COIN DE LA DOCUMENTALISTE – JUIN 2016

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ADMINISTRATION DE LA SANTÉ

  • En 2006, un hôpital universitaire au Québec a décidé d’implanter le projet Hôpital promoteur de santé (HPS). Une étude a été menée sur le contexte interne d’implantation du projet, et plus particulièrement d’une des dimensions du projet, « le milieu de travail promoteur de santé ». La compatibilité étant un des facteurs importants et peu étudié du contexte interne, l’objectif de cet article est d’examiner s’il existe au Centre Hospitalier Universitaire (CHU) des pratiques organisationnelles compatibles avec celles de ce sous-projet dans le milieu de travail des infirmières.

    Source : Bilterys, Robert, & Dedobbeleer, Nicole. (2016). Santé Publique, 28(1), 49-59. Repéré à http://www.cairn.info/article.php?ID_ARTICLE=SPUB_161_0049

  • Lean is widely applied in hospitals, but the impact tends to be limited. This paper investigates three possible explanations: 1) maturity, 2) complexity, and 3) the value concept and analyses the bearing of these in a case study of lean application in a large Danish university hospital. The results indicate that lean tends to be applied in secondary and support functions with a logistic character and therefore has had a limited impact on the overall healthcare performance. The case study shows that there are constraints related to low lean maturity, the complexity of processes and operations as well as differences in value perceptions among the different professions (e.g., doctors, nurses, and managers) within the hospital. The conclusion is that lean is useful for hospitals, but the lean concept as well as its implementation methods need to be fitted to the organizational complexity and diverging values in hospitals in order to bring about a larger impact.

    Source : Hasle, Peter, Nielsen, Anders P., & Edwards, Kasper. (2016). Human Factors and Ergonomics in Manufacturing & Service Industries. Prépublication. DOI: 10.1002/hfm.20668

  • AGRESSIONS ET VIOLENCE

  • A priori, une salle d’attente dans un bureau de service n’a rien d’un milieu de travail dangereux. Ce n’est pas un espace clos, la température y est confortable, nulle machine coupante ni aucun produit chimique en vue. Pourtant, dans cette salle, un citoyen peut s’énerver d’attendre. Insatisfait et exaspéré du service rendu, il s’en prend à l’employé en montant le ton, puis secoue le comptoir avant de devenir menaçant à l’égard du travailleur. Il est devenu dangereux pour l’employé et les autres clients. Il n’y a pas que dans les bureaux de service que le public peut se montrer dangereux. Dans les hôpitaux, les centres jeunesse, les autobus, notamment, des employés sont aussi exposés à la violence du public. Comme pour n’importe quel danger, la violence du public doit être analysée et faire l’objet de mesures préventives, et les employés doivent être informés et formés en conséquence.

    Source : Levée, Valérie. (2016, Été). Prévention au travail, 29(2), 9-13. Repéré à http://preventionautravail.com/reportages/346-clientele-agressive-un-mal-sous-estime.html

  • En décembre 2014, l’APSAM a publié une fiche de sensibilisation présentant la Démarche de prévention de la violence dans les rapports avec la clientèle. Cette démarche comporte les quatre étapes suivantes : l’engagement de l’organisation, l’analyse de la situation, les mesures préventives, puis le suivi, le contrôle et l’évaluation. Pour vous soutenir dans la mise en œuvre de ces étapes, l’APSAM vient tout juste de publier plusieurs nouveaux outils sur son thème Violence et clientèle agressive.

    Source : Association paritaire pour la santé et la sécurité du travail, secteur "affaires municipales". (2016, 29 avril). Violence au travail : de nouveaux outils à votre disposition. [Billet de blogue]. Repéré à http://www.apsam.com/blogue/violence-au-travail-de-nouveaux-outils-votre-disposition

  • M. Villeneuve, 66 ans, souffre de la maladie d’Alzheimer. Hébergé en CHSLD, il sème la terreur auprès des autres patients et du personnel. Imposant, il déambule en menaçant de donner des coups avec sa canne à tout le monde. Un soir, il a attaqué un soignant, le frappant violemment. On vous téléphone: «Au secours Docteur, M. Villeneuve est agressif, vous devez faire quelque chose!». De 25% à 50% des personnes atteintes d’un trouble neurocognitif majeur auront des comportements agressifs au cours de l’évolution de leur maladie. Il n’existe pas de consensus formel définissant l’agressivité chez cette clientèle. On peut décrire des comportements physiques (pincer, frapper, griffer, cracher) et verbaux agressifs (ex.: blasphémer, crier, menacer). La prise en charge de ces comportements constitue un réel défi pour le médecin et l’équipe soignante.

    Source : Ménard, Caroline, & Léveillé, Guy. (2016, mars). Le Médecin du Québec, 51(3), 22-26. Repéré à https://fmoq-mdq.s3.amazonaws.com/2016/03/021-026-MmeMenard-0316.pdf

  • ALLERGIES PROFESSIONNELLES

  • The FDA’s recently proposed rule to ban powdered latex gloves was welcomed by occupational health advocates, but there was some sentiment that the FDA was finally addressing a problem clinicians long since had to solve themselves. "Latex allergies have dropped a lot in the last few years – it was really tough about eight or nine years ago," says Bobby Quentin Lanier, MD, executive medical director of the American College of Allergy, Asthma, and Immunology (ACAAI). Indeed, there are still healthcare facilities using powdered latex gloves, which pose a threat of allergic reactions in healthcare workers. Thus, the Association of Occupational Health Professionals in Healthcare (AOHP) welcomed the ban and didn’t quibble about the timing.

    Source : Better late than never? FDA proposed ban on powdered gloves welcomed, questioned. (2016, May). Hospital Employee Health, 35(5), 54-56. Repéré à http://www.ahcmedia.com/articles/137644-better-late-than-never-fda-proposed-ban-on-powdered-gloves-welcomed-questioned

  • Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most commonly phenolics, quaternary ammonium compounds, improved hydrogen peroxides, and hypochlorites. Concern has been raised that the use of germicides by health care personnel may increase the risk of these persons for developing respiratory illnesses (principally asthma) and contact dermatitis. The data demonstrate that dermatitis and respiratory symptoms (eg, asthma) as a result of chemical exposures, including low-level disinfectants, are exceedingly rare. Unprotected exposures to high-level disinfectants may cause dermatitis and respiratory symptoms. Engineering controls (eg, closed containers, adequate ventilation) and the use of personal protective equipment (eg, gloves) should be used to minimize exposure to high-level disinfectants. The scientific evidence does not support that the use of low-level disinfectants by health care personnel is an important risk for the development of asthma or contact dermatitis.

    Source : Weber, David J., Consoli, Stephanie A., & Rutala, William A. (2016). AJIC : American Journal of Infection Control, 44 (5), suppl.) e85-e89. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.030

  • AMÉNAGEMENT – ARCHITECTURE

  • Open-plan offices account for 60% of French office workspaces. The noise levels recorded in this type of environment are much lower than those encountered in industrial workplaces. Nevertheless, surveys show that noise is considered by employees as the main source of discomfort. A first questionnaire dedicated to noise discomfort was produced in 2013 and tested on a panel made up of 217 people working in 7 French companies. Today, it also makes it possible to address the issues of fatigue related to ambient sound, but above all, the survey aims to study the differences in how ambient noise is perceived depending on the type of open-plan office. On the basis of that new version, a second survey has been conducted in 23 open-plan offices, making it possible to collect the responses from 617 employees.

    Source : Perrin Jegen, N., & Chevret, P. (2016). Ergonomics. DOI:10.1080/00140139.2016.1172737

  • Health care organizations are taking a holistic view that considers their responsibility to people, the planet and profits, known as the three pillars of sustainability, when choosing interior design materials, and that includes flooring. Specific attributes of flooring that affect the health and safety of patients, visitors and staff include the material’s contribution to indoor-air quality; its slip-resistance, acoustic and ergonomic properties; and its capacity to be maintained through green cleaning methods. Life-cycle cost also is important to health facilities. In addition, many flooring companies are addressing and voluntarily disclosing the total environmental impact of their products.

    Source : Earth-friendly flooring for health care facilities. (2016), Health Facilities Management. Repéré à http://www.hfmmagazine.com/display/HFM-news-article.dhtml?dcrPath=%2Ftemplatedata%2FHF_Common%2FNewsArticle%2Fdata%2FHFM%2FMagazine%2F2016%2Fjun%2F-sustainable-flooring-interior-design

  • APPROCHE LEAN – TOYOTA

  • Lean is widely applied in hospitals, but the impact tends to be limited. This paper investigates three possible explanations: 1) maturity, 2) complexity, and 3) the value concept and analyses the bearing of these in a case study of lean application in a large Danish university hospital. The results indicate that lean tends to be applied in secondary and support functions with a logistic character and therefore has had a limited impact on the overall healthcare performance. The case study shows that there are constraints related to low lean maturity, the complexity of processes and operations as well as differences in value perceptions among the different professions (e.g., doctors, nurses, and managers) within the hospital. The conclusion is that lean is useful for hospitals, but the lean concept as well as its implementation methods need to be fitted to the organizational complexity and diverging values in hospitals in order to bring about a larger impact.

    Source : Hasle, Peter, Nielsen, Anders P., & Edwards, Kasper. (2016). Human Factors and Ergonomics in Manufacturing & Service Industries. Prépublication. DOI: 10.1002/hfm.20668

  • APPROCHE RELATIONNELLE DE SOINS (ARS)

  • The older population is increasing worldwide. Currently, there is a shift in care for older people from institutional care to home care. Providing home care in a person’s home involves several challenges, including the complexity of communication. The aim of this study was to explore communicative challenges in encounters between nurse assistants and older persons during home care visits. A descriptive observational design with a qualitative approach was used.

    Source : Sundler, Annelie J., Eide, Hilde, van Dulmen, Sandra, & Holmström, Inger K. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12996

  • ASTHME PROFESSIONEL

  • Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most commonly phenolics, quaternary ammonium compounds, improved hydrogen peroxides, and hypochlorites. Concern has been raised that the use of germicides by health care personnel may increase the risk of these persons for developing respiratory illnesses (principally asthma) and contact dermatitis. The data demonstrate that dermatitis and respiratory symptoms (eg, asthma) as a result of chemical exposures, including low-level disinfectants, are exceedingly rare. Unprotected exposures to high-level disinfectants may cause dermatitis and respiratory symptoms. Engineering controls (eg, closed containers, adequate ventilation) and the use of personal protective equipment (eg, gloves) should be used to minimize exposure to high-level disinfectants. The scientific evidence does not support that the use of low-level disinfectants by health care personnel is an important risk for the development of asthma or contact dermatitis.

    Source : Weber, David J., Consoli, Stephanie A., & Rutala, William A. (2016). AJIC : American Journal of Infection Control, 44 (5), suppl.) e85-e89. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.030

  • BLOC OPÉRATOIRE

  • Surgical smoke generated during electrocautery contains toxins which may cause adverse health effects to operating room (OR) personnel. The objective of this study was to investigate the performance of surgical masks (SMs), which are routinely used in ORs, more efficient N95 surgical mask respirator (SMRs) and N100 filtering facepiece respirator (FFRs), against surgical smoke. The results showed that SMs do not provide measurable protection against surgical smoke. SMRs offer considerably improved protection versus SMs, while the N100 FFRs showed significant improvement over the SMRs.

    Source : Gao, Shuang, Koehler, Richard H., Yermakov, Michael, & Grinshpun, Sergey A. (2016). The Annals of Occupational Hygiene, 60(5), 608-618. doi: 10.1093/annhyg/mew006

  • BRUIT EN MILIEU DE TRAVAIL

  • Workers in many occupational sectors, including manufacturing, mining, construction, transportation, and emergency services, often perform their jobs while exposed to high levels of occupational noise. Long-term exposure to noise can result in both hearing loss and stress-related illness. In addition, noise can interfere with critical communications and warning signals. For these reasons, it is critically important to identify these hazardous situations and implement preventative measures to help protect the hearing of workers. The first in a series of standards on occupational noise control, helps address these potential threats to worker health and safety. The standard helps guide your business in establishing a management process for an effective hearing loss prevention program and is part of CSA Group’s portfolio of OHS Management Systems Standards, based on the foundation of Z1000 – Occupational Health and Safety Management.

    Source : Canadian Standard Association. (2016). Hearing loss prevention program (HLPP) management. Toronto, Ont.: Groupe CSA, (CSA Z1007-16). Repéré à http://shop.csa.ca/fr/canada/hearing-protection/z1007-16/invt/27039462016

  • Open-plan offices account for 60% of French office workspaces. The noise levels recorded in this type of environment are much lower than those encountered in industrial workplaces. Nevertheless, surveys show that noise is considered by employees as the main source of discomfort. A first questionnaire dedicated to noise discomfort was produced in 2013 and tested on a panel made up of 217 people working in 7 French companies. Today, it also makes it possible to address the issues of fatigue related to ambient sound, but above all, the survey aims to study the differences in how ambient noise is perceived depending on the type of open-plan office. On the basis of that new version, a second survey has been conducted in 23 open-plan offices, making it possible to collect the responses from 617 employees.

    Source : Perrin Jegen, N., & Chevret, P. (2016). Ergonomics. DOI:10.1080/00140139.2016.1172737

  • CANCERS PROFESSIONNELS

  • Le cancer du sein constitue un problème majeur de santé publique et chaque année dans le monde, surviennent 1,7 million de nouveaux cas et 500 000 décès. Certaines expositions professionnelles ont été incriminées dans le cancer du sein à savoir les rayonnements ionisants, le travail de nuit, les perturbateurs endocriniens. D’autres facteurs de risque liés au travail sont suspectés mais sans lien avéré : les médicaments antinéoplasiques des groupes 1A et 2A, les champs électromagnétiques d’extrême basse fréquence, l’oxyde d’éthylène, etc.

    Source : Facteurs de risques professionnels du cancer du sein. (2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Facteurs-de-risques-professionnels,5164.html

  • CHAMPS ÉLECTROMAGNÉTIQUES

  • Le cancer du sein constitue un problème majeur de santé publique et chaque année dans le monde, surviennent 1,7 million de nouveaux cas et 500 000 décès. Certaines expositions professionnelles ont été incriminées dans le cancer du sein à savoir les rayonnements ionisants, le travail de nuit, les perturbateurs endocriniens. D’autres facteurs de risque liés au travail sont suspectés mais sans lien avéré : les médicaments antinéoplasiques des groupes 1A et 2A, les champs électromagnétiques d’extrême basse fréquence, l’oxyde d’éthylène, etc.

    Source : Facteurs de risques professionnels du cancer du sein. (2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Facteurs-de-risques-professionnels,5164.html

  • CONCILIATION TRAVAIL – VIE PERSONNELLE

  • On entend souvent qu’un travailleur passe plus de temps avec ses collègues qu’avec sa famille. Qu’en est-il réellement ? Combien de temps les Québécois passent-ils au travail annuellement, et combien leur en reste-t-il pour leur vie personnelle ?

    Source : Travail vs vie personnelle : l’heureux déséquilibre. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 12.

  • CONSTRUCTION

  • Does anyone have an easy way to remember the angle to place the ladder ? What do you all do to make sure people use ladders safely ? In this toolbox talk guide, there are some ways we can prevent falls from ladder. 

    Source : Oregon Health & Science University. Oregon Fatality Assessment and Control Evaluation (OR-FACE). Repéré à http://www.ohsu.edu/xd/research/centers-institutes/oregon-institute-occupational-health-sciences/outreach/or-face/publications/upload/2005-01-Fall-from-ladder-that-slipped.pdf

  • Les chutes de hauteur sont encore aujourd’hui une des causes majeures d’accidents du travail. Trop souvent, les travailleurs ne s’attachent pas, faute de point d’ancrage disponible, ou parce qu’ils trouvent que les points d’attache fixes restreignent trop leurs mouvements. Cette restriction peut toutefois être levée grâce aux systèmes de corde d’assurance horizontale (SCAH). Le présent rapport constitue la mise à jour du guide technique T-18 publié en 1991 et rend ce dernier caduc. Cette mise à jour était devenue nécessaire à la suite de l’introduction, en 2001, au Code de sécurité pour les travaux de construction (CSTC), de l’obligation d’équiper les cordons d’assujettissement d’un absorbeur d’énergie. De plus, puisque les ancrages des SCAH sont généralement flexibles, plutôt que rigides (une colonne structurale est un exemple d’ancrage rigide), il nous est apparu important d’en tenir compte dans la présente mise à jour. Source : Galy, Bertrand, & Lan, André. (2016). Montréal : Institut de recherche Robert-Sauvé en santé et en sécurité du travail, xi, 77 p. (Études et recherches; rapport R-902). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-902.html

  • Les systèmes de corde d’assurance horizontale (SCAH) sont un moyen peu coûteux et efficace de protéger les travailleurs contre les chutes de hauteur. Cependant, leur conception pose un problème complexe en raison de la nature dynamique de la charge et des non-linéarités du câble. Destiné autant aux ingénieurs en conception de systèmes actifs de protection contre les chutes qu’aux préventeurs voulant vérifier la conformité d’un système en place, l’IRSST a développé un nouvel outil qui permet le dimensionnement des systèmes de corde d’assurance horizontale (SCAH), aussi appelés systèmes d’ancrage continu flexible ou ligne de vie. Intégrant les abaques élaborés lors de la mise à jour du guide et l’ensemble des paramètres de conception du SCAH, il permet de façon simple de calculer la tension dans le câble, sa flèche lors de l’arrêt d’une chute, ainsi que le dégagement nécessaire par rapport au câble.

    Source : Institut de recherche Robert-Sauvé en santé et en sécurité du travail. (2016, 28 avril). IRSST. Actualités. Repéré à http://www.irsst.qc.ca/scah

  • CONTRAINTES THERMIQUES

  • Chaque été, certaines tâches deviennent davantage difficiles à effectuer en raison de la chaleur, et ce, surtout en période de canicule. Pourquoi? L’organisme humain doit maintenir, en tout temps, sa température interne à 37 °C et, pour ce faire, en ambiance chaude, certains mécanismes se mettent en marche. Ainsi, la chaleur à l’intérieur du corps est transférée vers la peau, par une circulation sanguine périphérique plus importante : il y a alors augmentation de la fréquence cardiaque. Pour abaisser la température de la peau, la transpiration est un mécanisme de choix! Résultat : notre corps se fatigue et se déshydrate plus rapidement et cela peut entraîner une baisse de la capacité physique et intellectuelle.

    Source : Centre patronal de santé et de sécurité du Québec. (2016, Avril). Info SST. Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/contraintes-thermiques/gerer-les-contraintes-thermiques.html

  • CPE – SERVICES DE GARDE

  • Pour s’assurer que les mesures de prévention des blessures au dos sont bien respectées, la CNESST dépêche des inspecteurs qui détiennent le pouvoir de faire appliquer la loi. Or, la Loi sur la santé et la sécurité du travail (LSST) et les règlements qui en découlent sont pratiquement muets quant aux moyens à déployer pour prévenir les maux de dos, puisque chaque milieu de travail est unique et présente des particularités qui lui sont propres. Les solutions à appliquer dans un CPE ne sont certainement pas les mêmes que dans un garage ou un hôpital !

    Source : Association québécoise des CPE. (2016, 16 mai). Bulletin Mutuelle de prévention des CPE. Repéré à http://www.aqcpe.com/nouvelles/dossier-special-maux-de-dos-lapproche-des-inspecteurs-de-la-cnesst/

  • Daycare employees, specifically caregivers, are a distinct population that may experience increased risk of injury due to the high exposure to bent postures, lifting conditions and high stress associated with their work. The objectives of the study were to collect up to date data on daycare workers and to compare the data between groups working with children of different ages (Infant, Toddler and Preschool). Results suggested that these employees experience an elevated risk of low back injury caused by their occupational tasks and thus, further research is required to determine appropriate worker accommodations and safe work practices to help mediate these risks for all daycare caregivers.

    Source : Labaj, Adam, Diesbourg, Tara, Dumas, Geneviève, Plamondon, André, Mercheri, Hakim, & Larue, Christian. (2016). International Journal of Industrial Ergonomics, 54(7), 83-92. doi:10.1016/j.ergon.2016.05.003

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

    Source : McKeirnan, Kimberly C. (2016). Workplace Health & Safety, 64(5), 228. doi: 10.1177/2165079916632773

  • En service de garde, 50 % des réclamations pour des lésions professionnelles sont en lien avec des blessures au dos. Il s’agit du milieu où l’on retrouve la plus grande proportion de ce type de lésions, surclassant les hôpitaux (46 %), les établissements de soins infirmiers et les résidences pour personnes âgées (45 %), révèlent les données de l’Association paritaire pour la santé et la sécurité du travail du secteur des affaires sociales. Toutefois, il est possible de réduire ces risques en adoptant des mesures de prévention en santé et sécurité au travail.

    Source : Association québécoise des CPE. (2016, 16 mai). Bulletin Mutuelle de prévention des CPE. Repéré à http://www.aqcpe.com/nouvelles/dossier-special-ne-tournez-pas-le-dos-a-la-prevention/

  • En 2015, environ 40 % des dossiers de réclamation de la Mutuelle de prévention des CPE étaient reliés à une blessure au dos. Loin d’être marginale, cette proportion est relativement stable année après année, plaçant cette catégorie de lésions parmi les plus fréquentes. Il est donc primordial de s’attarder à la moelle du problème. L’entorse lombaire et la lombalgie sont les deux diagnostics les plus courants, dans un contexte de santé et sécurité au travail (SST). Bien qu’il s’agisse de deux choses complètement différentes, plusieurs méprennent l’une pour l’autre.

    Source : Association québécoise des CPE. (2016, 16 mai). Bulletin Mutuelle de prévention des CPE. Repéré à http://www.aqcpe.com/nouvelles/dossier-special-les-blessures-au-dos-mettre-le-doigt-sur-le-bon-bobo/

  • DÉPLACEMENTS DES BÉNÉFICIAIRES

  • IWH cost-benefit analysis finds training program nearly cost-neutral while lowering injury rates by a third. The program was introduced in British Columbia across 15 long-term care facilities between 2006 and 2011. It led to a 34 per cent reduction in injury rates during the program time period and a 56 per cent drop after the program was over, a benefit of 84 cents for every dollar spent on the program, according to the study.

    Source : Institute for Work & Health. (2016, Spring). At Work, 84. Repéré à https://www.iwh.on.ca/at-work/84/peer-coaching-on-patient-lifts-lowers-injury-but-at-a-small-cost

  • Patient handling through lifting and moving of patients or residents, especially in a long-term care setting, is a key risk factor leading to injuries in healthcare workers.These injuries cause enormous pain and suffering to the healthcare workers and their families, as well as impose an enormous economic burden on society through productivity losses, and increase in healthcare costs and workers compensation costs. Many of these patient handling injuries can be prevented through appropriate use of engineering control interventions, for example, through the introduction of overhead lift equipment, in long-term care facilities.

    Source : Lahiri, Supriya. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-103416

  • The Kinaesthetics care conception is a nursing approach for patient handling which aims to prevent work-related complaints and diseases. The evidence about the influence of Kinaesthetics on musculoskeletal disorders among persons who handle patients is unclear to date. The purposes of the scoping review are to gain insight into the current state of research regarding the clinical effectiveness of Kinaesthetics (in terms of perceived exertion and musculoskeletal complaints) among persons who handle patients and to identify potential research gaps. A scoping review was conducted. 

    Source : Freiberg, Alice, Girbig, Maria, Euler, Ulrike, Scharfe, Julia, Nienhaus, Albert, Freitag, Sonja, & Seidler, Andreas. (2016). Journal of Occupational Medicine and Toxicology. Prépublication. DOI: 10.1186/s12995-016-0113-x

  • In recent years, safe patient handling in the health care industry has been addressed by various stakeholders, but much work remains to reduce health care worker injuries, and improve safety and care quality for patients. Recently, safe patient handling in ambulatory care settings has gained attention. As health care delivery evolves, demands on ambulatory care will increase and more dependent patients will visit ambulatory care clinics. Typically, ambulatory care clinics are not equipped with appropriate safe patient handling equipment. Examination tables, standard in ambulatory care clinics, currently have fixed height and are not easily accessible. This study investigated the benefits of introducing new height-adjustable examination tables to an ambulatory care setting. The results of this study indicate that by using height-adjustable examination tables, work-related musculoskeletal disorder (WMSD) risk for caregivers can be significantly reduced.

    Source : Fragala, Guy. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916642776

  • DERMATOSES PROFESSIONNELLES

  • Santé Canada informe les consommateurs des risques éventuels liés à l’utilisation de la méthylisothiazolinone en association avec la méthylchloroisothiazolinone (MI/MCI) comme agent de conservation dans certains produits sans rinçage, dont des cosmétiques, des médicaments en vente libre et des produits de santé naturels. Hydratants pour la peau, produits de massage, maquillage, antisudorifiques, désodorisants, écrans solaires, nettoyants antiseptiques, produits analgésiques topiques, lotions contre l’acné et produits de traitement de l’érythème fessier sont des exemples de produits sans rinçage. Chez certaines personnes, l’exposition répétée à ces substances peut provoquer certains symptômes qui peuvent survenir à chaque utilisation et s’intensifier avec une utilisation répétée.

    Source : Santé Canada. (2016, 10 mai). Santé Canada informe les Canadiens des risques liés à certains agents de conservation utilisés dans des cosmétiques, des médicaments en vente libre et des produits de santé naturels. Canadiens en santé. Repéré à http://canadiensensante.gc.ca/recall-alert-rappel-avis/hc-sc/2016/58290a-fra.php

  • The FDA’s recently proposed rule to ban powdered latex gloves was welcomed by occupational health advocates, but there was some sentiment that the FDA was finally addressing a problem clinicians long since had to solve themselves. "Latex allergies have dropped a lot in the last few years – it was really tough about eight or nine years ago," says Bobby Quentin Lanier, MD, executive medical director of the American College of Allergy, Asthma, and Immunology (ACAAI). Indeed, there are still healthcare facilities using powdered latex gloves, which pose a threat of allergic reactions in healthcare workers. Thus, the Association of Occupational Health Professionals in Healthcare (AOHP) welcomed the ban and didn’t quibble about the timing.

    Source : Better late than never? FDA proposed ban on powdered gloves welcomed, questioned. (2016, May). Hospital Employee Health, 35(5), 54-56. Repéré à http://www.ahcmedia.com/articles/137644-better-late-than-never-fda-proposed-ban-on-powdered-gloves-welcomed-questioned

  • Staphylococcus aureus is known to form a biofilm and colonize on damaged skin of the hands. We investigated changes in the quantity of S aureus on the hands and changes in skin damage when using a hand-cleansing formulation with potassium oleate but without a sanitizer (formulation A), which is highly effective in removing S aureus biofilm and causes minimal skin damage.

    Source : Asaoka, Kentaro, Endo, Shiro, Suzuki, Yuki, Komuro, Satoru, Nemoto, Tadanobu, & Kaku, Mitsuo. (2016). AJIC : American Journal of Infection Control. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.037

  • Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most commonly phenolics, quaternary ammonium compounds, improved hydrogen peroxides, and hypochlorites. Concern has been raised that the use of germicides by health care personnel may increase the risk of these persons for developing respiratory illnesses (principally asthma) and contact dermatitis. The data demonstrate that dermatitis and respiratory symptoms (eg, asthma) as a result of chemical exposures, including low-level disinfectants, are exceedingly rare. Unprotected exposures to high-level disinfectants may cause dermatitis and respiratory symptoms. Engineering controls (eg, closed containers, adequate ventilation) and the use of personal protective equipment (eg, gloves) should be used to minimize exposure to high-level disinfectants. The scientific evidence does not support that the use of low-level disinfectants by health care personnel is an important risk for the development of asthma or contact dermatitis.

    Source : Weber, David J., Consoli, Stephanie A., & Rutala, William A. (2016). AJIC : American Journal of Infection Control, 44 (5), suppl.) e85-e89. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.030

  • ENTRETIEN MÉNAGER À DOMICILE

  • Don’t ignore your cleaning staff when considering worker safety and personal protective equipment. Safety continues to be a major concern in professional cleaning. Invariably, cleaning workers focus on cleaning chemicals, equipment and tools to perform their tasks, but safety equipment often takes a backseat. "Cleaning workers suffer more injuries than many other workers in private industry," says Vicky Adams, category manager for safety, gloves and foodservice products for Impact Products. "Studies going back to 2007 find that full-time custodians are injured on the job sometimes as much as two times that of other workers in private industry."

    Source : Smith, Sandy. (2016, May 26). EHS Today. Safety. Repéré à http://ehstoday.com/safety/safety-supply-checklist-cleaning-professionals

  • ÉQUIPEMENT DE PROTECTION

  • The FDA’s recently proposed rule to ban powdered latex gloves was welcomed by occupational health advocates, but there was some sentiment that the FDA was finally addressing a problem clinicians long since had to solve themselves. "Latex allergies have dropped a lot in the last few years – it was really tough about eight or nine years ago," says Bobby Quentin Lanier, MD, executive medical director of the American College of Allergy, Asthma, and Immunology (ACAAI). Indeed, there are still healthcare facilities using powdered latex gloves, which pose a threat of allergic reactions in healthcare workers. Thus, the Association of Occupational Health Professionals in Healthcare (AOHP) welcomed the ban and didn’t quibble about the timing.

    Source : Better late than never? FDA proposed ban on powdered gloves welcomed, questioned. (2016, May). Hospital Employee Health, 35(5), 54-56. Repéré à http://www.ahcmedia.com/articles/137644-better-late-than-never-fda-proposed-ban-on-powdered-gloves-welcomed-questioned

  • Current regulations require annual fit testing before an employee can wear a respirator during work activities. The goal of this research is to determine whether respirator fit measured with two TSI Portacount instruments simultaneously sampling ambient particle concentrations inside and outside of the respirator facepiece is similar to fit measured during an ambient aerosol condensation nuclei counter quantitative fit test.

    Source : Sietsema, Margaret, & Brosseau, Lisa M. (2016). Journal of Occupational and Environmental Hygiene, 13(8), 621-627. DOI: 10.1080/15459624.2016.1159690

  • Surgical smoke generated during electrocautery contains toxins which may cause adverse health effects to operating room (OR) personnel. The objective of this study was to investigate the performance of surgical masks (SMs), which are routinely used in ORs, more efficient N95 surgical mask respirator (SMRs) and N100 filtering facepiece respirator (FFRs), against surgical smoke. The results showed that SMs do not provide measurable protection against surgical smoke. SMRs offer considerably improved protection versus SMs, while the N100 FFRs showed significant improvement over the SMRs.

    Source : Gao, Shuang, Koehler, Richard H., Yermakov, Michael, & Grinshpun, Sergey A. (2016). The Annals of Occupational Hygiene, 60(5), 608-618. doi: 10.1093/annhyg/mew006

  • ÉTABLISSEMENTS D’HÉBERGEMENT

  • M. Villeneuve, 66 ans, souffre de la maladie d’Alzheimer. Hébergé en CHSLD, il sème la terreur auprès des autres patients et du personnel. Imposant, il déambule en menaçant de donner des coups avec sa canne à tout le monde. Un soir, il a attaqué un soignant, le frappant violemment. On vous téléphone: «Au secours Docteur, M. Villeneuve est agressif, vous devez faire quelque chose!». De 25% à 50% des personnes atteintes d’un trouble neurocognitif majeur auront des comportements agressifs au cours de l’évolution de leur maladie. Il n’existe pas de consensus formel définissant l’agressivité chez cette clientèle. On peut décrire des comportements physiques (pincer, frapper, griffer, cracher) et verbaux agressifs (ex.: blasphémer, crier, menacer). La prise en charge de ces comportements constitue un réel défi pour le médecin et l’équipe soignante.

    Source : Ménard, Caroline, & Léveillé, Guy. (2016, mars). Le Médecin du Québec, 51(3), 22-26. Repéré à https://fmoq-mdq.s3.amazonaws.com/2016/03/021-026-MmeMenard-0316.pdf

  • FORMATION EN SST

  • IWH cost-benefit analysis finds training program nearly cost-neutral while lowering injury rates by a third. The program was introduced in British Columbia across 15 long-term care facilities between 2006 and 2011. It led to a 34 per cent reduction in injury rates during the program time period and a 56 per cent drop after the program was over, a benefit of 84 cents for every dollar spent on the program, according to the study.

    Source : Institute for Work & Health. (2016, Spring). At Work, 84. Repéré à https://www.iwh.on.ca/at-work/84/peer-coaching-on-patient-lifts-lowers-injury-but-at-a-small-cost

  • Patient handling through lifting and moving of patients or residents, especially in a long-term care setting, is a key risk factor leading to injuries in healthcare workers.These injuries cause enormous pain and suffering to the healthcare workers and their families, as well as impose an enormous economic burden on society through productivity losses, and increase in healthcare costs and workers compensation costs. Many of these patient handling injuries can be prevented through appropriate use of engineering control interventions, for example, through the introduction of overhead lift equipment, in long-term care facilities.

    Source : Lahiri, Supriya. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-103416

  • Effective use of personal protective equipment (PPE) is essential to protect personnel and patients in health care settings. However, in a survey of 222 health care personnel, PPE training was often suboptimal with no requirement for demonstration of proficiency. Fourteen percent of physicians reported no previous training in use of PPE.

    Source : John, Amrita, Tomas, Myreen E., Cadnum, Jennifer L., Mana, Thriveen S.C., Jencson, Annette, Shaikh, Aaron, … Donskey, Curtis J. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.031

  • FUMÉES CHIRURGICALES

  • Surgical smoke generated during electrocautery contains toxins which may cause adverse health effects to operating room (OR) personnel. The objective of this study was to investigate the performance of surgical masks (SMs), which are routinely used in ORs, more efficient N95 surgical mask respirator (SMRs) and N100 filtering facepiece respirator (FFRs), against surgical smoke. The results showed that SMs do not provide measurable protection against surgical smoke. SMRs offer considerably improved protection versus SMs, while the N100 FFRs showed significant improvement over the SMRs.

    Source : Gao, Shuang, Koehler, Richard H., Yermakov, Michael, & Grinshpun, Sergey A. (2016). The Annals of Occupational Hygiene, 60(5), 608-618. doi: 10.1093/annhyg/mew006

  • GESTION DE LA SST

  • La réussite d’un traitement thérapeutique repose en grande partie sur la relation de confiance qui s’établit entre le clinicien et le patient, laquelle est grandement favorisée s’ils partagent un objectif commun et la même opinion sur la façon d’y parvenir. Si le patient est un travailleur souffrant d’un trouble musculosquelettique (TMS) persistant qui l’empêche de retourner en emploi, la situation peut se compliquer du fait que d’autres acteurs clés jouent un rôle dans sa démarche de réadaptation, soit son employeur, son syndicat et son assureur. Il s’agit d’un enjeu de taille. 

    Source : Thivierge, Claire. (2016, Été).  Prévention au travail, 29(2), 17-20. Repéré à http://preventionautravail.com/recherche/331-prise-de-decision-partagee-en-readaptation-la-clef-pour-favoriser-le-deroulement-optimal-du-processus.html

  • This study examines the relationships between the workplace culture of health (CoH), job satisfaction, and turnover intention. We also examined the moderating effect of job classification. The results showed that a workplace CoH is related to job satisfaction and intention to leave. Supporting health at the workplace has implications beyond health that benefit both employees and the organization.

    Source : Kwon, Youngbum, & Marzec, Mary L. (2016). JOEM : Journal of Occupational & Environmental Medicine, 58(5), 448-454. doi: 10.1097/JOM.0000000000000724

  • GESTION DU CHANGEMENT

  • Que faire lorsqu’un employé s’absente pour cause de problèmes psychologiques en raison d’une situation qui a suffisamment dégénéré pour compromettre le climat de travail ? Comment gérer la suite lorsque cette personne doit réintégrer son milieu ?

    Source : Delisle, Lise. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 33-35.

  • On dit qu’il y a une quinzaine d’années, une entreprise vivait un grand changement tous les cinq ans environ. Aujourd’hui, un tel remue-ménage se produit à un rythme nettement plus soutenu au sein des organisations. Pas étonnant que cela ait un impact sur les travailleurs, allant même jusqu’à les déséquilibrer.

    Source : Bédard, Isabelle. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 30-32.

  • HORAIRE DE TRAVAIL

  • The authors of this study investigated police officers’ preferences regarding the number of consecutive night shifts. The majority preferred four consecutive night shifts. Those who preferred the longer spells of night work found night work less demanding, found it easier to sleep at different times of the day, and were more frequently evening types.  The participants’ preferences are likely to be influenced by their previous shift work experience.

    Source : Nabe-Nielsen, Kisten, Aarebo Jensen, Marie, Marie Hansen, Åse, Kristiansen, Jesper, & Garde, Anne Helene. (2016). Ergonomics. Prépublication. DOI:10.1080/00140139.2015.1136698

  • The aim of this study was to determine the impact of a demanding work schedule involving long, cumulative work shifts on response time and balance-related performance outcomes and to evaluate the prevalence of musculoskeletal disorders between day and night shift working nurses.

    Source : Thompson, Brennan, Stock, Matt, Banuelas, Victoria, & Akalonu, Chibuzo. (2016). JOEM : Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000766

  • To adequately perform amid high patient acuity and in today’s fast paced healthcare environment, nurses must be attentive and react quickly and appropriately with clear judgment and reasoning-abilities that can be greatly impaired by fatigue. Nursing leaders are instrumental in systematically addressing work-related fatigue and implementing processes designed to prevent fatigue and overwork; however, baseline measures are necessary if the efficacy of these initiatives is to be assessed. This article describes the profound impact of fatigue and the process by which 1 academic medical center assessed fatigue levels, and associated factors, among nursing personnel in their effort to develop a comprehensive fatigue management program.

    Source : Blouin, Ann Scott, Smith-Miller, Cheryl A., Harden, Jacqueline. (2016). JONA : Journal of Nursing Administration, 46(6), 329-335. doi: 10.1097/NNA.0000000000000353

  • Des milliers d’infirmières et d’infirmiers font des heures supplémentaires volontaires et obligatoires jour après jour. Et, sur le terrain, le personnel est parfois à bout de souffle. Les chiffres parlent d’eux-mêmes. Au cours des trois dernières années, près de 83 % des infirmières québécoises ont fait des heures supplémentaires. Cela représente, pour 2014-2015 seulement, près de 4,5 millions d’heures facturées. Selon le ministère de la Santé et des Services sociaux, le nombre d’heures supplémentaires est toutefois en diminution depuis les dernières années et le nombre d’infirmières, toutes catégories confondues, est en augmentation.

    Source : Ouimet, Louis-Philippe. (2016, 22 mai). Ici radio-canada.ca. Repéré à http://ici.radio-canada.ca/nouvelles/societe/2016/05/22/001-heures-supplementaires-infirmieres-quebec.shtml?p=642347

  • Due to their substantial roles in direct patient care, the performance of nurses is closely linked to quality and safety. Evidence suggests that the nature of shift work places patient safety at risk, primarily due to nurse fatigue associated with sleep deprivation and disruption of circadian rhythm (Berger & Hobbs, 2006; de Castro et al., 2010; Lockley et al., 2007; Muecke, 2005; Rogers, 2008). The problem is significant enough that nurse fatigue has been nationally recognized as a threat to patient safety by the American Nurses Association.

    Source : Antill, Stephanie. (2016, May 3). ONS Connect. A closer look. Repéré à http://connect.ons.org/issue/may-2016/a-closer-look/shift-works-impact-on-patient-safety

  • Le cancer du sein constitue un problème majeur de santé publique et chaque année dans le monde, surviennent 1,7 million de nouveaux cas et 500 000 décès. Certaines expositions professionnelles ont été incriminées dans le cancer du sein à savoir les rayonnements ionisants, le travail de nuit, les perturbateurs endocriniens. D’autres facteurs de risque liés au travail sont suspectés mais sans lien avéré : les médicaments antinéoplasiques des groupes 1A et 2A, les champs électromagnétiques d’extrême basse fréquence, l’oxyde d’éthylène, etc.

    Source : Facteurs de risques professionnels du cancer du sein. (2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Facteurs-de-risques-professionnels,5164.html

  • HYGIÈNE ET SALUBRITÉ

  • Peracetic acid sporicidal wipes have been shown to be an effective disinfectant, but in controlled test environments. Their high cost may restrict use. This pilot study investigated the efficacy and compared the costs of routine universal use of peracetic acid sporicidal wipes versus sporicidal quaternary ammonium compound and alcohol wipes in the disinfection of a hospital environment.

    Source : Saha, Avinandan, Botha, Stefan Louis, Weaving, Paul, & Satta, Giovanni. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.046

  • Worldwide, enteric viruses are the main cause of acute gastroenteritis. In humans, these viruses spread via person-to-person contact, food, water, and/or the environment. Their survival and inactivation on hard surfaces have been extensively studied; however, nonlaunderable soft surfaces, such as upholstery and carpet, have received little attention. The aim of this systematic review was to determine factors that influence the survival and inactivation of enteric viruses on nonlaunderable soft surfaces.

    Source : Yeargin, Thomas, Buckley, David, Fraser, Angela, & Jiang, Xiuping. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.018

  • Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most commonly phenolics, quaternary ammonium compounds, improved hydrogen peroxides, and hypochlorites. Concern has been raised that the use of germicides by health care personnel may increase the risk of these persons for developing respiratory illnesses (principally asthma) and contact dermatitis. The data demonstrate that dermatitis and respiratory symptoms (eg, asthma) as a result of chemical exposures, including low-level disinfectants, are exceedingly rare. Unprotected exposures to high-level disinfectants may cause dermatitis and respiratory symptoms. Engineering controls (eg, closed containers, adequate ventilation) and the use of personal protective equipment (eg, gloves) should be used to minimize exposure to high-level disinfectants. The scientific evidence does not support that the use of low-level disinfectants by health care personnel is an important risk for the development of asthma or contact dermatitis.

    Source : Weber, David J., Consoli, Stephanie A., & Rutala, William A. (2016). AJIC : American Journal of Infection Control, 44 (5), suppl.) e85-e89. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.030

  • Don’t ignore your cleaning staff when considering worker safety and personal protective equipment. Safety continues to be a major concern in professional cleaning. Invariably, cleaning workers focus on cleaning chemicals, equipment and tools to perform their tasks, but safety equipment often takes a backseat. "Cleaning workers suffer more injuries than many other workers in private industry," says Vicky Adams, category manager for safety, gloves and foodservice products for Impact Products. "Studies going back to 2007 find that full-time custodians are injured on the job sometimes as much as two times that of other workers in private industry."

    Source : Smith, Sandy. (2016, May 26). EHS Today. Safety. Repéré à http://ehstoday.com/safety/safety-supply-checklist-cleaning-professionals

  • INSTALLATIONS MATÉRIELLES

  • Does anyone have an easy way to remember the angle to place the ladder ? What do you all do to make sure people use ladders safely ? In this toolbox talk guide, there are some ways we can prevent falls from ladder. 

    Source : Oregon Health & Science University. Oregon Fatality Assessment and Control Evaluation (OR-FACE). Repéré à http://www.ohsu.edu/xd/research/centers-institutes/oregon-institute-occupational-health-sciences/outreach/or-face/publications/upload/2005-01-Fall-from-ladder-that-slipped.pdf

  • Les chutes de hauteur sont encore aujourd’hui une des causes majeures d’accidents du travail. Trop souvent, les travailleurs ne s’attachent pas, faute de point d’ancrage disponible, ou parce qu’ils trouvent que les points d’attache fixes restreignent trop leurs mouvements. Cette restriction peut toutefois être levée grâce aux systèmes de corde d’assurance horizontale (SCAH). Le présent rapport constitue la mise à jour du guide technique T-18 publié en 1991 et rend ce dernier caduc. Cette mise à jour était devenue nécessaire à la suite de l’introduction, en 2001, au Code de sécurité pour les travaux de construction (CSTC), de l’obligation d’équiper les cordons d’assujettissement d’un absorbeur d’énergie. De plus, puisque les ancrages des SCAH sont généralement flexibles, plutôt que rigides (une colonne structurale est un exemple d’ancrage rigide), il nous est apparu important d’en tenir compte dans la présente mise à jour.

    Source : Galy, Bertrand, & Lan, André. (2016). Montréal : Institut de recherche Robert-Sauvé en santé et en sécurité du travail, xi, 77 p. (Études et recherches; rapport R-902). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-902.html

  • Les systèmes de corde d’assurance horizontale (SCAH) sont un moyen peu coûteux et efficace de protéger les travailleurs contre les chutes de hauteur. Cependant, leur conception pose un problème complexe en raison de la nature dynamique de la charge et des non-linéarités du câble. Destiné autant aux ingénieurs en conception de systèmes actifs de protection contre les chutes qu’aux préventeurs voulant vérifier la conformité d’un système en place, l’IRSST a développé un nouvel outil qui permet le dimensionnement des systèmes de corde d’assurance horizontale (SCAH), aussi appelés systèmes d’ancrage continu flexible ou ligne de vie. Intégrant les abaques élaborés lors de la mise à jour du guide et l’ensemble des paramètres de conception du SCAH, il permet de façon simple de calculer la tension dans le câble, sa flèche lors de l’arrêt d’une chute, ainsi que le dégagement nécessaire par rapport au câble.

    Source : Institut de recherche Robert-Sauvé en santé et en sécurité du travail. (2016, 28 avril). IRSST. Actualités. Repéré à http://www.irsst.qc.ca/scah

  • MÉDICAMENTS DANGEREUX

  • An effective wipe sampling and LC-MS/MS method was developed to simultaneously analyze six commonly administered antineoplastic drugs in stainless steel surface. The analyzed drugs were methotrexate, paclitaxel, cyclophosphamide, 5-fluorouracil, vincristine, and oxaliplatin, a frequently prepared antineoplastic drug that has not been included among any of the published simultaneous detection methods. The established method was used to evaluate the recoveries of antineoplastic drugs on brand new and worn stainless steel surfaces by wiping the plates with a Whatman filter paper wetted with 0.5 mL of water/methanol (20:80) with 0.1 % formic acid followed by LC–MS/MS before desorbing the filter with a water/methanol (50:50) solution.

    Source : Jeronimo, Matthew, Colombo, Manuel, Astrakianakis, George, & Hon, Chun-Yip. (2015). Analytical and Bioanalytical Chemistry. 407(23), 7083-1092. doi:10.​1007/​s00216-015-8868-y

  • Using a CSTD for preparing and administering hazardous drugs (HDs) is vitally important to protect health care workers. USP <800> Hazardous Drugs-Handling in Healthcare Settings, which has been finalized and will become enforceable as of July 1, 2018, requires CSTD use for HD administration and recommends CSTD use for drug preparation. While <800> reinforces the importance of utilizing a device, it does not provide guidance about how to choose a CSTD.

    Source : Coyne, Joseph W. (2016, May). Pharmacy Purchasing & Products Magazine, 13(5), 8. Repéré à http://www.pppmag.com/article/1873

  • 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

  • NORMES ET LÉGISLATION

  • Standardization is essential to fostering the use of harmonized methods for exposure assessment in occupational hygiene nationally and internationally. A standardized method for sampling and analysis provides data of known quality and reliability through the assurance of acceptable accuracy or uncertainty, which can then be compared to results collected at other times or in other places. Consensus standards can be used by regulatory agencies or advisory bodies to determine compliance with occupational exposure limit values. In addition, harmonized methods can be employed to generate high-quality databases of exposure results that can be used for other purposes such as epidemiological studies. 

    Source : Lee, Eun Gyung, Ashley, Kevin, Breuer, Dietmar, Brisson, Michael J., Harper, Martin, & Thom, Christian. (2016). Journal of Occupational and Environmental Hygiene, 13(7), D111-D117. DOI:10.1080/15459624.2016.1163710

  • Workers in many occupational sectors, including manufacturing, mining, construction, transportation, and emergency services, often perform their jobs while exposed to high levels of occupational noise. Long-term exposure to noise can result in both hearing loss and stress-related illness. In addition, noise can interfere with critical communications and warning signals. For these reasons, it is critically important to identify these hazardous situations and implement preventative measures to help protect the hearing of workers. The first in a series of standards on occupational noise control, helps address these potential threats to worker health and safety. The standard helps guide your business in establishing a management process for an effective hearing loss prevention program and is part of CSA Group’s portfolio of OHS Management Systems Standards, based on the foundation of Z1000 – Occupational Health and Safety Management.

    Source : Canadian Standard Association. (2016). Hearing loss prevention program (HLPP) management. Toronto, Ont.: Groupe CSA, (CSA Z1007-16). Repéré à http://shop.csa.ca/fr/canada/hearing-protection/z1007-16/invt/27039462016

  • PRÉVENTION DES INFECTIONS

  • Hand hygiene at the point of care is recognized as a best practice for promoting compliance at the moments when hand hygiene is most critical. The objective of this study was to compare knowledge, attitudes, and practices of US and Canadian frontline health care personnel regarding hand hygiene at the point of care. Physicians and nurses in US and Canadian hospitals were invited to complete a 32-question online survey based on evidence supporting point of care hand hygiene. Eligible health care personnel were in direct clinical practice at least 50% of the time.

    Source : Kirk, Jane, Kendall, Anson, Marx, James F., Pincock, Ted., Young, Elizabeth, Hughes, Jillian, M., & Landers, Timothy. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.005

  • The FDA’s recently proposed rule to ban powdered latex gloves was welcomed by occupational health advocates, but there was some sentiment that the FDA was finally addressing a problem clinicians long since had to solve themselves. "Latex allergies have dropped a lot in the last few years – it was really tough about eight or nine years ago," says Bobby Quentin Lanier, MD, executive medical director of the American College of Allergy, Asthma, and Immunology (ACAAI). Indeed, there are still healthcare facilities using powdered latex gloves, which pose a threat of allergic reactions in healthcare workers. Thus, the Association of Occupational Health Professionals in Healthcare (AOHP) welcomed the ban and didn’t quibble about the timing.

    Source : Better late than never? FDA proposed ban on powdered gloves welcomed, questioned. (2016, May). Hospital Employee Health, 35(5), 54-56. Repéré à http://www.ahcmedia.com/articles/137644-better-late-than-never-fda-proposed-ban-on-powdered-gloves-welcomed-questioned

  • Peracetic acid sporicidal wipes have been shown to be an effective disinfectant, but in controlled test environments. Their high cost may restrict use. This pilot study investigated the efficacy and compared the costs of routine universal use of peracetic acid sporicidal wipes versus sporicidal quaternary ammonium compound and alcohol wipes in the disinfection of a hospital environment.

    Source : Saha, Avinandan, Botha, Stefan Louis, Weaving, Paul, & Satta, Giovanni. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.046

  • The aim of this study was to understand online public perceptions of the debate surrounding the choice of annual influenza vaccinations or wearing masks as a condition of employment for healthcare workers, such as the one enacted in British Columbia in August 2012. Four national and 82 local (British Columbia) Canadian online news sites were searched for articles posted between August 2012 and May 2013.

    Source : Lei, Yang, Pereira, Jennifer A., Quach, Susan, Bettinger, Julie A., Kwong, Jeffrey C., Corace, Kimberley, Garber, Gary, Feinberg, Yael, & Guay, Maryse. (2015). PLoS One, 10(6). Repéré à http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4473076/pdf/pone.0129993.pdf

  • The CDC is updating its Guideline for Infection Control in Healthcare Personnel, which was originally published in 1998 before a series of emerging pathogens posed occupational threats via SARS, H1N1 pandemic flu, MERS, Ebola, and Zika. While such emerging infectious diseases underscore the ever-changing threat to healthcare workers, the new employee health guidelines continue to focus more on the longstanding day-to-day threats and broaden the umbrella of protection beyond hospitals, explains David Kuhar, MD, a medical officer in the division of healthcare quality promotion at the CDC.

    Source : CDC Issuing New Infection Control Guidelines for Healthcare Workers. (2016, June). Hospital Employee Health, 35(6), 69-71. Repéré à http://www.ahcmedia.com/articles/137849-cdc-issuing-new-infection-control-guidelines-for-healthcare-workers

  • Influenza is a significant problem within hospitals, leading to extended hospital stays, excess morbidity and mortality, and economic loss. Prevention and control strategies are generally "bundled"; therefore, the individual effects of particular strategies and the value of combined strategies cannot be determined directly, making it difficult to discern the optimal strategy. To quantify the individual and joint effectiveness of several known influenza infection control measures used in general hospitals, the authors simulated influenza transmission at a hypothetical hospital in Ann Arbor, Michigan, during a 1-year seasonal epidemic (June 2012-June 2013), using a susceptible-exposed-infected-recovered (SEIR) compartmental model.

    Source : Blanco, Natalia, Eisenberg, Marisa C., Stillwell, Terri, & Foxman, Betsy. (2016). American Journal of Epidemiology. Prépublication. doi: 10.1093/aje/kwv293

  • Worldwide, enteric viruses are the main cause of acute gastroenteritis. In humans, these viruses spread via person-to-person contact, food, water, and/or the environment. Their survival and inactivation on hard surfaces have been extensively studied; however, nonlaunderable soft surfaces, such as upholstery and carpet, have received little attention. The aim of this systematic review was to determine factors that influence the survival and inactivation of enteric viruses on nonlaunderable soft surfaces.

    Source : Yeargin, Thomas, Buckley, David, Fraser, Angela, & Jiang, Xiuping. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.018

  • Staphylococcus aureus is known to form a biofilm and colonize on damaged skin of the hands. We investigated changes in the quantity of S aureus on the hands and changes in skin damage when using a hand-cleansing formulation with potassium oleate but without a sanitizer (formulation A), which is highly effective in removing S aureus biofilm and causes minimal skin damage.

    Source : Asaoka, Kentaro, Endo, Shiro, Suzuki, Yuki, Komuro, Satoru, Nemoto, Tadanobu, & Kaku, Mitsuo. (2016). AJIC : American Journal of Infection Control. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.037

  • PRODUITS TOXIQUES

  • Santé Canada informe les consommateurs des risques éventuels liés à l’utilisation de la méthylisothiazolinone en association avec la méthylchloroisothiazolinone (MI/MCI) comme agent de conservation dans certains produits sans rinçage, dont des cosmétiques, des médicaments en vente libre et des produits de santé naturels. Hydratants pour la peau, produits de massage, maquillage, antisudorifiques, désodorisants, écrans solaires, nettoyants antiseptiques, produits analgésiques topiques, lotions contre l’acné et produits de traitement de l’érythème fessier sont des exemples de produits sans rinçage. Chez certaines personnes, l’exposition répétée à ces substances peut provoquer certains symptômes qui peuvent survenir à chaque utilisation et s’intensifier avec une utilisation répétée.

    Source : Santé Canada. (2016, 10 mai). Santé Canada informe les Canadiens des risques liés à certains agents de conservation utilisés dans des cosmétiques, des médicaments en vente libre et des produits de santé naturels. Canadiens en santé. Repéré à http://canadiensensante.gc.ca/recall-alert-rappel-avis/hc-sc/2016/58290a-fra.php

  • Le cancer du sein constitue un problème majeur de santé publique et chaque année dans le monde, surviennent 1,7 million de nouveaux cas et 500 000 décès. Certaines expositions professionnelles ont été incriminées dans le cancer du sein à savoir les rayonnements ionisants, le travail de nuit, les perturbateurs endocriniens. D’autres facteurs de risque liés au travail sont suspectés mais sans lien avéré : les médicaments antinéoplasiques des groupes 1A et 2A, les champs électromagnétiques d’extrême basse fréquence, l’oxyde d’éthylène, etc. Source : Facteurs de risques professionnels du cancer du sein. (2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Facteurs-de-risques-professionnels,5164.html

  • Staphylococcus aureus is known to form a biofilm and colonize on damaged skin of the hands. We investigated changes in the quantity of S aureus on the hands and changes in skin damage when using a hand-cleansing formulation with potassium oleate but without a sanitizer (formulation A), which is highly effective in removing S aureus biofilm and causes minimal skin damage.

    Source : Asaoka, Kentaro, Endo, Shiro, Suzuki, Yuki, Komuro, Satoru, Nemoto, Tadanobu, & Kaku, Mitsuo. (2016). AJIC : American Journal of Infection Control. DOI: http://dx.doi.org/10.1016/j.ajic.2016.02.037

  • Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most commonly phenolics, quaternary ammonium compounds, improved hydrogen peroxides, and hypochlorites. Concern has been raised that the use of germicides by health care personnel may increase the risk of these persons for developing respiratory illnesses (principally asthma) and contact dermatitis. The data demonstrate that dermatitis and respiratory symptoms (eg, asthma) as a result of chemical exposures, including low-level disinfectants, are exceedingly rare. Unprotected exposures to high-level disinfectants may cause dermatitis and respiratory symptoms. Engineering controls (eg, closed containers, adequate ventilation) and the use of personal protective equipment (eg, gloves) should be used to minimize exposure to high-level disinfectants. The scientific evidence does not support that the use of low-level disinfectants by health care personnel is an important risk for the development of asthma or contact dermatitis.

    Source : Weber, David J., Consoli, Stephanie A., & Rutala, William A. (2016). AJIC : American Journal of Infection Control, 44 (5), suppl.) e85-e89. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.030

  • PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

  • Health behaviors, including physical activity (PA), of registered nurses (RNs) and medical assistants (MAs) are suboptimal but may improve with worksite programs. Using a repeated-measures crossover design, the authors explored if integrating a 6-month worksite non-exercise activity thermogenesis (NEAT) intervention, with and without personalized health coaching via text messaging into workflow could positively affect sedentary time, PA, and body composition of nursing staff without jeopardizing work productivity.

    Source : Tucker, Sharon, Farrington, Michele, Lanningham-Foster, Lorraine M., Clark, M. Kathleen, Dawson, Cindy, Quinn, Geralyn J., Laffoon, Trudy, & Perkhounkova, Yelena. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916633225

  • This article reviews the effectiveness of physical activity (PA) interventions at the workplace to reduce musculoskeletal pain among employees and assesses the effect size of these programs using meta-analysis. Four databases (i.e., PubMed, EBSCO, Web of Science, and Cochrane) were searched for research trials, which included comparison groups of employees that assessed PA programs, musculoskeletal pain, and health-related behaviors, published between January 1990 and March 2013.

    Source : Moreira-Silva, Isabel, Teixeira, Pedro M., Santos, Rute, Abreu, Sandra, Moreira, Carlos, & Mota, Jorge. (2016). Workplace Health & Safety, 64(5), 210-222. doi: 10.1177/2165079916629688

  • PROTECTION RESPIRATOIRE

  • Current regulations require annual fit testing before an employee can wear a respirator during work activities. The goal of this research is to determine whether respirator fit measured with two TSI Portacount instruments simultaneously sampling ambient particle concentrations inside and outside of the respirator facepiece is similar to fit measured during an ambient aerosol condensation nuclei counter quantitative fit test.

    Source : Sietsema, Margaret, & Brosseau, Lisa M. (2016). Journal of Occupational and Environmental Hygiene, 13(8), 621-627. DOI: 10.1080/15459624.2016.1159690

  • Effective use of personal protective equipment (PPE) is essential to protect personnel and patients in health care settings. However, in a survey of 222 health care personnel, PPE training was often suboptimal with no requirement for demonstration of proficiency. Fourteen percent of physicians reported no previous training in use of PPE.

    Source : John, Amrita, Tomas, Myreen E., Cadnum, Jennifer L., Mana, Thriveen S.C., Jencson, Annette, Shaikh, Aaron, … Donskey, Curtis J. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.03.031

  • Influenza is a significant problem within hospitals, leading to extended hospital stays, excess morbidity and mortality, and economic loss. Prevention and control strategies are generally "bundled"; therefore, the individual effects of particular strategies and the value of combined strategies cannot be determined directly, making it difficult to discern the optimal strategy. To quantify the individual and joint effectiveness of several known influenza infection control measures used in general hospitals, the authors simulated influenza transmission at a hypothetical hospital in Ann Arbor, Michigan, during a 1-year seasonal epidemic (June 2012-June 2013), using a susceptible-exposed-infected-recovered (SEIR) compartmental model.

    Source : Blanco, Natalia, Eisenberg, Marisa C., Stillwell, Terri, & Foxman, Betsy. (2016). American Journal of Epidemiology. Prépublication. doi: 10.1093/aje/kwv293

  • Surgical smoke generated during electrocautery contains toxins which may cause adverse health effects to operating room (OR) personnel. The objective of this study was to investigate the performance of surgical masks (SMs), which are routinely used in ORs, more efficient N95 surgical mask respirator (SMRs) and N100 filtering facepiece respirator (FFRs), against surgical smoke. The results showed that SMs do not provide measurable protection against surgical smoke. SMRs offer considerably improved protection versus SMs, while the N100 FFRs showed significant improvement over the SMRs.

    Source : Gao, Shuang, Koehler, Richard H., Yermakov, Michael, & Grinshpun, Sergey A. (2016). The Annals of Occupational Hygiene, 60(5), 608-618. doi: 10.1093/annhyg/mew006

  • QUALITÉ DE L’AIR

  • Standardization is essential to fostering the use of harmonized methods for exposure assessment in occupational hygiene nationally and internationally. A standardized method for sampling and analysis provides data of known quality and reliability through the assurance of acceptable accuracy or uncertainty, which can then be compared to results collected at other times or in other places. Consensus standards can be used by regulatory agencies or advisory bodies to determine compliance with occupational exposure limit values. In addition, harmonized methods can be employed to generate high-quality databases of exposure results that can be used for other purposes such as epidemiological studies. 

    Source : Lee, Eun Gyung, Ashley, Kevin, Breuer, Dietmar, Brisson, Michael J., Harper, Martin, & Thom, Christian. (2016). Journal of Occupational and Environmental Hygiene, 13(7), D111-D117. DOI:10.1080/15459624.2016.1163710

  • RÉTENTION DU PERSONNEL

  • The emotion of feeling cared for drives health-promoting behaviours. Feeling cared for is the end-product of caring, affecting practice, environment and outcomes. Identifying behaviours that lead to feeling cared for is the first step in promoting caring practices in leadership. The purpose of this study was to explore the emotion of feeling cared for in the workplace. The results showed that unit culture and leadership style affect caring capacity in the workplace. First level coding revealed two caring behaviour categories: recognition and support. Themes emerged aligned to Chapman’s model of workplace appreciation: words of affirmation, receiving gifts, quality time and acts of service. The importance of being treated as a whole person was reported: being appreciated personally and professionally. Feeling cared for drives outcomes such as feeling valued, important, teamwork and organisational loyalty.

    Source : Baggett, Margarita, Giambattista, Laura, Lobbestael, Linda, Pfeiffer, Judith, Madani, Catherina, Modir, Royya, Zamora-Flyr, Maria Magdalena, & Davidson, Judy E. (2016). Journal of Nursing Management. DOI: 10.1111/jonm.12388

  • RETOUR AU TRAVAIL

  • La réussite d’un traitement thérapeutique repose en grande partie sur la relation de confiance qui s’établit entre le clinicien et le patient, laquelle est grandement favorisée s’ils partagent un objectif commun et la même opinion sur la façon d’y parvenir.Si le patient est un travailleur souffrant d’un trouble musculosquelettique (TMS) persistant qui l’empêche de retourner en emploi, la situation peut se compliquer du fait que d’autres acteurs clés jouent un rôle dans sa démarche de réadaptation, soit son employeur, son syndicat et son assureur. Il s’agit d’un enjeu de taille. 

    Source : Thivierge, Claire. (2016, Été).  Prévention au travail, 29(2), 17-20. Repéré à http://preventionautravail.com/recherche/331-prise-de-decision-partagee-en-readaptation-la-clef-pour-favoriser-le-deroulement-optimal-du-processus.html

  • SÉCURITÉ DES MACHINES

  • Le cadenassage est une méthode de travail qui permet d’augmenter le niveau de sécurité. Toutefois, le cadenassage n’est pas qu’une simple procédure. Au sens large, il réfère plutôt à un programme de cadenassage qui inclut des procédures et des fiches. Un programme doit comprendre tous les éléments qui entourent l’application du cadenassage. Un programme est bien plus qu’une procédure. Vous trouverez dans ce guide de l’information, des exemples et des modèles de documents qui vous aideront à bâtir votre programme de cadenassage, étape par étape.

    Source :  Ross, Marie-Josée. (2016). Réussir l’implantation d’un programme de cadenassage : Guide. (2e éd.). Longueuil : MultiPrévention, 25 p. Repéré à http://multiprevention.org/wp-content/uploads/2016/03/multiprevention-guide-cadenassage-2e-edition.pdf

  • SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • Health behaviors, including physical activity (PA), of registered nurses (RNs) and medical assistants (MAs) are suboptimal but may improve with worksite programs. Using a repeated-measures crossover design, the authors explored if integrating a 6-month worksite non-exercise activity thermogenesis (NEAT) intervention, with and without personalized health coaching via text messaging into workflow could positively affect sedentary time, PA, and body composition of nursing staff without jeopardizing work productivity.

    Source : Tucker, Sharon, Farrington, Michele, Lanningham-Foster, Lorraine M., Clark, M. Kathleen, Dawson, Cindy, Quinn, Geralyn J., Laffoon, Trudy, & Perkhounkova, Yelena. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916633225

  • The emotion of feeling cared for drives health-promoting behaviours. Feeling cared for is the end-product of caring, affecting practice, environment and outcomes. Identifying behaviours that lead to feeling cared for is the first step in promoting caring practices in leadership. The purpose of this study was to explore the emotion of feeling cared for in the workplace. The results showed that unit culture and leadership style affect caring capacity in the workplace. First level coding revealed two caring behaviour categories: recognition and support. Themes emerged aligned to Chapman’s model of workplace appreciation: words of affirmation, receiving gifts, quality time and acts of service. The importance of being treated as a whole person was reported: being appreciated personally and professionally. Feeling cared for drives outcomes such as feeling valued, important, teamwork and organisational loyalty.

    Source : Baggett, Margarita, Giambattista, Laura, Lobbestael, Linda, Pfeiffer, Judith, Madani, Catherina, Modir, Royya, Zamora-Flyr, Maria Magdalena, & Davidson, Judy E. (2016). Journal of Nursing Management. DOI: 10.1111/jonm.12388

  • This article reviews the effectiveness of physical activity (PA) interventions at the workplace to reduce musculoskeletal pain among employees and assesses the effect size of these programs using meta-analysis. Four databases (i.e., PubMed, EBSCO, Web of Science, and Cochrane) were searched for research trials, which included comparison groups of employees that assessed PA programs, musculoskeletal pain, and health-related behaviors, published between January 1990 and March 2013.

    Source : Moreira-Silva, Isabel, Teixeira, Pedro M., Santos, Rute, Abreu, Sandra, Moreira, Carlos, & Mota, Jorge. (2016). Workplace Health & Safety, 64(5), 210-222. doi: 10.1177/2165079916629688

  • En 2006, un hôpital universitaire au Québec a décidé d’implanter le projet Hôpital promoteur de santé (HPS). Une étude a été menée sur le contexte interne d’implantation du projet, et plus particulièrement d’une des dimensions du projet, « le milieu de travail promoteur de santé ». La compatibilité étant un des facteurs importants et peu étudié du contexte interne, l’objectif de cet article est d’examiner s’il existe au Centre Hospitalier Universitaire (CHU) des pratiques organisationnelles compatibles avec celles de ce sous-projet dans le milieu de travail des infirmières.

    Source : Bilterys, Robert, & Dedobbeleer, Nicole. (2016). Santé Publique, 28(1), 49-59. Repéré à http://www.cairn.info/article.php?ID_ARTICLE=SPUB_161_0049

  • This study examines the relationships between the workplace culture of health (CoH), job satisfaction, and turnover intention. We also examined the moderating effect of job classification. The results showed that a workplace CoH is related to job satisfaction and intention to leave. Supporting health at the workplace has implications beyond health that benefit both employees and the organization.

    Source : Kwon, Youngbum, & Marzec, Mary L. (2016). JOEM : Journal of Occupational & Environmental Medicine, 58(5), 448-454. doi: 10.1097/JOM.0000000000000724

  • SANTÉ PSYCHOLOGIQUE

  • Dans les années 1970, la psychologie était surtout centrée sur une approche curative. Or, au Psychological Fitness Center de Los Angeles, des spécialistes califroniens cherchaient déjà à développer une approche préventive de la psychologie, comme on le faisait dans le domaine de la santé physique. Voyons comment cela s’applique aujourd’hui.

    Source : Delisle, Lise. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 33-35..

  • The emotion of feeling cared for drives health-promoting behaviours. Feeling cared for is the end-product of caring, affecting practice, environment and outcomes. Identifying behaviours that lead to feeling cared for is the first step in promoting caring practices in leadership. The purpose of this study was to explore the emotion of feeling cared for in the workplace. The results showed that unit culture and leadership style affect caring capacity in the workplace. First level coding revealed two caring behaviour categories: recognition and support. Themes emerged aligned to Chapman’s model of workplace appreciation: words of affirmation, receiving gifts, quality time and acts of service. The importance of being treated as a whole person was reported: being appreciated personally and professionally. Feeling cared for drives outcomes such as feeling valued, important, teamwork and organisational loyalty.

    Source : Baggett, Margarita, Giambattista, Laura, Lobbestael, Linda, Pfeiffer, Judith, Madani, Catherina, Modir, Royya, Zamora-Flyr, Maria Magdalena, & Davidson, Judy E. (2016). Journal of Nursing Management. DOI: 10.1111/jonm.12388

  • To adequately perform amid high patient acuity and in today’s fast paced healthcare environment, nurses must be attentive and react quickly and appropriately with clear judgment and reasoning-abilities that can be greatly impaired by fatigue. Nursing leaders are instrumental in systematically addressing work-related fatigue and implementing processes designed to prevent fatigue and overwork; however, baseline measures are necessary if the efficacy of these initiatives is to be assessed. This article describes the profound impact of fatigue and the process by which 1 academic medical center assessed fatigue levels, and associated factors, among nursing personnel in their effort to develop a comprehensive fatigue management program.

    Source : Blouin, Ann Scott, Smith-Miller, Cheryl A., Harden, Jacqueline. (2016). JONA : Journal of Nursing Administration, 46(6), 329-335. doi: 10.1097/NNA.0000000000000353

  • Des milliers d’infirmières et d’infirmiers font des heures supplémentaires volontaires et obligatoires jour après jour. Et, sur le terrain, le personnel est parfois à bout de souffle. Les chiffres parlent d’eux-mêmes. Au cours des trois dernières années, près de 83 % des infirmières québécoises ont fait des heures supplémentaires. Cela représente, pour 2014-2015 seulement, près de 4,5 millions d’heures facturées. Selon le ministère de la Santé et des Services sociaux, le nombre d’heures supplémentaires est toutefois en diminution depuis les dernières années et le nombre d’infirmières, toutes catégories confondues, est en augmentation.

    Source : Ouimet, Louis-Philippe. (2016, 22 mai). Ici radio-canada.ca. Repéré à http://ici.radio-canada.ca/nouvelles/societe/2016/05/22/001-heures-supplementaires-infirmieres-quebec.shtml?p=642347

  • The sustained stress of caring for the extremely ill, meeting overwhelming patient and family needs, and managing workplace productivity, staffing, and satisfaction concerns, was simply what came with the job. Nursing school did not prepare us for the relentless stress of catastrophic life events and sustained physical extremes, but it did emphasize that ours is a profession of empathy and caring. Through it all, a nurse is empathetic, supportive, and giving, with a well-defined professional relationship established, which, in theory, protects all parties. The truth is, as we know, often very different. Our skills can be our own undoing, as nurses may neglect their own self-care when focusing on the needs of patients.

    Source : Matey, Laurl. (2016, May 3). ONS Connect. Spotlight on safety. Repéré à http://connect.ons.org/issue/may-2016/spotlight-on-safety/compassion-fatigue-is-a-safety-concern

  • On entend souvent qu’un travailleur passe plus de temps avec ses collègues qu’avec sa famille. Qu’en est-il réellement ? Combien de temps les Québécois passent-ils au travail annuellement, et combien leur en reste-t-il pour leur vie personnelle ?

    Source : Travail vs vie personnelle : l’heureux déséquilibre. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 12.

  • Que faire lorsqu’un employé s’absente pour cause de problèmes psychologiques en raison d’une situation qui a suffisamment dégénéré pour compromettre le climat de travail ? Comment gérer la suite lorsque cette personne doit réintégrer son milieu ?

    Source : Delisle, Lise. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 33-35.

  • On dit qu’il y a une quinzaine d’années, une entreprise vivait un grand changement tous les cinq ans environ. Aujourd’hui, un tel remue-ménage se produit à un rythme nettement plus soutenu au sein des organisations. Pas étonnant que cela ait un impact sur les travailleurs, allant même jusqu’à les déséquilibrer.

    Source : Bédard, Isabelle. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 30-32.

  • Les actions sur le stress au travail n’ont jamais été aussi nombreuses en entreprise. Pourtant, plusieurs études constatent, dans de nombreux pays, une augmentation du stress au travail, de la fatigue face aux changements et un manque important de reconnaissance au travail. Devant ce constat, une question essentielle se pose : faut-il soigner le stress comme une maladie de l’individu ou soigner le travail et l’entreprise? Les données récentes sont inquiétantes et démontrent que les efforts en prévention du stress ne sont pas à la hauteur de la gravité du problème.

    Source : Brun-Jean-Pierre. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 24-29. Repéré à http://www.portailrh.org/revuerh/volume19/numero2/fiche.aspx?f=110168

  • SERVICE D’ONCOLOGIE

  • The sustained stress of caring for the extremely ill, meeting overwhelming patient and family needs, and managing workplace productivity, staffing, and satisfaction concerns, was simply what came with the job. Nursing school did not prepare us for the relentless stress of catastrophic life events and sustained physical extremes, but it did emphasize that ours is a profession of empathy and caring. Through it all, a nurse is empathetic, supportive, and giving, with a well-defined professional relationship established, which, in theory, protects all parties. The truth is, as we know, often very different. Our skills can be our own undoing, as nurses may neglect their own self-care when focusing on the needs of patients.

    Source : Matey, Laurl. (2016, May 3). ONS Connect. Spotlight on safety. Repéré à http://connect.ons.org/issue/may-2016/spotlight-on-safety/compassion-fatigue-is-a-safety-concern

  • SERVICES À DOMICILE

  • Health behaviors, including physical activity (PA), of registered nurses (RNs) and medical assistants (MAs) are suboptimal but may improve with worksite programs. Using a repeated-measures crossover design, the authors explored if integrating a 6-month worksite non-exercise activity thermogenesis (NEAT) intervention, with and without personalized health coaching via text messaging into workflow could positively affect sedentary time, PA, and body composition of nursing staff without jeopardizing work productivity.

    Source : Tucker, Sharon, Farrington, Michele, Lanningham-Foster, Lorraine M., Clark, M. Kathleen, Dawson, Cindy, Quinn, Geralyn J., Laffoon, Trudy, & Perkhounkova, Yelena. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916633225

  • In recent years, safe patient handling in the health care industry has been addressed by various stakeholders, but much work remains to reduce health care worker injuries, and improve safety and care quality for patients. Recently, safe patient handling in ambulatory care settings has gained attention. As health care delivery evolves, demands on ambulatory care will increase and more dependent patients will visit ambulatory care clinics. Typically, ambulatory care clinics are not equipped with appropriate safe patient handling equipment. Examination tables, standard in ambulatory care clinics, currently have fixed height and are not easily accessible. This study investigated the benefits of introducing new height-adjustable examination tables to an ambulatory care setting. The results of this study indicate that by using height-adjustable examination tables, work-related musculoskeletal disorder (WMSD) risk for caregivers can be significantly reduced.

    Source : Fragala, Guy. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916642776

  • The older population is increasing worldwide. Currently, there is a shift in care for older people from institutional care to home care. Providing home care in a person’s home involves several challenges, including the complexity of communication. The aim of this study was to explore communicative challenges in encounters between nurse assistants and older persons during home care visits. A descriptive observational design with a qualitative approach was used.

    Source : Sundler, Annelie J., Eide, Hilde, van Dulmen, Sandra, & Holmström, Inger K. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12996

  • STATISTIQUES EN SST

  • On entend souvent qu’un travailleur passe plus de temps avec ses collègues qu’avec sa famille. Qu’en est-il réellement ? Combien de temps les Québécois passent-ils au travail annuellement, et combien leur en reste-t-il pour leur vie personnelle ?

    Source : Travail vs vie personnelle : l’heureux déséquilibre. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 12.

  • Les actions sur le stress au travail n’ont jamais été aussi nombreuses en entreprise. Pourtant, plusieurs études constatent, dans de nombreux pays, une augmentation du stress au travail, de la fatigue face aux changements et un manque important de reconnaissance au travail. Devant ce constat, une question essentielle se pose : faut-il soigner le stress comme une maladie de l’individu ou soigner le travail et l’entreprise? Les données récentes sont inquiétantes et démontrent que les efforts en prévention du stress ne sont pas à la hauteur de la gravité du problème.

    Source : Brun-Jean-Pierre. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 24-29. Repéré à http://www.portailrh.org/revuerh/volume19/numero2/fiche.aspx?f=110168

  • TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

  • Messagerie électronique, téléphone portable, réseaux sociaux…. Les technologies de l’information et de la communication (TIC) envahissent notre quotidien, y compris notre environnement de travail. A l’occasion de la Journée mondiale des télécommunications et de la société de l’information le 17 mai, le point sur les impacts de ces technologies sur la santé des salariés. Peu d’études montrent les effets réels de ces technologies en termes de santé et sécurité au travail. Néanmoins, certains risques ont été identifiés, comme des risques psychosociaux ou des troubles musculosquelettiques. De plus, ces technologies accroissent le risque routier ou lié à la conduite de machines dangereuses. Elles peuvent aussi faire apparaître un phénomène de dépendance.

    Source : TIC au travail : quel impact ? Des risques à prendre en compte. INRS. Actualités. Repéré à http://www.inrs.fr/actualites/technologies-information-communication.html

  • TRAVAIL DE BUREAU

  • Many office employees are spending up to 90% of their workday seated, and employers are considering stand-capable desks as a way to increase physical activity throughout the day. When deciding on adoption of stand-capable workstations, a major concern for employers is that the benefits, over time, may not offset the initial cost of implementation. This study compared objective measures of productivity over time between a group of stand-capable desk users and a seated control group in a call center. Comparison analysis was completed for continuous six-month secondary data for 167 employees, across two job categories.

    Source : Garrett, Gregory, Benden, Mark, Mehta, Ranjana, Pickens, Adam, Peres, Camille, & Zhao, Hongwei. (2016). IIE Transactions on Occupational Ergonomics and Human Factors. Prépublication. Repéré à http://www.tandfonline.com/eprint/km4nB428SqEGEqw7Bwjz/full

  • New research from the Texas A&M Health Science Center School of Public Health indicates that standing desks may boost worker productivity, in addition to previously known benefits including helping burn more calories and fight obesity. The researchers examined the productivity differences between two groups of call center employees over the course of six months and found that those with stand-capable workstations, those in which the worker could raise or lower the desk to stand or sit as they wished throughout the day, were about 46 percent more productive than those with traditional, seated desk configurations. Based on work related to this study in a previous publication, workers in the stand-capable desks sat for about 1.6 hours less per day than the seated desk workers.

    Source : Smith, Sandy. (2016, May 27). Texas A&M: No Sitting Down on the Job ! Research shows a 46 percent increase in workplace productivity with the use of standing desks. EHS Today. Health. Repéré à http://ehstoday.com/health/texas-am-no-sitting-down-job

  • Open-plan offices account for 60% of French office workspaces. The noise levels recorded in this type of environment are much lower than those encountered in industrial workplaces. Nevertheless, surveys show that noise is considered by employees as the main source of discomfort. A first questionnaire dedicated to noise discomfort was produced in 2013 and tested on a panel made up of 217 people working in 7 French companies. Today, it also makes it possible to address the issues of fatigue related to ambient sound, but above all, the survey aims to study the differences in how ambient noise is perceived depending on the type of open-plan office. On the basis of that new version, a second survey has been conducted in 23 open-plan offices, making it possible to collect the responses from 617 employees.

    Source : Perrin Jegen, N., & Chevret, P. (2016). Ergonomics. DOI:10.1080/00140139.2016.1172737

  • Prolonged sitting time has been associated with adverse health outcomes. Interventions at work may contribute to reduced sitting. The objective was to test if a multicomponent work-based intervention can reduce sitting time and the number of prolonged sitting periods (> 30 min), increase the number of sit-to-stand transitions and decrease waist circumference and body fat percentage among office workers. Primary outcomes were: change in sitting time, prolonged sitting periods and sit-to-stand transitions at follow-up 1 month later.

    Source : Danquah, I.H., Kloster, S., Holtermann, A., Aadahl, M., Bauman, A., Ersbøll, A.K., & Tolstrup, J.S. (2016). International Journal of Epidemiology. Prépublication. doi: 10.1093/ije/dyw009

  • Les Canadiens passent plus de temps en position assise au travail occupant des postes à faible niveau d’activité. Les personnes qui demeurent assises pendant de longues périodes de travail sont plus susceptibles de se blesser et sont exposées à divers effets nocifs pour la santé, allant des crampes, douleurs et fatigue musculaires, jusqu’au diabète et problèmes cardiaques. Une bonne position assise au travail peut être privilégiée en faisant des efforts dans les domaines suivants : aménagement du milieu de travail, conception des tâches et formation. Les employeurs peuvent aussi aider considérablement en créant des occasions d’activités physiques régulières tout au long de la journée et en faisant de ces activités une partie intégrante de chaque journée de travail.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). Assis au travail. [S.l.] : CCHST, 1 infographique. Repéré à http://images.cchst.ca/products/infographics/download/Sitting_at_Work.png

  • Ce n’est plus un secret pour personne, l’être humain est de plus en plus sédentaire. La communauté scientifique avance que les individus occidentaux passent en moyenne plus de 50% de leur journée en position assise. Loin d’étonner, cette statistique est pourtant des plus préoccupantes. Quelle part de responsabilité le travail doit il prendre ? RH pose un regard sur ce nouveau phénomène de société.

    Source : La chaise, ennemie no 1 des travailleurs. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 7.

  • TRAVAIL EN HAUTEUR

  • Does anyone have an easy way to remember the angle to place the ladder ? What do you all do to make sure people use ladders safely ? In this toolbox talk guide, there are some ways we can prevent falls from ladder. 

    Source : Oregon Health & Science University. Oregon Fatality Assessment and Control Evaluation (OR-FACE). Repéré à http://www.ohsu.edu/xd/research/centers-institutes/oregon-institute-occupational-health-sciences/outreach/or-face/publications/upload/2005-01-Fall-from-ladder-that-slipped.pdf

  • Les chutes de hauteur sont encore aujourd’hui une des causes majeures d’accidents du travail. Trop souvent, les travailleurs ne s’attachent pas, faute de point d’ancrage disponible, ou parce qu’ils trouvent que les points d’attache fixes restreignent trop leurs mouvements. Cette restriction peut toutefois être levée grâce aux systèmes de corde d’assurance horizontale (SCAH). Le présent rapport constitue la mise à jour du guide technique T-18 publié en 1991 et rend ce dernier caduc. Cette mise à jour était devenue nécessaire à la suite de l’introduction, en 2001, au Code de sécurité pour les travaux de construction (CSTC), de l’obligation d’équiper les cordons d’assujettissement d’un absorbeur d’énergie. De plus, puisque les ancrages des SCAH sont généralement flexibles, plutôt que rigides (une colonne structurale est un exemple d’ancrage rigide), il nous est apparu important d’en tenir compte dans la présente mise à jour.

    Source : Galy, Bertrand, & Lan, André. (2016). Montréal : Institut de recherche Robert-Sauvé en santé et en sécurité du travail, xi, 77 p. (Études et recherches; rapport R-902). Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-902.html

  • Les systèmes de corde d’assurance horizontale (SCAH) sont un moyen peu coûteux et efficace de protéger les travailleurs contre les chutes de hauteur. Cependant, leur conception pose un problème complexe en raison de la nature dynamique de la charge et des non-linéarités du câble. Destiné autant aux ingénieurs en conception de systèmes actifs de protection contre les chutes qu’aux préventeurs voulant vérifier la conformité d’un système en place, l’IRSST a développé un nouvel outil qui permet le dimensionnement des systèmes de corde d’assurance horizontale (SCAH), aussi appelés systèmes d’ancrage continu flexible ou ligne de vie. Intégrant les abaques élaborés lors de la mise à jour du guide et l’ensemble des paramètres de conception du SCAH, il permet de façon simple de calculer la tension dans le câble, sa flèche lors de l’arrêt d’une chute, ainsi que le dégagement nécessaire par rapport au câble.

    Source : Institut de recherche Robert-Sauvé en santé et en sécurité du travail. (2016, 28 avril). IRSST. Actualités. Repéré à http://www.irsst.qc.ca/scah

  • TRAVAIL SÉDENTAIRE

  • Many office employees are spending up to 90% of their workday seated, and employers are considering stand-capable desks as a way to increase physical activity throughout the day. When deciding on adoption of stand-capable workstations, a major concern for employers is that the benefits, over time, may not offset the initial cost of implementation. This study compared objective measures of productivity over time between a group of stand-capable desk users and a seated control group in a call center. Comparison analysis was completed for continuous six-month secondary data for 167 employees, across two job categories.

    Source : Garrett, Gregory, Benden, Mark, Mehta, Ranjana, Pickens, Adam, Peres, Camille, & Zhao, Hongwei. (2016). IIE Transactions on Occupational Ergonomics and Human Factors. Prépublication. Repéré à http://www.tandfonline.com/eprint/km4nB428SqEGEqw7Bwjz/full

  • New research from the Texas A&M Health Science Center School of Public Health indicates that standing desks may boost worker productivity, in addition to previously known benefits including helping burn more calories and fight obesity. The researchers examined the productivity differences between two groups of call center employees over the course of six months and found that those with stand-capable workstations, those in which the worker could raise or lower the desk to stand or sit as they wished throughout the day, were about 46 percent more productive than those with traditional, seated desk configurations. Based on work related to this study in a previous publication, workers in the stand-capable desks sat for about 1.6 hours less per day than the seated desk workers.

    Source : Smith, Sandy. (2016, May 27). Texas A&M: No Sitting Down on the Job ! Research shows a 46 percent increase in workplace productivity with the use of standing desks. EHS Today. Health. Repéré à http://ehstoday.com/health/texas-am-no-sitting-down-job

  • Prolonged sitting time has been associated with adverse health outcomes. Interventions at work may contribute to reduced sitting. The objective was to test if a multicomponent work-based intervention can reduce sitting time and the number of prolonged sitting periods (> 30 min), increase the number of sit-to-stand transitions and decrease waist circumference and body fat percentage among office workers. Primary outcomes were: change in sitting time, prolonged sitting periods and sit-to-stand transitions at follow-up 1 month later.

    Source : Danquah, I.H., Kloster, S., Holtermann, A., Aadahl, M., Bauman, A., Ersbøll, A.K., & Tolstrup, J.S. (2016). International Journal of Epidemiology. Prépublication. doi: 10.1093/ije/dyw009

  • Les Canadiens passent plus de temps en position assise au travail occupant des postes à faible niveau d’activité. Les personnes qui demeurent assises pendant de longues périodes de travail sont plus susceptibles de se blesser et sont exposées à divers effets nocifs pour la santé, allant des crampes, douleurs et fatigue musculaires, jusqu’au diabète et problèmes cardiaques. Une bonne position assise au travail peut être privilégiée en faisant des efforts dans les domaines suivants : aménagement du milieu de travail, conception des tâches et formation. Les employeurs peuvent aussi aider considérablement en créant des occasions d’activités physiques régulières tout au long de la journée et en faisant de ces activités une partie intégrante de chaque journée de travail.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). Assis au travail. [S.l.] : CCHST, 1 infographique. Repéré à http://images.cchst.ca/products/infographics/download/Sitting_at_Work.png

  • Ce n’est plus un secret pour personne, l’être humain est de plus en plus sédentaire. La communauté scientifique avance que les individus occidentaux passent en moyenne plus de 50% de leur journée en position assise. Loin d’étonner, cette statistique est pourtant des plus préoccupantes. Quelle part de responsabilité le travail doit il prendre ? RH pose un regard sur ce nouveau phénomène de société.

    Source : La chaise, ennemie no 1 des travailleurs. (2016, Avril-mai). RH le magazine des CRHA et CRIA, 19(2), 7.

  • TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • The aim of this study was to determine the impact of a demanding work schedule involving long, cumulative work shifts on response time and balance-related performance outcomes and to evaluate the prevalence of musculoskeletal disorders between day and night shift working nurses.

    Source : Thompson, Brennan, Stock, Matt, Banuelas, Victoria, & Akalonu, Chibuzo. (2016). JOEM : Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000766

  • The Kinaesthetics care conception is a nursing approach for patient handling which aims to prevent work-related complaints and diseases. The evidence about the influence of Kinaesthetics on musculoskeletal disorders among persons who handle patients is unclear to date. The purposes of the scoping review are to gain insight into the current state of research regarding the clinical effectiveness of Kinaesthetics (in terms of perceived exertion and musculoskeletal complaints) among persons who handle patients and to identify potential research gaps. A scoping review was conducted. 

    Source : Freiberg, Alice, Girbig, Maria, Euler, Ulrike, Scharfe, Julia, Nienhaus, Albert, Freitag, Sonja, & Seidler, Andreas. (2016). Journal of Occupational Medicine and Toxicology. Prépublication. DOI: 10.1186/s12995-016-0113-x

  • This article reviews the effectiveness of physical activity (PA) interventions at the workplace to reduce musculoskeletal pain among employees and assesses the effect size of these programs using meta-analysis. Four databases (i.e., PubMed, EBSCO, Web of Science, and Cochrane) were searched for research trials, which included comparison groups of employees that assessed PA programs, musculoskeletal pain, and health-related behaviors, published between January 1990 and March 2013.

    Source : Moreira-Silva, Isabel, Teixeira, Pedro M., Santos, Rute, Abreu, Sandra, Moreira, Carlos, & Mota, Jorge. (2016). Workplace Health & Safety, 64(5), 210-222. doi: 10.1177/2165079916629688

  • VACCINATION DU PERSONNEL

  • The aim of this study was to understand online public perceptions of the debate surrounding the choice of annual influenza vaccinations or wearing masks as a condition of employment for healthcare workers, such as the one enacted in British Columbia in August 2012. Four national and 82 local (British Columbia) Canadian online news sites were searched for articles posted between August 2012 and May 2013.

    Source : Lei, Yang, Pereira, Jennifer A., Quach, Susan, Bettinger, Julie A., Kwong, Jeffrey C., Corace, Kimberley, Garber, Gary, Feinberg, Yael, & Guay, Maryse. (2015). PLoS One, 10(6). Repéré à http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4473076/pdf/pone.0129993.pdf

  • Influenza is a significant problem within hospitals, leading to extended hospital stays, excess morbidity and mortality, and economic loss. Prevention and control strategies are generally "bundled"; therefore, the individual effects of particular strategies and the value of combined strategies cannot be determined directly, making it difficult to discern the optimal strategy. To quantify the individual and joint effectiveness of several known influenza infection control measures used in general hospitals, the authors simulated influenza transmission at a hypothetical hospital in Ann Arbor, Michigan, during a 1-year seasonal epidemic (June 2012-June 2013), using a susceptible-exposed-infected-recovered (SEIR) compartmental model.

    Source : Blanco, Natalia, Eisenberg, Marisa C., Stillwell, Terri, & Foxman, Betsy. (2016). American Journal of Epidemiology. Prépublication. doi: 10.1093/aje/kwv293

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