COIN DE LA DOCUMENTALISTE – MAI 2016

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ADMINISTRATION DE LA SANTÉ

AGRESSIONS ET VIOLENCE

  • Patient violence against nurses in their work environments is a widespread global concern, particularly in the field of mental health care. A high prevalence of violent events impacts the well-being of nurses and may also impair overall ward climate. However, it has been proposed that nurses’ use limited techniques to prevent patient violence, and, therefore, more comprehensive methods for dealing with patient violence are needed. There is still restricted understanding of the ward climate during the occurrence of a violent event as well as how these incidents could be more effectively prevented. This study aimed to explore nurses’ experiences of violent events in psychiatric wards, give insight into ward climates and examine suggestions for violence prevention.

    Source : Lantta, Tella, Anttila, Minna, Kontio, Raija, Adams, Clive E., & Välimäkim Maritta. (2016). International Journal of Mental Health Systems. DOI: 10.1186/s13033-016-0059-5

  • Cette publication documente, à l’aide de statistiques, les lésions causées par la violence en milieu de travail sous les aspects administratifs, médicaux et socio-économiques. Il comporte trois parties, soit la description de la population étudiée, les faits saillants ainsi que 24 tableaux de données statistiques. Les données contenues dans cette publication sont tirées des banques informationnelles de la CSST.

    Source : Provencher, Julie. (2016). Québec : Commission des normes, de l’équité salariale, de la santé et de la sécurité du travail, Direction de la comptabilité et de la gestion de l’information, Centre de la statistique et de l’information de gestion, 44 p. Repéré à http://www.cnesst.gouv.qc.ca/Publications/300/Documents/DC300-255web.pdf

ALLERGIES PROFESSIONNELLES

  • Les désinfectants et antiseptiques, contenant des substances actives biocides, sont responsables essentiellement de dermatites de contact d’irritation et/ou allergiques et plus rarement d’urticaires de contact. Ils sont utilisés surtout dans le secteur de la santé, du nettoyage, le secteur agro-alimentaire, l’agriculture, l’hôtellerie et l’industrie pharmaceutique. La plupart des désinfectants et antiseptiques ont un potentiel irritant. Les allergènes en cause dans la dermatite allergique de contact (DAC) sont principalement les aldéhydes et les isothiazolinones. Les ammoniums quaternaires, la chlorhexidine, le chlorhydrate de polyhexaméthylène biguanide (PHMB) sont plus rarement incriminés comme allergènes. Les principaux agents impliqués dans l’urticaire de contact sont la chloramine T, le formaldéhyde et la chlorhexidine. Le diagnostic étiologique nécessite des tests allergologiques avec la batterie standard européenne, les batteries spécialisées et les produits professionnels.

    Source : Crépy, M.N. (2016, Mars). Références en santé au travail, 145, 143-166. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/DMT/TI-TA-99/ta99.pdf

  • Le méthylisothiazolinone (MIT) est une substance utilisée comme conservateur dans de nombreux mélanges commerciaux à base aqueuse tels que produits détergents, peintures, vernis mais aussi dans des mélanges à usage professionnel (fluides de coupe…). Depuis 2010, de nombreuses publications françaises et européennes mettent en évidence une augmentation alarmante du nombre de cas de sensibilisation à la MIT. Ce rapport fait le point sur les sources d’exposition de cette substance et recommande des actions de prévention.

    Source : Institut National de Recherche et de Sécurité. (2016, Mars). Références en santé au travail, 145, 9-10. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/InfosARetenir/TI-RST-AC-91/ac91.pdf

Pour consulter le rapport complet de l’ANSES : https://www.anses.fr/fr/system/files/CONSO2014SA0186Ra.pdf

AMÉNAGEMENT – ARCHITECTURE

  • L’aménagement des bureaux en open space s’est imposé ces deux dernières décennies comme une norme d’organisation spatiale du travail. Dans cet article, les auteurs rendent compte des modes d’investissement et de réalisation de l’activité au sein de plateformes téléphoniques ouvertes accueillant des téléconseillers regroupés sur des bureaux partagés. Il s’agit de dépasser l’approche dominante dans les sciences sociales, privilégiant le travail sur l’espace, aux fins de développer une analyse du travail (de service) dans et avec l’espace. Dans cette perspective, nous montrerons que la constitution de significations et de marges d’autonomie ne relève pas seulement du réinvestissement d’un espace fonctionnel, mais aussi d’une action de superposition d’espaces de natures différentes: pratique, symbolique et sociale.

    Source : Cihuelo, Jérôme. (2016). Sociologie du travail, 58(1), 57-79. Repéré à http://www.sciencedirect.com/science/article/pii/S003802961500120X

  • Novel compliant flooring is designed to reduce fall-related injuries among LTC residents but may increase forces required for staff to perform pushing tasks. A motorized lift may offset the effect of flooring on push forces. The aim of this study was to investigate the effects of flooring type and resident weight on external hand forces required to push floor-based lifts in long-term care (LTC). Fourteen female LTC staff performed straight-line pushes with two floor-based lifts (conventional, motor driven) loaded with passengers of average and 90th-percentile resident weights over four flooring systems (concrete+vinyl, compliant+vinyl, concrete+carpet, compliant+carpet). Initial and sustained push forces were measured by a handlebar-mounted triaxial load cell and compared to participant-specific tolerance limits. Participants rated pushing difficulty.

    Source : Lachance, Chantelle C., Korall, Alexandra M.B., & Russell, Colin M. (2016). Human Factors. Prépublication. doi: 10.1177/0018720816644083

AMIANTE

  • Cette étude dresse le portrait épidémiologique descriptif des principales maladies reliées à l’exposition à l’amiante, soit l’amiantose, les cancers et les mésothéliomes de la plèvre et du péritoine, à l’exception du cancer du poumon. Elle met à jour les analyses antérieures de l’Institut national de santé publique du Québec sur ces maladies et elle ajoute une description des maladies nouvellement reconnues reliées à une exposition à l’amiante, à savoir les cancers du larynx et de l’ovaire. Elle explore également les plaques pleurales, des anomalies visibles à la radiographie pulmonaire, reconnues en tant qu’indicateur de l’exposition passée à l’amiante.

    Source : Krupoves, Alfreda & De Guire, Louise. (2016). [Montréal] : Institut national de santé publique du Québec, vii, 82 p. Repéré à https://www.inspq.qc.ca/pdf/publications/2127_epidemiologie_maladies_amiante.pdf

APPROCHE RELATIONELLE DE SOINS

  • Nursing home (NH) residents with dementia exhibit challenging behaviors or resistiveness to care (RTC) that increase staff time, stress, and NH costs. RTC is linked to elderspeak communication. Communication training (Changing Talk [CHAT]) was provided to staff to reduce their use of elderspeak. We hypothesized that CHAT would improve staff communication and subsequently reduce RTC. The results showed that the intervention can improve communication and reduce RTC, providing an effective nonpharmacological intervention to manage behavior and improve the quality of dementia care.

    Source : Williams, Kristine N., Perkhounkova, Yelena, Herman, Ruth, & Bossen, Ann. (2016). The Gerontologist. Prépublication. doi: 10.1093/geront/gnw047

ASTHME PROFESSIONNEL

Pour consulter le rapport complet de l’ANSES : https://www.anses.fr/fr/system/files/CONSO2014SA0186Ra.pdf

BLOC OPÉRATOIRE – CHIRURGIE

  • This study investigated whether noise during surgeries influenced the communication within surgical teams. During abdominal surgeries, noise levels were measured and communication was observed. Results showed that high noise peaks reduced the frequency of patient-related communication, but did not reduce patient-irrelevant communication. Noise may negatively affect team coordination in surgeries.

    Source : Keller, Sandra, Tschan, Franziska, Beldi, Guido, Kurmann, Anita, Candinas, Daniel, & Semmer, Norbert K. (2016). Ergonomics. Prépublication. DOI:10.1080/00140139.2016.1159736

BRUIT EN MILIEU DE TRAVAIL

  • This study investigated whether noise during surgeries influenced the communication within surgical teams. During abdominal surgeries, noise levels were measured and communication was observed. Results showed that high noise peaks reduced the frequency of patient-related communication, but did not reduce patient-irrelevant communication. Noise may negatively affect team coordination in surgeries.

    Source : Keller, Sandra, Tschan, Franziska, Beldi, Guido, Kurmann, Anita, Candinas, Daniel, & Semmer, Norbert K. (2016). Ergonomics. Prépublication. DOI:10.1080/00140139.2016.1159736

CHAMPS ÉLECTROMAGNÉTIQUES

  • Des salariés travaillant au rayon rôtisserie d’un magasin / grande surface se sont plaints de rougeur au visage, de sensations de picotements, de brûlures… et plusieurs déclarations d’accidents du travail ont été effetuées. Après l’arrêt des deux désinsectiseurs situés au-dessus des postes de travail, dont les tubles fluorescents avaient été changés récemment, les symptômes ont cessé. Les tubes fluorescents d’avant et d’après l’épisode de plaintes ont des caractéristiques différentes. Quels sont les conseils en matère de prévention ?

    Source : Barlier-Salsi, Annick, & Deniel, Jean-Marc. (2016, Mars). Références en santé au travail, 145, 167-168. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-106/qr106.pdf

  • L’Institut national de santé publique du Québec a analysé les effets potentiels des radiofréquences sur la santé humaine. Le rapport repose sur une analyse d’articles scientifiques publiés dans des revues révisées par les pairs et sur les rapports d’expertise d’organismes de santé nationaux et internationaux reconnus. L’exposition de la population aux radiofréquences est engendrée par deux types de sources. Les sources locales sont des sources auxquelles les personnes s’exposent de très près, soit à moins de quelques centimètres de leur corps (téléphones cellulaires et téléphones sans fil). Les sources environnementales sont des sources auxquelles les personnes s’exposent d’un peu plus loin (four à micro-ondes, routeurs Internet sans fil, compteurs électriques intelligents, antennes de radio, de télévision et de téléphonie cellulaire). L’exposition produite par les sources locales peut se rapprocher des limites imposées dans les normes, tandis que l’exposition aux sources environnementales est largement inférieure à ces limites.

    Source : Gauthier, Mathieu, Gauvin, Denis, Bolduc, daniel, Thibault, Christiane. (2016). [Montréal] : Institut national de santé publique du Québec, vii, 63 p. Repéré à https://www.inspq.qc.ca/publications/2119

  • CIGARETTE ÉLECTRONIQUE

  • La cigarette électronique est un dispositif doté, entre autres, d’une résistance permettant de chauffer un liquide ( » e-liquide « ) destiné à être inhalé sous forme d’aérosol par l’utilisateur. Ce liquide contient principalement du propylène-glycol ou du glycérol, des arômes et/ou de la nicotine. À ce jour, la teneur des différentes substances varie suivant le type de  » e-liquide  » et son fabricant. Cet article est la réponse de l’INRS à une question posée par un médecin du travail : Un travailleur peut-il utiliser une cigarette électronique dans un bureau ?

    Source : Hache, Philippe, & Shettle, Jennifer. (2016, Mars). Références en santé au travail, 145, 171-172. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-108/qr108.pdf

  • Un article concernant la cigarette électronique a été introduit en janvier 2016 dans le Code de la santé publique (article L-3511-7-1 du Code de santé publique). Il précise que le vapotage est interdit dans les établissements scolaires, les lieux de formation et d’hébergement des mineurs et les lieux couverts fermés à usage collectif. Un décret fixera les conditions d’application de ces dispositions.

    Source : Vapoter au travail : Ce que dit la loi sur la cigarette électronique. (2016, 8 avril). INRS. Actualités. Repéré à http://www.inrs.fr/actualites/vapoter-travail.html

  • CIVILITÉ EN MILIEU DE TRAVAIL

  • Adopting a multilevel approach, this study extends the current understanding of workplace incivility by examining the cross-level associations between team climate for incivility, team size and team norms with regard to competitiveness on employees’ well-being associated with incivility at work. The results revealed a direct negative effect of uncivil team climates on employee job-related affective well-being, over and above employees’ personal experience of uncivil behaviour. As hypothesized, competitive norms significantly moderated the negative effect of experienced incivility on affective well-being, suggesting that competitive team environments may buffer the negative consequences of workplace incivility through a team sensemaking process. This study also found team size to be a significant moderator of the incivility-well-being relationship, with members of smaller work teams experiencing more detrimental effects of uncivil acts. Together, these findings suggest that the magnitude of the negative effect of uncivil behaviour is dependent on the composition and incivility climate of work teams.

    Source : Paulin, Deanna & Griffin, Barbara. (2016). Work & Stress: An International Journal of Work, Health & Organisations, 30(2), 132-151. DOI:10.1080/02678373.2016.1173124

  • In recent years a growing amount of research has been conducted in the area of workplace incivility. Whereas many studies have focused on the victims and the consequences of incivility, little attention has been paid to the perpetrators and antecedents of workplace incivility. This study aims to identify possible antecedents of workplace incivility, by investigating organizational aspects as well as the possibility that being the target of incivility from co-workers and supervisors could induce incivility.

    Source : Torkelson, Eva, Holm, Kristoffer, Bäckström, Martin, & Schad, Elinor. (2016). Work & Stress: An International Journal of Work, Health & Organisations, 30(2), 115-131. DOI:10.1080/02678373.2016.1175524

CLINIQUES DENTAIRES

  • This document summarizes current infection prevention recommendations and includes a checklist that can be used to evaluate compliance. The information presented here is based primarily upon the previously published 2003 guideline (see below) and represents infection prevention expectations for safe care in dental settings. The Summary is intended for use by anyone needing information about basic infection prevention measures in dental health care settings, but is not a replacement for the more extensive guidelines. Readers are urged to consult the full guidelines for additional background, rationale, and scientific evidence behind each recommendation.

    Source : Centers for Disease Control and Prevention. (2016). Summary of Infection Prevention Practices in Dental Settings : Basic Expectations for Safe Care. Atlanta, GA : US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Oral Health, 43 p. Repéré à http://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care.pdf

  • Given that this study evaluates the physical demands of manual scaling, a procedure that is fundamental to dental hygiene work, the findings are valuable to identify ergonomics interventions to reduce the prevalence of work-related injuries, disability and the potential for early retirement among this occupational group.

    Source : La Delfa, Nicholas J., Grondin, Diane E., Cox, Jocelyn, Potvin, Jim R., & Howarth, Samuel J. (2016). Ergonomics. Prépublication. DOI: 10.1080/00140139.2016.1171402

CONCILIATION TRAVAIL – VIE PERSONNELLE

  • Les conséquences du conflit travail-vie personnelle sont importantes pour les individus en emploi : fatigue, migraine, hypertension, détresse psychologique, insatisfaction professionnelle, problèmes relationnels, etc. (St-Amour et al., 2005; Vézina et al., 2011); il en va de même pour les entreprises qui doivent en assumer les coûts : diminution de l’engagement, absentéisme, problèmes de rétention de la main-d’œuvre, problèmes de productivité, etc. (Tremblay, 2008). Individus et organisations sont donc mis au défi de l’harmonisation travail-vie personnelle, qui consiste à réduire les conflits de temps et de tension (stress) entre ces deux sphères de vie ainsi qu’à favoriser leur enrichissement réciproque.

    Source : Cadieux, Nathalie, & Létourneau, Isabelle. (2016, 14 avril). Portail RH. Ressources. Relations du travail. Repéré à http://www.portailrh.org/ressources/AZ/specialites/relation_travail/fiche.aspx?p=639050

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • The objective of the study was to explore the safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings. The topics with strong evidence from at least 2 papers relate to risks associated with awkward working positions, social environment issues (additional tasks and distractions), abuse and violence, inadequate team (peer) support, problems with workload planning, needle stick injuries and physical workload (moving and handling patients).The results showed that as home care increases, there is a need to ensure the safety of both patients and caregivers with an understanding of the physical interactions and tasks to manage safety risks and plan safer care delivery systems.

    Source : Hignett, Sue, Otter, Mary Edmunds, Keen, Christine. (2016). International Journal of Nursing Studies, 59, 1-14. doi:10.1016/j.ijnurstu.2016.02.011

  • Les technologues en radiothérapie doivent positionner les patients par rapport à des lasers qui ne peuvent être bougés, étant calibrés pour un positionnement droit exact. Lors de mobilisations et de déplacements fréquents de patients couchés sur civière, les travailleurs ont d’importants efforts à déployer, pouvant leur occasionner des troubles musculosquelettiques et des blessures au niveau des membres supérieurs et du dos. Une table mouvante a donc été fabriquée entièrement à l’interne par le mécanicien aux services techniques, à partir d’une table d’opération récupérée. Depuis, les travailleurs adoptent de meilleures postures de travail et la table mouvante permet d’éliminer les manipulations manuelles des patients. Aucun accident n’est survenu depuis la mise en œuvre de l’innovation.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. Direction régionale de Laval. (2016). Lumière sur les visages de la prévention : région de Laval 2016. p. 11. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Laval/DC200-987-3LAV_Laval_2016-01_ED_VF.pdf#page=11

Pour accéder à la présentation vidéo : http://www.csst.qc.ca/asp/innovation/2016/Laval/CISSS.wmv

  • Low back pain is prevalent among nursing home personnel. Safe resident handling programs (SRHP) reduce injuries and costs. Previously, the authors reported variability in effectiveness and sought to identify reasons for differences among workers in resident handling equipment (RHE) use. In 8 nursing homes, nursing aides’ (NAs) frequency of RHE use and reasons for inconsistent use were assessed by questionnaire up to 4 times after SRHP implementation. At least two-thirds of NAs reported « often » or « always » lift use. Higher RHE use was related to higher SRHP commitment, higher prior SRHP expectations, older age, higher health self-efficacy, and lower supervisor support. « Device not available when needed » and « residents dislike » were major reasons consistently cited for not using RHE. While this program has been effective, attention to device availability, education of residents and family members on SRHP importance, and worker empowerment might increase usage further.

    Source : Kurowski, Alicia, Gore, Rebecca, Mpolla, Nadine, & Punnett, Laura. (2016). American Journal of Safe Patient Handling & Mobility, 6 (1), 16-24. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_88&product_id=176

  • This study investigated the comparative effects of 2 sling fabrics on gluteal interface pressure (GIP), gluteal surface area, and peak pressure index. Thirty-three participants sat on a wheelchair with a viscoelastic foam cushion upon which was placed a mesh sling, followed by a spacer sling, and finally a control condition (no sling). Measurements were collected using an X3 XSENSOR Pressure Map. Both fabrics significantly increased gluteal surface area and significantly decreased GIP as compared to the control. No significant difference was found in peak pressure index between the 3 conditions. The findings of this preliminary study show that the presence of a sling may make no difference to GIP, gluteal surface area, or peak pressure index.

    Source : Van Dyck, Elizabeth, Paulson, Emily, Norton, Linda, Duncan, Andrea, & McWhirter, Margot. (2016). American Journal of Safe Patient Handling & Mobility, 6 (1), 25-32. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_88&product_id=177

  • The use of evidence-based practice (EBP) can assist efforts to promote the use of safe patient handling and mobility (SPHM) in policy and practice. Evidence about SPHM can be found from a large variety of sources. Once located, evidence using different study designs should be appraised for quality, validity, and relevance to practice. A large variety of proposed tools and frameworks exist for appraising evidence. This article will describe various study designs used in SPHM research and certain frameworks used to appraise research.

    Source : Rockefeller, Kathleen. (2016). American Journal of Safe Patient Handling & Mobility, 6(1), 33-38. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_88&product_id=178

  • Performing an effective and efficient literature search is a foundational skill for all clinicians dedicated to evidence-based practice. Clinicians interested in safe patient handling and mobility use published literature for many issues, including identifying unsafe workplace practices, workers at risk, methods to assess ergonomic stressors on the patient and the healthcare worker, and intervention strategies to ameliorate a given handling situation. Straus et al. describe 5 steps to evidence-based practice: asking clinical questions, searching for evidence, appraising the evidence for its validity and its usefulness, integrating the evidence with our clinical expertise and patient values, and evaluating one’s effectiveness in the preceding steps. This paper describes the first 2 steps of this process as related to SPHM interventions: asking clinical questions and searching for evidence.

    Source : Scalzitti, David A., Harwood, Kenneth J., & Campo, Marc. (2016). American Journal of Safe Patient Handling & Mobility, 6 (1), 10-15. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_88&product_id=175

  • How home care workers adapt what they learn in manual handling classroom training sessions to their workplaces (i.e., their clients’ homes) is central to their own safety, as their musculoskeletal injuries continue to occur at unacceptably high rates. For this inquiry, new workers were directly observed in their workplaces following classroom training. Findings from these observations propose three environmental considerations for supporting new workers to learn safe manual handling techniques: (1) The physical setting for manual handling is important, (2) clients and their significant others may offer a valuable form of learning support, and (c) when initially learning the requirements for their roles, new workers should be encouraged to focus only on the manual handling tasks at hand.

    Source : Palesy, Debra. (2016). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822316636617

  • The aim of this study was to evaluate whether a peer-coaching programme for patient lift use in British Columbia, Canada, was effective and cost-beneficial. The authors used monthly panel data from 15 long-term care facilities from 2004 to 2011 to estimate the number of patient-handling injuries averted by the peer-coaching programme using a generalised estimating equation model. Facilities that had not yet introduced the programme served as concurrent controls. Accepted lost-time claim counts related to patient handling were the outcome of interest with a denominator of full-time equivalents of nursing staff. A cost-benefit approach was used to estimate the net monetary gains at the system level.

    Source : Tompa, Emile, Dolinschi, Roman, Alamgir, Hasanat, Sarnocinska-Hart, & Guzman, Jaime. (2016). Occupational & Environmental Medicine, 73(5), 308-314. doi:10.1136/oemed-2015-103134

  • Novel compliant flooring is designed to reduce fall-related injuries among LTC residents but may increase forces required for staff to perform pushing tasks. A motorized lift may offset the effect of flooring on push forces. The aim of this study was to investigate the effects of flooring type and resident weight on external hand forces required to push floor-based lifts in long-term care (LTC). Fourteen female LTC staff performed straight-line pushes with two floor-based lifts (conventional, motor driven) loaded with passengers of average and 90th-percentile resident weights over four flooring systems (concrete+vinyl, compliant+vinyl, concrete+carpet, compliant+carpet). Initial and sustained push forces were measured by a handlebar-mounted triaxial load cell and compared to participant-specific tolerance limits. Participants rated pushing difficulty.

    Source : Lachance, Chantelle C., Korall, Alexandra M.B., & Russell, Colin M. (2016). Human Factors. Prépublication. doi: 10.1177/0018720816644083

DERMATOSES PROFESSIONNELLES

  • Les désinfectants et antiseptiques, contenant des substances actives biocides, sont responsables essentiellement de dermatites de contact d’irritation et/ou allergiques et plus rarement d’urticaires de contact. Ils sont utilisés surtout dans le secteur de la santé, du nettoyage, le secteur agro-alimentaire, l’agriculture, l’hôtellerie et l’industrie pharmaceutique. La plupart des désinfectants et antiseptiques ont un potentiel irritant. Les allergènes en cause dans la dermatite allergique de contact (DAC) sont principalement les aldéhydes et les isothiazolinones. Les ammoniums quaternaires, la chlorhexidine, le chlorhydrate de polyhexaméthylène biguanide (PHMB) sont plus rarement incriminés comme allergènes. Les principaux agents impliqués dans l’urticaire de contact sont la chloramine T, le formaldéhyde et la chlorhexidine. Le diagnostic étiologique nécessite des tests allergologiques avec la batterie standard européenne, les batteries spécialisées et les produits professionnels.

    Source : Crépy, M.N. (2016, Mars). Références en santé au travail, 145, 143-166. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/DMT/TI-TA-99/ta99.pdf

  • Le méthylisothiazolinone (MIT) est une substance utilisée comme conservateur dans de nombreux mélanges commerciaux à base aqueuse tels que produits détergents, peintures, vernis mais aussi dans des mélanges à usage professionnel (fluides de coupe…). Depuis 2010, de nombreuses publications françaises et européennes mettent en évidence une augmentation alarmante du nombre de cas de sensibilisation à la MIT. Ce rapport fait le point sur les sources d’exposition de cette substance et recommande des actions de prévention.

    Source : Institut National de Recherche et de Sécurité. (2016, Mars). Références en santé au travail, 145, 9-10. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/InfosARetenir/TI-RST-AC-91/ac91.pdf

Pour consulter le rapport complet de l’ANSES : https://www.anses.fr/fr/system/files/CONSO2014SA0186Ra.pdf

ÉBOLA

  • In epidemics of highly infectious diseases, such as Ebola Virus Disease (EVD) or SARS, healthcare workers (HCW) are at much greater risk of infection than the general population, due to their contact with patients’ contaminated body fluids. Contact precautions by means of personal protective equipment (PPE) can reduce the risk. It is unclear which type of PPE protects best, what is the best way to remove PPE, and how to make sure HCWs use PPE as instructed. The aim of the study was to evaluate which type or component of full-body PPE and which method of donning or removing (doffing) PPE have the least risk of self-contamination or infection for HCWs, and which training methods most increase compliance with PPE protocols.

    Source : Verbeek, Jos H., Ijaz, Sharea, Mischke, Christina, Ruotsalainen, Jani H., Mäkela, Erja, Neuvonen, Kaisa,… Mihalache, Raluca C. (2016). Cochrane Database of Systematic Reviews, 4, Art. No.: CD011621. DOI: 10.1002/14651858.CD011621.pub2.

  • The purpose of this study was to investigate the importance of supervision through video surveillance in improving the quality of personal protection in preparing health care workers working in Ebola treatment units. Wardens supervise, remind, and guide health care workers’ behavior through onsite voice and video systems when they are in the suspected patient observation ward and in the patient diagnosed ward of the Ebola treatment center. The observation results were recorded, and timely feedback was given to the health care workers. The results showed that personal protective equipment protocol supervised by wardens through a video monitoring process can be used as an effective complement to conventional mutual supervision methods and can help health care workers avoid Ebola infection during treatment.

    Source : Xi, Huijun, Cao, Jie, Liu, Jingjing, Li, Zhaoshen, Kong, Xiangyu, Wang, Yonghua, … Zhang, Lingjuan. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.015

ÉCLAIRAGE

  • Des salariés travaillant au rayon rôtisserie d’un magasin / grande surface se sont plaints de rougeur au visage, de sensations de picotements, de brûlures… et plusieurs déclarations d’accidents du travail ont été effetuées. Après l’arrêt des deux désinsectiseurs situés au-dessus des postes de travail, dont les tubles fluorescents avaient été changés récemment, les symptômes ont cessé. Les tubes fluorescents d’avant et d’après l’épisode de plaintes ont des caractéristiques différentes. Quels sont les conseils en matère de prévention ?

    Source : Barlier-Salsi, Annick, & Deniel, Jean-Marc. (2016, Mars). Références en santé au travail, 145, 167-168. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-106/qr106.pdf

ÉQUIPEMENTS DE PROTECTION

  • In epidemics of highly infectious diseases, such as Ebola Virus Disease (EVD) or SARS, healthcare workers (HCW) are at much greater risk of infection than the general population, due to their contact with patients’ contaminated body fluids. Contact precautions by means of personal protective equipment (PPE) can reduce the risk. It is unclear which type of PPE protects best, what is the best way to remove PPE, and how to make sure HCWs use PPE as instructed. The aim of the study was to evaluate which type or component of full-body PPE and which method of donning or removing (doffing) PPE have the least risk of self-contamination or infection for HCWs, and which training methods most increase compliance with PPE protocols.

    Source : Verbeek, Jos H., Ijaz, Sharea, Mischke, Christina, Ruotsalainen, Jani H., Mäkela, Erja, Neuvonen, Kaisa,… Mihalache, Raluca C. (2016). Cochrane Database of Systematic Reviews, 4, Art. No.: CD011621. DOI: 10.1002/14651858.CD011621.pub2.

  • Effective abatement of fall hazards is complex, requiring skilled selection and assembly of equipment and systems. The chosen solutions need to be understood and properly used by workers, balancing protection from danger against the practical need to accomplish work. The optimal solution needs to consider the type of work, the frequency of access, the knowledge and skill of the workers, and many other factors. A solution that is effective for one situation can be cumbersome or even dangerous in another. This is the first edition of CSA Z259.17.

    Source : Canadian Standard Association. (2016). Selection and use of active fall-protection equipment and systems. Toronto, Ont.: Groupe CSA, (CSA Z259.17-16). Repéré à http://shop.csa.ca/fr/canada/protection-contre-les-chutes/z25917-16/invt/27039572016

  • The purpose of this study was to investigate the importance of supervision through video surveillance in improving the quality of personal protection in preparing health care workers working in Ebola treatment units. Wardens supervise, remind, and guide health care workers’ behavior through onsite voice and video systems when they are in the suspected patient observation ward and in the patient diagnosed ward of the Ebola treatment center. The observation results were recorded, and timely feedback was given to the health care workers. The results showed that personal protective equipment protocol supervised by wardens through a video monitoring process can be used as an effective complement to conventional mutual supervision methods and can help health care workers avoid Ebola infection during treatment.

    Source : Xi, Huijun, Cao, Jie, Liu, Jingjing, Li, Zhaoshen, Kong, Xiangyu, Wang, Yonghua, … Zhang, Lingjuan. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.015

  • Achieving high vaccination rates of health care personnel (HCP) is critical in preventing influenza transmission from HCP to patients and from patients to HCP; however, acceptance rates remain low. In 2013, New York State adopted the flu mask regulation, requiring unvaccinated HCP to wear a mask when in areas where patients are present. The purpose of this study assessed the impact of the flu mask regulation on the HCP influenza vaccination rate.

    Source : Edwards, Frances, Masick, Kevin D., Armellino, Donna. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.006

ÉQUIPEMENTS INNOVATEURS EN SST

  • Les technologues en radiothérapie doivent positionner les patients par rapport à des lasers qui ne peuvent être bougés, étant calibrés pour un positionnement droit exact. Lors de mobilisations et de déplacements fréquents de patients couchés sur civière, les travailleurs ont d’importants efforts à déployer, pouvant leur occasionner des troubles musculosquelettiques et des blessures au niveau des membres supérieurs et du dos. Une table mouvante a donc été fabriquée entièrement à l’interne par le mécanicien aux services techniques, à partir d’une table d’opération récupérée. Depuis, les travailleurs adoptent de meilleures postures de travail et la table mouvante permet d’éliminer les manipulations manuelles des patients. Aucun accident n’est survenu depuis la mise en œuvre de l’innovation.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. Direction régionale de Laval. (2016). Lumière sur les visages de la prévention : région de Laval 2016. p. 11. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Laval/DC200-987-3LAV_Laval_2016-01_ED_VF.pdf#page=11

Pour accéder à la présentation vidéo : http://www.csst.qc.ca/asp/innovation/2016/Laval/CISSS.wmv

ERGONOMIE

  •  No current ergonomic setup guideline for standing computer workstations is available.The aim of this study was to determine user self-selected setup for both sitting and standing computer workstations and identify major differences. The results showed that users preferred different workstation setups for sitting and standing computer workstations. Therefore, future setup guidelines and principles for standing computer workstations may not be simply translated from those for sitting. The results can serve as the first step toward making recommendations to establish ergonomic guidelines for standing computer workstation arrangement.

    Source : Lin, Michael Y., Catalano, Paul, & Dennerlein, Jack T. (2016). Human Factors. Prépublication.  doi: 10.1177/0018720816639788

ÉTABLISSEMENTS D’HÉBERGEMENT

  • Ce document présente l’information relative à une demande de permis pour l’exploitation d’un centre d’hébergement et de soins de longue durée privé ainsi que les principales normes applicables à ce type d’établissement.

    Source : Ministère de la Santé et des Services sociaux. (2016). [Québec] : Direction des communications du ministère de la Santé et des Services sociaux, 24 p. + annexes. Repéré à http://publications.msss.gouv.qc.ca/msss/fichiers/2015/15-834-02W.pdf

  • En zoothérapie, les gens peuvent à la fois bénéficier d’interactions et de relations avec un humain et un animal. Ce texte présente quelques anecdotes vécues par l’auteure. Elles illustrent comment la zoothérapie peut contribuer au bien-être socioaffectif des patients. De plus, on y souligne que notre nature sociale rend l’éthique des soins possible pour les soignants et nécessaire pour les patients, tout en faisant un parallèle entre les aptitudes de mes chiens et les miennes. L’auteure plaide aussi pour qu’on ne néglige pas les besoins socioaffectifs des patients. Source : Kilsdonk, Caroline. (2016). Bioéthique Online. 10 p. Repéré à http://bioethiqueonline.ca/docs/5/5.pdf

  • Theory suggests that leadership is important for improving person-centredness in aged care, however, empirical evidence is lacking. The purpose of this study was to  explore the association between leadership behaviours among managers in aged care, and person-centredness of care and the psychosocial climate. The results showed that leadership behaviours were significantly related to the person-centredness of care and the psychosocial climate. The level of person-centredness of care moderated the impact of leadership on the psychosocial climate.

    Source : Backman, Annica, Sjögren, Karin, Lindkvist, Marie, Lövheim, Hugo, & Edvarsson, David. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12380

  • Low back pain is prevalent among nursing home personnel. Safe resident handling programs (SRHP) reduce injuries and costs. Previously, the authors reported variability in effectiveness and sought to identify reasons for differences among workers in resident handling equipment (RHE) use. In 8 nursing homes, nursing aides’ (NAs) frequency of RHE use and reasons for inconsistent use were assessed by questionnaire up to 4 times after SRHP implementation. At least two-thirds of NAs reported « often » or « always » lift use. Higher RHE use was related to higher SRHP commitment, higher prior SRHP expectations, older age, higher health self-efficacy, and lower supervisor support. « Device not available when needed » and « residents dislike » were major reasons consistently cited for not using RHE. While this program has been effective, attention to device availability, education of residents and family members on SRHP importance, and worker empowerment might increase usage further.

    Source : Kurowski, Alicia, Gore, Rebecca, Mpolla, Nadine, & Punnett, Laura. (2016). American Journal of Safe Patient Handling & Mobility, 6 (1), 16-24. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_88&product_id=176

  • Shiftwork is a major job demand for nurses and has been related to various negative consequences. Research suggests that personal and job resources moderate the impact of work schedules on stress, health and well-being. This longitudinal study examined whether the interactions of personal and job resources with work schedule demands predicted work engagement and emotional exhaustion in nursing.

    Source : Peters, Velibor, Houkes, Inge, de Rijk, Angelique E., Bohle, Philip L., Engels, Josephine A., & Nijhuis, Frans J.N. (2016). International Journal of Nursing Studies, 58, 31-46. doi:10.1016/j.ijnurstu.2016.01.008

  • Older people, living in nursing homes, are exposed to diverse situations, which may be associated with loss of dignity. To help them maintain their dignity, it is important to explore, how dignity is preserved in such context. Views of dignity and factors influencing dignity have been studied from both the residents’ and the care providers’ perspective. However, most of these studies pertain to experiences in the dying or the illness context. Knowledge is scarce about how older people experience their dignity within their everyday lives in nursing homes. The aim of this study was to illuminate the meaning of maintaining dignity from the perspective of older people living in nursing homes.

    Source : Høy, Bente,  Lillestø, Britt , Slettebø, Åshild, Sæterend, Berit , Heggestad, Anne Kari Tolo, Synnøve Caspari, … Nåden, Dagfinn. (2016).  International Journal of Nursing Studies, 60, 91-98. doi:10.1016/j.ijnurstu.2016.03.011

ÉVALUATION DES RISQUES

  • The objective of the study was to explore the safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings. The topics with strong evidence from at least 2 papers relate to risks associated with awkward working positions, social environment issues (additional tasks and distractions), abuse and violence, inadequate team (peer) support, problems with workload planning, needle stick injuries and physical workload (moving and handling patients).The results showed that as home care increases, there is a need to ensure the safety of both patients and caregivers with an understanding of the physical interactions and tasks to manage safety risks and plan safer care delivery systems.

    Source : Hignett, Sue, Otter, Mary Edmunds, Keen, Christine. (2016). International Journal of Nursing Studies, 59, 1-14. doi:10.1016/j.ijnurstu.2016.02.011

FORMATION EN SST

  • How home care workers adapt what they learn in manual handling classroom training sessions to their workplaces (i.e., their clients’ homes) is central to their own safety, as their musculoskeletal injuries continue to occur at unacceptably high rates. For this inquiry, new workers were directly observed in their workplaces following classroom training. Findings from these observations propose three environmental considerations for supporting new workers to learn safe manual handling techniques: (1) The physical setting for manual handling is important, (2) clients and their significant others may offer a valuable form of learning support, and (c) when initially learning the requirements for their roles, new workers should be encouraged to focus only on the manual handling tasks at hand.

    Source : Palesy, Debra. (2016). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822316636617

  • This review article examines the effects of nonviolent communication (NVC) training on the interprofessional collaboration (IPC) of two health and social services sector care teams. The study was conducted in 2013 with two interprofessional teams using a mixed method research design to measure the effects of the training. Results revealed improvements in individual competency in client/family-centered collaboration and role clarification. Improvements in group competency were also found with respect to teams’ ability to develop a shared plan of action. Data suggests that participants accepted and adopted training content. After the training, they appeared better able to identify the effects of spontaneous communication, more understanding of the mechanisms of empathy, and in a better position to foster collective leadership.

    Source : Museux, Anne-Claire, Dumont, Serge, Careau, Emmanuelle, & Milot, Élise. (2016). Social Work in Health Care. Prépublication. DOI:10.1080/00981389.2016.1164270

  • The aim of this study was to evaluate whether a peer-coaching programme for patient lift use in British Columbia, Canada, was effective and cost-beneficial. The authors used monthly panel data from 15 long-term care facilities from 2004 to 2011 to estimate the number of patient-handling injuries averted by the peer-coaching programme using a generalised estimating equation model. Facilities that had not yet introduced the programme served as concurrent controls. Accepted lost-time claim counts related to patient handling were the outcome of interest with a denominator of full-time equivalents of nursing staff. A cost-benefit approach was used to estimate the net monetary gains at the system level.

    Source : Tompa, Emile, Dolinschi, Roman, Alamgir, Hasanat, Sarnocinska-Hart, & Guzman, Jaime. (2016). Occupational & Environmental Medicine, 73(5), 308-314. doi:10.1136/oemed-2015-103134

GESTION – LEADERSHIP

  • Certaines situations de travail, comme le job strain ou le manque de reconnaissance au travail, accroissent les risques d’exposition aux facteurs psychosociaux avec des retentissements sur la santé physique et mentale. Des différences sont observées selon le sexe, l’autonomie, les marges de manoeuvres laissées aux salariés, le secteur d’activité. Les modes d’organisation du travail, les contacts avec le public influencent également les facteurs de risques psychosociaux (RPS). Les salariés les plus exposés au job strain se déclarent en moins bonne santé. Les RPS augmentent le risque d’absentéisme et d’accident du travail.

    Source : Memmi, S., Sandret, N., Niezborala, M., Lesuffleur, T., & Niedhammer, I. (2016, Mars). Références en santé au travail, 145, 53-64. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/DMT/TI-TF-236/tf236.pdf

  • Au cours des trois dernières décennies, le travail quotidien des cadres gestionnaires infirmiers de premier niveau (CGIPN) a subi de profondes transformations quant aux rôles qu’ils occupent et aux responsabilités qui leur incombent dans les divers établissements de santé. Ces CGIPN vivent et subissent de la pression au regard de leur charge de travail, faisant en sorte qu’ils perçoivent avoir peu de temps pour réaliser adéquatement leur travail en gestion, et que plusieurs infirmières de la relève qui souhaitent faire carrière en gestion se questionnent sur la possibilité d’œuvrer dans ce domaine de la pratique. Peu d’études portent sur l’état de la qualité de vie au travail (QVT) chez ces professionnels. Divisé en trois volets, ce projet de recherche a pour objectif général d’explorer la QVT chez les CGIPN et les facteurs qui l’influencent dans les divers établissements de santé québécois.

    Source : Brousseau, Sylvain. (2015). La signification expérientielle et les facteurs qui influencent la qualité de vie au travail des cadres gestionnaires infirmiers de premier niveau oeuvrant en établissements de santé. (Thèse de doctorat, Faculté des sciences infirmières, Université de Montréal, Montréal, QC). Repéré à https://papyrus.bib.umontreal.ca/xmlui/handle/1866/13506

  • Le lien entre le stress, la santé mentale et l’absentéisme continue de représenter un défi de taille pour de nombreux employeurs canadiens. À l’automne 2015, Morneau Shepell a mené sa deuxième enquête nationale annuelle sur la santé mentale pour comprendre et comparer le point de vue des travailleurs canadiens, des employeurs et des médecins en ce qui a trait à la santé mentale au travail et à l’absentéisme.

    Source : Morneau Shepell ltée. (2016). Priorités en matière de santé mentale au travail : édition 2016. [S.l.] : Morneau Sheppell ltée, 4 p. Repéré à http://www.morneaushepell.com/sites/default/files/documents/4459-priorites-en-matiere-de-sante-mentale-au-travail-edition-2016/11548/prioritesenmatieredesantementaleautravailedition2016.pdf

  • Theory suggests that leadership is important for improving person-centredness in aged care, however, empirical evidence is lacking. The purpose of this study was to  explore the association between leadership behaviours among managers in aged care, and person-centredness of care and the psychosocial climate. The results showed that leadership behaviours were significantly related to the person-centredness of care and the psychosocial climate. The level of person-centredness of care moderated the impact of leadership on the psychosocial climate.

    Source : Backman, Annica, Sjögren, Karin, Lindkvist, Marie, Lövheim, Hugo, & Edvarsson, David. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12380

  • Dans le monde du travail, les contraintes ne cessent de croître, générant une intensification du travail et une sollicitation grandissante des collaborateurs sur le plan psychologique alors que l’appui du management tend à diminuer voire à disparaître, lui-même subissant les mêmes situations. Cet état interdit toute prise de recul par rapport aux objectifs et induit une perte d’autonomie du collaborateur qui, ne percevant pas la finalité concrète de sa mission, se trouve en grandes difficultés.

    Source : RPS : une question d’organisation (2016, 21 avril). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/RPS-une-question-d-organisation.html

  • Les conséquences du conflit travail-vie personnelle sont importantes pour les individus en emploi : fatigue, migraine, hypertension, détresse psychologique, insatisfaction professionnelle, problèmes relationnels, etc. (St-Amour et al., 2005; Vézina et al., 2011); il en va de même pour les entreprises qui doivent en assumer les coûts : diminution de l’engagement, absentéisme, problèmes de rétention de la main-d’œuvre, problèmes de productivité, etc. (Tremblay, 2008). Individus et organisations sont donc mis au défi de l’harmonisation travail-vie personnelle, qui consiste à réduire les conflits de temps et de tension (stress) entre ces deux sphères de vie ainsi qu’à favoriser leur enrichissement réciproque.

    Source : Cadieux, Nathalie, & Létourneau, Isabelle. (2016, 14 avril). Portail RH. Ressources. Relations du travail. Repéré à http://www.portailrh.org/ressources/AZ/specialites/relation_travail/fiche.aspx?p=639050

  • Addressing occupational fatigue in nursing work systems and mitigating associated risks to nurses require strategic management and high-level decision making as well as daily management through operational and tactical actions. Nurse executives are well positioned to lead implementation of a proposed multilevel fatigue risk management system that includes monitoring and decision-support tools to support a culture of safety and nurse well-being.

    Source : Steege, Lindsey M., Pinekenstein, Barbara. (2016). Journal of Nursing Administration, 46(4), 193-200. doi: 10.1097/NNA.0000000000000325

  • Quality in the workforce is essential for organizational competitiveness, requiring human resource executives to develop programs in pursuit of business success: one such possibility is meditation. The current integrative review provides an overview of how meditation can contribute to life in the workplace. In analyzing 10 empirical studies carried out in North America, Europe, and Asia, it indicates the presence of individual and organizational dimensions, in that meditation not only benefits personal and mental health and social relationships, as well as the alleviation of role conflicts, but also benefits organizational innovativeness and development. These results point to future studies and reveal implications for practices related to integrating meditation into daily life and building mindful organizations.

    Source : Cheng, Fung Kei. (2016). Journal of Psychological Issues in Organizational Culture, 6(4), 18-34. DOI: 10.1002/jpoc.21195

  • Le rendement d’une équipe de travail est la somme du rendement des employés qui la composent. Comme chacun des membres influence le climat général de l’équipe, favorablement ou non, il est important d’être attentif à la fragilité de chacun d’eux. Il est fréquent que les employés fragilisés n’affichent pas ouvertement leurs difficultés. N’étant pas nécessairement des individus à problèmes, ils connaissent souvent des situations difficiles dans leur vie privée (divorce, séparation, deuil, maladie, etc.), ce qui les rend moins disponibles dans leur travail. Ces difficultés peuvent aussi les conduire à connaître certains troubles de santé psychologique tels que la dépression, les troubles d’adaptation et l’épuisement professionnel qui auront un impact direct sur leur façon d’être. Une intervention rapide du gestionnaire pourra aider grandement ces individus et, par le fait même, l’ensemble de l’équipe.

    Source : Savoie, Gilles. (2016, 7 avril). Portail RH. Ressources. Relations du travail. Repéré à http://www.portailrh.org/ressources/AZ/specialites/relation_travail/fiche.aspx?p=638678

  • Le fait d’examiner avec soin comment vous mesurez le rendement en matière de sécurité de votre organisation constitue une étape importante pour améliorer ce rendement. Cependant, il peut être difficile de trouver la meilleure façon de mesurer le rendement en matière de sécurité. L’utilisation des indicateurs avancés et des indicateurs tardifs pour mesurer le rendement en matière de sécurité peut représenter une méthode efficace pour prévenir les incidents en milieu de travail. Ce processus tient compte à la fois de vos résultats concrets en matière de sécurité et des mesures prises par votre organisation pour la prévention des accidents et des incidents. En exerçant un contrôle sur les indicateurs avancés, comme le nombre de formations offertes sur la sécurité, vous serez en mesure d’exercer un contrôle sur les indicateurs tardifs, comme le taux de blessures enregistré.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). Le rapport sur la santé et la sécurité, 14(4). Repéré à http://cchst.ca/newsletters/hsreport/issues/current.html?p=640229#hsreport-ontopic

HARCÈLEMENT AU TRAVAIL

  • Workplace bullying (WPB) behaviors negatively affect nurse productivity, satisfaction, and retention, and hinder safe patient care. The purpose of this article is to define WPB, differentiate between incivility and WPB, and recommend actions to prevent WPB behaviors. Informed occupational and environmental health nurses and nurse leaders must recognize, confront, and eliminate WPB in their facilities and organizations. Recognizing, confronting, and eliminating WPB behaviors in health care is a crucial first step toward sustained improvements in patient care quality and the health and safety of health care employees.

    Source : Berry, Peggy Ann, Gillespie, Gordon L., Fisher, Bonnie S., & Gormley, Denise K. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916634711

HORAIRE DE TRAVAIL

  • Addressing occupational fatigue in nursing work systems and mitigating associated risks to nurses require strategic management and high-level decision making as well as daily management through operational and tactical actions. Nurse executives are well positioned to lead implementation of a proposed multilevel fatigue risk management system that includes monitoring and decision-support tools to support a culture of safety and nurse well-being.

    Source : Steege, Lindsey M., Pinekenstein, Barbara. (2016). Journal of Nursing Administration, 46(4), 193-200. doi: 10.1097/NNA.0000000000000325

  • The objective of this study was to identify the characteristics of shift work that have an effect on employee’s performance (including job performance, productivity, safety, quality of care delivered, errors, adverse events and client satisfaction) and wellbeing (including burnout, job satisfaction, absenteeism, intention to leave the job) in all sectors including healthcare. A scoping review of the literature was undertaken. The authors searched electronic databases (CINAHL, MEDLINE, PsychINFO, SCOPUS) to identify primary quantitative studies.

    Source : Dall’Ora, Chiara, Ball, Jane, Recio-Saucedo, Alejandra, & Griffiths, Peter. (2016). International Journal of Nursing Studies, 57, 12-27. doi:10.1016/j.ijnurstu.2016.01.007

  • Shiftwork is a major job demand for nurses and has been related to various negative consequences. Research suggests that personal and job resources moderate the impact of work schedules on stress, health and well-being. This longitudinal study examined whether the interactions of personal and job resources with work schedule demands predicted work engagement and emotional exhaustion in nursing.

    Source : Peters, Velibor, Houkes, Inge, de Rijk, Angelique E., Bohle, Philip L., Engels, Josephine A., & Nijhuis, Frans J.N. (2016). International Journal of Nursing Studies, 58, 31-46. doi:10.1016/j.ijnurstu.2016.01.008

HYGIÈNE ET SALUBRITÉ

  • Dry hospital environments are contaminated with pathogenic bacteria in biofilms, which suggests that current cleaning practices and disinfectants are failing. The aim of this study was to test the efficacy of sodium hypochlorite solution against Staphylococcus aureus dry-surface biofilms. The findings showed that hypochlorite exposure led to a 7-log kill but the organisms regrew. No resistance mutations occurred, implying that hypochlorite resistance is an intrinsic property of S. aureus biofilms. The clinical significance of this warrants further study.

    Source : Almatroudi, A., Gosbell, I.B., Hu, H., Jensen, S.O., Espedido, B.A., Tahir, S.,… Vickery K. (2016). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2016.03.020

IMAGERIE MÉDICALE

  • Mammographers are an understudied group of health care workers, yet the prevalence of musculoskeletal (MSK) symptoms in mammographers appears to be elevated, similar to many occupations in health care. In this study, the authors used a participatory approach to identify needs and opportunities for developing interventions to reduce mammographers’ exposures to risk factors that lead to the development of MSK symptoms. They present a number of those needs and several intervention concepts along with evaluations of those concepts from experienced mammographers. We include findings from a preliminary field test of a novel intervention concept to reduce the need to adopt awkward postures while positioning patients for a screening or diagnostic mammogram.

    Source : Sommerich, Carolyn M., Lavender, Steven A., Evans, kevin D., Sanders, Elizabeth, Joines, Sharon, Lamar, Sabrina,… Park, SangHyun. (2016). Ergonomics. Prépublication.  DOI:10.1080/00140139.2016.1140815

MÉDICAMENTS DANGEREUX

  • A recent article on the Scrubs website, « Chemotherapy Drugs are Killing Nurses » shared important facts and concerns regarding the handling of hazardous drugs. It also highlighted the need for comprehensive education and collaboration to establish a culture of safety around the use of these drugs by building respect, not fear, for hazardous drugs in the workplace.

    Source : LeFebvre, Kristine B. (2016, Apeil 16). ONS Connect Blog. Repéré à http://connect.ons.org/ons-connect-blog/respecting-hazardous-drugs-protects-nurses-patients-and-eliminates-fear

  • Whenever somebody hears about chemotherapeutic drugs, they tend to think of the life-saving medicines that are responsible for curing multiple types of cancers. We never fail to get excited about the development of a new chemotherapeutic drug that could save even more lives. And rightly so! What you won’t hear about is the safe handling of these drugs. Although doctors are the ones prescribing them, it is the nurses who have to manually handle and administer them to their patients. Anybody who has worked with anticancer drugs knows that there are two major risks involved: the health of the person receiving them, and the health of the person administering them.

    Source : Scrubs staff (2016, April 12). Scrubs Magazine : The Nurse’s Guide to Good Living. Repéré à http://scrubsmag.com/chemotherapy-drugs-are-killing-nurses/

  • The USP Compounding Expert Committee published the proposed revisions to USP <797> on September 25, 2015 and the public comment period closed on January 31, 2016. Once the chapter is finalized, the changes likely will require more resources and focus devoted to quality assurance and control activities to ensure pharmacies are achieving and maintaining a proper state of control and can prove it. Knowledgeable staff will be needed to perform additional activities, such as more frequent personnel and environmental testing. Improved dedication to effective employee training and meaningful competency measurement will be required.

    Source : Kastango, Eric S. (2016, April). Pharmacy Purchasing & Products Magazine, 13(4). Repéré à http://www.pppmag.com/article/1844

  • Recently published works showed that occupational exposure to antineoplastic drugs (ANPD) is still frequent in hospital settings, despite significant safety policy improvements. The aim of this study was to assess the current level of occupational exposure to ANPD and any potentially associated cytogenetic damages in hospital nurses routinely handling ANPD. Occupationally ANPD-exposed and ANPD-unexposed nurses were recruited on a voluntary basis from five hospitals in Northern and Central Italy. Evaluation of surface contamination and dermal exposure to ANPD was assessed by determining cyclophosphamide (CP) on selected surfaces (wipes) and on exposed nurses’ clothes (pads).

    Source : Moretti, Massimo, Grollino, Maria Giuseppa, Pavanello, Sofia, Bonfiglioli, Roberta, Villarini, Milena, Appolloni, Massimo,… Monarca, Silvano. (2015). International Archives of Occupational and Environmental Health, 88(6), 683-695. Repéré à http://link.springer.com/content/pdf/10.1007%2Fs00420-014-0993-y.pdf

  • The information related to health risks to foetuses due to the handling of chemotherapeutic agents by nurses during pregnancy is limited. The risks involved can be reduced significantly if nurses adhere to standard safety precautions while handling cytotoxic drugs. Nurses in patient areas where chemotherapy is administered are at constant low-level risk of exposure. The authors tried to gather evidence in this article from the recent literature to help to formalise policies for pregnant mothers working in these settings.

    Source : Gilani, S. & Giridharan, S. (2014). Ecancermedicalscience, 8. Repéré à http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990661/pdf/can-8-418.pdf

  •  Contamination of workplace surfaces by antineoplastic drugs presents an exposure risk for healthcare workers. Traditional instrumental methods to detect contamination such as gas chromatography-mass spectrometry (GC-MS) or liquid chromatography-tandem mass spectrometry (LC-MS/MS) are sensitive and accurate but expensive and incapable of producing results in real time. This limits their utility in preventing worker exposure. The authors are currently developing monitors based on lateral flow immunoassay that can detect drug contamination in near real time. In this report, we describe the laboratory performance of a 5-fluorouracil (5-FU) monitor.

    Source : Smith, Jerome P., Sammons, deborah L., Pretty, Jack R., Kurtz, Kristine S., Robertson, Shirlwy A., Debord, D. Gayle,… Snawder, John E. (2016). Journal of Oncology Pharmacy Practice, 22(3), 396-408. doi: 10.1177/1078155215585187

  • There are health risks to workers occupationally exposed to antineoplastic drugs. We hypothesized that implementing a biological monitoring program would be feasible. The goal of this study was to present the results of our pilot cross-sectional study of biological monitoring of four antineoplastic drugs. The authors ecruited workers from the hematology-oncology department and control workers in a mother-child university health center. This study was preceded by an information period during which we aimed at enhancing the workers’ awareness and knowledge of the risks of occupational exposure.

    Source : Poupeau, Céline, Tanguay, Cynthia, Plante, Caroline, Gagné, Sébastien, Caron, Nicolas, & Bussières, Jean-François. (2016). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155216643860

MILIEU DE VIE

  • Nursing home (NH) residents with dementia exhibit challenging behaviors or resistiveness to care (RTC) that increase staff time, stress, and NH costs. RTC is linked to elderspeak communication. Communication training (Changing Talk [CHAT]) was provided to staff to reduce their use of elderspeak. We hypothesized that CHAT would improve staff communication and subsequently reduce RTC. The results showed that the intervention can improve communication and reduce RTC, providing an effective nonpharmacological intervention to manage behavior and improve the quality of dementia care.

    Source : Williams, Kristine N., Perkhounkova, Yelena, Herman, Ruth, & Bossen, Ann. (2016). The Gerontologist. Prépublication. doi: 10.1093/geront/gnw047

  • En zoothérapie, les gens peuvent à la fois bénéficier d’interactions et de relations avec un humain et un animal. Ce texte présente quelques anecdotes vécues par l’auteure. Elles illustrent comment la zoothérapie peut contribuer au bien-être socioaffectif des patients. De plus, on y souligne que notre nature sociale rend l’éthique des soins possible pour les soignants et nécessaire pour les patients, tout en faisant un parallèle entre les aptitudes de mes chiens et les miennes. L’auteure plaide aussi pour qu’on ne néglige pas les besoins socioaffectifs des patients.

    Source : Kilsdonk, Caroline. (2016). Bioéthique Online. 10 p. Repéré à http://bioethiqueonline.ca/docs/5/5.pdf

  • Theory suggests that leadership is important for improving person-centredness in aged care, however, empirical evidence is lacking. The purpose of this study was to  explore the association between leadership behaviours among managers in aged care, and person-centredness of care and the psychosocial climate. The results showed that leadership behaviours were significantly related to the person-centredness of care and the psychosocial climate. The level of person-centredness of care moderated the impact of leadership on the psychosocial climate.

    Source : Backman, Annica, Sjögren, Karin, Lindkvist, Marie, Lövheim, Hugo, & Edvarsson, David. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12380

  • Shiftwork is a major job demand for nurses and has been related to various negative consequences. Research suggests that personal and job resources moderate the impact of work schedules on stress, health and well-being. This longitudinal study examined whether the interactions of personal and job resources with work schedule demands predicted work engagement and emotional exhaustion in nursing.

    Source : Peters, Velibor, Houkes, Inge, de Rijk, Angelique E., Bohle, Philip L., Engels, Josephine A., & Nijhuis, Frans J.N. (2016). International Journal of Nursing Studies, 58, 31-46. doi:10.1016/j.ijnurstu.2016.01.008

  • Older people, living in nursing homes, are exposed to diverse situations, which may be associated with loss of dignity. To help them maintain their dignity, it is important to explore, how dignity is preserved in such context. Views of dignity and factors influencing dignity have been studied from both the residents’ and the care providers’ perspective. However, most of these studies pertain to experiences in the dying or the illness context. Knowledge is scarce about how older people experience their dignity within their everyday lives in nursing homes. The aim of this study was to illuminate the meaning of maintaining dignity from the perspective of older people living in nursing homes.

    Source : Høy, Bente,  Lillestø, Britt , Slettebø, Åshild, Sæterend, Berit , Heggestad, Anne Kari Tolo, Synnøve Caspari, … Nåden, Dagfinn. (2016).  International Journal of Nursing Studies, 60, 91-98. doi:10.1016/j.ijnurstu.2016.03.011

NORMES ET LÉGISLATION EN SST

ORGANISATION DU TRAVAIL

  • Certaines situations de travail, comme le job strain ou le manque de reconnaissance au travail, accroissent les risques d’exposition aux facteurs psychosociaux avec des retentissements sur la santé physique et mentale. Des différences sont observées selon le sexe, l’autonomie, les marges de manoeuvres laissées aux salariés, le secteur d’activité. Les modes d’organisation du travail, les contacts avec le public influencent également les facteurs de risques psychosociaux (RPS). Les salariés les plus exposés au job strain se déclarent en moins bonne santé. Les RPS augmentent le risque d’absentéisme et d’accident du travail.

    Source : Memmi, S., Sandret, N., Niezborala, M., Lesuffleur, T., & Niedhammer, I. (2016, Mars). Références en santé au travail, 145, 53-64. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/DMT/TI-TF-236/tf236.pdf

  • Cet article a pour objectif d’analyser l’influence de la culture organisationnelle sur les problèmes d’épuisement professionnel dans la main-d’œuvre. Ceci est important pour explorer des pistes d’intervention qui vont au-delà des employés eux-mêmes et des conditions de travail ainsi qu’afin de mieux comprendre comment les éléments du contexte organisationnel peuvent influencer le développement de l’épuisement professionnel dans les organisations. En intégrant à la fois la culture organisationnelle et les conditions de l’organisation du travail, il est possible d’examiner comment la culture influence les différentes composantes des conditions de l’organisation du travail et comment celles-ci peuvent, ensuite, donner lieu au développement ou à l’aggravation des différentes dimensions de l’épuisement professionnel.

    Source : Dextras-Gauthier, Julie, & Marchand, Alain. (2016, Hiver). Relations industrielles, 71(1), 156-187. DOI : 10.7202/1035906ar

  • Patient classification systems have been developed to manage workloads by estimating the need for nursing resources through the identification and quantification of individual patients’ care needs. There is in use a diverse variety of patient classification systems. Most of them lack validity and reliability testing and evidence of the relationship to nursing outcomes. Predictive validity of the RAFAELA system was tested by examining whether hospital mortality can be predicted by the optimality of nursing workload.

    Source : Junttila, Jaana K., Koivu, Aija, Fagerström, Lisbeth, Haatainen, Kaisa, & Nykänen, Pirkko. (2016). International Journal of Nursing Studies, 60, 46-53. doi:10.1016/j.ijnurstu.2016.03.008

PRÉVENTION DES INFECTIONS

  • Despite recommendations, influenza vaccination rates among health care workers (HCWs) remain <30% in Europe. Data on HCWs managing care for immunocompromised patients (ICPs) are scarce and show compliance to vaccination was <60% despite comprehensive communication and recent influenza outbreaks. This low uptake may result from misconceptions about influenza infection and lack of convenient access to vaccine. The authors overcame this by implementing mobile vaccination teams sent to wards to inform and promote immunization.

    Source : Loulergue, Pierre, Kernéis, Solen, Stern, Jean-Baptiste, Kassis-Chikani, Najiby, Derradji, Ouda, Lescaut, lelia,… Wyplosz, Benjamin. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.030

  • This document summarizes current infection prevention recommendations and includes a checklist that can be used to evaluate compliance. The information presented here is based primarily upon the previously published 2003 guideline (see below) and represents infection prevention expectations for safe care in dental settings. The Summary is intended for use by anyone needing information about basic infection prevention measures in dental health care settings, but is not a replacement for the more extensive guidelines. Readers are urged to consult the full guidelines for additional background, rationale, and scientific evidence behind each recommendation.

    Source : Centers for Disease Control and Prevention. (2016). Summary of Infection Prevention Practices in Dental Settings : Basic Expectations for Safe Care. Atlanta, GA : US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Oral Health, 43 p. Repéré à http://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care.pdf

  • Cimex lectularius Linnaeus, the common bed bug, is an obligate hematophagous insect that prefers to feed on human hosts. Bed bug infestations having risen dramatically in the last 2 decades in many industrialized nations; however, few reports exist on how these infestations’ impact the health care system. The National Electronic Injury Surveillance System’s All Injury Program showed that U.S. emergency department (ED) visits related to bed bugs rose from 2,156 in 2007 to 15,945 in 2010, a 7-fold increase.

    Source : Sheele, Johnathan Michael, Mallipeddi, Nikhil, Coppolino, Katirina, Chetverikova, Melanie, Mothkur, Shruthi, & Caiola, Christopher. (2016). American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.013

  • Des salariés travaillant au rayon rôtisserie d’un magasin / grande surface se sont plaints de rougeur au visage, de sensations de picotements, de brûlures… et plusieurs déclarations d’accidents du travail ont été effetuées. Après l’arrêt des deux désinsectiseurs situés au-dessus des postes de travail, dont les tubles fluorescents avaient été changés récemment, les symptômes ont cessé. Les tubes fluorescents d’avant et d’après l’épisode de plaintes ont des caractéristiques différentes. Quels sont les conseils en matère de prévention ?

    Source : Barlier-Salsi, Annick, & Deniel, Jean-Marc. (2016, Mars). Références en santé au travail, 145, 167-168. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-106/qr106.pdf

  • The incidence of tuberculosis (TB) infection in low-prevalence countries has been declining. Estimates of the risk of occupational TB in these countries are contradictory. The study evaluated the risk of occupational TB in a low-prevalence population using a comprehensive database. All compensation claims in British Columbia (BC), Canada, reporting workplace TB exposure for the years 1999-2008 were reviewed. The results show that four occupational groups had a significantly increased relative risk of infection compared with all other occupational groups. These were employment counsellors, registered nurses, x-ray technicians and home support workers.

    Source : Youakim, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw040

  • Place de l’hygiène des mains et des produits hydro-alcooliques dans la prévention de la transmission des infections

    L’hygiène des mains est un élément-clef de la lutte contre les infections associées aux soins et la transmission d’agents pathogènes. Des études ont montré sur une période de 4 ans que le taux d’infections diminuait, ainsi que le taux de transmission de Staphylococcus aureus résistant à la méticilline quand l’hygiène des mains augmentait. Ce résultat a notamment été observé grâce à une campagne continue de promotion de l’hygiène des mains comportant la mise en place de produit hydro-alcoolique (PHA). Plus récemment, parallèlement à l’augmentation de la consommation des PHA et de l’observance des gestes d’hygiène des mains, de nombreuses études ont observé une diminution du nombre d’infections nosocomiales et de bactéries multi résistantes aux antibiotiques.

    Source : Erb, Martine, Grandbastien, Bruno, Girard, Raphaelle, Perse, Olivia Keita, Hajjar, Joseph. et al. (2015, 15 novembre). Ministère des Affaires sociales et de la Santé. Hygiène des mains. Repéré à http://social-sante.gouv.fr/soins-et-maladies/qualite-des-soins-et-pratiques/mission-mains-propres/hygiene-des-mains/article/place-de-l-hygiene-des-mains-et-des-produits-hydro-alcooliques-dans-la

  • In epidemics of highly infectious diseases, such as Ebola Virus Disease (EVD) or SARS, healthcare workers (HCW) are at much greater risk of infection than the general population, due to their contact with patients’ contaminated body fluids. Contact precautions by means of personal protective equipment (PPE) can reduce the risk. It is unclear which type of PPE protects best, what is the best way to remove PPE, and how to make sure HCWs use PPE as instructed. The aim of the study was to evaluate which type or component of full-body PPE and which method of donning or removing (doffing) PPE have the least risk of self-contamination or infection for HCWs, and which training methods most increase compliance with PPE protocols.

    Source : Verbeek, Jos H., Ijaz, Sharea, Mischke, Christina, Ruotsalainen, Jani H., Mäkela, Erja, Neuvonen, Kaisa,… Mihalache, Raluca C. (2016). Cochrane Database of Systematic Reviews, 4, Art. No.: CD011621. DOI: 10.1002/14651858.CD011621.pub2.

  • This article address the relative importance of alcohol absorption by health care workers (HCWs) using ethanol-based handrubs (EBHRs) for hand hygiene during patient care. Importantly, this is the first study performed in a real-life setting. The objective of the study was to investigate the kinetics of urinary ethanol and one of its metabolites during clinical work by HCWs in a teaching hospital in Germany where EBHR is the mainstay of hand hygiene.

    Source : Pires, Daniela, Bellissimo-Rodriguez, Fernando, & Pittet, Didier. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.016

  • Although risk reduction strategies have been implemented throughout the world, underreporting of percutaneous exposure incidents (PEIs) is common among exposed health care workers. The aim of this study was to determine the incidence rate of reported PEIs before and after implementation of an intensified reporting management policy. The introduction of an intensified reporting system led to significantly increased reporting after a PEI has occurred. However, continuous education needs to be provided to improve awareness.

    Source : Fritzsche, Carlos, Heine, Markus, Loebermann, Micha, Klammt, Sebastian, Podbielski, Andreas, Mittlmeier, Thomas, & Reisinger, Emil C. (2016). AJIC: American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.003

  • Dry hospital environments are contaminated with pathogenic bacteria in biofilms, which suggests that current cleaning practices and disinfectants are failing. The aim of this study was to test the efficacy of sodium hypochlorite solution against Staphylococcus aureus dry-surface biofilms. The findings showed that hypochlorite exposure led to a 7-log kill but the organisms regrew. No resistance mutations occurred, implying that hypochlorite resistance is an intrinsic property of S. aureus biofilms. The clinical significance of this warrants further study.

    Source : Almatroudi, A., Gosbell, I.B., Hu, H., Jensen, S.O., Espedido, B.A., Tahir, S.,… Vickery K. (2016). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2016.03.020

  • Ce guide fait état des dernières recommandations de santé publique relativement à l’immunisation des travailleurs de la santé, des stagiaires et de leurs professeurs qui oeuvrent au sein de milieux qui offrent des soins de santé, particulièrement les établissements ou installations publics. Les établissements de santé visés par ces recommandations sont principalement les CISSS/CIUSSS (CLSC, CH, CHSLD et CHSGS) de même que les établissements non fusionnés. Ce guide aborde également le dépistage de la tuberculose au moyen du test cutané à la tuberculine. Il ne traite pas des vaccins et des tests de dépistage recommandés à la suite d’une exposition à un agent infectieux ou pour contrôler une éclosion.

    Source : Sicard, Nadine, Chouinard, Hélène, Dupont, Michèle, Tremblay, Michèle, & Lacroix, Christine. (2016). [Québec] : Ministère de la Santé et des Services sociaux, v, 27 p. Repéré à http://publications.msss.gouv.qc.ca/msss/fichiers/2015/15-278-38W.pdf

  • The purpose of this study was to investigate the importance of supervision through video surveillance in improving the quality of personal protection in preparing health care workers working in Ebola treatment units. Wardens supervise, remind, and guide health care workers’ behavior through onsite voice and video systems when they are in the suspected patient observation ward and in the patient diagnosed ward of the Ebola treatment center. The observation results were recorded, and timely feedback was given to the health care workers. The results showed that personal protective equipment protocol supervised by wardens through a video monitoring process can be used as an effective complement to conventional mutual supervision methods and can help health care workers avoid Ebola infection during treatment.

    Source : Xi, Huijun, Cao, Jie, Liu, Jingjing, Li, Zhaoshen, Kong, Xiangyu, Wang, Yonghua, … Zhang, Lingjuan. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.015

  • Achieving high vaccination rates of health care personnel (HCP) is critical in preventing influenza transmission from HCP to patients and from patients to HCP; however, acceptance rates remain low. In 2013, New York State adopted the flu mask regulation, requiring unvaccinated HCP to wear a mask when in areas where patients are present. The purpose of this study assessed the impact of the flu mask regulation on the HCP influenza vaccination rate.

    Source : Edwards, Frances, Masick, Kevin D., Armellino, Donna. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.006

PRODUITS TOXIQUES

  • This article address the relative importance of alcohol absorption by health care workers (HCWs) using ethanol-based handrubs (EBHRs) for hand hygiene during patient care. Importantly, this is the first study performed in a real-life setting. The objective of the study was to investigate the kinetics of urinary ethanol and one of its metabolites during clinical work by HCWs in a teaching hospital in Germany where EBHR is the mainstay of hand hygiene.

    Source : Pires, Daniela, Bellissimo-Rodriguez, Fernando, & Pittet, Didier. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.016

  • Les désinfectants et antiseptiques, contenant des substances actives biocides, sont responsables essentiellement de dermatites de contact d’irritation et/ou allergiques et plus rarement d’urticaires de contact. Ils sont utilisés surtout dans le secteur de la santé, du nettoyage, le secteur agro-alimentaire, l’agriculture, l’hôtellerie et l’industrie pharmaceutique. La plupart des désinfectants et antiseptiques ont un potentiel irritant. Les allergènes en cause dans la dermatite allergique de contact (DAC) sont principalement les aldéhydes et les isothiazolinones. Les ammoniums quaternaires, la chlorhexidine, le chlorhydrate de polyhexaméthylène biguanide (PHMB) sont plus rarement incriminés comme allergènes. Les principaux agents impliqués dans l’urticaire de contact sont la chloramine T, le formaldéhyde et la chlorhexidine. Le diagnostic étiologique nécessite des tests allergologiques avec la batterie standard européenne, les batteries spécialisées et les produits professionnels.

    Source : Crépy, M.N. (2016, Mars). Références en santé au travail, 145, 143-166. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/DMT/TI-TA-99/ta99.pdf

  • Le méthylisothiazolinone (MIT) est une substance utilisée comme conservateur dans de nombreux mélanges commerciaux à base aqueuse tels que produits détergents, peintures, vernis mais aussi dans des mélanges à usage professionnel (fluides de coupe…). Depuis 2010, de nombreuses publications françaises et européennes mettent en évidence une augmentation alarmante du nombre de cas de sensibilisation à la MIT. Ce rapport fait le point sur les sources d’exposition de cette substance et recommande des actions de prévention.

    Source : Institut National de Recherche et de Sécurité. (2016, Mars). Références en santé au travail, 145, 9-10. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/InfosARetenir/TI-RST-AC-91/ac91.pdf

Pour consulter le rapport complet de l’ANSES : https://www.anses.fr/fr/system/files/CONSO2014SA0186Ra.pdf

PROTECTION RESPIRATOIRE

  • Evidence from surveillance studies indicates gaps in hospitals’ respiratory protection programmatic operations and healthcare workers’ (HCWs) marginal compliance with respiratory protection recommended practices. Improper use of respiratory protective devices (RPDs) may expose HCWs to infectious respiratory illnesses. In this document, NIOSH addresses common myths related to respiratory protection and provides information to reinforce respiratory protection program administrator responsibilities and HCW knowledge concerning the proper use of these devices so that they can be prepared for the next public health emergency and best protect themselves in daily practice.

    Source : Krah, J., Novak, D., & Stradtman, L. (2016). Workplace Solutions : Preparedness through Daily Practice : The Myths of Respiratory Protection in Healthcare. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, 5 p. (DHHS (NIOSH) Publication No. 2016-109). Repéré à http://www.cdc.gov/niosh/docs/wp-solutions/2016-109/pdfs/2016-109.pdf

  • Achieving high vaccination rates of health care personnel (HCP) is critical in preventing influenza transmission from HCP to patients and from patients to HCP; however, acceptance rates remain low. In 2013, New York State adopted the flu mask regulation, requiring unvaccinated HCP to wear a mask when in areas where patients are present. The purpose of this study assessed the impact of the flu mask regulation on the HCP influenza vaccination rate.

    Source : Edwards, Frances, Masick, Kevin D., Armellino, Donna. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.006

PUNAISES DE LIT

  • Cimex lectularius Linnaeus, the common bed bug, is an obligate hematophagous insect that prefers to feed on human hosts. Bed bug infestations having risen dramatically in the last 2 decades in many industrialized nations; however, few reports exist on how these infestations’ impact the health care system. The National Electronic Injury Surveillance System’s All Injury Program showed that U.S. emergency department (ED) visits related to bed bugs rose from 2,156 in 2007 to 15,945 in 2010, a 7-fold increase.

    Source : Sheele, Johnathan Michael, Mallipeddi, Nikhil, Coppolino, Katirina, Chetverikova, Melanie, Mothkur, Shruthi, & Caiola, Christopher. (2016). American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.013

SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • Pas un débat sur la santé au travail sans que les termes de bien-être au travail, de qualité de vie au travail ou de risques psychosociaux ne soient employés. Mais que recouvrent exactement ces notions ? D’où sont-elles issues ? À quels objectifs de prévention des risques répondent-elles ? Cet article examine les spécificités, les différences et les complémentarités de ces approches.

    Source : Grosjean, Vincent & Guyot, Sandrine. (2016). Hygiène et sécurité du travail, 242, 6-9. Repéré à http://www.hst.fr/dms/hst/data/articles/HST/TI-DC-12/dc12.pdf

  • A variety of workplace-based interventions exist to reduce stress and increase productivity. However, the efficacy of these interventions is sometimes unclear. The purpose of this study is to determine whether complementary therapies offered in the workplace improve employee well-being. Mindfulness and meditation-based interventions were most effective in improving workplace health and work performance; the latter demonstrating some evidence of maintaining gains up to 3 months later. The evidence for relaxation interventions was inconclusive. The results show that mindfulness and meditation interventions may be helpful in improving both psychosocial workplace health and work performance, but long-term efficacy has yet to be fully determined.

    Source : Ravalier, J.M., Wegrzynek, & Lawton, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw047

SANTÉ PSYCHOLOGIQUE

  • Si la surcharge de travail peut être à l’origine du burnout, la baisse ou le manque d’activité de travail inscrit le bore-out au tableau des risques psychosociaux. Le  » Bore-out Syndrome  » prend racine dans les terreaux fertiles des réorganisations qui se succèdent, laissant des services entiers sans mission bien définie. Prévenir l’ennui au travail est devenu un enjeu fort en raison du risque de rupture d’équilibre autour de la centralité du travail. Les directions des ressources humaines misent aujourd’hui davantage sur les compétences d’adaptation que sur les compétences métier pour pallier le risque de désengagement au travail. Pour éviter l’inconfort émotionnel dû aux ruminations et procrastinations, des stratégies de contournements se multiplient chez les salariés. Quoique mal perçu socialement et source de culpabilité chez ses victimes, le bore-out peut néanmoins révéler des talents… à condition de pouvoir en sortir.

    Source : Bataille, S. (2016, Mars). Références en santé au travail, 145, 19-27. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/GrandAngle/TI-RST-TC-153/tc153.pdf

  • Patient satisfaction is considered a measure of the status of the interaction between health-care professionals and service users. The level of this measure indicates the quality of the care received. Burnout is a common phenomenon in nursing professionals and it is a response to the chronic occupational stress. Different studies have shown a link between patient satisfaction and stress and burnout syndrome experienced by nursing personnel in various hospital units. The main objective of this study was to analyze the associations between patients’ satisfaction with emergency services and perception of work stress and burnout by the nursing professionals who looked after these patients at a group level.

    Source : Rios-Risquez, Isabel, & García-Izquierdo, Mariano. (2016). International Journal of Nursing Studies, 59, 60-67. doi:10.1016/j.ijnurstu.2016.02.008

  • Certaines situations de travail, comme le job strain ou le manque de reconnaissance au travail, accroissent les risques d’exposition aux facteurs psychosociaux avec des retentissements sur la santé physique et mentale. Des différences sont observées selon le sexe, l’autonomie, les marges de manoeuvres laissées aux salariés, le secteur d’activité. Les modes d’organisation du travail, les contacts avec le public influencent également les facteurs de risques psychosociaux (RPS). Les salariés les plus exposés au job strain se déclarent en moins bonne santé. Les RPS augmentent le risque d’absentéisme et d’accident du travail.

    Source : Memmi, S., Sandret, N., Niezborala, M., Lesuffleur, T., & Niedhammer, I. (2016, Mars). Références en santé au travail, 145, 53-64. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/DMT/TI-TF-236/tf236.pdf

  • Au cours des trois dernières décennies, le travail quotidien des cadres gestionnaires infirmiers de premier niveau (CGIPN) a subi de profondes transformations quant aux rôles qu’ils occupent et aux responsabilités qui leur incombent dans les divers établissements de santé. Ces CGIPN vivent et subissent de la pression au regard de leur charge de travail, faisant en sorte qu’ils perçoivent avoir peu de temps pour réaliser adéquatement leur travail en gestion, et que plusieurs infirmières de la relève qui souhaitent faire carrière en gestion se questionnent sur la possibilité d’œuvrer dans ce domaine de la pratique. Peu d’études portent sur l’état de la qualité de vie au travail (QVT) chez ces professionnels. Divisé en trois volets, ce projet de recherche a pour objectif général d’explorer la QVT chez les CGIPN et les facteurs qui l’influencent dans les divers établissements de santé québécois.

    Source : Brousseau, Sylvain. (2015). La signification expérientielle et les facteurs qui influencent la qualité de vie au travail des cadres gestionnaires infirmiers de premier niveau oeuvrant en établissements de santé. (Thèse de doctorat, Faculté des sciences infirmières, Université de Montréal, Montréal, QC). Repéré à https://papyrus.bib.umontreal.ca/xmlui/handle/1866/13506

  • Le lien entre le stress, la santé mentale et l’absentéisme continue de représenter un défi de taille pour de nombreux employeurs canadiens. À l’automne 2015, Morneau Shepell a mené sa deuxième enquête nationale annuelle sur la santé mentale pour comprendre et comparer le point de vue des travailleurs canadiens, des employeurs et des médecins en ce qui a trait à la santé mentale au travail et à l’absentéisme.

    Source : Morneau Shepell ltée. (2016). Priorités en matière de santé mentale au travail : édition 2016. [S.l.] : Morneau Sheppell ltée, 4 p. Repéré à http://www.morneaushepell.com/sites/default/files/documents/4459-priorites-en-matiere-de-sante-mentale-au-travail-edition-2016/11548/prioritesenmatieredesantementaleautravailedition2016.pdf

  • Previous studies of psychosocial work factors have indicated their importance for workers’ health. However, to what extent health problems can be attributed to the nature of the work environment or other psychosocial factors is not clear. No previous systematic review has used inclusion criteria based on specific medical evaluation of work-related health outcomes and the use of validated instruments for the assessment of the psychosocial (work) environment. The aim of this systematic review is to summarize the evidence assessing the relationship between the psychosocial work environment and workers’ health based on studies that used standardized and validated instruments to assess the psychosocial work environment and that focused on medically confirmed health outcomes.

    Source : Susel Rosário, Susel, Fonseca, João A., Nienhaus, Albert, & da Costa, José Torres. (2016). Journal of Occupational Medicine and Toxicology, 11, 19. http://doi.org/10.1186/s12995-016-0106-9

  • Workplace bullying (WPB) behaviors negatively affect nurse productivity, satisfaction, and retention, and hinder safe patient care. The purpose of this article is to define WPB, differentiate between incivility and WPB, and recommend actions to prevent WPB behaviors. Informed occupational and environmental health nurses and nurse leaders must recognize, confront, and eliminate WPB in their facilities and organizations. Recognizing, confronting, and eliminating WPB behaviors in health care is a crucial first step toward sustained improvements in patient care quality and the health and safety of health care employees.

    Source : Berry, Peggy Ann, Gillespie, Gordon L., Fisher, Bonnie S., & Gormley, Denise K. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916634711

  • Theory suggests that leadership is important for improving person-centredness in aged care, however, empirical evidence is lacking. The purpose of this study was to  explore the association between leadership behaviours among managers in aged care, and person-centredness of care and the psychosocial climate. The results showed that leadership behaviours were significantly related to the person-centredness of care and the psychosocial climate. The level of person-centredness of care moderated the impact of leadership on the psychosocial climate.

    Source : Backman, Annica, Sjögren, Karin, Lindkvist, Marie, Lövheim, Hugo, & Edvarsson, David. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12380

  • The passing of legislation presuming that post-traumatic stress disorder among Ontario’s first responders is work-related points to a growing recognition across Canada that occupational injuries are not just physical. Psychological injuries are getting increasing recognition, as Ontario classifies post-traumatic stress disorder as a presumed occupational illness among first responders.

    Source : Wolfson, Carmelle. (2016, March/April). OHS Canada, 32(2), 24-28. Repéré à http://www.ohscanada.com/features/out-of-the-shadows/

  • Adopting a multilevel approach, this study extends the current understanding of workplace incivility by examining the cross-level associations between team climate for incivility, team size and team norms with regard to competitiveness on employees’ well-being associated with incivility at work. The results revealed a direct negative effect of uncivil team climates on employee job-related affective well-being, over and above employees’ personal experience of uncivil behaviour. As hypothesized, competitive norms significantly moderated the negative effect of experienced incivility on affective well-being, suggesting that competitive team environments may buffer the negative consequences of workplace incivility through a team sensemaking process. This study also found team size to be a significant moderator of the incivility-well-being relationship, with members of smaller work teams experiencing more detrimental effects of uncivil acts. Together, these findings suggest that the magnitude of the negative effect of uncivil behaviour is dependent on the composition and incivility climate of work teams.

    Source : Paulin, Deanna & Griffin, Barbara. (2016). Work & Stress: An International Journal of Work, Health & Organisations, 30(2), 132-151. DOI:10.1080/02678373.2016.1173124

  • In recent years a growing amount of research has been conducted in the area of workplace incivility. Whereas many studies have focused on the victims and the consequences of incivility, little attention has been paid to the perpetrators and antecedents of workplace incivility. This study aims to identify possible antecedents of workplace incivility, by investigating organizational aspects as well as the possibility that being the target of incivility from co-workers and supervisors could induce incivility.

    Source : Torkelson, Eva, Holm, Kristoffer, Bäckström, Martin, & Schad, Elinor. (2016). Work & Stress: An International Journal of Work, Health & Organisations, 30(2), 115-131. DOI:10.1080/02678373.2016.1175524

  • Burnout is a prevalent phenomenon among nurses because of the interaction between high demands and low resources, according to the job demands-resources model. The present study aimed to deepen the understanding of the relationships among job demands, control, social support, burnout and engagement in nurses. The results indicated that social support is a significant predictor of nurses’ engagement and demands is a predictor of nurses’ burnout. Work engagement moderates the relationship between job demands and burnout. The process that leads to burnout and the process that leads to engagement are not isolated processes; engagement acts as a moderator of burnout.

    Source : García-Sierra, Rosa, Fernández-Castro, Jordi, & Martínez-Zaragoza, Fermín. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12382

  • This review article examines the effects of nonviolent communication (NVC) training on the interprofessional collaboration (IPC) of two health and social services sector care teams. The study was conducted in 2013 with two interprofessional teams using a mixed method research design to measure the effects of the training. Results revealed improvements in individual competency in client/family-centered collaboration and role clarification. Improvements in group competency were also found with respect to teams’ ability to develop a shared plan of action. Data suggests that participants accepted and adopted training content. After the training, they appeared better able to identify the effects of spontaneous communication, more understanding of the mechanisms of empathy, and in a better position to foster collective leadership.

    Source : Museux, Anne-Claire, Dumont, Serge, Careau, Emmanuelle, & Milot, Élise. (2016). Social Work in Health Care. Prépublication. DOI:10.1080/00981389.2016.1164270

  • Dans le monde du travail, les contraintes ne cessent de croître, générant une intensification du travail et une sollicitation grandissante des collaborateurs sur le plan psychologique alors que l’appui du management tend à diminuer voire à disparaître, lui-même subissant les mêmes situations. Cet état interdit toute prise de recul par rapport aux objectifs et induit une perte d’autonomie du collaborateur qui, ne percevant pas la finalité concrète de sa mission, se trouve en grandes difficultés.

    Source : RPS : une question d’organisation (2016, 21 avril). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/RPS-une-question-d-organisation.html

  • Pas un débat sur la santé au travail sans que les termes de bien-être au travail, de qualité de vie au travail ou de risques psychosociaux ne soient employés. Mais que recouvrent exactement ces notions ? D’où sont-elles issues ? À quels objectifs de prévention des risques répondent-elles ? Cet article examine les spécificités, les différences et les complémentarités de ces approches. Source : Grosjean, Vincent & Guyot, Sandrine. (2016). Hygiène et sécurité du travail, 242, 6-9. Repéré à http://www.hst.fr/dms/hst/data/articles/HST/TI-DC-12/dc12.pdf

  • Ce document présente des statistiques diverses sur les lésions attribuables au stress en milieu de travail. Il comporte trois parties. La première décrit la population étudiée. La seconde expose les faits saillants. La troisième est constituée de 31 tableaux de données statistiques. Enfin, une annexe précise certains détails sur l’extraction des données.

    Source : Provencher, Julie. (2016). Québec : Commission des normes, de l’équité salariale, de la santé et de la sécurité du travail, Direction de la comptabilité et de la gestion de l’information, Centre de la statistique et de l’information de gestion, 47 p. Repéré à http://www.cnesst.gouv.qc.ca/Publications/300/Documents/DC300-321web.pdf

  • Cet article a pour objectif d’analyser l’influence de la culture organisationnelle sur les problèmes d’épuisement professionnel dans la main-d’œuvre. Ceci est important pour explorer des pistes d’intervention qui vont au-delà des employés eux-mêmes et des conditions de travail ainsi qu’afin de mieux comprendre comment les éléments du contexte organisationnel peuvent influencer le développement de l’épuisement professionnel dans les organisations. En intégrant à la fois la culture organisationnelle et les conditions de l’organisation du travail, il est possible d’examiner comment la culture influence les différentes composantes des conditions de l’organisation du travail et comment celles-ci peuvent, ensuite, donner lieu au développement ou à l’aggravation des différentes dimensions de l’épuisement professionnel.

    Source : Dextras-Gauthier, Julie, & Marchand, Alain. (2016, Hiver). Relations industrielles, 71(1), 156-187. DOI : 10.7202/1035906ar

  • A variety of workplace-based interventions exist to reduce stress and increase productivity. However, the efficacy of these interventions is sometimes unclear. The purpose of this study is to determine whether complementary therapies offered in the workplace improve employee well-being. Mindfulness and meditation-based interventions were most effective in improving workplace health and work performance; the latter demonstrating some evidence of maintaining gains up to 3 months later. The evidence for relaxation interventions was inconclusive. The results show that mindfulness and meditation interventions may be helpful in improving both psychosocial workplace health and work performance, but long-term efficacy has yet to be fully determined.

    Source : Ravalier, J.M., Wegrzynek, & Lawton, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw047

  • Quality in the workforce is essential for organizational competitiveness, requiring human resource executives to develop programs in pursuit of business success: one such possibility is meditation. The current integrative review provides an overview of how meditation can contribute to life in the workplace. In analyzing 10 empirical studies carried out in North America, Europe, and Asia, it indicates the presence of individual and organizational dimensions, in that meditation not only benefits personal and mental health and social relationships, as well as the alleviation of role conflicts, but also benefits organizational innovativeness and development. These results point to future studies and reveal implications for practices related to integrating meditation into daily life and building mindful organizations.

    Source : Cheng, Fung Kei. (2016). Journal of Psychological Issues in Organizational Culture, 6(4), 18-34. DOI: 10.1002/jpoc.21195

  • The objective of this study was to identify the characteristics of shift work that have an effect on employee’s performance (including job performance, productivity, safety, quality of care delivered, errors, adverse events and client satisfaction) and wellbeing (including burnout, job satisfaction, absenteeism, intention to leave the job) in all sectors including healthcare. A scoping review of the literature was undertaken. The authors searched electronic databases (CINAHL, MEDLINE, PsychINFO, SCOPUS) to identify primary quantitative studies.

    Source : Dall’Ora, Chiara, Ball, Jane, Recio-Saucedo, Alejandra, & Griffiths, Peter. (2016). International Journal of Nursing Studies, 57, 12-27. doi:10.1016/j.ijnurstu.2016.01.007

  • Cancer is a leading cause of death worldwide. Given the complexity of caring work, recent studies have focused on the professional quality of life of oncology nurses. China, the world’s largest developing country, faces heavy burdens of care for cancer patients. Chinese oncology nurses may be encountering the negative side of their professional life. However, studies in this field are scarce, and little is known about the prevalence and predictors of oncology nurses’ professional quality of life. This study described and explored the prevalence of predictors of professional quality of life (compassion fatigue, burnout and compassion satisfaction) among Chinese oncology nurses under the guidance of two theoretical models.

    Source : Yu, Hairong, Jiang, Anli, & Shen, Jie. (2016). International Journal of Nursing Studies, 57, 28-38. doi:10.1016/j.ijnurstu.2016.01.012

  • Shiftwork is a major job demand for nurses and has been related to various negative consequences. Research suggests that personal and job resources moderate the impact of work schedules on stress, health and well-being. This longitudinal study examined whether the interactions of personal and job resources with work schedule demands predicted work engagement and emotional exhaustion in nursing.

    Source : Peters, Velibor, Houkes, Inge, de Rijk, Angelique E., Bohle, Philip L., Engels, Josephine A., & Nijhuis, Frans J.N. (2016). International Journal of Nursing Studies, 58, 31-46. doi:10.1016/j.ijnurstu.2016.01.008

  • Job stress and burnout are common among healthcare professionals, and nurses in particular. In addition to the heavy workload and lack of recourses, nurses are also confronted with emotionally intense situations associated with illness and suffering, which require empathic abilities. Although empathy is one of the core values in nursing, if not properly balanced it can also have detrimental consequences, such as compassion fatigue. Self-compassion, on the other hand, has been shown to be a protective factor for a wide range of well-being indicators and has been associated with compassion for others. The main goal of this study was to explore how empathy and self-compassion related to professional quality of life (compassion satisfaction, compassion fatigue and burnout). In addition, we wanted to test whether self-compassion may be a protective factor for the impact of empathy on compassion fatigue.

    Source : Duarte, Joana, Pinot-Gouveia, José, & Cruz, Bárbara. (2016). International Journal of Nursing Studies, 60, 1-11. doi:10.1016/j.ijnurstu.2016.02.015

  • Le rendement d’une équipe de travail est la somme du rendement des employés qui la composent. Comme chacun des membres influence le climat général de l’équipe, favorablement ou non, il est important d’être attentif à la fragilité de chacun d’eux. Il est fréquent que les employés fragilisés n’affichent pas ouvertement leurs difficultés. N’étant pas nécessairement des individus à problèmes, ils connaissent souvent des situations difficiles dans leur vie privée (divorce, séparation, deuil, maladie, etc.), ce qui les rend moins disponibles dans leur travail. Ces difficultés peuvent aussi les conduire à connaître certains troubles de santé psychologique tels que la dépression, les troubles d’adaptation et l’épuisement professionnel qui auront un impact direct sur leur façon d’être. Une intervention rapide du gestionnaire pourra aider grandement ces individus et, par le fait même, l’ensemble de l’équipe.

    Source : Savoie, Gilles. (2016, 7 avril). Portail RH. Ressources. Relations du travail. Repéré à http://www.portailrh.org/ressources/AZ/specialites/relation_travail/fiche.aspx?p=638678

  • Dans le contexte de la reconnaissance du burnout comme un diagnostic, les auteurs, à partir d’une revue de littérature internationale, refont l’historique du concept et reprennent les débats sur la notion même du burnout dans d’autres pays européens. Elles revoient en détail les méthodes de mesure, en particulier le Maslach Burnout Inventory utilisé dans la très grande majorité des travaux publiés internationalement. Elles décrivent les conséquences de l’adoption du burnout en tant que diagnostic et ses critiques.

    Source : Kovess-Masfety, V., & Saunder, L. (2016). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2016.01.007

SERVICE D’ONCOLOGIE

  • Les technologues en radiothérapie doivent positionner les patients par rapport à des lasers qui ne peuvent être bougés, étant calibrés pour un positionnement droit exact. Lors de mobilisations et de déplacements fréquents de patients couchés sur civière, les travailleurs ont d’importants efforts à déployer, pouvant leur occasionner des troubles musculosquelettiques et des blessures au niveau des membres supérieurs et du dos. Une table mouvante a donc été fabriquée entièrement à l’interne par le mécanicien aux services techniques, à partir d’une table d’opération récupérée. Depuis, les travailleurs adoptent de meilleures postures de travail et la table mouvante permet d’éliminer les manipulations manuelles des patients. Aucun accident n’est survenu depuis la mise en œuvre de l’innovation.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. Direction régionale de Laval. (2016). Lumière sur les visages de la prévention : région de Laval 2016. p. 11. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Laval/DC200-987-3LAV_Laval_2016-01_ED_VF.pdf#page=11

Pour accéder à la présentation vidéo : http://www.csst.qc.ca/asp/innovation/2016/Laval/CISSS.wmv

  • Cancer is a leading cause of death worldwide. Given the complexity of caring work, recent studies have focused on the professional quality of life of oncology nurses. China, the world’s largest developing country, faces heavy burdens of care for cancer patients. Chinese oncology nurses may be encountering the negative side of their professional life. However, studies in this field are scarce, and little is known about the prevalence and predictors of oncology nurses’ professional quality of life. This study described and explored the prevalence of predictors of professional quality of life (compassion fatigue, burnout and compassion satisfaction) among Chinese oncology nurses under the guidance of two theoretical models.

    Source : Yu, Hairong, Jiang, Anli, & Shen, Jie. (2016). International Journal of Nursing Studies, 57, 28-38. doi:10.1016/j.ijnurstu.2016.01.012

SERVICE DE RADIOTHÉRAPIE

  • Les technologues en radiothérapie doivent positionner les patients par rapport à des lasers qui ne peuvent être bougés, étant calibrés pour un positionnement droit exact. Lors de mobilisations et de déplacements fréquents de patients couchés sur civière, les travailleurs ont d’importants efforts à déployer, pouvant leur occasionner des troubles musculosquelettiques et des blessures au niveau des membres supérieurs et du dos. Une table mouvante a donc été fabriquée entièrement à l’interne par le mécanicien aux services techniques, à partir d’une table d’opération récupérée. Depuis, les travailleurs adoptent de meilleures postures de travail et la table mouvante permet d’éliminer les manipulations manuelles des patients. Aucun accident n’est survenu depuis la mise en œuvre de l’innovation.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. Direction régionale de Laval. (2016). Lumière sur les visages de la prévention : région de Laval 2016. p. 11. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Laval/DC200-987-3LAV_Laval_2016-01_ED_VF.pdf#page=11

Pour accéder à la présentation vidéo : http://www.csst.qc.ca/asp/innovation/2016/Laval/CISSS.wmv

SERVICE DES URGENCES

  • Cimex lectularius Linnaeus, the common bed bug, is an obligate hematophagous insect that prefers to feed on human hosts. Bed bug infestations having risen dramatically in the last 2 decades in many industrialized nations; however, few reports exist on how these infestations’ impact the health care system. The National Electronic Injury Surveillance System’s All Injury Program showed that U.S. emergency department (ED) visits related to bed bugs rose from 2,156 in 2007 to 15,945 in 2010, a 7-fold increase.

    Source : Sheele, Johnathan Michael, Mallipeddi, Nikhil, Coppolino, Katirina, Chetverikova, Melanie, Mothkur, Shruthi, & Caiola, Christopher. (2016). American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.013

  • Patient satisfaction is considered a measure of the status of the interaction between health-care professionals and service users. The level of this measure indicates the quality of the care received. Burnout is a common phenomenon in nursing professionals and it is a response to the chronic occupational stress. Different studies have shown a link between patient satisfaction and stress and burnout syndrome experienced by nursing personnel in various hospital units. The main objective of this study was to analyze the associations between patients’ satisfaction with emergency services and perception of work stress and burnout by the nursing professionals who looked after these patients at a group level.

    Source : Rios-Risquez, Isabel, & García-Izquierdo, Mariano. (2016). International Journal of Nursing Studies, 59, 60-67. doi:10.1016/j.ijnurstu.2016.02.008

SERVICES À DOMICILE

  • The objective of the study was to explore the safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings. The topics with strong evidence from at least 2 papers relate to risks associated with awkward working positions, social environment issues (additional tasks and distractions), abuse and violence, inadequate team (peer) support, problems with workload planning, needle stick injuries and physical workload (moving and handling patients).The results showed that as home care increases, there is a need to ensure the safety of both patients and caregivers with an understanding of the physical interactions and tasks to manage safety risks and plan safer care delivery systems.

    Source : Hignett, Sue, Otter, Mary Edmunds, Keen, Christine. (2016). International Journal of Nursing Studies, 59, 1-14. doi:10.1016/j.ijnurstu.2016.02.011

  • How home care workers adapt what they learn in manual handling classroom training sessions to their workplaces (i.e., their clients’ homes) is central to their own safety, as their musculoskeletal injuries continue to occur at unacceptably high rates. For this inquiry, new workers were directly observed in their workplaces following classroom training. Findings from these observations propose three environmental considerations for supporting new workers to learn safe manual handling techniques: (1) The physical setting for manual handling is important, (2) clients and their significant others may offer a valuable form of learning support, and (c) when initially learning the requirements for their roles, new workers should be encouraged to focus only on the manual handling tasks at hand.

    Source : Palesy, Debra. (2016). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822316636617

SERVICES ALIMENTAIRES

  • Des salariés travaillant au rayon rôtisserie d’un magasin / grande surface se sont plaints de rougeur au visage, de sensations de picotements, de brûlures… et plusieurs déclarations d’accidents du travail ont été effetuées. Après l’arrêt des deux désinsectiseurs situés au-dessus des postes de travail, dont les tubles fluorescents avaient été changés récemment, les symptômes ont cessé. Les tubes fluorescents d’avant et d’après l’épisode de plaintes ont des caractéristiques différentes. Quels sont les conseils en matère de prévention ?

    Source : Barlier-Salsi, Annick, & Deniel, Jean-Marc. (2016, Mars). Références en santé au travail, 145, 167-168. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-106/qr106.pdf

SERVICES AMBULANCIERS

  • The passing of legislation presuming that post-traumatic stress disorder among Ontario’s first responders is work-related points to a growing recognition across Canada that occupational injuries are not just physical. Psychological injuries are getting increasing recognition, as Ontario classifies post-traumatic stress disorder as a presumed occupational illness among first responders.

    Source : Wolfson, Carmelle. (2016, March/April). OHS Canada, 32(2), 24-28. Repéré à http://www.ohscanada.com/features/out-of-the-shadows/

SST EN MILIEU HOSPITALIER

  • Occupational health research has shown that certain worker and job characteristics are risk factors for workplace injuries. Workers who engage in physically demanding jobs, especially those jobs that involve repetitive motion, are at greater risk for work-related musculoskeletal disorders (WMSD). These risks are particularly prevalent in the health care sector. It is often reported that nurses are at higher risk of workplace musculoskeletal injury than other health care workers due to frequent lifting and transfer of patients and the prevalence of workplace violence. However, many analyses of the physical requirements of jobs do not consider the modifying effect of time spent on a physical task and the risk of WMSD. This study compared the risks of WMSD among workers in health care facilities based on the type of physical tasks and amount of time workers spent on such tasks.

    Source : Oranye, Nelson Ositadimma, Wallis, Bernadine, Roer, Kim, Archer-Heese, Gail, & Aguilar, Zaklina. (2016). Workplace Health & Safety, 64(4), 141-151. doi: 10.1177/2165079916630552

STÉRILISATION

STATISTIQUES EN SST

  • Les statistiques présentées dans le document concernent les principales caractéristiques des travailleuses dont les réclamations relatives au programme Pour une maternité sans danger ont été reçues et acceptées. Le document porte notamment sur les risques les plus fréquents pour la femme enceinte ou l’enfant à naître et sur la répartition des réclamations selon le secteur d’activité (services médicaux et sociaux…), la profession, l’âge de la travailleuse et l’état d’avancement de la grossesse.

    Source : Provencher, Julie. (2016). Québec : Commission des normes, de l’équité salariale, de la santé et de la sécurité du travail, Direction de la comptabilité et de la gestion de l’information, Centre de la statistique et de l’information de gestion, 50 p. Repéré à http://www.cnesst.gouv.qc.ca/Publications/300/Documents/DC300-254web.pdf

  • Cette étude dresse le portrait épidémiologique descriptif des principales maladies reliées à l’exposition à l’amiante, soit l’amiantose, les cancers et les mésothéliomes de la plèvre et du péritoine, à l’exception du cancer du poumon. Elle met à jour les analyses antérieures de l’Institut national de santé publique du Québec sur ces maladies et elle ajoute une description des maladies nouvellement reconnues reliées à une exposition à l’amiante, à savoir les cancers du larynx et de l’ovaire. Elle explore également les plaques pleurales, des anomalies visibles à la radiographie pulmonaire, reconnues en tant qu’indicateur de l’exposition passée à l’amiante.

    Source : Krupoves, Alfreda & De Guire, Louise. (2016). [Montréal] : Institut national de santé publique du Québec, vii, 82 p. Repéré à https://www.inspq.qc.ca/pdf/publications/2127_epidemiologie_maladies_amiante.pdf

  • Ce document présente des statistiques diverses sur les lésions attribuables au stress en milieu de travail. Il comporte trois parties. La première décrit la population étudiée. La seconde expose les faits saillants. La troisième est constituée de 31 tableaux de données statistiques. Enfin, une annexe précise certains détails sur l’extraction des données.

    Source : Provencher, Julie. (2016). Québec : Commission des normes, de l’équité salariale, de la santé et de la sécurité du travail, Direction de la comptabilité et de la gestion de l’information, Centre de la statistique et de l’information de gestion, 47 p. Repéré à http://www.cnesst.gouv.qc.ca/Publications/300/Documents/DC300-321web.pdf

  • Cette publication documente, à l’aide de statistiques, les lésions causées par la violence en milieu de travail sous les aspects administratifs, médicaux et socio-économiques. Il comporte trois parties, soit la description de la population étudiée, les faits saillants ainsi que 24 tableaux de données statistiques. Les données contenues dans cette publication sont tirées des banques informationnelles de la CSST.

    Source : Provencher, Julie. (2016). Québec : Commission des normes, de l’équité salariale, de la santé et de la sécurité du travail, Direction de la comptabilité et de la gestion de l’information, Centre de la statistique et de l’information de gestion, 44 p. Repéré à http://www.cnesst.gouv.qc.ca/Publications/300/Documents/DC300-255web.pdf

TRAVAIL DE BUREAU

  • The aim of this study was to evaluate the participatory ergonomic method on the development of upper extremity musculoskeletal disorders and disability in office employees. This study is a randomized controlled intervention study. It comprised 116 office workers using computers. Those in the intervention group were taught office ergonomics and the risk assessment method. The results showed that participatory ergonomic intervention decreases the possibility of musculoskeletal complaints and disability/symptom level in office workers.

    Source : Baydur, Hakan, Ergör, Alp, Demiral, Yücef, & Akalin, Elif. (2016). Journal of Occupational Health. Prépublication. http://doi.org/10.1539/joh.16-0003-OA

  • L’aménagement des bureaux en open space s’est imposé ces deux dernières décennies comme une norme d’organisation spatiale du travail. Dans cet article, les auteurs rendent compte des modes d’investissement et de réalisation de l’activité au sein de plateformes téléphoniques ouvertes accueillant des téléconseillers regroupés sur des bureaux partagés. Il s’agit de dépasser l’approche dominante dans les sciences sociales, privilégiant le travail sur l’espace, aux fins de développer une analyse du travail (de service) dans et avec l’espace. Dans cette perspective, nous montrerons que la constitution de significations et de marges d’autonomie ne relève pas seulement du réinvestissement d’un espace fonctionnel, mais aussi d’une action de superposition d’espaces de natures différentes: pratique, symbolique et sociale.

    Source : Cihuelo, Jérôme. (2016). Sociologie du travail, 58(1), 57-79. Repéré à http://www.sciencedirect.com/science/article/pii/S003802961500120X

  • This study compared muscular and postural stresses, performance and subject preference in women aged 18–40 years using a standard mouse, a vertical mouse and a slanted mouse in three different computer workstation positions. Four tasks were analysed: pointing, pointing-clicking, pointing-clicking-dragging and grasping-pointing the mouse after typing. In women, the slanted mouse and the unrestricted mouse positioning on the desktop provide a good blend of stresses, performance and preference. Unrestricted mouse positioning requires no keyboard, which is rare in practice. Placing the mouse in front of the keyboard, rather than next to it, reduced the physical load.

    Source : Gaudez, Clarisse, & Cail, François. (2016). Ergonomics. Prépublication. DOI:10.1080/00140139.2016.1148783

  •  No current ergonomic setup guideline for standing computer workstations is available.The aim of this study was to determine user self-selected setup for both sitting and standing computer workstations and identify major differences. The results showed that users preferred different workstation setups for sitting and standing computer workstations. Therefore, future setup guidelines and principles for standing computer workstations may not be simply translated from those for sitting. The results can serve as the first step toward making recommendations to establish ergonomic guidelines for standing computer workstation arrangement.

    Source : Lin, Michael Y., Catalano, Paul, & Dennerlein, Jack T. (2016). Human Factors. Prépublication.  doi: 10.1177/0018720816639788

  • Nowadays, working in an office environment is ubiquitous. At the same time, progressively more people suffer from occupational musculoskeletal disorders. Therefore, the aim of this pilot study was to analyse the influence of back pain on sitting behaviour in the office environment. Independent t-test indicated that subjects who registered back pain within the last 24 h showed a clear trend towards a more static sitting behaviour. Therefore, the developed sensor system has successfully been introduced to characterise and compare sitting behaviour of subjects with and without back pain.

    Source : Zemp, Roland, Fliesser, Michael, Wippert, Pia-Maria, Taylor, William R., & Lorenzetti, Silvio. (2016). Applied Ergonomics, 56(9), 84-91. doi:10.1016/j.apergo.2016.03.007

TRAVAIL EN HAUTEUR

  • Effective abatement of fall hazards is complex, requiring skilled selection and assembly of equipment and systems. The chosen solutions need to be understood and properly used by workers, balancing protection from danger against the practical need to accomplish work. The optimal solution needs to consider the type of work, the frequency of access, the knowledge and skill of the workers, and many other factors. A solution that is effective for one situation can be cumbersome or even dangerous in another. This is the first edition of CSA Z259.17.

    Source : Canadian Standard Association. (2016). Selection and use of active fall-protection equipment and systems. Toronto, Ont.: Groupe CSA, (CSA Z259.17-16). Repéré à http://shop.csa.ca/fr/canada/protection-contre-les-chutes/z25917-16/invt/27039572016

TRAVAIL SÉDENTAIRE

  •  No current ergonomic setup guideline for standing computer workstations is available.The aim of this study was to determine user self-selected setup for both sitting and standing computer workstations and identify major differences. The results showed that users preferred different workstation setups for sitting and standing computer workstations. Therefore, future setup guidelines and principles for standing computer workstations may not be simply translated from those for sitting. The results can serve as the first step toward making recommendations to establish ergonomic guidelines for standing computer workstation arrangement.

    Source : Lin, Michael Y., Catalano, Paul, & Dennerlein, Jack T. (2016). Human Factors. Prépublication.  doi: 10.1177/0018720816639788

  • Nowadays, working in an office environment is ubiquitous. At the same time, progressively more people suffer from occupational musculoskeletal disorders. Therefore, the aim of this pilot study was to analyse the influence of back pain on sitting behaviour in the office environment. Independent t-test indicated that subjects who registered back pain within the last 24 h showed a clear trend towards a more static sitting behaviour. Therefore, the developed sensor system has successfully been introduced to characterise and compare sitting behaviour of subjects with and without back pain.

    Source : Zemp, Roland, Fliesser, Michael, Wippert, Pia-Maria, Taylor, William R., & Lorenzetti, Silvio. (2016). Applied Ergonomics, 56(9), 84-91. doi:10.1016/j.apergo.2016.03.007

TRAVAILLEUSE ENCEINTE – GROSSESSE

  • Les statistiques présentées dans le document concernent les principales caractéristiques des travailleuses dont les réclamations relatives au programme Pour une maternité sans danger ont été reçues et acceptées. Le document porte notamment sur les risques les plus fréquents pour la femme enceinte ou l’enfant à naître et sur la répartition des réclamations selon le secteur d’activité (services médicaux et sociaux…), la profession, l’âge de la travailleuse et l’état d’avancement de la grossesse.

    Source : Provencher, Julie. (2016). Québec : Commission des normes, de l’équité salariale, de la santé et de la sécurité du travail, Direction de la comptabilité et de la gestion de l’information, Centre de la statistique et de l’information de gestion, 50 p. Repéré à http://www.cnesst.gouv.qc.ca/Publications/300/Documents/DC300-254web.pdf

  • Whenever somebody hears about chemotherapeutic drugs, they tend to think of the life-saving medicines that are responsible for curing multiple types of cancers. We never fail to get excited about the development of a new chemotherapeutic drug that could save even more lives. And rightly so! What you won’t hear about is the safe handling of these drugs. Although doctors are the ones prescribing them, it is the nurses who have to manually handle and administer them to their patients. Anybody who has worked with anticancer drugs knows that there are two major risks involved: the health of the person receiving them, and the health of the person administering them.

    Source : Scrubs staff (2016, April 12). Scrubs Magazine : The Nurse’s Guide to Good Living. Repéré à http://scrubsmag.com/chemotherapy-drugs-are-killing-nurses/

  • The information related to health risks to foetuses due to the handling of chemotherapeutic agents by nurses during pregnancy is limited. The risks involved can be reduced significantly if nurses adhere to standard safety precautions while handling cytotoxic drugs. Nurses in patient areas where chemotherapy is administered are at constant low-level risk of exposure. The authors tried to gather evidence in this article from the recent literature to help to formalise policies for pregnant mothers working in these settings.

    Source : Gilani, S. & Giridharan, S. (2014). Ecancermedicalscience, 8. Repéré à http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990661/pdf/can-8-418.pdf

TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • Les technologues en radiothérapie doivent positionner les patients par rapport à des lasers qui ne peuvent être bougés, étant calibrés pour un positionnement droit exact. Lors de mobilisations et de déplacements fréquents de patients couchés sur civière, les travailleurs ont d’importants efforts à déployer, pouvant leur occasionner des troubles musculosquelettiques et des blessures au niveau des membres supérieurs et du dos. Une table mouvante a donc été fabriquée entièrement à l’interne par le mécanicien aux services techniques, à partir d’une table d’opération récupérée. Depuis, les travailleurs adoptent de meilleures postures de travail et la table mouvante permet d’éliminer les manipulations manuelles des patients. Aucun accident n’est survenu depuis la mise en œuvre de l’innovation.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. Direction régionale de Laval. (2016). Lumière sur les visages de la prévention : région de Laval 2016. p. 11. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Laval/DC200-987-3LAV_Laval_2016-01_ED_VF.pdf#page=11

Pour accéder à la présentation vidéo : http://www.csst.qc.ca/asp/innovation/2016/Laval/CISSS.wmv

  • Mammographers are an understudied group of health care workers, yet the prevalence of musculoskeletal (MSK) symptoms in mammographers appears to be elevated, similar to many occupations in health care. In this study, the authors used a participatory approach to identify needs and opportunities for developing interventions to reduce mammographers’ exposures to risk factors that lead to the development of MSK symptoms. They present a number of those needs and several intervention concepts along with evaluations of those concepts from experienced mammographers. We include findings from a preliminary field test of a novel intervention concept to reduce the need to adopt awkward postures while positioning patients for a screening or diagnostic mammogram.

    Source : Sommerich, Carolyn M., Lavender, Steven A., Evans, kevin D., Sanders, Elizabeth, Joines, Sharon, Lamar, Sabrina,… Park, SangHyun. (2016). Ergonomics. Prépublication.  DOI:10.1080/00140139.2016.1140815

  • Given that this study evaluates the physical demands of manual scaling, a procedure that is fundamental to dental hygiene work, the findings are valuable to identify ergonomics interventions to reduce the prevalence of work-related injuries, disability and the potential for early retirement among this occupational group.

    Source : La Delfa, Nicholas J., Grondin, Diane E., Cox, Jocelyn, Potvin, Jim R., & Howarth, Samuel J. (2016). Ergonomics. Prépublication. DOI: 10.1080/00140139.2016.1171402

  • Occupational health research has shown that certain worker and job characteristics are risk factors for workplace injuries. Workers who engage in physically demanding jobs, especially those jobs that involve repetitive motion, are at greater risk for work-related musculoskeletal disorders (WMSD). These risks are particularly prevalent in the health care sector. It is often reported that nurses are at higher risk of workplace musculoskeletal injury than other health care workers due to frequent lifting and transfer of patients and the prevalence of workplace violence. However, many analyses of the physical requirements of jobs do not consider the modifying effect of time spent on a physical task and the risk of WMSD. This study compared the risks of WMSD among workers in health care facilities based on the type of physical tasks and amount of time workers spent on such tasks.

    Source : Oranye, Nelson Ositadimma, Wallis, Bernadine, Roer, Kim, Archer-Heese, Gail, & Aguilar, Zaklina. (2016). Workplace Health & Safety, 64(4), 141-151. doi: 10.1177/2165079916630552

  • Novel compliant flooring is designed to reduce fall-related injuries among LTC residents but may increase forces required for staff to perform pushing tasks. A motorized lift may offset the effect of flooring on push forces. The aim of this study was to investigate the effects of flooring type and resident weight on external hand forces required to push floor-based lifts in long-term care (LTC). Fourteen female LTC staff performed straight-line pushes with two floor-based lifts (conventional, motor driven) loaded with passengers of average and 90th-percentile resident weights over four flooring systems (concrete+vinyl, compliant+vinyl, concrete+carpet, compliant+carpet). Initial and sustained push forces were measured by a handlebar-mounted triaxial load cell and compared to participant-specific tolerance limits. Participants rated pushing difficulty.

    Source : Lachance, Chantelle C., Korall, Alexandra M.B., & Russell, Colin M. (2016). Human Factors. Prépublication. doi: 10.1177/0018720816644083

VACCINATION DU PERSONNEL

  • Despite recommendations, influenza vaccination rates among health care workers (HCWs) remain <30% in Europe. Data on HCWs managing care for immunocompromised patients (ICPs) are scarce and show compliance to vaccination was <60% despite comprehensive communication and recent influenza outbreaks. This low uptake may result from misconceptions about influenza infection and lack of convenient access to vaccine. The authors overcame this by implementing mobile vaccination teams sent to wards to inform and promote immunization.

    Source : Loulergue, Pierre, Kernéis, Solen, Stern, Jean-Baptiste, Kassis-Chikani, Najiby, Derradji, Ouda, Lescaut, lelia,… Wyplosz, Benjamin. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.030

  • Ce guide fait état des dernières recommandations de santé publique relativement à l’immunisation des travailleurs de la santé, des stagiaires et de leurs professeurs qui oeuvrent au sein de milieux qui offrent des soins de santé, particulièrement les établissements ou installations publics. Les établissements de santé visés par ces recommandations sont principalement les CISSS/CIUSSS (CLSC, CH, CHSLD et CHSGS) de même que les établissements non fusionnés. Ce guide aborde également le dépistage de la tuberculose au moyen du test cutané à la tuberculine. Il ne traite pas des vaccins et des tests de dépistage recommandés à la suite d’une exposition à un agent infectieux ou pour contrôler une éclosion.

    Source : Sicard, Nadine, Chouinard, Hélène, Dupont, Michèle, Tremblay, Michèle, & Lacroix, Christine. (2016). [Québec] : Ministère de la Santé et des Services sociaux, v, 27 p. Repéré à http://publications.msss.gouv.qc.ca/msss/fichiers/2015/15-278-38W.pdf

  • Achieving high vaccination rates of health care personnel (HCP) is critical in preventing influenza transmission from HCP to patients and from patients to HCP; however, acceptance rates remain low. In 2013, New York State adopted the flu mask regulation, requiring unvaccinated HCP to wear a mask when in areas where patients are present. The purpose of this study assessed the impact of the flu mask regulation on the HCP influenza vaccination rate.

    Source : Edwards, Frances, Masick, Kevin D., Armellino, Donna. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.006

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