COIN DE LA DOCUMENTALISTE – AVRIL 2016

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ADMINISTRATION DE LA SANTÉ

  • Despite broad agreement among researchers about the value of examining how context shapes implementation of improvement programs and projects, limited attention has been paid to contextual effects on implementation of Lean. The purpose of this study is to help reduce gaps in knowledge of effects of intraorganizational context, we researched Lean implementation initiatives in five organizations and examined 12 of their Lean rapid improvement projects. All projects aimed at improving clinical care delivery. This study should alert researchers, managers, and teachers of management to ways that contexts shape Lean implementation and may affect other types of process redesign and quality improvement.

    Source : Harrison, Michael I., Kathryn, Paez, Carman, Kristin L., Stephens, Jennifer, Smeeding, Lauren, Devers, Kelly J., Garfinkel, Steven. (2016). Health Care Management Review, 41(2), 127-144. doi: 10.1097/HMR.0000000000000049

AGRESSIONS ET VIOLENCE

  • « The young lady was nice to me the whole eight hours, and at the last 30 minutes she just walked up to me and said, ‘I don’t like you. I’ll kick your ass,' » the patient « sitter » recalled. « I looked back. Was she looking at somebody else but me? Because we were cool. She said she wanted popcorn, and I went and got her popcorn out of the vending machine, bought her sodas, and washed her hair, and when I turned around she was standing in my face and she is like, ‘I’ll knock you out,’ and she actually swung, and she hit me. » This and other harrowing accounts of violence and abuse suffered by healthcare sitters, who are assigned to watch patients for a variety of reasons, are detailed in a landmark new study that found that 76% of respondents experienced at least one event of patient threats and violence in the prior year.

    Source : Evans, Gary. (2016, April). Hospital Employee Health, 35(4), 37-40. Repéré à http://www.ahcmedia.com/articles/137446-patient-sitters-at-high-risk-of-violence-physical-threats

  • It’s time to view violence against healthcare workers as a public health problem, not just another in a long list of occupational hazards, says the lead author of new study on the issue. « Workplace violence sometimes – at least in the research world in healthcare – gets siloed, » says Lisa A. Pompeii, PhD, a former employee health professional who is now a professor and researcher in the school of public health at the University of Texas Health Sciences Center in Houston. « It’s published in an occupational journal and seen as a workplace issue, not as a public health issue. We think of violence happening in our community as public health-type violence, but when it occurs in the workplace it seems to be hidden a little bit. »

    Source : Healthcare violence now a public health issue : Moving beyond limit occupational risk view. (2016, April). Hospital Employee Health, 35(4), 37-40. Repéré à http://www.ahcmedia.com/articles/137449-healthcare-violence-now-a-public-health-issue

AMÉNAGEMENT – ARCHITECTURE

  • L’expérience du passé dicte souvent l’avenir et ce sont malheureusement des tragédies qui ont mené à une révision des exigences en matière de protection contre les incendies dans les résidences privées pour aînés du Québec. L’obligation pour celles-ci d’être protégées par un système de gicleurs automatiques est une bonne nouvelle tant pour la sécurité des résidents que pour la protection de l’immeuble lui-même, mais cette intervention dans un milieu particulièrement sensible s’avèrera un défi de taille.

    Source : Dufresne, Stéphane. (2016, Février). L’Adresse : le Webzine du Regroupement québécois des résidences pour aînés, 4-5. Repéré à http://www.rqra.qc.ca/client_file/upload/webzine_adresse/adresse_fevrier2016/20160129_RQRA_Webzine_fevrier2016.pdf

  • Jusqu’à présent, il n’existait aucun document en France pour répondre aux problèmes rencontrés par des milliers de personnes : le bruit dans les open spaces et les autres espaces ouverts de bureaux. Bien sûr, il y a eu des normes volontaires sur l’acoustique des bureaux, sur leur conception, sur la performance acoustique par type d’espace de travail… Mais aucune de ces normes volontaires ne se consacrait entièrement aux espaces ouverts. C’est une première en France. Un mode opératoire est disponible pour améliorer la qualité sonore des open spaces, ces espaces de travail ouverts de plus en plus courants dans les entreprises. Les bénéfices ? Réduction des bruits, bien-être et gain de productivité. Découvrez la norme volontaire S31-199 !

    Source : AFNOR. (2016, 14 mars). AFNOR. Gestion des risques et SST. Repéré à http://www.afnor.org/profils/centre-d-interet/gestion-des-risques-et-sst/open-spaces-stop-aux-nuisances-sonores

  • The purpose of the study was to describe the development and psychometric testing of the Seniors’ Outdoor Survey (SOS), an instrument for evaluating how well the outdoor space in a long-term care setting supports the preferences and outdoor usage of residents. The SOS tool fills a gap in the available environmental assessment instruments, providing a reliable way for researchers, providers, and designers to evaluate and compare the supportive potential of outdoor spaces for long-term care residents.

    Source : Rodiek, Susan, Nejati, Adeleh, Bardenhagen, Eric, Lee, Chanam, & Senes, Giulio. (2016). The Gerontologist, 56(2), 222-233. doi: 10.1093/geront/gnu050

APPROCHE LEAN

  • Despite broad agreement among researchers about the value of examining how context shapes implementation of improvement programs and projects, limited attention has been paid to contextual effects on implementation of Lean. The purpose of this study is to help reduce gaps in knowledge of effects of intraorganizational context, we researched Lean implementation initiatives in five organizations and examined 12 of their Lean rapid improvement projects. All projects aimed at improving clinical care delivery. This study should alert researchers, managers, and teachers of management to ways that contexts shape Lean implementation and may affect other types of process redesign and quality improvement.

    Source : Harrison, Michael I., Kathryn, Paez, Carman, Kristin L., Stephens, Jennifer, Smeeding, Lauren, Devers, Kelly J., Garfinkel, Steven. (2016). Health Care Management Review, 41(2), 127-144. doi: 10.1097/HMR.0000000000000049

BRUIT EN MILIEU DE TRAVAIL

  • Jusqu’à présent, il n’existait aucun document en France pour répondre aux problèmes rencontrés par des milliers de personnes : le bruit dans les open spaces et les autres espaces ouverts de bureaux. Bien sûr, il y a eu des normes volontaires sur l’acoustique des bureaux, sur leur conception, sur la performance acoustique par type d’espace de travail… Mais aucune de ces normes volontaires ne se consacrait entièrement aux espaces ouverts. C’est une première en France. Un mode opératoire est disponible pour améliorer la qualité sonore des open spaces, ces espaces de travail ouverts de plus en plus courants dans les entreprises. Les bénéfices ? Réduction des bruits, bien-être et gain de productivité. Découvrez la norme volontaire S31-199 !

    Source : AFNOR. (2016, 14 mars). AFNOR. Gestion des risques et SST. Repéré à http://www.afnor.org/profils/centre-d-interet/gestion-des-risques-et-sst/open-spaces-stop-aux-nuisances-sonores

BUANDERIE

  • La conception et la rénovation des chutes à linge sont généralement guidées par des normes essentiellement en lien avec la protection des incendies et, parfois, la protection du public. En effet, on dénombre des cas de patients qui se sont lancés dans des chutes à linge. Par ailleurs, on déplore aussi plusieurs accidents de travailleurs frappés par des poches de linge qui proviennent de la chute. Vous sont présentés ici les critères de conception à considérer pour la prévention des incendies. Sont aussi suggérés des éléments clés visant la santé et la sécurité du personnel.

    Source : Bertrand, Pierre, & Poulin, Pierre. (2016, Mars). Le journal de l’ABLASQ, 32, 39-41.

CANCERS PROFESSIONNELS

  • The study aims to explore the associations between various occupations and thyroid cancer risk. A population-based, case-control study involving 462 histologically confirmed incident cases and 498 controls was conducted in Connecticut in 2010 to 2011. A significantly increased risk of thyroid cancer, particularly papillary microcarcinoma, was observed for those working as the health care practitioners and technical workers, health diagnosing and treating practitioners, and registered nurses.

    Source : Ba, Yue, Huang, Huang, Lerro, Catherine, Li, Shuzhen, Zhao, Nan, Anqi, Ma, Shuangge, Udelsman, Robert, & Zhang, Yawei. (2016). JOEM : Journal of Occupational and Environmental Medicine, 58(3), 299-305. doi: 10.1097/JOM.0000000000000637

CHUTES ET GLISSADES

  • Occupational slips, trips and falls on the same level (STFL) result in substantial injuries worldwide. This paper summarises the state of science regarding STFL, outlining relevant aspects of epidemiology, biomechanics, psychophysics, tribology, organisational influences and injury prevention. This review reaffirms that STFL remain a major cause of workplace injury and STFL prevention is a complex problem, requiring multi-disciplinary, multi-faceted approaches. Despite progress in recent decades in understanding the mechanisms involved in STFL, especially slipping, research leading to evidence-based prevention practices remains insufficient, given the problem scale.

    Source : Chang, Wen-Ruey, Leclercq, Sylvie, Lockart, Thurmon E., & Haslam, Roger. (2016). Ergonomics. Prépublication. DOI:10.1080/00140139.2016.1157214

CIVILITÉ EN MILIEU DE TRAVAIL

  • Notre attitude avec les collègues, la façon dont on interagit et communique, nos gestes, nos comportements, bref notre savoir-être, ont pour effet de créer ou de maintenir un climat de travail sain ou, à l’inverse, un climat tendu. La civilité favorise un climat de confiance, d’entraide et de collaboration. La civilité, ce sont des petits gestes qui font une grande différence pour les autres. Ils influencent la capacité d’un individu à se sentir bien. Voici des réflexions pour nous sensibiliser à l’importance de notre attitude au travail.

    Source : Brouillard, Josianne, & Cacciatore, Gerlanda. (2016, Mars). Sans Pépins, 18(1), 1-3. Repéré à http://www.asstsas.qc.ca/publication/la-civilite-au-travail-competence-requise-pour-tous-0

  • This study explored the relationship between obsessive passion for work and incivility instigations, as well as the moderating role of a mastery motivational climate. A longitudinal, 3-wave study was conducted among 1,263 employees from a large Norwegian workers’ union across a 10-month time span. The results show that obsessive passion for work relates positively to incivility instigations and that this relationship is stable over time.

    Source : Birkeland, Ide Katrine, & Nerstad, Christina. (2016). Journal of Occupational Health Psychology, 21(1), 77-90.

CONCILIATION TRAVAIL – VIE PERSONNELLE

  • La conciliation travail-famille représente un défi encore plus grand aujourd’hui, car avec le vieillissement de la population, les travailleurs n’ont plus uniquement leur rôle de parents à jouer : ils doivent aussi très souvent remplir celui de proches aidants. La conciliation travail-famille est-elle encore, de nos jours, une « histoire de femmes » ? La situation des travailleurs s’est-elle améliorée ou détériorée à ce chapitre ? Les technologies mobiles leur facilitent-elles ou non la vie ? Quels sont les principaux obstacles à franchir et les mesures à mettre en oeuvre pour mieux soutenir son personnel ?

    Source : Tremblay, Diane-Gabrielle. (2016, Printemps). Gestion, 41(1), 23-25. Repéré à http://www.revuegestion.ca/catalog/revue-gestion/conciliation-travail-famille-encore-et-toujours-un-defi.html

CPE – SERVICES DE GARDE

  • Ce Guide s’adresse aux professionnels de la santé susceptibles de répondre aux questions des services de garde et écoles concernant la prévention et le contrôle des infections. Il vise à les soutenir dans leurs recommandations et interventions auprès de ces milieux. La nouvelle édition du guide se veut une version électronique évolutive. Elle est disponible uniquement en version électronique. Des mises à jour ont été publiées en février dernier.

    Source : Comité de prévention des infections dans les services de garde à l’enfance et les écoles du Québec. (2015). Prévention et contrôle des infections dans les services de garde et écoles du Québec : Guide d’intervention. Québec : MSSS, 2015. Pag. multiple. Repéré à http://publications.msss.gouv.qc.ca/msss/document-000374/

  • Notre attitude avec les collègues, la façon dont on interagit et communique, nos gestes, nos comportements, bref notre savoir-être, ont pour effet de créer ou de maintenir un climat de travail sain ou, à l’inverse, un climat tendu. La civilité favorise un climat de confiance, d’entraide et de collaboration. La civilité, ce sont des petits gestes qui font une grande différence pour les autres. Ils influencent la capacité d’un individu à se sentir bien. Voici des réflexions pour nous sensibiliser à l’importance de notre attitude au travail.

    Source : Brouillard, Josianne, & Cacciatore, Gerlanda. (2016, Mars). Sans Pépins, 18(1), 1-3. Repéré à http://www.asstsas.qc.ca/publication/la-civilite-au-travail-competence-requise-pour-tous-0

  • Depuis la publication de notre numéro spécial sur l’organisation de la prévention, « Bien s’orienter en SST », l’ASSTSAS a rencontré des services de garde actifs en santé et en sécurité du travail (SST). C’est le cas au CPE Les petites Girouettes qui compte 3 installations de 80 enfants et une cinquantaine de travailleuses. Cet article raconte leur expérience.

    Source : Buteau, Andrée-Anne. (2016, Mars). Sans Pépins, 18(1), 7-9. Repéré à http://www.asstsas.qc.ca/publication/la-prevention-de-la-theorie-la-pratique

  • Le changement fait partie de l’expérience humaine depuis la nuit des temps. C’est un phénomène naturel. Alors, pourquoi l’envisager souvent de façon négative ? Ce qui a changé au cours des années est la fréquence, le rythme accéléré et le cumul des changements qui se vivent à l’intérieur d’une vie professionnelle. Néanmoins, il est possible pour une personne de jongler sereinement avec ce stress et pour une organisation de gérer humainement les changements.

    Source : Legault, Lucie. (2016, Mars). Sans Pépins, 18(1), 4-6. Repéré à http://www.asstsas.qc.ca/publication/jongler-avec-le-changement-et-garder-lequilibre

  • To improve influenza immunization rates, it is essential to understand why adults do not seek immunizations and what factors influenced their decisions. For this reason, employees of a manufacturing plant and day care center were offered free influenza immunizations and asked to complete a survey regarding factors influencing their decisions to be vaccinated. This information can be used to tailor educational materials and outreach.

    Source : McKeirnan, Kimberly C. (2016). Workplace Health & Safety. Prépublication. doi:10.1177/2165079916632773

  • Vaccine-preventable diseases pose a significant risk to children in childcare. However, few regulations exist regarding childcare staff vaccination. This study aimed to assess support for a childcare agency staff mandatory vaccination policy. Surveys were distributed to staff and parents at 23 St Louis, Mo, childcare agencies during fall 2014. The results showed there is strong support for some type of childcare agency staff vaccination policy. Implementing such a policy/program should be a collaborative endeavor that addresses vaccine cost and access.

    Source : Rebmann, Terri, Wang, Jing, Wilson, Kristin D., Gilbertson, Philip G., & Wakefield, Mary. (2016).  AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.01.033

ÉQUIPEMENT DE PROTECTION

  • Conflicting recommendations exist related to which facial protection should be used by health care workers to prevent transmission of acute respiratory infections, including pandemic influenza. The authors performed a systematic review of both clinical and surrogate exposure data comparing N95 respirators and surgical masks for the prevention of transmissible acute respiratory infections. They searched various electronic databases and the grey literature for relevant studies published from January 1990 to December 2014.

    Source : Smith, Jeffrey D., MacDougall, Colin C., Johnstone, Jennie, Copes, Ray A., Schwartz, Brian, & Garber, Gary E. (2016). CMAJ. Prépublication. doi: 10.1503/cmaj.150835

  • Eyewash stations are a staple in facilities that use materials that can cause eye injury or eye infection, providing reprieve after accidental exposure. But simply having an eyewash station in your workplace isn’t enough. Not properly maintaining a station potentially can cause more harm than good and even create its own emergency situation. Improperly maintained eyewash stations can create a greater hazard than those they’re designed to protect against.

    Source : EHS Today Staff. (2016, March 4). EHS Today. Industrial Hygiene. Repéré à http://ehstoday.com/industrial-hygiene/emergency-eyewash-station

ÉTABLISSEMENTS D’HÉBERGEMENT

  • The basic elements of an infection prevention program are designed to prevent the spread of infection in healthcare settings. When these elements are present and practiced consistently, the risk of infection among patients and healthcare personnel is reduced. The Infection Control Assessment Tools were developed by CDC for awardees under the Epidemiology and Laboratory Capacity (ELC) Infection Control Assessment and Response (ICAR) Program to assist health departments in assessing infection prevention practices and guide quality improvement activities (e.g., by addressing identified gaps). These tools may also be used by healthcare facilities to conduct internal quality improvement audits. Assessment tools were developed for the following healthcare settings: acute care (including hospitals and long-term acute care hospitals), outpatient, long-term care, and hemodialysis.

    Source : United States. Centers for Disease Control and Prevention. (2015). CDC. Healthcare-associated infections (HAIs). Preventing HAIs. Repéré à http://www.cdc.gov/hai/prevent/infection-control-assessment-tools.html

  • L’expérience du passé dicte souvent l’avenir et ce sont malheureusement des tragédies qui ont mené à une révision des exigences en matière de protection contre les incendies dans les résidences privées pour aînés du Québec. L’obligation pour celles-ci d’être protégées par un système de gicleurs automatiques est une bonne nouvelle tant pour la sécurité des résidents que pour la protection de l’immeuble lui-même, mais cette intervention dans un milieu particulièrement sensible s’avèrera un défi de taille.

    Source : Dufresne, Stéphane. (2016, Février). L’Adresse : le Webzine du Regroupement québécois des résidences pour aînés, 4-5. Repéré à http://www.rqra.qc.ca/client_file/upload/webzine_adresse/adresse_fevrier2016/20160129_RQRA_Webzine_fevrier2016.pdf

  • The purpose of the study was to describe the development and psychometric testing of the Seniors’ Outdoor Survey (SOS), an instrument for evaluating how well the outdoor space in a long-term care setting supports the preferences and outdoor usage of residents. The SOS tool fills a gap in the available environmental assessment instruments, providing a reliable way for researchers, providers, and designers to evaluate and compare the supportive potential of outdoor spaces for long-term care residents.

    Source : Rodiek, Susan, Nejati, Adeleh, Bardenhagen, Eric, Lee, Chanam, & Senes, Giulio. (2016). The Gerontologist, 56(2), 222-233. doi: 10.1093/geront/gnu050

ÉVACUATION D’URGENCE

FORMATION EN SST

  • Notre capacité à gérer nos propres émotions, ainsi que notre capacité à réagir aux émotions des autres sont deux aspects importants de notre intelligence émotionnelle. Au moyen d’exemples pratiques, Sue Freeman expliquera ce que représente l’intelligence émotionnelle sur le plan de la croissance personnelle et professionnelle, de la constitution d’équipes qui réussissent et de la satisfaction des clients. Réunissez-vous avec vos collègues de travail dans votre salle de réunion pour l’occasion, ou visionnez le webinaire par vous-même à votre ordinateur.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). Le rapport sur la santé et la sécurité, 14(3). Repéré à http://cchst.ca/newsletters/hsreport/issues/current.html

GESTION – LEADERSHIP

  • Being a mindful leader is much more than being aware; it requires be attuned to the needs of you, your workers and your workplace in the moment. « Mindfulness allows people to balance the tensions and forces at play in the world, live with the right tempo and to lead with purpose, » said Jon Mertz, consultant and author of « Activate Leadership. » Mertz offers the following seven tips on how to be mindful, at work and at home.

    Source : Christ, Ginger. (2016, March 9). How to Embrace Mindfulness as a Leader [Photo Gallery]. EHS Today. Safety Leadership. Repéré à http://ehstoday.com/safety-leadership/how-embrace-mindfulness-leader-photo-gallery#slide-0-field_images-46101

  • This study examines the underlying mechanism of the crossover process in work teams. Drawing on conservation of resources theory, the authors hypothesize that a leader’s psychological distress positively influences subordinates’ psychological distress through abusive supervision. They further hypothesize that team performance attenuates the association between a leader’s psychological distress and abusive supervision. In addition, they expect that psychological capital attenuates the positive relationship between abusive supervision and subordinates’ psychological distress.

    Source : Yuhui, Li, Zhen, Wang, Liu-Qin, Yang, Songbo, Liu. (2016). Journal of Occupational Health Psychology, 21(2), 142-153.

  • D’un côté, on peut voir la chose d’un œil un tantinet sceptique. Est-ce que la pleine conscience (mindfulness) serait, une fois de plus, l’une de ces modes managériales qui débarquent de manière périodique sur le plancher de nos entreprises et de nos organisations? D’un autre côté, lorsque des entreprises aussi gigantesques et sérieuses que Google, Aetna, Intel, General Mills ou Target, de même que des universités de prestige telles Oxford avec son Mindfulness Center, mettent en place des programmes basés sur la pleine conscience, il y a lieu de s’intéresser à la chose…

    Source : Normandin, François. (2016, 29 février). Gestion HEC Montréal. S’informer. Repéré à http://www.revuegestion.ca/informer/gerer-en-pleine-conscience/

GESTION DE LA SST

  • Les données 2014 des accidents professionnels (PNSAT) (lésions, maladies et décès) au Canada sont maintenant disponibles. Des statistiques par groupe d’âge, industrie, par sexe, par province ou territoire sont disponibles. Ainsi, nous pouvons y retrouver les statistiques concernant les services de soins de santé et de services sociaux pour le Québec, les autres provinces et pour l’ensemble du Canada.

    Source : Association des commissions des accidents du travail du Canada. (S.D.) 2014 : Statistiques des accidents professionnels au Canada. Repéré à http://awcbc.org/fr/?page_id=381

  • Depuis la publication de notre numéro spécial sur l’organisation de la prévention, « Bien s’orienter en SST », l’ASSTSAS a rencontré des services de garde actifs en santé et en sécurité du travail (SST). C’est le cas au CPE Les petites Girouettes qui compte 3 installations de 80 enfants et une cinquantaine de travailleuses. Cet article raconte leur expérience.

    Source : Buteau, Andrée-Anne. (2016, Mars). Sans Pépins, 18(1), 7-9. Repéré à http://www.asstsas.qc.ca/publication/la-prevention-de-la-theorie-la-pratique

  • The aim of this study was to determine whether management system practices directed at both occupational health and safety (OHS) and operations (joint management system [JMS] practices) result in better outcomes in both areas than in alternative practices. The results indicated that organizations with JMS practices had better operational and safety outcomes than organizations without these practices. They had similar OHS outcomes as those with operations-weak practices, and in some cases, better outcomes than organizations with safety-weak practices. They had similar operational outcomes as those with safety-weak practices, and better outcomes than those with operations-weak practices. The authors concluded that Safety and operations appear complementary in organizations with JMS practices in that there is no penalty for either safety or operational outcomes.

    Source : Tompa, Emile, Robson, Lynda, Sarnocinska-Hart, Anna, Klassen, Robert, Shevchenko, Anton, Sharma, Sharvani,… Pagell, Mark. (2016). JOEM : Journal of Occupational and Environmental Medicine, 58(3), e80-e89. doi: 10.1097/JOM.0000000000000616

  • Le ministère de la Santé et des Services sociaux reconnaît l’importance déterminante de la contribution de son personnel à la réalisation de sa mission et à la prestation de services de qualité aux citoyens. Dans cet esprit, la Politique concernant la prévention, la promotion et les pratiques organisationnelles favorables à la santé et au mieux-être des personnes au travail établit les lignes directrices visant à favoriser la santé physique et psychologique du personnel, sa sécurité ainsi que son mieux-être au travail, lesquelles misent notamment sur la prévention et la responsabilisation des personnes par rapport à la prise en charge de leur santé.

    Source : Ministère de la Santé et des Services sociaux. (2016). [Québec] : Direction des communications du ministère de la Santé et des Services sociaux, 6 p. Repéré à http://publications.msss.gouv.qc.ca/msss/fichiers/2015/15-401-37W.pdf

GESTION DU CHANGEMENT

  • Le changement fait partie de l’expérience humaine depuis la nuit des temps. C’est un phénomène naturel. Alors, pourquoi l’envisager souvent de façon négative ? Ce qui a changé au cours des années est la fréquence, le rythme accéléré et le cumul des changements qui se vivent à l’intérieur d’une vie professionnelle. Néanmoins, il est possible pour une personne de jongler sereinement avec ce stress et pour une organisation de gérer humainement les changements.

    Source : Legault, Lucie. (2016, Mars). Sans Pépins, 18(1), 4-6. Repéré à http://www.asstsas.qc.ca/publication/jongler-avec-le-changement-et-garder-lequilibre

HORAIRE DE TRAVAIL

  • The aim of this study was to examine the presence of a dose-response relationship between work hours and incident cardiovascular disease (CVD) in a representative sample of U.S. workers. A retrospective cohort study of 1926 individuals from the Panel Study of Income Dynamics (1986 to 2011) employed for at least 10 years. Restricted cubic spline regression was used to estimate the dose-response relationship of work hours with CVD.

    Source : Conway, Sadie H., Pompeii, Lisa A., & Roberts, Robert E. (2016). JOEM : Journal of Occupational and Environmental Medicine, 58(3), e63-e116. Repéré à http://journals.lww.com/joem/Fulltext/2016/03000/Dose_Response_Relation_Between_Work_Hours_and.1.aspx

  • Occupational fatigue in hospital nurses is associated with increased nurse turnover, and decreased nurse health and patient safety. The goal of this study was to explore the factors contributing to or preventing fatigue, and barriers and facilitators to individual nurse coping in hospital work systems. Findings from this study provide guidance on what nurses perceive as contributing to fatigue and factors that are helpful and harmful to coping with fatigue within their work system. Implications for fatigue risk management systems (FRMS) are also discussed, in particular the importance of maintaining nurse autonomy in decision-making when implementing fatigue interventions or countermeasures.

    Source : Steege, Linsey M., Dykstra, Jessica G. (2016). Applied Ergonomics, 54(5), 19-26. doi:10.1016/j.apergo.2015.11.006

  • Nursing is a 24-hour job and, regardless of shift time or duration, nurses are expected to provide the highest quality care to patients. Due to their substantial roles in direct patient care, the performance of nurses is closely linked to quality and safety. Evidence suggests that the nature of shift work places patient safety at risk, primarily due to nurse fatigue associated with sleep deprivation and disruption of circadian rhythm. The problem is significant enough that nurse fatigue has been nationally recognized as a threat to patient safety by the American Nurses Association.

    Source : Antill, Stephanie. (2016, March 28). ONS Connect Blog. Repéré à http://connect.ons.org/ons-connect-blog/shift-work-nursing-care-impact-on-patient-safety

  • Shorter, more frequent rosters, such as 6h-on/6h-off split shifts, may offer promise to sleep, subjective sleepiness and performance by limiting shift length and by offering opportunities for all workers to obtain some sleep across the biological night. However, there exists a paucity of studies that have examined these shifts using objective measures of sleep and performance. The present study examined neurobehavioural performance, sleepiness and sleep during 6h-on/6h-off split sleep schedules.

    Source : Short, Michelle A., Centofanti, Stephanie, Hilditch, Cassie, Banks, Siobhan, Lushington, Kurt, & Dorrian, Jillian. (2016). Applied Ergonomics, 54(5), 72-82. doi:10.1016/j.apergo.2015.12.004

IMAGERIE MÉDICALE

  • The study aims to explore the associations between various occupations and thyroid cancer risk. A population-based, case-control study involving 462 histologically confirmed incident cases and 498 controls was conducted in Connecticut in 2010 to 2011. A significantly increased risk of thyroid cancer, particularly papillary microcarcinoma, was observed for those working as the health care practitioners and technical workers, health diagnosing and treating practitioners, and registered nurses.

    Source : Ba, Yue, Huang, Huang, Lerro, Catherine, Li, Shuzhen, Zhao, Nan, Anqi, Ma, Shuangge, Udelsman, Robert, & Zhang, Yawei. (2016). JOEM : Journal of Occupational and Environmental Medicine, 58(3), 299-305. doi: 10.1097/JOM.0000000000000637

MÉDICAMENTS DANGEREUX

  • With the growing number of oral targeted therapies being approved for use in cancer therapy, the potential for long-term administration of these drugs to cancer patients is expanding. The use of these drugs in the home setting has the potential to expose family members and caregivers to them either through direct contact with the drugs or indirectly by exposure to the parent compounds and/or their active metabolites in contaminated patients’ waste. A systematic literature review was performed and the known adverse health effect of 32 oral targeted therapeutics is summarized. In particular, the carcinogenicity, genotoxicity, and embryo-fetal toxicity, along with the route of excretion were evaluated.

    Source : Cass, Yaakov, Connor, Thomas H., & Tabachnik, Alexander. (2016). Journal of Oncology Pharmacy Practice. Prépublication. doi:10.1177/1078155216637217

  • Occupational exposure to antineoplastic drugs has been documented for decades showing widespread contamination in preparation and administration areas. Apart from preventive measures, efficient cleaning of surfaces is indispensable to minimize the exposure risk. The aim of this study was to evaluate the efficiency of three cleaning agents after intentional contamination by gemcitabine (GEM) and 5-fluorouracile (5-FU) on four different surface types usually installed in healthcare settings. Glass, stainless steel, polyvinylchloride (PVC), and laminated wood plates were contaminated with 20 ng/μl GEM and 2 ng/μl 5-FU solutions.

    Source :  Böhlandt,  Antje, Groeneveld,Svenja,  Fischer, Elke & Schierl, Rudolf. (2015). Journal of Occupational and Environmental Hygiene, 12(6), 384-392. DOI: http://dx.doi.org/10.1080/15459624.2015.1009985

  • With the release this month of USP <800> Hazardous Drugs—Handling in Healthcare Settings, most pharmacy directors are likely curious as to what the chapter’s impact will be from multiple standpoints. Among these are concerns related to the use and certification of primary engineering controls (PECs). In addition, there is some confusion about the effects USP <800> will have in light of established USP <797> Pharmaceutical Compounding—Sterile Preparations recommendations and requirements. These are certainly relevant and important considerations for hospital pharmacy operations.

    Source : Kilgore, Karl M. (2016, February). Pharmacy Purchasing & Products Magazine, 13(3), 14. Repéré à http://www.pppmag.com/article/1826#

  • Questions and answers with Joseph W, Coyne.

    Source : Coyne, Joseph W. (2016, March). Pharmacy Purchasing & Products Magazine, 13(3), 2. Repéré à http://pppmag.com/article/1836

MILIEU DE VIE

  • Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health. The aim of this study is to test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden.

    Source : Dahlkvist, Eva, Hartig, terry, Nilsson, Annika, Högberg, Hans, Skovdahl, Kirsti, & Engström, Maria. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12968

  • The purpose of the study was to describe the development and psychometric testing of the Seniors’ Outdoor Survey (SOS), an instrument for evaluating how well the outdoor space in a long-term care setting supports the preferences and outdoor usage of residents. The SOS tool fills a gap in the available environmental assessment instruments, providing a reliable way for researchers, providers, and designers to evaluate and compare the supportive potential of outdoor spaces for long-term care residents.

    Source : Rodiek, Susan, Nejati, Adeleh, Bardenhagen, Eric, Lee, Chanam, & Senes, Giulio. (2016). The Gerontologist, 56(2), 222-233. doi: 10.1093/geront/gnu050

NORMES ET LÉGISLATION

ORGANISATION DU TRAVAIL

  • Occupational fatigue in hospital nurses is associated with increased nurse turnover, and decreased nurse health and patient safety. The goal of this study was to explore the factors contributing to or preventing fatigue, and barriers and facilitators to individual nurse coping in hospital work systems. Findings from this study provide guidance on what nurses perceive as contributing to fatigue and factors that are helpful and harmful to coping with fatigue within their work system. Implications for fatigue risk management systems (FRMS) are also discussed, in particular the importance of maintaining nurse autonomy in decision-making when implementing fatigue interventions or countermeasures.

    Source : Steege, Linsey M., Dykstra, Jessica G. (2016). Applied Ergonomics, 54(5), 19-26. doi:10.1016/j.apergo.2015.11.006

PRÉVENTION DES INFECTIONS

  • Currently the uptake of the influenza vaccine amongst Australian hospital staff remains low. While some staff members choose not to receive the vaccine, others may feel decisional conflict around whether to receive the vaccine or not. Having access to information that is personalized to the staff members’ concerns may alleviate this conflict. This study aimed to explore the attitudes of hospital staff towards an online decision aid (DA), which focuses on influenza and the vaccine. We were also interested to examine whether they accepted the new tool and whether they had any suggestions for improvements.

    Source : Seale, Holly, Kaur, Rajneesh, Lajoie, Kerrym, Dizon, Julie, & Gallard, Julie. (2016). BMC Health Services Research, 16:84. DOI: 10.1186/s12913-016-1339-0

  • Conflicting recommendations exist related to which facial protection should be used by health care workers to prevent transmission of acute respiratory infections, including pandemic influenza. The authors performed a systematic review of both clinical and surrogate exposure data comparing N95 respirators and surgical masks for the prevention of transmissible acute respiratory infections. They searched various electronic databases and the grey literature for relevant studies published from January 1990 to December 2014.

    Source : Smith, Jeffrey D., MacDougall, Colin C., Johnstone, Jennie, Copes, Ray A., Schwartz, Brian, & Garber, Gary E. (2016). CMAJ. Prépublication. doi: 10.1503/cmaj.150835

  • These data are from the International Safety Center, in a survey report called the Exposure Prevention Information Network, or EPINet.  This reporting system was established in 1992 and is distributed to over 1,500 U.S. hospitals.  However, the number of hospitals reporting is much smaller – about 25 U.S. hospitals, per telephone call to the ISC, 434.962.3470 (on 2/24/16).

    Source : Kmgarber. (2016, February 24). American Hospital Association Resource Center Blog. [Billet de blogue]. Repéré à https://aharesourcecenter.wordpress.com/2016/02/24/needlestick-what-is-the-sharps-injury-rate-in-hospitals/

Voir aussi : EPINet report for needlestick and sharp object injuries : https://internationalsafetycenter.org/wp-content/uploads/2015/08/Official-2013-NeedleSummary.pdf

  • The basic elements of an infection prevention program are designed to prevent the spread of infection in healthcare settings. When these elements are present and practiced consistently, the risk of infection among patients and healthcare personnel is reduced. The Infection Control Assessment Tools were developed by CDC for awardees under the Epidemiology and Laboratory Capacity (ELC) Infection Control Assessment and Response (ICAR) Program to assist health departments in assessing infection prevention practices and guide quality improvement activities (e.g., by addressing identified gaps). These tools may also be used by healthcare facilities to conduct internal quality improvement audits. Assessment tools were developed for the following healthcare settings: acute care (including hospitals and long-term acute care hospitals), outpatient, long-term care, and hemodialysis.

    Source : United States. Centers for Disease Control and Prevention. (2015). CDC. Healthcare-associated infections (HAIs). Preventing HAIs. Repéré à http://www.cdc.gov/hai/prevent/infection-control-assessment-tools.html

  • Home health care agencies provide services to some of the most vulnerable patients and must encourage influenza vaccinations of their employees. The current study assessed the impact of increasing employee compliance with vaccinations and aimed to determine why certain employees refuse vaccinations. This was an observational study that looked at employee vaccination rates, employee sick days, and responses to an employee survey of those who refused vaccinations. By surveying the « refusers, » it was found that the common reasons for avoiding vaccinations were beliefs of not being in a high-risk group, not needing vaccine, being healthy and never getting the flu, and not liking injections. It is clear that a concerted effort to increase employee influenza vaccination rates can be successful and possibly decrease staff sick days. However, there seems to be a small group of employees who refuse vaccination. Better education of these employees should help eliminate the common reasons people decline vaccination.

    Source : Rosati, Robert J., Zales, Michael, & Landers, Steven. (2016). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822316628797

  • The authors provide an update of EXPO-S.T.O.P., a national survey of sharps injuries and mucocutaneous blood exposures among workers in U.S. hospitals. This analysis of 2013 and 2014 data compares blood exposure incidence rates to other relevant U.S. databases, including EPINet and MDPH. It also provides for the comparison of incidence rates over time, as EXPO-S.T.O.P. data has been collected annually since 2011. The update includes an extensive list of exposure-reducing best practices, along with innovative ideas to promote a culture of safety.

    Source :  Brown, Carol, Dally, Miranda, Grimmond, Terry, & Good, Linda. (2016). Exposure Study of Occupational Practice (EXPO-S.T.O.P.) : An update of a national survey of sharps injuries and mucocutaneous blood exposures among healthcare workers in U.S. hospitals. AOHP Journal, 36(1), 37-42.

  • The median influenza vaccination rate for Toronto acute care facilities in 2013/14 was only 44%, well below the target rate of 90%. While many Toronto hospitals adopted a vaccinate-or-mask policy, Trillium Health Partners (THP) opted to create a multimodal incentives-based flu campaign entitled GET POKED. This campaign, which required significant additional resourcing, only increased our vaccination rate by 10%. While having some modest success, we believe it is unlikely that non-policy based interventions will efficiently and sustainably raise flu vaccine rates. Vaccinate-or-mask policies, while having some inherent challenges, may be worth exploring as part of THP’s larger flu-prevention strategy.

    Source : Marwaha, Seema, Lorv, Bailey, Henseleit, Susanne,  & Iroanyah, Ngozi. (2016, January). Healthcare Quarterly, 18(4), 73-79. doi:10.12927/hcq.2016.24546

  • Vaccine-preventable diseases pose a significant risk to children in childcare. However, few regulations exist regarding childcare staff vaccination. This study aimed to assess support for a childcare agency staff mandatory vaccination policy. Surveys were distributed to staff and parents at 23 St Louis, Mo, childcare agencies during fall 2014. The results showed there is strong support for some type of childcare agency staff vaccination policy. Implementing such a policy/program should be a collaborative endeavor that addresses vaccine cost and access.

    Source : Rebmann, Terri, Wang, Jing, Wilson, Kristin D., Gilbertson, Philip G., & Wakefield, Mary. (2016).  AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.01.033

  • The emergence of bacterial resistance to β-lactam antibiotics seriously challenges the treatment of various nosocomial infections. This study was designed to investigate the presence of β-lactam–resistant bacteria (BLRB) in hospital air. A total of 64 air samples were collected in 4 hospital wards. The results revealed that hospital air is a potential route of transmission of BLRB, such as Acinetobacter and Staphylococcus, 2 important causative agents of nosocomial infections. Therefore, improvement of control measures against the spreading of airborne bacteria in hospital environments is warranted.

    Source : Mirhoseini, Seyed Hamed, Nikaeen, Mahnaz, Shamsizadeh, Zahra, & Khanahmad, Hossein. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.01.041

PROTECTION RESPIRATOIRE

    • Conflicting recommendations exist related to which facial protection should be used by health care workers to prevent transmission of acute respiratory infections, including pandemic influenza. The authors performed a systematic review of both clinical and surrogate exposure data comparing N95 respirators and surgical masks for the prevention of transmissible acute respiratory infections. They searched various electronic databases and the grey literature for relevant studies published from January 1990 to December 2014.

      Source : Smith, Jeffrey D., MacDougall, Colin C., Johnstone, Jennie, Copes, Ray A., Schwartz, Brian, & Garber, Gary E. (2016). CMAJ. Prépublication. doi: 10.1503/cmaj.150835

QUALITÉ DE L’AIR

    • The emergence of bacterial resistance to β-lactam antibiotics seriously challenges the treatment of various nosocomial infections. This study was designed to investigate the presence of β-lactam–resistant bacteria (BLRB) in hospital air. A total of 64 air samples were collected in 4 hospital wards. The results revealed that hospital air is a potential route of transmission of BLRB, such as Acinetobacter and Staphylococcus, 2 important causative agents of nosocomial infections. Therefore, improvement of control measures against the spreading of airborne bacteria in hospital environments is warranted.

      Source : Mirhoseini, Seyed Hamed, Nikaeen, Mahnaz, Shamsizadeh, Zahra, & Khanahmad, Hossein. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.01.041

RÉTENTION DU PERSONNEL

    • Based on the job demands-resources (JD-R) model, this study explored the role of physical injury and organizational support in predicting home health workers’ turnover intention. In a sample of home health workers in Central Texas, about 37% reported turnover intention. The logistic regression model showed that turnover intention was 3.23 times more likely among those who had experienced work-related injury. On the other hand, organizational support was found to reduce the likelihood of turnover intention. Findings suggest that injury and organizational support should be prioritized in prevention and intervention efforts to promote home health workers’ safety and retention.

      Source : Lee, Ahyoung, & Jang, Yuri. (2016). Home Health Care Services Quaterly. (2016). Prépublication. DOI:10.1080/01621424.2016.1145165

SANTÉ – BIEN-ÊTRE AU TRAVAIL

    • Being a mindful leader is much more than being aware; it requires be attuned to the needs of you, your workers and your workplace in the moment. « Mindfulness allows people to balance the tensions and forces at play in the world, live with the right tempo and to lead with purpose, » said Jon Mertz, consultant and author of « Activate Leadership. » Mertz offers the following seven tips on how to be mindful, at work and at home.

      Source : Christ, Ginger. (2016, March 9). How to Embrace Mindfulness as a Leader [Photo Gallery]. EHS Today. Safety Leadership. Repéré à http://ehstoday.com/safety-leadership/how-embrace-mindfulness-leader-photo-gallery#slide-0-field_images-46101

    • This study aimed to develop, implement, and evaluate an occupational health intervention that is based on the theoretical model of selection, optimization, and compensation (SOC). The authors conducted a stratified randomized controlled intervention with 70 nurses of a community hospital in Germany. Participants were familiarized with the SOC model and developed and implemented a personal project based on SOC to cope effectively with 1 important job demand or to activate a job resource. Consistent with their hypotheses, they observed a meaningful trend that the proposed SOC training enhanced mental well-being, particularly in employees with a strong commitment to the intervention. This study provides first indications that SOC training might be a promising approach to occupational health and stress prevention. Moreover, it identifies critical success factors of occupational interventions based on SOC.

      Source : Müller, Andreas, Heiden, Barbara, Herbig, Britta, Poppe, Franziska, & Angerer, Peter. (2016). Journal of Occupational Health Psychology, 21(2), 169-181.

    • La méditation basée sur la présence attentive (mindfulness) a fait l’objet d’un nombre considérable d’études scientifiques, et plusieurs journaux et revues populaires lui ont consacré des numéros spéciaux dans lesquels elle est présentée comme une pratique novatrice permettant d’accroître la qualité de vie et la santé de manière significative. Or la science permet-elle de soutenir de telles affirmations ? Quels sont les véritables effets de la méditation sur les plans psychologique et physiologique ? Peut-elle réellement réduire les problèmes de sommeil, accroître le rendement des employés, favoriser le développement socioémotionnel des enfants et aider les patients aux prises avec des douleurs chroniques ? Quelle est l’efficacité des interventions basées sur la présence attentive ? Quels sont les mécanismes d’action sur lesquels ces interventions s’appuient ? Le présent ouvrage fait le point sur l’apport de la présence attentive dans divers secteurs d’activités, dont les secteurs scolaire et organisationnel, et auprès de différentes clientèles, tels les proches aidants, les victimes de traumas et les leaders. Des chercheurs y répertorient les études empiriques les plus récentes, en font un bilan critique, rigoureux, cohérent et intelligible, et proposent diverses pistes de recherche et d’intervention porteuses pour l’avenir.

      Source : Grégoire, Simon, Lachance, Lise, & Richer, Louis. (2016). Québec : Presses de l’Université du Québec, 286 p. Repéré à http://www.puq.ca/catalogue/livres/presence-attentive-mindfulness-2728.html

    • Le ministère de la Santé et des Services sociaux reconnaît l’importance déterminante de la contribution de son personnel à la réalisation de sa mission et à la prestation de services de qualité aux citoyens. Dans cet esprit, la Politique concernant la prévention, la promotion et les pratiques organisationnelles favorables à la santé et au mieux-être des personnes au travail établit les lignes directrices visant à favoriser la santé physique et psychologique du personnel, sa sécurité ainsi que son mieux-être au travail, lesquelles misent notamment sur la prévention et la responsabilisation des personnes par rapport à la prise en charge de leur santé.

      Source : Ministère de la Santé et des Services sociaux. (2016). [Québec] : Direction des communications du ministère de la Santé et des Services sociaux, 6 p. Repéré à http://publications.msss.gouv.qc.ca/msss/fichiers/2015/15-401-37W.pdf

SANTÉ PSYCHOLOGIQUE

  • Dans les années 1970, la psychologie était surtout centrée sur une approche curative. Or, au Psychological Fitness Center de Los Angeles, les maîtres californiens cherchaient déjà à développer une approche préventive de la psychologie, comme on le faisait dans le domaine de la santé physique. On sait de plus en plus quoi faire pour se sentir bien dans son corps : par la mise en forme physique, c’est-à-dire une bonne alimentation, un sommeil adéquat, des périodes de détente et, bien sûr, l’exercice. Le même concept s’applique à la mise en forme psychologique. Celle-ci comprend quatre aspects que les auteurs appellent «dynamiques », soit l’expression, la clarté, le contact et l’activité. Il s’agit de s’interroger sur son attitude à l’égard de chacune des dynamiques. Passif ou proactif? L’expérience démontre que c’est en étant proactif envers chaque dynamique qu’on réussit à se procurer un bien-être personnel, donc à être en bonne forme psychologique.

    Source : Maletto, Michel. (2016, 18 mars). La mise en forme psychologique. Portail RH. Le coin de l’expert. Repéré à http://www.portailrh.org/expert/ficheSA.aspx?f=109478

  • Being a mindful leader is much more than being aware; it requires be attuned to the needs of you, your workers and your workplace in the moment. « Mindfulness allows people to balance the tensions and forces at play in the world, live with the right tempo and to lead with purpose, » said Jon Mertz, consultant and author of « Activate Leadership. » Mertz offers the following seven tips on how to be mindful, at work and at home.

    Source : Christ, Ginger. (2016, March 9). How to Embrace Mindfulness as a Leader [Photo Gallery]. EHS Today. Safety Leadership. Repéré à http://ehstoday.com/safety-leadership/how-embrace-mindfulness-leader-photo-gallery#slide-0-field_images-46101

  • Occupations in the UK with the highest reported rates of work-related stress were health professionals (in particular nurses), teaching and education professionals and social workers and other advocates for people at risk. A new report from researchers at Leeds Beckett University reviews the most effective ways to treat and prevent burnout and work-related stress, and revealed organizational interventions in the workplace may be more effective than individual interventions alone.

    Source : Smith, Sandy. (2016, March 9). EHS Today. Health. Repéré à http://ehstoday.com/health/workplace-interventions-can-reduce-stress-and-burnout

Pour accéder à l’étude complète : https://www.gov.uk/government/publications/interventions-to-prevent-burnout-in-high-risk-individuals-evidence-review

    • The objective of this study is to determine the effectiveness of an 8-week web-based, mindfulness stress management program (WSM) in a corporate call center and added benefit of group support.  One hundred sixty-one participants were randomized to WSM, WSM with group support, WSM with group and expert clinical support, or wait-list control. Perceived stress, burnout, emotional and psychological well-being, mindfulness, and productivity were measured at baseline, weeks 8 and 16, and 1 year. The authors concluded that a self-directed mindfulness program with group practice and support can provide an affordable, effective, and scalable workplace stress management solution. Engagement may also benefit from combining web-based and traditional CD delivery.

      Source : Allexandre, Didier, Bernstein, Adam, Walkerm Esteban, Hunter, Jennifer, Roizen, Michael, F., Morledge, Thomas J. (2016). JOEM : Journal of Occupational and Environmental Medicine, 58(3), 254-264. doi: 10.1097/JOM.0000000000000680

    • Few studies have been conducted to examine the relationship between mindfulness training and emotion regulation at work. This study reports results from a semi-randomized controlled trial of a brief Mindfulness-Based Intervention (MBI) (Grégoire & Lachance, 2015) delivered in audio format. A pretest-posttest switching-replication design was used to assess changes in mindfulness, mental health (psychological wellbeing, psychological distress, stress and burnout) and emotion regulation (emotion awareness and impulse control) among forty-one employees working in a call center. Both the analysis of variance and the prediction analysis showed that the intervention helped increased mindfulness and psychological wellbeing, but also reduced psychological distress, stress and burnout among employees. Overall, the intervention helped employees refrain from impulsive or reactive behavior when experiencing negative emotions but had no significant effect on their emotional awareness. Finally, there was a trend toward emotion regulation mediating the effects of the intervention on psychological distress.

      Source : Grégoire, Simon, Lachance, Lise, & Taylor Geneviève. (2015). International Journal of Wellbeing, 5(4), 96-119. Repéré à http://www.internationaljournalofwellbeing.org/index.php/ijow/article/view/444/508

    • Employees of a call center working for a financial institution took part in a brief mindfulness-based intervention (MBI). Each day, during five consecutive weeks, they listened to two short guided meditation sessions using a headset at their workstation (10 min in the morning and 5 min after lunch). The results showed that mindfulness increased while psychological distress (stress, anxiety/depression, fatigue, and negative affect) decreased for all employees throughout the intervention, especially among those with low mindfulness scores at baseline. The satisfaction level of the employees’ internal clients significantly increased over time, although the effect size was small. This article contributes to the field of mindfulness at work by (1) introducing a novel MBI specifically designed for call centers, (2) assessing the impact of the intervention on client satisfaction, and (3) doing so using a research design and a statistical technique which have never been used in mindfulness studies.

      Source : Grégoire, Simon, & Lachance, Lise. (2015). Mindfulness, 6(4), 836-847. Repéré à http://link.springer.com/article/10.1007%2Fs12671-014-0328-9#/page-1

    • Occupational fatigue in hospital nurses is associated with increased nurse turnover, and decreased nurse health and patient safety. The goal of this study was to explore the factors contributing to or preventing fatigue, and barriers and facilitators to individual nurse coping in hospital work systems. Findings from this study provide guidance on what nurses perceive as contributing to fatigue and factors that are helpful and harmful to coping with fatigue within their work system. Implications for fatigue risk management systems (FRMS) are also discussed, in particular the importance of maintaining nurse autonomy in decision-making when implementing fatigue interventions or countermeasures.

      Source : Steege, Linsey M., Dykstra, Jessica G. (2016). Applied Ergonomics, 54(5), 19-26. doi:10.1016/j.apergo.2015.11.006

    • This study investigated both causal factors and consequences of time pressure in hospital-in-the-home (HITH) nurses. These nurses may experience additional stress from the time pressure they encounter while driving to patients’ homes, which may result in greater risk taking while driving. The results suggest that objective time constraints alone do not necessarily elicit subjective time pressure. The challenges and uncertainty associated with healthcare and the driving period contribute to the emergence of this time pressure, which has a negative impact on both the nurses’ driving and their emotions. Finally, the study focuses on anticipated and in situ regulations. These findings provide guidelines for organizational and technical solutions allowing the reduction of time pressure among HITH nurses.

      Source : Coeugnet, Stéphanie, Forrierre, Justine, Naveteur, Janick, Dubreucq, Catherine, & Anceaux, Françoise. (2016). Applied Ergonomics, 54(5), 110-119. doi:10.1016/j.apergo.2015.11.018

    • This study aimed to develop, implement, and evaluate an occupational health intervention that is based on the theoretical model of selection, optimization, and compensation (SOC). The authors conducted a stratified randomized controlled intervention with 70 nurses of a community hospital in Germany. Participants were familiarized with the SOC model and developed and implemented a personal project based on SOC to cope effectively with 1 important job demand or to activate a job resource. Consistent with their hypotheses, they observed a meaningful trend that the proposed SOC training enhanced mental well-being, particularly in employees with a strong commitment to the intervention. This study provides first indications that SOC training might be a promising approach to occupational health and stress prevention. Moreover, it identifies critical success factors of occupational interventions based on SOC.

      Source : Müller, Andreas, Heiden, Barbara, Herbig, Britta, Poppe, Franziska, & Angerer, Peter. (2016). Journal of Occupational Health Psychology, 21(2), 169-181.

    • Notre attitude avec les collègues, la façon dont on interagit et communique, nos gestes, nos comportements, bref notre savoir-être, ont pour effet de créer ou de maintenir un climat de travail sain ou, à l’inverse, un climat tendu. La civilité favorise un climat de confiance, d’entraide et de collaboration. La civilité, ce sont des petits gestes qui font une grande différence pour les autres. Ils influencent la capacité d’un individu à se sentir bien. Voici des réflexions pour nous sensibiliser à l’importance de notre attitude au travail.

      Source : Brouillard, Josianne, & Cacciatore, Gerlanda. (2016, Mars). Sans Pépins, 18(1), 1-3. Repéré à http://www.asstsas.qc.ca/publication/la-civilite-au-travail-competence-requise-pour-tous-0

    • Notre capacité à gérer nos propres émotions, ainsi que notre capacité à réagir aux émotions des autres sont deux aspects importants de notre intelligence émotionnelle. Au moyen d’exemples pratiques, Sue Freeman expliquera ce que représente l’intelligence émotionnelle sur le plan de la croissance personnelle et professionnelle, de la constitution d’équipes qui réussissent et de la satisfaction des clients. Réunissez-vous avec vos collègues de travail dans votre salle de réunion pour l’occasion, ou visionnez le webinaire par vous-même à votre ordinateur.

      Source : Centre canadien d’hygiène et de sécurité au travail. (2016). Le rapport sur la santé et la sécurité, 14(3). Repéré à http://cchst.ca/newsletters/hsreport/issues/current.html

    • Depression and anxiety are common mental illnesses that are associated with substantial economic burdens. Mindfulness practices focus on being present in the moment and can thereby alleviate the suffering that often accompanies depression and anxiety. The benefits of mindfulness practices, including meditation, body recognition, and yoga, have been demonstrated in evidence-based research. In addition, research suggests that an understanding of Buddhist philosophy, and how it complements Western psychology, can help maximize the role of mindfulness in the treatment of mental illness.

      Source : Maxwell, Lindsay, & Duff, Elsie. (2016). JNP : The Journal of Nurse Practitioners. Prépublication. DOI: http://dx.doi.org/10.1016/j.nurpra.2016.02.009

    • Le changement fait partie de l’expérience humaine depuis la nuit des temps. C’est un phénomène naturel. Alors, pourquoi l’envisager souvent de façon négative ? Ce qui a changé au cours des années est la fréquence, le rythme accéléré et le cumul des changements qui se vivent à l’intérieur d’une vie professionnelle. Néanmoins, il est possible pour une personne de jongler sereinement avec ce stress et pour une organisation de gérer humainement les changements.

      Source : Legault, Lucie. (2016, Mars). Sans Pépins, 18(1), 4-6. Repéré à http://www.asstsas.qc.ca/publication/jongler-avec-le-changement-et-garder-lequilibre

    • This study examines the underlying mechanism of the crossover process in work teams. Drawing on conservation of resources theory, the authors hypothesize that a leader’s psychological distress positively influences subordinates’ psychological distress through abusive supervision. They further hypothesize that team performance attenuates the association between a leader’s psychological distress and abusive supervision. In addition, they expect that psychological capital attenuates the positive relationship between abusive supervision and subordinates’ psychological distress.

      Source : Yuhui, Li, Zhen, Wang, Liu-Qin, Yang, Songbo, Liu. (2016). Journal of Occupational Health Psychology, 21(2), 142-153.

    • This study explored the relationship between obsessive passion for work and incivility instigations, as well as the moderating role of a mastery motivational climate. A longitudinal, 3-wave study was conducted among 1,263 employees from a large Norwegian workers’ union across a 10-month time span. The results show that obsessive passion for work relates positively to incivility instigations and that this relationship is stable over time.

      Source : Birkeland, Ide Katrine, & Nerstad, Christina. (2016). Journal of Occupational Health Psychology, 21(1), 77-90.

    • D’un côté, on peut voir la chose d’un œil un tantinet sceptique. Est-ce que la pleine conscience (mindfulness) serait, une fois de plus, l’une de ces modes managériales qui débarquent de manière périodique sur le plancher de nos entreprises et de nos organisations? D’un autre côté, lorsque des entreprises aussi gigantesques et sérieuses que Google, Aetna, Intel, General Mills ou Target, de même que des universités de prestige telles Oxford avec son Mindfulness Center, mettent en place des programmes basés sur la pleine conscience, il y a lieu de s’intéresser à la chose…

      Source : Normandin, François. (2016, 29 février). Gestion HEC Montréal. S’informer. Repéré à http://www.revuegestion.ca/informer/gerer-en-pleine-conscience/

    • Workplace stress is high among healthcare professionals (HCPs) and is associated with reduced psychological health, quality of care and patient satisfaction. This systematic review and meta-analysis reviews evidence on the effectiveness of mindfulness-based interventions (MBIs) for reducing stress in HCPs. A systematic literature search was conducted. Results of the meta-analysis suggest that MBIs have the potential to significantly improve stress among HCPs; however, there was evidence of a file drawer problem. The quality of the studies was high in relation to the clarity of aims, data collection and analysis, but weaker in terms of sample size and the use of theoretical frameworks. MBIs have the potential to reduce stress among HCPs; however, more high-quality research is needed before this finding can be confirmed. Future studies would benefit from long-term follow-up measures to determine any continuing effects of mindfulness training on stress outcomes.

      Source : Burton, Amy, Burgess, Catherine, Dean, Sarah, Koutsopoulou, Gina Z., & Hugh-Jones, Siobhan. (2016). Stress & Health. Prépublication. DOI: 10.1002/smi.2673

    • La méditation basée sur la présence attentive (mindfulness) a fait l’objet d’un nombre considérable d’études scientifiques, et plusieurs journaux et revues populaires lui ont consacré des numéros spéciaux dans lesquels elle est présentée comme une pratique novatrice permettant d’accroître la qualité de vie et la santé de manière significative. Or la science permet-elle de soutenir de telles affirmations ? Quels sont les véritables effets de la méditation sur les plans psychologique et physiologique ? Peut-elle réellement réduire les problèmes de sommeil, accroître le rendement des employés, favoriser le développement socioémotionnel des enfants et aider les patients aux prises avec des douleurs chroniques ? Quelle est l’efficacité des interventions basées sur la présence attentive ? Quels sont les mécanismes d’action sur lesquels ces interventions s’appuient ? Le présent ouvrage fait le point sur l’apport de la présence attentive dans divers secteurs d’activités, dont les secteurs scolaire et organisationnel, et auprès de différentes clientèles, tels les proches aidants, les victimes de traumas et les leaders. Des chercheurs y répertorient les études empiriques les plus récentes, en font un bilan critique, rigoureux, cohérent et intelligible, et proposent diverses pistes de recherche et d’intervention porteuses pour l’avenir.

      Source : Grégoire, Simon, Lachance, Lise, & Richer, Louis. (2016). Québec : Presses de l’Université du Québec, 286 p. Repéré à http://www.puq.ca/catalogue/livres/presence-attentive-mindfulness-2728.html

    • Dans le cadre de leurs fonctions, les travailleurs qui oeuvrent dans le domaine de la santé peuvent notamment être exposés à des facteurs de risque de nature biologique, chimique, physique, ergonomique et psychosociale. Les données présentées ici réfèrent aux travailleurs résidant et travaillant en Estrie à l’été 2014, soit avant que la réforme Barrette ne soit implantée. L’échantillon final utilisé est donc composé de  3 938 travailleurs. Entre autres, on y apprend qu’environ 34 % des travailleurs de la santé et des services sociaux qualifient leurs journées d’assez ou extrêmement stressantes, contre 29% des autres travailleurs. De plus, au cours des années 2009 à 2013 inclusivement, 30,6 % des TMS indemnisés en Estrie concernaient les travailleurs de la santé et des services sociaux. Au fil de ces années, le nombre de TMS indemnisés a augmenté de 7,4 % dans le réseau. Cette tendance est inversée pour les autres travailleurs de la région.

      Source : Poirier, Béatrice, Royer, Émilie, & Simard, Robert. (2016, Janvier). Vision santé publique : Buletin d’information de la Direction de santé publique de l’Estrie, 26, 8 p. Repéré à http://www.santeestrie.qc.ca/clients/CIUSSSE-CHUS/medias-publications/publication/bulletin/vision-sante-publique/2016/26_vision_sante_publique_travailleurs_sante.pdf

    • Le temps peut être considéré comme une ressource, essentielle à ce que les choses soient faites. Quand on a trop de choses à faire, cette ressource vient à manquer. Arrive alors la pression du temps, qui se situe parmi les premières causes de stress dont les gens se plaignent. Bien sûr, on voudrait plus de temps. Mais est-ce bien réaliste ? Et quel est l’effet de cette pression du temps sur notre capacité à profiter de la vie ?

      Source: Lafleur, Jacques. (2016, Mars). Travail et santé, 32(1), 12-15. Repéré à http://www.apprivoisersonstress.ca/stress-au-travail/articles-parus-dans-travail-et-sante/presse-par-le-temps/

SERVICES À DOMICILE

    • This study investigated both causal factors and consequences of time pressure in hospital-in-the-home (HITH) nurses. These nurses may experience additional stress from the time pressure they encounter while driving to patients’ homes, which may result in greater risk taking while driving. The results suggest that objective time constraints alone do not necessarily elicit subjective time pressure. The challenges and uncertainty associated with healthcare and the driving period contribute to the emergence of this time pressure, which has a negative impact on both the nurses’ driving and their emotions. Finally, the study focuses on anticipated and in situ regulations. These findings provide guidelines for organizational and technical solutions allowing the reduction of time pressure among HITH nurses.

      Source : Coeugnet, Stéphanie, Forrierre, Justine, Naveteur, Janick, Dubreucq, Catherine, & Anceaux, Françoise. (2016). Applied Ergonomics, 54(5), 110-119. doi:10.1016/j.apergo.2015.11.018

    • Home health care agencies provide services to some of the most vulnerable patients and must encourage influenza vaccinations of their employees. The current study assessed the impact of increasing employee compliance with vaccinations and aimed to determine why certain employees refuse vaccinations. This was an observational study that looked at employee vaccination rates, employee sick days, and responses to an employee survey of those who refused vaccinations. By surveying the « refusers, » it was found that the common reasons for avoiding vaccinations were beliefs of not being in a high-risk group, not needing vaccine, being healthy and never getting the flu, and not liking injections. It is clear that a concerted effort to increase employee influenza vaccination rates can be successful and possibly decrease staff sick days. However, there seems to be a small group of employees who refuse vaccination. Better education of these employees should help eliminate the common reasons people decline vaccination.

      Source : Rosati, Robert J., Zales, Michael, & Landers, Steven. (2016). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822316628797

    • Based on the job demands-resources (JD-R) model, this study explored the role of physical injury and organizational support in predicting home health workers’ turnover intention. In a sample of home health workers in Central Texas, about 37% reported turnover intention. The logistic regression model showed that turnover intention was 3.23 times more likely among those who had experienced work-related injury. On the other hand, organizational support was found to reduce the likelihood of turnover intention. Findings suggest that injury and organizational support should be prioritized in prevention and intervention efforts to promote home health workers’ safety and retention.

      Source : Lee, Ahyoung, & Jang, Yuri. (2016). Home Health Care Services Quaterly. (2016). Prépublication. DOI:10.1080/01621424.2016.1145165

    • « The young lady was nice to me the whole eight hours, and at the last 30 minutes she just walked up to me and said, ‘I don’t like you. I’ll kick your ass,' » the patient « sitter » recalled. « I looked back. Was she looking at somebody else but me? Because we were cool. She said she wanted popcorn, and I went and got her popcorn out of the vending machine, bought her sodas, and washed her hair, and when I turned around she was standing in my face and she is like, ‘I’ll knock you out,’ and she actually swung, and she hit me. » This and other harrowing accounts of violence and abuse suffered by healthcare sitters, who are assigned to watch patients for a variety of reasons, are detailed in a landmark new study that found that 76% of respondents experienced at least one event of patient threats and violence in the prior year.

      Source : Evans, Gary. (2016, April). Hospital Employee Health, 35(4), 37-40. Repéré à http://www.ahcmedia.com/articles/137446-patient-sitters-at-high-risk-of-violence-physical-threats

    • The objectives of the study were to profile occupational injury patterns across home health and hospice care (HHC), organization characteristics, and home health aides’ (HHAs) individual characteristics, and examine how worker training affects HHAs’ risk of reporting an injury using the model of human factors of health care in the home. The researchers found that work-related injuries and type of injury were associated with increased likelihood of reporting one or more injuries, full-time employment, high hourly pay, and working in an inpatient or mixed setting. Overall, HHAs perceived that they received “excellent” and “good” training on key topics that promoted safety and job knowledge. Furthermore, the results suggested linkages between worker’s complex personal, occupational, and organizational characteristics.

      Source : Hamadi, Hanadi, Probst, Janice C., Khan, M. Mahmud, Bellinger, Jessica, & Porter, Candace. (2016). Workplace Health & Safety. Prépublication. Doi: 10.1177/2165079916630554

SERVICES ALIMENTAIRES

    • Cantines scolaires, restaurants d’entreprises, préparation des repas pour les hôpitaux… la restauration collective représente aujourd’hui près de 50 % des repas pris hors domicile. Avec un indice de fréquence supérieur à celui du BTP et une augmentation durable du nombre de maladies professionnelles reconnues, l’activité connaît une sinistralité préoccupante. Manutentions manuelles, glissades et chutes de plain-pied, blessures avec outils sont les principaux risques d’accidents rencontrés dans le secteur. Mais ce qui s’avère inquiétant, c’est surtout l’augmentation du nombre de troubles musculosquelettiques, qui constituent les maladies professionnelles les plus répandues du secteur.

      Source : Ravallec, C. (2016, Février). Travail et sécurité, 769, 13-25. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/TS/TI-TS769page13/ts769page13.pdf

SÉCURITÉ ÉLECTRIQUE

SÉCURITÉ DES MACHINES

    • In the movie Next, the character played by actor Nicolas Cage has the ability to see two minutes into his future. This enables him to preview scenarios and avoid harmful results, opting for actions that lead to favourable outcomes. But that is Hollywood. In real life, anytime a workplace accident occurs, the consequences can be debilitating, if not fatal. A workplace accident cannot be undone, and the resulting injury can have lifelong ramifications on those who live to tell the tale.

      Source : Dudgeon, Matt. (2016, February 25). OHS Canada Magazine. Repéré à http://www.ohscanada.com/features/in-a-split-second/

SÉCURITÉ ROUTIÈRE

    • This study investigated both causal factors and consequences of time pressure in hospital-in-the-home (HITH) nurses. These nurses may experience additional stress from the time pressure they encounter while driving to patients’ homes, which may result in greater risk taking while driving. The results suggest that objective time constraints alone do not necessarily elicit subjective time pressure. The challenges and uncertainty associated with healthcare and the driving period contribute to the emergence of this time pressure, which has a negative impact on both the nurses’ driving and their emotions. Finally, the study focuses on anticipated and in situ regulations. These findings provide guidelines for organizational and technical solutions allowing the reduction of time pressure among HITH nurses.

      Source : Coeugnet, Stéphanie, Forrierre, Justine, Naveteur, Janick, Dubreucq, Catherine, & Anceaux, Françoise. (2016). Applied Ergonomics, 54(5), 110-119. doi:10.1016/j.apergo.2015.11.018

SERVICE DE DYALISE

    • The basic elements of an infection prevention program are designed to prevent the spread of infection in healthcare settings. When these elements are present and practiced consistently, the risk of infection among patients and healthcare personnel is reduced. The Infection Control Assessment Tools were developed by CDC for awardees under the Epidemiology and Laboratory Capacity (ELC) Infection Control Assessment and Response (ICAR) Program to assist health departments in assessing infection prevention practices and guide quality improvement activities (e.g., by addressing identified gaps). These tools may also be used by healthcare facilities to conduct internal quality improvement audits. Assessment tools were developed for the following healthcare settings: acute care (including hospitals and long-term acute care hospitals), outpatient, long-term care, and hemodialysis.

      Source : United States. Centers for Disease Control and Prevention. (2015). CDC. Healthcare-associated infections (HAIs). Preventing HAIs. Repéré à http://www.cdc.gov/hai/prevent/infection-control-assessment-tools.html

SST EN MILIEU HOSPITALIER

    • The study aims to explore the associations between various occupations and thyroid cancer risk. A population-based, case-control study involving 462 histologically confirmed incident cases and 498 controls was conducted in Connecticut in 2010 to 2011. A significantly increased risk of thyroid cancer, particularly papillary microcarcinoma, was observed for those working as the health care practitioners and technical workers, health diagnosing and treating practitioners, and registered nurses.

      Source : Ba, Yue, Huang, Huang, Lerro, Catherine, Li, Shuzhen, Zhao, Nan, Anqi, Ma, Shuangge, Udelsman, Robert, & Zhang, Yawei. (2016). JOEM : Journal of Occupational and Environmental Medicine, 58(3), 299-305. doi: 10.1097/JOM.0000000000000637

STÉRILISATION

    • Ce document constitue la troisième édition de la CSA Z314.22. Elle est destinée à être utilisée de concert avec la série de normes CSA Z314, qui porte sur le retraitement des dispositifs médicaux. Elle énonce les exigences relatives aux dispositifs médicaux réutilisables empruntés qui sont critiques et semi-critiques et s’applique à tous les lieux de soins de santé et vendeurs qui utilisent, exédient, reçoivent, transportent et retraitent les dispositifs médicaux réutilisables empruntés.

      Source : Association canadienne de normalisation. (2016). Gestion des dispositifs médicaux réutilisables empruntés. Toronto, Ont.: Groupe CSA, 28 p.  (CSA Z314.22-F16). Repéré à http://shop.csa.ca/fr/canada/sterilisation/z31422-f16/invt/27021052016

STATISTIQUES EN SST

  • The authors provide an update of EXPO-S.T.O.P., a national survey of sharps injuries and mucocutaneous blood exposures among workers in U.S. hospitals. This analysis of 2013 and 2014 data compares blood exposure incidence rates to other relevant U.S. databases, including EPINet and MDPH. It also provides for the comparison of incidence rates over time, as EXPO-S.T.O.P. data has been collected annually since 2011. The update includes an extensive list of exposure-reducing best practices, along with innovative ideas to promote a culture of safety.

    Source : Brown, Carol, Dally, Miranda, Grimmond, Terry, & Good, Linda. (2016). Exposure Study of Occupational Practice (EXPO-S.T.O.P.) : An update of a national survey of sharps injuries and mucocutaneous blood exposures among healthcare workers in U.S. hospitals. AOHP Journal, 36(1), 37-42.

  • These data are from the International Safety Center, in a survey report called the Exposure Prevention Information Network, or EPINet.  This reporting system was established in 1992 and is distributed to over 1,500 U.S. hospitals.  However, the number of hospitals reporting is much smaller – about 25 U.S. hospitals, per telephone call to the ISC, 434.962.3470 (on 2/24/16).

    Source : Kmgarber. (2016, February 24). American Hospital Association Resource Center Blog. [Billet de blogue]. Repéré à https://aharesourcecenter.wordpress.com/2016/02/24/needlestick-what-is-the-sharps-injury-rate-in-hospitals/

Voir aussi : EPINet report for needlestick and sharp object injuries : https://internationalsafetycenter.org/wp-content/uploads/2015/08/Official-2013-NeedleSummary.pdf

Source : Association des commissions des accidents du travail du Canada. (s.d.) 2014 : Statistiques des accidents professionnels au Canada. Repéré à http://awcbc.org/fr/?page_id=381

  • Dans le cadre de leurs fonctions, les travailleurs qui oeuvrent dans le domaine de la santé peuvent notamment être exposés à des facteurs de risque de nature biologique, chimique, physique, ergonomique et psychosociale. Les données présentées ici réfèrent aux travailleurs résidant et travaillant en Estrie à l’été 2014, soit avant que la réforme Barrette ne soit implantée. L’échantillon final utilisé est donc composé de  3 938 travailleurs. Entre autres, on y apprend qu’environ 34 % des travailleurs de la santé et des services sociaux qualifient leurs journées d’assez ou extrêmement stressantes, contre 29% des autres travailleurs. De plus, au cours des années 2009 à 2013 inclusivement, 30,6 % des TMS indemnisés en Estrie concernaient les travailleurs de la santé et des services sociaux. Au fil de ces années, le nombre de TMS indemnisés a augmenté de 7,4 % dans le réseau. Cette tendance est inversée pour les autres travailleurs de la région.

    Source : Poirier, Béatrice, Royer, Émilie, & Simard, Robert. (2016, Janvier). Vision santé publique : Buletin d’information de la Direction de santé publique de l’Estrie, 26, 8 p. Repéré à http://www.santeestrie.qc.ca/clients/CIUSSSE-CHUS/medias-publications/publication/bulletin/vision-sante-publique/2016/26_vision_sante_publique_travailleurs_sante.pdf

TRAVAIL DE BUREAU

    • A worker can be physically active (meeting the physical activity guidelines of at least 2.5 to 5 hours of moderate intensity or « huff and puff » physical activity per week), and still spend much of their time being sedentary. A range of initiatives have been proposed to reduce occupational sitting exposure, including those focussed on the design of safe work systems via the work environment (physical and psychosocial), work tasks, work tools and the individual worker. Multi-component interventions targeting multiple elements of work systems appear to have been most successful. The increasing public awareness, along with a rapidly growing evidence base on health impacts and interventions, the widespread exposure of Australian workers and growing advice from various authorities suggest it is time to consider the growing hazard of excessive occupational sitting.

      Source : Straker, Leon, Coenen, Pieter, Dunstan, David, Gibson, Nicholas, & Healy, Genevieve. (2016). Canberra : Safe Work Australia, 59 p. Repéré à http://www.safeworkaustralia.gov.au/sites/SWA/about/Publications/Documents/959/Literature-Review-of-the-hazards-of-Sedentary-Work.pdf

    • Jusqu’à présent, il n’existait aucun document en France pour répondre aux problèmes rencontrés par des milliers de personnes : le bruit dans les open spaces et les autres espaces ouverts de bureaux. Bien sûr, il y a eu des normes volontaires sur l’acoustique des bureaux, sur leur conception, sur la performance acoustique par type d’espace de travail… Mais aucune de ces normes volontaires ne se consacrait entièrement aux espaces ouverts. C’est une première en France. Un mode opératoire est disponible pour améliorer la qualité sonore des open spaces, ces espaces de travail ouverts de plus en plus courants dans les entreprises. Les bénéfices ? Réduction des bruits, bien-être et gain de productivité. Découvrez la norme volontaire S31-199 !

      Source : AFNOR. (2016, 14 mars). AFNOR. Gestion des risques et SST. Repéré à http://www.afnor.org/profils/centre-d-interet/gestion-des-risques-et-sst/open-spaces-stop-aux-nuisances-sonores

    • Si vous travaillez plus de huit heures par jour en position assise, vous courez 15 % plus de risques de mourir prématurément que des collègues qui passent moins de quatre heures quotidiennement sur une chaise, révèle une étude australienne publiée en 2012 dans Archives of Internal Medicine. Et si vous êtes vissé à un siège plus de 11 heures par jour, ces risques grimpent à 40 %. C’est sans compter les troubles musculosquelettiques (TMS) provoqués par l’immobilité ou la répétition de certains mouvements, par exemple le maniement d’une souris d’ordinateur. Pour contrer ces maux, des chercheurs suggèrent de modifier les environnements de travail afin de permettre aux employés d’exécuter une partie de leurs tâches en position debout ou en marchant sur un tapis roulant. Maux de dos, prise de poids, augmentation du risque de développer des maladies cardiovasculaires ou certains cancers: la sédentarité au travail menace votre santé. Pourtant, il est possible de bouger au bureau, sans nuire à sa productivité. Lumière sur les solutions de travail actif.

      Source : Crépeau, Catherine. (2016, Mai). Magazine Protégez-vous. Prépublication. Repéré à http://www.protegez-vous.ca/sante-et-alimentation/travail-bureau.html

    • Office work has changed considerably over the previous couple of decades and has become sedentary in nature. Physical inactivity at workplaces and particularly increased sitting has been linked to increase in cardiovascular disease, obesity and overall mortality. The aim of this study was to evaluate the effects of workplace interventions to reduce sitting at work compared to no intervention or alternative interventions. The authors searched  the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, OSH UPDATE, PsycINFO, Clinical trials.gov and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) search portal up to 2 June, 2015. They also screened reference lists of articles and contacted authors to find more studies to include.

      Source : Shrestha, Nipun, Kukkonen-Harjula, Katriina T., Verbeek, Jos H., Ijaz, Sharea, Hermans, Veerle, & Bhaumik, Soumyadeep. (2016). Cochrane Database of Systematic Reviews, 3. Art. No.: CD010912. DOI: 10.1002/14651858.CD010912.pub3.

TRAVAIL EN ÉQUIPE

    • This study examines the underlying mechanism of the crossover process in work teams. Drawing on conservation of resources theory, the authors hypothesize that a leader’s psychological distress positively influences subordinates’ psychological distress through abusive supervision. They further hypothesize that team performance attenuates the association between a leader’s psychological distress and abusive supervision. In addition, they expect that psychological capital attenuates the positive relationship between abusive supervision and subordinates’ psychological distress.

      Source : Yuhui, Li, Zhen, Wang, Liu-Qin, Yang, Songbo, Liu. (2016). Journal of Occupational Health Psychology, 21(2), 142-153.

TRAVAIL EN LABORATOIRE

    • Eyewash stations are a staple in facilities that use materials that can cause eye injury or eye infection, providing reprieve after accidental exposure. But simply having an eyewash station in your workplace isn’t enough. Not properly maintaining a station potentially can cause more harm than good and even create its own emergency situation. Improperly maintained eyewash stations can create a greater hazard than those they’re designed to protect against.

      Source : EHS Today Staff. (2016, March 4). EHS Today. Industrial Hygiene. Repéré à http://ehstoday.com/industrial-hygiene/emergency-eyewash-station

TRAVAIL SÉDENTAIRE

    • A worker can be physically active (meeting the physical activity guidelines of at least 2.5 to 5 hours of moderate intensity or « huff and puff » physical activity per week), and still spend much of their time being sedentary. A range of initiatives have been proposed to reduce occupational sitting exposure, including those focussed on the design of safe work systems via the work environment (physical and psychosocial), work tasks, work tools and the individual worker. Multi-component interventions targeting multiple elements of work systems appear to have been most successful. The increasing public awareness, along with a rapidly growing evidence base on health impacts and interventions, the widespread exposure of Australian workers and growing advice from various authorities suggest it is time to consider the growing hazard of excessive occupational sitting.

      Source : Straker, Leon, Coenen, Pieter, Dunstan, David, Gibson, Nicholas, & Healy, Genevieve. (2016). Canberra : Safe Work Australia, 59 p. Repéré à http://www.safeworkaustralia.gov.au/sites/SWA/about/Publications/Documents/959/Literature-Review-of-the-hazards-of-Sedentary-Work.pdf

    • Si vous travaillez plus de huit heures par jour en position assise, vous courez 15 % plus de risques de mourir prématurément que des collègues qui passent moins de quatre heures quotidiennement sur une chaise, révèle une étude australienne publiée en 2012 dans Archives of Internal Medicine. Et si vous êtes vissé à un siège plus de 11 heures par jour, ces risques grimpent à 40 %. C’est sans compter les troubles musculosquelettiques (TMS) provoqués par l’immobilité ou la répétition de certains mouvements, par exemple le maniement d’une souris d’ordinateur. Pour contrer ces maux, des chercheurs suggèrent de modifier les environnements de travail afin de permettre aux employés d’exécuter une partie de leurs tâches en position debout ou en marchant sur un tapis roulant. Maux de dos, prise de poids, augmentation du risque de développer des maladies cardiovasculaires ou certains cancers: la sédentarité au travail menace votre santé. Pourtant, il est possible de bouger au bureau, sans nuire à sa productivité. Lumière sur les solutions de travail actif.

      Source : Crépeau, Catherine. (2016, Mai). Magazine Protégez-vous. Prépublication. Repéré à http://www.protegez-vous.ca/sante-et-alimentation/travail-bureau.html

    • Office work has changed considerably over the previous couple of decades and has become sedentary in nature. Physical inactivity at workplaces and particularly increased sitting has been linked to increase in cardiovascular disease, obesity and overall mortality. The aim of this study was to evaluate the effects of workplace interventions to reduce sitting at work compared to no intervention or alternative interventions. The authors searched  the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, OSH UPDATE, PsycINFO, Clinical trials.gov and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) search portal up to 2 June, 2015. They also screened reference lists of articles and contacted authors to find more studies to include.

      Source : Shrestha, Nipun, Kukkonen-Harjula, Katriina T., Verbeek, Jos H., Ijaz, Sharea, Hermans, Veerle, & Bhaumik, Soumyadeep. (2016). Cochrane Database of Systematic Reviews,  3. Art. No.: CD010912. DOI: 10.1002/14651858.CD010912.pub3.

TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • Dans le cadre de leurs fonctions, les travailleurs qui oeuvrent dans le domaine de la santé peuvent notamment être exposés à des facteurs de risque de nature biologique, chimique, physique, ergonomique et psychosociale. Les données présentées ici réfèrent aux travailleurs résidant et travaillant en Estrie à l’été 2014, soit avant que la réforme Barrette ne soit implantée. L’échantillon final utilisé est donc composé de  3 938 travailleurs. Entre autres, on y apprend qu’environ 34 % des travailleurs de la santé et des services sociaux qualifient leurs journées d’assez ou extrêmement stressantes, contre 29% des autres travailleurs. De plus, au cours des années 2009 à 2013 inclusivement, 30,6 % des TMS indemnisés en Estrie concernaient les travailleurs de la santé et des services sociaux. Au fil de ces années, le nombre de TMS indemnisés a augmenté de 7,4 % dans le réseau. Cette tendance est inversée pour les autres travailleurs de la région.

    Source : Poirier, Béatrice, Royer, Émilie, & Simard, Robert. (2016, Janvier). Vision santé publique : Buletin d’information de la Direction de santé publique de l’Estrie, 26, 8 p. Repéré à http://www.santeestrie.qc.ca/clients/CIUSSSE-CHUS/medias-publications/publication/bulletin/vision-sante-publique/2016/26_vision_sante_publique_travailleurs_sante.pdf

VACCINATION DU PERSONNEL

  • Currently the uptake of the influenza vaccine amongst Australian hospital staff remains low. While some staff members choose not to receive the vaccine, others may feel decisional conflict around whether to receive the vaccine or not. Having access to information that is personalized to the staff members’ concerns may alleviate this conflict. This study aimed to explore the attitudes of hospital staff towards an online decision aid (DA), which focuses on influenza and the vaccine. We were also interested to examine whether they accepted the new tool and whether they had any suggestions for improvements.

    Source : Seale, Holly, Kaur, Rajneesh, Lajoie, Kerrym, Dizon, Julie, & Gallard, Julie. (2016). BMC Health Services Research, 16:84. DOI: 10.1186/s12913-016-1339-0

  • Home health care agencies provide services to some of the most vulnerable patients and must encourage influenza vaccinations of their employees. The current study assessed the impact of increasing employee compliance with vaccinations and aimed to determine why certain employees refuse vaccinations. This was an observational study that looked at employee vaccination rates, employee sick days, and responses to an employee survey of those who refused vaccinations. By surveying the « refusers, » it was found that the common reasons for avoiding vaccinations were beliefs of not being in a high-risk group, not needing vaccine, being healthy and never getting the flu, and not liking injections. It is clear that a concerted effort to increase employee influenza vaccination rates can be successful and possibly decrease staff sick days. However, there seems to be a small group of employees who refuse vaccination. Better education of these employees should help eliminate the common reasons people decline vaccination.

    Source : Rosati, Robert J., Zales, Michael, & Landers, Steven. (2016). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822316628797

  • To improve influenza immunization rates, it is essential to understand why adults do not seek immunizations and what factors influenced their decisions. For this reason, employees of a manufacturing plant and day care center were offered free influenza immunizations and asked to complete a survey regarding factors influencing their decisions to be vaccinated. This information can be used to tailor educational materials and outreach.

    Source : McKeirnan, Kimberly C. (2016). Workplace Health & Safety. Prépublication. doi:10.1177/2165079916632773

  • The median influenza vaccination rate for Toronto acute care facilities in 2013/14 was only 44%, well below the target rate of 90%. While many Toronto hospitals adopted a vaccinate-or-mask policy, Trillium Health Partners (THP) opted to create a multimodal incentives-based flu campaign entitled GET POKED. This campaign, which required significant additional resourcing, only increased our vaccination rate by 10%. While having some modest success, we believe it is unlikely that non-policy based interventions will efficiently and sustainably raise flu vaccine rates. Vaccinate-or-mask policies, while having some inherent challenges, may be worth exploring as part of THP’s larger flu-prevention strategy.

    Source : Marwaha, Seema, Lorv, Bailey, Henseleit, Susanne,  & Iroanyah, Ngozi. (2016, January). Healthcare Quarterly, 18(4), 73-79. doi:10.12927/hcq.2016.24546

  • Vaccine-preventable diseases pose a significant risk to children in childcare. However, few regulations exist regarding childcare staff vaccination. This study aimed to assess support for a childcare agency staff mandatory vaccination policy. Surveys were distributed to staff and parents at 23 St Louis, Mo, childcare agencies during fall 2014. The results showed there is strong support for some type of childcare agency staff vaccination policy. Implementing such a policy/program should be a collaborative endeavor that addresses vaccine cost and access.

    Source : Rebmann, Terri, Wang, Jing, Wilson, Kristin D., Gilbertson, Philip G., & Wakefield, Mary. (2016).  AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.01.033

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