COIN DE LA DOCUMENTALISTE – NOVEMBRE 2016

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ADMINISTRATION DE LA SANTÉ

  • Conclusions about implementing the management concept lean in healthcare are contradictory and longitudinal studies are scarce. In particular, little is known of how working conditions contribute to the sustainability of lean in healthcare. The aim of this article is to identify to what extent lean tools (visual follow-up boards, standardised work, 5S [housekeeping], and value stream mapping [VSM]) promote working conditions for employees and managers in healthcare organisations (outcomes: engagement in development, job satisfaction and exhaustion), while considering the context (i.e., job resources and job demands) and aspects of the implementation process. A longitudinal quantitative study was conducted that involved employees and managers in two hospitals and one municipality.

    Source : Lindskog, Pernilla, Hemphälä, Jens, Eklund, Jörgen, & Eriksson, Andrea. (2016). Journal of Hospital Administration, 5(5), 91-105. DOI: 10.5430/jha.v5n5p91

  • Cet erratum réfère à l’article suivant référencé dans le Coin de la documentaliste du mois d’avril 2016:

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

    Source : Effects of organizational context on Lean implementation in five hospital systems: Erratum (2016). Health Care Management Review, 41(4), 343. doi: 10.1097/HMR.0000000000000127

AMÉNAGEMENT – ARCHITECTURE

  • La chose semble si évidente, le lien si fort, qu’il paraît inutile de se questionner à ce propos. Si, d’instinct, nous concevons aisément que la présence de végétaux dans le lieu de travail ne peut qu’être positive, la perception rejoint-elle la réalité à ce chapitre? De prime abord, on doit signaler que la relation entre la présence de plantes vertes et certains éléments reliés à la productivité des employés (absentéisme, climat de travail, stress, etc.) a déjà fait l’objet de nombreuses études par le passé. Toutefois, comme le font valoir Tina Bringslimark, Terry Hartig et Grete Grindal Patil, la très grande majorité de ces dernières ont été réalisées dans des environnements contrôlés. On peut donc s’interroger à juste titre sur la représentativité de ces études. Qu’en est-il dans la réalité des quatre murs de nos bureaux?

    Source : Normandin, François. (3 octobre 2016). Dans la jungle de nos bureaux. [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/decouvrir/dans-la-jungle-de-nos-bureaux/?utm_source=wysija&utm_medium=email&utm_campaign=dans_gestion_cette_semaine

  • Récemment, les membres du Comité sur les infections nosocomiales du Québec (CINQ) étaient interpellés au sujet de la décision de gestionnaires de certains établissements de soins d’installer une toilette directement dans l’espace d’une chambre de soins intensifs. De plus, aucun mur ou écran protecteur n’étaient prévus autour de la cuvette. La question précise adressée au CINQ était : « Quels sont les risques infectieux reliés à l’aménagement d’une cuvette (de toilette) à l’intérieur d’une chambre de soins intensifs de niveau 1? ».

    Source : Comité sur les infections nosocomiales du Québec. (2016). [Montréal]. Institut national de santé publique du Québec, 3, [1] p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2178_installation_cuvette_chambre_soins_intensifs.pdf

APPROCHE LEAN

  • Conclusions about implementing the management concept lean in healthcare are contradictory and longitudinal studies are scarce. In particular, little is known of how working conditions contribute to the sustainability of lean in healthcare. The aim of this article is to identify to what extent lean tools (visual follow-up boards, standardised work, 5S [housekeeping], and value stream mapping [VSM]) promote working conditions for employees and managers in healthcare organisations (outcomes: engagement in development, job satisfaction and exhaustion), while considering the context (i.e., job resources and job demands) and aspects of the implementation process. A longitudinal quantitative study was conducted that involved employees and managers in two hospitals and one municipality.

    Source : Lindskog, Pernilla, Hemphälä, Jens, Eklund, Jörgen, & Eriksson, Andrea. (2016). Journal of Hospital Administration, 5(5), 91-105. DOI: 10.5430/jha.v5n5p91

  • Cet erratum réfère à l’article suivant référencé dans le Coin de la documentaliste du mois d’avril 2016:

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

Source : Effects of organizational context on Lean implementation in five hospital systems: Erratum (2016). Health Care Management Review, 41(4), 343. doi: 10.1097/HMR.0000000000000127

BLOC OPÉRATOIRE – CHIRURGIE

  • In the name of patient safety, we have heard calls for « bare below the elbows » care in hospital wards, and now the American College of Surgeons (ACS) is strongly urging surgical workers to drop the common practice of wearing scrubs in public. « Many different healthcare providers — surgeons, anesthesiologists, CRNAs, laboratory technicians, aides — wear scrubs in the OR setting, » the ACS stated in a recently issued policy. « The ACS strongly suggests that scrubs should not be worn outside the perimeter of the hospital by any healthcare provider. To facilitate enforcement of this guideline for OR personnel, the ACS suggests the adoption of distinctive, colored scrub suits for the operating room personnel. »

    Source : Surgical Group Calls for No Scrubs Beyond the Hospital. (November 2016). Hospital Employee Health, 35(11), 130-131. Repéré à https://www.ahcmedia.com/articles/138851

BUANDERIE

  • Enterococcus spp. are a normal part of the gastrointestinal tract of humans and animals. They are also important pathogens, being responsible for 14% of US nosocomial infections from 2007-10. The aim of this study was to examine a laundry facility that processes clinical linens for the presence and seasonality of vancomycin resistant Enterococcus spp. The findings showed that multidrug resistant VRE isolates was significantly higher (53% vs 8%) in dirty vs clean areas within the facility.

    Source : Michael, Karen E., No, David, & Roberts, Marilyn C. (2016). Journal of Hospital Infection. Prépublication. DOI: http://dx.doi.org/10.1016/j.jhin.2016.10.017

CIVILITÉ EN MILIEU DE TRAVAIL

  • Incivility at work—low intensity deviant behaviors with an ambiguous intent to harm—has been on the rise, yielding negative consequences for employees’ well-being and companies’ bottom-lines. Although examinations of incivility have gained momentum in organizational research, theory and empirical tests involving dynamic, within-person processes associated with this negative interpersonal behavior are limited. Drawing from ego depletion theory, the authors test how experiencing incivility precipitates instigating incivility toward others at work via reduced self-control.

    Source : Rosen, Christopher C., Koopman, Joel, Gabriel, Allison S., & Johnson, Russell E. (2016). Journal of Applied Psychology. Prépublication. DOI: http://dx.doi.org/10.1037/apl0000140

  • Incivility has negative consequences in the workplace and remains a prevalent issue in nursing. Research has consistently linked incivility to nurse burnout and, in turn, to poor mental health and turnover intentions. To retain high-quality nurses, it is important to understand what factors might protect nurses from the negative effects of workplace mistreatment. The aim of the study was to investigate the role of relational occupational coping self-efficacy in protecting nurses from workplace incivility and related burnout and turnover intentions.

    Source : Fida, Roberta, Laschinger, Heather K. Spence, & Leiter, Michael P. (2016). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000126

  • Incivil behaviors at work—put-downs, sarcasm, and other condescending comments—tend to have a contagious effect, according to a new study by a management professor at the University of Arkansas and several colleagues. Incivil behaviors are less serious than openly hostile behavior such as bullying, harassment, and threats, but incivil behaviors are also more frequent in the workplace and have a significant effect on employees, the study found.

    Source : University of Arkansas. (October, 17 2016). In the Workplace, Incivility Begets Incivility, New Study Shows. [Billet de blogue]. Lab Manager. Repéré à http://www.labmanager.com/management-tips/2016/10/in-the-workplace-incivility-begets-incivility-new-study-shows?fw1pk=2#.WAjed-DhAdU

CPE – SERVICES DE GARDE

  • Le guide des aires et des appareils de jeu a pour but de rendre les aspects techniques de la nouvelle norme 2014 CAN/CSA-Z614-14 plus faciles à appliquer sur le terrain pour tous les responsables d’aires et des appareils de jeu publics. La première section du guide présente les principaux éléments du contexte entourant la sécurité dans les aires et appareils de jeu. La deuxième section décrit la planification des étapes visant à rendre les aires et appareils de jeu sécuritaires. La troisième section décrit la gestion de l’entretien des aires et appareils de jeu. La quatrième section décrit la façon d’utiliser les grilles d’inspection et donne les définitions des éléments de sécurité abordés dans le guide. Enfin le guide comporte plusieurs annexes, contenant surtout des outils utiles à l’inspection (grilles d’inspection) et à l’entretien des aires et appareils de jeu.

    Source : Fortier, David, & Sergerie, Diane. (2016). Guide des aires et des appareils de jeu : Incluant une grille d’inspection basée sur la norme CAN/CSA-Z614-14. [Montréal] : Institut national de santé publique du Québec, iv, 78 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/395_aires_appareils_jeu.pdf

  • Ce guide propose une démarche de prévention à la fois simple et pratique pour éliminer les dangers qui sont à l’origine des accidents et des maladies du travail. On y retrouve un aperçu des principales sources de danger, une grille de sélection des moyens de prévention ainsi que des exemples d’utilisation de la démarche et de la fiche de prévention.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail du Québec. Direction générale de la prévention-inspection & Direction du partenariat. (2016). Guide de prévention en milieu de travail à l’intention de la petite et moyenne entreprise (2e éd.). [Montréal] : CNESST, 36 p. Repéré à http://www.cnesst.gouv.qc.ca/Publications/200/Documents/DC200-16082web.pdf

DÉCHETS DANGEREUX

  • Managing pharmaceutical waste throughout a multi-facility health system that services a wide geographic area can be quite challenging, especially considering the varying waste requirements in different states. Adhering to the multiple, complex regulations guiding compliant pharmaceutical waste management requires significant knowledge and expertise to ensure the safe containment and disposal of all waste streams. As the resident medication experts, it is the professional responsibility of pharmacists to help implement a compliant waste management program that protects the environment and keeps pharmaceutical waste out of the water system. A multidisciplinary effort to implement a comprehensive program for managing pharmaceutical waste throughout the health system was rolled out over the past few years at MedStar Health, a large health system in the Mid-Atlantic region, operates approximately 150 facilities, including ten hospitals in the Baltimore/Washington, DC area.

    Source : Lake, Raymond, & Levin, Bonnie. (2016). PPP : Pharmacy Purchasing & Products, 13(10), 2-6. Repéré à https://www.pppmag.com/article/1947

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • While there is a general consensus that safe patient handling programs nationally suffer from a lack of implementation and enforcement, employee health professionals should be aware that OSHA is taking a close look at the issue when they inspect healthcare facilities. In an encouraging sign to advocates of safe patient handling, OSHA made it an issue of emphasis for healthcare inspections in a memorandum issued last year.

    Source : OSHA Focus on Safe Patient Handling. (November 2016). Hospital Employee Health, 35(11), 124-125. Repéré à https://www.ahcmedia.com/articles/138847-osha-focus-on-safe-patient-handling

  • With increasing emphasis on early and frequent mobilisation of patients in acute care, safe patient handling and mobilisation practices need to be integrated into these quality initiatives. The authors completed a programme evaluation of a safe patient handling and mobilisation programme within the context of a hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans.

    Source : Dennerlein, Jack T., O’Day, Elizabeth (Tucker), Mulloy, Deborah F., Somerville, Jackie, Stoddard, Anne M., Kenwood, Christopher,… Hashimoto, Dean. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-103507

  • Pressure ulcers are distressing events, caused when skin and underlying tissues are placed under pressure sufficient to impair blood supply. They can have a substantial impact on quality of life and have significant resource implications. Repositioning is a key prevention strategy, but can be resource intensive, leading to variation in practice. This economic analysis was conducted to identify the most cost-effective repositioning strategy for the prevention of pressure ulcers. The aim of this study was to assess the cost effectiveness of two repositioning strategies and inform the 2014 National Institute for Health and Care Excellence clinical guideline recommendations on pressure ulcer prevention.

    Source : Marsden, Grace, Neilson, Julie, & Collier, Mark. (2015). JAN : Journal of Advanced Nursing, 71(12), 2879-2885. DOI: 10.1111/jan.12753

  • Despite numerous strategies developed to reduce caregiver injuries, nurses are still experiencing work-related musculoskeletal injuries. A comprehensive SPHM program has been found to be effective in reducing patient handling injuries among nurses. The aim of this study was to investigate the perceptions of RNs on the implementation of safe patient handling and mobility (SPHM) programs in states with and without SPHM legislation.

    Source : Choi, JiSun, & Cramer, Emily. (2016). JONA : Journal of Nursing Administration, 46(11), 566-573. doi: 10.1097/NNA.0000000000000406

  • With proposed federal legislation in political limbo, too many nurses and their colleagues at the bedside remain at risk of life-altering injuries as they try to care for an increasing population of acutely ill, heavier patients without safe handling equipment. If change does not come from the top down, perhaps it will come from the bottom up. Some nursing schools have added safe patient lifting equipment to their classes and curricula, creating the expectation that the injury prevention tools and devices will be available when their students graduate and take jobs in the field. And if said equipment is conspicuously absent on their first day of work?

    Source : Evans, Gary. (November 2016). Hospital Employee Health, 35(11), 121-123. Repéré à https://www.ahcmedia.com/articles/138846-healthcare-workers-remain-at-risk-of-patient-handling-injuries

ENTREPRISE EN SANTÉ

  • Diabetes in healthcare workers is a major driver of medical insurance costs, as the chronic blood sugar disorder can set off a range of health problems and increase risk of stroke and heart disease. Diabetes is a primary cause of kidney failure, and can cause nerve damage that affects vision and leads to foot ulcers and problems in other extremities. However, the disease can be managed through interventions like diet and exercise, which can also prevent « pre-diabetes » — early signs of blood sugar and insulin problems — from progressing to a chronic condition.

    Source : Wellness Programs can Improve Health, Reduce Cost for HCWs with Diabetes. (November 2016). Hospital Employee Health, 35(11), 126-127. Repéré à https://www.ahcmedia.com/articles/138848

ENTRETIEN MÉNAGER À DOMICILE

  • When home care and hospice staff are asked when and why they would wear personal protective equipment (PPE), they typically report it is worn to protect themselves from a patient’s bllod or body fluids. The chemicals in the disinfectant pose a health risk to the person using them that is often overlooked and staff are not routinely aware of actions to take in the home if they are inadvertently exposed to them.

    Source : McGoldrick, Mary. (2016). Home Healthcare Now, 34(9), 523.doi: 10.1097/NHH.0000000000000458

ÉQUIPEMENTS DE PROTECTION

  • When home care and hospice staff are asked when and why they would wear personal protective equipment (PPE), they typically report it is worn to protect themselves from a patient’s bllod or body fluids. The chemicals in the disinfectant pose a health risk to the person using them that is often overlooked and staff are not routinely aware of actions to take in the home if they are inadvertently exposed to them.

    Source : McGoldrick, Mary. (2016). Home Healthcare Now, 34(9), 523.doi: 10.1097/NHH.0000000000000458

  • L’objectif d’une telle politique est de réduire le fardeau de l’influenza transmis par les travailleurs non vaccinés aux patients et de prévenir les éclosions dans les milieux de soins. Les prémisses sous-jacentes à cette politique sont que ce fardeau est important et que la vaccination des travailleurs contre l’influenza ou le port du masque le réduira substantiellement. Il est difficile d’obtenir, sur une base volontaire, des couvertures vaccinales de plus de 70 % chez les travailleurs des hôpitaux de soins aigus, alors que les politiques de vaccination obligatoire ou de VoM permettent d’atteindre et même dépasser ce niveau de couverture vaccinale.

    Source : Comité sur l’immunisation du Québec (CINQ). (2016). [Montréal]: Institut national de santé publique du Québec, iii, 20 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2173_evaluation_politique_vaccination_influenza_masque_travailleurs_sante.pdf

  • As part of its recent annual N95 Day respirator activities, the National Institute for Occupational Safety and Health (NIOSH) sought to bust several myths about respiratory protection, including the misconception that « respirators and surgical masks provide the same type and level of protection for the user. » This would certainly seem to be patently false based on lab studies, which show the greater effectiveness of a well-fitted N95 in filtering out aerosols and particles that could go through a surgical mask.

    Source : Respirator and Surgical Mask Myths and Controversies. (November 2016). Hospital Employee Health, 35(11), 128-129. Repéré à https://www.ahcmedia.com/articles/138850

  • Ce projet de règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs en modifiant les dispositions du Règlement sur la santé et la sécurité du travail (chapitre S-2.1, r. 13) concernant les échelles portatives et les escabeaux utilisés dans un établissement. Il y est question notamment du remplacement de la conformité à la norme CAN3-Z11-M81 par la norme Échelles portaives CSA Z11, des conditions d’utilisation, des utilisations prohibées et des mesures de sécurité.

    Source : Québec (28 septembre 2016). Projet de Règlement modifiant le Règlement sur la santé et la sécurité du travail. Gazette officielle du Québec, parite 2 : lois et règlements, 148(39), 5521-5522. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=65541.pdf

Pour consulter l’analyse d’impact réglementaire : http://www.csst.qc.ca/lois_reglements_normes_politiques/Documents/AIR_echelle-escabeau.pdf

ÉTABLISSEMENTS D’HÉBERGEMENT

  • Les conditions de travail des soignants d’établissements d’hébergement pour personnes âgées dépendantes changent sous l’effet de l’évolution récente des profils de résidents : amplification des tâches sanitaires au détriment du relationnel, renforcement des exigences de qualification des professionnels et du contrôle qualité, exigence accrue des résidents.Aux dires des personnels soignants, travailler en EHPAD est difficile, aussi bien physiquement que psychiquement, et la charge mentale y est importante. L’organisation du travail est souvent en tension et peut être source de dégradations des conditions de travail. Les professionnels restent toutefois le plus souvent fortement engagés dans leur travail, tant professionnellement que personnellement. Des mécanismes de solidarité sont notamment mis en oeuvre pour pallier certaines difficultés, mais restent fragiles.

    Source : Marquier, Rémy, Vroylandt, Thomas, Chenal, Marie, Jolidon, Pierre, Laurent, Thibaut, Peyrot, Clémence, Straub, Thomas, & Toldre, Camille. Les Dossiers de la Drees, 5. Repéré à http://drees.social-sante.gouv.fr/IMG/pdf/dd05.pdf

  • Les dispositifs de localisation qui utilisent le GPS sont des technologies d’aide qui peuvent soutenir la « marche sécuritaire » en alertant les aidants lorsqu’une personne atteinte de la maladie d’Alzheimer ou d’une maladie apparentée erre en dehors d’un secteur désigné, et fournit les coordonnées géographiques afin que la personne puisse être retrouvée facilement. Puisque les dispositifs de localisation sont une forme de surveillance, le fait de les utiliser soulève des questions éthiques et légales concernant la vie privée et l’autonomie, mais les gens atteints de la maladie d’Alzheimer ou d’une maladie apparentée et leurs aidants croient que les avantages potentiels surpassent les préjudices éventuels. Source : Topfer, Leigh-Ann. (2016). Ottawa : Agence canadienne des médicaments et des technologies de la santé (ACTMS), 17 p. (Notes de l’ACMTS sur les technologies en émergence, numéro 147). Repéré à https://www.cadth.ca/sites/default/files/pdf/EH0042_GPS_locator_devices_for_people_with_dementia-f.pdf

ÉVACUATION D’URGENCE

GESTION – LEADERSHIP

  • Au tournant de 2010, les études se sont mises à abonder pour montrer que la santé des employés allait de mal en pis. L’une d’entre elles avait ainsi mis au jour le fait que les coûts en assurance maladie des entreprises américaines avaient littéralement bondi de 131% entre 1999 et 2009. La réaction a été, bien entendu, immédiate: c’est vite devenu à qui proposerait le meilleur programme de remise en forme à ses employés, et à en faire même un argument de séduction à l’attention des talents à la recherche d’un nouvel emploi. Mais voilà, la question saute aux yeux : tout cela porte-t-il vraiment fruit?

    Source : Schmouker, Olivier. (30 septembre 2016). Se soucier vraiment de la santé de ses employés, c’est payant? [Billet de blogue]. Les Affaires. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/se-soucier-vraiment-de-la-sante-de-ses-employes-c-est-payant/590374

  • As occupational health and safety leaders, there’s a distinct part to be played in the development of the healthcare culture of safety. These developments cannot be implemented, let alone hardwired, without employee buy-in and especially leadership buy-in. This article explains the optimum leadership required for successful organizational safety culture development.

    Source : Worden, Cory. (Summer 2016). AOHP Journal, 36(3), 14-19.

  • Leadership behaviour has been identified as an important antecedent of workplace bullying since managers may prevent, permit, or engage in the mistreatment of others. However, the issue of how managers respond when bullying occurs has received limited attention. With this in mind, the aim of this study was to explore how managers behave when bullying occurs in their work group and to elucidate the contextual issues that underlie this behaviour. This was achieved through analysis of in-depth interviews with individuals involved in cases of bullying. The findings revealed a typology of four types of management behaviour in cases of bullying, each underpinned by contextual factors at the individual, group, and organizational levels. The study shows that the role of leadership in workplace bullying is more complex than previously thought and suggests several ways in which managers and organizations could deal with bullying behaviour.

    Source : Woodrow, Chris, & Guest, David E. (2016). European Journal of Work and Organizational Psychology. Prépublication. 1-13. DOI: http://dx.doi.org/10.1080/1359432X.2016.1243529

  • Conclusions about implementing the management concept lean in healthcare are contradictory and longitudinal studies are scarce. In particular, little is known of how working conditions contribute to the sustainability of lean in healthcare. The aim of this article is to identify to what extent lean tools (visual follow-up boards, standardised work, 5S [housekeeping], and value stream mapping [VSM]) promote working conditions for employees and managers in healthcare organisations (outcomes: engagement in development, job satisfaction and exhaustion), while considering the context (i.e., job resources and job demands) and aspects of the implementation process. A longitudinal quantitative study was conducted that involved employees and managers in two hospitals and one municipality.

    Source : Lindskog, Pernilla, Hemphälä, Jens, Eklund, Jörgen, & Eriksson, Andrea. (2016). Journal of Hospital Administration, 5(5), 91-105. DOI: 10.5430/jha.v5n5p91

  • Studies show that high-quality reciprocal relationships between leaders and followers are positively associated with employee well-being. However, the pathways for promoting this health-enhancing leadership behaviour have not yet been well explored, and most studies have been cross-sectional. The primary objective of this study was to examine the effects of the interplay between job-related resources and leader–member exchange (LMX) on employee well-being, measured as the emotional exhaustion component of burnout.

    Source : Gregersen, Sabine, Vincent-Höper, Sylvie, & Nienhaus, Albert. (2016). Work & Stress. Prépublication. DOI: http://dx.doi.org/10.1080/02678373.2016.1249440

  • Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested. The aim of this study was to explore change in communication patterns within teams from children’s mental health organizations during a year-long learning collaborative focused on implementing a new treatment. We adopt a social network perspective to examine intraorganizational communication within each team and assess change in (a) the frequency of communication among team members, (b) communication across organizational hierarchies, and (c) the overall structure of team communication networks.

    Source : Bunger, Alicia C., & Lengnick-Hall, Rebecca. (2016). Health care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000120

  • Cet erratum réfère à l’article suivant référencé dans le Coin de la documentaliste du mois d’avril 2016:

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

    Source : Effects of organizational context on Lean implementation in five hospital systems: Erratum (2016). Health Care Management Review, 41(4), 343. doi: 10.1097/HMR.0000000000000127

  • Although many studies link teamwork in health care settings to patient safety, evidence linking teamwork to hospital worker safety is lacking. This study addresses this gap by providing evidence linking teamwork perceptions in hospital workers to worker injuries, and further, finds a linkage between manager commitment to safety and teamwork. Organizational records of worker injuries and survey responses regarding management commitment to safety and teamwork from 446 hospital workers within 42 work units in a multi-site hospital system were examined. Results underscored the particular importance of teamwork on worker injuries as well as the importance of management commitment to safety as relating to teamwork. To improve worker safety, organizational leaders and unit managers should work to maintain environments wherein teamwork can thrive.

    Source : McGonagle, Alyssa K., Essenmacher, Lynnette, Hamblin, Lydia, Luborsky, Mark, Upfal, Mark, & Arnetz, Judith. (2016). Journal of Hospital Administration, 5(6), 46-52. DOI: 10.5430/jha.v5n6p46

  • Faut-il se préoccuper du nombre important de changements dans le réseau de la santé? Y en a-t-il trop en même temps? Vit-on de l’excès de changements? Et si poser la question c’était aussi donner la réponse… Que savons-nous sur la capacité des personnes à vivre un grand nombre de changements en même temps? Y a-t-il un seuil critique de fatigue face aux changements? Si oui, quel serait-il et comment le mesurer?

    Source : Johnson, Kevin, J., & Bareil, Céline. (6 ooctobre 2016). Y a-t-il trop de changements dans le réseau de la santé et des services sociaux? [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/informer/y-a-t-de-changements-reseau-de-sante-services-sociaux/?utm_source=referral&utm_medium=lickstats&utm_campaign=css1016&utm_term=pistesdaction&cid=5808cc95d1dd3dee66e4a062

  • L’article précédent « Y a-t-il trop de changements dans le réseau de la santé et des services sociaux? » proposait une réponse à savoir s’il y a trop de changement dans le réseau de la santé et des services sociaux. Maintenant, il ne suffit pas seulement de diagnostiquer ces trois niveaux d’intensité (fréquence, étendue, impact), mais de mesurer leur retombées négatives en terme de santé au travail et de performance en changement selon les contextes des établissements, des équipes en place et des initiatives transformationnelles. Dans les travaux de recherche-intervention des auteurs, c’est par ce croisement diagnostique qu’ils aboutissent à certaines recommandations managériales et stratégiques. Ils vous proposent ici de tirer les pistes d’actions générales en lien avec les effets de saturation de changement liés 1) au rythme, 2) à l’étendue et 3) à l’impact perçu des changements par le personnel.

    Source : Johnson, Kevin, J., & Bareil, Céline. (7 octobre 2016). Quelles sont les pistes d’action face à une potentielle surcharge de changements dans le réseau de la santé? [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/informer/pistes-daction-face-a-potentielle-surcharge-de-changements-reseau/

GESTION DE LA SST

  • As occupational health and safety leaders, there’s a distinct part to be played in the development of the healthcare culture of safety. These developments cannot be implemented, let alone hardwired, without employee buy-in and especially leadership buy-in. This article explains the optimum leadership required for successful organizational safety culture development.

    Source : Worden, Cory. (Summer 2016). AOHP Journal, 36(3), 14-19.

  • Afin d’offrir une image organisationnelle uniforme, de se conformer à certains standards ou seulement pour éviter et réglementer les incartades, il n’est pas rare que l’employeur dicte un code vestimentaire à ses employés. Quant aux droits et aux libertés des employés, ils sont protégés tant par les lois en matière de travail que par les chartes fédérale et provinciale. Aux frontières des réalités de ces deux entités, où se trouve le juste milieu?

    Source : Au travail, qui tranche la question de l’apparence? (11 avril 2016). Portail RH. Repères RH. Repéré à http://www.portailrh.org/ReperesRH/fiche.aspx?p=580110

  • Risks are omnipresent in most human activities. Risk analysis helps to establish the level of risk of a given situation, and to determine if the risk is acceptable, tolerable or unacceptable. At this stage, the consideration of individual or societal factors becomes very important in the decision-making process regarding the acceptability or the tolerability of a risk. In the occupational health and safety (OHS) field, these factors are often implicit and poorly defined. In this work, the risk acceptability influential factors in the domain of OHS are indexed, and a typology of these factors is suggested. In total, 8 parameters regrouping 19 criteria and 14 variables that influence the risk acceptability process are presented, and their scope in OHS is discussed.

    Source : Tchiehe, Derrick Nanda, & Gauthier, François. (2017). Safety Science, 92, 138-147. DOI : http://dx.doi.org/10.1016/j.ssci.2016.10.003

GESTION DES RISQUES

  • Risks are omnipresent in most human activities. Risk analysis helps to establish the level of risk of a given situation, and to determine if the risk is acceptable, tolerable or unacceptable. At this stage, the consideration of individual or societal factors becomes very important in the decision-making process regarding the acceptability or the tolerability of a risk. In the occupational health and safety (OHS) field, these factors are often implicit and poorly defined. In this work, the risk acceptability influential factors in the domain of OHS are indexed, and a typology of these factors is suggested. In total, 8 parameters regrouping 19 criteria and 14 variables that influence the risk acceptability process are presented, and their scope in OHS is discussed.

    Source : Tchiehe, Derrick Nanda, & Gauthier, François. (2017). Safety Science, 92, 138-147. DOI : http://dx.doi.org/10.1016/j.ssci.2016.10.003

GESTION DU CHANGEMENT

HARCÈLEMENT AU TRAVAIL

  • Leadership behaviour has been identified as an important antecedent of workplace bullying since managers may prevent, permit, or engage in the mistreatment of others. However, the issue of how managers respond when bullying occurs has received limited attention. With this in mind, the aim of this study was to explore how managers behave when bullying occurs in their work group and to elucidate the contextual issues that underlie this behaviour. This was achieved through analysis of in-depth interviews with individuals involved in cases of bullying. The findings revealed a typology of four types of management behaviour in cases of bullying, each underpinned by contextual factors at the individual, group, and organizational levels. The study shows that the role of leadership in workplace bullying is more complex than previously thought and suggests several ways in which managers and organizations could deal with bullying behaviour.

    Source : Woodrow, Chris, & Guest, David E. (2016). European Journal of Work and Organizational Psychology. Prépublication. 1-13. DOI: http://dx.doi.org/10.1080/1359432X.2016.1243529

HORAIRE DE TRAVAIL

  • The objective of this study was to estimate he prevalence of a comprehensive set of self-reported sleep problems by job characteristics, including shiftwork status, among a representative sample of US workers. Data for 6338 workers aged ≥18 years were obtained from the National Health and Nutrition Examination Survey.

    Source : Yong, Lee C., Li, Jia, & Calvert, Geoffrey M. (2016). Occupational and Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103638

  • Rest breaks are effective in avoiding an accumulation of fatigue during work. However, little is known about individual differences in rest-break behavior. The present paper presents findings from two studies addressing the effects of the employee’s intention to have rest breaks on rest-break frequency and the change of well-being during a workday.

    Source : Blasche, Gerhard, Pasalic, Sanja, Bauböck, Verena, Maria, Haluza, Daniela, & Schoberberger, Rudolf. (2016). Human Factors. Prépublication. doi: 10.1177/0018720816671605

HYGIÈNE ET SALUBRITÉ

  • Enterococcus spp. are a normal part of the gastrointestinal tract of humans and animals. They are also important pathogens, being responsible for 14% of US nosocomial infections from 2007-10. The aim of this study was to examine a laundry facility that processes clinical linens for the presence and seasonality of vancomycin resistant Enterococcus spp. The findings showed that multidrug resistant VRE isolates was significantly higher (53% vs 8%) in dirty vs clean areas within the facility.

    Source : Michael, Karen E., No, David, & Roberts, Marilyn C. (2016). Journal of Hospital Infection. Prépublication. DOI: http://dx.doi.org/10.1016/j.jhin.2016.10.017

  • A tabletop-type ultraviolet C (UVC) light–emitting disinfecting device was evaluated for microbiologic effectiveness, safety, usability, and end-user satisfaction. Three different inoculums of methicillin-resistant Staphylococcus aureus, Pseudomonas aeruginosa, and Acinetobacter calcoaceticus-baumannii complex strains suspended in both saline and trypticase soy broth were applied onto stainless steel carriers and electronic device surfaces in triplicate and cultured for growth after UVC disinfection. Assessments of functionality and usability were performed by biomedical and human factors engineers. End-user feedback was captured using a standardized in-use survey.

    Source : Li, Lisa M., Wong, Titus, Rose, Emily, Wickham, Graham, & Bryce, Elizabeth. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.07.028

MÉDICAMENTS DANGEREUX – PHARMACIE

  • Cette présentation, diffusée en septembre 2016, fait le point sur 10 ans d’amélioration des pratiques sécuritaires concernant les médicaments dangereux au Québec et identifie le travail de prévention qui reste à faire.

    Source : Bédard, Sylvie, & Bertrand, Guy. (2016). Manipulation sécuritaire des médicaments – Après dix ans, une révision s’impose [Webinaire]. Repéré à http://www.asstsas.qc.ca/publication/manipulation-securitaire-des-medicaments-apres-dix-ans-une-revision-simpose-webinaire Pour visionner le webinaire : http://forum.asstsas.qc.ca/2016-014/0shphco9skp5

  • In reviewing the summary findings of the 2016 USP<797> Compliance study, it is clear that over 6 years since this study began, there has been slow but measurable improvement in some specific area of sterile compounding practice. Nonetheless, Chapter <797> has been in existence for over a decade and disturbing gaps in compliance still exist. The current version of Chapter <797> will be replaced over the next year or two by an updated version with even more stringent requirements. This is a concerning, as compliance with the current version of the chapter in some important areas, such as high-risk level compounding, personnel and environmental sampling, sterility testing, and training, have demonstrated little or slow progress toward improvement. The authors believe that most pharmacies want to be better than average, better dans a « C » operation, but how they can help them there ? What will it take ?

    Source : Douglass, Kate, Kastango, Eric, & Cantor, Peter. (2016). PPP: Pharmacy Purchasing & Products, 13(10) Suppl., 11 p. Repéré à https://www.pppmag.com/article/1956

  • While much emphasis has been placed on the improvement of I.V. infusion safety, little published evidence or standardized best practices are associated with I.V. push injections. Although healthcare organizations typically require competency validation for nurses and other professionals with I.V. administration responsibilities, much of this validation focuses on placing and managing vascular access devices. Graduate nurses may learn much of their I.V. therapy/I.V. medication delivery information, and gain most of their experience, from a coworker or preceptor during initial job orientation. These factors contribute to variation in knowledge and skill development and a lack of standard practices across organizations, potentially compromising patient safety. To address unsafe practices and at-risk behaviors associated with the preparation and administration of I.V. push medications in adults, the Institute for Safe Medication Practices (ISMP) obtained an educational grant from BD to hold a national summit of expert stakeholders. Based on guidelines issued by summit participants and prepared by ISMP, this article summarizes important safe practice guidelines for the preparation, labeling, and administration of I.V. push medications for adult patients.

    Source : Shastay, Ann D. (October 2016). Nursing, 46(10), 38-44. Repéré à http://www.nursingcenter.com/pdfjournal?AID=3787123&an=00152193-201610000-00012&Journal_ID=54016&Issue_ID=3786963

Pour accéder à la version complète des lignes directrices :

http://www.ismp.org/Tools/guidelines/IVSummitPush/IVPushMedGuidelines.pdf

  • The National Institute for Occupational Safety and Health (NIOSH) recently released its 2016 list of hazardous drugs in healthcare settings, updating the list to include 34 added drugs. Healthcare workers who prepare or give hazardous drugs to patients, such as those used for cancer therapy, as well as support staff may face individual health risks when exposed to these drugs. NIOSH estimates 8 million U.S. healthcare workers are potentially exposed to hazardous drugs in the workplace. The new document, NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016, is the latest version of the hazardous drug list first published by NIOSH in 2004 as an appendix to the document, NIOSH Alert: Preventing Occupational Exposure to Antineoplastic and Other Hazardous Drugs in Health Care Settings.

    Source : National Institute for Occupational Safety and Health. Education and Information Division. (October 6, 2016). NIOSH. Updates. Repéré à http://www.cdc.gov/niosh/updates/upd-10-06-16.html

Pour accéder à la nouvelle liste 2016 :

http://www.cdc.gov/niosh/topics/antineoplastic/pdf/hazardous-drugs-list_2016-161.pdf

  • Approximately 8 million health care workers are unnecessarily exposed to highly toxic drugs used to treat cancer; antineoplastic drugs can contribute to negative health effects for these workers. The drugs have been detected in the urine of workers and on the floors and counters of worksites. Safety precautions that could reduce the risk of exposure are underutilized. This cross-sectional study of 163 oncology health care workers used a survey to measure workplace and individual factors, and environmental sampling to measure surface contamination. The study objective was to identify potential exposures to antineoplastic drugs and factors influencing safety behavior. Personal protective equipment (PPE) use was lower than recommended; unit of employment was significantly associated with PPE use. Chemical residue from antineoplastic drugs was found, revealing potential exposures. Workplace safety must be a higher organizational priority. The contamination of common work areas where PPE use is not expected was of utmost concern.

    Source : Graeve, Catherine Utecht, McGovern, Patricia Marie, Alexander, Bruce, Church, Timothy, Ryan, Andrew, & Polovich, Martha. (2016). Workplace Health & Safety. Prépublication. 12 p. doi: 10.1177/2165079916662660

  • Oncology workers are occupationally exposed to antineoplastic drugs. This exposure can induce adverse health effects. In order to reduce their exposure, contamination on surfaces should be kept as low as possible. The aims of this study were 1) to monitor environmental contamination with cyclophosphamide, ifosfamide, and methotrexate in oncology pharmacy and patient care areas in Canadian hospitals 2) to describe the impact of some factors that may limit contamination.

    Source : Poupeau, Céline, Tanguay, Cynthia, Caron, Nicolas J., & Bussières, Jean-François. (2016). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155216676632

  • Three decades of research findings have documented the health effects of handling hazardous drugs. Oncology nurses are vulnerable due to frequent administration of antineoplastics, low adherence to equipment use, reported barriers to use, and perceived low risk of health effects. No interventions have been tested in a controlled, multi-site trial to increase nurses’ use of protective equipment when handling hazardous drugs. The Drug Exposure Feedback and Education for Nurses’ Safety (DEFENS) study will compare the efficacy of education (control) versus an audit and feedback intervention (treatment) on nurses’ self-reported use of personal protective equipment when handling hazardous drugs. The treatment intervention will include tailored messages based on nurses’ reported barriers to protective equipment use.

    Source : Friese, Christopher R., Mendelsohn-Victor, Kari, Wen, Bo, Sun, Duxin, Sutcliffe, Kathleen, Yang, James J., …McCullagh, Marjorie C. (2015). Trials, 16:171. DOI: 10.1186/s13063-015-0674-5

  • Managing pharmaceutical waste throughout a multi-facility health system that services a wide geographic area can be quite challenging, especially considering the varying waste requirements in different states. Adhering to the multiple, complex regulations guiding compliant pharmaceutical waste management requires significant knowledge and expertise to ensure the safe containment and disposal of all waste streams. As the resident medication experts, it is the professional responsibility of pharmacists to help implement a compliant waste management program that protects the environment and keeps pharmaceutical waste out of the water system. A multidisciplinary effort to implement a comprehensive program for managing pharmaceutical waste throughout the health system was rolled out over the past few years at MedStar Health, a large health system in the Mid-Atlantic region, operates approximately 150 facilities, including ten hospitals in the Baltimore/Washington, DC area.

    Source : Lake, Raymond, & Levin, Bonnie. (2016). PPP : Pharmacy Purchasing & Products, 13(10), 2-6. Repéré à https://www.pppmag.com/article/1947

MANUTENTION DE CHARGE

  • The purpose of this study was to explore posture deviation variability caused by load carriages depending on natural posture imbalance to provide information about a carrying habit exaggerating an individual’s posture imbalance. All people exhibit some imbalance from the standard anatomical pose which assumes alignment with the frontal and median planes. In this study natural posture imbalance is the starting point for determining posture deviation which is posture imbalance resulting from an activity, carrying an item.

    Source : Lyu, Saemee, & LaBat, Karen L. (2016). International Journal of Ergonomics, 56(11), 115-123. DOI: http://dx.doi.org/10.1016/j.ergon.2016.09.006

MILIEU DE VIE

  • Les dispositifs de localisation qui utilisent le GPS sont des technologies d’aide qui peuvent soutenir la « marche sécuritaire » en alertant les aidants lorsqu’une personne atteinte de la maladie d’Alzheimer ou d’une maladie apparentée erre en dehors d’un secteur désigné, et fournit les coordonnées géographiques afin que la personne puisse être retrouvée facilement. Puisque les dispositifs de localisation sont une forme de surveillance, le fait de les utiliser soulève des questions éthiques et légales concernant la vie privée et l’autonomie, mais les gens atteints de la maladie d’Alzheimer ou d’une maladie apparentée et leurs aidants croient que les avantages potentiels surpassent les préjudices éventuels.

    Source : Topfer, Leigh-Ann. (2016). Ottawa : Agence canadienne des médicaments et des technologies de la santé (ACTMS), 17 p. (Notes de l’ACMTS sur les technologies en émergence, numéro 147). Repéré à https://www.cadth.ca/sites/default/files/pdf/EH0042_GPS_locator_devices_for_people_with_dementia-f.pdf

NORMES ET LÉGISLATION EN SST

  • Ce projet de règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs en modifiant les dispositions du Règlement sur la santé et la sécurité du travail (chapitre S-2.1, r. 13) concernant les échelles portatives et les escabeaux utilisés dans un établissement. Il y est question notamment du remplacement de la conformité à la norme CAN3-Z11-M81 par la norme Échelles portaives CSA Z11, des conditions d’utilisation, des utilisations prohibées et des mesures de sécurité.

    Source : Québec (28 septembre 2016). Projet de Règlement modifiant le Règlement sur la santé et la sécurité du travail. Gazette officielle du Québec, parite 2 : lois et règlements, 148(39), 5521-5522. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=65541.pdf

Pour consulter l’analyse d’impact réglementaire :

http://www.csst.qc.ca/lois_reglements_normes_politiques/Documents/AIR_echelle-escabeau.pdf

PRÉVENTION DES INFECTIONS

  • While much emphasis has been placed on the improvement of I.V. infusion safety, little published evidence or standardized best practices are associated with I.V. push injections. Although healthcare organizations typically require competency validation for nurses and other professionals with I.V. administration responsibilities, much of this validation focuses on placing and managing vascular access devices. Graduate nurses may learn much of their I.V. therapy/I.V. medication delivery information, and gain most of their experience, from a coworker or preceptor during initial job orientation. These factors contribute to variation in knowledge and skill development and a lack of standard practices across organizations, potentially compromising patient safety. To address unsafe practices and at-risk behaviors associated with the preparation and administration of I.V. push medications in adults, the Institute for Safe Medication Practices (ISMP) obtained an educational grant from BD to hold a national summit of expert stakeholders. Based on guidelines issued by summit participants and prepared by ISMP, this article summarizes important safe practice guidelines for the preparation, labeling, and administration of I.V. push medications for adult patients.

    Source : Shastay, Ann D. (October 2016). Nursing, 46(10), 38-44. Repéré à http://www.nursingcenter.com/pdfjournal?AID=3787123&an=00152193-201610000-00012&Journal_ID=54016&Issue_ID=3786963

Pour accéder à la version complète des lignes directrices :

http://www.ismp.org/Tools/guidelines/IVSummitPush/IVPushMedGuidelines.pdf

  • L’objectif d’une telle politique est de réduire le fardeau de l’influenza transmis par les travailleurs non vaccinés aux patients et de prévenir les éclosions dans les milieux de soins. Les prémisses sous-jacentes à cette politique sont que ce fardeau est important et que la vaccination des travailleurs contre l’influenza ou le port du masque le réduira substantiellement. Il est difficile d’obtenir, sur une base volontaire, des couvertures vaccinales de plus de 70 % chez les travailleurs des hôpitaux de soins aigus, alors que les politiques de vaccination obligatoire ou de VoM permettent d’atteindre et même dépasser ce niveau de couverture vaccinale.

    Source : Comité sur l’immunisation du Québec (CINQ). (2016). [Montréal]: Institut national de santé publique du Québec, iii, 20 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2173_evaluation_politique_vaccination_influenza_masque_travailleurs_sante.pdf

  • Enterococcus spp. are a normal part of the gastrointestinal tract of humans and animals. They are also important pathogens, being responsible for 14% of US nosocomial infections from 2007-10. The aim of this study was to examine a laundry facility that processes clinical linens for the presence and seasonality of vancomycin resistant Enterococcus spp. The findings showed that multidrug resistant VRE isolates was significantly higher (53% vs 8%) in dirty vs clean areas within the facility.

    Source : Michael, Karen E., No, David, & Roberts, Marilyn C. (2016). Journal of Hospital Infection. Prépublication. DOI: http://dx.doi.org/10.1016/j.jhin.2016.10.017

  • Much is known and reported about sharps injuries in registered nurses, but there has been a lack of published evidence regarding sharps injuries within the student nurse population. The purpose of this review was to discover the impact of sharps injuries in the student nurse population. A systematic review of nursing, health and psychology databases was conducted. The limits set were publications between 1980 and 2014 in the English language. This review highlight the potential psychological issues that can result from sharps injuries in this population.

    Source : Hambridge, Kevin, Nichols, Andrews, & Endacott, Ruth. (2016). BJN : British Journal of Nursing, 25(19), 1064-1071. DOI: http://dx.doi.org/10.12968/bjon.2016.25.19.1064

  • Récemment, les membres du Comité sur les infections nosocomiales du Québec (CINQ) étaient interpellés au sujet de la décision de gestionnaires de certains établissements de soins d’installer une toilette directement dans l’espace d’une chambre de soins intensifs. De plus, aucun mur ou écran protecteur n’étaient prévus autour de la cuvette. La question précise adressée au CINQ était : « Quels sont les risques infectieux reliés à l’aménagement d’une cuvette (de toilette) à l’intérieur d’une chambre de soins intensifs de niveau 1? ». 

    Source : Comité sur les infections nosocomiales du Québec. (2016). [Montréal]. Institut national de santé publique du Québec, 3, [1] p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2178_installation_cuvette_chambre_soins_intensifs.pdf

  • A tabletop-type ultraviolet C (UVC) light–emitting disinfecting device was evaluated for microbiologic effectiveness, safety, usability, and end-user satisfaction. Three different inoculums of methicillin-resistant Staphylococcus aureus, Pseudomonas aeruginosa, and Acinetobacter calcoaceticus-baumannii complex strains suspended in both saline and trypticase soy broth were applied onto stainless steel carriers and electronic device surfaces in triplicate and cultured for growth after UVC disinfection. Assessments of functionality and usability were performed by biomedical and human factors engineers. End-user feedback was captured using a standardized in-use survey.

    Source : Li, Lisa M., Wong, Titus, Rose, Emily, Wickham, Graham, & Bryce, Elizabeth. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.07.028

  • In the name of patient safety, we have heard calls for « bare below the elbows » care in hospital wards, and now the American College of Surgeons (ACS) is strongly urging surgical workers to drop the common practice of wearing scrubs in public. « Many different healthcare providers — surgeons, anesthesiologists, CRNAs, laboratory technicians, aides — wear scrubs in the OR setting, » the ACS stated in a recently issued policy. « The ACS strongly suggests that scrubs should not be worn outside the perimeter of the hospital by any healthcare provider. To facilitate enforcement of this guideline for OR personnel, the ACS suggests the adoption of distinctive, colored scrub suits for the operating room personnel. »

    Source : Surgical Group Calls for No Scrubs Beyond the Hospital. (November 2016). Hospital Employee Health, 35(11), 130-131. Repéré à https://www.ahcmedia.com/articles/138851

  • The consequences of annual influenza outbreaks are often underestimated by the general public. Influenza poses a serious public health threat around the world, particularly for the most vulnerable populations. Fortunately, vaccination can mitigate the negative effects of this common infectious disease. Although inoculating frontline health care workers (HCWs) helps minimize disease transmission, some HCWs continue to resist participating in voluntary immunization programs. A potential solution to this problem is government-mandated vaccination for HCWs; however, in practice, there are substantial barriers to the adoption of such policies. The purpose of this paper is to identify the likelihood of adopting a policy for mandatory immunization of HCWs in Ontario based on a historical review of barriers to the agenda setting process.

    Source : Jackson-Lee, Angela, Barr, Neil G., & Randall, Glen E. (2016). BMC Health Services Research, 16:522. DOI: 10.1186/s12913-016-1772-0

PRDUITS TOXIQUES

PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

  • There is growing recognition of the influence of the workplace environment on the eating habits of the workforce, which in turn may contribute to increased overweight and obesity. Overweight and obesity exact enormous costs in terms of reduced well-being, worker productivity and increased risk of non-communicable diseases. The workplace is an ideal place to intervene and support healthy behaviours. This review aimed to identify barriers and facilitators to nurses’ healthy eating in the workplace.

    Source : Nicholls, Rachel, Perry, Lin, Duffield, Christine, Gallagher, Robyn, & Pierce, Heather. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13185

  • Diabetes in healthcare workers is a major driver of medical insurance costs, as the chronic blood sugar disorder can set off a range of health problems and increase risk of stroke and heart disease. Diabetes is a primary cause of kidney failure, and can cause nerve damage that affects vision and leads to foot ulcers and problems in other extremities. However, the disease can be managed through interventions like diet and exercise, which can also prevent « pre-diabetes » — early signs of blood sugar and insulin problems — from progressing to a chronic condition.

    Source : Wellness Programs can Improve Health, Reduce Cost for HCWs with Diabetes. (November 2016). Hospital Employee Health, 35(11), 126-127. Repéré à https://www.ahcmedia.com/articles/138848

PROTECTION RESPIRATOIRE

  • As part of its recent annual N95 Day respirator activities, the National Institute for Occupational Safety and Health (NIOSH) sought to bust several myths about respiratory protection, including the misconception that « respirators and surgical masks provide the same type and level of protection for the user. » This would certainly seem to be patently false based on lab studies, which show the greater effectiveness of a well-fitted N95 in filtering out aerosols and particles that could go through a surgical mask.

    Source : Respirator and Surgical Mask Myths and Controversies. (November 2016). Hospital Employee Health, 35(11), 128-129. Repéré à https://www.ahcmedia.com/articles/138850

QUALITÉ DE L’AIR

RÉTENTION DU PERSONNEL

  • Moral distress among nurses compromises their ability to provide optimal patient care and may cause them to leave their job. The aim of this study was to assess the frequency, intensity and level of moral distress perceived by nurses working in medical, surgical and intensive care units. The results showed that highest level of moral distress was associated with the provision of treatments and aggressive care that were not expected to benefit the patients and the competency of the health-care providers. Nurses working in medical settings, nurses with lower levels of experience working in medical, surgical or intensive care settings, and nurses who intend to leave their job experienced the highest levels of moral distress.

    Source : Lusignani, Maura, Lorellla, Maria, Re, Luca Gioseppe, & Buffon, Maria Luisa. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12431

SÉCURITÉ DES MACHINES – CADENASSAGE

  • Ever-changing dynamics, workplace conditions and increasing compliance requirements can affect a safety leader’s ability to implement an effective lockout/tagout program. Properly locking out machinery to complete tasks where sudden activation could be disastrous is challenging enough for one person. In order to create a safe working environment for everyone, the solution has been and continues to be the practice of group lockout/tagout techniques that afford equal protection to all involved with the work being done.

    Source : Grover, Todd. (October 4, 2016). EHS Today. Safety. Repéré à http://ehstoday.com/safety/effective-group-lockout-techniques

SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • There is growing recognition of the influence of the workplace environment on the eating habits of the workforce, which in turn may contribute to increased overweight and obesity. Overweight and obesity exact enormous costs in terms of reduced well-being, worker productivity and increased risk of non-communicable diseases. The workplace is an ideal place to intervene and support healthy behaviours. This review aimed to identify barriers and facilitators to nurses’ healthy eating in the workplace.

    Source : Nicholls, Rachel, Perry, Lin, Duffield, Christine, Gallagher, Robyn, & Pierce, Heather. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13185

  • Au tournant de 2010, les études se sont mises à abonder pour montrer que la santé des employés allait de mal en pis. L’une d’entre elles avait ainsi mis au jour le fait que les coûts en assurance maladie des entreprises américaines avaient littéralement bondi de 131% entre 1999 et 2009. La réaction a été, bien entendu, immédiate: c’est vite devenu à qui proposerait le meilleur programme de remise en forme à ses employés, et à en faire même un argument de séduction à l’attention des talents à la recherche d’un nouvel emploi. Mais voilà, la question saute aux yeux : tout cela porte-t-il vraiment fruit?

    Source : Schmouker, Olivier. (30 septembre 2016). Se soucier vraiment de la santé de ses employés, c’est payant? [Billet de blogue]. Les Affaires. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/se-soucier-vraiment-de-la-sante-de-ses-employes-c-est-payant/590374

  • Studies show that high-quality reciprocal relationships between leaders and followers are positively associated with employee well-being. However, the pathways for promoting this health-enhancing leadership behaviour have not yet been well explored, and most studies have been cross-sectional. The primary objective of this study was to examine the effects of the interplay between job-related resources and leader–member exchange (LMX) on employee well-being, measured as the emotional exhaustion component of burnout.

    Source : Gregersen, Sabine, Vincent-Höper, Sylvie, & Nienhaus, Albert. (2016). Work & Stress. Prépublication. DOI: http://dx.doi.org/10.1080/02678373.2016.1249440

  • Diabetes in healthcare workers is a major driver of medical insurance costs, as the chronic blood sugar disorder can set off a range of health problems and increase risk of stroke and heart disease. Diabetes is a primary cause of kidney failure, and can cause nerve damage that affects vision and leads to foot ulcers and problems in other extremities. However, the disease can be managed through interventions like diet and exercise, which can also prevent « pre-diabetes » — early signs of blood sugar and insulin problems — from progressing to a chronic condition.

    Source : Wellness Programs can Improve Health, Reduce Cost for HCWs with Diabetes. (November 2016). Hospital Employee Health, 35(11), 126-127. Repéré à https://www.ahcmedia.com/articles/138848

  • Your social links with your co-workers could have a significant impact on your health, researchers say. « We are less burnt out and have greater well-being when our team and our organization provide us with a sense of belonging and community — when it gives us a sense of ‘we-ness,’  » said lead researcher Niklas Steffens, of the University of Queensland, Australia. Steffens and colleagues analyzed 58 studies that included more than 19,000 employed people in 15 countries. They found that how strongly people identified with their work colleagues or organization was associated with better health and a lower risk of burnout. The findings were published recently in the Journal of Personality and Social Psychology Review.

    Source : Preidt, Robert. (October 5, 2016). Love Your Co-workers? It Could Boost Your Health. [Billet de blogue] MedlinePlus. Repéré à https://medlineplus.gov/news/fullstory_161331.html

SANTÉ PSYCHOLOGIQUE

  • Les maladies mentales peuvent frapper n’importe qui à tout âge et avoir des effets négatifs sur sa santé, son bien-être et sa productivité (absentéisme et présentéisme au travail). Les organisations qui s’intéressent à la santé mentale et au bien-être de leurs employés rendent ceux-ci plus sains et plus productifs et ont donc de grandes chances d’en recueillir d’importants bénéfices. Cette troisième note de recherche de la série évalue les retombées économiques qui pourraient être générées si l’on améliorait l’efficacité des avantages sociaux et des programmes en matière de santé mentale offerts par les employeurs canadiens. Cette publication comprend un résumé en français, suivi de la version anglaise du rapport intégral intitulé : Healthy Brains at Work. Estimating the Impact of Workplace Mental Health Benefits and Programs.

    Source : Sutherland, Greg, & Stonebridge, Carole. (2016). Des cerveaux sains au travail : Effets estimés des avantages sociaux et programmes en santé mentale offerts au travail. Ottawa : Le Conference Board du Canada. 52 p. Repéré à http://www.conferenceboard.ca/e-library/abstract.aspx?did=8243

  • Incivility at work—low intensity deviant behaviors with an ambiguous intent to harm—has been on the rise, yielding negative consequences for employees’ well-being and companies’ bottom-lines. Although examinations of incivility have gained momentum in organizational research, theory and empirical tests involving dynamic, within-person processes associated with this negative interpersonal behavior are limited. Drawing from ego depletion theory, the authors test how experiencing incivility precipitates instigating incivility toward others at work via reduced self-control.

    Source : Rosen, Christopher C., Koopman, Joel, Gabriel, Allison S., & Johnson, Russell E. (2016). Journal of Applied Psychology. Prépublication. DOI: http://dx.doi.org/10.1037/apl0000140

  • Job stress and burnout are highly frequent in healthcare professionals, and prevalence in nurses can be as high as 40%. Mindfulness-based interventions have been shown to be effective in reducing stress and increasing well-being in a wide range of populations and contexts. However, controlled studies with healthcare professionals, and especially nurses, are scarce. The aim of this study was to explore the effectiveness of an on-site, abbreviated mindfulness-based intervention for nurses, using a nonrandomized, wait-list comparison design.

    Source : Duarte, Joana, & Pinto-Gouveia, José. (2016). International Journal of Nursing Studies, 64(12), 98-107. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2016.10.002

  • The present study adds novel knowledge to the literature on emotional contagion (EC), discrete emotions, job burnout, and the management of healthcare professionals by simultaneously considering EC as both a job demand and a job resource with multiple social pathways. The findings show that not all emotional exchange sources contribute to the EC experience or likelihood of burnout. Specifically, we found that doctors absorbed joy and anger from their colleagues but not from their leaders or patients. In contrast, nurses absorbed joy and anger from leaders, colleagues, and patients. Surprisingly, we found that joy-absorbed and anger-absorbed were related to doctors’ exhaustion and cynicism, but only to nurses’ cynicism.

    Source : Petitta, Laura, Jiang, Lixin, & Härtel, Charmine E.J. (2016). Stress & Health. Prépublication. DOI: 10.1002/smi.2724

  • Studies show that high-quality reciprocal relationships between leaders and followers are positively associated with employee well-being. However, the pathways for promoting this health-enhancing leadership behaviour have not yet been well explored, and most studies have been cross-sectional. The primary objective of this study was to examine the effects of the interplay between job-related resources and leader–member exchange (LMX) on employee well-being, measured as the emotional exhaustion component of burnout.

    Source : Gregersen, Sabine, Vincent-Höper, Sylvie, & Nienhaus, Albert. (2016). Work & Stress. Prépublication. DOI: http://dx.doi.org/10.1080/02678373.2016.1249440

  • Much is known and reported about sharps injuries in registered nurses, but there has been a lack of published evidence regarding sharps injuries within the student nurse population. The purpose of this review was to discover the impact of sharps injuries in the student nurse population. A systematic review of nursing, health and psychology databases was conducted. The limits set were publications between 1980 and 2014 in the English language. This review highlight the potential psychological issues that can result from sharps injuries in this population.

    Source : Hambridge, Kevin, Nichols, Andrews, & Endacott, Ruth. (2016). BJN : British Journal of Nursing, 25(19), 1064-1071. DOI: http://dx.doi.org/10.12968/bjon.2016.25.19.1064

  • Moral distress among nurses compromises their ability to provide optimal patient care and may cause them to leave their job. The aim of this study was to assess the frequency, intensity and level of moral distress perceived by nurses working in medical, surgical and intensive care units. The results showed that highest level of moral distress was associated with the provision of treatments and aggressive care that were not expected to benefit the patients and the competency of the health-care providers. Nurses working in medical settings, nurses with lower levels of experience working in medical, surgical or intensive care settings, and nurses who intend to leave their job experienced the highest levels of moral distress.

    Source : Lusignani, Maura, Lorellla, Maria, Re, Luca Gioseppe, & Buffon, Maria Luisa. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12431

  • Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested. The aim of this study was to explore change in communication patterns within teams from children’s mental health organizations during a year-long learning collaborative focused on implementing a new treatment. We adopt a social network perspective to examine intraorganizational communication within each team and assess change in (a) the frequency of communication among team members, (b) communication across organizational hierarchies, and (c) the overall structure of team communication networks.

    Source : Bunger, Alicia C., & Lengnick-Hall, Rebecca. (2016). Health care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000120

  • Incivility has negative consequences in the workplace and remains a prevalent issue in nursing. Research has consistently linked incivility to nurse burnout and, in turn, to poor mental health and turnover intentions. To retain high-quality nurses, it is important to understand what factors might protect nurses from the negative effects of workplace mistreatment. The aim of the study was to investigate the role of relational occupational coping self-efficacy in protecting nurses from workplace incivility and related burnout and turnover intentions.

    Source : Fida, Roberta, Laschinger, Heather K. Spence, & Leiter, Michael P. (2016). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000126

  • Occupational stress is a major modern health and safety challenges. While the ED is known to be a high-pressure environment, the specific organisational stressors which affect ED staff have not been established. The authors conducted a systematic review of literature examining the sources of organisational stress in the ED, their link to adverse health outcomes and interventions designed to address them. A narrative review of contextual factors that may contribute to occupational stress was also performed. All articles written in English, French or Spanish were eligible for conclusion.

    Source : Basu, Subhashis, Qayyum, Hasan, & Mason, Suzanne. (2016). Emergency Medical Journal, Prépublication. doi:10.1136/emermed-2016-205827

  • Faut-il se préoccuper du nombre important de changements dans le réseau de la santé? Y en a-t-il trop en même temps? Vit-on de l’excès de changements? Et si poser la question c’était aussi donner la réponse… Que savons-nous sur la capacité des personnes à vivre un grand nombre de changements en même temps? Y a-t-il un seuil critique de fatigue face aux changements? Si oui, quel serait-il et comment le mesurer?

    Source : Johnson, Kevin, J., & Bareil, Céline. (6 ooctobre 2016). Y a-t-il trop de changements dans le réseau de la santé et des services sociaux? [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/informer/y-a-t-de-changements-reseau-de-sante-services-sociaux/?utm_source=referral&utm_medium=lickstats&utm_campaign=css1016&utm_term=pistesdaction&cid=5808cc95d1dd3dee66e4a062

  • L’article précédent « Y a-t-il trop de changements dans le réseau de la santé et des services sociaux? » proposait une réponse à savoir s’il y a trop de changement dans le réseau de la santé et des services sociaux. Maintenant, il ne suffit pas seulement de diagnostiquer ces trois niveaux d’intensité (fréquence, étendue, impact), mais de mesurer leur retombées négatives en terme de santé au travail et de performance en changement selon les contextes des établissements, des équipes en place et des initiatives transformationnelles. Dans les travaux de recherche-intervention des auteurs, c’est par ce croisement diagnostique qu’ils aboutissent à certaines recommandations managériales et stratégiques. Ils vous proposent ici de tirer les pistes d’actions générales en lien avec les effets de saturation de changement liés 1) au rythme, 2) à l’étendue et 3) à l’impact perçu des changements par le personnel.

    Source : Johnson, Kevin, J., & Bareil, Céline. (7 octobre 2016). Quelles sont les pistes d’action face à une potentielle surcharge de changements dans le réseau de la santé? [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/informer/pistes-daction-face-a-potentielle-surcharge-de-changements-reseau/

  • Your social links with your co-workers could have a significant impact on your health, researchers say. « We are less burnt out and have greater well-being when our team and our organization provide us with a sense of belonging and community — when it gives us a sense of ‘we-ness,’  » said lead researcher Niklas Steffens, of the University of Queensland, Australia. Steffens and colleagues analyzed 58 studies that included more than 19,000 employed people in 15 countries. They found that how strongly people identified with their work colleagues or organization was associated with better health and a lower risk of burnout. The findings were published recently in the Journal Personality and Social Psychology Review.

    Source : Preidt, Robert. (October 5, 2016). Love Your Co-workers? It Could Boost Your Health. [Billet de blogue] MedlinePlus. Repéré à https://medlineplus.gov/news/fullstory_161331.html

  • Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians. The consequences are negative effects on patient care, professionalism, physicians’ own care and safety, and the viability of health-care systems. A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary. The literature indicates that both individual-focused and structural or organisational strategies can result in clinically meaningful reductions in burnout among physicians. Further research is needed to establish which interventions are most effective in specific populations, as well as how individual and organisational solutions might be combined to deliver even greater improvements in physician wellbeing than those achieved with individual solutions.

    Source : West, Colin P., Dyrbye, Liselotte N., Erwin, Patricia J., & Shanafelt, Tait D. (2016). The Lancet. Prépublication. Repéré à http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(16)31279-X.pdf

  • Incivil behaviors at work—put-downs, sarcasm, and other condescending comments—tend to have a contagious effect, according to a new study by a management professor at the University of Arkansas and several colleagues. Incivil behaviors are less serious than openly hostile behavior such as bullying, harassment, and threats, but incivil behaviors are also more frequent in the workplace and have a significant effect on employees, the study found.

    Source : University of Arkansas. (October, 17 2016). In the Workplace, Incivility Begets Incivility, New Study Shows. [Billet de blogue]. Lab Manager. Repéré à http://www.labmanager.com/management-tips/2016/10/in-the-workplace-incivility-begets-incivility-new-study-shows?fw1pk=2#.WAjed-DhAdU

SERVICE D’ONCOLOGIE

SERVICE DES URGENCES

  • Occupational stress is a major modern health and safety challenges. While the ED is known to be a high-pressure environment, the specific organisational stressors which affect ED staff have not been established. The authors conducted a systematic review of literature examining the sources of organisational stress in the ED, their link to adverse health outcomes and interventions designed to address them. A narrative review of contextual factors that may contribute to occupational stress was also performed. All articles written in English, French or Spanish were eligible for conclusion.

    Source : Basu, Subhashis, Qayyum, Hasan, & Mason, Suzanne. (2016). Emergency Medical Journal, Prépublication. doi:10.1136/emermed-2016-205827

SERVICES À DOMICILE

  • When home care and hospice staff are asked when and why they would wear personal protective equipment (PPE), they typically report it is worn to protect themselves from a patient’s bllod or body fluids. The chemicals in the disinfectant pose a health risk to the person using them that is often overlooked and staff are not routinely aware of actions to take in the home if they are inadvertently exposed to them.

    Source : McGoldrick, Mary. (2016). Home Healthcare Now, 34(9), 523.doi: 10.1097/NHH.0000000000000458

  • Home health-care workers’ occupational injury rates in the USA are higher than the national average, yet research on causative exposures and hazards is limited. The purpose of this study was to identify occupational exposures for home health-care nurses and aides. A majority of the sample was over 40 years old and obese, potentially increasing injury risks. Home health-care nurses performed more clinical tasks, increasing exposure to blood-borne pathogens. Home health-care aides performed more physical tasks with risk for occupational musculoskeletal injuries. They also dispensed oral medications and anti-cancer medications, and were exposed to drug residue at a frequency comparable to home health-care nurses. Both groups were exposed to occupational second-hand smoke.

    Source : Hittle, Beverly, Agbonifo, Noma, Suarez, Rassull, & Ballard, Tangela. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12408

SOINS INTENSIFS

STATISTIQUES EN SST

  • Le rapport de la deuxième édition de l’Enquête québécoise sur la santé de la population, réalisée en 2014-2015, dresse un portrait statistique à l’échelle provinciale de certains aspects de la santé des Québécois de 15 ans et plus vivant dans un logement non institutionnel. Il touche aux habitudes de vie et aux comportements préventifs ou à risque, à l’état de santé physique et mentale, à la santé environnementale et à la santé au travail, et permet de suivre l’évolution d’un certain nombre d’indicateurs depuis la première édition de l’enquête menée en 2008. Les données ont été recueillies auprès de 45 760 personnes dans 17 régions sociosanitaires. Tout en étant utiles à l’élaboration, à l’amélioration et au suivi des programmes, les résultats permettent d’informer les Québécois de leur état de santé et d’alimenter les réflexions visant à améliorer celui-ci.

    Source : Camirand, Hélène, TRAORÉ, Issouf, & BAULNE, Jimmy (2016). L’Enquête québécoise sur la santé de la population, 2014-2015: pour en savoir plus sur la santé des Québécois. Résultats de la deuxième édition. Québec : Institut de la statistique du Québec, 208 p. Repéré à http://www.stat.gouv.qc.ca/statistiques/sante/etat-sante/sante-globale/sante-quebecois-2014-2015.pdf

TENUE VESTIMENTAIRE

  • In the name of patient safety, we have heard calls for « bare below the elbows » care in hospital wards, and now the American College of Surgeons (ACS) is strongly urging surgical workers to drop the common practice of wearing scrubs in public. « Many different healthcare providers — surgeons, anesthesiologists, CRNAs, laboratory technicians, aides — wear scrubs in the OR setting, » the ACS stated in a recently issued policy. « The ACS strongly suggests that scrubs should not be worn outside the perimeter of the hospital by any healthcare provider. To facilitate enforcement of this guideline for OR personnel, the ACS suggests the adoption of distinctive, colored scrub suits for the operating room personnel. »

    Source : Surgical Group Calls for No Scrubs Beyond the Hospital. (November 2016). Hospital Employee Health, 35(11), 130-131. Repéré à https://www.ahcmedia.com/articles/138851

TRAVAIL DE BUREAU

  • La chose semble si évidente, le lien si fort, qu’il paraît inutile de se questionner à ce propos. Si, d’instinct, nous concevons aisément que la présence de végétaux dans le lieu de travail ne peut qu’être positive, la perception rejoint-elle la réalité à ce chapitre? De prime abord, on doit signaler que la relation entre la présence de plantes vertes et certains éléments reliés à la productivité des employés (absentéisme, climat de travail, stress, etc.) a déjà fait l’objet de nombreuses études par le passé. Toutefois, comme le font valoir Tina Bringslimark, Terry Hartig et Grete Grindal Patil, la très grande majorité de ces dernières ont été réalisées dans des environnements contrôlés. On peut donc s’interroger à juste titre sur la représentativité de ces études. Qu’en est-il dans la réalité des quatre murs de nos bureaux?

    Source : Normandin, François. (3 octobre 2016). Dans la jungle de nos bureaux. [Billet de blogue]. Revue Gestion. Repéré à http://www.revuegestion.ca/decouvrir/dans-la-jungle-de-nos-bureaux/?utm_source=wysija&utm_medium=email&utm_campaign=dans_gestion_cette_semaine

  • Office workers spend a large proportion of their working hours sitting. This may contribute to an increased risk of chronic disease and premature mortality. While there is growing interest in workplace interventions targeting prolonged sitting, few qualitative studies have explored workers’ perceptions of reducing occupational sitting outside of an intervention context. This study explored barriers to reducing office workplace sitting, and the feasibility and acceptability of strategies targeting prolonged sitting in this context.

    Source : Hadgraft, Nyssa T., Brakenridge, Charlotte L., LaMontagne, Anthony D., Fjeldsoe, Brianna S., Lynch, Brigid M., Dunstan, David W.,… Lawler, Sheleigh P. (2016). BMC Public Health. 16:933. DOI: 10.1186/s12889-016-3611-y

  • In Canada, upper extremity MSDs and low-back pain are the leading causes of disabling work-related injuries. While there is general agreement that work hazards (such as repetitive, awkward and static postures, heavy loads, vibration, low job control and poor social support) can contribute to the development of upper extremity MSDs, there is less agreement on the most appropriate ways to reduce or eliminate these hazards. This systematic review, an update of another conducted about 10 years ago, sets out to find occupational health and safety (OHS) interventions that effectively prevent and manage upper extremity MSDs.

    Source : Institute for Work & Health. (2016). Toronto : IWH, [4] p. Repéré à http://www.iwh.on.ca/system/files/sbe/sbe-ue-msd-final_1.pdf

  • Rest breaks are effective in avoiding an accumulation of fatigue during work. However, little is known about individual differences in rest-break behavior. The present paper presents findings from two studies addressing the effects of the employee’s intention to have rest breaks on rest-break frequency and the change of well-being during a workday.

    Source : Blasche, Gerhard, Pasalic, Sanja, Bauböck, Verena, Maria, Haluza, Daniela, & Schoberberger, Rudolf. (2016). Human Factors. Prépublication. doi: 10.1177/0018720816671605

TRAVAIL EN ÉQUIPE

  • Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested. The aim of this study was to explore change in communication patterns within teams from children’s mental health organizations during a year-long learning collaborative focused on implementing a new treatment. We adopt a social network perspective to examine intraorganizational communication within each team and assess change in (a) the frequency of communication among team members, (b) communication across organizational hierarchies, and (c) the overall structure of team communication networks.

    Source : Bunger, Alicia C., & Lengnick-Hall, Rebecca. (2016). Health care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000120

  • Although many studies link teamwork in health care settings to patient safety, evidence linking teamwork to hospital worker safety is lacking. This study addresses this gap by providing evidence linking teamwork perceptions in hospital workers to worker injuries, and further, finds a linkage between manager commitment to safety and teamwork. Organizational records of worker injuries and survey responses regarding management commitment to safety and teamwork from 446 hospital workers within 42 work units in a multi-site hospital system were examined. Results underscored the particular importance of teamwork on worker injuries as well as the importance of management commitment to safety as relating to teamwork. To improve worker safety, organizational leaders and unit managers should work to maintain environments wherein teamwork can thrive.

    Source : McGonagle, Alyssa K., Essenmacher, Lynnette, Hamblin, Lydia, Luborsky, Mark, Upfal, Mark, & Arnetz, Judith. (2016). Journal of Hospital Administration, 5(6), 46-52. DOI: 10.5430/jha.v5n6p46

TRAVAIL EN HAUTEUR

  • Ce projet de règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs en modifiant les dispositions du Règlement sur la santé et la sécurité du travail (chapitre S-2.1, r. 13) concernant les échelles portatives et les escabeaux utilisés dans un établissement. Il y est question notamment du remplacement de la conformité à la norme CAN3-Z11-M81 par la norme Échelles portaives CSA Z11, des conditions d’utilisation, des utilisations prohibées et des mesures de sécurité.

    Source : Québec (28 septembre 2016). Projet de Règlement modifiant le Règlement sur la santé et la sécurité du travail. Gazette officielle du Québec, parite 2 : lois et règlements, 148(39), 5521-5522. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=65541.pdf

Pour consulter l’analyse d’impact réglementaire :

http://www.csst.qc.ca/lois_reglements_normes_politiques/Documents/AIR_echelle-escabeau.pdf

TRAVAIL EN LABORATOIRE

TRAVAIL SÉDENTAIRE

  • Office workers spend a large proportion of their working hours sitting. This may contribute to an increased risk of chronic disease and premature mortality. While there is growing interest in workplace interventions targeting prolonged sitting, few qualitative studies have explored workers’ perceptions of reducing occupational sitting outside of an intervention context. This study explored barriers to reducing office workplace sitting, and the feasibility and acceptability of strategies targeting prolonged sitting in this context.

    Source : Hadgraft, Nyssa T., Brakenridge, Charlotte L., LaMontagne, Anthony D., Fjeldsoe, Brianna S., Lynch, Brigid M., Dunstan, David W.,… Lawler, Sheleigh P. (2016). BMC Public Health. 16:933. DOI: 10.1186/s12889-016-3611-y

TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care.

    Source : Suman, Arnela, Dikkers, Marije F., Schaffsma, Frederieke G., van Tulder, Maurits W., & Anema, Johannes R. (2016). Implementation Science, 11:126. DOI: 10.1186/s13012-016-0482-7

  • In Canada, upper extremity MSDs and low-back pain are the leading causes of disabling work-related injuries. While there is general agreement that work hazards (such as repetitive, awkward and static postures, heavy loads, vibration, low job control and poor social support) can contribute to the development of upper extremity MSDs, there is less agreement on the most appropriate ways to reduce or eliminate these hazards. This systematic review, an update of another conducted about 10 years ago, sets out to find occupational health and safety (OHS) interventions that effectively prevent and manage upper extremity MSDs.

    Source : Institute for Work & Health. (2016). Toronto : IWH, [4] p. Repéré à http://www.iwh.on.ca/system/files/sbe/sbe-ue-msd-final_1.pdf

VACCINATION DU PERSONNEL

  • L’objectif d’une telle politique est de réduire le fardeau de l’influenza transmis par les travailleurs non vaccinés aux patients et de prévenir les éclosions dans les milieux de soins. Les prémisses sous-jacentes à cette politique sont que ce fardeau est important et que la vaccination des travailleurs contre l’influenza ou le port du masque le réduira substantiellement. Il est difficile d’obtenir, sur une base volontaire, des couvertures vaccinales de plus de 70 % chez les travailleurs des hôpitaux de soins aigus, alors que les politiques de vaccination obligatoire ou de VoM permettent d’atteindre et même dépasser ce niveau de couverture vaccinale.

    Source : Comité sur l’immunisation du Québec (CINQ). (2016). [Montréal]: Institut national de santé publique du Québec, iii, 20 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2173_evaluation_politique_vaccination_influenza_masque_travailleurs_sante.pdf

  • The consequences of annual influenza outbreaks are often underestimated by the general public. Influenza poses a serious public health threat around the world, particularly for the most vulnerable populations. Fortunately, vaccination can mitigate the negative effects of this common infectious disease. Although inoculating frontline health care workers (HCWs) helps minimize disease transmission, some HCWs continue to resist participating in voluntary immunization programs. A potential solution to this problem is government-mandated vaccination for HCWs; however, in practice, there are substantial barriers to the adoption of such policies. The purpose of this paper is to identify the likelihood of adopting a policy for mandatory immunization of HCWs in Ontario based on a historical review of barriers to the agenda setting process.

    Source : Jackson-Lee, Angela, Barr, Neil G., & Randall, Glen E. (2016). BMC Health Services Research, 16:522. DOI: 10.1186/s12913-016-1772-0

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