les risques présents dans votre établissement;  passer à l’action afin de corriger ces situations et d’éliminer les risques; mettre en place des mesures de contrôle afin d’empêcher que les risques ne reviennent.

    Cet outil s’adresse aux principaux acteurs concernés par la prise en charge de la santé et la sécurité du travail (SST) dans les établissements, qu’il s’agisse de l’employeur, des travailleurs, de leurs représentants, des membres du comité de santé et de sécurité ou de tout autre groupe de travail concerné.

    Source : Bourque, Guylaine, & Lacasse, Audrey. (2016). [S.l.] : Commission des normes, de l’équité, de la santé et de la sécurité du travail, pag. mult. : Repéré à http://www.csst.qc.ca/publications/200/Documents/DC200-418web.pdf

  • Because healthcare will always be a volatile environment – and hazards will always be plentiful in the healthcare workplace – effective hazard control is vital to safety. The author  explores the components of hazard control: proactively identifying hazards; implementing mandatory regulatory compliance measures; implementing best practice hazard controls as performance expectations; and training and conditioning employees to follow safe practices using hazard controls. Compliance in the development of safe working conditions is only the foundation of a true safety culture. Safe behaviors, as the result of situational awareness and critical thinking to identify hazards and use hazard controls, are key.

    Source : Worden, Cory. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 32-37.

FORMATION EN SST

  • Aggression management training for nurses is an important part of a comprehensive strategy to reduce patient and visitor aggression in healthcare. Although training is commonplace, few scientific studies examine its benefits. The purpose of this study was to explore and describe, from a nurse’s perspective, the learning gained from attending aggression management training.

    Source : Heckermann, Birgit, Breimaier, Helga Elisabeth, Halfens, Ruud J.G., Schols, Jos M.G.A., & Hahn, Sabine. (2016). Scandinavian Journal of Caring Sciences. Prépublication. DOI: 10.1111/scs.12281

GESTION – LEADERSHIP

  • Entrevue avec France St-Hilaire, professeure agrégée au département de management et de gestion des ressources humaines de l’Université de Sherbrooke. Ses travaux de recherche portent sur la santé et le bien-être des individus au travail. Les nombreuses observations qu’elle est amenée à formuler sont fortement marquées par une approche nord-américaine tournée vers l’individu et la gestion de données comportementales au détriment de l’action sur l’organisation du travail.

    Source : Ravallec, Céline, & Vaudoux, Delphine. (2015, décembre). Le grand entretien : À tout facteur de risque correspond un facteur de protection. Travail & sécurité, 767, 13-15. Repéré à http://www.travail-et-securite.fr/ts/pages-transverses/revue.html

  • Providing quality care requires positive, collaborative working relationships among healthcare team members. In today’s increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management. The aim of this study was to review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict.

    Source : Almost, Joan, Wolff, Angela C., Stewart-Pyne, Althea, McCormick, Loretta G., Strachan, Diane, & D’Souza, Christine. (2016). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12903

  • When it comes to work these days, we’re all expected to do more with less. But is this nose-to-the-grindstone philosophy the best way to run a business? Alarmingly low employee engagement numbers indicate otherwise. In his new book, The Optimistic Workplace: Creating an Environment that Energizes Everyone, management and leadership consultant Shawn Murphy tackles the productivity challenge and argues that our best work is the product of a positive environment.

    Source : Smith, Sandy. (2015, December 2). EHS Today. Repéré à http://ehstoday.com/safety-leadership/maximizing-optimism-workplace

GESTION DE LA SST

  • Le décret 1078-2015, en date du 2 décembre 2015 a été publié dans la Gazette officielle du Québec. Ce règlement modifie le Code de sécurité pour les travaux de construction. Ce règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs sur les chantiers de construction. Il prévoit l’ajout de définitions ainsi que de nouvelles mesures et normes en matière de circulation sur de tels chantiers, particulièrement en ce qui a trait aux manoeuvres de recul. Il propose aussi des modifications applicables relativement aux signaleurs, aux alarmes de recul ainsi qu’au port de vêtements de sécurité à haute visibilité.

    Source : Gouvernement du Québec. (16 décembre 2015). Décret 1078-2015, 2 décembre 2013 : Code de sécurité pour les travaux de construction – Modification. Gazette officielle du Québec, Partie 2, 147e année, no 50, 4730-4731. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=64170.pdf

  • L’impact des horaires de travail sur la santé et la sécurité constitue un enjeu essentiel compte tenu du recours de plus en plus important à des horaires atypiques dans beaucoup de secteurs industriels, des services ou des transports. La prévention de la fatigue associée à ces horaires passe le plus souvent par des limitations réglementaires des temps de service et de calcul de temps de repos minimum. Ces approches prescriptives présentent plusieurs inconvénients, y compris pour la fatigue des salariés. Cet article présente une alternative aux réglementations des temps de service permettant de gérer le risque fatigue au plus près des contraintes spécifiques du travail. Les grands principes de ces systèmes de gestion du risque fatigue sont illustrés par quelques exemples. Leurs principales limitations sont également discutées.

    Source : Cabon, Philippe. (2015). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 17-2, 11 p. Repéré à https://pistes.revues.org/4571

  • Les tableaux de bord de gestion (TBG) sont trop peu utilisés dans le domaine de la santé et de la sécurité au travail (SST). La démarche générique de développement et d’implantation d’un TBG comporte typiquement six (6) étapes, expliquées dans cet article.

    Source : Pérusse, Michel. (2015, Décembre). Travail et santé, 31(4), 14-17.

  • Depuis la création des lois du travail, il s’en est parcouru du chemin pour enfin constater tout l’avancement des milieux de travail en matière de prévention des accidents et des maladies professionnelles. Qui plus est, plusieurs normes viennent appuyer ces exigences en y intégrant des notions de gestion, d’amélioration continue et de mieux-être tels qu’OHSAS, ISO, CSA et Entreprise en santé. Levons notre chapeau à tous ces ambassadeurs qui y ont cru et qui s’y investissent. Malgré les nombreuses avancées, qu’en est-il de la performance concrète de ces résultats ?

    Source : Laberge, Marie. (2015, Décembre). Travail et santé, 31(4), 36-38.

  • Au début de l’humanité, l’homme vivait dangereusement pour gagner sa susbsistance. Petit à petit, les techniques de travail se sont améliores et les techniques de production sont devenues plus efficaces. Le travail est devenu moins pénible et la fréquence d’accidents et de maladies liées au travail a diminué. Si au début de l’humanité, les accidents de travaiil étaient l’une des plus importantes causes de mortalité, on note aujourd’hui une évolution considérable.

    Source : Gauvin, Jean-Pierre. (2015, Décembre). Travail et santé, 31(4), 28-29.

  • Because healthcare will always be a volatile environment – and hazards will always be plentiful in the healthcare workplace – effective hazard control is vital to safety. The author  explores the components of hazard control: proactively identifying hazards; implementing mandatory regulatory compliance measures; implementing best practice hazard controls as performance expectations; and training and conditioning employees to follow safe practices using hazard controls. Compliance in the development of safe working conditions is only the foundation of a true safety culture. Safe behaviors, as the result of situational awareness and critical thinking to identify hazards and use hazard controls, are key.

    Source : Worden, Cory. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 32-37.

  • The U.S. Department of Labor has identified the health care industry as a major source of all U.S. workplace injuries. Studies have shown that injury within the health care workforce is related to high turnover rates, burnout, poor job satisfaction, and leaving the health care workforce permanently, thus contributing to the existing health care workforce shortages. The purpose of this synthesis of the literature was twofold. The first was to conduct a comprehensive evaluation of the occupational health and safety literature to determine the key antecedents to health care provider injury. The second was to utilize the National Institute for Occupational Safety and Health (NIOSH) framework to organize the findings.

    Source : McCaughey, Deirdre, Kimmel, Ashley, Savage, Grant, Lukas, Tiana, Walsh, Erin, & Halbesleben, Jonathan. (2016). Health Care Management Review, 41(1), 42-55. doi: 10.1097/HMR.0000000000000043

  • Various scheduling models have been tested to attract and retain nursing staff. Little is known about how these schedules affect staff and patients. Fixed scheduling and self-scheduling have been studied to a small extent, solely from a staff perspective. The aim of this study was to evaluate fixed scheduling compared with self-scheduling for nursing staff in oncological inpatient care with regard to patient and staff outcomes. The authors implemented fixed scheduling on two of four oncological inpatient wards. Two wards kept self-scheduling. Through a quasi-experimental design, baseline and follow-up measurements were collected among staff and patients. The Safety Attitudes Questionnaire was used among staff, as well as study-specific questions for patients and staff.

    Source : Kullberg, Anna, Bergenmar, Mia, & Sharp, Lena. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12352

  • Nursing workload is a common term used in the health literature, but often without specification of its exact meaning. Concept clarification is needed to delineate the meaning of the term ‘nursing workload’. The aim of the present study was to develop a comprehensive understanding of the concept ‘workload’ within the nursing profession in order to arrive at a clear definition of nursing workload based on the evidence in existing literature. A concept analysis was conducted to clarify the defining attributes of nursing workload. As the subject matter was nursing focused, only one database was searched, the Cumulative Index for Nursing and Allied Health Literature (CINAHL).

    Source : Alhamdi, Mohammed G. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12354

  • Harmoniser le système de gestion de la santé et de la sécurité au travail aux autres systèmes de management pourrait figurer parmi vos résolutions 2016 ! En septembre 2015, la norme en management de l’environnement (ISO 14001) et celle en management de la qualité (ISO 9001) ont été revues. Parallèlement à cela, se poursuit le développement de la norme de management de la santé et de la sécurité au travail (ISO 45001). Cette nouvelle norme de management remplacera la norme britannique en santé et sécurité au travail : OHSAS 18001. Si votre entreprise est déjà certifiée conforme à la norme OHSAS 18001 ou à une autre norme de management en SST, soit la norme canadienne CSA Z1000 ou la norme américaine ANSI Z10, votre résolution pour 2016 pourrait être de planifier la transition vers ISO 45001. Beaucoup de travail en perspective !

    Source : Centre patronal de santé et sécurité du travail du Québec. (2016, Janvier). Info SST. Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/normes-sst/systemes-de-management.html

  • Pour identifier, corriger et contrôler les risques dans votre établissement, vous devez mettre en œuvre une démarche de prévention. Cette démarche nécessite de: mettre en place des moyens pour identifier les risques présents dans votre établissement; passer à l’action afin de corriger ces situations et d’éliminer les risques; mettre en place des mesures de contrôle afin d’empêcher que les risques ne reviennent. Cet outil s’adresse aux principaux acteurs concernés par la prise en charge de la santé et la sécurité du travail (SST) dans les établissements, qu’il s’agisse de l’employeur, des travailleurs, de leurs représentants, des membres du comité de santé et de sécurité ou de tout autre groupe de travail concerné.

    Source : Bourque, Guylaine, & Lacasse, Audrey. (2016). [S.l.] : Commission des normes, de l’équité, de la santé et de la sécurité du travail, pag. mult. : Repéré à http://www.csst.qc.ca/publications/200/Documents/DC200-418web.pdf

  • How many times were our accidents, injuries and catastrophes literally one breath away from a different result? Isn’t a near-miss really just a “one breath away” moment? How many times in our lives have these words been meaningful?

    Source : Wojick, Tom. (2016, January 21). EHS Today. Repéré à http://ehstoday.com/safety/breath-away-catastrophe-creating-mindful-work-environments

  • La violence en milieu de travail dans le système de santé canadien entraîne d’importantes répercussions, non seulement sur les travailleurs de la santé et les usagers touchés, mais sur l’ensemble du système de santé. Pour le système de santé canadien, la prévention de la violence en milieu de travail est un défi de taille qui requiert l’engagement de tout le personnel d’encadrement des organismes de soins de santé, de même qu’un suivi constant des tendances au sein de ces organismes. Le présent rapport pancanadien repose sur des données d’ensemble fournies par les organismes de soins de santé qui participent au programme Qmentum d’Agrément Canada. Il témoigne des efforts consentis par ces organismes en matière de sécurité et de prévention de la violence au travail, ainsi que des résultats du Sondage Pulse sur la qualité de vie au travail. Les renseignements ainsi recueillis présentent un point de vue unique sur les soins de santé au Canada.

    Source : Hasanaj, Qendresa, Mitchell, Jonathan, & Roman, Viktoria. (2015). Prévention de la violence et promotion de la sécurité au travail dans les organismes de santé canadiens : Rapport canadien sur l’agrément des services de santé. Ottawa : Agrément Canada, 18 p. Repéré à https://accreditation.ca/sites/default/files/rcas-2015.pdf

  • Employee health professionals must work with clinical colleagues to develop clear, supportive policies that clarify when ill healthcare workers should take a sick day rather than expose vulnerable patients and co-workers, researchers recommend. Recent studies suggest that working while ill is surprisingly common, as healthcare workers with symptoms such as high fever, diarrhea, and even confirmed flu infection report for duty.

    Source : Evans, Gary. (2016, January). Hospital Employee Health, 35(1), 1-4. Repéré à http://www.ahcmedia.com/articles/136806-the-sick-treating-the-sick-hcws-pressured-to-work-ill

GESTION DES RISQUES

  • Because healthcare will always be a volatile environment – and hazards will always be plentiful in the healthcare workplace – effective hazard control is vital to safety. The author  explores the components of hazard control: proactively identifying hazards; implementing mandatory regulatory compliance measures; implementing best practice hazard controls as performance expectations; and training and conditioning employees to follow safe practices using hazard controls. Compliance in the development of safe working conditions is only the foundation of a true safety culture. Safe behaviors, as the result of situational awareness and critical thinking to identify hazards and use hazard controls, are key.

    Source : Worden, Cory. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 32-37.

GESTION DU CHANGEMENT

  • Qui a dit que la vie au travail est un long fleuve tranquille? Entre évoluer comme entreprise, s’adapter aux réalités du marché ou coller aux besoins des clients… s’adapter au travail devient le mot d’ordre. Nouveau projet d’orientation client, changement d’équipes, réflexion stratégique, restructurations en série, innovations en tout genre… tout indique qu’un nouveau scénario se dessine avec son lot d’inconnues. Soubresauts garantis. Comment gérer ces changements au quotidien? Que faire pour atténuer l’effet déstabilisant du revirement de position? Conseils pour apprendre à s’adapter durablement au changement permanent.

    Source : Jézéquel, Myriam. (2016, 8 janvier). Portail RH. Ressources. Repéré à http://www.portailrh.org/ressources/AZ/specialites/article_une/fiche.aspx?p=629615

HORAIRE DE TRAVAIL

  • L’impact des horaires de travail sur la santé et la sécurité constitue un enjeu essentiel compte tenu du recours de plus en plus important à des horaires atypiques dans beaucoup de secteurs industriels, des services ou des transports. La prévention de la fatigue associée à ces horaires passe le plus souvent par des limitations réglementaires des temps de service et de calcul de temps de repos minimum. Ces approches prescriptives présentent plusieurs inconvénients, y compris pour la fatigue des salariés. Cet article présente une alternative aux réglementations des temps de service permettant de gérer le risque fatigue au plus près des contraintes spécifiques du travail. Les grands principes de ces systèmes de gestion du risque fatigue sont illustrés par quelques exemples. Leurs principales limitations sont également discutées.

    Source : Cabon, Philippe. (2015). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 17-2, 11 p. Repéré à https://pistes.revues.org/4571

  • In a study of 16 night-shift workers, more than one-third were involved in near crashes while participating in a test drive after work, researchers report. The same drivers experienced zero near-crashes after sleeping sufficient amounts the night before the same test drive, according to the study, published online Dec. 21 in the Proceedings of the National Academy of Sciences. « What is unique about this study is that it (was) done in daytime » and there was a « stupendously increased risk of these near-crash events, » said study author Dr. Charles Czeisler, chief of the division of sleep and circadian disorders at Brigham and Women’s Hospital in Boston.

    Source : Night-Shift Workers May Be Prone to Car Crashes. (2015, December 22). MedlinePlus. HealthDay. Repéré à https://www.nlm.nih.gov/medlineplus/news/fullstory_156348.html

  • Various scheduling models have been tested to attract and retain nursing staff. Little is known about how these schedules affect staff and patients. Fixed scheduling and self-scheduling have been studied to a small extent, solely from a staff perspective. The aim of this study was to evaluate fixed scheduling compared with self-scheduling for nursing staff in oncological inpatient care with regard to patient and staff outcomes. The authors implemented fixed scheduling on two of four oncological inpatient wards. Two wards kept self-scheduling. Through a quasi-experimental design, baseline and follow-up measurements were collected among staff and patients. The Safety Attitudes Questionnaire was used among staff, as well as study-specific questions for patients and staff.

    Source : Kullberg, Anna, Bergenmar, Mia, & Sharp, Lena. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12352

HYGIÈNE ET SALUBRITÉ

  • Nosocomial infections are a serious problem in health care facilities. Bacteria can be transferred from patient to patient via contaminated reusable medical devices and equipment. An anesthesia machine and objects representative of smooth and ridged machine knobs were contaminated with Staphylococcus aureus, Bacillus atrophaeus spores, and Clostridium sporogenes spores. The ability of 5 commercially available cleaning-disinfecting wipes to remove bacteria was compared with gauze soaked with water or bleach. Gauze soaked with water was used to determine the optimal wetness for bacteria removal, which was then used to evaluate the efficacy of the wipe ingredients. The results indicated that physically removing bacteria from device surfaces with water was often as effective as the cleaning-disinfecting wipes. Of the wipe active ingredients evaluated, sodium hypochlorite was the most effective overall. The wetness of the wipes may also play a role in their effectiveness.

    Source : Gonzalez, Elizabeth A., Nandy, Poulomi, Lucas, Anne D., & Hitchins, Victoria M. (2015). AJIC : American Journal of Infection Control, 43(12), 1331-1335. DOI: http://dx.doi.org/10.1016/j.ajic.2015.07.024

  • The author offers a detailed background of scabies mites and how an exposure can affect many in the hospital environment if not quickly diagnosed and treated. She provides readers with a list of questions to consider when implementing a facility-specific process and the components that should be incorporated into a successful program: surveillance; diagnostic services; control and treatment; environmental disinfection and communication. Following these tips and organizing available resources will help occupational health professionals to effectively manage a scabies mites outbreak.

    Source : Ninassi, Karen. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 14-15.

MÉDICAMENTS DANGEREUX – PHARMACIE

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

    Source : Vyas, N., Turner, A., Clark, JM., & Sewell, GJ. (2016). Journal of Oncology Pharmacy Practice, 22(1), 10-19.

  • Contamination of workplace surfaces by antineoplastic drugs presents an exposure risk for healthcare workers. Traditional instrumental methods to detect contamination such as liquid chromatography-mass spectrometry/mass spectrometry (LC-MS/MS) are sensitive and accurate but expensive. Since immunochemical methods may be cheaper and faster than instrumental methods. The authors wanted to explore their use for routine drug residue detection for preventing worker exposure.

    Source : Smith, Jerome P., Sammons, Deborah L., Robertson, Shriley A., Pretty, Jack R., DeBord, D. Gayle, Connor, Thomas H., & Snawder, John E. (2016). Journal of Oncology Pharmacy Practice, 22(1), 60-67.

  • Evidence of occupational exposure risks to novel anticancer agents is limited and yet to be formally evaluated from the Australian healthcare perspective. From March to September 2013 medical databases, organizational policies, drug monographs, and the World Wide Web were searched for evidence relating to occupational exposure to monoclonal antibodies, fusion proteins, gene therapies, and other unclassified novel anticancer agents.

    Source : King, Julie, Alexander, Marliese, Byrne, Jenny, MacMillan, Kent, Mollo, Adele, Kirsa, Sue, & Green, Michael. (2016). Journal of Oncology Pharmacy Practice, 22(1), 121-134.

  • Despite growing awareness of the hazards of exposure to antineoplastic drugs (ADs), surveys continue to find incomplete adherence to recommended safe handling guidelines. A 2011 survey of healthcare workers presents an opportunity to examine factors associated with adherence among 1094 hospital nurses who administered ADs. The results suggest that training and familiarity with guidelines for safe handling of ADs, adequate time to adhere to guidelines, and availability of PPE and certain engineering controls are key to ensuring adherence to safe handling practices.

    Source : Silver, Sharon R., Steege, Andrea L., & Boiano, James M. (2015). Journal of Occupational and Environmental Hygiene. Prépublication. DOI:10.1080/15459624.2015.1091963

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

    Source : Schierl, Rudolf, Masini, Carla, Groeneveld, Svenja, Fischer, Elke, Böhlandt, Antje, Rosini, Valeria, & Paolucci, Demis. (2016). Journal of Oncology Pharmacy Practice, 22(1), 37-45. doi: 10.1177/1078155214551316

  • Réponse de l’INRS à une question posée par un médecin du travail : Existe-t-il un risque pour les personnels soignants exposés à des fluides (excrétas) ou linges souillés de patients traités par des produits cytotoxiques ? Comment évaluer l’exposition de ces personnels soignants ?

    Source : Passeron, Jean. (2015). Références en santé au travail, 144, 131. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-105/qr105.pdf

  • Even while following best practices, surface exposures of hazardous drugs (HDs) are high and numerous. Thus, it is important to develop new products to reduce the surface contamination of HDs. Hazardous Drug Clean (HDClean™) was developed to decontaminate and remove HDs from various types of surfaces and overcome the problems associated with other cleaning products. HDClean was evaluated to remove mock surface exposures of HDs (docetaxel, paclitaxel, ifosfamide, cyclophosphamide, 5-FU, and cisplatin) from various types of surfaces.

    Source : Cox, Joshua, Speed, Vonni, O’Neal, Sara, Hasselwander, Terry, Sherwood, Candice, Eckel, Stephen F., & Zamboni, William C. (2015). Journal of Oncology Pharmacy Practice. Prépublication.  doi: 10.1177/1078155215621151

  • To use a mobile air decontamination unit (MADU) for a microbial destruction and decreased particle burden making a cleanroom controlled environment in a Centralized Chemotherapy Preparation Unit (CCPU). Good manufacturing practices (GMP) in France specify that the ambient air in the vicinity of a class III biosafety cabinet (isolator) complies with air cleanliness ISO 8 level in CCPU. This guideline has a significant impact because implementing a dedicated air handling unit (AHU) brings some engineering constraints and generates substantial additional costs. Authors have previously studied some technical and economical aspects to evaluate the feasibility of the MADU option.

    Source : Lecordier, Julien, Plivard, Claire, Gardeux, Michel, Daouadi, Karim, & Lahet, Jean-Jacques. (2016).  Journal of Oncology Pharmacy Practice, 22(1), 151-156.

MANUTENTION DE CHARGES

  • Le poste des commis à l’expédition comporte de nombreuses contraintes pour le système musculosquelettique. L’intervention ergonomique réalisée dans une entreprise manufacturière de revêtements extérieurs en polymère le prouve encore une fois.

    Source : Gaudreault-Boivin, Amélie. (2015, Décembre). Travail et santé, 31(4), 21-23.

  • This study examined the effects of lifting range, hand-to-toe distance, and lifting direction on single-person lifting strengths and two-person teamwork lifting strengths. Six healthy males and seven healthy females participated in this study. Two-person teamwork lifting strengths were examined in both strength-matched and strength-unmatched groups. Our results showed that lifting strength significantly decreased with increasing lifting range or hand-to-toe distance. However, lifting strengths were not affected by lifting direction. Teamwork lifting strength did not conform to the law of additivity for both strength-matched and strength-unmatched groups. In general, teamwork lifting strength was dictated by the weaker of the two members, implying that weaker members might be imposed a higher potential danger in teamwork exertions. To avoid such overexertion in teamwork, members with significantly different strength ability should not be assigned to the same team.

    Source : Lee, Tzu-Hsien. (2016). International Journal of Occupational Safety and Ergonomics. Prépublication. Repéré à http://www.tandfonline.com/doi/abs/10.1080/10803548.2015.1133924#

MILIEU DE VIE

  • Sometimes tragedy can lead to positive change. This was the case of PeopleCare, where the death of one resident led to a complete  » rethink  » of the protection offered by bedrails. Bedrails are commonly believed to provide protection from falls. But alter an extensive review, PeopleCare concluded that the risks posed by bedrails outweigh their benefits in most cases, particularly for people with cognitive challenges such as dementia. Research showed there was a greater risk of resident injuries when their bedrails were left up – and these injuries were more serious than those caused by falls out of bed when rails were down.

    Source : Rethinking bedrail safety. (2015, Fall/Winter). Long Term Care Today, 26(3), 10-13. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p10

  • Les professionnels qui choisissent de travailler dans le domaine du vieillissement sont confrontés aux complexités de la perte et du deuil. Les situations stressantes qui peuvent causer des sentiments d’impuissance, de désespoir et d’une perte de sens font partie des risques à travailler avec la perte. Il faut tenir compte de ces risques pour éviter l’insatisfaction au travail, l’absentéisme et l’épuisement professionnel. Cet article s’attarde aux défis personnels et professionnels des personnes œuvrant dans le domaine du vieillissement et décrit des types de réponse pouvant favoriser la résilience, un renouvellement du sens et le sentiment d’accomplissement au travail.

    Source : MacKinnon, Christopher J., & Ummel, Deborah. (2015, Automne). Pluriâges, 6(1), 12-18. Repéré à http://www.creges.ca/wp-content/uploads/2015/12/Pluriages_Vol.6_n1_Automne2015_Finale.pdf

  • The essential importance of patient-centredness is no longer in dispute. More than 15 years ago, the Institute of Medicine incorporated patient-centred care as elemental to the definition of quality care. In his 2009 ‘Confessions of an Extremist‘ essay, Sir Donald Berwick goes further, arguing that patient-centredness is ‘not a route to the point; it is the point’. At the same time, we all recognise that our current systems do not optimise patient centredness. At our institution, we have begun tracking episodes of ‘disrespect’ with the same systems we use to track patient safety events, and are learning that these emotional harms are more common than the physical harms we have tracked so rigorously for many years. The case has been made and the challenge accepted: we need to reconfigure care delivery to be more patient-centred. The challenge now is how best to achieve that reconfiguration, using evidence-based interventions.

    Source : Sands, Kenneth EF. (2016). BMJ Quality & Safety. Prépublication. Repéré à http://qualitysafety.bmj.com/content/early/2016/01/28/bmjqs-2015-005035.full.pdf+html

  • Physical restraints continue to be used in acute care settings, despite the challenges and calls to reduce this practice. The current guideline on restraint use is updated with evidence that includes critical care settings and issues related to restraint use in acute care units. Nurses play a significant role in the use of restraints. Factors such as nurse’s knowledge and patient characteristics combined with the culture and resources in health care facilities influence the practice of physical restraint use. Nurses can identify patients at high risk for restraint use; assess the potential causes of unsafe behaviors; and target interventions in the areas of physiological, psychological, and environmental approaches to address those unsafe behaviors. Members of the interdisciplinary team can provide additional consultation, and institutions can provide resources and education and implement monitoring processes and quality improvement practices to help reduce the practice of physical restraint use.

    Source : Lach, Helen W., Leach, Kathy M., & Butcher, Howard K. (2016). Journal of Gerontological Nursing, 42(2), 17-26. DOI: 10.3928/00989134-20160113-04

  • In October 2015, Ontario’s health quality agency issued its annual report on the health system, highlighting areas of improvement, poor performance and unequal progress Health Quality Ontario’s report, Measuring Up, looked specifically at long-term care wait times and quality of care related to restraint use, falls, and pressure ulcers. Quality of care shows improvement. The report showed good news about restraints: the daily use of restraints in long-term care homes has been cut in half in just four years.

    Source : Restraint use cut by half in Ontario in four years. (2015, Fall/Winter). Long Term Care Today, 26(3), 14. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p14

NANOTECHNOLOGIES

NORMES ET LÉGISLATION

  • Le décret 1078-2015, en date du 2 décembre 2015 a été publié dans la Gazette officielle du Québec. Ce règlement modifie le Code de sécurité pour les travaux de construction. Ce règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs sur les chantiers de construction. Il prévoit l’ajout de définitions ainsi que de nouvelles mesures et normes en matière de circulation sur de tels chantiers, particulièrement en ce qui a trait aux manoeuvres de recul. Il propose aussi des modifications applicables relativement aux signaleurs, aux alarmes de recul ainsi qu’au port de vêtements de sécurité à haute visibilité.

    Source : Gouvernement du Québec. (16 décembre 2015). Décret 1078-2015, 2 décembre 2013 : Code de sécurité pour les travaux de construction – Modification. Gazette officielle du Québec, Partie 2, 147e année, no 50, 4730-4731. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=64170.pdf

  • Harmoniser le système de gestion de la santé et de la sécurité au travail aux autres systèmes de management pourrait figurer parmi vos résolutions 2016 ! En septembre 2015, la norme en management de l’environnement (ISO 14001) et celle en management de la qualité (ISO 9001) ont été revues. Parallèlement à cela, se poursuit le développement de la norme de management de la santé et de la sécurité au travail (ISO 45001). Cette nouvelle norme de management remplacera la norme britannique en santé et sécurité au travail : OHSAS 18001. Si votre entreprise est déjà certifiée conforme à la norme OHSAS 18001 ou à une autre norme de management en SST, soit la norme canadienne CSA Z1000 ou la norme américaine ANSI Z10, votre résolution pour 2016 pourrait être de planifier la transition vers ISO 45001. Beaucoup de travail en perspective !

    Source : Centre patronal de santé et sécurité du travail du Québec. (2016, Janvier). Info SST. Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/normes-sst/systemes-de-management.html

  • Ce document constitue la première édition de la CAN/CSA-Z10535.1, Lève-personnes pour transférer des personnes handicapées – Exigences et méthodes d’essai. Il s’agit de l’adoption, avec exigences propres au Canada, de la norme ISO (Organisation internationale de normalisation) 10535 (deuxième édition, 2006-12-15) qui porte le même titre. Cette norme remplace l’édition antérieure publiée en 2003 qui portait le même titre, mais la désignation CAN/CSA-Z10535 (ISO 10535:1998 adoptée). Cette norme s’applique aux lève-personnes et aux éléments de soutien destinés au transfert de personnes handicapées ; typiquement entre un lit, un fauteuil, une civière, une baignoire, ou autre ou à les aider à se lever. Ainsi, elle s’applique aux lève-personnes et aux éléments de soutien souvent appelés lève-personnes au plafond, lève-personnes mobiles, lève-personnes mobiles au sol, verticalisateurs, chaises de bain, et leurs toiles et autres accessoires, etc.

    Source : Association canadienne de nromalisation. (2015). Lève-personnes pour transférer des personnes handicapées : exigences et méthodes d’essai (ISO 10535:2006, MOD). Toronto, Ont.: Groupe CSA, 12, vi, 51 p. (CAN/CSA-Z10535.1:F15). Repéré à http://shop.csa.ca/fr/canada/transport-et-technologie-pour-les-personnes-handicapees/cancsa-z105351f15/invt/27020012015

PRÉVENTION DES INFECTIONS

  • According to this study, contamination of the skin and clothing of health care personnel occurred frequently during removal of personal protective equipment (PPE). Furthermore, many health care personnel doffed PPE incorrectly. Finally, a hospital-wide intervention that included education on proper use, practicing, and immediate visual feedback significantly reduced (but did not eliminate) the risk of contamination during the removal of PPE.

    Source : Rosenberg, Karen, & Zolot, Joan. (2016). AJN : American Journal of Nursing, 116(1), 64-65. doi: 10.1097/01.NAJ.0000476175.40993.c3

  • Nosocomial infections are a serious problem in health care facilities. Bacteria can be transferred from patient to patient via contaminated reusable medical devices and equipment. An anesthesia machine and objects representative of smooth and ridged machine knobs were contaminated with Staphylococcus aureus, Bacillus atrophaeus spores, and Clostridium sporogenes spores. The ability of 5 commercially available cleaning-disinfecting wipes to remove bacteria was compared with gauze soaked with water or bleach. Gauze soaked with water was used to determine the optimal wetness for bacteria removal, which was then used to evaluate the efficacy of the wipe ingredients. The results indicated that physically removing bacteria from device surfaces with water was often as effective as the cleaning-disinfecting wipes. Of the wipe active ingredients evaluated, sodium hypochlorite was the most effective overall. The wetness of the wipes may also play a role in their effectiveness.

    Source : Gonzalez, Elizabeth A., Nandy, Poulomi, Lucas, Anne D., & Hitchins, Victoria M. (2015). AJIC : American Journal of Infection Control, 43(12), 1331-1335. DOI: http://dx.doi.org/10.1016/j.ajic.2015.07.024

  • The authors conducted hospital-based contact investigations of 55 serial sputum smear-positive tuberculosis (TB) patients and 771 health care workers (HCWs) from 2006-2013. HCWs who made contact with TB patients in the absence of appropriate airborne precautions were evaluated using interferon gamma release assays to identify TB infection. Twenty-nine HCWs (3.8%) were newly diagnosed with TB infection. The 10 TB patients responsible for transmission had a duration of contact of >7 days by multivariate analysis.

    Source : Ito, Yutaka, Nagao, Miki, IInuma, Yoshitsugu, Matsumura, Yasufumi, Yamamoto, Masaki, Takakura, Shunji,… Mishima, Michiaki. (2016). AJIC: American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.022

  • The Ebola epidemic in West Africa presents a considerable occupational risk to the health personnel involved. The principal mode of virus transmission to health care personnel is through direct contact with the patient, although transmission by aerosols through the air may also occur. Many safety protocols have been suggested relating to personal protection and particularly respiratory protection. It is generally agreed that all health care workers should have easy access to personal protective equipment. However, the degree of respiratory safety escalates from a mask, to an adequate respirator, and finally to a whole body suit with integrated helmet and positive air pressure. Recent publications demonstrate a lack of consensus on the degree of safety necessary. The step from “safe enough” to being “absolutely safe” seems, in most countries, insurmountable because of costs and logistics.

    Source : Hanoa, R.O., & Moen, B.E. (2016). Workplace Health & Safety, 64(2), 48-50.  doi: 10.1177/2165079915608405

  • Nosocomial infections pose a significant and escalating threat to both patients and healthcare workers (HCWs). By their nature, hospitals induce antibiotic resistance in virulent and commensal strains, leading to increasingly severe hospital-acquired infections. This study measured environmental exposure experienced by domestic staff cleaning vacated patient rooms of a community hospital to bacteria in ambient bioaerosols. While they cleaned the room, participants wore an N95 filtering facepiece respirator (FFR), from which coupons were cut and bacteria were extracted, cultured and enumerated.

    Source : Heimbuch, Brian K., Wallace, William H., Balzli, Charles L., Laning, Michelle L., Harnish, Delbert A., & Wander, Joseph D. (2016). Journal of Occupational and Environmental Hygiene, 13(2), D11-D15. DOI:10.1080/15459624.2015.1091966

  • The authors  provide a long-awaited update to the 1995 EPINet report on blood and body fluid exposures by analyzing data across a 10-year period from seven participating hospitals that utilize the EPINet tracking system. Their study illustrates the frequency of exposures that have occurred since the passage of the Needlestick Safety and Prevention Act of 2001 and documents that the occupational risk for blood and body fluid exposures continues to be a serious concern for healthcare workers. They recommend improvements in: engineering controls; administrative and work practice controls; personal protective equipment; and the expansion of standardized surveillance.

    Source : Mitchell, Amber Hogan, Jagger, Janine C., & Parker, Ginger. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 24-31.

  • Employee health professionals must work with clinical colleagues to develop clear, supportive policies that clarify when ill healthcare workers should take a sick day rather than expose vulnerable patients and co-workers, researchers recommend. Recent studies suggest that working while ill is surprisingly common, as healthcare workers with symptoms such as high fever, diarrhea, and even confirmed flu infection report for duty.

    Source : Evans, Gary. (2016, January). Hospital Employee Health, 35(1), 1-4. Repéré à http://www.ahcmedia.com/articles/136806-the-sick-treating-the-sick-hcws-pressured-to-work-ill

PRODUITS TOXIQUES

  • Cette circulaire a pour but de préciser les attentes ministérielles envers les établissements de santé et de services sociaux dans l’organisation des services entourant l’accès à la marihuana à des fins médicales pour les personnes hospitalisées ou hébergées. Cette circulaire fait suite à l’adoption en novembre 2015 du Projet de loi nº44 visant à renforcer la lutte au tabagisme modifiant la Loi sur le tabac (RLRQ, chapitre T-0.01). On y traite également de la nécessité de protéger les travailleurs exposés à la fumée du tabac et de la marihuana séchée.

    Source : Québec. Ministère de la Santé et des Services sociaux. (2015, 11 décembre). Organisation des services entourant l’accès à la marihuana (cannabis) à des fins médicales pour les clientèles hospitalisées ou hébergées. Répertoire des normes et pratiques de gestion, Tome II. 7 p. (Circulaire 2015-016). Repéré à http://msssa4.msss.gouv.qc.ca/fr/document/d26ngest.nsf/1f71b4b2831203278525656b0004f8bf/6eb7f4de13f52f8e85257f1c0057dce9/$FILE/2015-016.pdf

  • There are over 7,000 e-cigarette flavors currently marketed. Flavoring chemicals gained notoriety in the early 2000’s when inhalation exposure of the flavoring chemical diacetyl was found to be associated with a disease that became known as « Popcorn Lung. » There has been limited research on flavoring chemicals in e-cigarettes. The purpose of this study is to determine  if the flavoring chemical diacetyl, and two other high-priority flavoring chemicals 2,3-pentanedione, and acetoin, are present in a convenience sample of flavored e-cigarettes.

    Source : Allen, Joseph, G., Flanigan, Skye S., LeBlanc, Mallory, Vallarino, Jose, MacNaughton, Piers, Stewart, James H., & Christiani, David C. (2015). EHP : Environmental Health Perspectives. Prépublication. DOI:10.1289/ehp.1510185

  • Comme dans un grand nombre de secteurs, la nanotechnologie exerce une influence croissante sur le secteur des soins de santé, ce qui accentue le risque d’exposition des travailleurs aux nanomatériaux dans leur milieu professionnel. La nanotechnologie et les nanomatériaux dans les applications médicales peuvent offrir quantité d’avantages. Toutefois, malgré un effort soutenu de recherches, le domaine de la nanotechnologie se développe plus rapidement que les connaissances sur les aspects liés à la santé et à la sécurité des nanomatériaux. Il existe toujours de nombreuses inconnues, ce qui soulève des questions concernant l’évaluation des risques pour la sécurité et la santé au travail (SST). Cette fiche explique comment le personnel des soins de santé peut être exposé aux nanomatériaux sur son lieu de travail durant ses activités quotidiennes. Il fournit également des informations sur les mesures pouvant être prises afin d’empêcher des expositions potentielles.

    Source : Agence européenne pour la sécurité et la santé au travail. (2016?). Bilbao (Spain) : EU-OSHA, 15 p. (E-Facts; 73). Repéré à https://osha.europa.eu/sites/default/files/publications/documents/fr/publications/e-facts/e-fact-73-nanomaterials-in-the-healthcare-sector-occupational-risks-and-prevention/Efact%2073%20Nanomaterials%20in%20healthcare%20sector_fr.pdf

  • The numbers of cases and deaths from mesothelioma, a deadly cancer caused primarily by workplace asbestos exposure, have continued to rise and show no signs of abating, recently updated figures from Statistics Canada show. Like asbestos-related lung cancer, mesothelioma can take 20 to 40 years to develop and begin causing symptoms, among them painful coughing, shortness of breath and severe weight loss. About 60 per cent of those affected die within a year of diagnosis. The five-year relative survival rate is seven per cent. There have been thousands of cases and deaths related to occupational asbestos exposure in Canada, the world’s largest producer and exporter of chrysotile asbestos during the last century. In 2012, there were 560 new cases of mesothelioma, up from 276 cases recorded in 1992, the StatsCan website shows. Between 2000 and 2012, the most recent year for which statistics are available, deaths from the asbestos-related malignancy jumped 60 per cent, to 467 from 292.

    Source : The Canadian Press. (2016, January 21). OHS Canada. Repéré à http://www.ohscanada.com/health-safety/cases-of-mesothelioma-deadly-cancer-caused-by-asbestos-exposure-on-rise-statscan/1003349356/

  • The use of medicinal marijuana is increasing. Marijuana has been shown to have therapeutic effects in certain patients, but further research is needed regarding the safety and efficacy of marijuana as a medical treatment for various conditions. A growing body of research validates the use of marijuana for a variety of healthcare problems, but there are many issues surrounding the use of this substance. This article discusses the use of medical marijuana and provides implications for home healthcare providers.

    Source : Capriotti, Teri. (2016). Home Healthcare Now, 34(1), 10-15. Repéré à  http://pdfs.journals.lww.com/homehealthcarenurseonline/2016/01000/Medical_Marijuana.3.pdf

PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

    • Stairwell use is a cost-effective opportunity to increase physical activity. Although stairwell use can integrate moderate physical activity in daily work routines, little information is available to guide architects and engineers on how to design facilities that promote stairwell use. This study examined the reasons behind using stairwells versus elevators through a case study at a teaching hospital. A broad range of physical design recommendations were evaluated to understand how the design of stairwells can encourage hospital staff and students to use them. An online survey was used to collect data. Findings indicated travel distance and travel direction as primary reasons for preferring elevators. Design recommendations such as motivational signs and physical movement reinforcements (e.g., cardio indicators) are discussed.

      Source : Moatari-Kazerouni, Alfrooz, Pennathur, Priyadarshini, Tucker, Sharon J., & Leyden, Luke A. (2016). Workplace Health & Safety, 64(2), 57-64. doi: 10.1177/2165079915612789

PROTECTION RESPIRATOIRE

      • The authors conducted hospital-based contact investigations of 55 serial sputum smear-positive tuberculosis (TB) patients and 771 health care workers (HCWs) from 2006-2013. HCWs who made contact with TB patients in the absence of appropriate airborne precautions were evaluated using interferon gamma release assays to identify TB infection. Twenty-nine HCWs (3.8%) were newly diagnosed with TB infection. The 10 TB patients responsible for transmission had a duration of contact of >7 days by multivariate analysis.

        Source : Ito, Yutaka, Nagao, Miki, IInuma, Yoshitsugu, Matsumura, Yasufumi, Yamamoto, Masaki, Takakura, Shunji,… Mishima, Michiaki. (2016). AJIC: American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.022

      • Nosocomial infections pose a significant and escalating threat to both patients and healthcare workers (HCWs). By their nature, hospitals induce antibiotic resistance in virulent and commensal strains, leading to increasingly severe hospital-acquired infections. This study measured environmental exposure experienced by domestic staff cleaning vacated patient rooms of a community hospital to bacteria in ambient bioaerosols. While they cleaned the room, participants wore an N95 filtering facepiece respirator (FFR), from which coupons were cut and bacteria were extracted, cultured and enumerated.

        Source : Heimbuch, Brian K., Wallace, William H., Balzli, Charles L., Laning, Michelle L., Harnish, Delbert A., & Wander, Joseph D. (2016). Journal of Occupational and Environmental Hygiene, 13(2), D11-D15. DOI:10.1080/15459624.2015.1091966

QUALITÉ DE L’AIR

SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • Entrevue avec France St-Hilaire, professeure agrégée au département de management et de gestion des ressources humaines de l’Université de Sherbrooke. Ses travaux de recherche portent sur la santé et le bien-être des individus au travail. Les nombreuses observations qu’elle est amenée à formuler sont fortement marquées par une approche nord-américaine tournée vers l’individu et la gestion de données comportementales au détriment de l’action sur l’organisation du travail.

    Source : Ravallec, Céline, & Vaudoux, Delphine. (2015, décembre). Le grand entretien : À tout facteur de risque correspond un facteur de protection. Travail & sécurité, 767, 13-15. Repéré à http://www.travail-et-securite.fr/ts/pages-transverses/revue.html

  • Selon l’Institut de la statistique du Québec, la population de 15 ans et plus consacre en moyenne près de 7,5 heures par jour à ses activités professionnelles. Si on comptabilise la moyenne hebdomadaire, ça fait beaucoup d’heures passées au bureau, en position assise. Le Conseil national de recherche du Canada a démontré qu’un cadre de travail sain, notamment au niveau de l’environnement physique, permet de réduire le taux d’absentéisme, car il garantit la santé des employés et procure un sentiment de bien-être.

    Source : Banville, Julie, & Ayotte, Jacinthe. (2015, décembre). Travail et santé – Guide source en SST 2016, 31(5), suppl., 23-25.

  • Le bien-être au travail (BET) continue de gagner en importance dans les esprits des employés et des employeurs dans tous les pays. Bien qu’il existe différentes définitions de ce concept, une définition utile, au sein de l’Union européenne (UE), reconnaît que le bien-être est «un concept sommatif qui caractérise la qualité de la vie professionnelle, incluant des aspects liés à la sécurité et à la santé au travail (SST), et qui peut être un déterminant majeur de la productivité au niveau des individus, des entreprises et de la société». Compte tenu des différentes interprétations qui existent autour du concept de bien-être au travail (BET), une enquête proposant des questions ouvertes a été réalisée dans des pays d’Europe afin de cerner leur définition de ce concept et d’évaluer si des similitudes existent entre les pays.

    Source : European Agency for Safety and Health at Work. (2015). Bien-être au travail : créer un environnement de travail positif. Bilbao (Spain) : EU-OSHA. 4 p. (E-Facts; 76). Repéré à https://osha.europa.eu/en/oshnews/e-fact-76-well-being-work-creating-positive-work-environment?pk_campaign=2015

  • La violence en milieu de travail dans le système de santé canadien entraîne d’importantes répercussions, non seulement sur les travailleurs de la santé et les usagers touchés, mais sur l’ensemble du système de santé. Pour le système de santé canadien, la prévention de la violence en milieu de travail est un défi de taille qui requiert l’engagement de tout le personnel d’encadrement des organismes de soins de santé, de même qu’un suivi constant des tendances au sein de ces organismes. Le présent rapport pancanadien repose sur des données d’ensemble fournies par les organismes de soins de santé qui participent au programme Qmentum d’Agrément Canada. Il témoigne des efforts consentis par ces organismes en matière de sécurité et de prévention de la violence au travail, ainsi que des résultats du Sondage Pulse sur la qualité de vie au travail. Les renseignements ainsi recueillis présentent un point de vue unique sur les soins de santé au Canada.

    Source : Hasanaj, Qendresa, Mitchell, Jonathan, & Roman, Viktoria. (2015). Prévention de la violence et promotion de la sécurité au travail dans les organismes de santé canadiens : Rapport canadien sur l’agrément des services de santé. Ottawa : Agrément Canada, 18 p. Repéré à https://accreditation.ca/sites/default/files/rcas-2015.pdf

SANTÉ PSYCHOLOGIQUE

  • Entrevue avec France St-Hilaire, professeure agrégée au département de management et de gestion des ressources humaines de l’Université de Sherbrooke. Ses travaux de recherche portent sur la santé et le bien-être des individus au travail. Les nombreuses observations qu’elle est amenée à formuler sont fortement marquées par une approche nord-américaine tournée vers l’individu et la gestion de données comportementales au détriment de l’action sur l’organisation du travail.

    Source : Ravallec, Céline, & Vaudoux, Delphine. (2015, décembre). Le grand entretien : À tout facteur de risque correspond un facteur de protection. Travail & sécurité, 767, 13-15. Repéré à http://www.travail-et-securite.fr/ts/pages-transverses/revue.html

  • L’équilibre se situe entre le trop et le pas assez. Mais, en ces temps de pression, où investissons-nous trop de nous-mêmes, trop de temps, d’argent, d’énergie, d’efforts plus ou moins consentis ? En conséquence, quels secteurs d’une vie saine négligeons-nous ? Comment ajuster les choses pour que notre vie soit plus près de ce à quoi nous aspirons vraiment ? Comment éviter stress et fatigue, signes de déséquilibre, que nous vivons souvent sans satisfaction véritable en retour ?

    Source : Lafleur, Jacques. (2015, Décembre). Travail et santé, 31(4), 30-32. Repéré à http://www.apprivoisersonstress.ca/stress-au-travail/articles-parus-dans-travail-et-sante/l-equilibre-personnel-toujours-possible-en-2015/

  • Les professionnels qui choisissent de travailler dans le domaine du vieillissement sont confrontés aux complexités de la perte et du deuil. Les situations stressantes qui peuvent causer des sentiments d’impuissance, de désespoir et d’une perte de sens font partie des risques à travailler avec la perte. Il faut tenir compte de ces risques pour éviter l’insatisfaction au travail, l’absentéisme et l’épuisement professionnel. Cet article s’attarde aux défis personnels et professionnels des personnes œuvrant dans le domaine du vieillissement et décrit des types de réponse pouvant favoriser la résilience, un renouvellement du sens et le sentiment d’accomplissement au travail.

    Source : MacKinnon, Christopher J., & Ummel, Deborah. (2015, Automne). Pluriâges, 6(1), 12-18. Repéré à http://www.creges.ca/wp-content/uploads/2015/12/Pluriages_Vol.6_n1_Automne2015_Finale.pdf

  • Le bien-être au travail (BET) continue de gagner en importance dans les esprits des employés et des employeurs dans tous les pays. Bien qu’il existe différentes définitions de ce concept, une définition utile, au sein de l’Union européenne (UE), reconnaît que le bien-être est «un concept sommatif qui caractérise la qualité de la vie professionnelle, incluant des aspects liés à la sécurité et à la santé au travail (SST), et qui peut être un déterminant majeur de la productivité au niveau des individus, des entreprises et de la société». Compte tenu des différentes interprétations qui existent autour du concept de bien-être au travail (BET), une enquête proposant des questions ouvertes a été réalisée dans des pays d’Europe afin de cerner leur définition de ce concept et d’évaluer si des similitudes existent entre les pays.

    Source : European Agency for Safety and Health at Work. (2015). Bien-être au travail : créer un environnement de travail positif.  Bilbao (Spain) : EU-OSHA. 4 p. (E-fact; 76). Repéré à https://osha.europa.eu/en/oshnews/e-fact-76-well-being-work-creating-positive-work-environment?pk_campaign=2015

  • The use of mindfulness-based interventions (MBIs) is well documented in the mental health, medical, and education literature. There is minimal research on the use of mindfulness with social workers. As demonstrated in other professional and helping fields, mindfulness may enhance clinical skills, reduce burnout, and increase job satisfaction among social workers. In the health care field mindfulness appears integral to patient and family relationships and personal resilience. The evolving and expanding role of hospital social workers may lead to increased work stress and greater demands from both the medical system and patients and families. Research with medical providers, such as physicians and nurses, suggests mindfulness may help in reducing stress, enhancing relationships, and fostering the self-reflection required to provide patient-centered care. We systematically reviewed the existing literature to begin understanding both mindfulness qualities and practices and the effectiveness of MBIs among social workers as well as the relationship of mindfulness to patient-centered care.

    Source : Trowbridge, Kelly, & Lawson, Lisa Mische. (2016).  Mindfulness-based interventions with social workers and the potential for enhanced patient-centered care: A systematic review of the literature. Social Work in Health Care. Prépublication.  DOI:10.1080/00981389.2015.1094165

  • Providing quality care requires positive, collaborative working relationships among healthcare team members. In today’s increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management. The aim of this study was to review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict.

    Source : Almost, Joan, Wolff, Angela C., Stewart-Pyne, Althea, McCormick, Loretta G., Strachan, Diane, & D’Souza, Christine. (2016). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12903

  • Musculoskeletal pain and stress-related disorders are leading causes of impaired work ability, sickness absences and disability pensions. However, knowledge about the combined detrimental effect of pain and stress on work ability is lacking. This study investigates the association between pain in the neck-shoulders, perceived stress, and work ability. In a cross-sectional survey at a large pharmaceutical company in Denmark 473 female laboratory technicians replied to questions about stress, musculoskeletal pain intensity of the neck and shoulders, and work ability. General linear models tested the association between variables. In the multi-adjusted model, stress and pain had independent main effects on the work ability index score, and there was no significant stress by pain interaction. Work ability decreased gradually with both increased stress and pain. Workers with low stress and low pain had the highest Work Ability Index score and workers with high stress and high pain had the lowest score. This cross-sectional study indicates that increased stress and musculoskeletal pain are independently associated with lower work ability in female laboratory technicians.

    Source : Jay, Kenneth, Friborg, Maria Kristine, Sjøgaard, Gisela, Jakobsen, Markus Due, Sundstrup, Emil, Brandt, Mikkel, & Andersen, Lars Louis. (2015). International Journal of Environmental Research and Public Health, 22(12), 15834-15842; doi:10.3390/ijerph121215024

  • The American Association of Critical-Care Nurses’ (AACN) has created tools to address issues associated with a healthy work environment, including burnout and “compassion fatigue,” available at http://www.aacn.org/.

    Source : A burnout barometer to assess your work culture. (2016, February). Hospital Employee Health, 35(2), 13-24. Repéré à http://www.ahcmedia.com/articles/137012-a-burnout-barometer-to-assess-your-work-culture

  • Qui a dit que la vie au travail est un long fleuve tranquille? Entre évoluer comme entreprise, s’adapter aux réalités du marché ou coller aux besoins des clients… s’adapter au travail devient le mot d’ordre. Nouveau projet d’orientation client, changement d’équipes, réflexion stratégique, restructurations en série, innovations en tout genre… tout indique qu’un nouveau scénario se dessine avec son lot d’inconnues. Soubresauts garantis. Comment gérer ces changements au quotidien? Que faire pour atténuer l’effet déstabilisant du revirement de position? Conseils pour apprendre à s’adapter durablement au changement permanent.

    Source : Jézéquel, Myriam. (2016, 8 janvier). Portail RH. Ressources. Repéré à http://www.portailrh.org/ressources/AZ/specialites/article_une/fiche.aspx?p=629615

  • When it comes to work these days, we’re all expected to do more with less. But is this nose-to-the-grindstone philosophy the best way to run a business? Alarmingly low employee engagement numbers indicate otherwise. In his new book, The Optimistic Workplace: Creating an Environment that Energizes Everyone, management and leadership consultant Shawn Murphy tackles the productivity challenge and argues that our best work is the product of a positive environment.

    Source : Smith, Sandy. (2015, December 2). EHS Today. Repéré à http://ehstoday.com/safety-leadership/maximizing-optimism-workplace

SÉCURITÉ DES MACHINES

  • Quand faut-il cadenasser ? Voilà une question souvent entendue. En effet, chez certains employeurs la confusion règne sur le choix de la bonne méthode de contrôle des énergies au moment des interventions typiques que l’on trouve dans une entreprise.

    Source : Giroux, Benoit. (2015, Décembre). Travail et santé, 31(4), 12-13.

SÉCURITÉ ROUTIÈRE

  • In a study of 16 night-shift workers, more than one-third were involved in near crashes while participating in a test drive after work, researchers report. The same drivers experienced zero near-crashes after sleeping sufficient amounts the night before the same test drive, according to the study, published online Dec. 21 in the Proceedings of the National Academy of Sciences. « What is unique about this study is that it (was) done in daytime » and there was a « stupendously increased risk of these near-crash events, » said study author Dr. Charles Czeisler, chief of the division of sleep and circadian disorders at Brigham and Women’s Hospital in Boston.

    Source : Night-Shift Workers May Be Prone to Car Crashes. (2015, December 22). MedlinePlus. HealthDay. Repéré à https://www.nlm.nih.gov/medlineplus/news/fullstory_156348.html

SERVICE DES ARCHIVES

SERVICES À DOMICILE

  • Un questionnaire a permis de recueillir des éléments sur les conditions de travail des salariés d’une entreprise du secteur de l’aide à domicile. Les résultats montrent des contraintes physiques importantes ainsi qu’une charge mentale élevée. Suite aux préconisations du service de santé au travail, de nombreuses actions ont été mises en place sur des thématiques importantes telles que les accidents du travail, le renforcement de l’accompagnement de l’encadrement auprès des intervenants, la formation ou la communication. Une évaluation approfondie des risques professionnels a également été initiée. Comprend un questionnaire d’enquête.

    Source : Massoni, P., Rajaona, R., Rupied, C., Albu, A., Costa, V., Kahal, E.,… Murcia, M. (2015). Références en santé au travail, 144, 49-62. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/VuDuTerrain/TI-RST-TF-231/tf231.pdf

  • Health care is shifting out of hospitals into community settings. In Ontario, Canada, home care organizations continue to experience challenges recruiting and retaining nurses. However, factors influencing home care nurse retention that can be modified remain largely unexplored. Several groups of factors have been identified as influencing home care nurse intent to remain employed including job characteristics, work structures, relationships and communication, work environment, responses to work, and conditions of employment. The aim of this study was to test and refine a model that identifies which factors are related to home care nurse intentions to remain employed for the next 5 years with their current home care employer organization.

    Source : Tourangeau, Ann E., Patterson, Erin, Saari, Margaret, Thompson, Heather, & Cranley, Lisa. (2016). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000093

  • The aim was to determine the prevalence of work-related musculoskeletal disorders (WMSDs) and health profile among urban versus rural continuing care aides (CCAs) in Canada. This cross-sectional study of 42 urban and rural CCAs assessed WMSDs and health profiles using the Nordic Musculoskeletal Questionnaire (NMQ), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), and a health background questionnaire. CCAs were generally unhealthy, with rural CCAs somewhat healthier. Greatest WMSD complaint was reported at the neck. Urban CCAs were more likely to report foot complaints. No other statistically significant differences were found. Back and shoulder scores were correlated with poorer nutrition status, higher body mass index, and more years worked. Workplace wellness programs should address the health issues faced by CCAs through active surveillance and practical interventions to improve CCAs’ health status, prevent and manage WMSDs, and lost workdays.

    Source : Johnson, Shanthi, McLeod, Katherine, Engel, Patricia, & Tulloch, Lori. (2015). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822315608617

  • The use of medicinal marijuana is increasing. Marijuana has been shown to have therapeutic effects in certain patients, but further research is needed regarding the safety and efficacy of marijuana as a medical treatment for various conditions. A growing body of research validates the use of marijuana for a variety of healthcare problems, but there are many issues surrounding the use of this substance. This article discusses the use of medical marijuana and provides implications for home healthcare providers.

    Source : Capriotti, Teri. (2016). Home Healthcare Now, 34(1), 10-15. Repéré à  http://pdfs.journals.lww.com/homehealthcarenurseonline/2016/01000/Medical_Marijuana.3.pdf

SERVICES AMBULANCIERS – PRÉHOSPITALIERS

  • The process of loading a stretcher into an ambulance is known to cause a high incidence of back injuries among paramedics. This study aimed to assess the forces at L5/S1 during real-life stretcher loading activities and to determine the variables that contribute significantly to these forces. Analyses involved 58 paramedics (111 shifts) and 175 stretcher loading activities. Recommendations to reduce the risk of back injuries are proposed with regard to stretcher and ambulance loading design as well as training in stretcher lifting for paramedics.

    Source : Prairie, Jérôme, Plamondon, André, Hegg-Deloye, Sandrine, Larouche, Dominique, & Corbeil, Philippe. (2016). Industrial Journal of Industrial Ergonomics, 54, 1-9. doi:10.1016/j.ergon.2015.11.014

SERVICES DE GARDE – CPE

  • Les fiches d’auto-inspection thématiques sont conçues à l’intention des centres de la petite enfance (CPE) et des garderies. Elles portent sur la santé, la sécurité et le bien-être des enfants fréquentant les services de garde éducatifs à l’enfance du Québec. Les éléments à vérifier lors d’une auto-inspection seront éventuellement examinés par un inspecteur ou une inspectrice du ministère de la Famille. Chaque élément jugé non conforme durant une inspection entraînera la délivrance d’un avis de non-conformité ou, s’il n’est pas corrigé, l’imposition d’une sanction. Vous pouvez utiliser les fiches d’auto-inspection afin de vous aider à préparer l’inspection de votre service de garde et ainsi vous assurer de demeurer conforme à la Loi sur les services de garde éducatifs à l’enfance (LSGEE) et à ses règlements. Vous pouvez procéder à l’auto-inspection de votre service de garde selon votre propre parcours, car chaque fiche peut être utilisée séparément.

    Source : Québec. Ministère de la Famille. (2015). Fiches d’auto-inspection d’une installation : centre de la petite enfance et garderie. Québec : Ministère de la Famille, 28 p. Repéré à https://www.mfa.gouv.qc.ca/fr/publication/Documents/fiches-auto-inspection-installation.pdf

SST EN MILIEU HOSPITALIER

  • The U.S. Department of Labor has identified the health care industry as a major source of all U.S. workplace injuries. Studies have shown that injury within the health care workforce is related to high turnover rates, burnout, poor job satisfaction, and leaving the health care workforce permanently, thus contributing to the existing health care workforce shortages. The purpose of this synthesis of the literature was twofold. The first was to conduct a comprehensive evaluation of the occupational health and safety literature to determine the key antecedents to health care provider injury. The second was to utilize the National Institute for Occupational Safety and Health (NIOSH) framework to organize the findings.

    Source : McCaughey, Deirdre, Kimmel, Ashley, Savage, Grant, Lukas, Tiana, Walsh, Erin, & Halbesleben, Jonathan. (2016). Health Care Management Review, 41(1), 42-55. doi: 10.1097/HMR.0000000000000043

  • La violence en milieu de travail dans le système de santé canadien entraîne d’importantes répercussions, non seulement sur les travailleurs de la santé et les usagers touchés, mais sur l’ensemble du système de santé. Pour le système de santé canadien, la prévention de la violence en milieu de travail est un défi de taille qui requiert l’engagement de tout le personnel d’encadrement des organismes de soins de santé, de même qu’un suivi constant des tendances au sein de ces organismes. Le présent rapport pancanadien repose sur des données d’ensemble fournies par les organismes de soins de santé qui participent au programme Qmentum d’Agrément Canada. Il témoigne des efforts consentis par ces organismes en matière de sécurité et de prévention de la violence au travail, ainsi que des résultats du Sondage Pulse sur la qualité de vie au travail. Les renseignements ainsi recueillis présentent un point de vue unique sur les soins de santé au Canada.

    Source : Hasanaj, Qendresa, Mitchell, Jonathan, & Roman, Viktoria. (2015). Prévention de la violence et promotion de la sécurité au travail dans les organismes de santé canadiens : Rapport canadien sur l’agrément des services de santé. Ottawa : Agrément Canada, 18 p. Repéré à https://accreditation.ca/sites/default/files/rcas-2015.pdf

SYSTÈME DE MANAGEMENT

  • Harmoniser le système de gestion de la santé et de la sécurité au travail aux autres systèmes de management pourrait figurer parmi vos résolutions 2016 ! En septembre 2015, la norme en management de l’environnement (ISO 14001) et celle en management de la qualité (ISO 9001) ont été revues. Parallèlement à cela, se poursuit le développement de la norme de management de la santé et de la sécurité au travail (ISO 45001). Cette nouvelle norme de management remplacera la norme britannique en santé et sécurité au travail : OHSAS 18001. Si votre entreprise est déjà certifiée conforme à la norme OHSAS 18001 ou à une autre norme de management en SST, soit la norme canadienne CSA Z1000 ou la norme américaine ANSI Z10, votre résolution pour 2016 pourrait être de planifier la transition vers ISO 45001. Beaucoup de travail en perspective !

    Source : Centre patronal de santé et sécurité du travail du Québec. (2016, Janvier). Info SST. Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/normes-sst/systemes-de-management.html

TECNHOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

TRAVAIL DE BUREAU

  • This study was conducted to assess functional parameters and comfort of a new computer mouse (Ergomice) as compared with three other input devices. Functional parameters (i.e., task completion time and error rate) of each device were assessed by 10 participants using standardized software based on Standard No. ISO 9241-9:2000. Comfort evaluation was also undertaken for each device using the visual analogue scale technique. In conclusion, the  design features of Ergomice could improve its functional properties. Hand/wrist posture comfort of Ergomice was judged to be high compared with that of the other devices.

    Source : Dehgan, Naser, Choobineh, Alireza, Razeghi, Mohsen, Hasanzadeh, Jafar, Irandoost, Moslem, & Ebrahimi, Samaneh. (2015). International Journal of Occupational Safety and Ergonomics. 21(4), 493-497. Repéré à http://www.tandfonline.com/doi/full/10.1080/10803548.2015.1096060

  • Selon l’Institut de la statistique du Québec, la population de 15 ans et plus consacre en moyenne près de 7,5 heures par jour à ses activités professionnelles. Si on comptabilise la moyenne hebdomadaire, ça fait beaucoup d’heures passées au bureau, en position assise. Le Conseil national de recherche du Canada a démontré qu’un cadre de travail sain, notamment au niveau de l’environnement physique, permet de réduire le taux d’absentéisme, car il garantit la santé des employés et procure un sentiment de bien-être.

    Source : Banville, Julie, & Ayotte, Jacinthe. (2015, décembre). Travail et santé – Guide source en SST 2016, 31(5), suppl., 23-25.

  • The aim of the study was to determine whether chronic low back pain (LBP) might be attenuated through the introduction of a sit-stand workstation (SSW) in office employees. Participants were randomized to receive a SSW at the beginning or at the end of a 3-month study period. Participants responded to a short survey at the end of each workday and a comprehensive survey at weeks 1, 6, and 12. Forty-six university employees with self-reported chronic LBP were enrolled. The findings support the hypothesis that chronic LBP might be improved by the introduction of a SSW in an office environment.

    Source : Ognibene, Grant T., Torres, Wilson, von Eyben, Rie, & Horst, Kathleen C. (2016). JOEM : Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000615

TRAVAIL EN ÉQUIPE

  • Providing quality care requires positive, collaborative working relationships among healthcare team members. In today’s increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management. The aim of this study was to review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict.

    Source : Almost, Joan, Wolff, Angela C., Stewart-Pyne, Althea, McCormick, Loretta G., Strachan, Diane, & D’Souza, Christine. (2016). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12903

TRAVAIL EN LABORATOIRE

  • Musculoskeletal pain and stress-related disorders are leading causes of impaired work ability, sickness absences and disability pensions. However, knowledge about the combined detrimental effect of pain and stress on work ability is lacking. This study investigates the association between pain in the neck-shoulders, perceived stress, and work ability. In a cross-sectional survey at a large pharmaceutical company in Denmark 473 female laboratory technicians replied to questions about stress, musculoskeletal pain intensity of the neck and shoulders, and work ability. General linear models tested the association between variables. In the multi-adjusted model, stress and pain had independent main effects on the work ability index score, and there was no significant stress by pain interaction. Work ability decreased gradually with both increased stress and pain. Workers with low stress and low pain had the highest Work Ability Index score and workers with high stress and high pain had the lowest score. This cross-sectional study indicates that increased stress and musculoskeletal pain are independently associated with lower work ability in female laboratory technicians.

    Source : Jay, Kenneth, Friborg, Maria Kristine, Sjøgaard, Gisela, Jakobsen, Markus Due, Sundstrup, Emil, Brandt, Mikkel, & Andersen, Lars Louis. (2015). International Journal of Environmental Research and Public Health, 22(12), 15834-15842; doi:10.3390/ijerph121215024

TRAVAIL SÉDENTAIRE

  • Selon l’Institut de la statistique du Québec, la population de 15 ans et plus consacre en moyenne près de 7,5 heures par jour à ses activités professionnelles. Si on comptabilise la moyenne hebdomadaire, ça fait beaucoup d’heures passées au bureau, en position assise. Le Conseil national de recherche du Canada a démontré qu’un cadre de travail sain, notamment au niveau de l’environnement physique, permet de réduire le taux d’absentéisme, car il garantit la santé des employés et procure un sentiment de bien-être.

    Source : Banville, Julie, & Ayotte, Jacinthe. (2015, décembre). Travail et santé – Guide source en SST 2016, 31(5), suppl., 23-25.

TRAVAIL SOCIAL

  • The use of mindfulness-based interventions (MBIs) is well documented in the mental health, medical, and education literature. There is minimal research on the use of mindfulness with social workers. As demonstrated in other professional and helping fields, mindfulness may enhance clinical skills, reduce burnout, and increase job satisfaction among social workers. In the health care field mindfulness appears integral to patient and family relationships and personal resilience. The evolving and expanding role of hospital social workers may lead to increased work stress and greater demands from both the medical system and patients and families. Research with medical providers, such as physicians and nurses, suggests mindfulness may help in reducing stress, enhancing relationships, and fostering the self-reflection required to provide patient-centered care. We systematically reviewed the existing literature to begin understanding both mindfulness qualities and practices and the effectiveness of MBIs among social workers as well as the relationship of mindfulness to patient-centered care.

    Source : Trowbridge, Kelly, & Lawson, Lisa Mische. (2016).  Mindfulness-based interventions with social workers and the potential for enhanced patient-centered care: A systematic review of the literature. Social Work in Health Care. Prépublication.  DOI:10.1080/00981389.2015.1094165

TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • The aim of the study was to determine whether chronic low back pain (LBP) might be attenuated through the introduction of a sit-stand workstation (SSW) in office employees. Participants were randomized to receive a SSW at the beginning or at the end of a 3-month study period. Participants responded to a short survey at the end of each workday and a comprehensive survey at weeks 1, 6, and 12. Forty-six university employees with self-reported chronic LBP were enrolled. The findings support the hypothesis that chronic LBP might be improved by the introduction of a SSW in an office environment.

    Source : Ognibene, Grant T., Torres, Wilson, von Eyben, Rie, & Horst, Kathleen C. (2016). JOEM : Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000615

  • The aim was to determine the prevalence of work-related musculoskeletal disorders (WMSDs) and health profile among urban versus rural continuing care aides (CCAs) in Canada. This cross-sectional study of 42 urban and rural CCAs assessed WMSDs and health profiles using the Nordic Musculoskeletal Questionnaire (NMQ), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), and a health background questionnaire. CCAs were generally unhealthy, with rural CCAs somewhat healthier. Greatest WMSD complaint was reported at the neck. Urban CCAs were more likely to report foot complaints. No other statistically significant differences were found. Back and shoulder scores were correlated with poorer nutrition status, higher body mass index, and more years worked. Workplace wellness programs should address the health issues faced by CCAs through active surveillance and practical interventions to improve CCAs’ health status, prevent and manage WMSDs, and lost workdays.

    Source : Johnson, Shanthi, McLeod, Katherine, Engel, Patricia, & Tulloch, Lori. (2015). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822315608617

  • Le travail en station debout prolongée a déjà été associé à divers symptômes comme la douleur lombaire et la fatigue généralisée. Des études récentes ont démontré une association entre la douleur lombaire en posture debout prolongée et des patrons de coactivation des muscles de la région lombo-pelvienne. Cependant, ces patrons n’ont jamais été mesurés pour d’autres postures de travail, ou lorsque la posture debout était accompagnée de gestes répétitifs des membres supérieurs. L’objectif principal de ce projet était d’évaluer l’effet de différentes postures de travail (debout, assise, assis-debout) sur les patrons de coactivation musculaire lombo-pelvienne lors d’une tâche manuelle répétitive réalisée dans deux environnements distincts. L’objectif secondaire consistait à mesurer, pour chacune des postures, l’association entre les patrons musculaires et les symptômes d’inconfort.

    Source : Côté, Julie, Antle, David, Emery, Kim, & Ngomo, Suzy. (2016). Montréal : Institut de recherche Robert-Sauvé en santé et en sécurité du travail, ix, 42 p. (Études et recherches, rapport R-897)

  • Musculoskeletal pain and stress-related disorders are leading causes of impaired work ability, sickness absences and disability pensions. However, knowledge about the combined detrimental effect of pain and stress on work ability is lacking. This study investigates the association between pain in the neck-shoulders, perceived stress, and work ability. In a cross-sectional survey at a large pharmaceutical company in Denmark 473 female laboratory technicians replied to questions about stress, musculoskeletal pain intensity of the neck and shoulders, and work ability. General linear models tested the association between variables. In the multi-adjusted model, stress and pain had independent main effects on the work ability index score, and there was no significant stress by pain interaction. Work ability decreased gradually with both increased stress and pain. Workers with low stress and low pain had the highest Work Ability Index score and workers with high stress and high pain had the lowest score. This cross-sectional study indicates that increased stress and musculoskeletal pain are independently associated with lower work ability in female laboratory technicians.

    Source : Jay, Kenneth, Friborg, Maria Kristine, Sjøgaard, Gisela, Jakobsen, Markus Due, Sundstrup, Emil, Brandt, Mikkel, & Andersen, Lars Louis. (2015). International Journal of Environmental Research and Public Health, 22(12), 15834-15842; doi:10.3390/ijerph121215024

  • Pendant la seconde moitié du 20e siècle, les écrans de télé et d’ordinateur nous ont cloués à nos chaises. Voilà maintenant que les appareils mobiles se mettent de la partie en modifiant notre façon de bouger. Et c’est par la tête et les pouces qu’ils nous tiennent! Voici des conseils pour prévenir les impacts des textos sur vos articulations.

    Source : Fortier, Denis. (2015?). Conseils d’un physio pour les accros du texto. [Billet de blogue]. Repéré à http://www.conseilsdunphysio.com/#!Conseils-dun-physio-pour-les-accros-du-texto/c22zv/564f91970cf23c042f8ff9ce

  • Texter à profusion sur son téléphone ou regarder des séries télévisuelles sur sa tablette électronique n’est pas sans conséquence. Le physiothérapeute Denis Fortier dévoile que l’utilisation prolongée des appareils mobiles n’est pas idéale pour notre pauvre cou.

    Source : Blondin, Sophie-Andrée. (21 novembre 2015). Ici Radio-Canada Première : Les éclaireurs. Repéré à http://ici.radio-canada.ca/emissions/les_eclaireurs/2015-2016/chronique.asp?idChronique=390340

 

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