COIN DE LA DOCUMENTALISTE – DÉCEMBRE 2016

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ACCIDENTS DE TRAVAIL

  • Hepatitis C infection is a global public health issue. Chronic hepatitis C infection is associated with significant morbidity and mortality. The aim of this study is to describe the costs for occupationally-cased hepatitis C infections based on data from an accident insurance carrier. This study is a secondary analysis based on the Database of a German Institution for Statutory Accident Insurance. The analysis is based on a sample of insured parties whose hepatitis C infections were recorded as occupational diseases between 1996 and 2013. The analysis is based on recognised hepatitis C cases and incorporates records registered between 1 January 2000 and 31 December 2014.

    Source : Westermann, Claudia, Dulon, Madeleine, Wendeler, Dana, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:52. DOI: 10.1186/s12995-016-0142-5

AGRESSIONS ET VIOLENCE

  • L’intimidation et le harcèlement désignent habituellement tout comportement mal venu qui diminue, embarrasse, humilie, ennuie, inquiète ou injurie une personne. Au travail, ces comportements peuvent prendre diverses formes. L’intimidation est une forme d’agression dont les manifestations peuvent être évidentes ou subtiles, et dont les effets peuvent être dévastateurs pour le travailleur visé. Le présent document infographique énonce les différents types de comportements d’intimidation de même que les mesures que les employeurs peuvent prendre pour lutter contre l’intimidation et créer un milieu de travail sain et respectueux.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). L’intimidation et le harcèlement en milieu de travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/bullying_harassment.png

  • Violence against nurses has continued at Abbotsford Regional Hospital in Abbotsford, B.C., and incidents over the last few months have led to a recent WorkSafeBC inspection report noting an emergency room (ER) running over capacity. A registered psychiatric nurse (RPN) suffered a severe concussion after getting kicked in the head by a patient in the ER on Oct. 17, and two RPNs and a security guard were assaulted by a young patient on Sept. 8. Both assailants had been patients with mental-health issues whom the police had brought in, said Val Avery, president of the Health Sciences Association of British Columbia (HSA), one of the unions representing the hospital’s employees. « Mental health is the public healthcare crisis of our times, » said Avery. « Our ability to respond to it in a healthcare setting has not grown with the same type of need that is required here. So we’re getting these overflowing departments and not the appropriate settings to care for the patients. »

    Source : Cottril, Jeff. (November 22, 2016). OHS Canada Magazine. Health & Safety. Repéré à http://www.ohscanada.com/health-safety/attacks-hospitals-nurses-blamed-er-overflow-congestion/1003351683/

  • While there is general consensus that violent incidents against healthcare workers are underreported, a closer look reveals a more nuanced view of the problem. Many incidents are actually reported by word of mouth and even documented in various logs and systems. The problem is that these incident data too often remain in separate silos and are not compiled into systemwide active surveillance that could reveal a more complete picture of violence in a healthcare facility, says Lisa A. Pompeii, PhD, the lead author of a new study on reporting of violence in healthcare.

    Source : Evans, Gary. (December 1, 2016). Hospital Employee Health, 35(12), 132-135. Repéré à https://www.ahcmedia.com/articles/139544-hospitals-fail-to-capture-violent-incident-reports

Pour lire aussi l’article original :  Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

  • Under-reporting of type II (patient/visitor-on-worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. Mixed methods including surveys and focus groups were used to examine patterns of reporting type II violent events among ∼11,000 workers at six U.S. hospitals. Of the 2,098 workers who experienced a type II violent event, 75% indicated they reported. Reporting patterns were disparate including reports to managers, co-workers, security, and patients’ medical records—with only 9% reporting into occupational injury/safety reporting systems. Workers were unclear about when and where to report, and relied on their own « threshold » of when to report based on event circumstances.

    Source : Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

  • The recent focus on extending risk assessment and treatment in forensic mental health with protective factors relates to the increasing interest in strengths-based approaches in various professional disciplines. In this article, the authors aim at discussing the available knowledge with regard to strengths-based approaches for offenders with mental illness, in relation to these different disciplines.

    Source : Vandevelde, S., Laenen, F. Vander, Van Damme, L., Vanderplasschen, W., Audenaert, K., Broekaert, E. & Beken, T. Vamder. (2016). Aggression and Violent Behavior. Prépublication. http://dx.doi.org/10.1016/j.avb.2016.11.008

  • Sur cette page Web, vous trouverez la liste des articles de lois et les liens ayant trait à la violence en milieu de travail. La plupart des autorités canadiennes prévoient dans leurs lois concernant l’hygiène et la sécurité au travail une « disposition générale » qui oblige les employeurs à prendre toutes les précautions raisonnables pour protéger la santé et la sécurité des employés. Cette disposition doit comprendre la protection des employés de tout risque connu de violence en milieu de travail. Cette liste est préparée par le CCHST dans le cadre du service Législation enviroSST canadienne.

    Source : Canadian Centre for Occupational Health and Safety. (Novembre 2016). Canadian enviroOSH Legislation plus Standards. Repéré à http://ccinfoweb2.ccohs.ca/legislation/documents/notes_fr/oshlegf/legviolf.htm

  • La violence en milieu de travail peut avoir de graves conséquences pour les victimes, les entreprises et les organisations. Il existe des programmes de prévention de la violence en milieu de travail qui visent à former le personnel à mieux reconnaître et à gérer en toute sécurité les situations à risque. Stéphane Guay, directeur du Centre d’étude sur le trauma de l’Institut universitaire en santé mentale de Montréal et son équipe du groupe de recherche VISAGE ont mené une étude visant à évaluer l’impact du programme Oméga sur la détresse psychologique des employés, leur capacité à s’adapter aux situations de violence et sur leur niveau d’exposition à différentes formes de violence (tensions, violence mineure, violence grave).

    Source : Dion, Catherine. (2016). Formation Omega : un programme efficace pour prévenir la violence en milieu de travail. CIUSSS de l’Est-de-l’Île-de-Montréal. Nouvelles. Repéré à http://ciusss-estmtl.gouv.qc.ca/nouvelles/2016/formation-omega-un-programme-efficace-pour-prevenir-la-violence-en-milieu-de-travail/

ALLERGIES PROFESSIONNELLES

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • In their recent article, Weber et al concluded « scientific evidence does not support that the use of low level disinfectant products on environmental surfaces by health care personnel is an important risk factor for the development of asthma or dermatitis. » They reached this conclusion after reviewing the employee medical records at University of North Carolina hospitals (2003-2012) and conducting a literature review on disinfectants and health care workers.The authors take exception with the adequacy of the data for Weber et al. study and the thoroughness of Weber’s literature review and do not find conclusion to be supported by Weber et al data.

    Source : Pechter, Elise, & Rosenman, Kenneth D. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.020

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region. Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database. The results showed that Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma.

    Source : Dumas, Orianne, Henneberger, Paul K., Zock, Jean-Paul, Le Moual, Nicole, & Camargo, Carlos A. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22671

AMÉNAGEMENT – ARCHITECTURE

  • The prevalence of flexible and shared office spaces is increasing significantly, yet the socioemotional outcomes associated with these environments are under researched. Utilising the job demands-resources (JD-R) model the authors investigate both the demands and the resources that can accrue to workers as a result of shared work environments and hot-desking. They found that, as work environments became more shared (with hot-desking being at the extreme end of the continuum), not only were there increases in demands, but co-worker friendships were not improved and perceptions of supervisory support decreased. Findings are discussed in relation to employee well-being and recommendations are made regarding how best to ameliorate negative consequences of shared work environments.

    Source : Morrison, Rachel L., & Macky, Keith A. (2017). Applied Ergonomics, 60, 103-115. http://dx.doi.org/10.1016/j.apergo.2016.11.007

  • Recent research on the legibility of digital displays has demonstrated a « positive polarity advantage », in which black-on-white text configurations are more legible than their negative polarity, white-on-black counterparts. Existing research in this area suggests that the positive polarity advantage stems from the brighter illumination emitted by positive polarity displays, as opposed to the darker backgrounds of negative polarity displays. In the present study, legibility thresholds were measured under glance-like reading conditions using a lexical decision paradigm, testing two type sizes, display polarities, and ambient illuminations (near-dark and daylight-like).

    Source : Dobres, Jonathan, Chahine, Nadine, & Reimer, Bryan. (2017). Applied Ergonomics, 60, 68-73. http://dx.doi.org/10.1016/j.apergo.2016.11.001

  • Within the diagnostic process, in the activities in which digital radiology systems are utilised, image display devices play a very important role. Such devices have to guarantee high performances in order to maintain the diagnostic quality of the displayed images and present them so that they can be observed optimally. In order to ensure the appropriate performance to the users, not only the image display device but also the whole workstation should be designed properly. Particular attention should be paid to the lighting conditions, to avoid compromising the radiologist’s ability to observe the displayed images. The aim of this study is to assess the lighting of some workstations used for diagnostic radiology reporting, in order to obtain information about the visual interaction between worker and device and prevent health risks.

    Source : Leccese, Francesco, Salvadori, Giacomo, Montagnani, Carlo, Ciconi, Andrea, & Rocca, Michele. (2017). International Journal of Industrial Ergonomics, 57, 42-54. http://dx.doi.org/10.1016/j.ergon.2016.11.005

APPROCHE RELATIONNELLE DE SOINS (ARS)

ASTHME PROFESSIONNEL

  • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

    Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

  • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l’IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

    Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html

BLOC OPÉRATOIRE – CHIRURGIE

  • Hepatitis B virus (HBV) transmission is known to occur through direct contact with infected blood. There has been some suspicion that the virus can also be detected in aerosol form. However, this has never been directly shown. The purpose of this study was to sample and analyse surgical smoke from laparoscopic surgeries on patients with hepatitis B to determine whether HBV is present.

    Source : Kwak, Han Deok, Kim, Seon-Hahn, Seo, Yeon Seok, & Song, Ki-Joon. (2016). Occupational & Environmental Medicine, 73(12), 857-863. doi:10.1136/oemed-2016-103724

  • For many reasons, noise continues to increase in the hospital setting. The objective of this evidence-based investigation is to determine the efficacy of a quiet-time intervention to reduce noise in the hospital setting. In a descriptive comparative design, using a convenience sample of hospitalized patients, 80 patients were assessed on their perceptions of noise using the Patient Survey on Noise During Hospital Stay. Data revealed favorable responses to quiet time, with 70% of subjects reporting quiet-time intervention to be effective in reducing noise. Sixty percent of participants felt that 1 hour of quiet time helped to facilitate a quieter, more restful environment for the whole day.

    Source : Applebaum, Diane, Calo, Oriana, & Neville, Kathleen. (2016). JONA : Journal of Nursing Administration, 46(12), 669-674. doi: 10.1097/NNA.0000000000000424

  • About 35.7 million healthcare workers are at risk of sustaining a needlestick injury worldwide and an estimated 384,000 percutaneous injuries occur annually in US hospitals alone. Although needlestick injuries continue to pose a major occupational hazard for healthcare workers, underreporting and a ‘culture of silence’ persist. Few publications suggest solutions. The authors propose a novel solution that may help to deter high-risk [i.e. history of human immunodeficiency virus (HIV), bloodborne hepatitis virus, or intravenous (IV) drug misuse] needlesticks in the operating room (OR) and the wards.

    Source : Katsevman, G.A., Braca III, J.A., Sedney, C.L., & Hatchett, L. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.018

  • A low level of air-borne bacteria in the operating room air can be achieved if all staff wear clothes made from a low-permeable material (i.e. Clean Air Suits). We investigated whether there was a difference in protective efficacy between two single-use scrubs both made of polypropylene by testing them during routinely performed orthopaedic surgical procedures. There was no significant difference in counts of CFU/m3 air between the two scrubs and a choice between them can thus be based on which one is more comfortable for staff.

    Source : Tammelin, Ann, & Blomfeldt, Anne-Marie. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.027

  • Surgical nurses’ work is physically and mentally demanding, possibly leading to work–family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Forty–eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the work–family conflict scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument.

    Source : Baur, Heiner, Grebner, Simone, Blasimann, Angela, Hirschmüller, Anja, Kubosch, Eva Johanna & Elfering, Achim. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. http://dx.doi.org/10.1080/10803548.2016.1263414

BRUIT EN MILIEU DE TRAVAIL

  • Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs. This was an intervention study which compared the initial values with those after a follow-up of 12 months. All teaching child care workers employed by the multi-site institution were offered the opportunity to take part. Forty-five (45) employees in16 institutions participated.

    Source : Koch, Peter, Stranzinger, Johanna, Kersten, Jan Felix, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:50. DOI: 10.1186/s12995-016-0138-1

  • For many reasons, noise continues to increase in the hospital setting. The objective of this evidence-based investigation is to determine the efficacy of a quiet-time intervention to reduce noise in the hospital setting. In a descriptive comparative design, using a convenience sample of hospitalized patients, 80 patients were assessed on their perceptions of noise using the Patient Survey on Noise During Hospital Stay. Data revealed favorable responses to quiet time, with 70% of subjects reporting quiet-time intervention to be effective in reducing noise. Sixty percent of participants felt that 1 hour of quiet time helped to facilitate a quieter, more restful environment for the whole day.

    Source : Applebaum, Diane, Calo, Oriana, & Neville, Kathleen. (2016). JONA : Journal of Nursing Administration, 46(12), 669-674. doi: 10.1097/NNA.0000000000000424

CIVILITÉ EN MILIEU DE TRAVAIL

  • L’intimidation et le harcèlement désignent habituellement tout comportement mal venu qui diminue, embarrasse, humilie, ennuie, inquiète ou injurie une personne. Au travail, ces comportements peuvent prendre diverses formes. L’intimidation est une forme d’agression dont les manifestations peuvent être évidentes ou subtiles, et dont les effets peuvent être dévastateurs pour le travailleur visé. Le présent document infographique énonce les différents types de comportements d’intimidation de même que les mesures que les employeurs peuvent prendre pour lutter contre l’intimidation et créer un milieu de travail sain et respectueux.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). L’intimidation et le harcèlement en milieu de travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/bullying_harassment.png

  • Previous explanations of horizontal incivility point to oppressed group behaviour and socialisation of nurses. Leadership and organisational culture are known to have a profound impact on workplace behaviour, yet few studies have examined the relationship between leadership style and nurse-to-nurse incivility. Previous explanations of horizontal incivility point to oppressed group behaviour and socialisation of nurses. Leadership and organisational culture are known to have a profound impact on workplace behaviour, yet few studies have examined the relationship between leadership style and nurse-to-nurse incivility.

    Source : Kaiser, Jennifer A. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12447

  • New graduate nurses report experiencing high levels of workplace incivility from coworkers, which has been found to negatively impact their job and career satisfaction and increase their intention to leave. The role of civility norms in preventing burnout and subsequent exposure to incivility from coworkers has yet to be examined among new graduate nurses. This study examined the influence of authentic leadership, person-job fit with 6 areas of worklife, and civility norms on coworker incivility and burnout among new graduate nurses.

    Source : Laschinger, Heather K. Spence, & Read, Emily A. (2016). JONA : Journal of Nursing Administration, 46(11), 574-580. doi: 10.1097/NNA.0000000000000407

CONCILIATION TRAVAIL – VIE PERSONNELLE

  • Surgical nurses’ work is physically and mentally demanding, possibly leading to work–family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Forty–eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the work–family conflict scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument.

    Source : Baur, Heiner, Grebner, Simone, Blasimann, Angela, Hirschmüller, Anja, Kubosch, Eva Johanna & Elfering, Achim. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. http://dx.doi.org/10.1080/10803548.2016.1263414

  • Dans le contexte où les couples à deux carrières constituent maintenant la norme, l’enjeu de la conciliation travail-famille devient incontournable. Cette nouvelle réalité souligne la nécessité d’examiner les effets des pratiques de conciliation travail-famille mises en place dans les organisations québécoises sur le bien-être des travailleurs. Une comparaison selon le genre s’avère également pertinente, vu la persistance des rapports sociaux de sexe et de la division sexuelle du travail. Encore aujourd’hui, les femmes allouent davantage de temps aux soins des enfants et aux tâches domestiques que les hommes, tandis que ces derniers s’investissent plus dans leur carrière. Cette étude a été réalisée à partir des données de l’Enquête québécoise sur des conditions de travail, d’emploi et de santé et de sécurité du travail (EQCOTESST).

    Source : Boulet, Maude, & Le Bourdais, Céline. (2016). Relations industrielles, 71(3), 442-467. Repéré à http://www.erudit.org/revue/ri/2016/v71/n3/1037660ar.pdf

CPE – SERVICES DE GARDE

  • Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs. This was an intervention study which compared the initial values with those after a follow-up of 12 months. All teaching child care workers employed by the multi-site institution were offered the opportunity to take part. Forty-five (45) employees in16 institutions participated.

    Source : Koch, Peter, Stranzinger, Johanna, Kersten, Jan Felix, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:50. DOI: 10.1186/s12995-016-0138-1

  • Handwashing (HW) compliance, although an effective means of limiting childhood illness, remains low among personnel in early childhood centers (ECCs). Our study determined HW compliance and efficacy of ECC personnel. Surveillance cameras were used to determine HW opportunities, compliance, occurrences, and effectiveness based on child-care oriented criteria. The findings showed that methods and strategies need to be developed to increase compliance. Current technology provides an effective means of gathering data for determining HW compliance in ECCs.

    Source : Clark, Jeffrey, Henk, jennifer K., Crandall, Philip G., Crandall, Mardel A., & O’Bryan, Corliss A. (2016). AJIC : American Journal of Infection Control, 44(12), 1469-1474. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.006

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • This study evaluated an intervention for patient-handling equipment aimed to improve nursing staffs’ use of patient handling equipment and improve their general health, reduce musculoskeletal problems, aggressive episodes, days of absence and work-related accidents. As a controlled before-after study, questionnaire data were collected at baseline and 12-month follow-up among nursing staff at intervention and control wards at two hospitals.

    Source : Risør, Bettina Wulff, Casper, Sven Dalgas, Andersen, lars Louis, & Sørensena, Jan. (2017). Applied Ergonomics, 60, 74-82. http://dx.doi.org/10.1016/j.apergo.2016.10.011

  • An extensive body of published literature exists demonstrating the benefits of safe patient handling and mobility (SPHM) programs, including a reduction in the incidence of patient handling-related injuries, a lowering of workers’ compensation costs, a reduction in the number of lost work days due to injury, an increase in job satisfaction, and an increase patient satisfaction. For the most part, these evaluations assess the effects at the program level, where the unit of analysis is either a healthcare facility or a healthcare system. No comprehensive evaluation of the influence of a statewide SPHM policy has been completed.

    Source : Howard, Ninica. (2016). American Journal of SPHM, 6(3), 130-131. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=190

  • Multifaceted safe patient handling and mobility (SPHM) programs have been shown to reduce the personal and financial burden associated with work-related musculoskeletal disorders. Access to appropriate equipment is essential for successful outcomes, but equipment alone is not sufficient. Training on how to use equipment is also critical; however, limited literature exists describing the details of SPHM training programs. A case report design provides a rich description of practice in replicable detail. This article uses a case report format to describe the development and evaluation of the training program implemented in an academic medical center, including the various strategies and tools used: hierarchical task analysis, ergonomic risk analysis, interviews, and observations. Outcomes and future plans are described to provide further insight into the program.

    Source : Enos, Lynda, Eldredge, Deborah, & Rockefeller, Kathleen. (2016). American Journal of SPHM, 6(3), 120-129. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=189

  • Safe patient handling and mobility (SPHM) program implementation is a change initiative requiring effective education. Little research is available, however, describing specific recommendations for effective SPHM education. Effective education includes an education plan that incorporates the concepts of adult learning theories, various learning styles, and generational learning considerations. Examples of different teaching methods are discussed to promote the learning needs of the adult healthcare professional for SPHM. This article defines effective SPHM education and offers innovative methods and strategies for enhancing SPHM education based on an evidenced-based approach.

    Source : Perez, Amber. (2016). American Journal of SPHM, 6(3), 113-119. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=188

  • A gap exists in understanding the diffusion of safe patient handling and mobility (SPHM) within physical therapist (PT) practice and the way in which legislation and advocacy efforts might influence diffusion. The purpose of this research was to describe and compare knowledge and use of SPHM equipment and practices by PTs in Washington, California, and Oregon, as these 3 states have varying legislation and advocacy efforts influencing diffusion of SPHM.

    Source : Rockfeller, Kathleen, & Weaver, Jean. (2016). American Journal of SPHM, 6(3), 98-103. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=186

  • Education, training, and learning are distinctly separate and involve varied, complex activities, yet they do not always receive sufficient attention, organization, and resource application to ensure healthcare providers are fully capable and confident in using safe patient handling and mobility (SPHM) technology. The goals of this article are to focus on the psychomotor domain of learning, describe best methods to achieve success with psychomotor learning within the context of SPHM program and technology use, and recommend methods to improve SPHM education for psychomotor skill acquisition.

    Source : Mechan, Patricia. (2016). American Journal of SPHM, 6(3), 104-108. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=187

  • Nurses continue to sustain musculoskeletal injuries even with increased emphasis on safe patient handling and mobility (SPHM) and organizational cultures of safety to protect health care workers. Analysis of data from 2011-2014 registered nurse graduates explored hospital safety culture, SPHM education/training, and incidence of new-nurse musculoskeletal injury.

    Source : Venditelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

  • Manual resident handling (RH) tasks increase risk of musculoskeletal disorders (MSDs) for clinical staff in nursing homes. To reduce the incidence and cost of MSDs, a large healthcare corporation instituted a Safe Resident Handling Program (SRHP) comprising purchase of mechanical lifting equipment, worker training, and detailed usage/maintenance protocols. The program was initially administered by a third-party company; after three years, program responsibility shifted to individual centers. Workers’ compensation claim rates were compared before and after SRHP implementation. Claims and FTEs were classified as « pre-SRHP, » « first post period » (up to 3 years post-SRHP), or « second post period » (4–6 years post-SRHP), based on claim date relative to implementation date for each center.

    Source : Kurowski, Alicia, Gore, Rebecca, Roberts, Yaritza, Kincaid, Kendra Richardson, & Punnett, Laura. (2017). Safety Science, 92, 217-224. http://dx.doi.org/10.1016/j.ssci.2016.10.012

  • Healthcare workers have high rates of low back pain (LBP) related to handling patients. A large chain of nursing homes experienced reduced biomechanical load, compensation claims and costs following implementation of a safe resident handling programme (SRHP). The aim of this study was to examine whether LBP similarly declined and whether it was associated with relevant self-reported occupational exposures or personal health factors.

    Source : Gold, Judith E., Punnett, laura, Gore, Rebecca J., & ProCare Research Team. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103930

  • Repositioning of passive patients in bed creates health risks to the nursing personnel. Therefore, appropriate assistive devices should be used. The purpose of this study was to find the optimal assistive device for reducing musculoskeletal load while moving a passive patient in bed. Torso kinematic inputs evaluated by the Lumbar Motion Monitor (LMM) and perceived load (Borg scale) were measured in female nurses performing 27 patient transfers [represented by a mannequin weighing 55 (12 nurses), 65 (24 nurses) and 75 kg (12 nurses) in bed using a regular sheet, a sliding sheet and a carrier.

    Source : Weiner, Chava, Kalichman, Leonid, Ribak, Joseph, & Alperovitch-Najenson, Deborah. (2017). Applied Ergonomics, 60, 22-29. http://dx.doi.org/10.1016/j.apergo.2016.10.007

ÉCLAIRAGE

  • Recent research on the legibility of digital displays has demonstrated a « positive polarity advantage », in which black-on-white text configurations are more legible than their negative polarity, white-on-black counterparts. Existing research in this area suggests that the positive polarity advantage stems from the brighter illumination emitted by positive polarity displays, as opposed to the darker backgrounds of negative polarity displays. In the present study, legibility thresholds were measured under glance-like reading conditions using a lexical decision paradigm, testing two type sizes, display polarities, and ambient illuminations (near-dark and daylight-like).

    Source : Dobres, Jonathan, Chahine, Nadine, & Reimer, Bryan. (2017). Applied Ergonomics, 60, 68-73. http://dx.doi.org/10.1016/j.apergo.2016.11.001

  • Within the diagnostic process, in the activities in which digital radiology systems are utilised, image display devices play a very important role. Such devices have to guarantee high performances in order to maintain the diagnostic quality of the displayed images and present them so that they can be observed optimally. In order to ensure the appropriate performance to the users, not only the image display device but also the whole workstation should be designed properly. Particular attention should be paid to the lighting conditions, to avoid compromising the radiologist’s ability to observe the displayed images. The aim of this study is to assess the lighting of some workstations used for diagnostic radiology reporting, in order to obtain information about the visual interaction between worker and device and prevent health risks.

    Source : Leccese, Francesco, Salvadori, Giacomo, Montagnani, Carlo, Ciconi, Andrea, & Rocca, Michele. (2017). International Journal of Industrial Ergonomics, 57, 42-54. http://dx.doi.org/10.1016/j.ergon.2016.11.005

  • The authors tested whether a sleep and circadian-based treatment shown to improve circadian adaptation to night shifts and attenuate negative effects on alertness, performance and sleep in young adults would also be effective in older adults. They assessed subjective alertness, sustained attention, sleep duration and circadian timing in 18 older adults in a simulated shift work protocol. 4 day shifts were followed by 3 night shifts in the laboratory. Participants slept at home and were randomised to either the treatment group (scheduled evening sleep and enhanced lighting during the latter half of night shifts) or control group (ad-lib sleep and typical lighting during night shifts).

    Source : Chinoy, Evan D., Harris, Michael P., Kim, Min Ju, Wang, Wei, & Duffy, Jeanne F. (2016). Occupational & Environmental Medicine, 73(12), 869-876. doi:10.1136/oemed-2016-103712

ENQUÊTE ET ANALYSE D’ACCIDENTS

Pour lire aussi article original :  Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

  • Under-reporting of type II (patient/visitor-on-worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. Mixed methods including surveys and focus groups were used to examine patterns of reporting type II violent events among ∼11,000 workers at six U.S. hospitals. Of the 2,098 workers who experienced a type II violent event, 75% indicated they reported. Reporting patterns were disparate including reports to managers, co-workers, security, and patients’ medical records—with only 9% reporting into occupational injury/safety reporting systems. Workers were unclear about when and where to report, and relied on their own « threshold » of when to report based on event circumstances.

    Source : Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

ÉQUIPEMENTS DE PROTECTION

  • Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs. This was an intervention study which compared the initial values with those after a follow-up of 12 months. All teaching child care workers employed by the multi-site institution were offered the opportunity to take part. Forty-five (45) employees in16 institutions participated.

    Source : Koch, Peter, Stranzinger, Johanna, Kersten, Jan Felix, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:50. DOI: 10.1186/s12995-016-0138-1

  • Though employee health professionals are aware that Zika virus can be transmitted by a needlestick, a case involving transmission from a dying patient with an extremely high viral titer to an acquaintance caregiver has implications for protecting healthcare workers. But perhaps no case of Zika is as strange and alarming as that of the first U.S. death due to the emerging virus in June of this year in Salt Lake City. While hospitalized, the 73-year-old patient apparently transmitted Zika to a visiting acquaintance — possibly through tears — before dying with an incredibly high level of circulating virus in the blood. The secondary case developed symptomatic Zika infection, but subsequently recovered.

    Source : Did Gloveless Contact Transmit Zika? (2016). Hospital Employee Health, 35(12), 141-142. Repéré à https://www.ahcmedia.com/articles/139549-did-gloveless-contact-transmit-zika

  • A low level of air-borne bacteria in the operating room air can be achieved if all staff wear clothes made from a low-permeable material (i.e. Clean Air Suits). We investigated whether there was a difference in protective efficacy between two single-use scrubs both made of polypropylene by testing them during routinely performed orthopaedic surgical procedures. There was no significant difference in counts of CFU/m3 air between the two scrubs and a choice between them can thus be based on which one is more comfortable for staff.

    Source : Tammelin, Ann, & Blomfeldt, Anne-Marie. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.027

  • La radiologie interventionnelle pédiatrique est un domaine particulièrement irradiant pour l’opérateur, du fait de l’utilisation fréquente d’un système de radioscopie biplan et de la plus grande proximité du médecin avec le patient. L’étude présentée ici porte de la dose au cristallin d’un neuroradiologue exerçant en pédiatrie, au moyen de dosimètres thermoluminescents (TLD) placés à différents endroits sur un bonnet chirurgical mesurant ainsi l’exposition du cristallin en l’absence de lunettes de protection, et ce durant 12 interventions. Dans un deuxième temps, en vue de déterminer l’efficacité de quatre paires de lunettes de protection plombées, des mesures ont été effectuées en reproduisant les mêmes conditions cliniques.

    Source : Bolomey, C., Fasel, G., Ryckx, N., & Le Coultre, R. (24 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/tttt/Identification-et-evaluation-des/article/irradiation-du-personnel-en

ÉQUIPEMENTS INNOVATEURS EN SST

    • Au Centre d’archives de la Ville de Mont-Saint-Hilaire, les employés doivent fréquemment manipuler des boîtes remplies de documents sur un haut rayonnage de sept tablettes. Ils utilisaient un escabeau mobile pour déplacer les boîtes, qui pèsent jusqu’à 40 livres, et ce, en ayant les bras en extension au-dessus des épaules. Ce travail se faisait donc de façon non ergonomique et présentait des risques importants de blessures. Après avoir cherché en vain des escabeaux plus ergonomiques auprès d’autres centres d’archives, une équipe de travail de la Ville a décidé de développer elle-même une solution. On a ajouté à l’escabeau mobile, déjà muni d’un garde-corps, une tablette ajustable qui supporte les boîtes pendant que le travailleur se trouve sur l’escabeau. Une commande manuelle actionne un petit moteur qui déplace mécaniquement la tablette à la hauteur désirée. Entièrement pensé et réalisé par les travailleurs, ce système est simple d’utilisation et rend la manipulation des boîtes d’archives plus sécuritaire.

      Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2016). Lumière su les visages de la prévention : région de la Yamaska. [S.l.]. CNESST, p. 21. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Yamaska/DC200-987-4Y_Yamaska_GPSST-Brochure_2016-06_4.pdf#page=21

Pour voir la vidéo : https://www.youtube.com/watch?v=_DG_pkZX3vo&feature=youtu.be

ERGONOMIE

      • Ce numéro spécial vise à comprendre dans une approche pluridisciplinaire les façons différentes pour les femmes et les hommes de réaliser leur activité de travail et hors travail. L’objectif est d’interroger nos méthodes d’intervention ergonomique sur les relations entre travail et santé du point de vue du sexe/genre et d’en tirer des leçons pour la formation et la recherche. Une dizaine d’articles dans des secteurs variés apportent des connaissances sur la nécessité d’analyser de manière différenciée les expositions aux risques, les difficultés de santé selon le sexe/genre. Les stéréotypes apparaissent dans la répartition des emplois, la division du travail, l’attribution de rôle selon les horaires de travail. Porter le regard sur l’activité, plus exactement sur les modalités de régulations dans le travail en fonction des formes d’organisation du travail selon le sexe/genre, amène aux différentes étapes de l’intervention ergonomique à questionner les processus de transformation du travail qui peuvent tenir davantage l’égalité professionnelle.

        Source : Caroly, Sandrine. (2016). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 18(2). Repéré à http://pistes.revues.org/4827

      • Kathy Espinoza, assistant vice president of ergonomics and safety for the insurance brokerage and consulting firm of Keenan & Associates in Torrance, CA, suggests employee health professionals consider the following strategies with healthcare workers from the millennial generation.

        Source : Espinoza, Kathy. (2016). Hospital Employee Health, 35(12), 137. Repéré à https://www.ahcmedia.com/articles/139546-key-strategies-for-millennial-workers

      • Monotonous, repetitive work characterizes production lines. Repetitive movements and awkward postures are the most prominent physical risk factors in the workplace. Various legislations have been enacted along with technical standards for ergonomic risk evaluation to ensure the safety of the operators.There are numerous methods to assess the ergonomic risk at work. However, most methods are not meant to be used for assessing cyclic work. This paper proposes a method, Postural Ergonomic Risk Assessment (PERA), which is suitable to evaluate the postural ergonomic risk of short cyclic assembly work. Its key features are simplicity and compliance with standards. The added value of the method is that it provides an analysis of every work task in the work cycle, which facilitates the identification of sources of high risk to the operator.

        Source : Chander, Divyaksh Subbash, Cavatorta, Maria Pia. (2017). International Journal of Industrial Ergonomics, 57, 32-41. http://dx.doi.org/10.1016/j.ergon.2016.11.007

ERGOTHÉRAPIE – PHYSIOTHÉRAPIE

ÉTABLISSEMENTS D’HÉBERGEMENT (Voir aussi MILIEU DE VIE

FORMATION EN SST

      • Multifaceted safe patient handling and mobility (SPHM) programs have been shown to reduce the personal and financial burden associated with work-related musculoskeletal disorders. Access to appropriate equipment is essential for successful outcomes, but equipment alone is not sufficient. Training on how to use equipment is also critical; however, limited literature exists describing the details of SPHM training programs. A case report design provides a rich description of practice in replicable detail. This article uses a case report format to describe the development and evaluation of the training program implemented in an academic medical center, including the various strategies and tools used: hierarchical task analysis, ergonomic risk analysis, interviews, and observations. Outcomes and future plans are described to provide further insight into the program.

        Source : Enos, Lynda, Eldredge, Deborah, & Rockefeller, Kathleen. (2016). American Journal of SPHM, 6(3), 120-129. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=189

      • Safe patient handling and mobility (SPHM) program implementation is a change initiative requiring effective education. Little research is available, however, describing specific recommendations for effective SPHM education. Effective education includes an education plan that incorporates the concepts of adult learning theories, various learning styles, and generational learning considerations. Examples of different teaching methods are discussed to promote the learning needs of the adult healthcare professional for SPHM. This article defines effective SPHM education and offers innovative methods and strategies for enhancing SPHM education based on an evidenced-based approach.

        Source : Perez, Amber. (2016). American Journal of SPHM, 6(3), 113-119. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=188

      • Education, training, and learning are distinctly separate and involve varied, complex activities, yet they do not always receive sufficient attention, organization, and resource application to ensure healthcare providers are fully capable and confident in using safe patient handling and mobility (SPHM) technology. The goals of this article are to focus on the psychomotor domain of learning, describe best methods to achieve success with psychomotor learning within the context of SPHM program and technology use, and recommend methods to improve SPHM education for psychomotor skill acquisition.

        Source : Mechan, Patricia. (2016). American Journal of SPHM, 6(3), 104-108. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=187

      • Safety training (ST) is essential for workplace safety and to be effective requires that the learned knowledge and skills are transferred to the job. Research on transfer mechanisms and its predictors has neglected trainers’ influence, despite their privileged position on decisions related with training. This study is aimed at identifying: (1) trainers’ perspectives on best practices for enhancing ST success; (2) unexplored transfer factors based on reported best practices; and (3) the trainers’ sense of self-efficacy and personal responsibility regarding ST results.

        Source : Freitas, Ana Cristina, & Silva, Silvia Agostinho. (2017). Safety Science, 91(1), 310-319. http://dx.doi.org/10.1016/j.ssci.2016.08.007

FUMÉES CHIRURGICALES

      • Hepatitis B virus (HBV) transmission is known to occur through direct contact with infected blood. There has been some suspicion that the virus can also be detected in aerosol form. However, this has never been directly shown. The purpose of this study was to sample and analyse surgical smoke from laparoscopic surgeries on patients with hepatitis B to determine whether HBV is present.

        Source : Kwak, Han Deok, Kim, Seon-Hahn, Seo, Yeon Seok, & Song, Ki-Joon. (2016). Occupational & Environmental Medicine, 73(12), 857-863. doi:10.1136/oemed-2016-103724

GESTION – LEADERSHIP

      • Authentic leadership and structural empowerment have been shown to reduce early career burnout among nurses. Short-staffing and work-life interference are also linked to burnout and may help explain the impact of positive, empowering leadership on burnout, which in turn influences job satisfaction and patient care quality. The purpose of this study was to test a hypothesized model linking new graduate nurses’ perceptions of their manager’s authentic leadership behaviours to structural empowerment, short-staffing and work-life interference and subsequent burnout, job satisfaction and patient care quality.

        Source : Boamah, Sheila, A., Read, Emily A., Laschinger, & Heather K, Spence. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13215

      • À l’ère où les organisations vivent de très grands changements, plusieurs concepts clés, notamment le leadership, sont amenés à évoluer. Encore maintenant, le leadership reflète l’autorité d’une seule personne, perception conservée depuis l’ère industrielle! Dans ce texte, l’auteur, Edith Luc, préconise le principe du leadership partagé, principe amenant les membres d’un groupe à accepter de « s’influencer mutuellement en vue de réaliser leur but commun ». Cet article permet d’en savoir plus sur les effets, la mise en place et les obstacles du leadership partagé.

        Source : Luc, Édith. (Hiver 2017). Gestion, 41(3). Repéré à http://www.revuegestion.ca/agir/le-leadership-partage/

      • In recent years there has been a growing interest within occupational health psychology in the role that leaders play in managing employee safety and health and promoting a workforce that is healthy as well as productive. Although this research has received increased attention, it faces several challenges. The editors of this special issue invite high-quality conceptual and empirical papers addressing these and other challenges in the area of leadership and occupational health psychology. They welcome a wide range of theoretical and methodological approaches. Interdisciplinary approaches and studies that include multiple levels (individual, group and organizational) and multiple raters are encouraged. We are interested in a wide range of questions concerning leadership and employee safety, health and well-being.

        Source : Nielsen, Karina, Kelloway, E. Kevin, & Taris, Toon W. (2016). Work & Stress : An International Journal of Work, Health & Organisations, 30(4), 395-396. http://dx.doi.org/10.1080/02678373.2016.1221601

      • Previous explanations of horizontal incivility point to oppressed group behaviour and socialisation of nurses. Leadership and organisational culture are known to have a profound impact on workplace behaviour, yet few studies have examined the relationship between leadership style and nurse-to-nurse incivility. Previous explanations of horizontal incivility point to oppressed group behaviour and socialisation of nurses. Leadership and organisational culture are known to have a profound impact on workplace behaviour, yet few studies have examined the relationship between leadership style and nurse-to-nurse incivility.

        Source : Kaiser, Jennifer A. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12447

GESTION DE LA SST

      • Ce numéro spécial vise à comprendre dans une approche pluridisciplinaire les façons différentes pour les femmes et les hommes de réaliser leur activité de travail et hors travail. L’objectif est d’interroger nos méthodes d’intervention ergonomique sur les relations entre travail et santé du point de vue du sexe/genre et d’en tirer des leçons pour la formation et la recherche. Une dizaine d’articles dans des secteurs variés apportent des connaissances sur la nécessité d’analyser de manière différenciée les expositions aux risques, les difficultés de santé selon le sexe/genre. Les stéréotypes apparaissent dans la répartition des emplois, la division du travail, l’attribution de rôle selon les horaires de travail. Porter le regard sur l’activité, plus exactement sur les modalités de régulations dans le travail en fonction des formes d’organisation du travail selon le sexe/genre, amène aux différentes étapes de l’intervention ergonomique à questionner les processus de transformation du travail qui peuvent tenir davantage l’égalité professionnelle.

        Source: Caroly, Sandrine. (2016). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 18(2). Repéré à http://pistes.revues.org/4827

      • The Zero Accident Vision (ZAV) is a promising approach developed in industry, but not so much addressed by the safety science research community. In a discussion paper in Safety Science (2013) a call was made for more research in this area. Three years later is a good time to take status of developments in this field. A first set of empirical studies has been published, several authors see new perspectives with the vision, while misunderstandings still flourish with a focus on ‘zero incidents’ as a ‘goal’, rather than the ‘vision’ that all occupational incidents are preventable. This has thus given rise to fundamental criticism of ZAV with some authors seeing ZAV as an unjustified and misleading pretention that is counter-productive for safety. In this paper an overview is given of the knowledge developments in this respect, as well as on the discourse on the controversial aspect of ZAV.

        Source : Zwetsloot, Gerard I.J.M., Kines, Pete, Wybo, Jean-Luc, Ruotsala, Riikka, Drupsteen,Linda, & Bezemer, Robert A. (2017). Safety Science, 91, 260-268. http://dx.doi.org/10.1016/j.ssci.2016.08.016

      • An extensive body of published literature exists demonstrating the benefits of safe patient handling and mobility (SPHM) programs, including a reduction in the incidence of patient handling-related injuries, a lowering of workers’ compensation costs, a reduction in the number of lost work days due to injury, an increase in job satisfaction, and an increase patient satisfaction. For the most part, these evaluations assess the effects at the program level, where the unit of analysis is either a healthcare facility or a healthcare system. No comprehensive evaluation of the influence of a statewide SPHM policy has been completed.

        Source : Howard, Ninica. (2016). American Journal of SPHM, 6(3), 130-131. Repéré à http://www.americanjournalofsphm.com/shop_ajsphm/index.php?route=product/product&path=87_90&product_id=190

      • While there is general consensus that violent incidents against healthcare workers are underreported, a closer look reveals a more nuanced view of the problem. Many incidents are actually reported by word of mouth and even documented in various logs and systems. The problem is that these incident data too often remain in separate silos and are not compiled into systemwide active surveillance that could reveal a more complete picture of violence in a healthcare facility, says Lisa A. Pompeii, PhD, the lead author of a new study on reporting of violence in healthcare.

        Source : Evans, Gary. (December 1, 2016). Hospital Employee Health, 35(12), 132-135. Repéré à https://www.ahcmedia.com/articles/139544-hospitals-fail-to-capture-violent-incident-reports

Pour lire aussi l’article original : Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

      • Under-reporting of type II (patient/visitor-on-worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. Mixed methods including surveys and focus groups were used to examine patterns of reporting type II violent events among ∼11,000 workers at six U.S. hospitals. Of the 2,098 workers who experienced a type II violent event, 75% indicated they reported. Reporting patterns were disparate including reports to managers, co-workers, security, and patients’ medical records—with only 9% reporting into occupational injury/safety reporting systems. Workers were unclear about when and where to report, and relied on their own « threshold » of when to report based on event circumstances.

        Source : Pompeii, Lisa A., Lipscomb, hester J., Smith, Claudia D., & Conway, Sadie H. (2016). American Journal of Industrial Medicine, 59(10), 863-865. Repéré à http://onlinelibrary.wiley.com/doi/10.1002/ajim.22629/abstract

      • In recent years there has been a growing interest within occupational health psychology in the role that leaders play in managing employee safety and health and promoting a workforce that is healthy as well as productive. Although this research has received increased attention, it faces several challenges. The editors of this special issue invite high-quality conceptual and empirical papers addressing these and other challenges in the area of leadership and occupational health psychology. They welcome a wide range of theoretical and methodological approaches. Interdisciplinary approaches and studies that include multiple levels (individual, group and organizational) and multiple raters are encouraged. We are interested in a wide range of questions concerning leadership and employee safety, health and well-being.

        Source : Nielsen, Karina, Kelloway, E. Kevin, & Taris, Toon W. (2016). Work & Stress : An International Journal of Work, Health & Organisations, 30(4), 395-396. http://dx.doi.org/10.1080/02678373.2016.1221601

      • The occupational stress associated with the nursing profession is increasingly recognised and nurse/midwifery absenteeism is a significant global problem. Taking a ‘mental health day’ as sickness absence is a common phenomenon in Australian healthcare. No previous studies have empirically explored the characteristics of nurses and midwives using such sickness absence. The aim of this study was to examine the workforce, workplace, psychosocial and health characteristics of nurses and midwives in relation to their reported use of sickness absence described as ‘mental health days’.

        Source : Lamont, Scott, Brunero, Scott, Perry, Lin, Duffield, Christine, Sibbritt, David, Gallagher, Robyn, & Nicholls, Rachel. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13212

      • Manual resident handling (RH) tasks increase risk of musculoskeletal disorders (MSDs) for clinical staff in nursing homes. To reduce the incidence and cost of MSDs, a large healthcare corporation instituted a Safe Resident Handling Program (SRHP) comprising purchase of mechanical lifting equipment, worker training, and detailed usage/maintenance protocols. The program was initially administered by a third-party company; after three years, program responsibility shifted to individual centers. Workers’ compensation claim rates were compared before and after SRHP implementation. Claims and FTEs were classified as « pre-SRHP, » « first post period » (up to 3 years post-SRHP), or « second post period » (4–6 years post-SRHP), based on claim date relative to implementation date for each center.

        Source : Kurowski, Alicia, Gore, Rebecca, Roberts, Yaritza, Kincaid, Kendra Richardson, & Punnett, Laura. (2017). Safety Science, 92, 217-224. http://dx.doi.org/10.1016/j.ssci.2016.10.012

      • The purpose of this study was to use objective registry data to prospectively investigate the effects of quick returns (QR, <11 hours of rest between shifts) and night shifts on sick leave. A total of 1538 nurses (response rate =41.5%) answered questionnaires on demographics and personality and provided consent to link this information to registry data on shift work and sick leave from employers’ records. A multilevel negative binomial model was used to investigate the predictive effect of exposure to night shifts and QR every month for 1 year, on sick leave the following month.

        Source : Vedaa, Øystein, Pallesen, Ståle , Waage, Siri, Bjorvatn, Bjørn, Sivertsen, Børge, Erevik, Eilin, Svensen, Erling & Harris, Anette. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103920

      • Hepatitis C infection is a global public health issue. Chronic hepatitis C infection is associated with significant morbidity and mortality. The aim of this study is to describe the costs for occupationally-cased hepatitis C infections based on data from an accident insurance carrier. This study is a secondary analysis based on the Database of a German Institution for Statutory Accident Insurance. The analysis is based on a sample of insured parties whose hepatitis C infections were recorded as occupational diseases between 1996 and 2013. The analysis is based on recognised hepatitis C cases and incorporates records registered between 1 January 2000 and 31 December 2014.

        Source : Westermann, Claudia, Dulon, Madeleine, Wendeler, Dana, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:52. DOI: 10.1186/s12995-016-0142-5

      • Il n’est pas rare de constater qu’une personne met de côté des règles de sécurité lorsqu’elle sait que personne ne viendra l’importuner à ce sujet et, d’autant plus si le respect des règles de sécurité lui apporte des inconvénients, de l’inconfort ou s’avère un obstacle à son efficacité personnelle. L’entreprise peut bien disposer d’une politique, d’un système de gestion de la santé-sécurité, de procédures et de règles de sécurité, etc. Toutefois, il s’agit de mécanismes qui exercent une pression extérieure en vue de l’adoption des comportements sécuritaires. Si on souhaite inciter les membres du personnel à adhérer à une culture positive en SST, à adopter des comportements sécuritaires, il importe d’agir également sur les incitatifs qui rehaussent la motivation personnelle à adopter des pratiques de travail sécuritaires.

        Source : Centre patronal de santé et sécurité du travail du Québec. (Novembre 2016). Infos SST. Le point sur… Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/culture-sst/favoriser-des-pratiques-securitaires-meme-en-labsence-de-supervision.html

      • Dans la gestion médicoadministrative de vos dossiers de lésions professionnelles, vous êtes fréquemment confronté à des questions concernant la collecte et la protection des renseignements de nature médicale. Voici les grands principes à respecter quant aux renseignements médicaux qu’il est possible d’obtenir, les personnes autorisées à y accéder et leur transmission au travailleur concerné.

        Source : Centre patronal de santé et sécurité du travail du Québec. (Novembre 2016). Infos SST. Le point sur… Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/suivi-des-lesions/renseignements-medicaux-et-regles-de-confidentialite.html

GESTION DU CHANGEMENT

      • À l’ère où les organisations vivent de très grands changements, plusieurs concepts clés, notamment le leadership, sont amenés à évoluer. Encore maintenant, le leadership reflète l’autorité d’une seule personne, perception conservée depuis l’ère industrielle! Dans ce texte, l’auteur, Edith Luc, préconise le principe du leadership partagé, principe amenant les membres d’un groupe à accepter de « s’influencer mutuellement en vue de réaliser leur but commun ». Cet article permet d’en savoir plus sur les effets, la mise en place et les obstacles du leadership partagé.

        Source : Luc, Édith. (Hiver 2017). Gestion, 41(3). Repéré à http://www.revuegestion.ca/agir/le-leadership-partage/

HARCÈLEMENT AU TRAVAIL

      • L’intimidation et le harcèlement désignent habituellement tout comportement mal venu qui diminue, embarrasse, humilie, ennuie, inquiète ou injurie une personne. Au travail, ces comportements peuvent prendre diverses formes. L’intimidation est une forme d’agression dont les manifestations peuvent être évidentes ou subtiles, et dont les effets peuvent être dévastateurs pour le travailleur visé. Le présent document infographique énonce les différents types de comportements d’intimidation de même que les mesures que les employeurs peuvent prendre pour lutter contre l’intimidation et créer un milieu de travail sain et respectueux.

        Source : Centre canadien d’hygiène et de sécurité au travail. (2016). L’intimidation et le harcèlement en milieu de travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/bullying_harassment.png

HORAIRE DE TRAVAIL

      • The objective was to examine if night shift work is a short-term risk factor for breast cancer, including combined estrogen receptor (ER) and human epidermal growth factor 2 (HER2) breast cancer subtypes. The cohort comprised 155 540 public sector female workers in Denmark who were followed from 2007–2012.

        Source : Vistisen, HT, Garde, AH, Frydenberg, M., Christiansen, P., Hansen, ÅM, Hansen, J., Bonde, JPE, & Kolstad HA. (2016). Scandinavian Journal of Work, Environment & Health. Prépublication. doi:10.5271/sjweh.3603

      • This systematic review and meta-analysis aimed to examine whether working beyond the standard working hours was associated with a greater risk of depressive disorder among workers included in published prospective studies. This manuscript was prepared according to the PRISMA guideline checklist. A database search was conducted using MEDLINE (PubMed), PsycINFO, and PsycARTICLES using a relevant set of keywords.

        Source : Watanabe, Kazuhiro, Imamura, & Kotaro, Kawakami, Norito. (2016). Occupational & Environmental Medicine, 73(12), 877-884. doi:10.1136/oemed-2016-103845

      • In 2007, the International Agency for Research on Cancer (IARC) convened an expert working group who examined all relevant information and concluded that « Shiftwork that involves circadian disruption is probably carcinogenic to humans (Group 2A). »1 As a key element of their classification, IARC judged that there was « sufficient evidence in experimental animals for the carcinogenicity of light during the daily dark period (biological night) [emphasis added]. »1 However, while IARC identified a key role for ‘biological night’ in animals, it is more difficult to define—and work with—a biological night in humans. This editorial suggests ‘how’ we can do this in practice to arrive at an epidemiological measure of circadian disruption.

        Source : Erren, TC, Groß, JV, & Fritschi, L. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-104056

      • Shift work is associated with adverse physical and psychological health outcomes. However, the independent health effects of night work and rotating shift on workers’ sleep and mental health risks and the potential gender differences have not been fully evaluated. The authors used data from a nationwide survey of representative employees of Taiwan in 2013, consisting of 16 440 employees. Participants reported their work shift patterns 1 week prior to the survey, which were classified into the four following shift types: fixed day, rotating day, fixed night and rotating night shifts. Also obtained were self-reported sleep duration, presence of insomnia, burnout and mental disorder assessed by the Brief Symptom Rating Scale.

        Source : Cheng, Wan-Ju, & Cheng, Yawen. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103898

      • Hospital nurses are expected to maintain optimal work performance; yet, fatigue can threaten safe practice and result in unfavorable patient outcomes. This descriptive cross-sectional study explored the association between fatigue, work schedules, and perceived work performance among nurses. The study sample included 77 bedside nurses who were mostly female, single, and between 20 and 29 years of age. The majority worked 8-hour shifts and overtime.

        Source : Sagherian, Knar, Clinton, Michael E., Huijer, Huda Abu-Saad, & Geiger-Brown, Jeanne. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916665398

      • The purpose of this study was to use objective registry data to prospectively investigate the effects of quick returns (QR, <11 hours of rest between shifts) and night shifts on sick leave. A total of 1538 nurses (response rate =41.5%) answered questionnaires on demographics and personality and provided consent to link this information to registry data on shift work and sick leave from employers’ records. A multilevel negative binomial model was used to investigate the predictive effect of exposure to night shifts and QR every month for 1 year, on sick leave the following month.

        Source : Vedaa, Øystein, Pallesen, Ståle , Waage, Siri, Bjorvatn, Bjørn, Sivertsen, Børge, Erevik, Eilin, Svensen, Erling & Harris, Anette. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103920

      • The authors tested whether a sleep and circadian-based treatment shown to improve circadian adaptation to night shifts and attenuate negative effects on alertness, performance and sleep in young adults would also be effective in older adults. They assessed subjective alertness, sustained attention, sleep duration and circadian timing in 18 older adults in a simulated shift work protocol. 4 day shifts were followed by 3 night shifts in the laboratory. Participants slept at home and were randomised to either the treatment group (scheduled evening sleep and enhanced lighting during the latter half of night shifts) or control group (ad-lib sleep and typical lighting during night shifts).

        Source : Chinoy, Evan D., Harris, Michael P., Kim, Min Ju, Wang, Wei, & Duffy, Jeanne F. (2016). Occupational & Environmental Medicine, 73(12), 869-876. doi:10.1136/oemed-2016-103712

      • Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes. Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce. The overall aim of this study was to explore barriers and facilitators within the hospital nurse work system to nurse coping and fatigue. The purpose of this paper is to describe emergent themes that offer new insight describing the relationships among nurse perceptions of fatigue, nursing professional culture, and implications for the nursing workforce.

        Source : Steege, Linsey M., & Rainbow, Jessica G. (2017). International Journal Of Nursing Studies, 67, 20-28. http://dx.doi.org/10.1016/j.ijnurstu.2016.11.014

      • Adequate recovery opportunities are crucial for preventing long-term health effects of acute load reactions in response to stressful work. However, little is known about the time course of recovery from work during non-working days. Thus, the present study assessed recovery from two consecutive 12-hours day shifts during a period of three rest days among nurses. In total, 48 nurses (89.6% females) working in three public Austrian nursing homes completed 5-day self-reporting diaries prior to a work phase consisting of two consecutive 12-hours day shifts followed by three consecutive rest days. Therefore, morning and evening fatigue, distress, vigor and sleep were self-assessed by standardized questionnaires.

        Source : Blasche, Gerhard, Bauböck, Verena-Maria, & Haluza, Daniela. (2016). International Archives of Occupational and Environmental Health. Prépublication. doi:10.1007/s00420-016-1187-6

HYGIÈNE ET SALUBRITÉ

      • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

        Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

      • « We thank the authors of the letter for their comments on the benefits and risks of using low-level disinfectants on environmental surfaces in hospitals based on our recent article « Occupational health risks associated with the use of germicides in health care. » We take exception to many of the issues and criticisms raised by these authors. First, the authors have failed to note the substantial morbidity and mortality associated with health care–associated infections (HAIs) in the United States. »

        Source : Weber, David J. & Rutala, William A. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.09.018

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • In their recent article, Weber et al concluded « scientific evidence does not support that the use of low level disinfectant products on environmental surfaces by health care personnel is an important risk factor for the development of asthma or dermatitis. » They reached this conclusion after reviewing the employee medical records at University of North Carolina hospitals (2003-2012) and conducting a literature review on disinfectants and health care workers.The authors take exception with the adequacy of the data for Weber et al. study and the thoroughness of Weber’s literature review and do not find conclusion to be supported by Weber et al data.

    Source : Pechter, Elise, & Rosenman, Kenneth D. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.020

  • Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • This study was specifically focused on para-professional healthcare workers (PHCWs) who handle cytotoxic drugs and contaminated wastes at the Public Teaching Hospitals of Marseille (AP-HM), France. It first aimed at evaluating the knowledge and professional practice of the PHCWs who belong to a personnel category among the less informed and protected in hospitals. In a second time, this study also proposed to raise awareness, educate and train the staff on protective measures to minimise the exposure of the PHCWs to the potential toxicity of anticancer chemotherapy agents (or metabolites) when cleaning and handling both cytotoxic drugs and wastes. Standardized procedures and guidelines to prevent occupational exposure were not used by PHCWs. More education and training are needed to improve safety.

    Source : Kieffer, C., Verhaege, P. Lagrassa, S., Grégoire, R., Moussaoui, Z., Casteras-Ducros, C., Clark, J.E., Vanelle, P., & Rathelot, P. (2015). European Journal of Cancer Care, 24(3), 404-410. DOI: 10.1111/ecc.12249

  • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l’IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

    Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html

  • Because manual cleaning is often suboptimal, there is increasing interest in use of automated devices for room decontamination. We demonstrated that an ultrasonic room fogging system that generates submicron droplets of peracetic acid and hydrogen peroxide eliminated Clostridium difficile spores and vegetative pathogens from exposed carriers in hospital rooms and adjacent bathrooms.

    Source : Mana, Thriveen S.C., Sitzlar, Brett, Cadnum, Jennifer L., Jencson, Annette L., Koganti, Sreelatha, & Donskey, Curtis J. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.10.006

IMAGERIE MÉDICALE

  • Within the diagnostic process, in the activities in which digital radiology systems are utilised, image display devices play a very important role. Such devices have to guarantee high performances in order to maintain the diagnostic quality of the displayed images and present them so that they can be observed optimally. In order to ensure the appropriate performance to the users, not only the image display device but also the whole workstation should be designed properly. Particular attention should be paid to the lighting conditions, to avoid compromising the radiologist’s ability to observe the displayed images. The aim of this study is to assess the lighting of some workstations used for diagnostic radiology reporting, in order to obtain information about the visual interaction between worker and device and prevent health risks.

    Source : Leccese, Francesco, Salvadori, Giacomo, Montagnani, Carlo, Ciconi, Andrea, & Rocca, Michele. (2017). International Journal of Industrial Ergonomics, 57, 42-54. http://dx.doi.org/10.1016/j.ergon.2016.11.005

MÉDICAMENTS DANGEREUX – PHARMACIE

  • This study was conducted to determine whether there is contamination on exterior drug packaging using shipping totes from the distributor and carousel storage bins as surrogate markers of external packaging contamination. A two-part study was conducted to measure the presence of 5-fluorouracil, ifosfamide, cyclophosphamide, docetaxel and paclitaxel using surrogate markers for external drug packaging.

    Source : Redic, Kimberly A., Fang, Kayleen, Christen, Catherine, & Chaffee, Bruce W. (2016). Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155216679027

  • The aim of this study was to evaluate air and surface contaminations, and internal contamination of healthcare workers during open-abdomen HIPEC using oxaliplatin. Platinum (Pt) was measured in urine of exposed workers and in multiple air and surface samples. Three successive HIPEC procedures were investigated in each of the two hospitals participating in the study. Analysis of air samples did not detect any oxaliplatin contamination. Heavy contamination of the operating table, the floor at the surgeon’s feet, and the surgeon’s overshoes were observed. Hand contamination was observed in surgeons using double gloves for intra-abdominal chemotherapy administration, but not in those using three sets of gloves. Pt was not detected in urine samples obtained after HIPEC (<5 ng/L). The main risk of HIPEC is related to direct or indirect skin exposure and can be prevented by correct use of adapted protective equipment.

    Source : Villa, Antoine, El Balkhi, Souleiman, Aboura, Radia, Sageot, Herve, Hasni-Pichard, Helene, Pocard, Marc, … Garnier, Robert. (2015). Industrial Health, 53(1), 28-37. http://doi.org/10.2486/indhealth.2014-0025

  • This study was specifically focused on para-professional healthcare workers (PHCWs) who handle cytotoxic drugs and contaminated wastes at the Public Teaching Hospitals of Marseille (AP-HM), France. It first aimed at evaluating the knowledge and professional practice of the PHCWs who belong to a personnel category among the less informed and protected in hospitals. In a second time, this study also proposed to raise awareness, educate and train the staff on protective measures to minimise the exposure of the PHCWs to the potential toxicity of anticancer chemotherapy agents (or metabolites) when cleaning and handling both cytotoxic drugs and wastes. Standardized procedures and guidelines to prevent occupational exposure were not used by PHCWs. More education and training are needed to improve safety.

    Source : Kieffer, C., Verhaege, P. Lagrassa, S., Grégoire, R., Moussaoui, Z., Casteras-Ducros, C., Clark, J.E., Vanelle, P., & Rathelot, P. (2015). European Journal of Cancer Care, 24(3), 404-410. DOI: 10.1111/ecc.12249

  • Oncology nurses are at an increased risk of exposure to airborne hazards when they’re administering cytotoxic treatments and caring for immunosuppressed patients that are susceptible to resistant infections. Airborne transmission occurs through small particles or droplet nuclei that remain in the air for extended periods of time. Healthcare organizations are expected to provide sufficient respiratory protection for workers potentially exposed to infectious organisms and hazardous agents.

    Source : Wyant, Tracy. (November 28, 2016). The Importance of Respiratory Protection for Oncology Nurses. [Billet de blogue]. ONS Connect. Repéré à http://connect.ons.org/ons-connect-blog/the-importance-of-respiratory-protection-for-oncology-nurses

  • Les applications thérapeutiques des anticorps monoclonaux (Acm) se multiplient et parallèlement, leur manipulation s’intensifie. Mais leur toxicité pour le personnel reste peu connue. Dans le cadre d’une thèse de médecine du travail, un état des lieux a été réalisé, s’appuyant sur une revue de la littérature et une enquête de terrain, sous la forme de questionnaires ou d’interviews pour les populations ciblées, soit les travailleurs manipulant des Acm (personnels infirmiers et de pharmacie) et les médecins du travail assurant leur suivi médical.

    Source : Coates, L., Caron, V., & Pillière, F. (3 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Manipulation-des-anticorps.html

MANUTENTION DE CHARGES

  • Au Centre d’archives de la Ville de Mont-Saint-Hilaire, les employés doivent fréquemment manipuler des boîtes remplies de documents sur un haut rayonnage de sept tablettes. Ils utilisaient un escabeau mobile pour déplacer les boîtes, qui pèsent jusqu’à 40 livres, et ce, en ayant les bras en extension au-dessus des épaules. Ce travail se faisait donc de façon non ergonomique et présentait des risques importants de blessures. Après avoir cherché en vain des escabeaux plus ergonomiques auprès d’autres centres d’archives, une équipe de travail de la Ville a décidé de développer elle-même une solution. On a ajouté à l’escabeau mobile, déjà muni d’un garde-corps, une tablette ajustable qui supporte les boîtes pendant que le travailleur se trouve sur l’escabeau. Une commande manuelle actionne un petit moteur qui déplace mécaniquement la tablette à la hauteur désirée. Entièrement pensé et réalisé par les travailleurs, ce système est simple d’utilisation et rend la manipulation des boîtes d’archives plus sécuritaire.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2016). Lumière su les visages de la prévention : région de la Yamaska. [S.l.]. CNESST, p. 21. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Yamaska/DC200-987-4Y_Yamaska_GPSST-Brochure_2016-06_4.pdf#page=21

Pour voir la vidéo : https://www.youtube.com/watch?v=_DG_pkZX3vo&feature=youtu.be

  • A tool has been developed for supporting practitioners when assessing manual pushing and pulling operations based on an initiative by two global companies in the manufacturing industry. The aim of the tool is to support occupational health and safety practitioners in risk assessment and risk management of pushing and pulling operations in the manufacturing and logistics industries. It is based on a nine-multiplier equation that includes a wide range of factors affecting an operator’s health risk and capacity in pushing and pulling. These multipliers are based on psychophysical, physiological, and biomechanical studies in combination with judgments from an expert group consisting of senior researchers and ergonomists. In order to consider usability, more than fifty occupational health and safety practitioners (e.g. ergonomists, managers, safety representatives, and production personnel) participated in the development of the tool. An evaluation by 22 ergonomists supports that the push/pull tool is user friendly in general.

    Source : Lind, CM. (2016). International Journal of Occupatiojal Safety Ergonomics. Prépublication. 1-40. Repéré à http://www.tandfonline.com/doi/abs/10.1080/10803548.2016.1258811

  • A few biomechanical studies have contrasted the work techniques of female and male workers during manual material handling (MMH). A recent study showed that female workers differed from males mostly in the strategy they used to lift 15-kg boxes from the ground, especially regarding task duration, knee and back postures and interjoint coordination. However, the lifting technique difference observed in females compared to males was perhaps due to a strength differences. The objective of this study was to test whether female workers would repeat the same lifting technique with a load adjusted to their overall strength (females: 10 kg; males: 15 kg), which can be considered a « relative load » since the overall back strength of females is 2/3 that of males. The task for the participants consisted in transferring boxes from one pallet to another.

    Source : Plamondon, A., Larivière, C., Denis, D., Mecheri, H., & Nastasia, I. (2017). Applied Ergonomics, 60, 93-102. http://dx.doi.org/10.1016/j.apergo.2016.10.014

MILIEU DE VIE

NORMES ET LÉGISLATION EN SST

  • Sur cette page Web, vous trouverez la liste des articles de lois et les liens ayant trait à la violence en milieu de travail. La plupart des autorités canadiennes prévoient dans leurs lois concernant l’hygiène et la sécurité au travail une « disposition générale » qui oblige les employeurs à prendre toutes les précautions raisonnables pour protéger la santé et la sécurité des employés. Cette disposition doit comprendre la protection des employés de tout risque connu de violence en milieu de travail. Cette liste est préparée par le CCHST dans le cadre du service Législation enviroSST canadienne .

    Source : Canadian Centre for Occupational Health and Safety. (Novembre 2016). Canadian enviroOSH Legislation plus Standards. Repéré à http://ccinfoweb2.ccohs.ca/legislation/documents/notes_fr/oshlegf/legviolf.htm

PRÉVENTION DES INFECTIONS

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • In their recent article, Weber et al concluded « scientific evidence does not support that the use of low level disinfectant products on environmental surfaces by health care personnel is an important risk factor for the development of asthma or dermatitis. » They reached this conclusion after reviewing the employee medical records at University of North Carolina hospitals (2003-2012) and conducting a literature review on disinfectants and health care workers.The authors take exception with the adequacy of the data for Weber et al. study and the thoroughness of Weber’s literature review and do not find conclusion to be supported by Weber et al data.

    Source : Pechter, Elise, & Rosenman, Kenneth D. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.020

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region. Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database. The results showed that Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma.

    Source : Dumas, Orianne, Henneberger, Paul K., Zock, Jean-Paul, Le Moual, Nicole, & Camargo, Carlos A. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22671

  • Hepatitis B virus (HBV) transmission is known to occur through direct contact with infected blood. There has been some suspicion that the virus can also be detected in aerosol form. However, this has never been directly shown. The purpose of this study was to sample and analyse surgical smoke from laparoscopic surgeries on patients with hepatitis B to determine whether HBV is present.

    Source : Kwak, Han Deok, Kim, Seon-Hahn, Seo, Yeon Seok, & Song, Ki-Joon. (2016). Occupational & Environmental Medicine, 73(12), 857-863. doi:10.1136/oemed-2016-103724

  • Handwashing (HW) compliance, although an effective means of limiting childhood illness, remains low among personnel in early childhood centers (ECCs). Our study determined HW compliance and efficacy of ECC personnel. Surveillance cameras were used to determine HW opportunities, compliance, occurrences, and effectiveness based on child-care oriented criteria. The findings showed that methods and strategies need to be developed to increase compliance. Current technology provides an effective means of gathering data for determining HW compliance in ECCs.

    Source : Clark, Jeffrey, Henk, jennifer K., Crandall, Philip G., Crandall, Mardel A., & O’Bryan, Corliss A. (2016). AJIC : American Journal of Infection Control, 44(12), 1469-1474. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.006

  • Immunization rates for healthcare workers in long-term care were at a meager 69% last flu season — and that was an improvement. During the previous 2014-2015 flu season, 64% of healthcare workers in long-term care were immunized, according to the CDC. Though they work with vulnerable elderly residents, long-term care workers have historically been less likely to be vaccinated for flu as their counterparts in hospitals and other settings. Though a lagging indicator, flu vaccination rates in long-term care employees are improving over time just like other sectors of the healthcare continuum. Still, a study published last year found that long-term care workers had lingering concerns about the safety of the vaccine, including the old myth that it could cause the flu.

    Source : Many HCWs in Long-Term Care Skip Flu Shots. (2016). Hospital Employee Health, 35(12), 138-141. Repéré à https://www.ahcmedia.com/articles/139548-many-hcws-in-long-term-care-skip-flu-shots

  • Though employee health professionals are aware that Zika virus can be transmitted by a needlestick, a case involving transmission from a dying patient with an extremely high viral titer to an acquaintance caregiver has implications for protecting healthcare workers. But perhaps no case of Zika is as strange and alarming as that of the first U.S. death due to the emerging virus in June of this year in Salt Lake City. While hospitalized, the 73-year-old patient apparently transmitted Zika to a visiting acquaintance — possibly through tears — before dying with an incredibly high level of circulating virus in the blood. The secondary case developed symptomatic Zika infection, but subsequently recovered.

    Source : Did Gloveless Contact Transmit Zika? (2016). Hospital Employee Health, 35(12), 141-142. Repéré à https://www.ahcmedia.com/articles/139549-did-gloveless-contact-transmit-zika

  • About 35.7 million healthcare workers are at risk of sustaining a needlestick injury worldwide and an estimated 384,000 percutaneous injuries occur annually in US hospitals alone. Although needlestick injuries continue to pose a major occupational hazard for healthcare workers, underreporting and a ‘culture of silence’ persist. Few publications suggest solutions. The authors propose a novel solution that may help to deter high-risk [i.e. history of human immunodeficiency virus (HIV), bloodborne hepatitis virus, or intravenous (IV) drug misuse] needlesticks in the operating room (OR) and the wards.

    Source : Katsevman, G.A., Braca III, J.A., Sedney, C.L., & Hatchett, L. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.018

  • Oncology nurses are at an increased risk of exposure to airborne hazards when they’re administering cytotoxic treatments and caring for immunosuppressed patients that are susceptible to resistant infections. Airborne transmission occurs through small particles or droplet nuclei that remain in the air for extended periods of time. Healthcare organizations are expected to provide sufficient respiratory protection for workers potentially exposed to infectious organisms and hazardous agents.

    Source : Wyant, Tracy. (November 28, 2016). The Importance of Respiratory Protection for Oncology Nurses. [Billet de blogue]. ONS Connect. Repéré à http://connect.ons.org/ons-connect-blog/the-importance-of-respiratory-protection-for-oncology-nurses

  • Hepatitis C infection is a global public health issue. Chronic hepatitis C infection is associated with significant morbidity and mortality. The aim of this study is to describe the costs for occupationally-cased hepatitis C infections based on data from an accident insurance carrier. This study is a secondary analysis based on the Database of a German Institution for Statutory Accident Insurance. The analysis is based on a sample of insured parties whose hepatitis C infections were recorded as occupational diseases between 1996 and 2013. The analysis is based on recognised hepatitis C cases and incorporates records registered between 1 January 2000 and 31 December 2014.

    Source : Westermann, Claudia, Dulon, Madeleine, Wendeler, Dana, & Nienhaus, Albert. (2016). Journal of Occupational Medicine and Toxicology, 11:52. DOI: 10.1186/s12995-016-0142-5

  • The infection prevention and control guidelines are current best practice for reducing the risk of an occupational-acquired infection while caring for a patient with a confirmed or suspected case of Ebola virus disease (EVD). However, what is missing from these and similar guidelines is the pastoral care health care workers (HCWs) should be provided while caring for patients with novel and highly pathogenic diseases. I use the term pastoral care to refer to a broad model that includes emotional, psychologic, and spiritual support appropriate for the culture and tradition of the HCW.

    Source : McLaws, Mary-Louise. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.09.016

  • Because manual cleaning is often suboptimal, there is increasing interest in use of automated devices for room decontamination. We demonstrated that an ultrasonic room fogging system that generates submicron droplets of peracetic acid and hydrogen peroxide eliminated Clostridium difficile spores and vegetative pathogens from exposed carriers in hospital rooms and adjacent bathrooms.

    Source : Mana, Thriveen S.C., Sitzlar, Brett, Cadnum, Jennifer L., Jencson, Annette L., Koganti, Sreelatha, & Donskey, Curtis J. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.10.006

PRODUITS TOXIQUES

  • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

    Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

  • « We thank the authors of the letter for their comments on the benefits and risks of using low-level disinfectants on environmental surfaces in hospitals based on our recent article « Occupational health risks associated with the use of germicides in health care. » We take exception to many of the issues and criticisms raised by these authors. First, the authors have failed to note the substantial morbidity and mortality associated with health care–associated infections (HAIs) in the United States. »

    Source : Weber, David J. & Rutala, William A. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.09.018

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • In their recent article, Weber et al concluded « scientific evidence does not support that the use of low level disinfectant products on environmental surfaces by health care personnel is an important risk factor for the development of asthma or dermatitis. » They reached this conclusion after reviewing the employee medical records at University of North Carolina hospitals (2003-2012) and conducting a literature review on disinfectants and health care workers.The authors take exception with the adequacy of the data for Weber et al. study and the thoroughness of Weber’s literature review and do not find conclusion to be supported by Weber et al data.

    Source : Pechter, Elise, & Rosenman, Kenneth D. (2016). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.020

Pour lire l’article original publié en mai 2016 : http://www.sciencedirect.com/science/article/pii/S0196655315012237

  • Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region. Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database. The results showed that Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma.

    Source : Dumas, Orianne, Henneberger, Paul K., Zock, Jean-Paul, Le Moual, Nicole, & Camargo, Carlos A. (2016). American Journal of Industrial Medicine. Prépublication. DOI: 10.1002/ajim.22671

  • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l’IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

    Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html.

PROTECTION RESPIRATOIRE

  • Organizations are required to adhere to the Occupational Safety and Health Administration’s (OSHA) Respiratory Protection Standard (29 CFR 1910.134) if they have workers that wear a respirator on the job. They must also have an employee « suitably trained » to administer their program. The National Institute for Occupational Safety and Health and its National Personal Protective Technology Laboratory have worked to champion the occupational health nurse in this role by collaborating with the American Association of Occupational Health Nurses to develop free, online respiratory protection training and resources (RPP Webkit). This article describes the development, content, and success of this training.

    Source : Pompeii, Lisa, Byrd, Annette, Delclos, George L., & Conway, Sadie H. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916663226

  • Oncology nurses are at an increased risk of exposure to airborne hazards when they’re administering cytotoxic treatments and caring for immunosuppressed patients that are susceptible to resistant infections. Airborne transmission occurs through small particles or droplet nuclei that remain in the air for extended periods of time. Healthcare organizations are expected to provide sufficient respiratory protection for workers potentially exposed to infectious organisms and hazardous agents.

    Source : Wyant, Tracy. (November 28, 2016). The Importance of Respiratory Protection for Oncology Nurses. [Billet de blogue]. ONS Connect. Repéré à http://connect.ons.org/ons-connect-blog/the-importance-of-respiratory-protection-for-oncology-nurses

QUALITÉ DE L’AIR

  • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

    Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

  • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l’IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

    Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html

  • A low level of air-borne bacteria in the operating room air can be achieved if all staff wear clothes made from a low-permeable material (i.e. Clean Air Suits). We investigated whether there was a difference in protective efficacy between two single-use scrubs both made of polypropylene by testing them during routinely performed orthopaedic surgical procedures. There was no significant difference in counts of CFU/m3 air between the two scrubs and a choice between them can thus be based on which one is more comfortable for staff.

    Source : Tammelin, Ann, & Blomfeldt, Anne-Marie. (2016). Journal of Hospital Infection. Prépublication. http://dx.doi.org/10.1016/j.jhin.2016.10.027

RADIOPROTECTION

  • La radiologie interventionnelle pédiatrique est un domaine particulièrement irradiant pour l’opérateur, du fait de l’utilisation fréquente d’un système de radioscopie biplan et de la plus grande proximité du médecin avec le patient. L’étude présentée ici porte de la dose au cristallin d’un neuroradiologue exerçant en pédiatrie, au moyen de dosimètres thermoluminescents (TLD) placés à différents endroits sur un bonnet chirurgical mesurant ainsi l’exposition du cristallin en l’absence de lunettes de protection, et ce durant 12 interventions. Dans un deuxième temps, en vue de déterminer l’efficacité de quatre paires de lunettes de protection plombées, des mesures ont été effectuées en reproduisant les mêmes conditions cliniques.

    Source : Bolomey, C., Fasel, G., Ryckx, N., & Le Coultre, R. (24 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/tttt/Identification-et-evaluation-des/article/irradiation-du-personnel-en

ROTATION DES TÂCHES

  • Job rotation strategies have been used for years as an administrative intervention to reduce the risk of musculoskeletal disorders. The benefits of job rotation have been hypothesized to occur via changes in muscular activity variability (MAV). However, the effect of job rotation on MAV has not been fully analyzed in a literature review. A wide search was conducted to identify studies testing the effect of different job rotation strategies on MAV. Twenty-six studies of acceptable quality were included. Several studies on different types of tasks supported the view that job rotation can increase muscular activity variability, particularly with strategies such as alternating tasks and pace changes. However, it remains uncertain whether such variability changes immediately translate into benefits for the worker because little evidence was found that showed simultaneous changes in different muscular groups. Additionally, variability was occasionally achieved at the expense of average activity in the assessed muscles.

    Source : Rodriguez, Andres C., & Barrero, Lope, H. (2017). Applied Ergonomics, 60, 83-92. http://dx.doi.org/10.1016/j.apergo.2016.11.005

SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • In recent years there has been a growing interest within occupational health psychology in the role that leaders play in managing employee safety and health and promoting a workforce that is healthy as well as productive. Although this research has received increased attention, it faces several challenges. The editors of this special issue invite high-quality conceptual and empirical papers addressing these and other challenges in the area of leadership and occupational health psychology. They welcome a wide range of theoretical and methodological approaches. Interdisciplinary approaches and studies that include multiple levels (individual, group and organizational) and multiple raters are encouraged. We are interested in a wide range of questions concerning leadership and employee safety, health and well-being.

    Source : Nielsen, Karina, Kelloway, E. Kevin, & Taris, Toon W. (2016). Work & Stress : An International Journal of Work, Health & Organisations, 30(4), 395-396. http://dx.doi.org/10.1080/02678373.2016.1221601

  • Previous reviews describe health care professionals’ well-being at work from the perspective of burnout. Research on the interventions for and their effectiveness on nurses’ well-being at work is sporadic.The purpose of this study was to gather, assess and synthesize current research knowledge on the interventions aiming to improve nurses’ well-being at work. CINAHL, Cochrane, EBSCO, PubMed, PsycInfo, Scopus and Medic databases were sought from 2009 – March 2015.

    Source : Romppanen, Johanna, & Häggman-Laitila, Arja. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13210

SANTÉ PSYCHOLOGIQUE

  • This study evaluated an intervention for patient-handling equipment aimed to improve nursing staffs’ use of patient handling equipment and improve their general health, reduce musculoskeletal problems, aggressive episodes, days of absence and work-related accidents. As a controlled before-after study, questionnaire data were collected at baseline and 12-month follow-up among nursing staff at intervention and control wards at two hospitals.

    Source : Risør, Bettina Wulff, Casper, Sven Dalgas, Andersen, lars Louis, & Sørensena, Jan. (2017). Applied Ergonomics, 60, 74-82. http://dx.doi.org/10.1016/j.apergo.2016.10.011

  • L’intimidation et le harcèlement désignent habituellement tout comportement mal venu qui diminue, embarrasse, humilie, ennuie, inquiète ou injurie une personne. Au travail, ces comportements peuvent prendre diverses formes. L’intimidation est une forme d’agression dont les manifestations peuvent être évidentes ou subtiles, et dont les effets peuvent être dévastateurs pour le travailleur visé. Le présent document infographique énonce les différents types de comportements d’intimidation de même que les mesures que les employeurs peuvent prendre pour lutter contre l’intimidation et créer un milieu de travail sain et respectueux.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2016). L’intimidation et le harcèlement en milieu de travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/bullying_harassment.png

  • This systematic review and meta-analysis aimed to examine whether working beyond the standard working hours was associated with a greater risk of depressive disorder among workers included in published prospective studies. This manuscript was prepared according to the PRISMA guideline checklist. A database search was conducted using MEDLINE (PubMed), PsycINFO, and PsycARTICLES using a relevant set of keywords.

    Source : Watanabe, Kazuhiro, Imamura, & Kotaro, Kawakami, Norito. (2016). Occupational & Environmental Medicine, 73(12), 877-884. doi:10.1136/oemed-2016-103845

  • Shift work is associated with adverse physical and psychological health outcomes. However, the independent health effects of night work and rotating shift on workers’ sleep and mental health risks and the potential gender differences have not been fully evaluated. The authors used data from a nationwide survey of representative employees of Taiwan in 2013, consisting of 16 440 employees. Participants reported their work shift patterns 1 week prior to the survey, which were classified into the four following shift types: fixed day, rotating day, fixed night and rotating night shifts. Also obtained were self-reported sleep duration, presence of insomnia, burnout and mental disorder assessed by the Brief Symptom Rating Scale.

    Source : Cheng, Wan-Ju, & Cheng, Yawen. (2016). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2016-103898

  • Authentic leadership and structural empowerment have been shown to reduce early career burnout among nurses. Short-staffing and work-life interference are also linked to burnout and may help explain the impact of positive, empowering leadership on burnout, which in turn influences job satisfaction and patient care quality. The purpose of this study was to test a hypothesized model linking new graduate nurses’ perceptions of their manager’s authentic leadership behaviours to structural empowerment, short-staffing and work-life interference and subsequent burnout, job satisfaction and patient care quality.

    Source : Boamah, Sheila, A., Read, Emily A., Laschinger, & Heather K, Spence. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13215

  • In recent years there has been a growing interest within occupational health psychology in the role that leaders play in managing employee safety and health and promoting a workforce that is healthy as well as productive. Although this research has received increased attention, it faces several challenges. The editors of this special issue invite high-quality conceptual and empirical papers addressing these and other challenges in the area of leadership and occupational health psychology. They welcome a wide range of theoretical and methodological approaches. Interdisciplinary approaches and studies that include multiple levels (individual, group and organizational) and multiple raters are encouraged. We are interested in a wide range of questions concerning leadership and employee safety, health and well-being.

    Source : Nielsen, Karina, Kelloway, E. Kevin, & Taris, Toon W. (2016). Work & Stress : An International Journal of Work, Health & Organisations, 30(4), 395-396. http://dx.doi.org/10.1080/02678373.2016.1221601

  • Although compassionate care has wide-ranging benefits for patients, it can be emotionally demanding for healthcare staff. This may be a particular problem for those with little experience in a caring role. This study utilises the job demands-resources model to examine links between « emotional labour » and emotional exhaustion in student nurses. In line with the triple-match principle—whereby interactive effects are more likely when job demands, resources, and outcomes are within the same qualitative domain—the protective role of emotional support and emotion-focused coping (i.e., emotional venting) in the relationship between emotional labour and exhaustion is also explored.

    Source : Kinman, Gail, & Leggetter, Sandra. (2016). Healthcare, 4(4), 12 p. Repéré à http://www.mdpi.com/2227-9032/4/4/89/pdf

  • Based on the job demands-resources (JD-R) model, this study examines the different ways that the personal resource of mindfulness reduces stress. Structural equation modeling based on data from 415 Australian nurses shows that mindfulness relates directly and negatively to work stress and perceptions of emotional demands as well as buffering the relation of emotional demands on psychological stress. This study contributes to the literature by employing empirical analysis to the task of unravelling how personal resources function within the JD-R model. It also introduces mindfulness as a personal resource in the JD-R model.

    Source : Grover, Steven L., Teo, Stephen T.T., Pick, David, & Roche, Maree. (2016). Stress & Health. Prépublication. DOI: 10.1002/smi.2726

  • New graduate nurses report experiencing high levels of workplace incivility from coworkers, which has been found to negatively impact their job and career satisfaction and increase their intention to leave. The role of civility norms in preventing burnout and subsequent exposure to incivility from coworkers has yet to be examined among new graduate nurses. This study examined the influence of authentic leadership, person-job fit with 6 areas of worklife, and civility norms on coworker incivility and burnout among new graduate nurses.

    Source : Laschinger, Heather K. Spence, & Read, Emily A. (2016). JONA : Journal of Nursing Administration, 46(11), 574-580. doi: 10.1097/NNA.0000000000000407

  • Previous reviews describe health care professionals’ well-being at work from the perspective of burnout. Research on the interventions for and their effectiveness on nurses’ well-being at work is sporadic.The purpose of this study was to gather, assess and synthesize current research knowledge on the interventions aiming to improve nurses’ well-being at work. CINAHL, Cochrane, EBSCO, PubMed, PsycInfo, Scopus and Medic databases were sought from 2009 – March 2015.

    Source : Romppanen, Johanna, & Häggman-Laitila, Arja. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13210

  • The occupational stress associated with the nursing profession is increasingly recognised and nurse/midwifery absenteeism is a significant global problem. Taking a ‘mental health day’ as sickness absence is a common phenomenon in Australian healthcare. No previous studies have empirically explored the characteristics of nurses and midwives using such sickness absence. The aim of this study was to examine the workforce, workplace, psychosocial and health characteristics of nurses and midwives in relation to their reported use of sickness absence described as ‘mental health days’.

    Source : Lamont, Scott, Brunero, Scott, Perry, Lin, Duffield, Christine, Sibbritt, David, Gallagher, Robyn, & Nicholls, Rachel. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13212

  • La grille d’identification de risques psychosociaux au travail offre aux différents acteurs du milieu de travail des repères pour la compréhension, l’identification et la réduction de risques ayant un impact sur la santé psychologique et physique des travailleurs. La grille est destinée aux intervenants en santé au travail externes du milieu afin d’asseoir leur jugement sur des repères communs. Son contenu porte sur des caractéristiques du milieu de travail (partie 1) et certains aspects liés aux pratiques de gestion (partie 2). Il s’appuie sur des modèles théoriques validés par de nombreuses études scientifiques. La grille a été conçue par le Dr Michel Vézina avec la collaboration d’un groupe scientifique de l‘Institut national de santé publique du Québec (INSPQ). En outre, des conditions préalables à l’utilisation de la grille s’avèrent essentielles à la validité des résultats. La formation des intervenants est un préalable incontournable tant pour développer des connaissances sur les risques psychosociaux que des habiletés à utiliser la grille comme grille d’entrevue. La démarche d’identification des risques psychosociaux dans le milieu de travail à l’aide de la grille doit elle aussi satisfaire certaines exigences, dont le recueil d’informations auprès de travailleurs et de représentants de l’employeur.

    Source : Institut national de santé publique du Québec. (2016). Risques psychosociaux. Repéré à https://www.inspq.qc.ca/expertises/sante-au-travail/organisation-et-conditions-de-travail/promotion-de-la-sante-des-travailleurs/risques-psychosociaux

  • Previous work has established that health care staff, in particular emergency department (ED) personnel, experience significant occupational stress but the underlying stressors have not been well quantified. Such data inform interventions that can reduce cases of occupational mental illness, burnout, staff turnover and early retirement associated with cumulative stress. This study aimed to develop, implement and evaluate a questionnaire examining the origins of occupational stress in the ED.

    Source : Basu, S., Yap, C., & Mason, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw155

  • Studies have identified a positive correlation between occupational stress and presenteeism, and research suggests that employer-directed stress-reduction intervention are needed to decrase the burden of stress-related presenteeism among their employees. Yet, no studies to date have sought to identify which stress reduction interventions are of greatest interest to hospital employees. The authors sought to measure stress levels of Kansas hospital employees, how this reported stress affects workplace presenteeism, and which stress reduction interventions were of greatest interest to these employees.

    Source : Huff, Jessica, & Ablah, Elizabeth. (2016). JOEM : Journal of Occupational & Environmental Medicine, 58(11), e368-e369. doi: 10.1097/JOM.0000000000000872

  • Dans le contexte où les couples à deux carrières constituent maintenant la norme, l’enjeu de la conciliation travail-famille devient incontournable. Cette nouvelle réalité souligne la nécessité d’examiner les effets des pratiques de conciliation travail-famille mises en place dans les organisations québécoises sur le bien-être des travailleurs. Une comparaison selon le genre s’avère également pertinente, vu la persistance des rapports sociaux de sexe et de la division sexuelle du travail. Encore aujourd’hui, les femmes allouent davantage de temps aux soins des enfants et aux tâches domestiques que les hommes, tandis que ces derniers s’investissent plus dans leur carrière. Cette étude a été réalisée à partir des données de l’Enquête québécoise sur des conditions de travail, d’emploi et de santé et de sécurité du travail (EQCOTESST).

    Source : Boulet, Maude, & Le Bourdais, Céline. (2016). Relations industrielles, 71(3), 442-467. Repéré à http://www.erudit.org/revue/ri/2016/v71/n3/1037660ar.pdf

  • Le public a désormais accès à deux nouvelles applications mobiles vouées à la prévention du stress chronique et à la gestion de l’humeur conçues et validées scientifiquement par des chercheurs de l’Institut universitaire en santé mentale de Montréal (CIUSSS de l’Est-de-l’Île-de-Montréal), de l‘Université de Montréal et de l’Université du Québec à Montréal (UQAM). L’application iSMART permet aux gens de mieux comprendre les mécanismes de réactivité au stress et d’apprendre à mieux le gérer pour prévenir le stress chronique. Tandis que PsyAssistance est un gestionnaire d’humeur au quotidien et en période de crise.

    Source : Dion, Catherine. (2016). Gestion du stress et de l’humeur : deux nouvelles applications mobiles pour prévenir la maladie mentale. CIUSSS de l’Est-de-l’Île-de-Montréal. Repéré à http://ciusss-estmtl.gouv.qc.ca/wp-content/uploads/2016/10/Communique-apps-final-V5.pdf

SERVICE D’ONCOLOGIE

  • Oncology nurses are at an increased risk of exposure to airborne hazards when they’re administering cytotoxic treatments and caring for immunosuppressed patients that are susceptible to resistant infections. Airborne transmission occurs through small particles or droplet nuclei that remain in the air for extended periods of time. Healthcare organizations are expected to provide sufficient respiratory protection for workers potentially exposed to infectious organisms and hazardous agents.

    Source : Wyant, Tracy. (November 28, 2016). The Importance of Respiratory Protection for Oncology Nurses. [Billet de blogue]. ONS Connect. Repéré à http://connect.ons.org/ons-connect-blog/the-importance-of-respiratory-protection-for-oncology-nurses

SERVICE DES URGENCES

  • Violence against nurses has continued at Abbotsford Regional Hospital in Abbotsford, B.C., and incidents over the last few months have led to a recent WorkSafeBC inspection report noting an emergency room (ER) running over capacity. A registered psychiatric nurse (RPN) suffered a severe concussion after getting kicked in the head by a patient in the ER on Oct. 17, and two RPNs and a security guard were assaulted by a young patient on Sept. 8. Both assailants had been patients with mental-health issues whom the police had brought in, said Val Avery, president of the Health Sciences Association of British Columbia (HSA), one of the unions representing the hospital’s employees. « Mental health is the public healthcare crisis of our times, » said Avery. « Our ability to respond to it in a healthcare setting has not grown with the same type of need that is required here. So we’re getting these overflowing departments and not the appropriate settings to care for the patients. »

    Source : Cottril, Jeff. (November 22, 2016). OHS Canada Magazine. Health & Safety. Repéré à http://www.ohscanada.com/health-safety/attacks-hospitals-nurses-blamed-er-overflow-congestion/1003351683/

  • Previous work has established that health care staff, in particular emergency department (ED) personnel, experience significant occupational stress but the underlying stressors have not been well quantified. Such data inform interventions that can reduce cases of occupational mental illness, burnout, staff turnover and early retirement associated with cumulative stress. This study aimed to develop, implement and evaluate a questionnaire examining the origins of occupational stress in the ED.

    Source : Basu, S., Yap, C., & Mason, S. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw155

SERVICES À DOMICILE

  • L’emploi et le soin à domicile emploient deux millions de salariés en France dans le cadre d’un emploi direct ou via un prestataire (associations, organismes publics, entreprises) mais qui ont tous la particularité de se retrouver seul au domicile de la personne aidée. Ces salariés sont non seulement soumis à des contraintes physiques, mais aussi à des exigences émotionnelles fortes face à la détresse physique et psychologique de certaines personnes. Ces métiers génèrent un nombre élevé d’accidents du travail et de maladies professionnelles dont des TMS essentiellement. Difficile de mettre en place des mesures de prévention dans des lieux de travail disséminés dans au moins 2 millions de lieux de travail différents.

    Source : Gayet, C. (24 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/tttt/Metiers/Services-a-la-personne/article/aide-et-soins-a-domicile-penser-a

SERVICES DES ARCHIVES

  • Au Centre d’archives de la Ville de Mont-Saint-Hilaire, les employés doivent fréquemment manipuler des boîtes remplies de documents sur un haut rayonnage de sept tablettes. Ils utilisaient un escabeau mobile pour déplacer les boîtes, qui pèsent jusqu’à 40 livres, et ce, en ayant les bras en extension au-dessus des épaules. Ce travail se faisait donc de façon non ergonomique et présentait des risques importants de blessures. Après avoir cherché en vain des escabeaux plus ergonomiques auprès d’autres centres d’archives, une équipe de travail de la Ville a décidé de développer elle-même une solution. On a ajouté à l’escabeau mobile, déjà muni d’un garde-corps, une tablette ajustable qui supporte les boîtes pendant que le travailleur se trouve sur l’escabeau. Une commande manuelle actionne un petit moteur qui déplace mécaniquement la tablette à la hauteur désirée. Entièrement pensé et réalisé par les travailleurs, ce système est simple d’utilisation et rend la manipulation des boîtes d’archives plus sécuritaire.

    Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2016). Lumière su les visages de la prévention : région de la Yamaska. [S.l.]. CNESST, p. 21. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Yamaska/DC200-987-4Y_Yamaska_GPSST-Brochure_2016-06_4.pdf#page=21

Pour voir la vidéo : https://www.youtube.com/watch?v=_DG_pkZX3vo&feature=youtu.be

SST SELON LE GENRE

  • Ce numéro spécial vise à comprendre dans une approche pluridisciplinaire les façons différentes pour les femmes et les hommes de réaliser leur activité de travail et hors travail. L’objectif est d’interroger nos méthodes d’intervention ergonomique sur les relations entre travail et santé du point de vue du sexe/genre et d’en tirer des leçons pour la formation et la recherche. Une dizaine d’articles dans des secteurs variés apportent des connaissances sur la nécessité d’analyser de manière différenciée les expositions aux risques, les difficultés de santé selon le sexe/genre. Les stéréotypes apparaissent dans la répartition des emplois, la division du travail, l’attribution de rôle selon les horaires de travail. Porter le regard sur l’activité, plus exactement sur les modalités de régulations dans le travail en fonction des formes d’organisation du travail selon le sexe/genre, amène aux différentes étapes de l’intervention ergonomique à questionner les processus de transformation du travail qui peuvent tenir davantage l’égalité professionnelle.

    Source: Caroly, Sandrine. (2016). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 18(2). Repéré à http://pistes.revues.org/4827

  • Dans le contexte où les couples à deux carrières constituent maintenant la norme, l’enjeu de la conciliation travail-famille devient incontournable. Cette nouvelle réalité souligne la nécessité d’examiner les effets des pratiques de conciliation travail-famille mises en place dans les organisations québécoises sur le bien-être des travailleurs. Une comparaison selon le genre s’avère également pertinente, vu la persistance des rapports sociaux de sexe et de la division sexuelle du travail. Encore aujourd’hui, les femmes allouent davantage de temps aux soins des enfants et aux tâches domestiques que les hommes, tandis que ces derniers s’investissent plus dans leur carrière. Cette étude a été réalisée à partir des données de l‘Enquête québécoise sur des conditions de travail, d’emploi et de santé et de sécurité du travail (EQCOTESST).

    Source : Boulet, Maude, & Le Bourdais, Céline. (2016). Relations industrielles, 71(3), 442-467. Repéré à http://www.erudit.org/revue/ri/2016/v71/n3/1037660ar.pdf

  • A few biomechanical studies have contrasted the work techniques of female and male workers during manual material handling (MMH). A recent study showed that female workers differed from males mostly in the strategy they used to lift 15-kg boxes from the ground, especially regarding task duration, knee and back postures and interjoint coordination. However, the lifting technique difference observed in females compared to males was perhaps due to a strength differences. The objective of this study was to test whether female workers would repeat the same lifting technique with a load adjusted to their overall strength (females: 10 kg; males: 15 kg), which can be considered a « relative load » since the overall back strength of females is 2/3 that of males. The task for the participants consisted in transferring boxes from one pallet to another.

    Source : Plamondon, A., Larivière, C., Denis, D., Mecheri, H., & Nastasia, I. (2017). Applied Ergonomics, 60, 93-102. http://dx.doi.org/10.1016/j.apergo.2016.10.014

STÉRILISATION

  • La subtilisine est une enzyme protéolytique qui agit notamment comme dégraisseur dans les biofontaines et comme agent de préstérilisation en centres hospitaliers. Des réactions allergiques pulmonaires reliées à l’exposition aux enzymes protéolytiques que l’on retrouve dans les produits nettoyants ont été rapportées. Il est reconnu que l’exposition aux enzymes en milieu de travail cause des sensibilisations chez les travailleurs et peut induire de l’asthme. L’objectif principal de cette étude était de développer et d’implanter une méthode d’analyse spécifique de la subtilisine applicable aux concentrations rencontrées en milieu de travail.

    Source : Marchand, Geneviève, Cloutier, Yves, Castonguay, Annie, Pépin, Carole, Barafane, Rym, Lavoie, Jacques, Doucet, Nicolas, & Lépine, François. (2016). Montréal : IRSST, xi, 52 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-927.pdf

  • Parce que les effets néfastes de la subtilisine sur la santé sont connus, sa présence dans les savons enzymatiques, utilisés entre autres pour la préstérilisation des instruments chirurgicaux, a soulevé des interrogations chez plusieurs intervenants du milieu de la santé. La subtilisine est une enzyme de la famille des protéases qui peut causer une sensibilisation pulmonaire susceptible de se transformer en asthme professionnel. Divers milieux de la santé ont demandé à l‘IRSST d’élaborer des méthodes d’échantillonnage et d’analyse pour déterminer leur présence en milieu de travail et pour évaluer le risque qui y est associé. Les travaux de l’Institut ont mené à la mise au point d’une méthode d’analyse d’un grand groupe d’enzymes, permettant de détecter si des protéases sont présentes ou non dans les savons ou dans l’air d’un milieu de travail.

    Source : Blanchet, Suzanne. (Hiver 2016-2017). Prévention au travail. 29(4), 21. Repéré à http://preventionautravail.com/recherche/401-les-savons-verts-ou-bio-sont-ils-totalement-inoffensifs.html

TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

TRANSFERT DES SAVOIRS (Voir aussi FORMATION EN SST)

  • Safety training (ST) is essential for workplace safety and to be effective requires that the learned knowledge and skills are transferred to the job. Research on transfer mechanisms and its predictors has neglected trainers’ influence, despite their privileged position on decisions related with training. This study is aimed at identifying: (1) trainers’ perspectives on best practices for enhancing ST success; (2) unexplored transfer factors based on reported best practices; and (3) the trainers’ sense of self-efficacy and personal responsibility regarding ST results.

    Source : Freitas, Ana Cristina, & Silva, Silvia Agostinho. (2017). Safety Science, 91(1), 310-319. http://dx.doi.org/10.1016/j.ssci.2016.08.007

TRAVAIL DE BUREAU

  • Recent research on the legibility of digital displays has demonstrated a « positive polarity advantage », in which black-on-white text configurations are more legible than their negative polarity, white-on-black counterparts. Existing research in this area suggests that the positive polarity advantage stems from the brighter illumination emitted by positive polarity displays, as opposed to the darker backgrounds of negative polarity displays. In the present study, legibility thresholds were measured under glance-like reading conditions using a lexical decision paradigm, testing two type sizes, display polarities, and ambient illuminations (near-dark and daylight-like).

    Source : Dobres, Jonathan, Chahine, Nadine, & Reimer, Bryan. (2017). Applied Ergonomics, 60, 68-73. http://dx.doi.org/10.1016/j.apergo.2016.11.001

  • The prevalence of flexible and shared office spaces is increasing significantly, yet the socioemotional outcomes associated with these environments are under researched. Utilising the job demands-resources (JD-R) model the authors investigate both the demands and the resources that can accrue to workers as a result of shared work environments and hot-desking. They found that, as work environments became more shared (with hot-desking being at the extreme end of the continuum), not only were there increases in demands, but co-worker friendships were not improved and perceptions of supervisory support decreased. Findings are discussed in relation to employee well-being and recommendations are made regarding how best to ameliorate negative consequences of shared work environments.

    Source : Morrison, Rachel L., & Macky, Keith A. (2017). Applied Ergonomics, 60, 103-115. http://dx.doi.org/10.1016/j.apergo.2016.11.007

  • High amounts of sedentary behaviour have been associated with increased risks of several chronic conditions and mortality. However, it is unclear whether physical activity attenuates or even eliminates the detrimental effects of prolonged sitting. The authors examined the associations of sedentary behaviour and physical activity with all-cause mortality. They did a systematic review, searching six databases (PubMed, PsycINFO, Embase, Web of Science, Sport Discus, and Scopus) from database inception until October, 2015, for prospective cohort studies that had individual level exposure and outcome data, provided data on both daily sitting or TV-viewing time and physical activity, and reported effect estimates for all-cause mortality, cardiovascular disease mortality, or breast, colon, and colorectal cancer mortality.

    Source : Ekelund, Ulf, Steene-Johannessen, Jostein, Brown, Wendy J., Fagerland, Morten Wang, Owen, Neville, Powell, Kenneth E., Bauman, Adrian, & Lee, I-Min. (2016). The Lancet, 388(10051), 1302-1310. Repéré à http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30370-1/abstract

  • Recent guidelines recommend accruing 2–4h of standing or light activity during the working day. Use of sit–stand desks could achieve this goal, but whether standing can meaningfully increase energy expenditure is unclear. This study aimed to evaluate energency expenditure, heart rate, feelings and productivity during deskwork while sitting, standing or alternating positions.

    Source : Gibbs, B. Barone, Kowalsky, R.J., Perdorno, S.J., Grier, M., & Jakicic, J.M. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw115

  • Des études récentes ont remis en cause l’association supposée entre l’utilisation de l’outil informatique et les risques de troubles musculo-squelettiques et de syndrome du canal carpien, et les revues internationales concluent à l’absence de lien. Pour y voir plus clair, les données de deux larges cohortes ont été reprises dans un travail épidémiologique, incluant un suivi des salariés pendant 3 ans et demi.

    Source : Médiouni, Z., & Descatha, A. (3 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Le-travail-sur-ordinateur-est-il,5309.html

  • Dynamic chairs have the potential to facilitate movements that could counteract health problems associated with sedentary office work. This study aimed to evaluate whether a dynamic chair can increase movements during desk-based office work. Fifteen healthy subjects performed desk-based office work using a dynamic office chair and compared to three other conditions in a movement laboratory. Equivocal results showed that the dynamic chair increased upper body and chair movements as compared to the conventional chair, but lesser movements were found compared to standing. No differences were found between the conditions in the field study.

    Source : Grooten, Wilhelmus, J.A., Äng, Björn O., Hagströmera, Maria, Conradsson, David, Nero, Håkan, & Franzén, Erika. (2017). Applied Ergonomics, 60, 1-11. http://dx.doi.org/10.1016/j.apergo.2016.10.006

TRAVAIL EN HAUTEUR

    • Au Centre d’archives de la Ville de Mont-Saint-Hilaire, les employés doivent fréquemment manipuler des boîtes remplies de documents sur un haut rayonnage de sept tablettes. Ils utilisaient un escabeau mobile pour déplacer les boîtes, qui pèsent jusqu’à 40 livres, et ce, en ayant les bras en extension au-dessus des épaules. Ce travail se faisait donc de façon non ergonomique et présentait des risques importants de blessures. Après avoir cherché en vain des escabeaux plus ergonomiques auprès d’autres centres d’archives, une équipe de travail de la Ville a décidé de développer elle-même une solution. On a ajouté à l’escabeau mobile, déjà muni d’un garde-corps, une tablette ajustable qui supporte les boîtes pendant que le travailleur se trouve sur l’escabeau. Une commande manuelle actionne un petit moteur qui déplace mécaniquement la tablette à la hauteur désirée. Entièrement pensé et réalisé par les travailleurs, ce système est simple d’utilisation et rend la manipulation des boîtes d’archives plus sécuritaire.

      Source : Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2016). Lumière su les visages de la prévention : région de la Yamaska. [S.l.]. CNESST, p. 21. Repéré à http://www.csst.qc.ca/asp/innovation/2016/Yamaska/DC200-987-4Y_Yamaska_GPSST-Brochure_2016-06_4.pdf#page=21

Pour voir la vidéo : https://www.youtube.com/watch?v=_DG_pkZX3vo&feature=youtu.be

TRAVAIL SÉDENTAIRE

      • High amounts of sedentary behaviour have been associated with increased risks of several chronic conditions and mortality. However, it is unclear whether physical activity attenuates or even eliminates the detrimental effects of prolonged sitting. The authors examined the associations of sedentary behaviour and physical activity with all-cause mortality. They did a systematic review, searching six databases (PubMed, PsycINFO, Embase, Web of Science, Sport Discus, and Scopus) from database inception until October, 2015, for prospective cohort studies that had individual level exposure and outcome data, provided data on both daily sitting or TV-viewing time and physical activity, and reported effect estimates for all-cause mortality, cardiovascular disease mortality, or breast, colon, and colorectal cancer mortality.

        Source : Ekelund, Ulf, Steene-Johannessen, Jostein, Brown, Wendy J., Fagerland, Morten Wang, Owen, Neville, Powell, Kenneth E., Bauman, Adrian, & Lee, I-Min. (2016). The Lancet, 388(10051), 1302-1310. Repéré à http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30370-1/abstract

      • Recent guidelines recommend accruing 2–4h of standing or light activity during the working day. Use of sit–stand desks could achieve this goal, but whether standing can meaningfully increase energy expenditure is unclear. This study aimed to evaluate energency expenditure, heart rate, feelings and productivity during deskwork while sitting, standing or alternating positions.

        Source : Gibbs, B. Barone, Kowalsky, R.J., Perdorno, S.J., Grier, M., & Jakicic, J.M. (2016). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqw115

      • Dynamic chairs have the potential to facilitate movements that could counteract health problems associated with sedentary office work. This study aimed to evaluate whether a dynamic chair can increase movements during desk-based office work. Fifteen healthy subjects performed desk-based office work using a dynamic office chair and compared to three other conditions in a movement laboratory. Equivocal results showed that the dynamic chair increased upper body and chair movements as compared to the conventional chair, but lesser movements were found compared to standing. No differences were found between the conditions in the field study.

        Source : Grooten, Wilhelmus, J.A., Äng, Björn O., Hagströmera, Maria, Conradsson, David, Nero, Håkan, & Franzén, Erika. (2017). Applied Ergonomics, 60, 1-11. http://dx.doi.org/10.1016/j.apergo.2016.10.006

TRAVAILLEURS JEUNES/ÂGÉS

      • Authentic leadership and structural empowerment have been shown to reduce early career burnout among nurses. Short-staffing and work-life interference are also linked to burnout and may help explain the impact of positive, empowering leadership on burnout, which in turn influences job satisfaction and patient care quality. The purpose of this study was to test a hypothesized model linking new graduate nurses’ perceptions of their manager’s authentic leadership behaviours to structural empowerment, short-staffing and work-life interference and subsequent burnout, job satisfaction and patient care quality.

        Source : Boamah, Sheila, A., Read, Emily A., Laschinger, & Heather K, Spence. (2016). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.13215

      • As healthcare demographics continue to shift, the older generation is giving way to a new wave of healthcare workers known for their lifelong relationship with technology. These « millennials » generally range in current age from 18 to 34 years. These incoming healthcare workers present unique challenges for hospital employee health professionals, as many are both tech savvy and ergonomically challenged.

        Source : Mind the Gap: Employee Health and the Millennial Generation of HCWs. (2016). Hospital Employee Health, 35(12), 135-137. Repéré à https://www.ahcmedia.com/articles/139545-mind-the-gap-employee-health-and-the-millennial-generation-of-hcws

      • Kathy Espinoza, assistant vice president of ergonomics and safety for the insurance brokerage and consulting firm of Keenan & Associates in Torrance, CA, suggests employee health professionals consider the following strategies with healthcare workers from the millennial generation.

        Source : Espinoza, Kathy. (2016). Hospital Employee Health, 35(12), 137. Repéré à https://www.ahcmedia.com/articles/139546-key-strategies-for-millennial-workers

      • Nurses continue to sustain musculoskeletal injuries even with increased emphasis on safe patient handling and mobility (SPHM) and organizational cultures of safety to protect health care workers. Analysis of data from 2011-2014 registered nurse graduates explored hospital safety culture, SPHM education/training, and incidence of new-nurse musculoskeletal injury.

        Source : Venditelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

      • New graduate nurses report experiencing high levels of workplace incivility from coworkers, which has been found to negatively impact their job and career satisfaction and increase their intention to leave. The role of civility norms in preventing burnout and subsequent exposure to incivility from coworkers has yet to be examined among new graduate nurses. This study examined the influence of authentic leadership, person-job fit with 6 areas of worklife, and civility norms on coworker incivility and burnout among new graduate nurses.

        Source : Laschinger, Heather K. Spence, & Read, Emily A. (2016). JONA : Journal of Nursing Administration, 46(11), 574-580. doi: 10.1097/NNA.0000000000000407

TROUBLES MUSCULOSQUELETTIQUES (TMS)

      • Job rotation strategies have been used for years as an administrative intervention to reduce the risk of musculoskeletal disorders. The benefits of job rotation have been hypothesized to occur via changes in muscular activity variability (MAV). However, the effect of job rotation on MAV has not been fully analyzed in a literature review. A wide search was conducted to identify studies testing the effect of different job rotation strategies on MAV. Twenty-six studies of acceptable quality were included. Several studies on different types of tasks supported the view that job rotation can increase muscular activity variability, particularly with strategies such as alternating tasks and pace changes. However, it remains uncertain whether such variability changes immediately translate into benefits for the worker because little evidence was found that showed simultaneous changes in different muscular groups. Additionally, variability was occasionally achieved at the expense of average activity in the assessed muscles.

        Source : Rodriguez, Andres C., & Barrero, Lope, H. (2017). Applied Ergonomics, 60, 83-92. http://dx.doi.org/10.1016/j.apergo.2016.11.005

      • Kathy Espinoza, assistant vice president of ergonomics and safety for the insurance brokerage and consulting firm of Keenan & Associates in Torrance, CA, suggests employee health professionals consider the following strategies with healthcare workers from the millennial generation.

        Source : Espinoza, Kathy. (2016). Hospital Employee Health, 35(12), 137. Repéré à https://www.ahcmedia.com/articles/139546-key-strategies-for-millennial-workers

      • Nurses continue to sustain musculoskeletal injuries even with increased emphasis on safe patient handling and mobility (SPHM) and organizational cultures of safety to protect health care workers. Analysis of data from 2011-2014 registered nurse graduates explored hospital safety culture, SPHM education/training, and incidence of new-nurse musculoskeletal injury.

        Source : Venditelli, D., Penprase, Barbara, & Pittiglio, Laura. (2016). Workplace Health & Safety. Prépublication. doi: 10.1177/2165079916654928

      • Manual resident handling (RH) tasks increase risk of musculoskeletal disorders (MSDs) for clinical staff in nursing homes. To reduce the incidence and cost of MSDs, a large healthcare corporation instituted a Safe Resident Handling Program (SRHP) comprising purchase of mechanical lifting equipment, worker training, and detailed usage/maintenance protocols. The program was initially administered by a third-party company; after three years, program responsibility shifted to individual centers. Workers’ compensation claim rates were compared before and after SRHP implementation. Claims and FTEs were classified as « pre-SRHP, » « first post period » (up to 3 years post-SRHP), or « second post period » (4–6 years post-SRHP), based on claim date relative to implementation date for each center.

        Source : Kurowski, Alicia, Gore, Rebecca, Roberts, Yaritza, Kincaid, Kendra Richardson, & Punnett, Laura. (2017). Safety Science, 92, 217-224. http://dx.doi.org/10.1016/j.ssci.2016.10.012

      • Monotonous, repetitive work characterizes production lines. Repetitive movements and awkward postures are the most prominent physical risk factors in the workplace. Various legislations have been enacted along with technical standards for ergonomic risk evaluation to ensure the safety of the operators.There are numerous methods to assess the ergonomic risk at work. However, most methods are not meant to be used for assessing cyclic work. This paper proposes a method, Postural Ergonomic Risk Assessment (PERA), which is suitable to evaluate the postural ergonomic risk of short cyclic assembly work. Its key features are simplicity and compliance with standards. The added value of the method is that it provides an analysis of every work task in the work cycle, which facilitates the identification of sources of high risk to the operator.

        Source : Chander, Divyaksh Subbash, Cavatorta, Maria Pia. (2017). International Journal of Industrial Ergonomics, 57, 32-41. http://dx.doi.org/10.1016/j.ergon.2016.11.007

      • A tool has been developed for supporting practitioners when assessing manual pushing and pulling operations based on an initiative by two global companies in the manufacturing industry. The aim of the tool is to support occupational health and safety practitioners in risk assessment and risk management of pushing and pulling operations in the manufacturing and logistics industries. It is based on a nine-multiplier equation that includes a wide range of factors affecting an operator’s health risk and capacity in pushing and pulling. These multipliers are based on psychophysical, physiological, and biomechanical studies in combination with judgments from an expert group consisting of senior researchers and ergonomists. In order to consider usability, more than fifty occupational health and safety practitioners (e.g. ergonomists, managers, safety representatives, and production personnel) participated in the development of the tool. An evaluation by 22 ergonomists supports that the push/pull tool is user friendly in general.

        Source : Lind, CM. (2016). International Journal of Occupatiojal Safety Ergonomics. Prépublication. 1-40. Repéré à http://www.tandfonline.com/doi/abs/10.1080/10803548.2016.1258811

      • Surgical nurses’ work is physically and mentally demanding, possibly leading to work–family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Forty–eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the work–family conflict scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument.

        Source : Baur, Heiner, Grebner, Simone, Blasimann, Angela, Hirschmüller, Anja, Kubosch, Eva Johanna & Elfering, Achim. (2016). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. http://dx.doi.org/10.1080/10803548.2016.1263414

      • Des études récentes ont remis en cause l’association supposée entre l’utilisation de l’outil informatique et les risques de troubles musculo-squelettiques et de syndrome du canal carpien, et les revues internationales concluent à l’absence de lien. Pour y voir plus clair, les données de deux larges cohortes ont été reprises dans un travail épidémiologique, incluant un suivi des salariés pendant 3 ans et demi.

        Source : Médiouni, Z., & Descatha, A. (3 novembre 2016). Camip.info : Revue de la santé au travail. Repéré à http://www.camip.info/Le-travail-sur-ordinateur-est-il,5309.html

      • A few biomechanical studies have contrasted the work techniques of female and male workers during manual material handling (MMH). A recent study showed that female workers differed from males mostly in the strategy they used to lift 15-kg boxes from the ground, especially regarding task duration, knee and back postures and interjoint coordination. However, the lifting technique difference observed in females compared to males was perhaps due to a strength differences. The objective of this study was to test whether female workers would repeat the same lifting technique with a load adjusted to their overall strength (females: 10 kg; males: 15 kg), which can be considered a « relative load » since the overall back strength of females is 2/3 that of males. The task for the participants consisted in transferring boxes from one pallet to another.

        Source : Plamondon, A., Larivière, C., Denis, D., Mecheri, H., & Nastasia, I. (2017). Applied Ergonomics, 60, 93-102. http://dx.doi.org/10.1016/j.apergo.2016.10.014

VACCINATION DU PERSONNEL

    • Immunization rates for healthcare workers in long-term care were at a meager 69% last flu season — and that was an improvement. During the previous 2014-2015 flu season, 64% of healthcare workers in long-term care were immunized, according to the CDC. Though they work with vulnerable elderly residents, long-term care workers have historically been less likely to be vaccinated for flu as their counterparts in hospitals and other settings. Though a lagging indicator, flu vaccination rates in long-term care employees are improving over time just like other sectors of the healthcare continuum. Still, a study published last year found that long-term care workers had lingering concerns about the safety of the vaccine, including the old myth that it could cause the flu.

      Source : Many HCWs in Long-Term Care Skip Flu Shots. (2016). Hospital Employee Health, 35(12), 138-141. Repéré à https://www.ahcmedia.com/articles/139548-many-hcws-in-long-term-care-skip-flu-shots

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