Prévenir la propagation des virus, surveiller la biosûreté en laboratoire et évaluer l’exposition aux bactéries pathogènes en buanderie

Voici les articles parus dans le dernier mois sur les sujets en lien avec les risques biologiques dans le milieu de la santé.


Infographique sur la prévention de la propagation

Les reniflements. Les éternuements. La toux. C’est le moment de l’année où ces signes de la grippe frappent nos demeures, nos communautés et nos lieux de travail. Encouragez les travailleurs à adopter de saines habitudes hygiéniques pour empêcher la propagation, que ce soit de se laver soigneusement les mains ou de se tenir à bonne distance des autres lorsqu’on ne se sent pas bien. Partagez ce document infographique décrivant de bonnes pratiques pour les travailleurs et des conseils pour les employeurs qui aideront à réduire la propagation des infections.

Consultez l’infographique à http://www.cchst.ca/products/posters/preventspread/

Source: Centre canadien d’hygiène et de sécurité au travail. (2017). [Document infographique].


Surveillance des expositions en laboratoire aux agents pathogènes humains et aux toxines au Canada en 2016

Le premier rapport de surveillance annuel du Centre de la biosûreté sur les incidents de laboratoire a été publié. Il présente les données sur les incidents d’exposition en laboratoire et les infections contractées en laboratoire au Canada qui ont été recueillies au cours de la première année de collecte de données suivant l’entrée en vigueur du Règlement sur les agents pathogènes humains et les toxines. Les données probantes qu’il contient peuvent être utilisées par l’Agence de la santé publique du Canada afin de faire respecter les normes de sécurité, d’améliorer les stratégies de prévention et de promouvoir les pratiques exemplaires.

Lisez l’article complet sur le site du RMTC

Source : Bienek A, Heisz M, Su M.(2017). Relevé des maladies transmissibles au Canada, 43(11), 259‑68.


Assessment of Environmental Contamination with Pathogenic Bacteria at a Hospital Laundry Facility

Little is known about exposure to pathogenic bacteria among industrial laundry workers who work with soiled clinical linen. To study worker exposures, an assessment of surface contamination was performed at an industrial laundry facility serving hospitals in Seattle, WA, USA. Surface swab samples from the environment were collected during four site visits at 3-month intervals. These samples were cultured for Clostridium difficile, methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant enterococci (VRE). Contamination with all three pathogens was observed in both dirty (laundry handling prior to washing) and clean areas (subsequent to washing).The results showed that substantiates that the laundry facility environment can become contaminated by soiled linens. Workers who handle soiled linen may have a higher risk of exposure to C. difficile, MRSA, and VRE than those who handle clean linens.

Consultez le résumé de cet article à https://doi.org/https://doi.org/10.1093/annweh/wxx082
Article à accès restreint; vous pouvez le demander en PEB ou l’acheter chez l’éditeur.

Source : Michael, K. E., No, D., Daniell, W. E., Seixas, N. S., & Huestis, M. A. (2017). Annals of Work Exposures and Health, 63(9), 1087‑1096.

COIN DE LA DOCUMENTALISTE – AOÛT 2015

Vous travaillez pour un service de garde ou pour un établissement de santé ou de services sociaux, un service ambulancier ou une clinique dentaire ? Notre documentaliste vous propose chaque mois des informations dignes d’intérêt.

Si le lien Internet ne permet pas d’accéder à la version complète d’un document, vous pourrez l’obtenir par le biais du service de prêt entre bibliothèques de votre centre de documentation ou directement auprès de l’éditeur.

Pour contacter notre documentaliste :

Suzie Désilets : 514 253-6871 ou 1 800 361-4528

Le Coin de la documentaliste prend des vacances dans les prochaines semaines et vous reviendra avec la page de SEPTEMBRE – OCTOBRE 2015. BON ÉTÉ!

AGRESSIONS ET VIOLENCE

Pour visionner l’enregistrement du webinaire : http://forum.asstsas.qc.ca/2015-010/0mx4k1plisc3

AMÉNAGEMENT – ARCHITECTURE

  • Noise has been identified as a major stressor in hospitals,  with ambient noise frequently exceeding recommended levels set by the WHO and reportedly as high as alarm clocks. Although hospitals frequently attempt to reduce noise through traditional methods such as shielding the patient (eg, closing doors), moving equipment or altering staff behaviours, these approaches disrupt workflow and ignore the realities of sound generation required in modern hospitals, which potentially limits their impact on quality and patient safety. An unexplored method of reducing hospital noise borrowed from other industries is to use sound acoustic panels that diffuse noise rather than attempt to eliminate it. The authors performed a pilot study to determine whether strategically placed, sound acoustic panels applied in hospitals would acutely reduce noise in hallways adjacent to patient rooms. If true, this option could serve as an architectural design solution to enhance patient care and experience during hospitalisation.

    Source : Farrehi, Peter M., Nallamothu, Brahmajee K., & Navvab, Mojtaba. (2015). BMJ Quality & Safety. Prépublication. doi:10.1136/bmjqs-2015-004205

  • The challenges in investigating the effects of the physical environment on residents with dementia include having a sample of comparable study groups and a lack of long-term follow-up evaluation. The current study attempted to address these two challenges by carefully matching residents and analyzing long-term measurement data. The aim of the study was to examine whether residents with dementia (N = 12) living in a traditional large-scale setting or a small-scale, home-like setting exhibit any difference in health and behaviors over time.

    Source : Young Lee, Sook, Chaudhury, Habib, & Hung, Lillian. (2015). Research in Gerontological Nursing. Prépublication. DOI: 10.3928/19404921-20150709-01

  • Consider bringing a sterile products cleanroom up to USP <797> and proposed USP <800> standards without shutting down operations or limiting patient care services. An increasing number of hospital pharmacies are facing this exact challenge, particularly as the practice of converting physician office practices from private to hospital provider status is becoming widespread. In order to achieve compliance with USP <797> and soon-to-be <800> standards for compounded sterile preparation (CSP) production, major remodeling of the compounding facility often is necessary. The difficulty lies in the number of patients that are reliant on these sites for their treatment, such as chemotherapy. Closing a site, even temporarily, not only creates inconveniences, but also may make it impossible for some patients to obtain care. The following case studies illustrate dilemmas that are all too common in hospital pharmacy’s endeavors to produce safe, compliant CSPs, while simultaneously exploring creative solutions.

    Source : Siegel, Jerry. (July 2015). Pharmacy Purchasing & Products Magazine, 17(2), 2-4. Repéré à http://www.pppmag.com/article/1716/July_2015/Three_Case_Studies_in_Cleanroom_Renovation/

  • Ce guide de planification immobilière expose les performances attendues pour la programmation, la conception et la construction d’une unité des technologies de l’information et des communications, incluant les centres de traitement informatique de données, de soutien et d’expertise, ainsi que les centres de développement, que l’on retrouve dans tous les types de bâtiment du réseau de la santé et des services sociaux. Les recommandations touchent principalement les établissements qui possèdent leur propre salle des serveurs.

    Source : Drolet, Céline, Rinfret, Esther, Bouffard, Sylvie, Pelletier, Daniel, Matte, André, & Pelletier, Anne. (2015). Québec : Direction des communications du ministère de la Santé et des Services sociaux. 34 p. (Répertoire des guides de planification immobilière). Repéré à http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2015/15-610-02W.pdf

APPROCHE RELATIONNELLE DE SOINS (ARS)

  • Language carries and conveys meaning which feeds assumptions and judgments that can lead to the development of stereotypes and discrimination. As a result, this study closely examined the specific language that is used to communicate attitudes and perceptions of aging and older adults. The authors conducted a qualitative study of a twitter assignment for 236 students participating in a senior mentoring program. Three hundred fifty-four tweets were qualitatively analyzed to explore language-based age discrimination using a thematic analytic approach.

    Source : Gendron, Tracey L., Welleford, E. Ayn, Inker, Jennifer, & White, John T. (2015). The Gerontologist. Prépublication. doi: 10.1093/geront/gnv066

  • Les préposés aux bénéficiaires (PaB) sont aux premières loges lorsque l’on parle des enjeux de qualité des pratiques envers les personnes âgées, aussi bien dans les centres d’hébergement publics et privés que dans les ressources intermédiaires. La forte médiatisation de certains actes de négligence, voire de maltraitance, a conduit de nombreux responsables d’établissements de santé à revoir leur processus de sélection du personnel. De même, la qualité des pratiques est devenue progressivement un enjeu central autant pour les directions d’établissements que pour le MSSS. Une question récurrente réapparaît au gré de l’actualité : les préposés aux bénéficiaires sont-ils suffisamment compétents pour répondre aux besoins des personnes hébergées, notamment les plus fragilisées? D’autres formations doivent-elles être développées pour soutenir cette qualité?

    Source : Aubry, François, & Bergeron-Vachon, Frédérike. (Avril 2015). Le Relief, 1(2),10-15. Repéré à http://arihq.com/wp-content/uploads/2015/04/LERELIEF_volume1_no22.pdf

BRUIT EN MILIEU DE TRAVAIL

  • Noise has been identified as a major stressor in hospitals,  with ambient noise frequently exceeding recommended levels set by the WHO and reportedly as high as alarm clocks. Although hospitals frequently attempt to reduce noise through traditional methods such as shielding the patient (eg, closing doors), moving equipment or altering staff behaviours, these approaches disrupt workflow and ignore the realities of sound generation required in modern hospitals, which potentially limits their impact on quality and patient safety. An unexplored method of reducing hospital noise borrowed from other industries is to use sound acoustic panels that diffuse noise rather than attempt to eliminate it. The authors performed a pilot study to determine whether strategically placed, sound acoustic panels applied in hospitals would acutely reduce noise in hallways adjacent to patient rooms. If true, this option could serve as an architectural design solution to enhance patient care and experience during hospitalisation.

    Source : Farrehi, Peter M., Nallamothu, Brahmajee K., & Navvab, Mojtaba. (2015). BMJ Quality & Safety. Prépublication. doi:10.1136/bmjqs-2015-004205

  • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

    Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

CIVILITÉ EN MILIEU DE TRAVAIL

CONTENTION – DÉCONTENTION

CONTRAINTES THERMIQUES

  • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

    Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

DÉPLACEMENT DES BÉNÉFICIAIRES

  • The purpose of this study was to examine the prevalence and risk factors of occupational musculoskeletal injuries (OMIs) among occupational therapy practitioners over a 12-month period. A self-administered questionnaire mailed to 500 randomly selected practicing occupational therapists (OTs) and occupational therapy assistants (OTAs) living in the state of Texas. A response rate of 38 % was attained with 192 questionnaires returned. In a 12-months working period, 23 % of occupational therapy practitioners experienced musculoskeletal injuries. No factors were significantly associated with injuries among OTs. In conclusion, patient handling was the primary factor associated with injuries. Also, minimal experience and older age were concluded as risk factors that might contribute to OMIs.

    Source : Alnaser, Musaed Z. (2015). Journal of Occupational Rehabilitation. Prépublication. DOI: 10.1007/s10926-015-9584-3

  • The rationale for the tough, new policy: Hospitals have an injury rate that is almost twice as high as that of private industry as a whole, OSHA noted. U.S. hospitals recorded nearly 58,000 work-related injuries and illnesses in 2013, amounting to 6.4 work-related injuries and illnesses for every 100 full-time employees – almost twice as high as the overall rate for private industry, OSHA said in announcing the new enforcement program. While the other issues are critical areas of occupational safety, an epidemic of patient-handling injuries is likely the primary driver of the OSHA action. Scathing reports of nurses with chronic back pain and permanent disabilities caused by patient handling incidents have continued to raise the inevitable question: Why doesn’t OSHA do something about this?

    Source : OSHA: Patient handling injuries, other top worker hazards targeted. (August 2015). Hospital Employee Health, 34(8), [85]-87. Repéré à http://www.ahcmedia.com/articles/135831-osha-patient-handling-injuries-other-top-worker-hazards-targeted

  • The Occupational Safety and Health Administration’s new instructions to inspectors includes the following section on musculoskeletal disorders (MSDs) : 1) Ergonomics: MSD Risk Factors Relating to Patient/Resident Handling 2) Establishment Evaluation 3) Program Evaluation 4) Program Management 5) Program Implementation and 6) Employee training.

    Source : OSHA inspector: ‘What is the decision logic for use of lift, transfer, or repositioning devices?’ (August 2015). Hospital Employee Health, 34(8), 88-89. Repéré à http://www.ahcmedia.com/articles/135832-osha-inspector-what-is-the-decision-logic-for-use-of-lift-transfer-or-repositioning-devices#

ÉCLAIRAGE

  • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

    Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

ÉQUIPEMENT DE PROTECTION

  • In a study certain to stir controversy, researchers in Canada report that N95 respirators were no better than surgical masks in preventing respiratory infections in healthcare workers in clinical settings. « Although N95 respirators compared to surgical masks may have a protective advantage in laboratory evaluations, our meta-analysis identified that data from clinical settings does not provide evidence that N95 respirators offer superior protection for healthcare workers against transmissible acute respiratory infections in a clinical setting, » the authors reported recently in Victoria, British Columbia, at the Infection Prevention and Control (IPAC) Canada 2015 National Education Conference.

    Source : Study: In actual clinical practice, N95 respirators no more protective to HCWs than surgical masks. (August 2015). Hospital Employee Health, 34(8), 95. Repéré à http://www.ahcmedia.com/articles/135837-study-in-actual-clinical-practice-n95-respirators-no-more-protective-to-hcws-than-surgical-masks

    Pour accéder à la présentation des auteurs de la recherche : http://www.ipac-canada.org/conf/15_conf/presentations/oral_tues_smith.pdf

  • Ebola. H1N1. MERS. SARS. The stakes are high when health care workers care for patients with an emerging infectious disease, and gaps in respiratory protection can have deadly consequences. Yet studies show those gaps persist. Three leading safety agencies have released comprehensive resources to address longstanding weaknesses in respiratory protection programs in hospitals. They provide a kind of primer, an effort to improve training, compliance, awareness, and coordination. The OSHA/NIOSH toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection programs. The document also includes an editable respiratory tool that hospitals can customize to reflect their program.

    Source : Are you prepared for the next airborne disease? (August 2015). Hospital Employee Health, 34(8), 90-93. Repéré à http://www.ahcmedia.com/articles/135834-are-you-prepared-for-the-next-airborne-disease

  • Healthcare workers frequently experience percutaneous exposure to body fluids. These injuries place them at risk for infectious diseases including hepatitis B, hepatitis C and human immunodeficiency virus (HIV). Several interventions exist to prevent infection including the use of gloves as personal protective equipment. Wearing multiple gloves, gloves made from special materials, or gloves with an indicator system has the potential to prevent contaminant transmission. Because there are several ways to reduce percutaneous exposure incidents, it is important to know which are effective. In the operating room (OR), there are multiple preventative strategies for prevention of injury including double gloving and the use of special gloves. However, the question is which is most effective.

    Source : Ashcraft, Alyce S. (2015).The Online journal of Issues in Nursing, 20(3). DOI: 10.3912/OJIN.Vol20No03CRBCol03

ERGOTHÉRAPIE – PHYSIOTHÉRAPIE

  • The purpose of this study was to examine the prevalence and risk factors of occupational musculoskeletal injuries (OMIs) among occupational therapy practitioners over a 12-month period. A self-administered questionnaire mailed to 500 randomly selected practicing occupational therapists (OTs) and occupational therapy assistants (OTAs) living in the state of Texas. A response rate of 38 % was attained with 192 questionnaires returned. In a 12-months working period, 23 % of occupational therapy practitioners experienced musculoskeletal injuries. No factors were significantly associated with injuries among OTs. In conclusion, patient handling was the primary factor associated with injuries. Also, minimal experience and older age were concluded as risk factors that might contribute to OMIs.

    Source : Alnaser, Musaed Z. (2015). Journal of Occupational Rehabilitation. Prépublication. DOI: 10.1007/s10926-015-9584-3

  • The purpose of this study was to review empirical research on adverse health and pregnancy outcomes associated with physiotherapists’ occupational exposure to radiofrequency electromagnetic fields (RF EMFs) from shortwave (SWD) and microwave (MWD) diathermy devices. A systematic review of peer reviewed literature published from 1990 to 2010 in the English language searched in eight online bibliographic databases.

    Source : Shah, Syed Ghulam Sarwar, & Farrow, Alexandra. (2014). Journal of Occupational Health, 56(5), 313-331. Doi: http://doi.org/10.1539/joh.13-0196-RA

ÉTABLISSEMENTS D’HÉBERGEMENT

  • The challenges in investigating the effects of the physical environment on residents with dementia include having a sample of comparable study groups and a lack of long-term follow-up evaluation. The current study attempted to address these two challenges by carefully matching residents and analyzing long-term measurement data. The aim of the study was to examine whether residents with dementia (N = 12) living in a traditional large-scale setting or a small-scale, home-like setting exhibit any difference in health and behaviors over time.

    Source : Young Lee, Sook, Chaudhury, Habib, & Hung, Lillian. (2015). Research in Gerontological Nursing. Prépublication. DOI: 10.3928/19404921-20150709-01

  • The purpose of this study is to describe key adaptive challenges and leadership behaviors to implement culture change for person-directed care. The study design was a qualitative, observational study of nursing home staff perceptions of the implementation of culture change in each of 3 nursing homes. We conducted 7 focus groups of licensed and unlicensed nursing staff, medical care providers, and administrators. Questions explored perceptions of facilitators and barriers to culture change. Using a template organizing style of analysis with immersion/crystallization, themes of barriers and facilitators were coded for adaptive challenges and leadership.

    Source : Corazzini, Kirsten, Twersky, Jack, White, Heidi K., Buhr, Gwendolen T., McConnell, Eleanor S., Weiner, Madeline, & Colón-Emeric, Cathleen. (2015). The Gerontologist, 55(4), 616-627. doi: 10.1093/geront/gnt170

  • Les préposés aux bénéficiaires (PaB) sont aux premières loges lorsque l’on parle des enjeux de qualité des pratiques envers les personnes âgées, aussi bien dans les centres d’hébergement publics et privés que dans les ressources intermédiaires. La forte médiatisation de certains actes de négligence, voire de maltraitance, a conduit de nombreux responsables d’établissements de santé à revoir leur processus de sélection du personnel. De même, la qualité des pratiques est devenue progressivement un enjeu central autant pour les directions d’établissements que pour le MSSS. Une question récurrente réapparaît au gré de l’actualité : les préposés aux bénéficiaires sont-ils suffisamment compétents pour répondre aux besoins des personnes hébergées, notamment les plus fragilisées? D’autres formations doivent-elles être développées pour soutenir cette qualité?

    Source : Aubry, François, & Bergeron-Vachon, Frédérike. (Avril 2015). Le Relief, 1(2),10-15. Repéré à http://arihq.com/wp-content/uploads/2015/04/LERELIEF_volume1_no22.pdf

GESTION DE LA SST

  • The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach.

    Source : Yazdani, Amin, Neumann, W. Patrick, Imbeau, Daniel, Bigelow, Philip, Pagell, Mark, & Wells, Richard. (2015). Applied Ergonomics, 51. Prépublication, 255-262. doi:10.1016/j.apergo.2015.05.006

HORAIRE DE TRAVAIL

  • A systematic literature search was carried out to investigate the relationship between quick returns (i.e., 11.0 hours or less between two consecutive shifts) and outcome measures of health, sleep, functional ability and work-life balance. A total of 22 studies published in 21 articles were included. Three types of quick returns were differentiated (from evening to morning/day, night to evening, morning/day to night shifts) where sleep duration and sleepiness appeared to be differently affected depending on which shifts the quick returns occurred between. There were some indications of detrimental effects of quick returns on proximate problems (e.g., sleep, sleepiness and fatigue), although the evidence of associations with more chronic outcome measures (physical and mental health and work-life balance) was inconclusive.

    Source : Vedaa, Øystein, Harris, Anette, Bjorvatn, Bjørn, Waage, Siri, Sivertsen, Børge, Tuckerf, Philip, & Pallesen,  Ståle. (2015). Ergonomics. Prépublication. http://dx.doi.org/10.1080/00140139.2015.1052020

  • La fatigue est une sensation d’épuisement, de lassitude ou de somnolence consécutive au manque de sommeil, à une activité mentale ou physique prolongée, ou à de longues périodes de stress ou d’angoisse. Les tâches fastidieuses ou répétitives peuvent intensifier le sentiment de fatigue. Nous avons besoin en moyenne d’au moins 7,5 à 8,5 heures de sommeil chaque nuit. Ce document infographique indique les signes dénotant un état de fatigue, explique la façon dont la fatigue influe sur notre santé et notre sécurité au travail, et donne aux travailleurs et aux employeurs des conseils pour les aider à lutter contre la fatigue.

    Source : Centre canadien d’hygiène et de sécurité au travail. (2015). La fatique et le travail [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/fatigue.jpg

  • This study compares two « 3 × 8 » shift rotas with backward rotation and quick return (morning and night shift in the same day) in a 5- or 6-day shift cycle, and a « 2 × 12 » shift rota with forward rotation in a 5-d shift cycle. A total of 294 nurses (72.6% women, mean age 33.8) were examined in a survey on work-related stress, including the Standard Shiftwork Index. Ten nurses per each shift roster recorded their activity and rest periods by actigraphy, rated sleepiness and sleep quality, and collected salivary cortisol throughout the whole shift cycle.

    Source : Costa, Giovanni, Anelli, Matteo M., Castellini, Giovanna, Fustinoni, Silvia, & Neri, Luca. (2014). Chronobiology International, 31(10), 1169-1178. doi:10.3109/07420528.2014.957309

HYGIÈNE ET SALUBRITÉ

MÉDECINE NUCLÉAIRE

  • The number of nuclear medicine procedures has increased substantially over the past several decades, with uncertain health risks to the medical workers who perform them. We estimated risks of incidence and mortality from cancer and circulatory disease associated with performing procedures involving the use of radionuclides. From a nationwide cohort of 90 955 US radiologic technologists who completed a mailed questionnaire during 1994-1998, 22 039 reported ever performing diagnostic radionuclide procedures, brachytherapy, radioactive iodine therapy, or other radionuclide therapy. We calculated multivariable-adjusted HRs and 95% CIs for incidence (through 2003-2005) and mortality (through 2008) associated with performing these procedures.

    Source : Kitahara, Cari M., Linet, Martha S., Drozdovitch, Vladimir, Alexander, Bruce H., Preston, Dale L., Simon, Steven L. … Doody, Michele M. (2015). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-102834

  • Ionizing radiation causes detrimental health effects such as cancer and genetic damage. The study aim was to determine predictors for micronuclei (MN) occurrence and frequency in peripheral blood lymphocytes of health workers professionally exposed to radiation. Health workers, age matched, selected for the study on regular check-ups, were divided according to the radiation exposure. The exposed group involved nuclear medicine department employees (54) and the control group comprised workers from other departments (36).

    Source : Terzic, Sanja, Milovanovic, Aleksandar, Dotlic, Jelena, Rakic, Boban, & Terzic, Milan. (2015). Journal of Occupational Medicine and Toxicology. Prépublication. Repéré à http://www.occup-med.com/content/10/1/25

MÉDICAMENTS DANGEREUX

  • Traditionally, the process of creating compounded sterile preparations (CSPs) is one of the least automated in hospital pharmacy practice. Given the required resources, detailed preparation process, and overall cost related to CSP production, many pharmacies choose to outsource the task. However, pharmacies that outsource must consider the impact of relinquishing control over a process that has the potential to cause significant patient injury. Fortunately, compounding automation has matured in recent years, introducing sophisticated solutions for various stages in the CSP process and providing pharmacies an opportunity to review their approaches to compounding sterile preparations.

    Source : Webster, David. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), 22-27. Repéré à  http://www.pppmag.com/article/1711/July_2015/Automating_the_Sterile_Compounding_Process/

  • Each year, approximately 8 million health care professionals throughout the United States are exposed to hazardous drugs (HDs) in the workplace.  Depending on the type, quantity, and duration of exposure, consequences can range from transient skin rashes to lifelong complications, including the development of reproductive issues and malignancies. These risks can be minimized through the implementation of safety processes, including engineering controls and closed system drug-transfer devices (CSTDs), policies and procedures defining safe work practices, and the use of proper personal protective equipment (PPE). Several organizations have established guidelines pertaining to antineoplastic and other HD handling.

    Source : Bennett, Stephanie C., Felt, Katelyn C., & Granko, Robert. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), 14-18. Repéré à http://www.pppmag.com/article/1714/July_2015/Prepare_Pharmacy_and_Nursing_for_USP_800/

  • Consider bringing a sterile products cleanroom up to USP <797> and proposed USP <800> standards without shutting down operations or limiting patient care services. An increasing number of hospital pharmacies are facing this exact challenge, particularly as the practice of converting physician office practices from private to hospital provider status is becoming widespread. In order to achieve compliance with USP <797> and soon-to-be <800> standards for compounded sterile preparation (CSP) production, major remodeling of the compounding facility often is necessary. The difficulty lies in the number of patients that are reliant on these sites for their treatment, such as chemotherapy. Closing a site, even temporarily, not only creates inconveniences, but also may make it impossible for some patients to obtain care. The following case studies illustrate dilemmas that are all too common in hospital pharmacy’s endeavors to produce safe, compliant CSPs, while simultaneously exploring creative solutions.

    Source : Siegel, Jerry. (July 2015). Pharmacy Purchasing & Products Magazine, 17(2), 2-4. Repéré à http://www.pppmag.com/article/1716/July_2015/Three_Case_Studies_in_Cleanroom_Renovation/

  • Many pharmacies are challenged to establish safe handling practices for cytotoxic medications, and this holds true for oral chemotherapies, particularly those not available from the manufacturer in unit dose. The additional safety realized from bar code scanning upon administration is key to avoiding medication errors with oral chemotherapy. Although many medications can now be purchased prepackaged in unit-dose, bar-coded form, some oral cytotoxic medications are available only in bulk bottles. Packaging and bar coding these medications can be problematic in the pharmacy.

    Source : Broome, Allen. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), S12. Repéré à http://www.pppmag.com/article/1718/July_2015_Hazardous_Drug_Handling/Safe_Packaging_for_Oral_Chemo_Medications/

  • Ensuring the safe handling of hazardous drugs (HDs) must be a primary concern for every health care worker who comes into contact with these medications. Given the potential dangers from improper management, organizations are wise to invest significant time in a comprehensive HD safety program. Looking at available guidelines, including the 2004 NIOSH alert,1 the ASHP guidelines on handling HDs, and proposed USP Chapter <800>, the number of steps required to safely compound HDs may appear daunting. However, safe handling of HDs is critical to effectively treating disease. In the health care environment, where facilities continually aim to improve efficiencies and reduce labor and supply costs using Lean methods, it is critical that the number of steps required to ensure the safety of critical tasks, including use of closed system drug-transfer devices (CSTDs), be carefully considered. Safety steps must never be removed in the interests of efficiency.

    Source : Berdi, Fouzia, Powell, Michael F., Sanz, Christine, Gonzalez, Richard, & Massoomi, Firouzan. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7). S4-S10. Repéré à  http://www.pppmag.com/article/1717/July_2015_Hazardous_Drug_Handling/Assessing_the_Efficiency_of_CSTDs_for_Compounding/

MILIEU DE VIE

  • The challenges in investigating the effects of the physical environment on residents with dementia include having a sample of comparable study groups and a lack of long-term follow-up evaluation. The current study attempted to address these two challenges by carefully matching residents and analyzing long-term measurement data. The aim of the study was to examine whether residents with dementia (N = 12) living in a traditional large-scale setting or a small-scale, home-like setting exhibit any difference in health and behaviors over time.

    Source : Young Lee, Sook, Chaudhury, Habib, & Hung, Lillian. (2015). Research in Gerontological Nursing. Prépublication. DOI: 10.3928/19404921-20150709-01

  • The purpose of this study is to describe key adaptive challenges and leadership behaviors to implement culture change for person-directed care. The study design was a qualitative, observational study of nursing home staff perceptions of the implementation of culture change in each of 3 nursing homes. We conducted 7 focus groups of licensed and unlicensed nursing staff, medical care providers, and administrators. Questions explored perceptions of facilitators and barriers to culture change. Using a template organizing style of analysis with immersion/crystallization, themes of barriers and facilitators were coded for adaptive challenges and leadership.

    Source : Corazzini, Kirsten, Twersky, Jack, White, Heidi K., Buhr, Gwendolen T., McConnell, Eleanor S., Weiner, Madeline, & Colón-Emeric, Cathleen. (2015). The Gerontologist, 55(4), 616-627. doi: 10.1093/geront/gnt170

  • Les préposés aux bénéficiaires (PaB) sont aux premières loges lorsque l’on parle des enjeux de qualité des pratiques envers les personnes âgées, aussi bien dans les centres d’hébergement publics et privés que dans les ressources intermédiaires. La forte médiatisation de certains actes de négligence, voire de maltraitance, a conduit de nombreux responsables d’établissements de santé à revoir leur processus de sélection du personnel. De même, la qualité des pratiques est devenue progressivement un enjeu central autant pour les directions d’établissements que pour le MSSS. Une question récurrente réapparaît au gré de l’actualité : les préposés aux bénéficiaires sont-ils suffisamment compétents pour répondre aux besoins des personnes hébergées, notamment les plus fragilisées? D’autres formations doivent-elles être développées pour soutenir cette qualité?

    Source : Aubry, François, & Bergeron-Vachon, Frédérike. (Avril 2015). Le Relief, 1(2),10-15. Repéré à http://arihq.com/wp-content/uploads/2015/04/LERELIEF_volume1_no22.pdf

PHARMACIE HOSPITALIÈRE

  • Traditionally, the process of creating compounded sterile preparations (CSPs) is one of the least automated in hospital pharmacy practice. Given the required resources, detailed preparation process, and overall cost related to CSP production, many pharmacies choose to outsource the task. However, pharmacies that outsource must consider the impact of relinquishing control over a process that has the potential to cause significant patient injury. Fortunately, compounding automation has matured in recent years, introducing sophisticated solutions for various stages in the CSP process and providing pharmacies an opportunity to review their approaches to compounding sterile preparations.

    Source : Webster, David. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), 22-27. Repéré à  http://www.pppmag.com/article/1711/July_2015/Automating_the_Sterile_Compounding_Process/

  • Each year, approximately 8 million health care professionals throughout the United States are exposed to hazardous drugs (HDs) in the workplace.  Depending on the type, quantity, and duration of exposure, consequences can range from transient skin rashes to lifelong complications, including the development of reproductive issues and malignancies. These risks can be minimized through the implementation of safety processes, including engineering controls and closed system drug-transfer devices (CSTDs), policies and procedures defining safe work practices, and the use of proper personal protective equipment (PPE). Several organizations have established guidelines pertaining to antineoplastic and other HD handling.

    Source : Bennett, Stephanie C., Felt, Katelyn C., & Granko, Robert. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), 14-18. Repéré à http://www.pppmag.com/article/1714/July_2015/Prepare_Pharmacy_and_Nursing_for_USP_800/

  • Consider bringing a sterile products cleanroom up to USP <797> and proposed USP <800> standards without shutting down operations or limiting patient care services. An increasing number of hospital pharmacies are facing this exact challenge, particularly as the practice of converting physician office practices from private to hospital provider status is becoming widespread. In order to achieve compliance with USP <797> and soon-to-be <800> standards for compounded sterile preparation (CSP) production, major remodeling of the compounding facility often is necessary. The difficulty lies in the number of patients that are reliant on these sites for their treatment, such as chemotherapy. Closing a site, even temporarily, not only creates inconveniences, but also may make it impossible for some patients to obtain care. The following case studies illustrate dilemmas that are all too common in hospital pharmacy’s endeavors to produce safe, compliant CSPs, while simultaneously exploring creative solutions.

    Source : Siegel, Jerry. (July 2015). Pharmacy Purchasing & Products Magazine, 17(2), 2-4. Repéré à http://www.pppmag.com/article/1716/July_2015/Three_Case_Studies_in_Cleanroom_Renovation/

  • Many pharmacies are challenged to establish safe handling practices for cytotoxic medications, and this holds true for oral chemotherapies, particularly those not available from the manufacturer in unit dose. The additional safety realized from bar code scanning upon administration is key to avoiding medication errors with oral chemotherapy. Although many medications can now be purchased prepackaged in unit-dose, bar-coded form, some oral cytotoxic medications are available only in bulk bottles. Packaging and bar coding these medications can be problematic in the pharmacy.

    Source : Broome, Allen. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7), S12. Repéré à http://www.pppmag.com/article/1718/July_2015_Hazardous_Drug_Handling/Safe_Packaging_for_Oral_Chemo_Medications/

  • Ensuring the safe handling of hazardous drugs (HDs) must be a primary concern for every health care worker who comes into contact with these medications. Given the potential dangers from improper management, organizations are wise to invest significant time in a comprehensive HD safety program. Looking at available guidelines, including the 2004 NIOSH alert,1 the ASHP guidelines on handling HDs, and proposed USP Chapter <800>, the number of steps required to safely compound HDs may appear daunting. However, safe handling of HDs is critical to effectively treating disease. In the health care environment, where facilities continually aim to improve efficiencies and reduce labor and supply costs using Lean methods, it is critical that the number of steps required to ensure the safety of critical tasks, including use of closed system drug-transfer devices (CSTDs), be carefully considered. Safety steps must never be removed in the interests of efficiency.

    Source : Berdi, Fouzia, Powell, Michael F., Sanz, Christine, Gonzalez, Richard, & Massoomi, Firouzan. (July 2015). Pharmacy Purchasing & Products Magazine, 12(7). S4-S10. Repéré à  http://www.pppmag.com/article/1717/July_2015_Hazardous_Drug_Handling/Assessing_the_Efficiency_of_CSTDs_for_Compounding/

PRÉVENTION DES INFECTIONS

Pour accéder à la présentation des auteurs de la recherche : http://www.ipac-canada.org/conf/15_conf/presentations/oral_tues_smith.pdf

  • Cette étude réalisée auprès des équipes de prévention est la première depuis la crise épidémique de 2003-2004 et la publication des lignes directrices québécoises sur la prévention des diarrhées associées au Clostridium difficile (DACD). Six ans après cette crise, on note un rehaussement important des ressources professionnelles en prévention des infections comme recommandé par le ministère de la Santé et des Services sociaux. L’analyse multivariée nous permet d’identifier les variables les plus fortement associées aux taux d’incidence de DACD observés. Certaines de ces variables (telles que la proportion de souche NAP1) sont bien connues de la littérature et comportent un fort rationnel théorique.

    Source : Garenc, Christophe, Frenette, Charles, Trudeau, Mélissa, Rocher, Isabelle, & Longtin, Yves. (2015). [Montréal] : Institut national de santé publique du Québec, v, 75 p. Repéré à https://www.inspq.qc.ca/pdf/publications/2013_Mesures_Installation_Clostridium_Difficile.pdf

  • A randomized controlled trial was conducted in tertiary-care hospital in a real-time setting to evaluate the effectiveness of 3 hand hygiene protocols in reducing hand carriage of methicillin-resistant and methicillin-sensitive Staphylococcus aureus among health care workers. The study shows that use of alcohol handrub, either covering all hand surfaces in no particular order or using the 7-step technique, and chlorhexidine handwashing were equally effective in removing hand carriage of these pathogens. The CDC’s alcohol handrub protocol is faster than the 7-step technique and as effective. The authors recommend promoting the CDC’s alcohol handrub protocol to health care workers.

    Source :  Hanley, J. Ho, Poh, Bee-Fong, Choudhury, Saugata, Krishnan, Prabha, Ang, Brenda, & Chow, Angela. (2015). AJIC : American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.06.005

  • The objective was to evaluate the relative efficacy of the World Health Organization 2005 campaign (WHO-5) and other interventions to promote hand hygiene among healthcare workers in hospital settings and to summarize associated information on use of resources. For that purpose, a systematic review and network meta-analysis were done. The findings indicated that promotion of hand hygiene with WHO-5 is effective at increasing compliance in healthcare workers. Addition of goal setting, reward incentives, and accountability strategies can lead to further improvements. Reporting of resources required for such interventions remains inadequate. Source : Luangasanatip, Nantasit, Hongsuwan, Maliwan, Limmathurotsakul, Direk, Lubell, Yoel, Lee, Andie S., Harbart, Stephan,… Cooper, Ben S. (2015). The BMJ, 351 : H3728. doi: http://dx.doi.org/10.1136/bmj.h3728

  • Ebola. H1N1. MERS. SARS. The stakes are high when health care workers care for patients with an emerging infectious disease, and gaps in respiratory protection can have deadly consequences. Yet studies show those gaps persist. Three leading safety agencies have released comprehensive resources to address longstanding weaknesses in respiratory protection programs in hospitals. They provide a kind of primer, an effort to improve training, compliance, awareness, and coordination. The OSHA/NIOSH toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection programs. The document also includes an editable respiratory tool that hospitals can customize to reflect their program.

    Source : Are you prepared for the next airborne disease? (August 2015). Hospital Employee Health, 34(8), 90-93. Repéré à http://www.ahcmedia.com/articles/135834-are-you-prepared-for-the-next-airborne-disease

  • Needlesticks and blood exposures appear to be increasing, threatening healthcare workers with bloodborne infections and the attendant mental anguish of awaiting test results for themselves or source patients, researchers report. After years of incremental gains, hard-fought adoption of needle safety devices and passage of federal regulations requiring their use in 2001, a survey of members of the Association of Occupational Health Professionals in Healthcare (AOHP) reveals a troubling trend. AOHP members from 157 hospitals in 32 states participated in EXPO-S.T.O.P. 2012, a survey to determine the incidence of sharps injuries and mucocutaneous blood exposures among healthcare workers in U.S. hospitals. The survey shows a sharps injury (SI) rate of 28.2 per 100 occupied beds, or 2.2 per 100 full-time equivalent staff.

    Source : AOHP national survey finds ‘disturbing’ increase in sharps injuries, blood exposures to HCWs. (August 2015). Hospital Employee Health, 34(8), 89-90. Repéré à http://www.ahcmedia.com/articles/135833-aohp-national-survey-finds-disturbing-increase-in-sharps-injuries-blood-exposures-to-hcws

  • Healthcare workers frequently experience percutaneous exposure to body fluids. These injuries place them at risk for infectious diseases including hepatitis B, hepatitis C and human immunodeficiency virus (HIV). Several interventions exist to prevent infection including the use of gloves as personal protective equipment. Wearing multiple gloves, gloves made from special materials, or gloves with an indicator system has the potential to prevent contaminant transmission. Because there are several ways to reduce percutaneous exposure incidents, it is important to know which are effective. In the operating room (OR), there are multiple preventative strategies for prevention of injury including double gloving and the use of special gloves. However, the question is which is most effective.

    Source : Ashcraft, Alyce S. (2015). The Online journal of Issues in Nursing, 20(3). DOI: 10.3912/OJIN.Vol20No03CRBCol03

  • Most studies on the transmission of infectious airborne disease have focused on patient room air changes per hour (ACH) and how ACH provides pathogen dilution and removal. The logical but mostly unproven premise is that greater air change rates reduce the concentration of infectious particles and thus, the probability of airborne disease transmission. Recently, a growing body of research suggests pathways between pathogenic source (patient) and control (exhaust) may be the dominant environmental factor. While increases in airborne disease transmission have been associated with ventilation rates below 2 ACH, comparatively less data are available to quantify the benefits of higher air change rates in clinical spaces. As a result, a series of tests were conducted in an actual hospital to observe the containment and removal of respirable aerosols (0.5-10 µm) with respect to ventilation rate and directional airflow in a general patient room, and, an airborne infectious isolation room.

    Source : Mousavi, Ehsan S., & Grosskopf, Kevin R., (2015). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/mev048

PRODUITS TOXIQUES

    • De plus en plus de salariés se plaignent auprès de leur service de santé au travail de symptômes qu’ils attribuent à leur exposition au photocopieur. Il s’agit donc de connaître les risques liés à cette exposition. Lors du processus d’impression, des poussières de toner, des composés organiques volatils, des gaz comme l’ozone, des particules ultrafines sont émis. Les émissions sont variées et variables suivant le type et le mode de fonctionnement du photocopieur. Les niveaux d’exposition sont mal connus mais se situent sous les valeurs limites d’exposition en vigueur lors des différentes études.

      Source : Desmond, C., Verdun-Esquer, C., Rinaldo, M., Courtois, A., & Labadie, M. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.04.045

    • Le Canada a aligné le Système d’information sur les matières dangereuses utilisées au travail (SIMDUT) au Système général harmonisé de classification et d’étiquetage des produits chimiques (SGH), ce qui entraîne une nouvelle série de critères normalisés en matière de classification, d’étiquetage et de fiches de données de sécurité (FDS). L’étiquette du produit est la première source d’information du travailleur sur les risques que présente le produit et sur l’utilisation sécuritaire de ce dernier. Voici une affiche qui porte sur les éléments de l’étiquette du SIMDUT 2015 pour aider les travailleurs à mieux comprendre les nouveaux renseignements qu’ils apercevront dans leur milieu de travail.

    • Source : Centre canadien d’hygiène et de sécurité au travail. (2015). Étiquettes du SIMDUT 2015 [Affiche]. Repéré à http://cchst.ca/products/posters/pdfs/labelElements.pdf

PROTECTION RESPIRATOIRE

Pour accéder à la présentation des auteurs de la recherche : http://www.ipac-canada.org/conf/15_conf/presentations/oral_tues_smith.pdf

    • Ebola. H1N1. MERS. SARS. The stakes are high when health care workers care for patients with an emerging infectious disease, and gaps in respiratory protection can have deadly consequences. Yet studies show those gaps persist. Three leading safety agencies have released comprehensive resources to address longstanding weaknesses in respiratory protection programs in hospitals. They provide a kind of primer, an effort to improve training, compliance, awareness, and coordination. The OSHA/NIOSH toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection programs. The document also includes an editable respiratory tool that hospitals can customize to reflect their program.

      Source : Are you prepared for the next airborne disease? (August 2015). Hospital Employee Health, 34(8), 90-93. Repéré à http://www.ahcmedia.com/articles/135834-are-you-prepared-for-the-next-airborne-disease.

QUALITÉ DE L’AIR

    • Most studies on the transmission of infectious airborne disease have focused on patient room air changes per hour (ACH) and how ACH provides pathogen dilution and removal. The logical but mostly unproven premise is that greater air change rates reduce the concentration of infectious particles and thus, the probability of airborne disease transmission. Recently, a growing body of research suggests pathways between pathogenic source (patient) and control (exhaust) may be the dominant environmental factor. While increases in airborne disease transmission have been associated with ventilation rates below 2 ACH, comparatively less data are available to quantify the benefits of higher air change rates in clinical spaces. As a result, a series of tests were conducted in an actual hospital to observe the containment and removal of respirable aerosols (0.5-10 µm) with respect to ventilation rate and directional airflow in a general patient room, and, an airborne infectious isolation room.

      Source : Mousavi, Ehsan S., & Grosskopf, Kevin R., (2015). The Annals of Occupational Hygiene. Prépublication. doi: 10.1093/annhyg/mev048

    • Electronic cigarettes (ECIGs) have continued to gain popularity among the general public since their introduction in 2003. While all ECIGs work by heating a liquid solution into an aerosol that is then inhaled by the user, there are differences in engineering characteristics and appearance of the devices as well as how the liquid is stored and heated, its nicotine concentration, its ratio of propylene glycol and/or vegetable glycerin, and the flavorants added to the liquid. Some of the research areas previously examined with ECIGs include aerosol toxicant yield, user puffing behavior, physiological effects, subjective effects, abuse liability, and effects on smoking cessation. Much of this work used earlier device models that delivered very little nicotine to the user, and additional research needs to be conducted using consistent and reliable devices, assays, and methodologies in order to gain a clearer understanding of ECIGs and their implications for individual and public health. Furthermore, the effects that ECIGs have on smoking cessation and among vulnerable populations must be addressed empirically.

      Source : Lopez, Alexa A., & Eissenberg, Thomas. (2015). Preventive Medicine. Prépublication. doi:10.1016/j.ypmed.2015.07.006

RADIOPROTECTION

  • The number of nuclear medicine procedures has increased substantially over the past several decades, with uncertain health risks to the medical workers who perform them. We estimated risks of incidence and mortality from cancer and circulatory disease associated with performing procedures involving the use of radionuclides. From a nationwide cohort of 90 955 US radiologic technologists who completed a mailed questionnaire during 1994-1998, 22 039 reported ever performing diagnostic radionuclide procedures, brachytherapy, radioactive iodine therapy, or other radionuclide therapy. We calculated multivariable-adjusted HRs and 95% CIs for incidence (through 2003-2005) and mortality (through 2008) associated with performing these procedures.

    Source : Kitahara, Cari M., Linet, Martha S., Drozdovitch, Vladimir, Alexander, Bruce H., Preston, Dale L., Simon, Steven L. … Doody, Michele M. (2015). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-102834

  • The purpose of this study was to review empirical research on adverse health and pregnancy outcomes associated with physiotherapists’ occupational exposure to radiofrequency electromagnetic fields (RF EMFs) from shortwave (SWD) and microwave (MWD) diathermy devices. A systematic review of peer reviewed literature published from 1990 to 2010 in the English language searched in eight online bibliographic databases.

    Source : Shah, Syed Ghulam Sarwar, & Farrow, Alexandra. (2014). Journal of Occupational Health, 56(5), 313-331. Doi: http://doi.org/10.1539/joh.13-0196-RA

  • Ionizing radiation causes detrimental health effects such as cancer and genetic damage. The study aim was to determine predictors for micronuclei (MN) occurrence and frequency in peripheral blood lymphocytes of health workers professionally exposed to radiation. Health workers, age matched, selected for the study on regular check-ups, were divided according to the radiation exposure. The exposed group involved nuclear medicine department employees (54) and the control group comprised workers from other departments (36).

    Source : Terzic, Sanja, Milovanovic, Aleksandar, Dotlic, Jelena, Rakic, Boban, & Terzic, Milan. (2015). Journal of Occupational Medicine and Toxicology. Prépublication. Repéré à http://www.occup-med.com/content/10/1/25

SANTÉ ET BIEN-ÊTRE AU TRAVAIL

  • Although several studies have examined the link between specific working conditions and health behaviours, very few have comparatively assessed the health behaviours of different occupational groups. The purpose of this study was to compare protective and risky health behaviours among police officers, ambulance workers, hospital staff (doctors and nurses) and office workers, prompted by the need to identify key areas for interventions tailored to the needs of different occupational groups. The results of the study highlight key priorities for health promotion for different occupational groups which need to be taken into consideration in policy making and developing workplace interventions.

    Source : Tsiga, E., Panagopoulou, E., & Niakas, D. (2015). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqv097

  • Total Worker Health™ is defined as a « strategy integrating occupational safety and health protection with health promotion to prevent worker injury and illness and to advance worker health and well-being. » This strategy aligns workplace safety with individual behaviors that support healthy lifestyles. The Patient Protection and Affordable Care Act of 2010 presumes that incentive-oriented worksite health promotion provides a critical pathway to reduce group health costs. Because of their scientific and clinical backgrounds, professional nurses are well qualified to educate and assist individuals with healthy lifestyle choices. Occupational health nurses and patient advocates can shape wellness initiatives that best serve both employees and their employers.

    Source : Campbell, Karen, & Burns, Candace. (2015). Workplace Health & Safety, 63(7), 316-319. doi: 10.1177/2165079915576921

SANTÉ GLOBALE DES TRAVAILLEURS

  • Although several studies have examined the link between specific working conditions and health behaviours, very few have comparatively assessed the health behaviours of different occupational groups. The purpose of this study was to compare protective and risky health behaviours among police officers, ambulance workers, hospital staff (doctors and nurses) and office workers, prompted by the need to identify key areas for interventions tailored to the needs of different occupational groups. The results of the study highlight key priorities for health promotion for different occupational groups which need to be taken into consideration in policy making and developing workplace interventions.

    Source : Tsiga, E., Panagopoulou, E., & Niakas, D. (2015). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqv097

  • Total Worker Health™ is defined as a « strategy integrating occupational safety and health protection with health promotion to prevent worker injury and illness and to advance worker health and well-being. » This strategy aligns workplace safety with individual behaviors that support healthy lifestyles. The Patient Protection and Affordable Care Act of 2010 presumes that incentive-oriented worksite health promotion provides a critical pathway to reduce group health costs. Because of their scientific and clinical backgrounds, professional nurses are well qualified to educate and assist individuals with healthy lifestyle choices. Occupational health nurses and patient advocates can shape wellness initiatives that best serve both employees and their employers.

    Source : Campbell, Karen, & Burns, Candace. (2015). Workplace Health & Safety, 63(7), 316-319. doi: 10.1177/2165079915576921

SANTÉ PSYCHOLOGIQUE

Pour visionner l’enregistrement du webinaire : http://forum.asstsas.qc.ca/2015-010/0mx4k1plisc3

    • Après avoir identifié la présence de risques psychosociaux (RPS) dans l’entreprise au regard de l’analyse des indicateurs, il convient de constituer un groupe projet qui se voudra volontairement pluridisciplinaire,  en choisissant parmi les personnes qui répondent aux critères de sélection, celles qui sont à l’aise en communication et qui savent travailler en groupe projet. Le groupe ne dépassera pas 12 membres et le chef de projet sera une personne du service RH ou HSE.

      Source : Risques psychosociaux : Constituer un groupe projet pluridisciplinaire. (16 juillet 2015). CAMIP.Info : Revue de la santé au travail. Repéré à http://camip.info/Risques-psychosociaux-Constituer.html

    • Increasing speed in many life domains is currently being discussed under the term ‘social acceleration’ as a societal phenomenon which not only affects Western societies, but may also lead to job demands arising from accelerated change. Demands such as work intensification and intensified learning and their changes over time may increase emotional exhaustion, but may also induce positive effects. The purpose of this paper is to examine how increases in demands arising from accelerated change affect employee well-being. A total of 587 eldercare workers provided data on work intensification and intensified learning as well as on exhaustion and job satisfaction at two points in time. The findings indicated that work intensification was negatively related to future job satisfaction and positively related to future emotional exhaustion, whereas intensified learning was positively associated with future job satisfaction and negatively with future emotional exhaustion.

      Source : Korunka, Christian, Kubicek, Bettina, Paškvan, Matea, & Ulferts, Heike. (2015). Journal of Managerial Psychology, 30(7). Repéré à http://www.emeraldinsight.com/doi/abs/10.1108/JMP-02-2013-0065

    • This article reports on a literature review of workplace interventions (i.e., creating healthy work environments and improving nurses’ quality of work life [QWL]) aimed at managing occupational stress and burnout for nurses. A literature search was conducted using the keywords nursing, nurses, stress, distress, stress management, burnout, and intervention. All the intervention studies included in this review reported on workplace intervention strategies, mainly individual stress management and burnout interventions. Recommendations are provided to improve nurses’ QWL in health care organizations through workplace health promotion programs so that nurses can be recruited and retained in rural and northern regions of Ontario. These regions have unique human resources needs due to the shortage of nurses working in primary care.

      Source : Nowrouzi, Behdin, Lightfoot, Nancy, Larivière, Michael, Carter, Lorraine, Rukholm, Ellen, Schinke, Robert, & Bélanger-Gardner, Diane. (2015). Workplace Health & Safety, 63(7), 308-315.  doi: 10.1177/2165079915576931

    • The need for home care is rising in many Western European countries, due to the aging population and governmental policies to substitute institutional care with home care. At the same time, a general shortage of qualified home-care staff exists or is expected in many countries. It is important to retain existing nursing staff in the healthcare sector to ensure a stable home-care workforce for the future. However, to date there has been little research about the job factors in home care that affect whether staff are considering leaving the healthcare sector. The main purpose of the study was to examine how home-care nursing staff’s self-perceived autonomy relates to whether they have considered leaving the healthcare sector and to assess the possible mediating effect of work engagement.

      Source : Maurits, Erica E.M., de Veer, Anke J.E., van der Hoek, Lucas S., & Francke, Anneke L. (2015). Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector : A questionnaire survey. International Journal of Nursing Studies. Prépublication. doi:10.1016/j.ijnurstu.2015.07.006

    • In a healthcare setting, emotional labour is the act or skill involved in the caring role, in recognizing the emotions of others and in managing our own. The aims of this study is to identify the range of emotional labour employed by healthcare professionals in a healthcare setting and implications of this for staff and organisations. This review identified gendered, personal, organisational, collegial and socio-cultural sources of and barriers to emotional labour in healthcare settings. The review highlights the importance of ensuring emotional labour is recognized and valued, ensuring support and supervision is in place to enable staff to cope with the varied emotional demands of their work.

      Source : Riley, Ruth, & Weiss, Marjorie C. (2015). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12738

    • « Que chacun de nous souhaite-t-il le plus dans son quotidien au travail? La réponse est simple : être heureux. Tout bonnement. Et ce, quelle que soit la source de notre bonheur : pour certains, ça passe par un meilleur salaire; pour d’autres, par des horaires de travail plus flexibles; pour d’autres encore, par davantage de collaboration au sein de son équipe; etc. (…) M. Frey a ainsi cosigné un livre intitulé Happiness: A revolution in economics (MIT Press, 2008) dans lequel il analyse les différents facteurs permettant à chacun d’être vraiment heureux dans la vie, et en particulier au travail. Son examen du sujet s’est révélé tellement fructueux qu’il a été en mesure de mettre au jour 10 trucs ultrasimples pour y parvenir. »

      Source : Schmouker, Olivier. (28 juillet 2015). Les 10 règles d’or pour être franchement heureux au travail. [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/les-10-regles-d-or-pour-etre-franchement-heureux-au-travail/580472

    • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

      Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

    • « Vous souvenez-vous de la dernière fois où une goutte de sueur froide s’est mise à glisser dans votre dos, au travail? Lentement. Irrémédiablement. Horriblement. Vous tétanisant sur place. Avec cette seule idée en tête, martelée bien malgré vous : «Je vais me planter. C’est sûr, je vais me planter. Lamentablement.» Oui, j’en suis convaincu, vous vous en souvenez encore. Même si cela date d’une semaine, d’un mois, d’un an. »

      Source : Schmouker, Olivier. (22 juillet 2015). Gagner en confiance au travail? C’est possible! [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/gagner-en-confiance-au-travail-c-est-possible/580391

    • « Avez-vous remarqué, comme moi, la fâcheuse manie que nous avons de toujours utiliser les mêmes raccourcis? Dans la vie, nous empruntons toujours les mêmes trajets, sans y penser, sans même nous demander s’il n’y en aurait pas un meilleur, par exemple un plus joli. Et au travail, nous nous complaisons dans la routine, en effectuant tout le temps les mêmes tâches de la même manière, sans y penser, sans même nous demander s’il n’y aurait pas une meilleure méthode, par exemple une plus amusante. Du coup, nous nous fossilisons. Physiquement et intellectuellement. »

      Source : Schmouker, Olivier. (6 juillet 2015). Comment arriver à penser autrement? [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/comment-arriver-a-penser-autrement/580030

SERVICES À DOMICILE

    • This study of home care workers in a Norwegian municipality aimed to examine the effect of two measures involving organizational (job checklists) and technological (personal digital assistants) job aids on perceived work demands and musculoskeletal health. Questionnaire data was collected in 2009 and 2011. Forty-six home care workers responded at both waves. Respondents were assigned into ‘high’, ‘moderate’ and ‘low’ strain groups based on their responses to open and closed survey questions regarding impact of the two measures.

      Source : Andersen, Gunn Robstad, Bendal, Synne, & Westgaard, Rolf H. (2015). Applied Ergonomics, 51, 172-179. Repéré à http://www.sciencedirect.com/science/article/pii/S0003687015000812#

    • The need for home care is rising in many Western European countries, due to the aging population and governmental policies to substitute institutional care with home care. At the same time, a general shortage of qualified home-care staff exists or is expected in many countries. It is important to retain existing nursing staff in the healthcare sector to ensure a stable home-care workforce for the future. However, to date there has been little research about the job factors in home care that affect whether staff are considering leaving the healthcare sector. The main purpose of the study was to examine how home-care nursing staff’s self-perceived autonomy relates to whether they have considered leaving the healthcare sector and to assess the possible mediating effect of work engagement.

      Source : Maurits, Erica E.M., de Veer, Anke J.E., van der Hoek, Lucas S., & Francke, Anneke L. (2015). Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector : A questionnaire survey. International Journal of Nursing Studies. Prépublication. doi:10.1016/j.ijnurstu.2015.07.006

    • In countries with ageing populations, home care (HC) aides are among the fastest growing jobs. There are few quantitative studies of HC occupational safety and health (OSH) conditions. The objectives of this study were to: (1) assess quantitatively the OSH hazards and benefits for a wide range of HC working conditions, and (2) compare OSH experiences of HC aides who are employed via different medical and social services systems in Massachusetts, USA. HC aides were recruited for a survey via agencies that employ aides and schedule their visits with clients, and through a labour union of aides employed directly by clients or their families. The questionnaire included detailed questions about the most recent HC visits, as well as about individual aides’ OSH experiences.

      Source : Quinn, Margaret M., Markkanen, Pia K., Galligan, Catherine J., Sama, Susan R., Kriebel, David, Gore, Rebecca J. … Davis, Letitia. (2015). Occupational & Environmental Medicine. Prépublication. doi:10.1136/oemed-2015-103031

SERVICES DE GARDE – CPE

    • Depuis que le RLEBM actuel est entré en vigueur en 2010, un certain nombre de problèmes liés à la sécurité des lits d’enfant, des berceaux et des moïses ont engendré des rapports d’incidents au Canada, notamment concernant les dangers associés aux côtés abaissables conventionnels et aux supports de matelas de lits d’enfant, ainsi que le risque auquel sont exposés les occupants qui peuvent demeurer coincés dans les espaces se trouvant dans les produits ayant des côtés en fibres textiles. En réaction à ces problèmes, Santé Canada a négocié avec les membres de l’industrie afin qu’ils procèdent volontairement à des rappels et a trouvé des moyens d’améliorer les exigences réglementaires pour remédier à ces problèmes.

      Source : Règlement sur les lits d’enfants, berceaux et moïses : Résumé de l’étude d’impact de la réglementation (25 juillet 2015). Gazette du Canada. Publications,149 (30). Repéré à http://gazette.gc.ca/rp-pr/p1/2015/2015-07-25/html/reg1-fra.php

      Pour accéder au règlement à jour au 22 juin 2015 : http://www.laws-lois.justice.gc.ca/fra/reglements/DORS-2010-261/

SIMDUT – SGH

    • Le Canada a aligné le Système d’information sur les matières dangereuses utilisées au travail (SIMDUT) au Système général harmonisé de classification et d’étiquetage des produits chimiques (SGH), ce qui entraîne une nouvelle série de critères normalisés en matière de classification, d’étiquetage et de fiches de données de sécurité (FDS). L’étiquette du produit est la première source d’information du travailleur sur les risques que présente le produit et sur l’utilisation sécuritaire de ce dernier. Voici une affiche qui porte sur les éléments de l’étiquette du SIMDUT 2015 pour aider les travailleurs à mieux comprendre les nouveaux renseignements qu’ils apercevront dans leur milieu de travail.

      Source : Centre canadien d’hygiène et de sécurité au travail. (2015). Étiquettes du SIMDUT 2015 [Affiche]. Repéré à http://cchst.ca/products/posters/pdfs/labelElements.pdf

STATISTIQUES EN SST

    • Ce document a été préparé par le Centre de la statistique et de l’information de gestion, Direction de la comptabilité et de la gestion de l’information. Cette publication vise à documenter les lésions attribuables aux TMS en milieu de travail sous les aspects administratif, médical et socio-économique, dans un souci de qualité et d’uniformité des informations transmises sur le sujet. Les données qu’elle contient sont tirées des banques informationnelles de la CSST. Le secteur de la santé et des affaires sociales est couvert par ces statistiques.

      Source : Provencher, Julie. (2015). Québec : Commission de la santé et de la sécurité du travail du Québec. 34 p. Repéré à http://www.csst.qc.ca/publications/300/Pages/DC_300_322.aspx

SYSTÈME DE MANAGEMENT

    • The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach.

      Source : Yazdani, Amin, Neumann, W. Patrick, Imbeau, Daniel, Bigelow, Philip, Pagell, Mark, & Wells, Richard. (2015). Applied Ergonomics, 51. Prépublication, 255-262. doi:10.1016/j.apergo.2015.05.006

TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

TRAVAIL DE BUREAU

    • De plus en plus de salariés se plaignent auprès de leur service de santé au travail de symptômes qu’ils attribuent à leur exposition au photocopieur. Il s’agit donc de connaître les risques liés à cette exposition. Lors du processus d’impression, des poussières de toner, des composés organiques volatils, des gaz comme l’ozone, des particules ultrafines sont émis. Les émissions sont variées et variables suivant le type et le mode de fonctionnement du photocopieur. Les niveaux d’exposition sont mal connus mais se situent sous les valeurs limites d’exposition en vigueur lors des différentes études.

      Source : Desmond, C., Verdun-Esquer, C., Rinaldo, M., Courtois, A., & Labadie, M. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.04.045

    • An active workplace, operationally defined as a company that deploys an organizational strategy designed to encourage movement and minimize sedentary time during the workday, may benefit from more engaged employees and less productivity loss, providing benefits for both workers and the company. Evidence of effectiveness supports the introduction of programs that reduce prolonged sitting time and increase movement and activity. This article highlights the need for companies to intentionally address sedentary behavior at work and base the approach for doing so on best-practice design principles that will increase the chances for successful solutions.

      Source : Pronk, Nicolaas P. (2015).  Ergonomics in Design, 23(3), 36-40.  doi: 10.1177/1064804615585408

    • This study uses a longitudinal within-subjects design to investigate the effects of inadequate Indoor Environmental Quality (IEQ) on work performance and wellbeing in a sample of 114 office workers over a period of 8 months. Participants completed a total of 2261 online surveys measuring perceived thermal comfort, lighting comfort and noise annoyance, measures of work performance, and individual state factors underlying performance and wellbeing. Characterising inadequate aspects of IEQ as environmental stressors, these stress factors can significantly reduce self-reported work performance and objectively measured cognitive performance by between 2.4% and 5.8% in most situations, and by up to 14.8% in rare cases. Environmental stressors act indirectly on work performance by reducing state variables, motivation, tiredness, and distractibility, which support high-functioning work performance. Exposure to environmental stress appears to erode individuals’ resilience, or ability to cope with additional task demands.

      Source : Lamb, S., & Kwok, K.C.S. (2016). Applied Ergonomics, 52, 102-111.  doi:10.1016/j.apergo.2015.07.010

    • There has been a major shift toward office workstations that accommodate standing postures. This shift is attributable to negative health and musculoskeletal issues from sedentary exposures. However, changing exposures from sitting to standing does not eliminate these issues, as evidence indicates prolonged standing also induces problems. Reducing seated exposure and rotating frequently between sitting and standing has been shown to result in positive health outcomes, reduced discomfort, and increased work performance. Implementing sit-stand workstations has promise to mitigate work-related health issues, if the users are provided with training that includes accommodations for individual work patterns and preferences.

      Source : Callaghan, Jack P., De Carvalho, Diana, Gallagher, Kaitlin, Karakolis, Thomas, & Nelson-Wong, Erika. (2015). Ergonomics in Design, 23(3), 20-24. doi: 10.1177/1064804615585412

    • The new trend in office ergonomics is installing dynamic workstations that include sit-to-stand tables, treadmills, stationary bicycles, and exercise balls. The question is whether it is worth the investment to try to reduce musculoskeletal pain via these dynamic workstations. Postural change is good, but the most effective workstation seems to be the sit-to-stand table with respect to reducing discomfort suffered by office workers. Treadmills and cycle workstations do have the ability to increase energy expenditure and heart rate and thus are potentially beneficial in addressing obesity that results from sedentary work. For all outcomes, the key is to periodically get up and move around.

      Source : Davis, Kermit G., & Kotowski, Susan E. (2015). Ergonomics in Design, 23(3), 9-13. doi: 10.1177/1064804615588853

    • Although laboratory studies demonstrate increases in energy expenditure with the use of treadmill workstations, effectiveness and efficiency studies demonstrating improved energy expenditure in real workplaces have yet to build the evidence to support use of such workstations. Psychosocial barriers to using treadmill workstations are related to communication (noise and hierarchy), need for motivation, peer pressure, and adaptation that might affect performance. Answers to questions such as whether the institution is willing to pay more to acquire very-low-noise devices, whether it is able to tolerate low use of treadmills, and whether vendors exist with no-hassle return policies may help in properly implementing treadmill workstations.

      Source : Cifuentes, Manuel, & Fulmer, Scott. (2015). Ergonomics in Design, 23(3), 25-30. DOI: 10.1177/1064804615588849

    • Office workers spend a large part of their workday sitting down. Too much sitting seems bad for people’s health and puts them at risk for premature death. Workstation alternatives that allow desk work to be done while standing, walking, biking, or stepping reduce the total time spent sitting without affecting work performance much. Moreover, these alternatives seem acceptable to users. Future research is needed to determine long-term effects and whether results apply to different working populations. Ergonomists play an important role in developing recommendations for the setup and use of alternative workstations and in improving their feasibility.

      Source : Huysmans, Maaike A., van der Ploeg, Hidde P., Proper, Karin I., Speklé, Erwin M., & van der Beek, Allard J. (2015). Ergonomics in Design, 23(3), 4-8. doi: 10.1177/1064804615585410

    • Active workstations, such as treadmill and sit-to-stand workstations, enable office employees to break prolonged sitting with bouts of light-intensity walking and/or standing. Compared with sitting, walking and/or standing accumulated during the workday using these workstations will increase muscle contractions, which may influence blood flow, energy expenditure, metabolism, musculoskeletal health, and brain function. Physiological responses when using treadmill and sit-to-stand workstations may vary due to differences in muscle contraction type (dynamic vs. static) and may thus affect cardio-metabolic and musculoskeletal health and brain function in different ways.

      Source : John, Dinesh, Lydem, Kate, & Bassett, David R. (2015). Ergonomics in Design, 23(3), 14-19. doi: 10.1177/1064804615585411

TRAVAIL DE LABORATOIRE

TRAVAIL SÉDENTAIRE

    • An active workplace, operationally defined as a company that deploys an organizational strategy designed to encourage movement and minimize sedentary time during the workday, may benefit from more engaged employees and less productivity loss, providing benefits for both workers and the company. Evidence of effectiveness supports the introduction of programs that reduce prolonged sitting time and increase movement and activity. This article highlights the need for companies to intentionally address sedentary behavior at work and base the approach for doing so on best-practice design principles that will increase the chances for successful solutions.

      Source : Pronk, Nicolaas P. (2015).  Ergonomics in Design, 23(3), 36-40.  doi: 10.1177/1064804615585408

    • There has been a major shift toward office workstations that accommodate standing postures. This shift is attributable to negative health and musculoskeletal issues from sedentary exposures. However, changing exposures from sitting to standing does not eliminate these issues, as evidence indicates prolonged standing also induces problems. Reducing seated exposure and rotating frequently between sitting and standing has been shown to result in positive health outcomes, reduced discomfort, and increased work performance. Implementing sit-stand workstations has promise to mitigate work-related health issues, if the users are provided with training that includes accommodations for individual work patterns and preferences.

      Source : Callaghan, Jack P., De Carvalho, Diana, Gallagher, Kaitlin, Karakolis, Thomas, & Nelson-Wong, Erika. (2015). Ergonomics in Design, 23(3), 20-24. doi: 10.1177/1064804615585412

    • The new trend in office ergonomics is installing dynamic workstations that include sit-to-stand tables, treadmills, stationary bicycles, and exercise balls. The question is whether it is worth the investment to try to reduce musculoskeletal pain via these dynamic workstations. Postural change is good, but the most effective workstation seems to be the sit-to-stand table with respect to reducing discomfort suffered by office workers. Treadmills and cycle workstations do have the ability to increase energy expenditure and heart rate and thus are potentially beneficial in addressing obesity that results from sedentary work. For all outcomes, the key is to periodically get up and move around.

      Source : Davis, Kermit G., & Kotowski, Susan E. (2015). Ergonomics in Design, 23(3), 9-13. doi: 10.1177/1064804615588853

    • Although laboratory studies demonstrate increases in energy expenditure with the use of treadmill workstations, effectiveness and efficiency studies demonstrating improved energy expenditure in real workplaces have yet to build the evidence to support use of such workstations. Psychosocial barriers to using treadmill workstations are related to communication (noise and hierarchy), need for motivation, peer pressure, and adaptation that might affect performance. Answers to questions such as whether the institution is willing to pay more to acquire very-low-noise devices, whether it is able to tolerate low use of treadmills, and whether vendors exist with no-hassle return policies may help in properly implementing treadmill workstations.

      Source : Cifuentes, Manuel, & Fulmer, Scott. (2015). Ergonomics in Design, 23(3), 25-30. DOI: 10.1177/1064804615588849

    • Office workers spend a large part of their workday sitting down. Too much sitting seems bad for people’s health and puts them at risk for premature death. Workstation alternatives that allow desk work to be done while standing, walking, biking, or stepping reduce the total time spent sitting without affecting work performance much. Moreover, these alternatives seem acceptable to users. Future research is needed to determine long-term effects and whether results apply to different working populations. Ergonomists play an important role in developing recommendations for the setup and use of alternative workstations and in improving their feasibility.

      Source : Huysmans, Maaike A., van der Ploeg, Hidde P., Proper, Karin I., Speklé, Erwin M., & van der Beek, Allard J. (2015). Ergonomics in Design, 23(3), 4-8. doi: 10.1177/1064804615585410

    • Active workstations, such as treadmill and sit-to-stand workstations, enable office employees to break prolonged sitting with bouts of light-intensity walking and/or standing. Compared with sitting, walking and/or standing accumulated during the workday using these workstations will increase muscle contractions, which may influence blood flow, energy expenditure, metabolism, musculoskeletal health, and brain function. Physiological responses when using treadmill and sit-to-stand workstations may vary due to differences in muscle contraction type (dynamic vs. static) and may thus affect cardio-metabolic and musculoskeletal health and brain function in different ways.

      Source : John, Dinesh, Lydem, Kate, & Bassett, David R. (2015). Ergonomics in Design, 23(3), 14-19. doi: 10.1177/1064804615585411

TRAVAILLEUSE ENCEINTE – GROSSESSE

TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • The purpose of this study was to examine the prevalence and risk factors of occupational musculoskeletal injuries (OMIs) among occupational therapy practitioners over a 12-month period. A self-administered questionnaire mailed to 500 randomly selected practicing occupational therapists (OTs) and occupational therapy assistants (OTAs) living in the state of Texas. A response rate of 38 % was attained with 192 questionnaires returned. In a 12-months working period, 23 % of occupational therapy practitioners experienced musculoskeletal injuries. No factors were significantly associated with injuries among OTs. In conclusion, patient handling was the primary factor associated with injuries. Also, minimal experience and older age were concluded as risk factors that might contribute to OMIs.

    Source : Alnaser, Musaed Z. (2015). Journal of Occupational Rehabilitation. Prépublication. DOI: 10.1007/s10926-015-9584-3

  • This study of home care workers in a Norwegian municipality aimed to examine the effect of two measures involving organizational (job checklists) and technological (personal digital assistants) job aids on perceived work demands and musculoskeletal health. Questionnaire data was collected in 2009 and 2011. Forty-six home care workers responded at both waves. Respondents were assigned into ‘high’, ‘moderate’ and ‘low’ strain groups based on their responses to open and closed survey questions regarding impact of the two measures.

    Source : Andersen, Gunn Robstad, Bendal, Synne, & Westgaard, Rolf H. (2015). Applied Ergonomics, 51, 172-179. Repéré à http://www.sciencedirect.com/science/article/pii/S0003687015000812#

  • Ce document a été préparé par le Centre de la statistique et de l’information de gestion, Direction de la comptabilité et de la gestion de l’information. Cette publication vise à documenter les lésions attribuables aux TMS en milieu de travail sous les aspects administratif, médical et socio-économique, dans un souci de qualité et d’uniformité des informations transmises sur le sujet. Les données qu’elle contient sont tirées des banques informationnelles de la CSST. Le secteur de la santé et des affaires sociales est couvert par ces statistiques.

    Source : Provencher, Julie. (2015). Québec : Commission de la santé et de la sécurité du travail du Québec. 34 p. Repéré à http://www.csst.qc.ca/publications/300/Pages/DC_300_322.aspx

  • The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach.

    Source : Yazdani, Amin, Neumann, W. Patrick, Imbeau, Daniel, Bigelow, Philip, Pagell, Mark, & Wells, Richard. (2015). Applied Ergonomics, 51. Prépublication, 255-262. doi:10.1016/j.apergo.2015.05.006

COIN DE LA DOCUMENTALISTE – JUIN 2015

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ADMINISTRATION DE LA SANTÉ

  • The purpose if this study was to determine whether state-mandated minimum nurse-to-patient staffing ratios in California hospitals had an effect on reported occupational injury and illness rates. The difference-in-differences method was applied: The change in injury rates among hospital nurses after implementation of the law in California was compared to the change in 49 other states and the District of Columbia combined. Data were drawn from the US Bureau of Labor Statistics and the California Employment Development Department, including numerator estimates of injury and illness cases and denominator estimates of the number of registered nurses (RNs) and licensed practical nurses (LPNs) employed in hospitals. The authors concluded that despite significant data restrictions and corresponding methodological limitations, the evidence suggests that the law was effective in reducing occupational injury and illness rates for both RNs and LPNs. Whether these 31.6 and 33.6 % reductions are maintained over time remains to be seen.

    Source : Leigh, J. Paul, Markis, Carrie A., Iosif, Ana-Maria, & Romano, Patrick S. (2015). International Archives of Occupational and Environmental Health, 88(4), 477-484. DOI 10.1007/s00420-014-0977-y

  • Lean projects require an understanding of systems-wide processes and utilize interdisciplinary teams. Most lean tools are straightforward, and the biggest barrier to successful implementation is often development of the team aspect of the lean approach. The purpose of this article is to share challenges experienced by a lean team charged with improving a hospital discharge process. To improve the likelihood that process improvement initiatives, including lean projects, will be successful, organizations should consider providing training in organizational change principles and team building. The authors’ lean team learned these lessons the hard way. Despite the challenges, the team successfully implemented changes throughout the organization that have had a positive impact. Training to understand the psychology of change might have decreased the resistance faced in implementing these changes.

    Source : Wackerbarth, Sarah B., Strawser-Srinath, Jamie R., Conigliaro, Joseph C. (2015). American Journal of Medical Quality, 30(3), 248-254. doi: 10.1177/1062860614527784

AGRESSIONS ET VIOLENCE

AMÉNAGEMENT-ARCHITECTURE

AMIANTE

  • On a beaucoup utilisé l’amiante dans les matériaux de construction, principalement durant les années 1945 à 1980, marquées par le grand développement du parc industriel et immobilier du Québec. Étant donné cela, aujourd’hui, ce ne sont plus que les mineurs qui souffrent de maladies causées par l’amiante, mais également les travailleurs de l’entretien et de la rénovation des bâtiments, à cause de l’amiante mis en circulation dans l’air à l’occasion de travaux. Sorti de la mine, l’amiante ne cesse pas de représenter un danger pour les travailleurs ! Les nouvelles dispositions du règlement obligent l’employeur à inspecter les bâtiments sous son autorité pour localiser les flocages et les calorifuges contenant de l’amiante. Cette inspection doit être effectuée avant le 6 juin 2015 : inutile de préciser que cette date est à nos portes !

    Source : Sabourin, Guy. Mai 2015). OP, 38(2), 10-11. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382010_Amiante.pdfe

APPROCHE LEAN

  • Lean projects require an understanding of systems-wide processes and utilize interdisciplinary teams. Most lean tools are straightforward, and the biggest barrier to successful implementation is often development of the team aspect of the lean approach. The purpose of this article is to share challenges experienced by a lean team charged with improving a hospital discharge process. To improve the likelihood that process improvement initiatives, including lean projects, will be successful, organizations should consider providing training in organizational change principles and team building. The authors’ lean team learned these lessons the hard way. Despite the challenges, the team successfully implemented changes throughout the organization that have had a positive impact. Training to understand the psychology of change might have decreased the resistance faced in implementing these changes.

    Source : Wackerbarth, Sarah B., Strawser-Srinath, Jamie R., Conigliaro, Joseph C. (2015). American Journal of Medical Quality, 30(3), 248-254. doi: 10.1177/1062860614527784

APPROCHE RELATIONNELLE DE SOINS

  • Une formation complémentaire au PDSB, soit la formation sur l’approche relationnelle de soins (ARS), a été graduellement introduite dans une centaine d’installations, chapeautées par 35 établissements, au cours des années 2000. Cette approche vise le développement d’habiletés relationnelles chez les soignants selon une orientation dite « d’humanitude » (qui prône le respect de l’être humain, de sa dignité, de son unicité et de son intégrité). Un recul d’une quinzaine d’années est-il suffisant pour documenter les apports positifs de l’approche ? Une étude menée par des chercheurs des universités Laval et de Sherbrooke, dont l’IRSST, a récemment publié ses conclusions dans un rapport.

    Source : Blanchet, Suzanne. (Été 2015). Centres d’hébergement et de soins de longue durée : l’apport positif de l’approche relationnelle de soins. Prévention au travail, 28(2), 24-25. Repéré à http://preventionautravail.com/images/archives/28-02#24.pdf

ASTHME PRODFESSIONNEL

  • The authors evaluated the short-term effects of exposure to cleaning products on lung function and respiratory symptoms among professional cleaning women. Twenty-one women with current asthma and employed as professional cleaners participated in a 15-day panel study. During 312 person-days of data collection, participants self-reported their use of cleaning products and respiratory symptoms in daily diaries and recorded their forced expiratory volume in 1 s (FEV1) and peak expiratory flow (PEF) three times per day using a handheld spirometer. In conclusion, the use of specific cleaning products at work, mainly irritants and sprays, may exacerbate asthma.

    Source : Vizcaya, David, Mirabelli, Maria C., Gimeno, David, Antó, Josep-Maria, Delclos, George L., Rivera, Marcela, & Zock, Jan-Paul. (2015). Occupational & Environmental Medicine. Prépublication. oi:10.1136/oemed-2013-102046

CANCERS PROFESSIONNELS

  • Cette fiche recense les postes susceptibles de présenter un risque cancérogène pour les activités d’imagerie médicale, qu’il s’agisse de radiographie, de scanner, de scintigraphie ou de Pet Scan : réception et entreposage des sources, contrôle qualité et préparation des solutions de radionucléides, administration des radionucléides et des produits de contraste, prise et développement de clichés, gestion des déchets et excrétas, entretien médical et consigne de sortie au patient, secrétariat médical et étalonnage, maintenance et entretien des équipements. Pour chaque poste de travail, les cancérogènes avérés ou suspectés susceptibles d’être rencontrés sont listés.

    Source : CNAMTS, INRS, & CARSAT. (2015).  Imagerie médicale (radiographie, scanner, scintigraphie, Pet Scan): Fiche d’aide au repérage.  Paris : Institut national de recherche et de sécurité, 2 p. (FAR 54). Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/FICHE/TI-FAR-54/far54.pdf

CENTRES DE PRÉLÈVEMENT

  • À l’hôpital ou dans un CLSC, les centres de prélèvement sanguin voient défiler des dizaines de clients chaque jour, et les intervenants doivent respecter certaines règles pour que tout se fasse de façon sécuritaire aussi bien pour les clients que pour les intervenants. Néanmoins, pour les besoins de notre démonstration, Feruza et Tatiana ont accepté de simuler quelques imprudences et de modifier leur environnement de travail. Pouvez-vous dire quelles erreurs ont été commises ?

    Source : Diouf, Fatou. (Été 2015). Prévention au travail, 28(2), 5, 46-47. Repéré à http://preventionautravail.com/images/archives/28-02#5.pdf

CENTRES D’HÉBERGEMENT

  • Le mercredi 22 octobre 2014 se tenait à Québec un symposium sur le métier d’auxiliaire de santé et de services sociaux (ASSS) et de préposé aux bénéficiaires (PAB) en soutien à domicile et en centre d’hébergement. Il réunissait plus de vingt participants. Les objectifs de cette journée étaient de : 1) réunir des intervenants, des chercheurs et des gestionnaires afin de clarifier les grands enjeux et les grands défis auxquels font face les ASSS et les PAB, ainsi que les organisations qui les embauchent; 2) cibler les questions prioritaires sur lesquelles s’atteler, ainsi que des pistes de solution; 3) identifier les questions pouvant faire l’objet de recherche qui aideraient à relever ces défis. Inviter les représentants des ASSS et des PAB permettait d’atteindre ces objectifs, en privilégiant leur point de vue et en faisant une grande place à leurs préoccupations.

    Source : Allaire, Émilie. (2015). Symposium sur le métier d’auxiliaire de santé et de services sociaux et de préposés aux bénéficiaires : Synthèse des présentations et des échanges, 22 octobre 2014. Québec : Centre de santé et de services sociaux de la Vieille-Capitale, 25 p. Repéré à http://www.cersspl.ca/fileadmin/user_upload/documentations/fichiers/Synthese_symposium_2014-Version_officielle__22-04-2015__PDF.pdf

CENTRES JEUNESSE

CHAMPS ÉLECTROMAGNÉTIQUES

  • Il existe de nombreuses sources de radiofréquences dans notre environnement quotidien (téléphone mobile, antennes relais, Wi-Fi, etc.). Parmi celles-ci, le téléphone mobile est de loin la principale source d’exposition. Concernant la question des effets sanitaires des radiofréquences, il n’est pas possible aujourd’hui d’établir un lien de causalité entre les quelques effets biologiques décrits et d’éventuels effets sur la santé qui en résulteraient. Le risque de gliome n’est, quant à lui, pas significativement modifié par l’utilisation des téléphones mobiles en population générale pour des durées d’observation de moins de 15 ans. Cependant, les données disponibles actuellement ne permettent pas d’exclure, parmi les utilisateurs « intensifs », une augmentation d’incidence faible des gliomes ou un risque qui se manifesterait pour des durées d’induction supérieures à 15 ans.

    Source : Fite, J., Doré, J.-F., Hours, M., & Merckel, O. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.03.004

CHUTES ET GLISSADES

  • Peu importe le milieu où vous travaillez, il y a fort à parier que les chutes et les glissades soient une des trois premières causes d’accident. Ces accidents, souvent graves, peuvent facilement être prévenus. Dans cet atelier, voyez les dix grandes causes de chutes et de glissades ainsi que les moyens pour les prévenir.

    Source : Bélanger, Louise. (2015). Les chutes et les glissades, ça tombe toujours mal! Communication présentée au Colloque de l’ASSTSAS à Boucherville, 60 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At12_chutes_glissades.pdf

  • Most occupational risks manifest themselves through movements performed at work, for example musculoskeletal disorders, slips, trips and falls. Research focusing on such risks often differentiates diseases from accidents. All these risks prove to be diffuse, widespread, emergent and devoid of an external harmful hazard, when analysed through their common vector, i.e. through the movements manifesting them. These characteristics have a strong impact on risk perception and on approaches necessary to ensure sustainable prevention. A participative search for local solutions to preventing these risks, integrating shared risk representation and several analysis levels, would seem helpful. A balance between defended and resilience-based conceptions of health and safety should be established. Research should also be extended to enhance in-depth understanding of controls impacting worker movements when performing a task, while safeguarding health and safety.

    Source : Leclercq, Sylvie, Cuny-Guerrier, Aude, Gaudez, Clarisse, & Aublet-Cuvelier, Agnès. (2015). Ergonomics. Prépublication. DOI:10.1080/00140139.2015.1031191

CIVILITÉ EN MILIEU DE TRAVAIL

  • Saluer ses collègues le matin et se regarder dans les yeux lorsqu’on se parle, ça peut sembler banal. Toutefois, le manque de civilité engendre de lourdes conséquences sur le climat de travail et sur la productivité de l’entreprise. Malheureusement, plus d’un travailleur sur deux déclare que les gestionnaires de leur entreprise n’interviennent qu’occasionnellement, rarement ou même jamais lorsqu’une telle situation se produit.

    Source : Ordre des conseillers en ressources humaines agréés. (19 mai 2015). Manque de civilité : toléré par les gestionnaires selon plus d’un travailleur sur deux. Repéré à http://www.portailrh.org/presse/fichecommunique2.aspx?f=105321

  • Saluer ses collègues le matin, se regarder dans les yeux lorsqu’on se parle, ne pas exclure des collègues lors d’une activité, cela peut sembler banal. Cependant, à la longue, le manque de civilité a de lourdes conséquences tant pour les travailleurs que pour l’organisation. Découvrez-en plus sur la civilité en milieu de travail dans ce dossier spécial. On y retrouve des entrevues vidéos, un état de la situation au Québec, des outils et documents de référence.

    Source : Ordre des conseillers en ressources humaines agréés. (2015). Ressources : Dossiers spéciaux : Civilité en milieu de travail. Repéré à http://www.portailrh.org/Ressources/AZ/dossiers_speciaux/civilite/default.aspx

COLLOQUE DE L’ASSTAS 2015

CONTRAINTES THERMIQUES

  • OSHA is once again informing the public about its Heat Safety Tool app to help protect workers from heat illness, which is available on iOS and Android devices in both English and Spanish. OSHA has updated the version for iPhones, which now offers full screen color alerts for all heat conditions, improved navigation and accessibility options, and compatibility upgrades. The heat app provides heat illness prevention guidance specific to the user’s current outdoor workplace conditions using weather data provided by the National Oceanic and Atmospheric Administration.

    Source : U.S. Department of Labor. Occupational Safety & Health Administration. (May 15, 2015). OSHA Quick Takes, 14(11). Repéré à https://www.osha.gov/as/opa/quicktakes/qt051515.html#2

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • Depuis les 30 dernières années, la formation PDSB a fait sa marque en prévention des maux de dos chez le personnel soignant. Par-delà l’apprentissage de méthodes de travail sécuritaires, la formation PDSB propose un véritable système de critères de sécurité. Elle fournit les éléments de connaissance essentiels pour procéder au diagnostic des situations de travail et pour amorcer le programme de prévention des troubles musculosquelettiques dans les services de soins ou d’hébergement. Découvrez le programme PDSB sous un nouvel angle.

    Source : Robitaille, Marie Josée. (2015). PDSB: la règle de 3. Communication présentée au Colloque de l’ASSTSAS à Boucherville, 33 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At5_pdsb_regle_de_3.pdf

  • Souvent, les centres mère-enfant et les unités de soins palliatifs s’équipent de fauteuils qui se transforment en lits pour les visiteurs. Toutefois, les modèles sur le marché sont parfois complexes à déplier et difficiles à manipuler dans un espace restreint. D’autres milieux disposent de lits d’appoint pliants qu’il faut aller chercher et ranger ensuite, ce qui nécessite un espace de rangement et des bras pour les manipuler ! Aloé est un nouveau modèle de fauteuil-lit. Composé de trois sections, il offre des caractéristiques intéressantes, entre autres pour l’ouvrir, le fermer et le nettoyer. Source : Gambin, Christiane. (Mai 2015). OP, 38(2), 3. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382003_Vitrine.pdf

  • Safe patient-handling interventions are needed in health care facilities to help protect workers from career-ending injuries, the American Nurses Association and Rep. John Conyers (D-MI) stated during a May 12 briefing on Capitol Hill. Nearly half of nurses experience a “significant level” of safety risk due to lifting or repositioning patients, and more than half have had pain at work, according to ANA, citing survey results. Intervention programs are “common sense” and could help prevent the thousands of musculoskeletal disorders suffered by nurses every year, the Silver Spring, MD-based professional organization said in a press release detailing the briefing.

    Source : National Safety Council. (May 13, 2015). Safety + Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/12291-rep-conyers-and-nurses-association-urge-safe-patient-handling-interventions

ÉBOLA

  • Ce document a été conçu en collaboration avec la Société de Pathologie Infectieuse de Langue Française (SPILF), à partir du recueil et de la synthèse des procédures des établissements de santé de référence (ESR) français. Il fait des recommandations pour la tenue des soignants lors de la prise en charge d’un patient cas possible secrétant ou cas confirmé de maladie à virus Ebola (MVE). Il propose également un protocole de déshabillage. Ces recommandations pourront être amenées à évoluer en fonction de l’état des connaissances et des retours d’expérience des ESR.

    Source : Groupe de travail habillage et déhabillage Ebola – COREB/SPILF COREB Émergences. Balty, Isabelle, & Bayeux-Dunglas, Marie-Cécile. (2015). Maladie à virus Ebola : tenues et procédures de déshabillage des soignants en établissement de santé de référence. Paris : INRS, 18 p. (ED 6209)

ENQUÊTE ET ANALYSE D’ÉVÉNEMENTS ACCIDENTELS (EAEA)

ENTRETIEN MÉNAGER À DOMICILE

  • The authors evaluated the short-term effects of exposure to cleaning products on lung function and respiratory symptoms among professional cleaning women. Twenty-one women with current asthma and employed as professional cleaners participated in a 15-day panel study. During 312 person-days of data collection, participants self-reported their use of cleaning products and respiratory symptoms in daily diaries and recorded their forced expiratory volume in 1 s (FEV1) and peak expiratory flow (PEF) three times per day using a handheld spirometer. In conclusion, the use of specific cleaning products at work, mainly irritants and sprays, may exacerbate asthma.

    Source : Vizcaya, David, Mirabelli, Maria C., Gimeno, David, Antó, Josep-Maria, Delclos, George L., Rivera, Marcela, & Zock, Jan-Paul. (2015). Occupational & Environmental Medicine. Prépublication. oi:10.1136/oemed-2013-102046

ÉQUIPEMENTS DE PROTECTION

  • Cet outil d’aide à la décision vise à soutenir les intervenants dans le choix d’une protection respiratoire contre les bioaérosols infectieux ou non infectieux présents dans différents milieux de travail ; une tâche qui peut s’avérer complexe, notamment en raison de l’absence de normes d’exposition aux bioaérosols. Il est destiné aux intervenants en hygiène industrielle et en santé et sécurité au travail ainsi qu’aux professionnels de la santé et les médecins. Il vous propose une démarche en six étapes qui utilise la gestion graduée du risque, fondée sur le danger associé aux bioaérosols et le niveau d’exposition des travailleurs. Plusieurs exemples tirés d’études de cas illustrent la démarche.

    Source : Institut de recherche Robert-Sauvé en santé et en sécurité du travail. (2015). Choisir une protection respiratoire contre les bioaérosols. Repéré à http://74.123.92.235/bioaerosol/

  • The purpose of this guide is to provide guidance to users on the need for proper emergency eyewash and shower equipment to mitigate injury from splash and ocular incidents, to illustrate eyewash and shower equipment systems, and to assist in the proper selection, use and maintenance of emergency eyewash and shower equipment.  This document is meant as a guide only and does not replace the current ANSI/ISEA Z358.1-2014 standard. Please review the ANSI/ISEA Z358.1-2014 standard document for specific requirements.

    Source : International Safety Equipment Association. (2015). Emergency Eyewash & Shower Equipment : Selection, Installation & Use Guide. Arlington, VA : ISEA, 22 p. Repéré à https://www.safetyequipment.org/userfiles/File/EWS%20Guide%20Feb_2015.pdf

  • The NIOSH and OSHA released the Hospital Respiratory Protection Toolkit, a resource for health care employers to use to protect hospital staff from respiratory hazards. The toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection programs. Appendix D is an editable document that each hospital can customize to meet its specific needs.

    Source : Centers for Disease Control and Prevention. National Institute for Occupational Safety and Health, & U.S. Department of Labor. Occupational Safety and Health Administration. (2015). Hospital Respiratory Protection Program Toolkit : resources for Respiratory Program Administrators. [Cincinnati, Ohio : NIOSH ; Washington, D.C. : OSHA], x, 49 p. Repéré à https://www.osha.gov/Publications/OSHA3767.pdf

  • Ce document a été conçu en collaboration avec la Société de Pathologie Infectieuse de Langue Française (SPILF), à partir du recueil et de la synthèse des procédures des établissements de santé de référence (ESR) français. Il fait des recommandations pour la tenue des soignants lors de la prise en charge d’un patient cas possible secrétant ou cas confirmé de maladie à virus Ebola (MVE). Il propose également un protocole de déshabillage. Ces recommandations pourront être amenées à évoluer en fonction de l’état des connaissances et des retours d’expérience des ESR.

    Source : Groupe de travail habillage et déhabillage Ebola – COREB/SPILF COREB Émergences. Balty, Isabelle, & Bayeux-Dunglas, Marie-Cécile. (2015). Maladie à virus Ebola : tenues et procédures de déshabillage des soignants en établissement de santé de référence. Paris : INRS, 18 p. (ED 6209)

  • Protecting workers from exposure to all types of respiratory hazards is an important issue for hospitals and other healthcare organizations.  In order to address this often overlooked danger, The Respitory Protection Programs Monograph Joint Commission and Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH), and National Personal Protective Technology Laboratory (NPPTL) have collaborated to develop a new educational monograph designed to assist hospitals in implementing their respiratory protection programs (RPPs). The monograph features examples, strategies, new resources, and a variety of implementation approaches which were solicited from the field and vetted through an eight-member.

    Source : The Joint Commission. (2014). Oakbrook Terrace, IL: The Joint Commission, vi, 86 p. Repéré à http://www.jointcommission.org/assets/1/18/Implementing_Hospital_RPP_2-19-15.pdf

ÉQUIPEMENTS INNOVATEURS

ÉVALUATION DES RISQUES

ERGONOMIE

  • À l’hôpital ou dans un CLSC, les centres de prélèvement sanguin voient défiler des dizaines de clients chaque jour, et les intervenants doivent respecter certaines règles pour que tout se fasse de façon sécuritaire aussi bien pour les clients que pour les intervenants. Néanmoins, pour les besoins de notre démonstration, Feruza et Tatiana ont accepté de simuler quelques imprudences et de modifier leur environnement de travail. Pouvez-vous dire quelles erreurs ont été commises ?

    Source : Diouf, Fatou. (Été 2015). Prévention au travail, 28(2), 5, 46-47. Repéré à http://preventionautravail.com/images/archives/28-02#5.pdf.

GESTION-LEADERSHIP

GESTION DE LA SST

  • The objective is to describe the development of and test the validity and reliability of the Workplace Culture of Health (COH) scale. As results, the COH scale included a structure of five orthogonal factors: senior leadership and polices, programs and rewards, quality assurance, supervisor support, and coworker support. With regard to construct validity (convergent and discriminant) and reliability, two different US companies showed the same factorial structure, satisfactory fit statistics, and suitable internal and external consistency. In conclusion, the COH scale represents a reliable and valid scale to assess the workplace environment and culture for supporting health.

    Source : Kwon, Youngbum, Marzec, Mary L., & Edington, Dee W. (2015). JOEM: Journal of Occupational & Environmental Medicine, 57(5), 571-677. doi: 10.1097/JOM.0000000000000409

  • The aim was to assess the prospective associations between self-reported physical capacity and risk of long-term sickness absence among female health care workers. For that purpose, female health care workers answered a questionnaire about physical capacity and were followed in a national register of sickness absence lasting for two or more consecutive weeks during 1-year follow-up.

    Source : Rasmussen, Charlotte Diana Nørregaard, Andersen, Lars Louis, Clausen, Thomas, Strøyer, Jesper, Jørgensen, Marie Birk, & Holtermann, Andreas. (2015). JOEM : Journal of Occupational and Environmental Medicine, 57(5), 526-530. doi: 10.1097/JOM.0000000000000395

  • The purpose of this study was to better understand how integrating health and safety strategies in the workplace has evolved and establish a replicable, scalable framework for advancing the concept with a system of health and safety metrics, modeled after the Dow Jones Sustainability Index. Seven leading national and international programs aimed at creating a culture of health and safety in the workplace were compared and contrasted.

    Source : Loeppke, Ronald R., Hohn, Todd, Baase, Catherine, Bunn, William B., Burton, Wayne N., Burton, Wayne, … Siuba, Justina. (2015). Integrating Health and Safety in the Workplace: How Closely Aligning Health and Safety Strategies Can Yield Measurable Benefits. JOEM : Journal of Occupational and Environmental Medicine, 57(5), 585-597. doi: 10.1097/JOM.0000000000000467

  • Il n’existe rien de constant, si ce n’est le changement ! Cette citation de Bouddha s’applique tout particulièrement au travail dans les établissements de santé et de services sociaux. Depuis un siècle, les changements survenus dans la situation de travail sont étonnants ! Les aménagements et les équipements, les pratiques organisationnelles, les tâches et le temps de travail : ces éléments ont connu une évolution importante. Tous ces changements ont-ils amélioré la SST ? Ils sont peut-être intimement liés à l’évolution de la perception et de l’acceptabilité sociale du risque dans notre société.

    Source : Bigaouette, Michel. (2015). Apprendre du passé, pour mieux prévenir aujourd’hui et demain?Communication présentée au Colloque de l’ASSTSAS à Boucherville, 60 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_Pl4_Inspirer_pass%C3%A9_mieux_pr%C3%A9venir.pdf

  • Un événement accidentel s’est produit au travail et vous désirez en connaître les causes. L’EAEA sont probablement les meilleurs moyens pour remonter jusqu’aux causes immédiates et fondamentales de cet accident. Explorez les outils qui permettent de collecter de façon systématique les faits contributifs à l’événement afin d’en déterminer les causes et d’établir les mesures correctives et préventives appropriées.

    Source : LeQuoc, Sylvain.(2015). Enquête et analyse d’un événement accidentel. Communication présentée au Colloque de l’ASSTSAS à Boucherville, 26 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At10_EAEA_corr27avril.pdf

  • Par où commencer pour mettre sur pied votre programme de prévention ? Comment recenser tous les risques potentiels dans votre milieu ? Quelles interventions prioriser lors de la planification du plan d’action en prévention ? Cet atelier offre une démarche paritaire structurée pour identifier les dangers dans votre milieu de travail et évaluer leur niveau de risque.

    Source : Bélanger, Louise, & Buteau, Andrée-Anne. (2015). Identifier et évaluer les risques pour mieux planifier la prévention. Communication présentée au Colloque de l’ASSTSAS à Boucherville, 33 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At4_identifier_evaluer_risques.pdf

  • La norme canadienne CSA Z1000-06 Gestion de la SST exige que l’employeur documente l’organisation de la SST et les activités de prévention mises en œuvre en consultation avec les parties intéressées. Cet atelier présente la documentation proposée dans le cadre du SMSST-AQESSS et le processus interne de consultation auprès du CPSST réalisé au CRDITED Saguenay-Lac-Saint-Jean.

    Source : Néron, Hélène, Carbonneau, André, & Gauthier, Roxane. (2015). Une documentation réfléchie paritairement pour une organisation SST efficace ! Communication présentée au Colloque de l’ASSTSAS à Boucherville, 33 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At1_document_org_SST_efficace.pdf

  • Procéder à l’inventaire des risques et les classer par ordre de priorité sont des étapes incontournables pour déterminer votre programme de prévention. Le nouveau guide de l’ASSTSAS orientera votre démarche. En voici les grandes lignes.

    Source : Bélanger, Louise. (Mai 2015). OP, 38(2), 8-9. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382008_Risques.pdf

GESTION DU CHANGEMENT

  • À travers cinq approches dynamiques, cet article illustre les différents leviers que le gestionnaire peut activer pour faciliter la mise en œuvre des changements. Nous proposons aussi des actions concrètes pour l’aider à bien jouer son rôle.

    Source : Riel, Benoit, & Bareil, Céline. (Mai 2015). OP, 38(2), 30-32. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382030_Gestionnaire.pdf

  • La gestion du stress et le développement de stratégies d’adaptation demeurent fort utiles pour traverser les périodes de turbulence, mais ne sont malheureusement pas suffisants lorsque notre identité même est fracassée. Développer son potentiel de résilience est l’une des clés ! À travers ces changements qui chavirent la vie et la sécurité de bien des personnes au sein de nos organisations, il est opportun de se pencher sur la notion de la résilience.

    Source : Rivest, Renée (Mai 2015). OP, 38(2), 28-29. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382028_R%C3%A9silience.pdf

  • En tant que dirigeant, gestionnaire ou professionnel, quelle sera votre réponse à ce énième changement dans le secteur de la santé et des services sociaux ? Comment réagirez-vous face à ces changements qui requièrent une adaptation, voire un ajustement à une situation nouvelle? Quelles stratégies comptez-vous prendre pour vous adapter ? Rappelons cette phrase célèbre de Charles Darwin : « Ce n’est pas le plus fort de l’espèce qui survit ni le plus intelligent. C’est celui qui sait le mieux s’adapter au changement ». Peut-être faudrait-il dorénavant considérer le changement au pluriel… Dans ce contexte de turbulence, les auteurs vous proposent quelques pistes de réflexion.

    Source : Bareil, Céline, & Johnson, Kevin J. (Mai 2015). OP, 38(2), 26-27.  Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382026_strat%C3%A9gie.pdf

  • Le contexte de transformations majeures dans lequel les organisations sont appelées à progresser est de plus en plus complexe et comporte de nombreux défis. Les différents moyens entrepris par les organisations pour s’adapter à ce contexte agité seront déterminants de leur capacité à perdurer et à s’améliorer avec le temps. Le CHU Sainte-Justine s’est doté, il y a quatre ans, d’une initiative porteuse de sens pour soutenir sa démarche de transformation organisationnelle engendrée par le projet « Grandir en santé ».

    Source : Lachance, Catherine. (Mai 2015). OP, 38(2), 16-21. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382024_Agents.pdf

  • Des experts proposent différentes façons d’aborder la question du changement. L’ASSTSAS leur ont posé les questions suivantes : «Comment aider les travailleurs et les cadres du réseau à traverser les actuelles turbulences organisationnelles ? Quelles informations leur seront utiles pour passer à travers ces changements le plus sereinement possible?».  Leurs conseils vous aideront à mieux soutenir vos équipes de travail et à choisir vos propres stratégies d’adaptation.

    Source : Legault, Lucie. (Mai 2015). OP, 38(2), 16-21. Repéré à http://www.asstsas.qc.ca/publications/revues/objectif-prevention/op-vol-38-no-2-mai-2015/dossier-adaptation-et-soutien-au-changement/un-babillard-de-conseils-pour-mieux-vivre-les-periodes-de-changement.html

  • Vous êtes à l’aise dans votre environnement de travail actuel, vous connaissez bien vos collègues, vos tâches vous sont familières et, avec le temps, un lien de confiance s’est établi entre votre patron et vous. Voilà que d’ici quelques semaines, tout un pan de votre vie professionnelle sera modifié. Tout ce que vous perdrez avec cette nouvelle fonction défile alors dans votre tête. Vous craignez d’être malheureux. « Pourrais-je prendre ma retraite plus tôt que prévu ? » L’inconnu est souvent perçu comme une menace pour l’être humain. Une chose est certaine, des changements dans nos vies, il y en aura toujours, qu’ils soient d’ordre personnel ou professionnel. Comment traverser le changement en gardant le cap.

    Source : Brouillard, Josianne. Mai 2015). OP, 38(2), 22-23. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382022_horizon.pdf

  • Lean projects require an understanding of systems-wide processes and utilize interdisciplinary teams. Most lean tools are straightforward, and the biggest barrier to successful implementation is often development of the team aspect of the lean approach. The purpose of this article is to share challenges experienced by a lean team charged with improving a hospital discharge process. To improve the likelihood that process improvement initiatives, including lean projects, will be successful, organizations should consider providing training in organizational change principles and team building. The authors’ lean team learned these lessons the hard way. Despite the challenges, the team successfully implemented changes throughout the organization that have had a positive impact. Training to understand the psychology of change might have decreased the resistance faced in implementing these changes.

    Source : Wackerbarth, Sarah B., Strawser-Srinath, Jamie R., Conigliaro, Joseph C. (2015). American Journal of Medical Quality, 30(3), 248-254. doi: 10.1177/1062860614527784

HORAIRE DE TRAVAIL

  • Shift workers are exposed to more physical and psychosocial stressors in the working environment as compared to day workers. Despite the need for targeted prevention, it is likely that workplace interventions less frequently reach shift workers. The aim was therefore to investigate whether the reach of workplace interventions varied between shift workers and day workers and whether such differences could be explained by the quality of leadership exhibited at different times of the day. The authors used questionnaire data from 5361 female care workers in the Danish eldercare sector. The questions concerned usual working hours, quality of leadership, and self-reported implementation of workplace activities aimed at stress reduction, reorganization of the working hours, and participation in improvements of working procedures or qualifications.

    Source : Nabe-Nielsen, Kirsten, Jørgensen, Marie Birk, Garde, Anne Helene, & Clausen, Thomas. (2015). International Archives of Occupational and Environmental Health . Prépublication. DOI 10.1007/s00420-015-1060-z

  • The National Institute for Occupational Safety and Health (NIOSH) eleased a free online course that aims to train nurses and their managers on the risks of shift work and long work hours, and strategies to reduce these risks. The training course was developed in collaboration with healthcare stakeholders, including nursing organizations and academic groups and will provide continuing education for registered nurses who complete the course. A certificate of completion is available for persons who are not registered nurses.

    Source : Sadeghpour, Nura. (May 18, 2015). NIOSH Publications & Products : Press relases and updates. Repéré à http://www.cdc.gov/niosh/updates/upd-05-18-15.html

  • Le travail posté se caractérise par une organisation impliquant un travail par équipes fixes ou alternantes ce qui permet aux entreprises de fonctionner en continu ou en semi-continu de façon à assurer la continuité d’une production ou d’un service. Ce mode d’organisation expose les salariés à un ou plusieurs facteurs de risques qui sont susceptibles de laisser des traces durables identifiables et irréversibles sur la santé. De nombreux autres facteurs caractérisent le travail posté et peuvent impacter la santé des salariés. Parmi ceux-ci : le nombre de nuits successives de travail : successives de travail ; la rotation des postes lente ou rapide ou le travail permanent de nuit ; l’heure de prise de poste ; le sens de rotation des postes ; la durée du travail en poste ; le nombre de nuit de repos entre chaque poste ; le type de poste occupé.

    Source : Amiard, V., & Libert, J.-P. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.02.006

HYGIÈNE DU TRAVAIL

  • OSHA is once again informing the public about its Heat Safety Tool app to help protect workers from heat illness, which is available on iOS and Android devices in both English and Spanish. OSHA has updated the version for iPhones, which now offers full screen color alerts for all heat conditions, improved navigation and accessibility options, and compatibility upgrades. The heat app provides heat illness prevention guidance specific to the user’s current outdoor workplace conditions using weather data provided by the National Oceanic and Atmospheric Administration.

    Source : U.S. Department of Labor. Occupational Safety & Health Administration. (May 15, 2015). OSHA Quick Takes, 14(11). Repéré à https://www.osha.gov/as/opa/quicktakes/qt051515.html#2

  • Nanotechnology is rapidly expanding into the health care industry. However, occupational safety and health risks of nano-enabled medical products have not been thoroughly assessed. This manuscript highlights occupational risk mitigation practices for nano-enabled medical products throughout their life cycle for all major workplace settings including (1) medical research laboratories, (2) pharmaceutical manufacturing facilities, (3) clinical dispensing pharmacies, (4) health care delivery facilities, (5) home health care, (6) health care support, and (7) medical waste management. It further identifies critical research needs for ensuring worker protection in the health care industry.

    Source : Murashov, Vladimir, & Howard, John. (2015). Journal of Occupational and Environmental Hygiene, 12(6), D75-D85. DOI:10.1080/15459624.2015.1006641

HYGIÈNE ET SALUBRITÉ

  • The authors evaluated the short-term effects of exposure to cleaning products on lung function and respiratory symptoms among professional cleaning women. Twenty-one women with current asthma and employed as professional cleaners participated in a 15-day panel study. During 312 person-days of data collection, participants self-reported their use of cleaning products and respiratory symptoms in daily diaries and recorded their forced expiratory volume in 1 s (FEV1) and peak expiratory flow (PEF) three times per day using a handheld spirometer. In conclusion, the use of specific cleaning products at work, mainly irritants and sprays, may exacerbate asthma.

    Source : Vizcaya, David, Mirabelli, Maria C., Gimeno, David, Antó, Josep-Maria, Delclos, George L., Rivera, Marcela, & Zock, Jan-Paul. (2015). Occupational & Environmental Medicine. Prépublication. oi:10.1136/oemed-2013-102046

IMAGERIE MÉDICALE

  • Cette fiche recense les postes susceptibles de présenter un risque cancérogène pour les activités d’imagerie médicale, qu’il s’agisse de radiographie, de scanner, de scintigraphie ou de Pet Scan : réception et entreposage des sources, contrôle qualité et préparation des solutions de radionucléides, administration des radionucléides et des produits de contraste, prise et développement de clichés, gestion des déchets et excrétas, entretien médical et consigne de sortie au patient, secrétariat médical et étalonnage, maintenance et entretien des équipements. Pour chaque poste de travail, les cancérogènes avérés ou suspectés susceptibles d’être rencontrés sont listés.

    Source : CNAMTS, INRS, & CARSAT. (2015).  Imagerie médicale (radiographie, scanner, scintigraphie, Pet Scan) : Fiche d’aide au repérage.  Paris : Institut national de recherche et de sécurité, 2 p. (FAR 54). Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/FICHE/TI-FAR-54/far54.pdf

MÉDICAMENTS DANGEREUX

  • Différentes mesures ont été mises en place dans les établissements hospitaliers telles que le retrait systématique de la femme enceinte ou allaitante, l’élaboration d’une procédure en cas de déversement de MD, la disponibilité de trousses de déversement dans les unités et la formation initiale offerte sur la manipulation sécuritaire des MD. L’ASSTSAS a réalisé une enquête sur les pratiques sécuritaires mises en place depuis 2008 pour l’administration des médicaments dangereux (MD). En voici les faits saillants.

    Source : Matchuindem, Carole. (Mai 2015). OP, 38(2), 12-13. Repéré à  http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382012_M%C3%A9dicaments.pdf

  • The author wrote to express concern regarding a study-‘Syringe plunger contamination by hazardous drugs: A comparative study,’ published online in March 2014 in the Journal of Oncology Pharmacy Practice and in this issue 20:5. This letter outlines the statistical and scientific issues with the study and our plans to pursue a repeat of the study. Given the science-based design of our syringes and extensive verification testing BD Medical Surgical Systems conduct on our products, they were surprised at the authors’ findings as they know it is not possible to contaminate the syringe plunger with normal use. BD 60-ml syringes incorporate a feature known as a retaining ring located on the internal barrel surface proximal to the barrel opening.

    Source : Kelley, Lynne. (2014). Journal of Oncology and Family Practice, 20(5), 397-398. doi: 10.1177/1078155214542492

  • This study aimed to evaluate two cleaning solutions for the chemical decontamination of antineoplastic agents on the surfaces of two biosafety cabinets routinely used for chemotherapy preparation in a hospital pharmacy. For almost 1 year (49 weeks), two different solutions were used for the weekly cleaning of two biosafety cabinets in a hospital pharmacy’s centralized cytotoxic preparation unit. The solutions evaluated were a commercial solution of isopropyl alcohol (IPA) and water (70:30, vol:vol), and a detergent solution constituted by 10–2M of sodium dodecyl sulfate (SDS) with 20% IPA. Seven areas in each biosafety cabinet were wiped 14 times throughout the year, before and after the weekly cleaning process, according to a validated procedure.

    Source : Anastasi, Marco, Rudaz, Serge, Queruau Lamerie, Thomas, Odou, Pascal, Bonnabry, Pascal, & Fleury-Souverain, Sandrine. (2015). The Annals of Occupational Hygiene. Prépublication.  doi: 10.1093/annhyg/mev031

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

    Source : Smith, Jerome P., Sammons, Deborah L., Pretty, Jack R., Kurtz, Kristine, Robertson, Shirley A., DeBord, D. Gayle, Connor, Thomas H., & Snawder, John E. Journal of Oncology Pharmacy Practice. Prépublication. doi: 10.1177/1078155215585187

  • Environmental contamination, product contamination and technicians exposure were measured following preparation of iv bags with cyclophosphamide using the robotic system CytoCare. Wipe samples were taken inside CytoCare, in the clean room environment, from vials, and prepared IV bags including ports and analysed for contamination with cyclophosphamide. Contamination with cyclophosphamide was also measured in environmental air and on the technicians hands and gloves used for handling the drugs. Exposure of the technicians to cyclophosphamide was measured by analysis of cyclophosphamide in urine.

    Source : Sessink, Paul JM., Leclercq, Gisèle M., Wouters, Dominique-Marie, Halbardier, Loïc, Hammad, Chaïma, & Kassoul, Nassima. Journal of Oncology Pharmacy Practice, 21(2), 118-127. doi: 10.1177/1078155214522840

NANOTECHNOLOGIES

  • Nanotechnology is rapidly expanding into the health care industry. However, occupational safety and health risks of nano-enabled medical products have not been thoroughly assessed. This manuscript highlights occupational risk mitigation practices for nano-enabled medical products throughout their life cycle for all major workplace settings including (1) medical research laboratories, (2) pharmaceutical manufacturing facilities, (3) clinical dispensing pharmacies, (4) health care delivery facilities, (5) home health care, (6) health care support, and (7) medical waste management. It further identifies critical research needs for ensuring worker protection in the health care industry.

    Source : Murashov, Vladimir, & Howard, John. (2015). JOEM : Journal of Occupational and Environmental Hygiene, 12(6), D75-D85. DOI:10.1080/15459624.2015.1006641

NORMES EN SST

  • The purpose of this guide is to provide guidance to users on the need for proper emergency eyewash and shower equipment to mitigate injury from splash and ocular incidents, to illustrate eyewash and shower equipment systems, and to assist in the proper selection, use and maintenance of emergency eyewash and shower equipment.  This document is meant as a guide only and does not replace the current ANSI/ISEA Z358.1-2014 standard. Please review the ANSI/ISEA Z358.1-2014 standard document for specific requirements.

    Source : International Safety Equipment Association. (2015). Emergency Eyewash & Shower Equipment : selection, installation & use guide. Arlington, VA : ISEA, 22 p. Repéré à https://www.safetyequipment.org/userfiles/File/EWS%20Guide%20Feb_2015.pdf

PRÉVENTION DES INFECTIONS

During hospital bronchoscopy examinations, aerosols emitted from the patient’s during coughing can be found suspended in the ambient air. The aerosols can contain pathogenic microorganisms. Depending on their size, these microorganisms can remain in the air for a long time. The objective of this study was to measure the sizes and concentrations of the biological and non-biological particles produced during bronchoscopy examinations, and to propose preventive or corrective measures. Two bronchoscopy rooms were studied.

Source : Lavoie, Jacques, Marchand, Geneviève, Cloutier, Yves, Hallé, Stéphane, Nadeau, Sylvie, Duchaine, Caroline, & Pichette, Gilbert. (2015). Environmental Science: Processes & Impacts, 17(2), 288-299. Repéré à http://pubs.rsc.org/en/content/articlelanding/2015/em/c4em00359d#!divAbstract

Pour accéder à la présentation sur vidéo : http://www.irsst.qc.ca/-webtv-influence-debit-ventilation-exposition-bioaerosols-bronchoscopie.html

Pour accéder à la présentation en PDF : http://medias.irsst.qc.ca/videos/1409_sc_co_HD_debitVentilation_pdf.pdf

  • Cet outil d’aide à la décision vise à soutenir les intervenants dans le choix d’une protection respiratoire contre les bioaérosols infectieux ou non infectieux présents dans différents milieux de travail ; une tâche qui peut s’avérer complexe, notamment en raison de l’absence de normes d’exposition aux bioaérosols. Il est destiné aux intervenants en hygiène industrielle et en santé et sécurité au travail ainsi qu’aux professionnels de la santé et les médecins. Il vous propose une démarche en six étapes qui utilise la gestion graduée du risque, fondée sur le danger associé aux bioaérosols et le niveau d’exposition des travailleurs. Plusieurs exemples tirés d’études de cas illustrent la démarche.

    Source : Institut de recherche Robert-Sauvé en santé et en sécurité du travail. (2015). Choisir une protection respiratoire contre les bioaérosols. Repéré à http://74.123.92.235/bioaerosol/

  • When it comes to health care occupational risks, slips, trips, and falls are often the first to come to mind. Sharps also make the top of the list, but what is often overlooked is the cousin to sharps: splashes. Also known as mucocutaneous blood exposures, splashes are a notable risk for health care workers. Splashes, from routine activities such as cutting catheter bags, cleaning bedpans, and emptying suction cups-can land on a caregiver, where it can transfer a pathogen through the eyes, nose, or mouth. Many risky, splash-creating activities are conducted without the proper PPE because there is a lower perceived risk.

    Source : Goss, Linda. (April 1, 2015). OH&S: Occupational Health & Safety. Repéré à http://ohsonline.com/Articles/2015/04/01/Splashes-and-Sharps.aspx?p=1

  • À l’hôpital ou dans un CLSC, les centres de prélèvement sanguin voient défiler des dizaines de clients chaque jour, et les intervenants doivent respecter certaines règles pour que tout se fasse de façon sécuritaire aussi bien pour les clients que pour les intervenants. Néanmoins, pour les besoins de notre démonstration, Feruza et Tatiana ont accepté de simuler quelques imprudences et de modifier leur environnement de travail. Pouvez-vous dire quelles erreurs ont été commises ?

    Source : Diouf, Fatou. (Été 2015). Prévention au travail, 28(2), 5, 46-47. Repéré à http://preventionautravail.com/images/archives/28-02#5.pdf

  • Transmission-based precautions (TBPs) are infection control measures designed to interrupt pathogen transmission. Success relies on early recognition of patients with potentially infectious syndromes, then the implementation of appropriate TBPs. The authors were aware of no literature evaluating interventions to facilitate healthcare workers (HCWs) in implementing TBPs. This study aimed to evaluate the impact of a TBP guidance summary card on HCWs’ decision-making about the appropriate implementation of TBPs. A prospective audit was carried out to assess HCWs’ ability to make decisions about TBP implementation. Following the first audit phase, staff were issued with a guidance card summarizing local TBP guidelines, identifying and addressing relevant TBP measures for infectious syndromes and specific organisms. The audit cycle was then completed to assess the impact of this intervention.

    Source : Russell, C.D., Young, I., Leung, V., & Morris, K. (2015). Journal of Hospital Infection. Prépublication. doi:10.1016/j.jhin.2014.12.025.

  • The NIOSH and OSHA released the Hospital Respiratory Protection Toolkit, a resource for health care employers to use to protect hospital staff from respiratory hazards. The toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection

    Source : Centers for Disease Control and Prevention. National Institute for Occupational Safety and Health, & U.S. Department of Labor. Occupational Safety and Health Administration. (2015). Hospital Respiratory Protection Program Toolkit : resources for Respiratory Program Administrators. [Cincinnati, Ohio : NIOSH ; Washington, D.C. : OSHA], x, 49 p. Repéré à https://www.osha.gov/Publications/OSHA3767.pdf

  • Cette synthèse des connaissances et des références de l’innocuité du triclosan et des liens possibles entre son utilisation et le développement de la résistance bactérienne est non exhaustive et a permis de dégager cinq principales conclusions : en dépit des effets indésirables potentiels du triclosan sur la santé humaine, sa toxicité n’a pas été démontrée; le lien entre l’utilisation du triclosan et le développement d’une résistance aux antibiotiques cliniquement significative demeure controversé; plusieurs études ont été réalisées in vitro et la signification clinique des résultats obtenus n’est pas démontrée; la corrélation entre les résultats des études in vitro et les conditions réelles d’utilisation est difficile; toutefois, malgré ces éléments, Santé Canada considère que le triclosan est sécuritaire lorsqu’il est présent à une concentration maximale de 0,3 % dans les savons.

    Source : Fortin, Andrée. (2015). Innocuité des savons antiseptiques contenant du triclosan pour le lavage des mains en milieu hospitalier. [Montréal] : Institut national d’excellence en santé et services sociaux, 13 p. Repéré à https://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/Infectiologie/INESSS_Triclosan_14-05-15.pdf

  • Ce document a été conçu en collaboration avec la Société de Pathologie Infectieuse de Langue Française (SPILF), à partir du recueil et de la synthèse des procédures des établissements de santé de référence (ESR) français. Il fait des recommandations pour la tenue des soignants lors de la prise en charge d’un patient cas possible secrétant ou cas confirmé de maladie à virus Ebola (MVE). Il propose également un protocole de déshabillage. Ces recommandations pourront être amenées à évoluer en fonction de l’état des connaissances et des retours d’expérience des ESR.

    Source : Groupe de travail habillage et déhabillage Ebola – COREB/SPILF COREB Émergences. Balty, Isabelle, & Bayeux-Dunglas, Marie-Cécile. (2015). Maladie à virus Ebola : tenues et procédures de déshabillage des soignants en établissement de santé de référence. Paris : INRS, 18 p. (ED 6209)

  • Protecting workers from exposure to all types of respiratory hazards is an important issue for hospitals and other healthcare organizations.  In order to address this often overlooked danger, The Respitory Protection Programs Monograph Joint Commission and Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH), and National Personal Protective Technology Laboratory (NPPTL) have collaborated to develop a new educational monograph designed to assist hospitals in implementing their respiratory protection programs (RPPs). The monograph features examples, strategies, new resources, and a variety of implementation approaches which were solicited from the field and vetted through an eight-member.

    Source : The Joint Commission. (2014). Oakbrook Terrace, IL: The Joint Commission, vi, 86 p. Repéré à http://www.jointcommission.org/assets/1/18/Implementing_Hospital_RPP_2-19-15.pdf

  • L’objectif de ce document est d’élaborer des recommandations québécoises concernant l’évaluation et le suivi des soignants infectés par le virus de l’hépatite B et qui serviront de référence aux experts des comités d’évaluation du Service d’évaluation des risques de transmission d’infections hématogènes (SERTIH). Ces recommandations permettent d’encadrer la pratique d’actes à risque de transmission (ART) du soignant.

    Source: Comité scientifique SERTIH VHB. (2015). Recommandations concernant l’évaluation et le suivi des soignants infectés par le virus de l’hépatite B (VHB) : avis scientifique. [S.l.] : Direction des risques biologiques et de la santé au travail, Institut national de santé publique, 31 p. Repéré à http://www.inspq.qc.ca/pdf/publications/1979_Recommandations_Soignants_VHB.pdf

PRODUITS TOXIQUES

  • Le SIMDUT ne disparaît pas, mais il est modifié en profondeur à la suite des travaux coordonnés par les Nations-Unies depuis 1992. Le SGH entrera en vigueur à l’été 2015 au Canada. Le gouvernement fédéral a apporté des modifications à la Loi sur les produits dangereux et au Règlement sur les produits contrôlés et a créé le Règlement sur les produits dangereux. Les employeurs et les travailleurs sont soumis à la législation provinciale qui devrait être modifiée en conséquence. Pour la gestion de vos matières dangereuses, qu’est-ce que ça change ?

    Source : Bédard, Sylvie, LeQuoc, Sylvain. (2015). L’arrivée du Système général harmonisé SGH. Communication présentée au Colloque de l’ASSTSAS à Boucherville, 43 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At2_SGH.pdf

  • On a beaucoup utilisé l’amiante dans les matériaux de construction, principalement durant les années 1945 à 1980, marquées par le grand développement du parc industriel et immobilier du Québec. Étant donné cela, aujourd’hui, ce ne sont plus que les mineurs qui souffrent de maladies causées par l’amiante, mais également les travailleurs de l’entretien et de la rénovation des bâtiments, à cause de l’amiante mis en circulation dans l’air à l’occasion de travaux. Sorti de la mine, l’amiante ne cesse pas de représenter un danger pour les travailleurs ! Les nouvelles dispositions du règlement obligent l’employeur à inspecter les bâtiments sous son autorité pour localiser les flocages et les calorifuges contenant de l’amiante. Cette inspection doit être effectuée avant le 6 juin 2015 : inutile de préciser que cette date est à nos portes !

    Source : Sabourin, Guy. Mai 2015). OP, 38(2), 10-11. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382010_Amiante.pdf

  • Cette synthèse des connaissances et des références de l’innocuité du triclosan et des liens possibles entre son utilisation et le développement de la résistance bactérienne est non exhaustive et a permis de dégager cinq principales conclusions : en dépit des effets indésirables potentiels du triclosan sur la santé humaine, sa toxicité n’a pas été démontrée; le lien entre l’utilisation du triclosan et le développement d’une résistance aux antibiotiques cliniquement significative demeure controversé; plusieurs études ont été réalisées in vitro et la signification clinique des résultats obtenus n’est pas démontrée; la corrélation entre les résultats des études in vitro et les conditions réelles d’utilisation est difficile; toutefois, malgré ces éléments, Santé Canada considère que le triclosan est sécuritaire lorsqu’il est présent à une concentration maximale de 0,3 % dans les savons.

    Source : Fortin, Andrée. (2015). Innocuité des savons antiseptiques contenant du triclosan pour le lavage des mains en milieu hospitalier. [Montréal] : Institut national d’excellence en santé et services sociaux, 13 p. Repéré à https://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/Infectiologie/INESSS_Triclosan_14-05-15.pdf

  • The authors evaluated the short-term effects of exposure to cleaning products on lung function and respiratory symptoms among professional cleaning women. Twenty-one women with current asthma and employed as professional cleaners participated in a 15-day panel study. During 312 person-days of data collection, participants self-reported their use of cleaning products and respiratory symptoms in daily diaries and recorded their forced expiratory volume in 1 s (FEV1) and peak expiratory flow (PEF) three times per day using a handheld spirometer. In conclusion, the use of specific cleaning products at work, mainly irritants and sprays, may exacerbate asthma.

    Source : Vizcaya, David, Mirabelli, Maria C., Gimeno, David, Antó, Josep-Maria, Delclos, George L., Rivera, Marcela, & Zock, Jan-Paul. (2015). Occupational & Environmental Medicine. Prépublication. oi:10.1136/oemed-2013-102046

PROTECTION RESPIRATOIRE

  • Pour soutenir les intervenants dans le choix d’une protection respiratoire contre les bioaérosols infectieux ou non infectieux présents dans différents milieux de travail ; une tâche qui peut s’avérer complexe, notamment en raison de l’absence de normes d’exposition aux bioaérosols. Cet outil d’aide à la décision est destiné aux intervenants en hygiène industrielle et en santé et sécurité au travail ainsi qu’aux professionnels de la santé et les médecins. Il vous propose une démarche en six étapes qui utilise la gestion graduée du risque, fondée sur le danger associé aux bioaérosols et le niveau d’exposition des travailleurs. Plusieurs exemples tirés d’études de cas illustrent la démarche.

    Source : Institut de recherche Robert-Sauvé en santé et en sécurité du travail. (2015). Choisir une protection respiratoire contre les bioaérosols. Repéré à http://74.123.92.235/bioaerosol/

  • The NIOSH and OSHA released the Hospital Respiratory Protection Toolkit, a resource for health care employers to use to protect hospital staff from respiratory hazards. The toolkit covers respirator use, existing public health guidance on respirator use during exposure to infectious diseases, hazard assessment, the development of a hospital respiratory protection program, and additional resources and references on hospital respiratory protection programs. Appendix D is an editable document that each hospital can customize to meet its specific needs.

    Source : Centers for Disease Control and Prevention. National Institute for Occupational Safety and Health, & U.S. Department of Labor. Occupational Safety and Health Administration. (2015). Hospital Respiratory Protection Program Toolkit : resources for Respirator Program Administrators. [Cincinnati, Ohio : NIOSH ; Washington, D.C. : OSHA], x, 49 p. Repéré à https://www.osha.gov/Publications/OSHA3767.pdf

  • Protecting workers from exposure to all types of respiratory hazards is an important issue for hospitals and other healthcare organizations.  In order to address this often overlooked danger, The Respitory Protection Programs Monograph Joint Commission and Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH), and National Personal Protective Technology Laboratory (NPPTL) have collaborated to develop a new educational monograph designed to assist hospitals in implementing their respiratory protection programs (RPPs). The monograph features examples, strategies, new resources, and a variety of implementation approaches which were solicited from the field and vetted through an eight-member.

    Source : The Joint Commission. (2014). Oakbrook Terrace, IL: The Joint Commission, vi, 86 p. Repéré à http://www.jointcommission.org/assets/1/18/Implementing_Hospital_RPP_2-19-15.pdf

QUALITÉ DE L’AIR

During hospital bronchoscopy examinations, aerosols emitted from the patient’s during coughing can be found suspended in the ambient air. The aerosols can contain pathogenic microorganisms. Depending on their size, these microorganisms can remain in the air for a long time. The objective of this study was to measure the sizes and concentrations of the biological and non-biological particles produced during bronchoscopy examinations, and to propose preventive or corrective measures. Two bronchoscopy rooms were studied.

Source : Lavoie, Jacques, Marchand, Geneviève, Cloutier, Yves, Hallé, Stéphane, Nadeau, Sylvie, Duchaine, Caroline, & Pichette, Gilbert. (2015). Environmental Science: Processes & Impacts, 17(2), 288-299. Repéré à http://pubs.rsc.org/en/content/articlelanding/2015/em/c4em00359d#!divAbstract

Pour accéder à la présentation sur vidéo : http://www.irsst.qc.ca/-webtv-influence-debit-ventilation-exposition-bioaerosols-bronchoscopie.html

Pour accéder à la présentation en PDF : http://medias.irsst.qc.ca/videos/1409_sc_co_HD_debitVentilation_pdf.pdf

RADIOPROTECTION

  • Cette fiche recense les postes susceptibles de présenter un risque cancérogène pour les activités d’imagerie médicale, qu’il s’agisse de radiographie, de scanner, de scintigraphie ou de Pet Scan : réception et entreposage des sources, contrôle qualité et préparation des solutions de radionucléides, administration des radionucléides et des produits de contraste, prise et développement de clichés, gestion des déchets et excrétas, entretien médical et consigne de sortie au patient, secrétariat médical et étalonnage, maintenance et entretien des équipements. Pour chaque poste de travail, les cancérogènes avérés ou suspectés susceptibles d’être rencontrés sont listés.

    Source : CNAMTS, INRS, & CARSAT. (2015).  Imagerie médicale (radiographie, scanner, scintigraphie, Pet Scan) : Fiche d’aide au repérage de produit cancérogène.  Paris : Institut national de recherche et de sécurité, 2 p. (FAR 54). Repéré à  http://www.inrs.fr/dms/inrs/CataloguePapier/FICHE/TI-FAR-54/far54.pdf

SÉCURITÉ ROUTIÈRE

  • Les accidents de la route qui surviennent dans le cadre du travail sont des accidents du travail, même si le travailleur utilise sa voiture personnelle. Bien qu’il ne représente qu’environ 1 % des lésions indemnisées du secteur, ce type d’accident revêt une gravité importante. Cet atelier présente les facteurs de risque sur lesquels il est possible d’intervenir, les éléments d’un plan d’action spécifique aux déplacements routiers et les perspectives d’innovations technologiques qui auront un impact sur la sécurité routière.

    Source : Poulin, Pierre. (2015). Prévention des accidents routiers au travail (ART). Communication présentée au Colloque de l’ASSTSAS à Boucherville, 66 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At9_prevention_ART.pdf

  • Accompagner certains clients tout en conduisant un véhicule peut exposer les intervenants (travailleurs ou bénévoles) à un risque d’agression ou d’autres comportements indésirables susceptibles de causer blessures et accidents. Il est déjà arrivé que des clients frappent le conducteur, s’emparent du volant ou sortent inopinément d’un véhicule en marche. Quelques balises pour évaluer le risque vous sont proposées.

    Source : Désilets, Suzie. (Mai 2015). OP, 38(2), 14. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382014_Coin.pdf

SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • Associated with initiatives to improve the quality of working life and the emerging movement of positive organizations, ‘meaning in work’ has been studied as a positive individual-level state. ‘Meaning in work’ has potential benefits that will improve the nursing workforce if this concept is embraced in nursing. However, the concept is not clearly defined because it has been approached from diverse theoretical perspectives and used interchangeably with analogous terms.The purpose of this study is to report an analysis of the concept of « meaning in work ».

    Source : Lee, Soohee. (2015). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12695

  • Shift workers are exposed to more physical and psychosocial stressors in the working environment as compared to day workers. Despite the need for targeted prevention, it is likely that workplace interventions less frequently reach shift workers. The aim was therefore to investigate whether the reach of workplace interventions varied between shift workers and day workers and whether such differences could be explained by the quality of leadership exhibited at different times of the day. The authors used questionnaire data from 5361 female care workers in the Danish eldercare sector. The questions concerned usual working hours, quality of leadership, and self-reported implementation of workplace activities aimed at stress reduction, reorganization of the working hours, and participation in improvements of working procedures or qualifications.

    Source : Nabe-Nielsen, Kirsten, Jørgensen, Marie Birk, Garde, Anne Helene, & Clausen, Thomas. (2015). International Archives of Occupational and Environmental Health. Prépublication. DOI 10.1007/s00420-015-1060-z

  • Avez-vous la moindre idée du temps que vous passez à dormir ? Non, non, je ne parle pas des moments où vous dormez au travail au lieu de travailler. Je parle du temps de votre vie que vous consacrez à roupiller dans votre lit. Alors ? Une suggestion ? Accrochez-vous bien, voici la réponse: en général, 32 années de votre vie (pour quelqu’un vivant jusqu’à l’âge honorable de 90 ans). Soit un peu plus du tiers de votre existence ! Maintenant, j’ai une autre question pour vous : à votre avis, est-ce trop ou pas assez ? Oui, trop ou pas assez pour être en pleine forme, et mieux, pour être heureux dans la vie, en particulier durant les heures passées au travail (les plus belles de la journée, puisque de 9 à 5) ? Difficile à dire, n’est-ce pas ?

    Source : Schmouker, Olivier. (2015, 21 mai). Dormez-vous trop ou pas assez pour être heureux au travail? [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/dormez-vous-trop-ou-pas-assez-pour-etre-heureux-au-travail/578985

  • The aim of this study is to investigate the effects of onsite workplace health-enhancing physical activity (HEPA) programmes on worker productivity. A search for controlled trials or randomised controlled trials (RCTs) that investigated the effects of onsite workplace HEPA programmes on productivity levels of working adults was performed. The small number of studies and the lack of consistency among studies limited further analyses. There is inconsistent evidence that onsite workplace HEPA programmes improve self-reported worker productivity. Future high-quality RCTs of onsite workplace HEPA programmes should be designed around productivity outcomes, target at-risk groups and investigate interventions of sufficient intensity. High attendance with improved recording is needed to achieve significant results in augmenting worker productivity.

    Source : Pereira, Michelle Jessica, Coombes, Brooke Kaye, Comans, Tracy Anne, & Johnston. Venerina. (2015). Occupational & Environmental Medicine, 72(6), 401-412. doi:10.1136/oemed-2014-102678

SANTÉ PSYCHOLOGIQUE

  • Vous êtes à l’aise dans votre environnement de travail actuel, vous connaissez bien vos collègues, vos tâches vous sont familières et, avec le temps, un lien de confiance s’est établi entre votre patron et vous. Voilà que d’ici quelques semaines, tout un pan de votre vie professionnelle sera modifié. Tout ce que vous perdrez avec cette nouvelle fonction défile alors dans votre tête. Vous craignez d’être malheureux. « Pourrais-je prendre ma retraite plus tôt que prévu ? » L’inconnu est souvent perçu comme une menace pour l’être humain. Une chose est certaine, des changements dans nos vies, il y en aura toujours, qu’ils soient d’ordre personnel ou professionnel. Comment traverser le changement en gardant le cap.

    Source : Brouillard, Josianne. Mai 2015). OP, 38(2), 22-23. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382022_horizon.pdf

  • Longitudinal studies have linked stress at work with a higher incidence of musculoskeletal pain. This study aimed to explore the extent to which musculoskeletal pain is a cause as opposed to a consequence of perceived occupational stress. As part of the international cultural and psychosocial influences on disability study, was collected information from 305 Italian nurses, at baseline and again after 12 months, about pain during the past month in the low-back and neck/shoulder, and about effort-reward imbalance (ERI). The results suggest that the well-documented association between job stress and musculoskeletal pain is not explained entirely by an effect of stress on reporting of pain. It appears also that workers who report musculoskeletal pain are more likely to develop subsequent perceptions of stress. This may be because pain renders people less tolerant of the psychological demands of work. Another possibility is that reports of pain and stress are both manifestations of a general tendency to be aware of and complain about symptoms and difficulties.

    Source : Bonzini, Matteo, Bertu, Lorenza, Veronesi, Giovanni, Conti, Marco, Coggon, David, & Ferrario, Marco M. (2015). International Archives of Occupational and Environmental Health, 88(5), 607-612. DOI 10.1007/s00420-014-0982-1

  • The objective was to examine the bidirectional relationship between job strain and cynicism.  The study sample was obtained from the Young Finns study and comprised 757 participants (399 women, 53%). The bidirectional association between cynicism and job strain over a 6-year-follow-up was examined with a cross-lagged structural equation model, controlling for a number of demographic variables. The results indicated that perceptions of having a highly strenuous job may elicit mistrustful and cynical attitudes in employees, which in turn may lead to mental health problems.

    Source : Törnroos, Maria, Elovainio, Marko, Keltikangas-Järvinen, Liisa, Hintsa, Taina, Pulkki-Råback, Laura, Hakulinen, Christian,… Hintsanen, Mirka. (2015). JOEM : Journal of Occupational and Environmental Medicine, 57(5), 479-484. doi: 10.1097/JOM.0000000000000430

  • La santé psychologique n’a rien de magique. Tout comme on peut apprendre à effectuer des déplacements de façon sécuritaire pour protéger son intégrité physique, on peut acquérir des connaissances et des habiletés pour protéger son intégrité psychologique. Il est même possible d’enrichir son potentiel de bien-être et de satisfaction au travail et dans la vie en général. Venez explorer les postures psychologiques favorables à la santé au travail !

    Source : Legault, Lucie. (2015). Postures sécuritaires et bénéfiques pour la santé psychologique au travail. Communication présentée au Colloque de l’ASSTSAS à Boucherville, 24 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At6_postures_sante_psychologique.pdf

  • La gestion du stress et le développement de stratégies d’adaptation demeurent fort utiles pour traverser les périodes de turbulence, mais ne sont malheureusement pas suffisants lorsque notre identité même est fracassée. Développer son potentiel de résilience est l’une des clés ! À travers ces changements qui chavirent la vie et la sécurité de bien des personnes au sein de nos organisations, il est opportun de se pencher sur la notion de la résilience.

    Source : Rivest, Renée (Mai 2015). OP, 38(2), 28-29. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382028_R%C3%A9silience.pdf

  • En tant que dirigeant, gestionnaire ou professionnel, quelle sera votre réponse à ce énième changement dans le secteur de la santé et des services sociaux ? Comment réagirez-vous face à ces changements qui requièrent une adaptation, voire un ajustement à une situation nouvelle? Quelles stratégies comptez-vous prendre pour vous adapter ? Rappelons cette phrase célèbre de Charles Darwin : « Ce n’est pas le plus fort de l’espèce qui survit ni le plus intelligent. C’est celui qui sait le mieux s’adapter au changement ». Peut-être faudrait-il dorénavant considérer le changement au pluriel… Dans ce contexte de turbulence, les auteurs vous proposent quelques pistes de réflexion.

    Source : Bareil, Céline, & Johnson, Kevin J. (Mai 2015). OP, 38(2), 26-27.  Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382026_strat%C3%A9gie.pdf

  • Des experts proposent différentes façons d’aborder la question du changement. L’ASSTSAS leur ont posé les questions suivantes : «Comment aider les travailleurs et les cadres du réseau à traverser les actuelles turbulences organisationnelles ? Quelles informations leur seront utiles pour passer à travers ces changements le plus sereinement possible?».  Leurs conseils vous aideront à mieux soutenir vos équipes de travail et à choisir vos propres stratégies d’adaptation.

    Source : Legault, Lucie. (Mai 2015). OP, 38(2), 16-21. Repéré à http://www.asstsas.qc.ca/publications/revues/objectif-prevention/op-vol-38-no-2-mai-2015/dossier-adaptation-et-soutien-au-changement/un-babillard-de-conseils-pour-mieux-vivre-les-periodes-de-changement.html

  • Associated with initiatives to improve the quality of working life and the emerging movement of positive organizations, ‘meaning in work’ has been studied as a positive individual-level state. ‘Meaning in work’ has potential benefits that will improve the nursing workforce if this concept is embraced in nursing. However, the concept is not clearly defined because it has been approached from diverse theoretical perspectives and used interchangeably with analogous terms.The purpose of this study is to report an analysis of the concept of « meaning in work ».

    Source : Lee, Soohee. (2015). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12695

  • Un groupe de travail pluridisciplinaire s’est vu confier la mission de clarifier ce que recouvre le burnout dans l’objectif de donner des recommandations à l’employeur, aux directions des ressources humaines, aux organisations syndicales et aux autres acteurs de l’entreprise, pour mieux prévenir ce syndrome d’épuisement professionnel. Dans ce dossier, le burnout est examiné sous trois angles : 1) Que recouvre le terme de burnout ? 2) Quels sont les moyens et les actions collectives et individuelles qui peuvent être mis en oeuvre pour le prévenir et agir sur ses facteurs de risque ? 3 ) Quelles recommandations peuvent être données pour réagir, collectivement et individuellement, face à un ou plusieurs cas de burnout ?

    Source : France. Ministère du travail, de l’emploi, de la formation professionnelle et du dialogue social. Direction générale du travail, Agence nationale pour l’amélioration des conditions de travail, & Institut National de Recherche et de Sécurité. (2015). Le syndrome d’épuisement professionnel ou burnout : Mieux comprendre pour mieux agir. [S.l.] : ANACT, DGT, INRS, 32 p. (Guide d’aide à la prévention. Repéré à : http://travail-emploi.gouv.fr/IMG/pdf/Exe_Burnout_21-05-2015_version_internet.pdf

  • Despite increased stress and free services, the national average for EAP use within a company continues to be 3% to 4%. This article describes the steps one company has taken to achieve a 16% utilization rate for the last 3 years.

    Source : Carchietta, Gail A. (2015). Workplace Health & Safety, 63(3), 172. doi: 10.1177/2165079915585054

  • Meal breaks promote occupational health and safety; however, less is known about supervisors’ support for nurses’ meal breaks. In this study, the researchers tested whether the frequency of meal breaks was positively related to supervisors’ support of nurses’ meal breaks, and whether more frequent meal breaks were associated with less psychological distress. This study is based on a cross-sectional survey of 1,595 hospital nurses working on 85 units supervised by nursing directors. Specific meal-break support was measured at the nursing director level; frequency of meal breaks and psychological distress were measured at the individual nurse level.

    Source : Hurtado, David A., Nelson, Candace C., Hashimoto, Dean, & Sorensen, Glorian. (2015). Workplace Health & Safety, 63(3), 107-115. doi: 10.1177/2165079915571354

  • Avez-vous la moindre idée du temps que vous passez à dormir ? Non, non, je ne parle pas des moments où vous dormez au travail au lieu de travailler. Je parle du temps de votre vie que vous consacrez à roupiller dans votre lit. Alors ? Une suggestion ? Accrochez-vous bien, voici la réponse: en général, 32 années de votre vie (pour quelqu’un vivant jusqu’à l’âge honorable de 90 ans). Soit un peu plus du tiers de votre existence ! Maintenant, j’ai une autre question pour vous : à votre avis, est-ce trop ou pas assez ? Oui, trop ou pas assez pour être en pleine forme, et mieux, pour être heureux dans la vie, en particulier durant les heures passées au travail (les plus belles de la journée, puisque de 9 à 5) ? Difficile à dire, n’est-ce pas ?

    Source : Schmouker, Olivier. (2015, 21 mai). Dormez-vous trop ou pas assez pour être heureux au travail? [Billet de blogue]. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/dormez-vous-trop-ou-pas-assez-pour-etre-heureux-au-travail/578985

  • Compassion fatigue is a topic commonly found in nursing literature. The literature from 1992-2012 on compassion fatigue was examined. There are multiple and diverse understandings and definitions of what compassion fatigue is. So much so, there are equally multiple, diverse and conflicting strategies to mitigate it. To understand better what compassion fatigue is, an examination of what compassion is was undertaken. Much is written that nurses are, or should be compassionate. Compassion is an archetype of nursing. However, there is little in the nursing literature defining what compassion is. Literature on compassion outside of nursing was then examined. There is a growing body of theory and research about compassion in other disciplines. None of the multiple definitions of nurse compassion fatigue match this understanding of compassion. The tools most often used to measure nurse compassion fatigue do not appear to measure the construct of compassion.

    Source : Ledoux, Kathleen. (2015). JAN : Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12686

  • The purpose of this study is to examine how workplace hazard perceptions are related to psychological strain and other employee outcomes for direct care workers in long-term care settings. Data were collected from 3068 direct care workers in long-term care. Perceptions of workplace hazards were significantly and positively associated with psychological strain which in turn was related to direct care workers’ higher turnover intentions and lower job satisfaction. Support from workplace supervisors did not moderate the workplace hazard risk perceptions–psychological strain relationship.These findings suggest that direct care workers’ perceptions of workplace hazards are related to reduced job satisfaction and higher intentions to quit.

    Source : McCaughey, Deirdre, Turner, Nick, Kim, Jungyoon, DelliFraine, Jami, McGhan, Gwen E. (2015). Safety Science, 78, 190-197. doi:10.1016/j.ssci.2015.04.013

  • Lean projects require an understanding of systems-wide processes and utilize interdisciplinary teams. Most lean tools are straightforward, and the biggest barrier to successful implementation is often development of the team aspect of the lean approach. The purpose of this article is to share challenges experienced by a lean team charged with improving a hospital discharge process. To improve the likelihood that process improvement initiatives, including lean projects, will be successful, organizations should consider providing training in organizational change principles and team building. The authors’ lean team learned these lessons the hard way. Despite the challenges, the team successfully implemented changes throughout the organization that have had a positive impact. Training to understand the psychology of change might have decreased the resistance faced in implementing these changes.

    Source : Wackerbarth, Sarah B., Strawser-Srinath, Jamie R., Conigliaro, Joseph C. (2015). American Journal of Medical Quality, 30(3), 248-254. doi: 10.1177/1062860614527784

  • Saluer ses collègues le matin et se regarder dans les yeux lorsqu’on se parle, ça peut sembler banal. Toutefois, le manque de civilité engendre de lourdes conséquences sur le climat de travail et sur la productivité de l’entreprise. Malheureusement, plus d’un travailleur sur deux déclare que les gestionnaires de leur entreprise n’interviennent qu’occasionnellement, rarement ou même jamais lorsqu’une telle situation se produit.

    Source : Ordre des conseillers en ressources humaines agréés. (19 mai 2015). Manque de civilité : toléré par les gestionnaires selon plus d’un travailleur sur deux. Repéré à http://www.portailrh.org/presse/fichecommunique2.aspx?f=105321

  • Saluer ses collègues le matin, se regarder dans les yeux lorsqu’on se parle, ne pas exclure des collègues lors d’une activité, cela peut sembler banal. Cependant, à la longue, le manque de civilité a de lourdes conséquences tant pour les travailleurs que pour l’organisation. Découvrez-en plus sur la civilité en milieu de travail dans ce dossier spécial. On y retrouve des entrevues vidéos, un état de la situation au Québec, des outils et documents de référence.

    Source : Ordre des conseillers en ressources humaines agréés. (2015). Ressources : Dossiers spéciaux : Civilité en milieu de travail. Repéré à http://www.portailrh.org/Ressources/AZ/dossiers_speciaux/civilite/default.aspx

  • Much has been written about interventions to improve the nursing work environment, yet little is known about their effectiveness. A Delphi survey of nurse experts was conducted to explore perceptions about workplace interventions in terms of feasibility and likelihood of positive impact on nurse outcomes such as job satisfaction and nurse retention. The interventions that received the highest ratings for likelihood of positive impact included: bedside handover to improve communication at shift report and promote patient-centred care; training program for nurses in dealing with violent or aggressive behaviour; development of charge nurse leadership team; training program focused on creating peer-supportive atmospheres and group cohesion; and schedule that recognizes work balance and family demands. The overall findings are consistent with the literature that highlights the importance of communication and teamwork, nurse health and safety, staffing and scheduling practices, professional development and leadership and mentorship.

    Source : Doran, Diane, Clarke, Sean, & Nincic, Vera. (2014). Nursing Leadership, 27(3), 40-50. doi:10.12927/cjnl.2015.24058

  • Depuis plusieurs années, le Centre Jeunesse de Chaudière-Appalaches (CJCA) consent d’importants efforts en vue d’améliorer la santé des travailleurs. Le CJCA a notamment entrepris il y a environ deux ans, en collaboration avec l’équipe de recherche sur les interrelations personnelles, organisationnelles et sociales du travail (RIPOST), de mettre sur pied une démarche paritaire et participative de prévention des problèmes de santé mentale au travail. Le présent rapport présdente la démarche d’évaluation ainsi que les résultats.

    Source : Duchesne, Audrey, & Jauvin, Nathalie. (2015). Rapport d’évaluation du projet Implantation de pratiques sécuritaires reconnues auprès du personnel oeuvrant auprès de la clientèle en TGC au Centre Jeunesse Chaudière-Appalaches. Québec : Centre de santé et de services sociaux de la Vieille-Capitale, 70 p. Repéré à  http://www.ripost.qc.ca/fileadmin/user_upload/publications/fichiers/Jauvin_2015_-_Rapport_final_TGC2_v.finale_01.pdf

  • Le mercredi 22 octobre 2014 se tenait à Québec un symposium sur le métier d’auxiliaire de santé et de services sociaux (ASSS) et de préposé aux bénéficiaires (PAB) en soutien à domicile et en centre d’hébergement. Il réunissait plus de vingt participants. Les objectifs de cette journée étaient de : 1) réunir des intervenants, des chercheurs et des gestionnaires afin de clarifier les grands enjeux et les grands défis auxquels font face les ASSS et les PAB, ainsi que les organisations qui les embauchent; 2) cibler les questions prioritaires sur lesquelles s’atteler, ainsi que des pistes de solution; 3) identifier les questions pouvant faire l’objet de recherche qui aideraient à relever ces défis. Inviter les représentants des ASSS et des PAB permettait d’atteindre ces objectifs, en privilégiant leur point de vue et en faisant une grande place à leurs préoccupations.

    Source : Allaire, Émilie. (2015). Symposium sur le métier d’auxiliaire de santé et de services sociaux et de préposés aux bénéficiaires : Synthèse des présentations et des échanges, 22 octobre 2014. Québec : Centre de santé et de services sociaux de la Vieille-Capitale, 25 p. Repéré à http://www.cersspl.ca/fileadmin/user_upload/documentations/fichiers/Synthese_symposium_2014-Version_officielle__22-04-2015__PDF.pdf

SERVICES À DOMICILE

  • The authors evaluated the short-term effects of exposure to cleaning products on lung function and respiratory symptoms among professional cleaning women. Twenty-one women with current asthma and employed as professional cleaners participated in a 15-day panel study. During 312 person-days of data collection, participants self-reported their use of cleaning products and respiratory symptoms in daily diaries and recorded their forced expiratory volume in 1 s (FEV1) and peak expiratory flow (PEF) three times per day using a handheld spirometer. In conclusion, the use of specific cleaning products at work, mainly irritants and sprays, may exacerbate asthma.

    Source : Vizcaya, David, Mirabelli, Maria C., Gimeno, David, Antó, Josep-Maria, Delclos, George L., Rivera, Marcela, & Zock, Jan-Paul. (2015). Occupational & Environmental Medicine. Prépublication. oi:10.1136/oemed-2013-102046

  • Le mercredi 22 octobre 2014 se tenait à Québec un symposium sur le métier d’auxiliaire de santé et de services sociaux (ASSS) et de préposé aux bénéficiaires (PAB) en soutien à domicile et en centre d’hébergement. Il réunissait plus de vingt participants. Les objectifs de cette journée étaient de : 1) réunir des intervenants, des chercheurs et des gestionnaires afin de clarifier les grands enjeux et les grands défis auxquels font face les ASSS et les PAB, ainsi que les organisations qui les embauchent; 2) cibler les questions prioritaires sur lesquelles s’atteler, ainsi que des pistes de solution; 3) identifier les questions pouvant faire l’objet de recherche qui aideraient à relever ces défis. Inviter les représentants des ASSS et des PAB permettait d’atteindre ces objectifs, en privilégiant leur point de vue et en faisant une grande place à leurs préoccupations.

    Source : Allaire, Émilie. (2015). Symposium sur le métier d’auxiliaire de santé et de services sociaux et de préposés aux bénéficiaires : Synthèse des présentations et des échanges, 22 octobre 2014. Québec : Centre de santé et de services sociaux de la Vieille-Capitale, 25 p. Repéré à http://www.cersspl.ca/fileadmin/user_upload/documentations/fichiers/Synthese_symposium_2014-Version_officielle__22-04-2015__PDF.pdf

SIMDUT-SGH

  • Le SIMDUT ne disparaît pas, mais il est modifié en profondeur à la suite des travaux coordonnés par les Nations-Unies depuis 1992. Le SGH entrera en vigueur à l’été 2015 au Canada. Le gouvernement fédéral a apporté des modifications à la Loi sur les produits dangereux et au Règlement sur les produits contrôlés et a créé le Règlement sur les produits dangereux. Les employeurs et les travailleurs sont soumis à la législation provinciale qui devrait être modifiée en conséquence. Pour la gestion de vos matières dangereuses, qu’est-ce que ça change ?

    Source : Bédard, Sylvie, LeQuoc, Sylvain. (2015). L’arrivée du Système général harmonisé SGH. Communication présentée au Colloque de l’ASSTSAS à Boucherville, 43 p. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/Autres/Colloque2015_At2_SGH.pdf

SST EN MILIEU DE SOINS

  • The purpose of this study is to examine how workplace hazard perceptions are related to psychological strain and other employee outcomes for direct care workers in long-term care settings. Data were collected from 3068 direct care workers in long-term care. Perceptions of workplace hazards were significantly and positively associated with psychological strain which in turn was related to direct care workers’ higher turnover intentions and lower job satisfaction. Support from workplace supervisors did not moderate the workplace hazard risk perceptions–psychological strain relationship.These findings suggest that direct care workers’ perceptions of workplace hazards are related to reduced job satisfaction and higher intentions to quit.

    Source : McCaughey, Deirdre, Turner, Nick, Kim, Jungyoon, DelliFraine, Jami, & McGhan, Gwen E. (2015). Safety Science, 78, 190-197. doi:10.1016/j.ssci.2015.04.013

  • The purpose if this study was to determine whether state-mandated minimum nurse-to-patient staffing ratios in California hospitals had an effect on reported occupational injury and illness rates. The difference-in-differences method was applied: The change in injury rates among hospital nurses after implementation of the law in California was compared to the change in 49 other states and the District of Columbia combined. Data were drawn from the US Bureau of Labor Statistics and the California Employment Development Department, including numerator estimates of injury and illness cases and denominator estimates of the number of registered nurses (RNs) and licensed practical nurses (LPNs) employed in hospitals. The authors concluded that despite significant data restrictions and corresponding methodological limitations, the evidence suggests that the law was effective in reducing occupational injury and illness rates for both RNs and LPNs. Whether these 31.6 and 33.6 % reductions are maintained over time remains to be seen.

    Source : Leigh, J. Paul, Markis, Carrie A., Iosif, Ana-Maria, & Romano, Patrick S. (2015). International Archives of Occupational and Environmental Health, 88(4), 477-484. DOI 10.1007/s00420-014-0977-y

  • Nurses and nurse assistants experience the most workplace injuries among health care workers, and measures are needed to protect them. The NIOSH examined information gathered by the Occupational Health Safety Network from 112 health care facilities from 2012 to Sept. 30, 2014. In three categories of OSHA-recordable injuries, incidence rates were 11.3 per 10,000 worker-months for patient handling; 9.6 for slips, trips and falls; and 4.9 for workplace violence. Nurse assistants had more than double the injury rate of nurses due to patient handling and violence. Injuries from violence rose for all jobs and almost doubled among nurse assistants and nurses. Lifting equipment was not used in 51 percent of patient-handling injuries – interventions such as lifting equipment could help prevent injuries, the report concludes. Facilities also could develop a safety culture that focuses on improvement and provide resources such as training for safe patient handling.

    Source : Gomaa, Ahmed E., Tapp, Loren C., Luckhaupt, Sara E., Vanolli, Kelly, Sarmiento, Raymond Francis, Raudabaugh, William M.,…Sprigg, Susan M. (April 24, 2015). Morbidity and Mortality Weekly Report (MMWR), 64(15) : 405-410. Repéré à http://www.cdc.gov/mmwr/pdf/wk/mm6415.pdf

STATISTIQUES EN SST

  • Nurses and nurse assistants experience the most workplace injuries among health care workers, and measures are needed to protect them. The NIOSH examined information gathered by the Occupational Health Safety Network from 112 health care facilities from 2012 to Sept. 30, 2014. In three categories of OSHA-recordable injuries, incidence rates were 11.3 per 10,000 worker-months for patient handling; 9.6 for slips, trips and falls; and 4.9 for workplace violence. Nurse assistants had more than double the injury rate of nurses due to patient handling and violence. Injuries from violence rose for all jobs and almost doubled among nurse assistants and nurses. Lifting equipment was not used in 51 percent of patient-handling injuries – interventions such as lifting equipment could help prevent injuries, the report concludes. Facilities also could develop a safety culture that focuses on improvement and provide resources such as training for safe patient handling.

    Source : Gomaa, Ahmed E., Tapp, Loren C., Luckhaupt, Sara E., Vanolli, Kelly, Sarmiento, Raymond Francis, Raudabaugh, William M.,…Sprigg, Susan M. (April 24, 2015). Morbidity and Mortality Weekly Report (MMWR), 64(15) : 405-410. Repéré à http://www.cdc.gov/mmwr/pdf/wk/mm6415.pdf

  • À partir des données de l’Enquête sur la santé dans les collectivités canadiennes (ESCC), Statistique Canada a produit un feuillet d’information sur les blessures au travail survenues en 2013. 16,0 % des Canadiens âgés de 15 à 74, soit environ 4,2 millions de personnes, ont subi au cours des 12 mois précédents l’enquête une blessure qui a limité leurs activités normales. Pour 14,5 % de ces personnes blessées, la blessure la plus grave est survenue alors qu’elles travaillaient à un emploi ou à une entreprise. La majorité des personnes dont la blessure la plus grave est survenue au travail étaient des hommes (71,2 %). Chez les deux sexes, les trois types de blessure au travail les plus courants en 2013 étaient les entorses ou foulures (49,9 %), les coupures, perforations ou morsures (19,2 %) et les fractures ou cassures (8,7 %).

    Source : Statistique Canada. (28 avril 2015). Feuillets d’information sur la santé : Blessures au travail, 2013. Repéré à http://www.statcan.gc.ca/pub/82-625-x/2015001/article/14148-fra.htm

SYSTÈME DE MANAGEMENT

TECHNOLOGIES SANS FIL

  • Il existe de nombreuses sources de radiofréquences dans notre environnement quotidien (téléphone mobile, antennes relais, Wi-Fi, etc.). Parmi celles-ci, le téléphone mobile est de loin la principale source d’exposition. Concernant la question des effets sanitaires des radiofréquences, il n’est pas possible aujourd’hui d’établir un lien de causalité entre les quelques effets biologiques décrits et d’éventuels effets sur la santé qui en résulteraient. Le risque de gliome n’est, quant à lui, pas significativement modifié par l’utilisation des téléphones mobiles en population générale pour des durées d’observation de moins de 15 ans. Cependant, les données disponibles actuellement ne permettent pas d’exclure, parmi les utilisateurs « intensifs », une augmentation d’incidence faible des gliomes ou un risque qui se manifesterait pour des durées d’induction supérieures à 15 ans.

    Source : Fite, J., Doré, J.-F., Hours, M., & Merckel, O. (2015). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. doi:10.1016/j.admp.2015.03.004

TRAVAIL DE BUREAU

  • Time spent sitting in the workplace is an important contributor to overall sedentary risk. Installation of height-adjustable workstations has been proposed as a feasible approach for reducing occupational sitting time in office workers. The purpose of this systematic review was to provide an accurate overview of the controlled trials that have evaluated the effects of height-adjustable workstation interventions on workplace sitting time in office-based workers. The authors concluded that there is insufficient evidence to make firm conclusions regarding the effects of installing height-adjustable workstations on sedentary behaviour and associated health outcomes in office workers. Larger and longer term controlled studies are needed, which include more representative populations.

    Source : Tew, G.A., Posso, M.C., Arundel, C.E., & McDaid, C.M. (2015). Occupational Medicine. Prépublication. doi: 10.1093/occmed/kqv044

TRAVAIL EN LABORATOIRE

  • The purpose of this guide is to provide guidance to users on the need for proper emergency eyewash and shower equipment to mitigate injury from splash and ocular incidents, to illustrate eyewash and shower equipment systems, and to assist in the proper selection, use and maintenance of emergency eyewash and shower equipment.  This document is meant as a guide only and does not replace the current ANSI/ISEA Z358.1-2014 standard. Please review the ANSI/ISEA Z358.1-2014 standard document for specific requirements.

    Source : International Safety Equipment Association. (2015). Emergency Eyewash & Shower Equipment : selection, installation & use guide. Arlington, VA : ISEA, 22 p. Repéré à https://www.safetyequipment.org/userfiles/File/EWS%20Guide%20Feb_2015.pdf

TRAVAILLEURS JEUNES/ÂGÉS

  • Au Canada, près de 24 % de la population sera âgée de plus de 65 ans d’ici 2031. Au Québec, d’ici moins de cinq ans, le bassin de main-d’œuvre, soit la population âgée de 15 à 64 ans, diminuera et les départs à la retraite ne seront plus compensés par l’arrivée de nouveaux travailleurs. Cela posera un défi de taille aux entreprises qui auront de plus en plus de mal à recruter des travailleurs. Il est donc urgent de mettre en place des stratégies pour attirer et fidéliser les « têtes blanches ».

    Source : Francoeur, Florent. (21 mai 2015). Le coin du gestionnaire : Gestion de la fiversité : Pour conserver les travailleurs âgés. Repéré à http://www.portailrh.org/gestionnaire/fiche.aspx?p=467354.

TROUBLES MUSCULOSQUELETTIQUES

  • Longitudinal studies have linked stress at work with a higher incidence of musculoskeletal pain. This study aimed to explore the extent to which musculoskeletal pain is a cause as opposed to a consequence of perceived occupational stress. As part of the international cultural and psychosocial influences on disability study, was collected information from 305 Italian nurses, at baseline and again after 12 months, about pain during the past month in the low-back and neck/shoulder, and about effort-reward imbalance (ERI).

    Source : Bonzini, Matteo, Bertu, Lorenza, Veronesi, Giovanni, Conti, Marco, Coggon, David, & Ferrario, Marco M. (2015). International Archives of Occupational and Environmental Health, 88(5), 607-612. DOI 10.1007/s00420-014-0982-1

  • Confronté à un taux d’accidents du travail très élevé, surtout depuis 2010, le Service de SST de l’Hôpital Santa Cabrini, avec l’appui de la Direction générale, a pris le taureau par les cornes pour entreprendre la mise en place d’un programme de prévention des TMS. À partir du modèle conçu par l’ASSTSAS, une analyse de la situation a été faite sur certaines unités ciblées. Cette démarche a permis de bien cerner les problématiques et de préparer un plan d’action pour diminuer les risques de TMS, tout en priorisant les bonnes interventions.

    Source: Côté, Danielle, & Fiset, Nancy. (Mai 2015). OP, 38(2), 6-7. Repéré à http://www.asstsas.qc.ca/documents/Publications/Repertoire%20de%20nos%20publications/OP/op382006_TMS.pdf

  • Epidemiologic studies have reported that multi-site musculoskeletal pain threatens work ability. However, no study has been conducted on this topic among health care providers. The aim of the present study was to determine the association between multi-site pain and poor work ability among health care providers. A cross-sectional study was conducted. Participants completed a self-administered questionnaire including basic characteristics, job satisfaction, stress screening, musculoskeletal pain at neck, upper extremities, low back, and lower extremities within the last month, and work ability index.

    Source : Phongamwong, Chanwit, & Deema, Hemwarun. (2015). Journal of Occupational Medicine and Toxicology. Prépublication. doi:10.1186/s12995-015-0063-8

  • Most occupational risks manifest themselves through movements performed at work, for example musculoskeletal disorders, slips, trips and falls. Research focusing on such risks often differentiates diseases from accidents. All these risks prove to be diffuse, widespread, emergent and devoid of an external harmful hazard, when analysed through their common vector, i.e. through the movements manifesting them. These characteristics have a strong impact on risk perception and on approaches necessary to ensure sustainable prevention. A participative search for local solutions to preventing these risks, integrating shared risk representation and several analysis levels, would seem helpful. A balance between defended and resilience-based conceptions of health and safety should be established. Research should also be extended to enhance in-depth understanding of controls impacting worker movements when performing a task, while safeguarding health and safety.

    Source : Leclercq, Sylvie, Cuny-Guerrier, Aude, Gaudez, Clarisse, & Aublet-Cuvelier, Agnès. (2015). Ergonomics. Prépublication. DOI:10.1080/00140139.2015.1031191