COIN DE LA DOCUMENTALISTE – OCTOBRE 2017

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ACCIDENTS DE TRAVAIL

  • The study assessed the impact of mindfulness training on occupational safety of hospital health care workers. The study used a randomized waitlist-controlled trial design to test the effect of an 8-week mindfulness-based stress reduction (MBSR) course on self-reported health care worker safety outcomes, measured at baseline, postintervention, and 6 months later. The results showed that mindfulness training may potentially decrease occupational injuries of health care workers.

    Source: Valley, Morgan Anne, & Stallones, Lorann. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001090

ADMINISTRATION DE LA SANTÉ

  • The importance of interpersonal behavior at the workplace is increasingly recognized in the health care industry and related literature. An unresolved issue in the existing health care research is how a climate of courteous interpersonal behavior may form the foundation for strong hospital care performance. The aim of this study was to test the link between a climate of courteous interpersonal behavior, termed « civility climate, » and hospital care performance. We conceptualize a multidimensional model of care performance by contrasting two dimensions: performance as perceived by employees and performance as perceived by patients. Furthermore, for both performance perspectives, we test an intermediate variable (error orientation climate) that may explain the relationship between civility climate and hospital care performance.

    Source: Oppel, Eva-Maria, Mohr, David C., Benzer, & Justin K. (2017). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000178

  • Since the publication of the Institute of Medicine’s groundbreaking report « To Err is Human » in 2000, patient safety has become a key health care issue, driving decision-making and policy formulation in virtually every sector of the health care system. In 2008, Berwick stated that the US health care system could only be improved if it focused on three aims: (1) improving the experience of patient care; (2) improving the health of populations; and (3) reducing per capita costs of health care. More recently, a new topic has begun to emerge: the health and safety of those who deliver health care—from physicians and nurses to administrative and service personnel—and how that can impact the health and safety of patients. It is becoming clear that workers in this high stress, demanding sector are themselves prone to a wide variety of health risks, ranging from musculoskeletal issues to depression and burnout. This burnout and dissatisfaction among health care workers compromises the goals of the triple aim. Therefore, there is a need to expand the triple aim into the quadruple aim, which includes the goal of improving the work life and well-being of health care providers.

    Source: Loeppke, Ronald, Boldrighini, Jodie, Bowe, John, Braun, Barbara, Eggins, Erik, Eisenberg, Barry S….Yarbrough, Mary. (2017). JOEM: Journal of Occupational & Environmental Medicine, 59(8), 803-813. (ACOEM Position Statement). Repéré à http://www.acoem.org/uploadedFiles/Public_Affairs/Policies_And_Position_Statements/Guidelines/Position_Statements/Interaction_of_Health_Care_Worker_Health_and.17.pdf

  • The authors performed an integrated cross-sectional analysis of relationships between long term care work environments, employee and resident satisfaction, and quality of patient care. The results showed that facilities in the better-performing cluster were found to have better patient care outcomes and resident satisfaction; lower rates of workers compensation claims; better SRHP performance; higher employee retention; and greater worker job satisfaction and engagement.

    Source: Boakye-Dankwa, Ernest, Teeple, Erin, Gore, Rebecca, & Punnett, Laura. JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001163

AGRESSIONS ET VIOLENCE

  • De-escalation is the recommended first-line response to potential violence and aggression in healthcare settings. Related scholarly activity has increased exponentially since the 1980s, but there is scant research about its efficacy and no guidance on what constitutes the gold standard for practice. The purpose of this study is to clarify the concept of de-escalation of violence and aggression as described within the healthcare literature.

    Source: Hallett, Nutmeg, & Dickens, Geoffrey L. (2017). International Journal of Nursing Studies, 75, 10-20. https://doi.org/10.1016/j.ijnurstu.2017.07.003

  • In October, a man brought a firearm into the emergency department of Soldiers’ Memorial Hospital in Middleton, N.S., and was behaving erratically. He was charged with possession of a firearm while prohibited, unauthorized possession of a rifle and careless use of a firearm. In March 2015, a man viciously attacked a nurse in the emergency department at the Abbotsford Regional Hospital in British Columbia. The nurse suffered trauma to the head and face and needed stitches around the eye. In October 2014, a mentally ill patient stabbed a nurse multiple times in the head and neck at the Brockville Mental Health Centre in Ontario, leaving her seriously injured. Incidents like these are becoming more and more common across the health-care spectrum in Canada, including acute care, long-term care and community care. In B.C., claims related to acts of workplace violence have been steadily increasing over the last six years and nurses (including aides and health-care assistants) accounted for more than 40 per cent of all violence-related injuries, according to WorkSafeBC.

    Source: Silliker, Amanda. (August/September 2017). Canadian Occupational Safety, 55(4), 18-20. http://www.cos-mag.com/psychological-health-safety/34266-health-care-workers-victims-of-physical-violence-more-now-than-ever-before/

AMIANTE

  • Outre les pathologies broncho-pulmonaires bien connues liées à l’exposition à l’amiante, d’autres pathologies cancéreuses sont désormais considérées comme liées à l’amiante : le cancer du larynx et le cancer de l’ovaire. Une interrogation planait sur le cancer de l’estomac, du côlon, et du rectum jusqu’à ce qu’une publication du Professeur Christophe Paris mette clairement en évidence un risque accru de cancer colorectal chez les travailleurs de l’amiante. Cette étude a permis en outre de faire le lien entre la présence de plaques pleurales et le risque de décès par cancer broncho-pulmonaire après prise en compte du tabagisme, mais aussi d’établir le fait que la présence de plaques pleurales soit un facteur de risque de mésothéliome indépendamment des autres facteurs.

    Source: Barruyer, C. (21 septembre 2017). CAMIP.info: revue de la santé au travail. Repéré à http://www.camip.info/nous-avons-lu-pour-vous/pathologie-du-travail/maladies-professionnelles-et-a/agents-physiques/article/amiante-la-recherche-se-poursuit

  • L’objectif de cette formation est d’améliorer les connaissances des travailleurs du bâtiment, des agents de maintenance et des architectes concernant l’amiante, les sensibiliser aux risques encourus et leur permettre de devenir des acteurs de la prévention. Le choix s’est porté vers une méthode pédagogique interactive, faisant appel aux nouvelles technologies. Le module de formation présente l’amiante, ses utilisations, le repérage des matériaux, les risques pour la santé, les mesures de protection. Un test final permet de contrôler le niveau d’apprentissage avec validation finale.

    Source: Favre, O., Prieto, R., & Lazor-Blancher, C. (2017). Archives des Maladies Professionnelles et de l’Environnement, 78(4), 364-365. https://doi.org/10.1016/j.admp.2017.06.021

  • Il existe des risques à la santé associés à des expositions professionnelles à de faibles concentrations d’amiante (Wolff et al., 2015). Préoccupé par les effets de l’amiante sur la santé humaine ainsi que les enjeux associés à son contrôle, l’INSPQ salue l’initiative du projet de loi fédérale visant l’interdiction de l’amiante au Canada. Il émet toutefois des réserves et des recommandations sur quatre des exemptions prévues à la nouvelle approche réglementaire. Ces exemptions, qui pourraient exposer des travailleurs et la population générale, sont celles relatives à l’exploitation minière, le traitement des résidus miniers pour certaines applications, l’amiante contenu dans un produit antiparasitaire, l’amiante ou produits contenant de l’amiante présentés à des fins éducatives. L’INSPQ s’interroge enfin sur l’exemption générale sur les traces d’amiante d’origine naturelle qui nécessiterait certaines précisions.

    Source: De Guire, Louise, Levasseur, Marie-Eve, Adib, Georges, Krupoves, Alfreda, & Chapados, Maude. (2017). [Montréal]: Institut national de santé publique du Québec, ii, 5 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2266_commentaires_projet_loi_c321.pdf

APPROCHE RELATIONNELLE DE SOINS (ARS)

  • Que signifie la « qualité relationnelle des soins »? Quelles pratiques concrètes favorisent cette qualité? Un ensemble de recherches conduites au Québec et en France montre que ce travail relationnel ne va pas de soi: au quotidien, les préposés se livrent à de nombreuses opérations visant à entrer en interaction avec les résidents, y compris – voire surtout – avec ceux qui souffrent de troubles cognitifs à un âge avancé. En effet, autant en observant les interactions entre préposés et résidents, qu’en s’entretenant avec des préposés, des résidents et des cadres, les auteurs ont découvert que les préposés mobilisent de nombreuses techniques relationnelles afin d’accomplir leur travail.

    Source: Brossard, Baptiste, & Sapin Leduc, Annie. (2017). Vie et vieillissement, 14(3), 20-24.

BLOC OPÉRATOIRE – CHIRURGIE

  • Little is known about the factors affecting teamwork and the mental stress of surgical nurses, although the performance of the surgical team is essential for patient safety. The purpose of this study was to evaluate operating room nurses’ perception of teamwork performance and their level of mental stress and to identify related factors.

    Source: Sonoda, Yukio, Onozuka, Daisuke, & Hagihara, Akihito. (2017). Journal of Nursing Management. Prépublication. doi:10.1111/jonm.12522

  • Evidence of the harmful effects of surgical smoke has been recognized in the literature and by professional organizations for many years, yet surgical smoke continues to pose a safety hazard for patients and perioperative personnel. A team of perioperative nurses and educators sought to improve compliance with policies and procedures for surgical smoke management in the OR. The team quantified smoke-evacuator use, assessed staff members’ knowledge using a pre-education survey, and presented a three-part multimodal education program. The team conducted a posteducation survey that showed significant improvement in staff members’ knowledge.

    Source: Chavis, Sherry, Wagner, Vicki, Becker, Melanie, Bowerman, Mercelita I., & Jamias, Mary Shirley. (2016). AORN Journal, 103(3), 289-296. https://doi.org/10.1016/j.aorn.2016.01.007

  • The purpose of this study was to investigate the association between dynamic thiol/disulphide homeostasis and occupational exposure to volatile anesthetic gases in operating theater personnel. Decreased blood thiol levels and raised blood disulphide levels serve as biomarkers of oxidative stress. 65 subjects occupationally exposed and 55 unexposed healthy medical professionals were included into the study.

    Source: Kozanhan, Betul, Inanli, Ikbal, Deniz, Cigdem Damla, Iyisoy, Mehmet Sinan, Neselioglu, Salim, Sahin, Osman… Erel, Ozcan. (2017). American Journal of Industrial Medicine. Prépublication. doi: 10.1002/ajim.22764

  • The new AORN « Guideline for surgical smoke safety » provides guidance on surgical smoke management. This article focuses on key points of the guideline to help perioperative personnel promote smoke-free work environments; evacuate surgical smoke; and develop education programs and competency verification tools, policies and procedures, and quality improvement initiatives related to controlling surgical smoke. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

    Source: Fencl, Jennifer L. (2017). AORN Journal, 105(5), 488-497. https://doi.org/10.1016/j.aorn.2017.03.006

  • Surgical glove perforation may expose both patients and staff members to severe complications. This study aimed to determine surgical glove perforation rate and the factors associated with glove defect.This study highlighted an important problem neglected by surgical teams. The findings reaffirm the importance of double-gloving and changing gloves in surgeries of more than 90 minutes’ duration.

    Source: Tlili, Mohamed Ayoub, Belgacem, Amina, Sridi, Haifa, Akouri, Maha, Aouicha, Wiem, Soussi, Sonia, Dabbebi, Faten, & Dhiab, Mohamed Ben. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.07.016

  • Healthcare workplaces are among the most hazardous in the nation. In 2010, the Department of Labor reported 653,900 workplace injuries/illnesses occurred in healthcare, 152,000 more than the next most afflicted industry sector, manufacturing. A team from Beth Israel Deaconess Medical Center, Boston, MA adapted techniques used in industry to make the OR a safer place to work through formal observations of work performed and subsequent mitigation of recognized hazards. To help guide observations, the team identified critical safe behaviors and hazardous conditions in the OR using injury data, input from a staff survey, job safety analysis, direct observation and cause and effect analysis. An observation tool from industry was customized to address hazards unique to the healthcare environment such as sharps safety.

    Source: Simon, Ross W., DiTullio, Barbara L., Foster, Lisa A., Canacari, Elena G., & Guglielmi, Charlotte L. (2016). AORN Journal, 103(3), 18-27. https://doi.org/10.1016/j.pcorm.2016.01.004

BRUIT EN MILIEU DE TRAVAIL

  • L’étude a été menée dans 5 centres d’appels (service client, assistance technique et urgence médicale) chez des salariés travaillant avec un casque téléphonique. L’objectif était de déterminer si cette population souffrait de fatigue auditive à la fin d’une journée de travail et si le mode d’exposition au bruit: sous casque ou exposition environnementale, pouvait influencer la fatigue. L’audition des volontaires a été évaluée avant et après leur période de travail par deux tests complémentaires.

    Source: Venet, T., & Thomas, A. (Septembre 2017). Références en santé au travail, 151, 63-69. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/VuDuTerrain/TI-RST-TF-248/tf248.pdf

  • Dans le secteur tertiaire, les salariés des bureaux ouverts se plaignent très souvent du bruit. Le médecin du travail ou le préventeur d’entreprise sont généralement démunis pour accompagner une démarche globale de réduction de cette nuisance. Des études de terrain ont permis de construire une approche complète permettant à la fois d’objectiver l’acoustique du local et d’éclairer les difficultés ressenties par les salariés. L’analyse de l’activité est un point clé de cette approche, car les besoins de collaboration ou au contraire d’isolement acoustique sont très différents d’une typologie de bureau ouvert à une autre. Cette approche, déclinée aujourd’hui dans une norme française, est détaillée dans cet article et illustrée en s’appuyant sur un exemple de la démarche engagée chez l’opérateur Orange.

    Source: Chevret, P., Chatillon, J., Amato, J.N., & Ottaviani, P. (Septembre 2017). Références en santé au travail, 151, 43-61. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/InfosARetenir/TI-RST-TF-247/tf247.pdf

CANCERS PROFESSIONNELS

  • Outre les pathologies broncho-pulmonaires bien connues liées à l’exposition à l’amiante, d’autres pathologies cancéreuses sont désormais considérées comme liées à l’amiante : le cancer du larynx et le cancer de l’ovaire. Une interrogation planait sur le cancer de l’estomac, du côlon, et du rectum jusqu’à ce qu’une publication du Professeur Christophe Paris mette clairement en évidence un risque accru de cancer colorectal chez les travailleurs de l’amiante. Cette étude a permis en outre de faire le lien entre la présence de plaques pleurales et le risque de décès par cancer broncho-pulmonaire après prise en compte du tabagisme, mais aussi d’établir le fait que la présence de plaques pleurales soit un facteur de risque de mésothéliome indépendamment des autres facteurs.

    Source: Barruyer, C. (21 septembre 2017). CAMIP.info: revue de la santé au travail. Repéré à http://www.camip.info/nous-avons-lu-pour-vous/pathologie-du-travail/maladies-professionnelles-et-a/agents-physiques/article/amiante-la-recherche-se-poursuit

CANNABIS

CHAMPS ÉLECTROMAGNÉTIQUES

  • La caractérisation des expositions aux ondes électromagnétiques est indispensable dans le cadre de l’évaluation d’un possible risque et pour assurer le suivi adéquat des populations de travailleurs possiblement exposées. L’objectif de ce projet est de décrire les conditions d’exposition aux champs électromagnétiques pour différents postes de travail en bibliothèques et médiathèques.

    Source: Massardier-Pilonchery, A., Croidieu, S., Gaudaire, F., Martinsons, C., Ndagijimana, F., Nerriere, E., Noé, N., & Tho, T. (2017). Archives des Maladies Professionnelles et de l’Environnement, 78(4), 365-366. https://doi.org/10.1016/j.admp.2017.06.024

CHUTES ET GLISSADES

  • Slip, trip and fall (STFs) injuries are a significant problem in all industries, yet there are no significant prior reports assessing the relationship between occupational factors and STFs among home healthcare workers (HHCWs) who represent an ever increasing number of workers in the healthcare sector. The unpredictable nature of the work environment specific to HHCWs may lead to an increase in injuries from STFs. The purpose of this study was to quantify associations between occupational factors and STFs among HHCWs.

    Source: Merryweather, Andrew S., Thiese, Matthew S., Kapellusch, Jay M., Garg, Arun, Fix, Dillon J., & Hegmann, Kurt T. (2017). Safety Science. Prépublication. https://doi.org/10.1016/j.ssci.2017.07.002

  • This study is concerned with the characteristics of occupational injuries and sick leave for gas cylinder handling workers. Possible incidents and sick leave have been identified and analyzed for 223 occupational accidents in the gas cylinder handling work. Management level of accidents for prioritizing prevention measures is induced for the combination of accident agencies, types, and gas cylinder handling work processes. Accidents occurring during the specific gas cylinder handling work process showed different characteristics, depending on the type and agency of the accident. Most critical accidents that require corrective actions for prevention were slips and trips caused by floors, walkways, steps, or ground surfaces and overexertion and bodily reaction and posture caused by gas cylinder in the manual delivery of heavy cylinders process. Also, fall to lower level caused by floors, walkways, steps, or ground surfaces in the loading to and unloading from vehicles process and struck by or against caused by fixtures in the manual delivery of heavy cylinders process were also ranked high. The findings of this study can be used to develop more effective accident prevention policies to reduce occupational accidents in gas cylinder handling works.

    Source: Kim, Jeong Nam, Jeong, Byung Yong, & Park, Myoung Hwan. (2017). Human Factors and Ergonomics in Manufacturing & Service Industries. Prépublication. doi:10.1002/hfm.20711

  • Ne laissez pas la sécurité vous glisser des mains. Au Canada, plus de 44 000 travailleurs se blessent chaque année à la suite de chutes. La plupart de ces chutes se produisent au niveau du sol et résultent d’une glissade ou d’un trébuchement. Nous vous invitons à transmettre cette infographie qui énonce les causes communes de glissades et de trébuchements ainsi que des conseils pratiques que les travailleurs et les employeurs peuvent appliquer pour prévenir ces chutes, tels que de bonnes pratiques d’entretien ménager et la tenue d’inspections régulières.

    Source: Centre canadien d’hygiène et de sécurité au travail. (2017?). Prévenir les chutes causées par les glissades et les trébuchements: un pas à la fois. [Document infographique]. Repéré à http://images.cchst.ca/products/infographics/download/slips_trips_falls.jpg

CIVILITÉ EN MILIEU DE TRAVAIL

  • The importance of interpersonal behavior at the workplace is increasingly recognized in the health care industry and related literature. An unresolved issue in the existing health care research is how a climate of courteous interpersonal behavior may form the foundation for strong hospital care performance. The aim of this study was to test the link between a climate of courteous interpersonal behavior, termed « civility climate, » and hospital care performance. We conceptualize a multidimensional model of care performance by contrasting two dimensions: performance as perceived by employees and performance as perceived by patients. Furthermore, for both performance perspectives, we test an intermediate variable (error orientation climate) that may explain the relationship between civility climate and hospital care performance.

    Source: Oppel, Eva-Maria, Mohr, David C., Benzer, & Justin K. (2017). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000178

COMMUNICATION EN SST

  • L’INRS réunit dans son nouveau catalogue plus de 200 affiches et autocollants, un fonds visuel dans lequel puiser sans modération pour épingler, exposer et diffuser les messages de prévention. S’appuyant sur un message simple et visuel, les affiches et autocollants de l’INRS informent et sensibilisent les salariés au sein de l’entreprise, voire directement à leurs postes de travail. Risques psychosociaux, troubles musculosquelettiques ou encore risques liés aux déplacements, trouvez l’affiche qui vous concerne. Les affiches sont triées de la plus récente à la plus ancienne et les autocollants regroupés à la fin du catalogue.

    Source: Institut national de recherche et de sécurité. (2017). Nouveau catalogue d’affiches de l’INRS. Repéré à http://www.inrs.fr/publications/affiches.html

CONCILIATION TRAVAIL – VIE PERSONNELLE

  • L’Enquête québécoise sur la santé de la population (EQSP) permet également de mesurer de nombreux indicateurs liés à la santé en milieu de travail et de décrire les conditions de travail. L’enquête aborde pour la première fois la conciliation travail-famille, le harcèlement psychologique au travail, la détresse psychologique au travail, les troubles musculosquelettiques (TMS) d’origine non traumatique liés au travail et la surdité attribuable au travail. L’EQSP contient aussi des informations à propos, entre autres, de l’environnement organisationnel (niveau de soutien au travail, tension au travail, exigences psychologiques, niveau d’autorité décisionnelle, niveau de reconnaissance) et de l’environnement physique et des conditions ambiantes. Dans cet article, l’auteur s’intéresse aux contraintes physiques du travail, à la prévalence de troubles musculosquelettiques au travail, à la conciliation emploi-famille et au harcèlement psychologique.

    Source: Demers, Marc-André. (Juin 2017). Flash-Info, 18(2),11-19. Repéré à http://www.stat.gouv.qc.ca/statistiques/travail-remuneration/bulletins/flash-info-201706.pdf#page=11

CPE – SERVICES DE GARDE

  • Occupational health and safety (OHS) is poorer in small and medium-sized enterprises (SMEs) than in large corporations. Fatal accidents are up to eight times more frequent in SMEs and non-fatal injuries are as much as 50% more likely to occur. In order to improve the OHS status of SMEs, the constraints under which these businesses operate must be taken into account. In this critical review of the literature, we present an overview of research and industrial practices relating to OHS performance evaluation, and therefore of the information-gathering tools developed or adapted for this purpose, with emphasis on the SME context. The goal of this work is to identify avenues of research that are likely to yield practical means of meeting the challenge of integrating OHS into SME culture.

    Source: Tremblay, Alec, & Badri, Adel. (2018). Safety Science, 260-267.

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • More than 350 Alberta Health Services (AHS) ground ambulances will be equipped with power stretchers and load systems. The stretchers use a battery-powered hydraulic system to lift up to 317 kilograms (700 pounds) safely and without physical strain. Alberta Health Services installed electronic lifts in eight inter-facility transfer vehicles in 2015 as part of a pilot project. During that time, not a single lift-related injury was reported by staff using the new equipment. Over that same 18-month period, 84 patient-handling injuries were reported amongst EMS staff working on vehicles without the lifts.

    Source: Alberta installing power lifts in ambulances to reduce paramedic injuries. (August/September 2017). Canadian Occupational Safety, 55(4), 6. Repéré à http://www.cos-mag.com/occupational-hygiene/34014-alberta-installing-power-lifts-in-ambulances-to-reduce-paramedic-injuries/

  • In Canada, paramedics remain as one of the few public safety occupations without an evidence-based, validated physical employment standard (PES). The purpose of this study was to document and describe the physical demands of paramedic work and to identify the most physically demanding tasks. These outcomes are essential to inform the design and development of an evidence-based PES for the paramedic sector.

    Source: Fischer, Steven L., Sinden, Kathryn E., & MacPhee, Renee S. (2017). Applied Ergonomics, 65, 233-239. https://doi.org/10.1016/j.apergo.2017.06.021

  • L’Institut national de santé publique du Québec (INSPQ) a réalisé un avis scientifique sur la circulation des aides à la mobilité motorisées (AMM) en 2011. Dans cet avis, l’INSPQ proposait plusieurs mesures afin de combler le vide juridique à l’égard des AMM dans le code de la sécurité routière (CSR). Une des principales recommandations consistait à donner aux utilisateurs d’AMM un statut à part entière, qui se situe à mi-chemin entre celui de piéton et celui de cycliste, selon l’environnement routier dans lequel ils se trouvent. Des nouvelles règles ont été adoptées en juin 2015 par arrêté ministériel et l’INSPQ a été mandaté pour les évaluer, par diverses méthodes. Ce rapport a pour objectif de présenter les résultats de la démarche d’évaluation réalisée.

    Source: Bruneau, Jean-François, Maurice, Pierre, Crevier, Geneviève, & Quinones, Maud. (2017). [Montréal]: Institut national de santé publique du Québec, xvi, 280 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2274_evaluation_regle_securite_routiere_aides_mobilite_motorisees.pdf

  • Specific methods currently exist to assess occupational hazards resulting from patient handling in the healthcare sector, according to ISO/TR 12296. They are all similar in nature, but with a different analysis perspective; for that reason a comparison of the most relevant methods was performed in a previous research. As a result, a basis of a new tool that integrates the complementary aspects of those methods was proposed. To verify the validity and reliability of that method, a study within a hospital setting was carried out in five medical and surgical units of a public health institution. Based on the obtained results, the analysed method (called HEMPA) proved to be valid and reliable. Also, this method reflects a positive correlation between risk and damage and correctly quantifies risks regarding patient’s dependence.

    Source: Villarroya, A., Azezes, P., de Freijo, Diaz, & Fraga, F. (2017). Applied Ergonomics, 65, 209-222. https://doi.org/10.1016/j.apergo.2017.06.018

ENQUÊTE ET ANALYSE D’ACCIDENTS

  • This is the first edition of CSA Z1005, Incident investigation. This Standard replaces CAN/CSA-Z796, Accident information, published in 1998. This Standard outlines incident investigation and prevention principles and requirements, the purpose of which is to determine causes and to prevent work-related incidents. CSA Z1005 adheres to management system principles, such as those set out in CSA Z1000, Occupational health and safety management. Use of Z1005 is not contingent on an organization having an occupational health and safety management system (OHSMS); however, it does specify a Plan-Do-Check-Act cycle to ensure that management system deficiencies are identified and addressed. It also complements CSA Z1002, Hazard identification and elimination and risk assessment and control. When hazards are identified and eliminated, and when risk is assessed and controlled in accordance with the principles in CSA Z1002, then the number of work-related incidents can be reduced or prevented.

    Source: Canadian Standard Association. Technical Committee on Incident Investigation and Prevention. (2017). Incident investigation. Norme CSA Z1005-17. Toronto: CSA Group, 54 p. Repéré à http://shop.csa.ca/fr/restofworld/enquetes-sur-les-accidents-et-les-maladies/z1005-17/invt/27004992017

La norme n’est pas encore disponible en français.

ÉQUIPEMENTS DE PROTECTION

VOIR AUSSI: https://internationalsafetycenter.org/wp-content/uploads/2017/04/Consensus-Statement-Improving-Work-Wear-for-Healthcare.pdf

  • Over the years, employee health professionals have occasionally found themselves at odds with their colleagues in infection prevention on issues like mandated flu shots or the level of respiratory protection needed to protect a worker from an emerging infection. The different paradigms for occupational health and infection control were brought to the fore during the Ebola outbreak, but were probably most acurately contrasted during the controversy over infection control measures, or the lack thereof, used to protect healthcare workers during the SARS outbreak in Toronto in 2003.

    Source: Evans, Gary. (September 2017). Hospital Employee Health, 36(9), 97-100. Repéré à https://www.ahcmedia.com/articles/141228-hand-in-glove-employee-health-partners-with-infection-control

  • Non-sterile gloves primarily serve as a barrier protection for health care workers (HCWs). However, pathogens may often contaminate the skin of HCWs during glove removal; therefore, pathogens may be further transmitted and cause nosocomial infections. A field study was conducted comparing contamination rates when using standard gloves or a new modified product equipped with an additional flap (doffing aid) for easier removal. Gloves were removed after bathing gloved hands in an artificial fluorescent lotion. The number of contamination spots was then visually examined using ultraviolet light.

    Source: Gleser, Maxim, Schwab, Frank, Solbach, Philipp, & Vonberg, Ralf-Peter. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.08.024

  • The goal of this study was to examine the impact of assistance with donning and time on quantitative fit factors and pass rates for subjects wearing an N95 filtering facepiece respirator and a non-certified adhesive mask. Fit factors were measured using two side-by-side TSI Portacount instruments sampling second-by-second simultaneous inside- and outside-facepiece concentrations. Naïve subjects made two visits at least one week apart. At each visit subjects first donned either the respirator or adhesive mask without assistance and performed a five-exercise fast fit test. They then donned a new respirator or mask with assistance in proper donning (e.g., proper forming of the nosepiece, strap placement, etc.) and performed a second five-exercise fast fit test. The same sequence of unassisted and assisted donning was then repeated with the other facepiece.

    Source: Rembialkowski, Brian, Sietsema, Margaret, & Brosseau, Lisa. (2017). Journal of Occupational and Environmental Hygiene, 14(9), 669-673. http://dx.doi.org/10.1080/15459624.2017.1319569

  • This pilot study aimed at determining the Workplace Protection Factor (WPF) for respiratory protective devices widely used by health care workers to reduce exposure to potentially hazardous aerosols when attending patients in their homes. Two devices were tested, an N95 filtering facepiece respirator (FFR) and a surgical mask (SM). The results showed that wearing an N95-certified respirator helps significantly reduce the aerosol inhalation exposure of home-attending health care workers. An SM offers much lower protection. The WPF depends on several factors, including, but not limited to, the health care worker’s activity and/or body movements; the WPF varies from one worker to another.

    Source: Elmashae, Yousef, Grinshpun, Sergey A., Reponen, Tiina, Yermakov, Michael, & Riddle, Robert. (2017). Journal of Occupational and Environmental Hygiene, 14(9), D145-D149. http://dx.doi.org/10.1080/15459624.2017.1319571

  • Surgical glove perforation may expose both patients and staff members to severe complications. This study aimed to determine surgical glove perforation rate and the factors associated with glove defect.This study highlighted an important problem neglected by surgical teams. The findings reaffirm the importance of double-gloving and changing gloves in surgeries of more than 90 minutes’ duration.

    Source: Tlili, Mohamed Ayoub, Belgacem, Amina, Sridi, Haifa, Akouri, Maha, Aouicha, Wiem, Soussi, Sonia, Dabbebi, Faten, & Dhiab, Mohamed Ben. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.07.016

ÉQUIPEMENTS ERGONOMIQUES

ÉTABLISSEMENTS D’HÉBERGEMENT

  • The objective was to assessed the intrapersonal, interpersonal, and organizational factors that predicted job satisfaction among long-term care employees. The authors assessed if higher physical activity levels, fewer symptoms of depression, stress, and/or anxiety (ie, decreased mood), less back pain, stronger social support, and reports of low work demands were associated with higher job satisfaction.

    Source: Kelly, Doran, Resnick, Barbara, & Swanberg, Jennifer. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001146

  • The authors performed an integrated cross-sectional analysis of relationships between long term care work environments, employee and resident satisfaction, and quality of patient care. The results showed that facilities in the better-performing cluster were found to have better patient care outcomes and resident satisfaction; lower rates of workers compensation claims; better SRHP performance; higher employee retention; and greater worker job satisfaction and engagement.

    Source: Boakye-Dankwa, Ernest, Teeple, Erin, Gore, Rebecca, & Punnett, Laura. JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001163

  • Que signifie la « qualité relationnelle des soins »? Quelles pratiques concrètes favorisent cette qualité? Un ensemble de recherches conduites au Québec et en France montre que ce travail relationnel ne va pas de soi: au quotidien, les préposés se livrent à de nombreuses opérations visant à entrer en interaction avec les résidents, y compris – voire surtout – avec ceux qui souffrent de troubles cognitifs à un âge avancé. En effet, autant en observant les interactions entre préposés et résidents, qu’en s’entretenant avec des préposés, des résidents et des cadres, les auteurs ont découvert que les préposés mobilisent de nombreuses techniques relationnelles afin d’accomplir leur travail.

    Source: Brossard, Baptiste, & Sapin Leduc, Annie. (2017). Vie et vieillissement, 14(3), 20-24.

  • La formation en cours d’emploi peut présenter une façon d’outiller les PAB pour relever les défis particuliers du métier. On peut se demander toutefois s’il est possible pour les PAB de transférer, dans les situations réelles de travail, les apprentissages réalisés au cours de ces formations. Cet article présente les résultats d’une recherche qui s’est intéressés à une approche enseignée aux PAB dans une formation en cours d’emploi et aux conditions de sa mise en oeuvre en situation réelle, soit l’approche relationnelle de soins (ARS) offerte par l’ASSTSAS. Après avoir décrit en quoi consiste cette formation, les auteurs présentent brièvement la démarche de recherche, pour ensuite exposer comment l’ARS est reçue par les PAB et mise en oeuvre au cours des soins. Seront alors discutés les facteurs qui favorisent ou font obstacles à l’implantation de l’approche au quotidien.

    Source: Bellemare, Marie, Feillou, Isabelle, Viau-Guay, Anabelle, Trudel, Louis, Desrosiers, Johanne, & Guyon, Anne-Céline. (2017). Vie & vieillissement, 14(3), 8-13.

ÉVALUATION DES RISQUES

  • Specific methods currently exist to assess occupational hazards resulting from patient handling in the healthcare sector, according to ISO/TR 12296. They are all similar in nature, but with a different analysis perspective; for that reason a comparison of the most relevant methods was performed in a previous research. As a result, a basis of a new tool that integrates the complementary aspects of those methods was proposed. To verify the validity and reliability of that method, a study within a hospital setting was carried out in five medical and surgical units of a public health institution. Based on the obtained results, the analysed method (called HEMPA) proved to be valid and reliable. Also, this method reflects a positive correlation between risk and damage and correctly quantifies risks regarding patient’s dependence.

    Source: Villarroya, A., Azezes, P., de Freijo, Diaz, & Fraga, F. (2017). Applied Ergonomics, 65, 209-222. https://doi.org/10.1016/j.apergo.2017.06.018

FORMATION EN SST

  • L’objectif de cette formation est d’améliorer les connaissances des travailleurs du bâtiment, des agents de maintenance et des architectes concernant l’amiante, les sensibiliser aux risques encourus et leur permettre de devenir des acteurs de la prévention. Le choix s’est porté vers une méthode pédagogique interactive, faisant appel aux nouvelles technologies. Le module de formation présente l’amiante, ses utilisations, le repérage des matériaux, les risques pour la santé, les mesures de protection. Un test final permet de contrôler le niveau d’apprentissage avec validation finale.

    Source: Favre, O., Prieto, R., & Lazor-Blancher, C. (2017). Archives des Maladies Professionnelles et de l’Environnement, 78(4), 364-365. https://doi.org/10.1016/j.admp.2017.06.021

FUMÉES CHIRURGICALES

  • Evidence of the harmful effects of surgical smoke has been recognized in the literature and by professional organizations for many years, yet surgical smoke continues to pose a safety hazard for patients and perioperative personnel. A team of perioperative nurses and educators sought to improve compliance with policies and procedures for surgical smoke management in the OR. The team quantified smoke-evacuator use, assessed staff members’ knowledge using a pre-education survey, and presented a three-part multimodal education program. The team conducted a posteducation survey that showed significant improvement in staff members’ knowledge.

    Source: Chavis, Sherry, Wagner, Vicki, Becker, Melanie, Bowerman, Mercelita I., & Jamias, Mary Shirley. (2016). AORN Journal, 103(3), 289-296. https://doi.org/10.1016/j.aorn.2016.01.007

  • The new AORN « Guideline for surgical smoke safety » provides guidance on surgical smoke management. This article focuses on key points of the guideline to help perioperative personnel promote smoke-free work environments; evacuate surgical smoke; and develop education programs and competency verification tools, policies and procedures, and quality improvement initiatives related to controlling surgical smoke. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

    Source: Fencl, Jennifer L. (2017). AORN Journal, 105(5), 488-497. https://doi.org/10.1016/j.aorn.2017.03.006

GESTION – LEADERSHIP

  • Nursing professions report high rates of work-related injuries. Organizational safety practices have been linked to workers’ safety outcomes and perceptions about work. The study aim was to examine the relationships of organizational safety practices with nurses’ perceptions about job and risk and experiences of work-related injury and symptoms. The results showed that higher perceptions of organizational safety practices (safety climate, ergonomic practices, people-oriented culture) were significantly associated with lower physical workload, lower job strain, higher job satisfaction, lower risk perception, and lower work-related injury and symptom experiences. Ergonomic practices and people-oriented culture were associated with less intention of leaving job.

    Source: Soo-Jeong, Lee, & Joung Hee, Lee. (2017). JONA: Journal of Nursing Administration, 47(7/8), 404-411. doi: 10.1097/NNA.0000000000000504

  • As organisations experience rapid change, employee health and well-being has emerged as an important issue. Although organisational change can result in psychological and physical stress among employees (Hylton, 2004), providing positive organisational resources, such as support and job control, may help reduce employee burnout (e.g., Dubois et al., 2014; Leiter and Maslach, 2009; Puleo, 2011). Therefore, using a sample of Canadian health-care staff (N = 202) who were involved in a large-scale organisational change, we investigated: (a) whether perceptions of organisational change stressors were associated with burnout (i.e., exhaustion, cynicism, and professional efficacy), (b) the extent to which supervisor support and job control were directly related to burnout, and (c) whether support and control moderated the relationship between change stressors and burnout. Job control was directly related to all of the burnout components, and support was related to exhaustion and cynicism. Supervisor support buffered the negative relationship between change stressors and exhaustion and between change stressors and cynicism. Job control moderated the negative relationship between change and professional efficacy.

    Source: Day, Arla, Crown, Sarah N., & Ivany, Meredith. (2017). Safety Science, 100 (PartA), 4-12. https://doi.org/10.1016/j.ssci.2017.03.004

  • Comment les entreprises, même de petite taille, peuvent-elles contribuer à l’amélioration de la santé mentale de leurs employés et, du même coup, réduire les demandes d’indemnisation auprès des compagnies d’assurances? Voici des pistes, trop rentables pour qu’on n’en tienne pas compte.

    Source: Durand, Pierre, & Marchand, Alain. (Automne 2017), Gestion, 42(3), 104-107. Repéré à http://www.revuegestion.ca/catalog/revue-gestion/articles/la-sante-et-le-bien-etre-en-milieu-de-travail-rentables-et-a-la-portee-de-toutes-les-entreprises.html

  • Transformational leaders spark the intrinsic motivation of employees, thereby stimulating their extra-role performance. However, not all employees are lucky enough to have a transformational leader. The purpose of this paper is to investigate to what extent mindfulness can function as a substitute for transformational leadership. By being attentive to and aware of what is taking place in the present, mindfulness provides employees with a source of intrinsic motivation that lies within the person, thereby possibly making employees less dependent on transformational leadership. This paper is the first to show that mindful people are more resilient against the absence of transformational leadership. Given the frequent changes in management layers in organizations, knowledge about resources for individual resilience and self-management is sorely needed.

    Source: Kroon, Brigitte, van Woerkom, Marianne, & Menting, Charlotte. (2017). Journal of Managerial Psychology, 32(4), 284-297. https://doi.org/10.1108/JMP-07-2016-0223

  • The concept of employees’ commitment is one of the most challenging concepts in the management, organizational behaviour and human resource management literatures and research. The current study focuses on the construct of commitment as an emotional attitude, and expands the concept of general organizational commitment to a new more specific form of commitment, commitment to safety. Furthermore, commitment theorists commonly identify leadership as an important contributing factor to the development of organizational commitment. The authors aimed to explain an underlying motivational mechanism, self-regulatory foci, through which leadership styles foster followers’ commitment.

    Source: Delegach, Marianna, Kark, Ronit, Katz-Navon, Tal, & Van Dijk, Dina. (2017). European Journal of Work and Organizational Psychology. Prépublication. 1-17. http://dx.doi.org/10.1080/1359432X.2017.1345884

GESTION DE LA SST

  • Gabriel est bénévole lors d’un festival d’envergure internationale au parc Jean-Drapeau organisé par Festival-en-Folie. Lors de l’ouverture du site le premier jour, il est bousculé par la foule qui se rue vers la scène principale. En chutant, il se tord la cheville. Nathalie, responsable de la sécurité chez Festival-en-Folie, accourt à son secours. Après lui avoir prodigué les premiers soins, elle l’accompagne au chalet des employés. Elle est alors incertaine, peut-elle lui remettre un formulaire de réclamation pour accident de travail, même s’il est un bénévole, et non un employé?

    Source: Lajoie, Émile. (Automne 2017). Prévention au travail, 30(3), 16. Repéré à http://preventionautravail.com/droits-et-obligations/480-les-employeurs-ont-ils-des-obligations-envers-les-benevoles.html

  • Three Ohio hospital nurses recently had to be revived with an opioid antidote after caring for a drugged patient, underscoring a new occupational threat to healthcare workers and the lack of federal guidelines to protect them. The incident, which the three healthcare workers survived, drives home the growing occupational risk of the national opioid epidemic.

    Source: Evans, Gary. (October 2017). Hospital Employee Health, 36(10), 109-120. Repéré à https://www.ahcmedia.com/articles/141390-exposures-to-opioid-patients-endanger-healthcare-workers

  • Par la création de ce cadre de référence, le ministère de la Santé et des Services sociaux souhaite énoncer et faire connaître aux établissements les bonnes pratiques issues de la littérature ainsi que les orientations privilégiées par le Ministère en matière de soutien et de réintégration au travail des employés en invalidité. Il souhaite également présenter aux établissements une démarche d’implantation qu’ils peuvent réaliser et leur fournir des outils pour qu’ils puissent mettre en place ou bonifier leur propre programme de soutien et de réintégration au travail des employés en invalidité. Il s’adresse d’abord à la haute direction, particulièrement à la Direction des ressources humaines, des communications et des affaires juridiques, qui est responsable du service de la gestion de la présence au travail. Il s’adresse ensuite à l’ensemble du personnel d’encadrement et des employés des établissements, qui ont tous un rôle à jouer dans le soutien et la réintégration au travail des employés en invalidité.

    Source: Carrier, Pier-Ann, Landry, Mona. (2017). [Québec]: Direction des communications du ministère de la Santé et des Services sociaux, 71 p. Repéré à http://publications.msss.gouv.qc.ca/msss/fichiers/2017/17-529-01W.pdf

  • A large body of evidence demonstrates substantial effects of work-related psychosocial hazards on risks of both musculoskeletal and mental health disorders (MSDs and MHDs), which are two of the most costly occupational health problems in many countries. This study investigated current workplace risk management practices in two industry sectors with high risk of both MSDs and MHDs and evaluated the extent to which risk from psychosocial hazards is being effectively managed.

    Source: Oakman, Jodi, Macdonald, Wendy, Bartram, Timothy, Keegel, Tessa, & Kinsman, Natasha. (2018). Safety Science, 101, 220-230. https://doi.org/10.1016/j.ssci.2017.09.004

  • Although multiple studies have examined sources and consequences of fatigue, little is known about the current state of fatigue risk management system (FRMS). The aim of this study was to describe the current state of fatigue risk management systems (FRMS) to address nurse fatigue in hospitals. Significant opportunities exist to implement formal FRMS in healthcare. Nursing leaders, in partnership with other organizational leaders, should develop a formal plan to monitor fatigue and implement multiple levels of interventions to prevent fatigue and mitigate its consequences.

    Source: Steege, Linsey M., Pinekenstein, Barbara J., Rainbow, Jessica G., & Arsenault Knudsen, Élise. (2017). JONA: Journal of Nursing Administration, 47(9), 426-433. doi: 10.1097/NNA.0000000000000509

  • Nursing professions report high rates of work-related injuries. Organizational safety practices have been linked to workers’ safety outcomes and perceptions about work. The study aim was to examine the relationships of organizational safety practices with nurses’ perceptions about job and risk and experiences of work-related injury and symptoms. The results showed that higher perceptions of organizational safety practices (safety climate, ergonomic practices, people-oriented culture) were significantly associated with lower physical workload, lower job strain, higher job satisfaction, lower risk perception, and lower work-related injury and symptom experiences. Ergonomic practices and people-oriented culture were associated with less intention of leaving job.

    Source: Soo-Jeong, Lee, & Joung Hee, Lee. (2017). JONA: Journal of Nursing Administration, 47(7/8), 404-411. doi: 10.1097/NNA.0000000000000504

  • Occupational health and safety (OHS) is poorer in small and medium-sized enterprises (SMEs) than in large corporations. Fatal accidents are up to eight times more frequent in SMEs and non-fatal injuries are as much as 50% more likely to occur. In order to improve the OHS status of SMEs, the constraints under which these businesses operate must be taken into account. In this critical review of the literature, we present an overview of research and industrial practices relating to OHS performance evaluation, and therefore of the information-gathering tools developed or adapted for this purpose, with emphasis on the SME context. The goal of this work is to identify avenues of research that are likely to yield practical means of meeting the challenge of integrating OHS into SME culture.

    Source: Tremblay, Alec, & Badri, Adel. (2018). Safety Science, 260-267.

  • Since the publication of the Institute of Medicine’s groundbreaking report « To Err is Human » in 2000, patient safety has become a key health care issue, driving decision-making and policy formulation in virtually every sector of the health care system. In 2008, Berwick stated that the US health care system could only be improved if it focused on three aims: (1) improving the experience of patient care; (2) improving the health of populations; and (3) reducing per capita costs of health care. More recently, a new topic has begun to emerge: the health and safety of those who deliver health care—from physicians and nurses to administrative and service personnel—and how that can impact the health and safety of patients. It is becoming clear that workers in this high stress, demanding sector are themselves prone to a wide variety of health risks, ranging from musculoskeletal issues to depression and burnout. This burnout and dissatisfaction among health care workers compromises the goals of the triple aim. Therefore, there is a need to expand the triple aim into the quadruple aim, which includes the goal of improving the work life and well-being of health care providers.

    Source: Loeppke, Ronald, Boldrighini, Jodie, Bowe, John, Braun, Barbara, Eggins, Erik, Eisenberg, Barry S….Yarbrough, Mary. (2017). JOEM: Journal of Occupational & Environmental Medicine, 59(8), 803-813. (ACOEM Position Statement). Repéré à http://www.acoem.org/uploadedFiles/Public_Affairs/Policies_And_Position_Statements/Guidelines/Position_Statements/Interaction_of_Health_Care_Worker_Health_and.17.pdf

  • The authors performed an integrated cross-sectional analysis of relationships between long term care work environments, employee and resident satisfaction, and quality of patient care. The results showed that facilities in the better-performing cluster were found to have better patient care outcomes and resident satisfaction; lower rates of workers compensation claims; better SRHP performance; higher employee retention; and greater worker job satisfaction and engagement.

    Source: Boakye-Dankwa, Ernest, Teeple, Erin, Gore, Rebecca, & Punnett, Laura. JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001163

  • L’Enquête québécoise sur la santé de la population (EQSP) permet également de mesurer de nombreux indicateurs liés à la santé en milieu de travail et de décrire les conditions de travail. L’enquête aborde pour la première fois la conciliation travail-famille, le harcèlement psychologique au travail, la détresse psychologique au travail, les troubles musculosquelettiques (TMS) d’origine non traumatique liés au travail et la surdité attribuable au travail. L’EQSP contient aussi des informations à propos, entre autres, de l’environnement organisationnel (niveau de soutien au travail, tension au travail, exigences psychologiques, niveau d’autorité décisionnelle, niveau de reconnaissance) et de l’environnement physique et des conditions ambiantes. Dans cet article, l’auteur s’intéresse aux contraintes physiques du travail, à la prévalence de troubles musculosquelettiques au travail, à la conciliation emploi-famille et au harcèlement psychologique.

    Source: Demers, Marc-André. (Juin 2017). Flash-Info, 18(2),11-19. Repéré à http://www.stat.gouv.qc.ca/statistiques/travail-remuneration/bulletins/flash-info-201706.pdf#page=11

  • Evaluation of scientific evidence is critical in developing recommendations to reduce risk. Healthcare was the first scientific field to employ a systematic review approach for synthesizing research findings to support evidence-based decision-making and it is still the largest producer and consumer of systematic reviews. Systematic reviews in the field of occupational safety and health are being conducted, but more widespread use and adoption would strengthen assessments. In 2016, NIOSH asked RAND to develop a framework for applying the traditional systematic review elements to the field of occupational safety and health. This paper describes how essential systematic review elements can be adapted for use in occupational systematic reviews to enhance their scientific quality, objectivity, transparency, reliability, utility, and acceptability.

    Source: Howard, John, Piacentino, John, MacMahon, Kathleen, Schulte, Paul. (2017). American Journal of Industrial Medicine. Prépublication. doi: 10.1002/ajim.22771

  • Que doit-on penser du programme comportemental? Voilà une question fréquemment posée. Pour y répondre, l’auteur reprend à mon compte une citation du regretté humoriste français Michel Coluche « Je ne suis ni pour ni contre, bien au contraire ». Mais, il laisse à son interlocuteur le soin de s’y retrouver.

    Source: Pérusse, Michel. (Septembre 2017).Travail et santé, 33(3), 24-27.

CET ARTICLE N’EST PAS DISPONIBLE EN VERSION ÉLECTRONIQUE

  • Dans cette nouvelle programmation scientifique, la présentation des travaux et services en continu et des livrables attendus fournit une description concrète des engagements de l’Institut. La santé publique est un champ d’expertise et de pratique extrêmement vaste. La programmation scientifique de l’Institut ne couvre donc pas toutes les problématiques d’intérêt pour la protection, la prévention et la promotion de la santé de la population québécoise. Cette réalité, omniprésente pendant la réalisation des travaux, a aussi été mise en exergue lors des consultations. La question de la santé et sécurité au travail est abordée sous l’angle de plusieurs thématiques de santé publique.

    Source: Institut national de santé publique du Québec. Vice-présidence aux affaires scientifiques. Vice-présidence à la valorisation scientifique et aux communications. [Montréal]: Institut national de santé publique du Québec, iii, 59 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2263_programmation_scientifique_2017_2020.pdf

  • The concept of employees’ commitment is one of the most challenging concepts in the management, organizational behaviour and human resource management literatures and research. The current study focuses on the construct of commitment as an emotional attitude, and expands the concept of general organizational commitment to a new more specific form of commitment, commitment to safety. Furthermore, commitment theorists commonly identify leadership as an important contributing factor to the development of organizational commitment. The authors aimed to explain an underlying motivational mechanism, self-regulatory foci, through which leadership styles foster followers’ commitment.

    Source: Delegach, Marianna, Kark, Ronit, Katz-Navon, Tal, & Van Dijk, Dina. (2017). European Journal of Work and Organizational Psychology. Prépublication. 1-17. http://dx.doi.org/10.1080/1359432X.2017.1345884

  • This is the first edition of CSA Z1005, Incident investigation. This Standard replaces CAN/CSA-Z796, Accident information, published in 1998. This Standard outlines incident investigation and prevention principles and requirements, the purpose of which is to determine causes and to prevent work-related incidents. CSA Z1005 adheres to management system principles, such as those set out in CSA Z1000, Occupational health and safety management. Use of Z1005 is not contingent on an organization having an occupational health and safety management system (OHSMS); however, it does specify a Plan-Do-Check-Act cycle to ensure that management system deficiencies are identified and addressed. It also complements CSA Z1002, Hazard identification and elimination and risk assessment and control. When hazards are identified and eliminated, and when risk is assessed and controlled in accordance with the principles in CSA Z1002, then the number of work-related incidents can be reduced or prevented.

    Source: Canadian Standard Association. Technical Committee on Incident Investigation and Prevention. (2017). Incident investigation. Norme CSA Z1005-17. Toronto: CSA Group, 54 p. Repéré à http://shop.csa.ca/fr/restofworld/enquetes-sur-les-accidents-et-les-maladies/z1005-17/invt/27004992017

La norme n’est pas encore disponible en français.

  • Il existe des risques à la santé associés à des expositions professionnelles à de faibles concentrations d’amiante (Wolff et al., 2015). Préoccupé par les effets de l’amiante sur la santé humaine ainsi que les enjeux associés à son contrôle, l’INSPQ salue l’initiative du projet de loi fédérale visant l’interdiction de l’amiante au Canada. Il émet toutefois des réserves et des recommandations sur quatre des exemptions prévues à la nouvelle approche réglementaire. Ces exemptions, qui pourraient exposer des travailleurs et la population générale, sont celles relatives à l’exploitation minière, le traitement des résidus miniers pour certaines applications, l’amiante contenu dans un produit antiparasitaire, l’amiante ou produits contenant de l’amiante présentés à des fins éducatives. L’INSPQ s’interroge enfin sur l’exemption générale sur les traces d’amiante d’origine naturelle qui nécessiterait certaines précisions.

    Source: De Guire, Louise, Levasseur, Marie-Eve, Adib, Georges, Krupoves, Alfreda, & Chapados, Maude. (2017). [Montréal]: Institut national de santé publique du Québec, ii, 5 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2266_commentaires_projet_loi_c321.pdf

GESTION DU CHANGEMENT

  • As organisations experience rapid change, employee health and well-being has emerged as an important issue. Although organisational change can result in psychological and physical stress among employees (Hylton, 2004), providing positive organisational resources, such as support and job control, may help reduce employee burnout (e.g., Dubois et al., 2014; Leiter and Maslach, 2009; Puleo, 2011). Therefore, using a sample of Canadian health-care staff (N = 202) who were involved in a large-scale organisational change, we investigated: (a) whether perceptions of organisational change stressors were associated with burnout (i.e., exhaustion, cynicism, and professional efficacy), (b) the extent to which supervisor support and job control were directly related to burnout, and (c) whether support and control moderated the relationship between change stressors and burnout. Job control was directly related to all of the burnout components, and support was related to exhaustion and cynicism. Supervisor support buffered the negative relationship between change stressors and exhaustion and between change stressors and cynicism. Job control moderated the negative relationship between change and professional efficacy.

    Source: Day, Arla, Crown, Sarah N., & Ivany, Meredith. (2017). Safety Science, 100 (PartA), 4-12. https://doi.org/10.1016/j.ssci.2017.03.004

HARCÈLEMENT AU TRAVAIL

  • Although criminology has actively engaged with psychological violence in the context of domestic violence and child abuse, it has been slower coming to the fore when it comes to such violence in the workplace. This is despite the well-documented human, organisational, community and service costs associated with such victimisation. As demonstrated in this review, the bulk of strategies that have been trialled to date has been devised from psychology, management and organisational development perspectives. However, there is a paucity of evidence that any of the interventions that are widely promoted have been subjected to robust evaluations or provided evidence of any long-term reduction in the incidence of violence as a consequence of such interventions. Acknowledging there no easy single recipe, it is timely to consider the potential of alternative approaches including the application of guardianship and related principles from the routine activity approach, which are well-established strategies for prevention of victimisation in a range of contexts as set out in this review.

    Source: Schindler, Emily, & Reynald, Danielle M. (2017). Aggression and Violent Behavior, 36, 25-33. https://doi.org/10.1016/j.avb.2017.07.004

  • L’Enquête québécoise sur la santé de la population (EQSP) permet également de mesurer de nombreux indicateurs liés à la santé en milieu de travail et de décrire les conditions de travail. L’enquête aborde pour la première fois la conciliation travail-famille, le harcèlement psychologique au travail, la détresse psychologique au travail, les troubles musculosquelettiques (TMS) d’origine non traumatique liés au travail et la surdité attribuable au travail. L’EQSP contient aussi des informations à propos, entre autres, de l’environnement organisationnel (niveau de soutien au travail, tension au travail, exigences psychologiques, niveau d’autorité décisionnelle, niveau de reconnaissance) et de l’environnement physique et des conditions ambiantes. Dans cet article, l’auteur s’intéresse aux contraintes physiques du travail, à la prévalence de troubles musculosquelettiques au travail, à la conciliation emploi-famille et au harcèlement psychologique.

    Source: Demers, Marc-André. (Juin 2017). Flash-Info, 18(2),11-19. Repéré à http://www.stat.gouv.qc.ca/statistiques/travail-remuneration/bulletins/flash-info-201706.pdf#page=11

HORAIRE DE TRAVAIL

  • Little is known about the current state of fatigue risk management systems (FRMSs) implementation and adoption of national recommendations in nursing work systems.The aim of this article is to describe the current state of FRSM to address nurse fatigue in hospitals. This study provides a framework for implementation of FRMSs as an innovation, highlighting the critical role of nurse leaders in adoption and dissemination. Raising the visibility of fatigue across the organization is a critical 1st step.

    Source: Steege, Linsey M., Pinekenstein, Barbara J., Rainbow, Jessica G., & Arsenault Knudsen, Élise. (2017). JONA: Journal of Nursing Administration. Prépublication. doi: 10.1097/NNA.0000000000000519

  • In 2007, the International Agency for Research on Cancer declared shift work that involved circadian disruption to be a « probable » carcinogen, noting that human evidence was limited. Using data from 2 prospective cohort studies, the Nurses’ Health Study (1988–2012) and Nurses’ Health Study II (1989–2013), the authors examined associations between rotating night-shift work and breast cancer risk. In conclusion, long-term rotating night-shift work was associated with a higher risk of breast cancer, particularly among women who performed shift work during young adulthood. Further studies should explore the role of shift work timing on breast cancer risk.

    Source: Wegrzyn, Lani R., Tamimi, Rulla M., Rosner, Bernard A., Brown, Susan B., Stevens, Richard G., Eliassen, A. Heather… Schernhammer, Eva S.. (2017). American Journal of Epidemiology, 186(5), 532-540. https://doi.org/10.1093/aje/kwx140

  • To prevent an accumulation of strain during work and to reduce error risk, many countries have made rest breaks mandatory. In the nursing literature, insufficient rest break organization is often reported. However, the outcomes of nurses’ rest break organization and its anteceding factors are less clear. The authors found 93 potentially relevant articles published between 01/1990 and 04/2016. Several studies reported a high prevalence of missed, interrupted, or delayed rest breaks in nursing. Nurses’ rest breaks often related to better physical and mental well-being but did not affect motivational outcomes and performance systematically.

    Source: Wendsche, Johannes, Ghadiri, Argang, Bengsch, Amelie, & Wegge, Jürgen. (2017). International Journal of Nursing Studies, 75, 85-80. https://doi.org/10.1016/j.ijnurstu.2017.07.005

  • Working long hours has been associated with adverse health outcomes. However, a definition of long work hours relative to adverse health risk has not been established. Repeated measures of work hours among approximately 2,000 participants from the Panel Study of Income Dynamics (1986–2011), conducted in the United States, were retrospectively analyzed to derive statistically optimized cutpoints of long work hours that best predicted three health outcomes.

    Source: Conway, Sadie H., Pompeii, Lisa A., de Porras, David Gimeno Riuz, Follis, Jack L., & Roberts, Robert E. (2017). American Journal of Epidemiology, 186(2), 173-183. https://doi.org/10.1093/aje/kwx003

HYGIÈNE ET SALUBRITÉ

POUR ACCÉDER AU GUIDE: http://www.oem.msu.edu/images/resources/BleachBrochureJuly2017.pdf

  • Frequent use of workplace disinfectants may increase health care workers’ risk of developing chronic obstructive pulmonary disease, suggest researchers from France’s National Institute of Health and Medical Research. Analyzing data from 55,185 registered nurses who were part of the Nurses’ Health Study II, researchers in 2009 began studying nurses without COPD and followed them until this past May. Specific disinfectants analyzed included glutaraldehyde (used for medical instruments), bleach, hydrogen peroxide, alcohol and quaternary ammonium compounds (or « quats, » mainly used for disinfection of surfaces such as floors and furniture). All of the disinfectants were associated with an increased risk of COPD of between 24 percent and 32 percent.

    Source: Use of disinfectants raises risk of COPD among nurses: study. (September 19, 2017). Safety+Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/16143-use-of-disinfectants-raises-risk-of-copd-among-nurses-study

VOIR AUSSI: https://erscongress.org/component/content/article/121-congress-2017/media-centre/press-releases/530-dumas-copd-disinfectants.html

  • Viable air particles pose a risk in areas where sterile preparations are compounded. This study investigated the efficacy of an innovative air purification technology that uses a shielded ultraviolet C light lamp to continuously purify the air in an inpatient pharmacy. Mean airborne fungal and bacterial colony forming units were obtained preinstallation and again in 6 months. A statistically significant decrease of 78% and 62% was observed for fungal and bacterial particles, respectively. This study demonstrates a potential role for this novel technology in decreasing the spread of airborne pathogens.

    Source: Guimera, Don, Trzil, Jean, Joyner, Joy, & Hysmith, Nicholas D. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.07.026

MANUTENTION DE CHARGES

  • This study investigated the effects of carrying a backpack while walking. Critical changes featuring the disproportionality of increases in trunk muscle activation and lumbar joint loading between light and heavy backpack carriage weight may reveal the load-bearing strategy (LBS) of the lumbar spine. This was investigated using an integrated system equipped with a motion analysis, a force platform and a wireless surface electromyography (EMG) system to measure the trunk muscle EMG amplitudes and lumbar joint component forces. A predictive goal programming model was developed to determine the most critical changes in trunk muscle activation and lumbar joint loading. Results suggested that lightweight backpack carriage at approximately 3% of body weight (BW) might reduce the peak lumbosacral compression force by 3% during walking compared with no load condition. The most critical changes in both trunk muscle activation and lumbosacral joint loading were found at a backpack load of 10% of BW.

    Source: Li, Simon S.W., & Chow, Daniel H.K. (2017). Ergosnomics. Prépublication. http://dx.doi.org/10.1080/00140139.2017.1365950

  • This study is concerned with the characteristics of occupational injuries and sick leave for gas cylinder handling workers. Possible incidents and sick leave have been identified and analyzed for 223 occupational accidents in the gas cylinder handling work. Management level of accidents for prioritizing prevention measures is induced for the combination of accident agencies, types, and gas cylinder handling work processes. Accidents occurring during the specific gas cylinder handling work process showed different characteristics, depending on the type and agency of the accident. Most critical accidents that require corrective actions for prevention were slips and trips caused by floors, walkways, steps, or ground surfaces and overexertion and bodily reaction and posture caused by gas cylinder in the manual delivery of heavy cylinders process. Also, fall to lower level caused by floors, walkways, steps, or ground surfaces in the loading to and unloading from vehicles process and struck by or against caused by fixtures in the manual delivery of heavy cylinders process were also ranked high. The findings of this study can be used to develop more effective accident prevention policies to reduce occupational accidents in gas cylinder handling works.

    Source: Kim, Jeong Nam, Jeong, Byung Yong, & Park, Myoung Hwan. (2017). Human Factors and Ergonomics in Manufacturing & Service Industries. Prépublication. doi:10.1002/hfm.20711

MÉDICAMENTS DANGEREUX – PHARMACIE

  • An improved organizational safety climate, including increased management commitment, may help prevent exposure to liquid antineoplastic drugs among nurses who administer the medications, a recent NIOSH study suggests. Liquid antineoplastic drugs are used during chemotherapy to treat cancer, as well as arthritis, multiple sclerosis and other conditions. The drugs kill cancer cells but also can harm healthy tissue, making them potentially hazardous to health care workers who handle them. Researchers analyzed data from the 2011 Health and Safety Practices Survey of Healthcare Workers, examining the responses of 1,814 nurses employed by either a hospital or ambulatory health care center who had applied liquid antineoplastic drugs in the past seven days.

    Source: Researchers examine link between safety climate and nurses’ exposure to chemotherapy drugs (August 2, 2017). Safety+Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/16000-researchers-examine-link-between-safety-climate-and-nurses-exposure-to-chemotherapy-drugs

  • Viable air particles pose a risk in areas where sterile preparations are compounded. This study investigated the efficacy of an innovative air purification technology that uses a shielded ultraviolet C light lamp to continuously purify the air in an inpatient pharmacy. Mean airborne fungal and bacterial colony forming units were obtained preinstallation and again in 6 months. A statistically significant decrease of 78% and 62% was observed for fungal and bacterial particles, respectively. This study demonstrates a potential role for this novel technology in decreasing the spread of airborne pathogens.

    Source: Guimera, Don, Trzil, Jean, Joyner, Joy, & Hysmith, Nicholas D. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.07.026

  • Dans le cadre de l’évaluation des expositions professionnelles et afin de sensibiliser les salariés possiblement exposés, plusieurs outils sont disponibles. Alors que la métrologie d’atmosphère est assez peu utilisée dans ce contexte, il peut être pertinent de réaliser une surveillance biologique de l’exposition professionnelle quand elle est disponible ainsi que des frottis de surfaces. Afin d’évaluer une éventuelle contamination de l’environnement du travail des professionnels de santé, quels médicaments anticancéreux peuvent être recherchés sur des frottis de surfaces? À qui peut-on s’adresser pour les réaliser et les analyser. Cette chronique de la section « Vos questions/nos réponses » répond à ces interrogations.

    Source: Passeron, Jean, & Canal-Raffin, Mireille. (Septembre 2017). Références en santé au travail, 151, 121-123. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-122/qr122.pdf

  • Environmental monitoring is usually conducted by surface sampling to detect and quantify the presence of cytotoxic drugs after their reconstitution and administration. This technique reveals the origins of residual contamination and is an important component in order to protect healthcare workers from the potential risk of occupational exposure. The aim of this work is to compare various techniques and results of surface sampling for cytotoxics.

    Source: Petit, Marie, Curti, Christophe, Roche, Manon, Montana, Marc, Bornet, Charleric, & Vanelle, Patrice. (2017). Environmental Monitoring and Assessment, 189(2):52. https://doi.org/10.1007/s10661-016-5762-9

  • Oncology workers are occupationally exposed to antineoplastic drugs. This exposure can induce adverse health effects. To reduce their exposure, contamination on surfaces should be kept as low as possible. The main objective of this study was to monitor environmental contamination with cyclophosphamide, ifosfamide, and methotrexate in oncology pharmacy and patient care areas in Canadian centers. The secondary objective was to describe the impact of some factors that may limit contamination.

    Source: Roland, C., Caron, N., & Bussières, J.F. (2017). Journal of Occupational and Environmental Hygiene, 14(8), 650-658. http://dx.doi.org/10.1080/15459624.2017.1316389

  • La surveillance biologique de l’exposition professionnelle aux médicaments anticancéreux développée depuis quelques années et les frottis de surface ont permis d’identifier les sources et voies d’exposition à tous les stades de leur manipulation, mais également lors de contacts avec les patients traités ou de façon indirecte à partir d’un environnement contaminé. Compte tenu de ces éléments, des mesures de prévention sont à mettre en œuvre. Outre la mise en place depuis une vingtaine d’années d’unités de reconstitution centralisée des chimiothérapies, les données actuelles de contamination montrent la nécessité de réfléchir à des mesures de prévention lors des autres phases d’activités exposantes. Des recommandations existent mais restent pour certaines encore imprécises. Cet article fait le point sur les données de la littérature actuellement disponibles.

    Source: Verdun-Esquer, C., Atge, B., Videau, N., Delva, F., Leclerc, I., Goujon, Y., & Canal-Raffin, M. (2017). Archives des Maladies Professionnelles et de l’Environnement. Prépublication. https://doi.org/10.1016/j.admp.2017.08.012

  • Antineoplastic drugs (ADs) will continue to represent a potential risk for personnel involved in the handling of these compounds and great concerns have been raised by the presence of ADs in many surveyed workplaces. Eight hospitals were investigated by means of wipe sampling for surface residue determination.

    Source: Sottani, Cristina, Grignani, Elena, Oddone, Enrico, Dezza, Beatrice, Negri, Sara, Villani, Simona, & Cottica, Danilo. (2017). Annals of Work Exposure and Health, 61(8), 994-1002. https://doi.org/10.1093/annweh/wxx065

MILIEU DE VIE

  • Que signifie la « qualité relationnelle des soins »? Quelles pratiques concrètes favorisent cette qualité? Un ensemble de recherches conduites au Québec et en France montre que ce travail relationnel ne va pas de soi: au quotidien, les préposés se livrent à de nombreuses opérations visant à entrer en interaction avec les résidents, y compris – voire surtout – avec ceux qui souffrent de troubles cognitifs à un âge avancé. En effet, autant en observant les interactions entre préposés et résidents, qu’en s’entretenant avec des préposés, des résidents et des cadres, les auteurs ont découvert que les préposés mobilisent de nombreuses techniques relationnelles afin d’accomplir leur travail.

    Source: Brossard, Baptiste, & Sapin Leduc, Annie. (2017). Vie et vieillissement, 14(3), 20-24.

  • La formation en cours d’emploi peut présenter une façon d’outiller les PAB pour relever les défis particuliers du métier. On peut se demander toutefois s’il est possible pour les PAB de transférer, dans les situations réelles de travail, les apprentissages réalisés au cours de ces formations. Cet article présente les résultats d’une recherche qui s’est intéressés à une approche enseignée aux PAB dans une formation en cours d’emploi et aux conditions de sa mise en oeuvre en situation réelle, soit l’approche relationnelle de soins (ARS) offerte par l’ASSTSAS. Après avoir décrit en quoi consiste cette formation, les auteurs présentent brièvement la démarche de recherche, pour ensuite exposer comment l’ARS est reçue par les PAB et mise en oeuvre au cours des soins. Seront alors discutés les facteurs qui favorisent ou font obstacles à l’implantation de l’approche au quotidien.

    Source: Bellemare, Marie, Feillou, Isabelle, Viau-Guay, Anabelle, Trudel, Louis, Desrosiers, Johanne, & Guyon, Anne-Céline. (2017). Vie & vieillissement, 14(3), 8-13

NORMES ET LÉGISLATION EN SST

  • This is the first edition of CSA Z1005, Incident investigation. This Standard replaces CAN/CSA-Z796, Accident information, published in 1998. This Standard outlines incident investigation and prevention principles and requirements, the purpose of which is to determine causes and to prevent work-related incidents. CSA Z1005 adheres to management system principles, such as those set out in CSA Z1000, Occupational health and safety management. Use of Z1005 is not contingent on an organization having an occupational health and safety management system (OHSMS); however, it does specify a Plan-Do-Check-Act cycle to ensure that management system deficiencies are identified and addressed. It also complements CSA Z1002, Hazard identification and elimination and risk assessment and control. When hazards are identified and eliminated, and when risk is assessed and controlled in accordance with the principles in CSA Z1002, then the number of work-related incidents can be reduced or prevented.

    Source: Canadian Standard Association. Technical Committee on Incident Investigation and Prevention. (2017). Incident investigation. Norme CSA Z1005-17. Toronto: CSA Group, 54 p. Repéré à http://shop.csa.ca/fr/restofworld/enquetes-sur-les-accidents-et-les-maladies/z1005-17/invt/27004992017

La norme n’est pas encore disponible en français.

  • Il existe des risques à la santé associés à des expositions professionnelles à de faibles concentrations d’amiante (Wolff et al., 2015). Préoccupé par les effets de l’amiante sur la santé humaine ainsi que les enjeux associés à son contrôle, l’INSPQ salue l’initiative du projet de loi fédérale visant l’interdiction de l’amiante au Canada. Il émet toutefois des réserves et des recommandations sur quatre des exemptions prévues à la nouvelle approche réglementaire. Ces exemptions, qui pourraient exposer des travailleurs et la population générale, sont celles relatives à l’exploitation minière, le traitement des résidus miniers pour certaines applications, l’amiante contenu dans un produit antiparasitaire, l’amiante ou produits contenant de l’amiante présentés à des fins éducatives. L’INSPQ s’interroge enfin sur l’exemption générale sur les traces d’amiante d’origine naturelle qui nécessiterait certaines précisions.

    Source: De Guire, Louise, Levasseur, Marie-Eve, Adib, Georges, Krupoves, Alfreda, & Chapados, Maude. (2017). [Montréal]: Institut national de santé publique du Québec, ii, 5 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2266_commentaires_projet_loi_c321.pdf

ORGANISMES COMMUNAUTAIRES

  • Gabriel est bénévole lors d’un festival d’envergure internationale au parc Jean-Drapeau organisé par Festival-en-Folie. Lors de l’ouverture du site le premier jour, il est bousculé par la foule qui se rue vers la scène principale. En chutant, il se tord la cheville. Nathalie, responsable de la sécurité chez Festival-en-Folie, accourt à son secours. Après lui avoir prodigué les premiers soins, elle l’accompagne au chalet des employés. Elle est alors incertaine, peut-elle lui remettre un formulaire de réclamation pour accident de travail, même s’il est un bénévole, et non un employé?

    Source: Lajoie, Émile. (Automne 2017). Prévention au travail, 30(3), 16. Repéré à http://preventionautravail.com/droits-et-obligations/480-les-employeurs-ont-ils-des-obligations-envers-les-benevoles.html

  • Occupational health and safety (OHS) is poorer in small and medium-sized enterprises (SMEs) than in large corporations. Fatal accidents are up to eight times more frequent in SMEs and non-fatal injuries are as much as 50% more likely to occur. In order to improve the OHS status of SMEs, the constraints under which these businesses operate must be taken into account. In this critical review of the literature, we present an overview of research and industrial practices relating to OHS performance evaluation, and therefore of the information-gathering tools developed or adapted for this purpose, with emphasis on the SME context. The goal of this work is to identify avenues of research that are likely to yield practical means of meeting the challenge of integrating OHS into SME culture.

    Source: Tremblay, Alec, & Badri, Adel. (2018). Safety Science, 260-267

PRÉVENTION DES INFECTIONS

VOIR AUSSI: https://internationalsafetycenter.org/wp-content/uploads/2017/04/Consensus-Statement-Improving-Work-Wear-for-Healthcare.pdf

  • Viable air particles pose a risk in areas where sterile preparations are compounded. This study investigated the efficacy of an innovative air purification technology that uses a shielded ultraviolet C light lamp to continuously purify the air in an inpatient pharmacy. Mean airborne fungal and bacterial colony forming units were obtained preinstallation and again in 6 months. A statistically significant decrease of 78% and 62% was observed for fungal and bacterial particles, respectively. This study demonstrates a potential role for this novel technology in decreasing the spread of airborne pathogens.

    Source: Guimera, Don, Trzil, Jean, Joyner, Joy, & Hysmith, Nicholas D. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.07.026

  • Over the years, employee health professionals have occasionally found themselves at odds with their colleagues in infection prevention on issues like mandated flu shots or the level of respiratory protection needed to protect a worker from an emerging infection. The different paradigms for occupational health and infection control were brought to the fore during the Ebola outbreak, but were probably most acurately contrasted during the controversy over infection control measures, or the lack thereof, used to protect healthcare workers during the SARS outbreak in Toronto in 2003.

    Source: Evans, Gary. (September 2017). Hospital Employee Health, 36(9), 97-100. Repéré à https://www.ahcmedia.com/articles/141228-hand-in-glove-employee-health-partners-with-infection-control

  • With the focus on the emergence of multidrug-resistant gram negative pathogens, Clostridium difficile and the re-emergence of childhood diseases like measles, once-predominant methicillin-resistant Staphylococcus aureus (MRSA) has somewhat fallen off the radar, particularly as an occupational infection. However, the CDC is revisiting MRSA and drug-susceptible staph strains in a major way in its comprehensive new guidelines, « Infection Prevention in Healthcare Personnel. »

    Source: CDC Revisiting MRSA in New HCW Infection Guidelines. (September 2017). Hospital Employee Health, 36(9), 101-102. Repéré à https://www.ahcmedia.com/articles/141229-cdc-revisiting-mrsa-in-new-hcw-infection-guidelines

  • Non-sterile gloves primarily serve as a barrier protection for health care workers (HCWs). However, pathogens may often contaminate the skin of HCWs during glove removal; therefore, pathogens may be further transmitted and cause nosocomial infections. A field study was conducted comparing contamination rates when using standard gloves or a new modified product equipped with an additional flap (doffing aid) for easier removal. Gloves were removed after bathing gloved hands in an artificial fluorescent lotion. The number of contamination spots was then visually examined using ultraviolet light.

    Source: Gleser, Maxim, Schwab, Frank, Solbach, Philipp, & Vonberg, Ralf-Peter. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.08.024

  • The goal of this study was to examine the impact of assistance with donning and time on quantitative fit factors and pass rates for subjects wearing an N95 filtering facepiece respirator and a non-certified adhesive mask. Fit factors were measured using two side-by-side TSI Portacount instruments sampling second-by-second simultaneous inside- and outside-facepiece concentrations. Naïve subjects made two visits at least one week apart. At each visit subjects first donned either the respirator or adhesive mask without assistance and performed a five-exercise fast fit test. They then donned a new respirator or mask with assistance in proper donning (e.g., proper forming of the nosepiece, strap placement, etc.) and performed a second five-exercise fast fit test. The same sequence of unassisted and assisted donning was then repeated with the other facepiece.

    Source: Rembialkowski, Brian, Sietsema, Margaret, & Brosseau, Lisa. (2017). Journal of Occupational and Environmental Hygiene, 14(9), 669-673. http://dx.doi.org/10.1080/15459624.2017.1319569

  • The purpose of this study was to evaluate all available literature and develop a pooled estimate of the risk of sharps injuries (SI) among home care (HC) nurses and aides. A systematic literature search was conducted and relevant articles were reviewed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Primary outcome data from studies identified by the systematic review were pooled using a random effects model to calculate a summary measure of SI risk for nurses and for aides. Five articles were included in the final analysis.

    Source: Brouillette, Natalie M., Quinn, Margaret, & Kriebel, David. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001160

  • This pilot study aimed at determining the Workplace Protection Factor (WPF) for respiratory protective devices widely used by health care workers to reduce exposure to potentially hazardous aerosols when attending patients in their homes. Two devices were tested, an N95 filtering facepiece respirator (FFR) and a surgical mask (SM). The results showed that wearing an N95-certified respirator helps significantly reduce the aerosol inhalation exposure of home-attending health care workers. An SM offers much lower protection. The WPF depends on several factors, including, but not limited to, the health care worker’s activity and/or body movements; the WPF varies from one worker to another.

    Source: Elmashae, Yousef, Grinshpun, Sergey A., Reponen, Tiina, Yermakov, Michael, & Riddle, Robert. (2017). Journal of Occupational and Environmental Hygiene, 14(9), D145-D149. http://dx.doi.org/10.1080/15459624.2017.1319571

  • Surgical glove perforation may expose both patients and staff members to severe complications. This study aimed to determine surgical glove perforation rate and the factors associated with glove defect.This study highlighted an important problem neglected by surgical teams. The findings reaffirm the importance of double-gloving and changing gloves in surgeries of more than 90 minutes’ duration.

    Source: Tlili, Mohamed Ayoub, Belgacem, Amina, Sridi, Haifa, Akouri, Maha, Aouicha, Wiem, Soussi, Sonia, Dabbebi, Faten, & Dhiab, Mohamed Ben. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.07.016

  • National blood exposure (BE) surveys are valuable to health care facilities striving to reduce percutaneous sharps injuries (SIs) or mucocutaneous (MC) exposures among their health care workers (HCWs). In the Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015 was surveyed hospital BE incidence among members of the Association of Occupational Health Professionals in Healthcare.

    Source: Grimmond, T., & Good, L. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.05.023

  • L’étude menée au CHIC de Castres-Mazamet et au CH de Revel vise à établir les attitudes et pratiques des personnels en matière de vaccination. Le taux de couverture contre la grippe saisonnière est comparable avec celui d’autres enquêtes françaises. Les personnels paramédicaux sont moins couverts que les personnels médicaux, l’âge est le facteur le plus étroitement associé à la vaccination. Les trois quarts des personnels non couverts ne souhaitent pas se faire vacciner. Près de la moitié des répondants pensent que les soignants n’ont pas à montrer l’exemple en matière de vaccination. Les arguments jugés les plus convaincants en faveur de la vaccination sont la protection de la famille, puis celle des patients et des collègues. Les répondants expriment une demande d’information scientifique claire et précise, assorties d’échanges, de préférence au niveau de leur service.

    Source: Maurette, Max, Pinzelli, Pierre, Sandev, Aleksandar Yordanov, & Nock, Francis. (2017). Santé publique, 29(2), 191-199. Repéré à https://www.cairn.info/revue-sante-publique-2017-2-p-191.htm

PRODUITS TOXIQUES

POUR ACCÉDER AU GUIDE: http://www.oem.msu.edu/images/resources/BleachBrochureJuly2017.pdf

  • Frequent use of workplace disinfectants may increase health care workers’ risk of developing chronic obstructive pulmonary disease, suggest researchers from France’s National Institute of Health and Medical Research. Analyzing data from 55,185 registered nurses who were part of the Nurses’ Health Study II, researchers in 2009 began studying nurses without COPD and followed them until this past May. Specific disinfectants analyzed included glutaraldehyde (used for medical instruments), bleach, hydrogen peroxide, alcohol and quaternary ammonium compounds (or « quats, » mainly used for disinfection of surfaces such as floors and furniture). All of the disinfectants were associated with an increased risk of COPD of between 24 percent and 32 percent.

    Source: Use of disinfectants raises risk of COPD among nurses: study. (September 19, 2017). Safety+Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/16143-use-of-disinfectants-raises-risk-of-copd-among-nurses-study

VOIR AUSSI: https://erscongress.org/component/content/article/121-congress-2017/media-centre/press-releases/530-dumas-copd-disinfectants.html

  • This study examines the hydrogen peroxide concentrations measured near four models of hydrogen peroxide sterilizers, from two manufacturers, monitored in seven hospitals across the U.S. and Canada over several years. The results showed that the majority of sterilizers do not emit hazardous levels of hydrogen peroxide and none of them exceeded the OSHA PEL of 1 ppm (8-hr time-weighted average (TWA)), however several of the sterilizers exceeded 3 ppm, the short-term exposure limit in two states. One hospital found brief concentrations of 25–40 ppm hydrogen peroxide from 4 hydrogen peroxide sterilizers each time they opened the sterilizer at the end of its cycle. Although not exceeding the OSHA PEL, these exposures are of concern since this concentration is roughly half the NIOSH IDLH of 75 ppm, and operators in a busy hospital environment may receive these exposures multiple times a day.

    Source: Cornelia, Robert, & Warburton. Richard. (2017). Journal of Occupational and Environmental Hygiene, 14(9), D150-D157. http://dx.doi.org/10.1080/15459624.2017.1335401

  • Fentanyl and its analogues pose a potential hazard to a variety of responders who could come into contact with these drugs in the course of their work. Possible exposure routes to fentanyl and its analogues can vary based on the source and form of the drug. Responders are most likely to encounter illicitly manufactured fentanyl and its analogues in powder, tablet, and liquid form. Potential exposure routes of greatest concern include inhalation, mucous membrane contact, ingestion, and percutaneous exposure (e.g., needlestick). Any of these exposure routes can potentially result in a variety of symptoms that can include the rapid onset of life-threatening respiratory depression. Skin contact is also a potential exposure route, but is not likely to lead to overdose unless large volumes of highly concentrated powder are encountered over an extended period of time. Brief skin contact with fentanyl or its analogues is not expected to lead to toxic effects if any visible contamination is promptly removed. There are no established federal or consensus occupational exposure limits for fentanyl or its analogues.

    Source: National Institute for Occupational Safety and Health (NIOSH). (August 30, 2017). NIOSH Workplace Safety & Health Topics. Protecting Workers at Risk. Repéré à https://www.cdc.gov/niosh/topics/fentanyl/risk.html

  • As 3D printing is a relatively new industry, not much is known about the possible impact on safety and health at work. This expert review provides a brief introduction to 3D printing and examines the risks involved in it. The reader will be left with a better understanding of the issues and of the changes needed to ensure that this new industry is safe and healthy to work in.

    Source: European Agency for Safety and Health at Work. (2017). Bilbao, Spain: EU-OSHA, 13 p. (Discussion paper). Repéré à https://osha.europa.eu/sites/default/files/publications/documents/3D_Printing_Implications_for_OSH_0.pdf

  • Il existe des risques à la santé associés à des expositions professionnelles à de faibles concentrations d’amiante (Wolff et al., 2015). Préoccupé par les effets de l’amiante sur la santé humaine ainsi que les enjeux associés à son contrôle, l’INSPQ salue l’initiative du projet de loi fédérale visant l’interdiction de l’amiante au Canada. Il émet toutefois des réserves et des recommandations sur quatre des exemptions prévues à la nouvelle approche réglementaire. Ces exemptions, qui pourraient exposer des travailleurs et la population générale, sont celles relatives à l’exploitation minière, le traitement des résidus miniers pour certaines applications, l’amiante contenu dans un produit antiparasitaire, l’amiante ou produits contenant de l’amiante présentés à des fins éducatives. L’INSPQ s’interroge enfin sur l’exemption générale sur les traces d’amiante d’origine naturelle qui nécessiterait certaines précisions.

    Source: De Guire, Louise, Levasseur, Marie-Eve, Adib, Georges, Krupoves, Alfreda, & Chapados, Maude. (2017). [Montréal]: Institut national de santé publique du Québec, ii, 5 p. Repéré à https://www.inspq.qc.ca/sites/default/files/publications/2266_commentaires_projet_loi_c321.pdf

PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

  • Le rôle de l’alimentation et de l’activité physique dans la santé n’est plus à démontrer. Le chef d’entreprise a un devoir de prévention pour la santé de ses salariés, mais il n’interfère ni dans le contenu de leurs assiettes ni dans leur activité physique. Peut-il toutefois contribuer à leur santé nutritionnelle? Quels peuvent être ses partenaires pour atteindre cet objectif?

    Source: Delaval, Katia. (Avril 2017). Travail & sécurité, 782, 30-31. Repéré à http://www.travail-et-securite.fr/dms/ts/ArticleTS/TI-TS782_INRS_P30-31

PROTECTION RESPIRATOIRE

  • The goal of this study was to examine the impact of assistance with donning and time on quantitative fit factors and pass rates for subjects wearing an N95 filtering facepiece respirator and a non-certified adhesive mask. Fit factors were measured using two side-by-side TSI Portacount instruments sampling second-by-second simultaneous inside- and outside-facepiece concentrations. Naïve subjects made two visits at least one week apart. At each visit subjects first donned either the respirator or adhesive mask without assistance and performed a five-exercise fast fit test. They then donned a new respirator or mask with assistance in proper donning (e.g., proper forming of the nosepiece, strap placement, etc.) and performed a second five-exercise fast fit test. The same sequence of unassisted and assisted donning was then repeated with the other facepiece.

    Source: Rembialkowski, Brian, Sietsema, Margaret, & Brosseau, Lisa. (2017). Journal of Occupational and Environmental Hygiene, 14(9), 669-673. http://dx.doi.org/10.1080/15459624.2017.1319569

  • This pilot study aimed at determining the Workplace Protection Factor (WPF) for respiratory protective devices widely used by health care workers to reduce exposure to potentially hazardous aerosols when attending patients in their homes. Two devices were tested, an N95 filtering facepiece respirator (FFR) and a surgical mask (SM). The results showed that wearing an N95-certified respirator helps significantly reduce the aerosol inhalation exposure of home-attending health care workers. An SM offers much lower protection. The WPF depends on several factors, including, but not limited to, the health care worker’s activity and/or body movements; the WPF varies from one worker to another.

    Source: Elmashae, Yousef, Grinshpun, Sergey A., Reponen, Tiina, Yermakov, Michael, & Riddle, Robert. (2017). Journal of Occupational and Environmental Hygiene, 14(9), D145-D149. http://dx.doi.org/10.1080/15459624.2017.1319571

PUBLICATIONS DE L’ASSTSAS

  • Pour changer des ampoules, nettoyer des fenêtres, accéder à la toiture, entretenir un système de ventilation, entreposer les dossiers d’archives ou réparer un mur, les échelles, les escabeaux et les échafaudages sont des équipements indispensables. Leur utilisation demande toutefois une très grande prudence. De multiples facteurs peuvent contribuer à une chute pour le travailleur (ex. : installation déficiente, absence d’équipement de protection, postures contraignantes, utilisation inadéquate). Lors du travail en hauteur, les principaux risques pour le travailleur sont le basculement, la chute en hauteur et l’électrocution. Cette brochure traite du respect des règles de sécurité pour éviter les accidents.

    Source: Hensley, Valérie. (2017). Montréal, ASSTSAS,13, [5] p. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/Guides_Broch_Depl/B34-action-ECHELLES-web.pdf

QUALITÉ DE L’AIR

  • Evidence of the harmful effects of surgical smoke has been recognized in the literature and by professional organizations for many years, yet surgical smoke continues to pose a safety hazard for patients and perioperative personnel. A team of perioperative nurses and educators sought to improve compliance with policies and procedures for surgical smoke management in the OR. The team quantified smoke-evacuator use, assessed staff members’ knowledge using a pre-education survey, and presented a three-part multimodal education program. The team conducted a posteducation survey that showed significant improvement in staff members’ knowledge.

    Source: Chavis, Sherry, Wagner, Vicki, Becker, Melanie, Bowerman, Mercelita I., & Jamias, Mary Shirley. (2016). AORN Journal, 103(3), 289-296. https://doi.org/10.1016/j.aorn.2016.01.007

RETOUR AU TRAVAIL

  • Par la création de ce cadre de référence, le ministère de la Santé et des Services sociaux souhaite énoncer et faire connaître aux établissements les bonnes pratiques issues de la littérature ainsi que les orientations privilégiées par le Ministère en matière de soutien et de réintégration au travail des employés en invalidité. Il souhaite également présenter aux établissements une démarche d’implantation qu’ils peuvent réaliser et leur fournir des outils pour qu’ils puissent mettre en place ou bonifier leur propre programme de soutien et de réintégration au travail des employés en invalidité. Il s’adresse d’abord à la haute direction, particulièrement à la Direction des ressources humaines, des communications et des affaires juridiques, qui est responsable du service de la gestion de la présence au travail. Il s’adresse ensuite à l’ensemble du personnel d’encadrement et des employés des établissements, qui ont tous un rôle à jouer dans le soutien et la réintégration au travail des employés en invalidité.

    Source: Carrier, Pier-Ann, Landry, Mona. (2017). [Québec]: Direction des communications du ministère de la Santé et des Services sociaux, 71 p. Repéré à http://publications.msss.gouv.qc.ca/msss/fichiers/2017/17-529-01W.pdf

SÉCURITÉ DES MACHINES – CADENASSAGE

  • Une sécurité équivalente au cadenassage est-elle possible? Quatre questions sont soulevées dans cet article. Les réponses nous permettent de s’y retrouver suite à de nouvelles mises à jour règlementaires.

    Source: Daoust, Alain. (2017). Travail et santé, 33(3), 8-11.

CET ARTICLE N’EST PAS DISPONIBLE EN VERSION ÉLECTRONIQUE

SÉCURITÉ ROUTIÈRE

SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • Comment les entreprises, même de petite taille, peuvent-elles contribuer à l’amélioration de la santé mentale de leurs employés et, du même coup, réduire les demandes d’indemnisation auprès des compagnies d’assurances? Voici des pistes, trop rentables pour qu’on n’en tienne pas compte.

    Source: Durand, Pierre, & Marchand, Alain. (Automne 2017), Gestion, 42(3), 104-107. Repéré à http://www.revuegestion.ca/catalog/revue-gestion/articles/la-sante-et-le-bien-etre-en-milieu-de-travail-rentables-et-a-la-portee-de-toutes-les-entreprises.html

  • Les déterminants de la santé des salariés et le rôle du soutien social ont donné lieu à de nombreuses études. Néanmoins, les travaux se sont principalement focalisés sur les aspects négatifs au détriment des aspects positifs, tels que le bien-être. Aussi, l’objectif de la présente étude est d’examiner les facteurs renforçant le bien-être subjectif au travail et notamment le rôle médiateur du soutien social perçu. Un total de 2553 salariés de 7 entreprises françaises ont complété une mesure de satisfaction à l’égard de l’environnement de travail, de soutien social perçu, de stress perçu et de bien-être subjectif au travail. Ils avaient aussi l’opportunité de reporter un vécu de situations stressantes et/ou positives au travail.

    Source: Mellor, N., Dufoix, F., Saunder, L., Albert, E., & Collange, J. (2017). Archives des Maladies Professionnelles et de l’Environnement, 78(4). https://doi.org/10.1016/j.admp.2017.08.003

  • The present study was designed to examine the effects of active rest by workplace units on not only workers’ individual vigor but also workplace vigor and presenteeism. A total of 130 workers performed our active rest (short-time exercise) program for 10 minutes per day during their lunch breaks, three to four times per week for 8 weeks. The results suggest that the introduction of active rest program by workplace units provides a viable means for improving workplace vigor and presenteeism.

    Source: Michishita, Ryoma, Jiang, Ying, Ariyoshi, Daisuke, Yoshida, Marie, Moriyama, Hideko, Obata, Yasuko… Yamato, Hiroshi. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001121

  • To prevent an accumulation of strain during work and to reduce error risk, many countries have made rest breaks mandatory. In the nursing literature, insufficient rest break organization is often reported. However, the outcomes of nurses’ rest break organization and its anteceding factors are less clear. The authors found 93 potentially relevant articles published between 01/1990 and 04/2016. Several studies reported a high prevalence of missed, interrupted, or delayed rest breaks in nursing. Nurses’ rest breaks often related to better physical and mental well-being but did not affect motivational outcomes and performance systematically.

    Source: Wendsche, Johannes, Ghadiri, Argang, Bengsch, Amelie, & Wegge, Jürgen. (2017). International Journal of Nursing Studies, 75, 85-80. https://doi.org/10.1016/j.ijnurstu.2017.07.005

SANTÉ PSYCHOLOGIQUE

  • The objective was to assessed the intrapersonal, interpersonal, and organizational factors that predicted job satisfaction among long-term care employees. The authors assessed if higher physical activity levels, fewer symptoms of depression, stress, and/or anxiety (ie, decreased mood), less back pain, stronger social support, and reports of low work demands were associated with higher job satisfaction.

    Source: Kelly, Doran, Resnick, Barbara, & Swanberg, Jennifer. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001146

  • A large body of evidence demonstrates substantial effects of work-related psychosocial hazards on risks of both musculoskeletal and mental health disorders (MSDs and MHDs), which are two of the most costly occupational health problems in many countries. This study investigated current workplace risk management practices in two industry sectors with high risk of both MSDs and MHDs and evaluated the extent to which risk from psychosocial hazards is being effectively managed.

    Source: Oakman, Jodi, Macdonald, Wendy, Bartram, Timothy, Keegel, Tessa, & Kinsman, Natasha. (2018). Safety Science, 101, 220-230. https://doi.org/10.1016/j.ssci.2017.09.004

  • Little is known about the factors affecting teamwork and the mental stress of surgical nurses, although the performance of the surgical team is essential for patient safety. The purpose of this study was to evaluate operating room nurses’ perception of teamwork performance and their level of mental stress and to identify related factors.

    Source: Sonoda, Yukio, Onozuka, Daisuke, & Hagihara, Akihito. (2017). Journal of Nursing Management. Prépublication. doi:10.1111/jonm.12522

  • Primary care nurses have been found to have high levels of emotional exhaustion and to be at increased risk of suffering from burnout, anxiety and depression. Given the increasingly critical role of nurses in high-performing primary care, there is a need to identify interventions that can effectively reduce these professionals’ mental health problems and promote their well-being. The aim of this study was to synthesize the evidence on the effectiveness of interventions aiming to promote or improve the mental health of primary care nurses.

    Source: Duhoux, Arnaud, Menear, Matthew, Charron, Maude, Lavoie-Tremblay, Mélanie, & Alderson, Marie. (2017). Journal of Nursing Management. Prépublication. doi:10.1111/jonm.12511

  • Job-related stress in nurses leads to high rates of burnout, compromises patient care, and costs US healthcare organizations billions of dollars annually. Many mindfulness and resiliency programs are taught in a format that limits nurses’ attendance.The study’s purpose was to assess efficacy of blended learning to decrease stress and burnout among nurses through use of the Stress Management and Resiliency Training (SMART) program. Findings showed statistically significant, clinically meaningful decreases in anxiety, stress, and burnout and increases in resilience, happiness, and mindfulness.

    Source: Magtibay, Donna L., Chesak, Sherry S., Coughlin, Kevin, & Sood, Amit. (2017). JONA: Journal of Nursing Administration, 47(7/8), 391-395. doi: 10.1097/NNA.0000000000000501

  • Although criminology has actively engaged with psychological violence in the context of domestic violence and child abuse, it has been slower coming to the fore when it comes to such violence in the workplace. This is despite the well-documented human, organisational, community and service costs associated with such victimisation. As demonstrated in this review, the bulk of strategies that have been trialled to date has been devised from psychology, management and organisational development perspectives. However, there is a paucity of evidence that any of the interventions that are widely promoted have been subjected to robust evaluations or provided evidence of any long-term reduction in the incidence of violence as a consequence of such interventions. Acknowledging there no easy single recipe, it is timely to consider the potential of alternative approaches including the application of guardianship and related principles from the routine activity approach, which are well-established strategies for prevention of victimisation in a range of contexts as set out in this review.

    Source: Schindler, Emily, & Reynald, Danielle M. (2017). Aggression and Violent Behavior, 36, 25-33. https://doi.org/10.1016/j.avb.2017.07.004

  • As organisations experience rapid change, employee health and well-being has emerged as an important issue. Although organisational change can result in psychological and physical stress among employees (Hylton, 2004), providing positive organisational resources, such as support and job control, may help reduce employee burnout (e.g., Dubois et al., 2014; Leiter and Maslach, 2009; Puleo, 2011). Therefore, using a sample of Canadian health-care staff (N = 202) who were involved in a large-scale organisational change, we investigated: (a) whether perceptions of organisational change stressors were associated with burnout (i.e., exhaustion, cynicism, and professional efficacy), (b) the extent to which supervisor support and job control were directly related to burnout, and (c) whether support and control moderated the relationship between change stressors and burnout. Job control was directly related to all of the burnout components, and support was related to exhaustion and cynicism. Supervisor support buffered the negative relationship between change stressors and exhaustion and between change stressors and cynicism. Job control moderated the negative relationship between change and professional efficacy.

    Source: Day, Arla, Crown, Sarah N., & Ivany, Meredith. (2017). Safety Science, 100 (PartA), 4-12. https://doi.org/10.1016/j.ssci.2017.03.004

  • Comment les entreprises, même de petite taille, peuvent-elles contribuer à l’amélioration de la santé mentale de leurs employés et, du même coup, réduire les demandes d’indemnisation auprès des compagnies d’assurances? Voici des pistes, trop rentables pour qu’on n’en tienne pas compte.

    Source: Durand, Pierre, & Marchand, Alain. (Automne 2017), Gestion, 42(3), 104-107. Repéré à http://www.revuegestion.ca/catalog/revue-gestion/articles/la-sante-et-le-bien-etre-en-milieu-de-travail-rentables-et-a-la-portee-de-toutes-les-entreprises.html

  • Les déterminants de la santé des salariés et le rôle du soutien social ont donné lieu à de nombreuses études. Néanmoins, les travaux se sont principalement focalisés sur les aspects négatifs au détriment des aspects positifs, tels que le bien-être. Aussi, l’objectif de la présente étude est d’examiner les facteurs renforçant le bien-être subjectif au travail et notamment le rôle médiateur du soutien social perçu. Un total de 2553 salariés de 7 entreprises françaises ont complété une mesure de satisfaction à l’égard de l’environnement de travail, de soutien social perçu, de stress perçu et de bien-être subjectif au travail. Ils avaient aussi l’opportunité de reporter un vécu de situations stressantes et/ou positives au travail.

    Source: Mellor, N., Dufoix, F., Saunder, L., Albert, E., & Collange, J. (2017). Archives des Maladies Professionnelles et de l’Environnement, 78(4). https://doi.org/10.1016/j.admp.2017.08.003

  • The aim of this study was to determine whether individuals who participated in an intervention to reduce sitting at work would report changes in arousal, fatigue, and mood. Inactive females with full-time sedentary occupations were randomly assigned to take short, frequent breaks or longer, planned breaks from sitting each workday for 8 weeks. At baseline and postintervention, participants completed measures of arousal, fatigue, and mood. Within- and between-group changes were examined. This study suggests that taking short, frequent breaks from sitting may be an effective strategy for improving affective outcomes among sedentary female employees.

    Source: Mailey, Emily L., Rosenkranz, Sara K., Ablah, Elizabeth, Swank, Aaron, & Casey, Kelsey. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001131

  • The aim of the study was to examine the relationship between role stress, emotional exhaustion, and a supportive coworker climate among health care workers, by adopting a multilevel perspective. This study supports previous results of single-level burnout studies, extending the existing literature with evidence on the multidimensional and cross-level interaction associations of a supportive coworker climate as a key aspect of job resources on burnout.

    Source: Portoghese, Igor, Galletta, Maura, Burdorf, Alex, Cocco, Pierluigi, Aloja, Ernesto, & Campagna, Marcello. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001122

  • The study assessed the impact of mindfulness training on occupational safety of hospital health care workers. The study used a randomized waitlist-controlled trial design to test the effect of an 8-week mindfulness-based stress reduction (MBSR) course on self-reported health care worker safety outcomes, measured at baseline, postintervention, and 6 months later. The results showed that mindfulness training may potentially decrease occupational injuries of health care workers.

    Source: Valley, Morgan Anne, & Stallones, Lorann. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001090

  • Transformational leaders spark the intrinsic motivation of employees, thereby stimulating their extra-role performance. However, not all employees are lucky enough to have a transformational leader. The purpose of this paper is to investigate to what extent mindfulness can function as a substitute for transformational leadership. By being attentive to and aware of what is taking place in the present, mindfulness provides employees with a source of intrinsic motivation that lies within the person, thereby possibly making employees less dependent on transformational leadership. This paper is the first to show that mindful people are more resilient against the absence of transformational leadership. Given the frequent changes in management layers in organizations, knowledge about resources for individual resilience and self-management is sorely needed.

    Source: Kroon, Brigitte, van Woerkom, Marianne, & Menting, Charlotte. (2017). Journal of Managerial Psychology, 32(4), 284-297. https://doi.org/10.1108/JMP-07-2016-0223

  • L’Enquête québécoise sur la santé de la population (EQSP) permet également de mesurer de nombreux indicateurs liés à la santé en milieu de travail et de décrire les conditions de travail. L’enquête aborde pour la première fois la conciliation travail-famille, le harcèlement psychologique au travail, la détresse psychologique au travail, les troubles musculosquelettiques (TMS) d’origine non traumatique liés au travail et la surdité attribuable au travail. L’EQSP contient aussi des informations à propos, entre autres, de l’environnement organisationnel (niveau de soutien au travail, tension au travail, exigences psychologiques, niveau d’autorité décisionnelle, niveau de reconnaissance) et de l’environnement physique et des conditions ambiantes. Dans cet article, l’auteur s’intéresse aux contraintes physiques du travail, à la prévalence de troubles musculosquelettiques au travail, à la conciliation emploi-famille et au harcèlement psychologique.

    Source: Demers, Marc-André. (Juin 2017). Flash-Info, 18(2),11-19. Repéré à http://www.stat.gouv.qc.ca/statistiques/travail-remuneration/bulletins/flash-info-201706.pdf#page=11

  • The concept of employees’ commitment is one of the most challenging concepts in the management, organizational behaviour and human resource management literatures and research. The current study focuses on the construct of commitment as an emotional attitude, and expands the concept of general organizational commitment to a new more specific form of commitment, commitment to safety. Furthermore, commitment theorists commonly identify leadership as an important contributing factor to the development of organizational commitment. The authors aimed to explain an underlying motivational mechanism, self-regulatory foci, through which leadership styles foster followers’ commitment.

    Source: Delegach, Marianna, Kark, Ronit, Katz-Navon, Tal, & Van Dijk, Dina. (2017). European Journal of Work and Organizational Psychology. Prépublication. 1-17. http://dx.doi.org/10.1080/1359432X.2017.1345884

  • To increase employees’ psychological health and to achieve a competitive advantage, organizations are increasingly introducing flexible work arrangements (FWAs) and stress management training (SMT). This paper provides meta-analytic evidence of the effects of two forms of FWA (flexitime and telecommuting) and three forms of SMT (cognitive-behavioural skills training, relaxation techniques and multiple SMT) on employees’ psychological health, job satisfaction, job performance and absenteeism.

    Source: Kröll, Claudia, Doebler, Philipp, & Nüesch, Stephan. (2017). European Journal of Work and Organizational Psychology. Prépublication. 1-17. http://dx.doi.org/10.1080/1359432X.2017.1347157

SERVICES À DOMICILE

  • This study is concerned with the characteristics of occupational injuries and sick leave for gas cylinder handling workers. Possible incidents and sick leave have been identified and analyzed for 223 occupational accidents in the gas cylinder handling work. Management level of accidents for prioritizing prevention measures is induced for the combination of accident agencies, types, and gas cylinder handling work processes. Accidents occurring during the specific gas cylinder handling work process showed different characteristics, depending on the type and agency of the accident. Most critical accidents that require corrective actions for prevention were slips and trips caused by floors, walkways, steps, or ground surfaces and overexertion and bodily reaction and posture caused by gas cylinder in the manual delivery of heavy cylinders process. Also, fall to lower level caused by floors, walkways, steps, or ground surfaces in the loading to and unloading from vehicles process and struck by or against caused by fixtures in the manual delivery of heavy cylinders process were also ranked high. The findings of this study can be used to develop more effective accident prevention policies to reduce occupational accidents in gas cylinder handling works.

    Source: Kim, Jeong Nam, Jeong, Byung Yong, & Park, Myoung Hwan. (2017). Human Factors and Ergonomics in Manufacturing & Service Industries. Prépublication. doi:10.1002/hfm.20711

  • This study investigated the effects of carrying a backpack while walking. Critical changes featuring the disproportionality of increases in trunk muscle activation and lumbar joint loading between light and heavy backpack carriage weight may reveal the load-bearing strategy (LBS) of the lumbar spine. This was investigated using an integrated system equipped with a motion analysis, a force platform and a wireless surface electromyography (EMG) system to measure the trunk muscle EMG amplitudes and lumbar joint component forces. A predictive goal programming model was developed to determine the most critical changes in trunk muscle activation and lumbar joint loading. Results suggested that lightweight backpack carriage at approximately 3% of body weight (BW) might reduce the peak lumbosacral compression force by 3% during walking compared with no load condition. The most critical changes in both trunk muscle activation and lumbosacral joint loading were found at a backpack load of 10% of BW.

    Source: Li, Simon S.W., & Chow, Daniel H.K. (2017). Ergonomics. Prépublication. http://dx.doi.org/10.1080/00140139.2017.1365950

  • This pilot study aimed at determining the Workplace Protection Factor (WPF) for respiratory protective devices widely used by health care workers to reduce exposure to potentially hazardous aerosols when attending patients in their homes. Two devices were tested, an N95 filtering facepiece respirator (FFR) and a surgical mask (SM). The results showed that wearing an N95-certified respirator helps significantly reduce the aerosol inhalation exposure of home-attending health care workers. An SM offers much lower protection. The WPF depends on several factors, including, but not limited to, the health care worker’s activity and/or body movements; the WPF varies from one worker to another.

    Source: Elmashae, Yousef, Grinshpun, Sergey A., Reponen, Tiina, Yermakov, Michael, & Riddle, Robert. (2017). Journal of Occupational and Environmental Hygiene, 14(9), D145-D149. http://dx.doi.org/10.1080/15459624.2017.1319571

  • Slip, trip and fall (STFs) injuries are a significant problem in all industries, yet there are no significant prior reports assessing the relationship between occupational factors and STFs among home healthcare workers (HHCWs) who represent an ever increasing number of workers in the healthcare sector. The unpredictable nature of the work environment specific to HHCWs may lead to an increase in injuries from STFs. The purpose of this study was to quantify associations between occupational factors and STFs among HHCWs.

    Source: Merryweather, Andrew S., Thiese, Matthew S., Kapellusch, Jay M., Garg, Arun, Fix, Dillon J., & Hegmann, Kurt T. (2017). Safety Science. Prépublication. https://doi.org/10.1016/j.ssci.2017.07.002

SERVICES AMBULANCIERS – PRÉHOSPITALIERS

  • Fentanyl and its analogues pose a potential hazard to a variety of responders who could come into contact with these drugs in the course of their work. Possible exposure routes to fentanyl and its analogues can vary based on the source and form of the drug. Responders are most likely to encounter illicitly manufactured fentanyl and its analogues in powder, tablet, and liquid form. Potential exposure routes of greatest concern include inhalation, mucous membrane contact, ingestion, and percutaneous exposure (e.g., needlestick). Any of these exposure routes can potentially result in a variety of symptoms that can include the rapid onset of life-threatening respiratory depression. Skin contact is also a potential exposure route, but is not likely to lead to overdose unless large volumes of highly concentrated powder are encountered over an extended period of time. Brief skin contact with fentanyl or its analogues is not expected to lead to toxic effects if any visible contamination is promptly removed. There are no established federal or consensus occupational exposure limits for fentanyl or its analogues.

    Source: National Institute for Occupational Safety and Health (NIOSH). (August 30, 2017). NIOSH Workplace Safety & Health Topics. Protecting Workers at Risk. Repéré à https://www.cdc.gov/niosh/topics/fentanyl/risk.html

  • More than 350 Alberta Health Services (AHS) ground ambulances will be equipped with power stretchers and load systems. The stretchers use a battery-powered hydraulic system to lift up to 317 kilograms (700 pounds) safely and without physical strain. Alberta Health Services installed electronic lifts in eight inter-facility transfer vehicles in 2015 as part of a pilot project. During that time, not a single lift-related injury was reported by staff using the new equipment. Over that same 18-month period, 84 patient-handling injuries were reported amongst EMS staff working on vehicles without the lifts.

    Source: Alberta installing power lifts in ambulances to reduce paramedic injuries. (August/September 2017). Canadian Occupational Safety, 55(4), 6. Repéré à http://www.cos-mag.com/occupational-hygiene/34014-alberta-installing-power-lifts-in-ambulances-to-reduce-paramedic-injuries/

  • In Canada, paramedics remain as one of the few public safety occupations without an evidence-based, validated physical employment standard (PES). The purpose of this study was to document and describe the physical demands of paramedic work and to identify the most physically demanding tasks. These outcomes are essential to inform the design and development of an evidence-based PES for the paramedic sector.

    Source: Fischer, Steven L., Sinden, Kathryn E., & MacPhee, Renee S. (2017). Applied Ergonomics, 65, 233-239. https://doi.org/10.1016/j.apergo.2017.06.021

STATISTIQUES EN SST

STÉRILISATION

  • Frequent use of workplace disinfectants may increase health care workers’ risk of developing chronic obstructive pulmonary disease, suggest researchers from France’s National Institute of Health and Medical Research. Analyzing data from 55,185 registered nurses who were part of the Nurses’ Health Study II, researchers in 2009 began studying nurses without COPD and followed them until this past May. Specific disinfectants analyzed included glutaraldehyde (used for medical instruments), bleach, hydrogen peroxide, alcohol and quaternary ammonium compounds (or « quats, » mainly used for disinfection of surfaces such as floors and furniture). All of the disinfectants were associated with an increased risk of COPD of between 24 percent and 32 percent.

    Source: Use of disinfectants raises risk of COPD among nurses: study. (September 19, 2017). Safety+Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/16143-use-of-disinfectants-raises-risk-of-copd-among-nurses-study

VOIR AUSSI: https://erscongress.org/component/content/article/121-congress-2017/media-centre/press-releases/530-dumas-copd-disinfectants.html

  • This study examines the hydrogen peroxide concentrations measured near four models of hydrogen peroxide sterilizers, from two manufacturers, monitored in seven hospitals across the U.S. and Canada over several years. The results showed that the majority of sterilizers do not emit hazardous levels of hydrogen peroxide and none of them exceeded the OSHA PEL of 1 ppm (8-hr time-weighted average (TWA)), however several of the sterilizers exceeded 3 ppm, the short-term exposure limit in two states. One hospital found brief concentrations of 25–40 ppm hydrogen peroxide from 4 hydrogen peroxide sterilizers each time they opened the sterilizer at the end of its cycle. Although not exceeding the OSHA PEL, these exposures are of concern since this concentration is roughly half the NIOSH IDLH of 75 ppm, and operators in a busy hospital environment may receive these exposures multiple times a day.

    Source: Cornelia, Robert, & Warburton. Richard. (2017). Journal of Occupational and Environmental Hygiene, 14(9), D150-D157. http://dx.doi.org/10.1080/15459624.2017.1335401

TRAVAIL DE BUREAU

  • Twelve office workers participated in a study investigating effects of four sit/stand schedules (90-min sit/30-min stand, 80/40, 105/15, and 60/60) via several objective and subjective measures (muscle fatigue, foot swelling, spinal shrinkage, and self-reported discomfort). Results showed that there were no significant differences in shoulder and low back static muscle activities between sitting and standing. Muscle fatigue was developed during workday under all schedules. The longest standing schedule seemed to have a tendency of reducing muscle fatigue. None of the schedules helped or worsened foot swelling and spinal shrinkage. More active break-time activities seemed reducing muscle fatigue and foot swelling. While the self-reported bodily discomfort levels were generally low, the preferred schedules among the participants were varied, although the least standing schedule was the least preferred. We may conclude that effects of using sit–stand workstation to improve musculoskeletal health may be limited but promoting more active break-time activities can help.

    Source: Bao, Stephen, & Lin, Jia-Hua. (2017). Ergonomics. Prépublication. http://dx.doi.org/10.1080/00140139.2017.1353139

  • L’étude a été menée dans 5 centres d’appels (service client, assistance technique et urgence médicale) chez des salariés travaillant avec un casque téléphonique. L’objectif était de déterminer si cette population souffrait de fatigue auditive à la fin d’une journée de travail et si le mode d’exposition au bruit: sous casque ou exposition environnementale, pouvait influencer la fatigue. L’audition des volontaires a été évaluée avant et après leur période de travail par deux tests complémentaires.

    Source: Venet, T., & Thomas, A. (Septembre 2017). Références en santé au travail, 151, 63-69. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/VuDuTerrain/TI-RST-TF-248/tf248.pdf

  • The aim of this study was to determine whether individuals who participated in an intervention to reduce sitting at work would report changes in arousal, fatigue, and mood. Inactive females with full-time sedentary occupations were randomly assigned to take short, frequent breaks or longer, planned breaks from sitting each workday for 8 weeks. At baseline and postintervention, participants completed measures of arousal, fatigue, and mood. Within- and between-group changes were examined. This study suggests that taking short, frequent breaks from sitting may be an effective strategy for improving affective outcomes among sedentary female employees.

    Source: Mailey, Emily L., Rosenkranz, Sara K., Ablah, Elizabeth, Swank, Aaron, & Casey, Kelsey. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001131

  • The present study was designed to examine the effects of active rest by workplace units on not only workers’ individual vigor but also workplace vigor and presenteeism. A total of 130 workers performed our active rest (short-time exercise) program for 10 minutes per day during their lunch breaks, three to four times per week for 8 weeks. The results suggest that the introduction of active rest program by workplace units provides a viable means for improving workplace vigor and presenteeism.

    Source: Michishita, Ryoma, Jiang, Ying, Ariyoshi, Daisuke, Yoshida, Marie, Moriyama, Hideko, Obata, Yasuko… Yamato, Hiroshi. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001121

  • Current UK workplace health promotion guidance recommends that employers minimize sedentary behaviors, but understanding the issues relating to prolonged workplace sitting has received little empirical attention. This study aimed to explore employees’ perceptions of sitting time. This study has highlighted that in addition to personal determinants, the workplace environment and organizational culture have a key role in supporting employees’ potential adoption of healthier sitting behavior in the workplace.

    Source: Flint, Stuart William, Crank, Helen, Tew, Garry, & Till, Simon. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001130

  • Dans le secteur tertiaire, les salariés des bureaux ouverts se plaignent très souvent du bruit. Le médecin du travail ou le préventeur d’entreprise sont généralement démunis pour accompagner une démarche globale de réduction de cette nuisance. Des études de terrain ont permis de construire une approche complète permettant à la fois d’objectiver l’acoustique du local et d’éclairer les difficultés ressenties par les salariés. L’analyse de l’activité est un point clé de cette approche, car les besoins de collaboration ou au contraire d’isolement acoustique sont très différents d’une typologie de bureau ouvert à une autre. Cette approche, déclinée aujourd’hui dans une norme française, est détaillée dans cet article et illustrée en s’appuyant sur un exemple de la démarche engagée chez l’opérateur Orange.

    Source: Chevret, P., Chatillon, J., Amato, J.N., & Ottaviani, P. (Septembre 2017). Références en santé au travail, 151, 43-61. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/InfosARetenir/TI-RST-TF-247/tf247.pdf

  • As 3D printing is a relatively new industry, not much is known about the possible impact on safety and health at work. This expert review provides a brief introduction to 3D printing and examines the risks involved in it. The reader will be left with a better understanding of the issues and of the changes needed to ensure that this new industry is safe and healthy to work in.

    Source: European Agency for Safety and Health at Work. (2017). Bilbao, Spain: EU-OSHA, 13 p. (Discussion paper). Repéré à https://osha.europa.eu/sites/default/files/publications/documents/3D_Printing_Implications_for_OSH_0.pdf

TRAVAIL EN ÉQUIPE

  • The aim of the study was to examine the relationship between role stress, emotional exhaustion, and a supportive coworker climate among health care workers, by adopting a multilevel perspective. This study supports previous results of single-level burnout studies, extending the existing literature with evidence on the multidimensional and cross-level interaction associations of a supportive coworker climate as a key aspect of job resources on burnout.

    Source: Portoghese, Igor, Galletta, Maura, Burdorf, Alex, Cocco, Pierluigi, Aloja, Ernesto, & Campagna, Marcello. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001122

TRAVAIL EN HAUTEUR

  • Pour changer des ampoules, nettoyer des fenêtres, accéder à la toiture, entretenir un système de ventilation, entreposer les dossiers d’archives ou réparer un mur, les échelles, les escabeaux et les échafaudages sont des équipements indispensables. Leur utilisation demande toutefois une très grande prudence. De multiples facteurs peuvent contribuer à une chute pour le travailleur (ex. : installation déficiente, absence d’équipement de protection, postures contraignantes, utilisation inadéquate). Lors du travail en hauteur, les principaux risques pour le travailleur sont le basculement, la chute en hauteur et l’électrocution. Cette brochure traite du respect des règles de sécurité pour éviter les accidents.

    Source: Hensley, Valérie. (2017). Montréal, ASSTSAS,13, [5] p. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/Guides_Broch_Depl/B34-action-ECHELLES-web.pdf

TRAVAIL SÉDENTAIRE

  • Twelve office workers participated in a study investigating effects of four sit/stand schedules (90-min sit/30-min stand, 80/40, 105/15, and 60/60) via several objective and subjective measures (muscle fatigue, foot swelling, spinal shrinkage, and self-reported discomfort). Results showed that there were no significant differences in shoulder and low back static muscle activities between sitting and standing. Muscle fatigue was developed during workday under all schedules. The longest standing schedule seemed to have a tendency of reducing muscle fatigue. None of the schedules helped or worsened foot swelling and spinal shrinkage. More active break-time activities seemed reducing muscle fatigue and foot swelling. While the self-reported bodily discomfort levels were generally low, the preferred schedules among the participants were varied, although the least standing schedule was the least preferred. We may conclude that effects of using sit–stand workstation to improve musculoskeletal health may be limited but promoting more active break-time activities can help.

    Source: Bao, Stephen, & Lin, Jia-Hua. (2017). Ergonomics. Prépublication. http://dx.doi.org/10.1080/00140139.2017.1353139

  • The aim of this study was to determine whether individuals who participated in an intervention to reduce sitting at work would report changes in arousal, fatigue, and mood. Inactive females with full-time sedentary occupations were randomly assigned to take short, frequent breaks or longer, planned breaks from sitting each workday for 8 weeks. At baseline and postintervention, participants completed measures of arousal, fatigue, and mood. Within- and between-group changes were examined. This study suggests that taking short, frequent breaks from sitting may be an effective strategy for improving affective outcomes among sedentary female employees.

    Source: Mailey, Emily L., Rosenkranz, Sara K., Ablah, Elizabeth, Swank, Aaron, & Casey, Kelsey. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001131

  • The present study was designed to examine the effects of active rest by workplace units on not only workers’ individual vigor but also workplace vigor and presenteeism. A total of 130 workers performed our active rest (short-time exercise) program for 10 minutes per day during their lunch breaks, three to four times per week for 8 weeks. The results suggest that the introduction of active rest program by workplace units provides a viable means for improving workplace vigor and presenteeism.

    Source: Michishita, Ryoma, Jiang, Ying, Ariyoshi, Daisuke, Yoshida, Marie, Moriyama, Hideko, Obata, Yasuko… Yamato, Hiroshi. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001121

  • Current UK workplace health promotion guidance recommends that employers minimize sedentary behaviors, but understanding the issues relating to prolonged workplace sitting has received little empirical attention. This study aimed to explore employees’ perceptions of sitting time. This study has highlighted that in addition to personal determinants, the workplace environment and organizational culture have a key role in supporting employees’ potential adoption of healthier sitting behavior in the workplace.

    Source: Flint, Stuart William, Crank, Helen, Tew, Garry, & Till, Simon. (2017). JOEM: Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000001130

TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • This study is concerned with the characteristics of occupational injuries and sick leave for gas cylinder handling workers. Possible incidents and sick leave have been identified and analyzed for 223 occupational accidents in the gas cylinder handling work. Management level of accidents for prioritizing prevention measures is induced for the combination of accident agencies, types, and gas cylinder handling work processes. Accidents occurring during the specific gas cylinder handling work process showed different characteristics, depending on the type and agency of the accident. Most critical accidents that require corrective actions for prevention were slips and trips caused by floors, walkways, steps, or ground surfaces and overexertion and bodily reaction and posture caused by gas cylinder in the manual delivery of heavy cylinders process. Also, fall to lower level caused by floors, walkways, steps, or ground surfaces in the loading to and unloading from vehicles process and struck by or against caused by fixtures in the manual delivery of heavy cylinders process were also ranked high. The findings of this study can be used to develop more effective accident prevention policies to reduce occupational accidents in gas cylinder handling works.

    Source: Kim, Jeong Nam, Jeong, Byung Yong, & Park, Myoung Hwan. (2017). Human Factors and Ergonomics in Manufacturing & Service Industries. Prépublication. doi:10.1002/hfm.20711

  • A large body of evidence demonstrates substantial effects of work-related psychosocial hazards on risks of both musculoskeletal and mental health disorders (MSDs and MHDs), which are two of the most costly occupational health problems in many countries. This study investigated current workplace risk management practices in two industry sectors with high risk of both MSDs and MHDs and evaluated the extent to which risk from psychosocial hazards is being effectively managed.

    Source: Oakman, Jodi, Macdonald, Wendy, Bartram, Timothy, Keegel, Tessa, & Kinsman, Natasha. (2018). Safety Science, 101, 220-230. https://doi.org/10.1016/j.ssci.2017.09.004

  • The objective of this study is to compare the prevalence of musculoskeletal and non-musculoskeletal injuries among workers in health care sector, and explore the implications for work disability management. Retrospective study, using workers’ compensation claims data. The risk of idiopathic work-related musculoskeletal disorders continue to be high compared to traumatic and non-musculoskeletal disorders, particularly in tasks that involved high physical activities.

    Source: Oranye, Nelson Ositadimma, & Bennett, Jayson. (2017). Ergonomics. Prépublication. http://dx.doi.org/10.1080/00140139.2017.1361552

  • L’Enquête québécoise sur la santé de la population (EQSP) permet également de mesurer de nombreux indicateurs liés à la santé en milieu de travail et de décrire les conditions de travail. L’enquête aborde pour la première fois la conciliation travail-famille, le harcèlement psychologique au travail, la détresse psychologique au travail, les troubles musculosquelettiques (TMS) d’origine non traumatique liés au travail et la surdité attribuable au travail. L’EQSP contient aussi des informations à propos, entre autres, de l’environnement organisationnel (niveau de soutien au travail, tension au travail, exigences psychologiques, niveau d’autorité décisionnelle, niveau de reconnaissance) et de l’environnement physique et des conditions ambiantes. Dans cet article, l’auteur s’intéresse aux contraintes physiques du travail, à la prévalence de troubles musculosquelettiques au travail, à la conciliation emploi-famille et au harcèlement psychologique.

    Source: Demers, Marc-André. (Juin 2017). Flash-Info, 18(2),11-19. Repéré à http://www.stat.gouv.qc.ca/statistiques/travail-remuneration/bulletins/flash-info-201706.pdf#page=11

VACCINATION DU PERSONNEL

  • L’étude menée au CHIC de Castres-Mazamet et au CH de Revel vise à établir les attitudes et pratiques des personnels en matière de vaccination. Le taux de couverture contre la grippe saisonnière est comparable avec celui d’autres enquêtes françaises. Les personnels paramédicaux sont moins couverts que les personnels médicaux, l’âge est le facteur le plus étroitement associé à la vaccination. Les trois quarts des personnels non couverts ne souhaitent pas se faire vacciner. Près de la moitié des répondants pensent que les soignants n’ont pas à montrer l’exemple en matière de vaccination. Les arguments jugés les plus convaincants en faveur de la vaccination sont la protection de la famille, puis celle des patients et des collègues. Les répondants expriment une demande d’information scientifique claire et précise, assorties d’échanges, de préférence au niveau de leur service.

    Source: Maurette, Max, Pinzelli, Pierre, Sandev, Aleksandar Yordanov, & Nock, Francis. (2017). Santé publique, 29(2), 191-199. Repéré à https://www.cairn.info/revue-sante-publique-2017-2-p-191.htm

COIN DE LA DOCUMENTALISTE – MAI 2017

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AGRESSIONS ET VIOLENCE

      • Les chutes et glissades sont des accidents au cours desquels la victime a été déséquilibrée à l’occasion d’un travail qui n’est pas exécuté en hauteur. La victime peut avoir récupéré son équilibre ou fait une chute, les deux situations se terminant par une lésion. Ces chutes de même niveau ou chutes de plain-pied représentent la troisième cause de lésion indemnisée dans le secteur de la santé et des services sociaux. Ce webinaire vise à faire prendre connaissance de l’ampleur du phénomène dans notre secteur, à présenter les 10 grandes catégories de risques, à savoir élaborer et mettre en place un programme de prévention et à se familiariser avec les outils offerts par l’ASSTSAS.

        Source: Bélanger, Louise. (Mars 2017). Les chutes et les glissades [Webinaire]. ASSTSAS. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/Mat_Pedagogique/2017-004-_chutes_glissades_ppants.pdf

Pour visionner l’enregistrement: http://forum.asstsas.qc.ca/2017-004/kvrrxy5asooo

  • Depuis l’an dernier, le CHSLD Bellerive, à La Malbaie, regroupe dans une même unité les résidents qui présentent un profil similaire. Sept sections distinctes ont ainsi été prévues. Appelée «projet micromilieu», l’initiative a eu pour effet de réduire la consommation de médicaments, l’anxiété et l’agressivité chez les patients, rapporte Le Journal de Montréal. La surcharge de travail du personnel aurait également diminué au même rythme, précise le directeur adjoint au programme de soutien à l’autonomie des personnes âgées au CIUSSS de la Capitale-Nationale, Steeve Vigneault. «On a besoin de 15 % moins d’anxiolytiques depuis l’implantation du micromilieu», a-t-il indiqué au Journal.

    Source: Dongois, Michel. (7 avril 2017). Profession Santé. Médecins. Repéré à http://www.professionsante.ca/medecins/interprofessions/actualites/chsld-la-creation-de-micromilieux-pour-reduire-la-prise-de-medicaments-41713

  • While OSHA continues to promulgate a violence prevention regulation, our neighbors to the north are dealing with a similar problem of threatened healthcare workers. In the province of Ontario, with a population of some 15 million people, patient demand for treatment has outstripped available beds, creating delays and crowding that stress both healthcare workers and patients, says Michael Hurley, president of the Ontario Council of Hospital Unions. Citing other aggravating factors that will be familiar to employee health professionals, Hurley also notes that the problems are not limited to Ontario.

    Source: Canada Faces a Surge in Healthcare Violence : NIOSH emerging as key ally on U.S. OSHA reg (May 2017). Hospital Employee Health, 36(5), 52-54. Repéré à https://www.ahcmedia.com/articles/140481-canada-faces-a-surge-in-healthcare-violence

  • While often seen as separate and disturbingly distinct, incivility, bullying, and violence in healthcare are actually connected across a common culture of toxicity, says a researcher and author on the subject. “They are not separate issues — they are related,” says Cynthia Clark, PhD, RN, ANEF, FAAN, professor emeritus of nursing at Boise (ID) State University. “By definition. they are somewhat different, but they exist along a continuum of harmful and aggressive behaviors. You can have a person who behaves badly and never gets to the point of violence. Incivility and bullying, are tragically awful, but generally, people don’t die. So violence takes us to a whole new level, but that, to me, is the far right end of a continuum of aggressive behaviors.”

    Source: Evans, Gary. (May 2017). Hospital Employee Health, 36(5), 49-60. Repéré à https://www.ahcmedia.com/articles/140480-training-for-toxic-work-culture-should-start-in-nursing-school

  • PSHSA is leading a multi-stakeholder collaboration to address the pervasive and impactful issue of workplace violence in healthcare. The goal of the project is to deliver a model and toolkit that provides workplaces with a consistent, scalable, and consensus-based approach for achieving sustainable outcomes and thereby reducing incidents and the impact of aggression, violence, and responsive behaviours. Components of the tool kit will be released over the coming months. The Flagging Handbook and related tools are the first to be developed.

    Source: Public Services Health & Safety Association. Flagging Resources – PSHSA Violence, Aggression & Responsive Behaviour (VARB) project. Repéré à http://www.pshsa.ca/products/flagging-resources/

ALLERGIES PROFESSIONNELLES

  • The American Latex Allergy Association estimates that although a mere 1% of the general population is allergic to latex, some 8%-17% of healthcare workers have this allergy. Other high-risk groups include restaurant workers, children with spina bifida, and anyone who has had several surgeries. In the United States alone, about 3 million people are allergic to latex. Repeated exposure to latex increases the likelihood of becoming allergic to it, which is why certain groups are at higher risk than others.

    Source: Leavitt, Jennifer. (April 26, 2017). Medscape. News & Persepctive. Repéré à http://www.medscape.com/viewarticle/879081

AMÉNAGEMENT – ARCHITECTURE

  • The aim of this study is to gain more insight in the assessment of noise in open-plan study environments and to reveal correlations between noise disturbance experienced by students and the noise sources they perceive, the tasks they perform and the acoustic parameters of the open-plan study environment they work in. Data were collected in five open-plan study environments at universities in the Netherlands. A questionnaire was used to investigate student tasks, perceived sound sources and their perceived disturbance, and sound measurements were performed to determine the room acoustic parameters. This study shows that 38% of the surveyed students are disturbed by background noise in an open-plan study environment. Students are mostly disturbed by speech when performing complex cognitive tasks like studying for an exam, reading and writing. Significant but weak correlations were found between the room acoustic parameters and noise disturbance of students.

    Source: Braat-Eggen, P. Ella, van Heijst, Anne, Hornikx, Maarten, & Kohlrausch, Armin. (2017). Ergonomics. Prépublication. http://dx.doi.org/10.1080/00140139.2017.1306631

  • People with dementia face a range of challenges. These may include memory loss or difficulty communicating, mobility and navigation issues and other associated problems. Across every part of the housing sector, organisations can make a valuable contribution to supporting people with dementia facing these challenges. This dementia-friendly housing charter seeks to make the housing sector including housing organisations, corporate bodies and sector professionals aware of the challenges of living with dementia so that it can improve home environments for people with the condition. The charter is aimed at the full range of professionals working in the housing sector, from planners and architects to landlords and developers, housing managers and handypersons. It is designed to help all professionals support people living with dementia in their homes and facilitate consistency and good practice.

    Source: Moore, Bruce, Pritchard-Wilkes, Vanessa, Miles, Sara, & Sweeney, Robyn. (2017). Dementia-friendly housing charter : Guidance on delivering a dementia-friendly approach to housing. London, UK : Alzheimer’s Society, 56 p. Repéré à https://www.alzheimers.org.uk/download/downloads/id/3485/dementia-friendly_housing_charter.pdf

AMIANTE

  • L’amiante n’a pas besoin de présentation. Ce matériau a longtemps été utilisé pour de nombreuses fins, compte tenu de ses propriétés mécaniques et thermiques: protection incendie, calorifugeage, matériaux de construction, etc. Si les mines d’amiante québécoises sont aujourd’hui fermées, de nombreux matériaux en contiennent et sont toujours présents dans les bâtiments du Québec. Ce dossier est donc toujours d’actualité, puisque de nombreux travailleurs peuvent être exposés à des fibres d’amiante, et ce, dans presque tous les milieux de travail.

    Source: Cardinal, André. (Avril 2017). Convergence, 33(1), 14-15. Repéré à http://www.centrepatronalsst.qc.ca/publications/convergence.html

APPROCHE RELATIONNELLE DE SOINS (ARS)

  • Persons with Alzheimer’s disease and other dementias experience behavioral symptoms that frequently result in nursing home (NH) placement. Managing behavioral symptoms in the NH increases staff time required to complete care, and adds to staff stress and turnover, with estimated cost increases of 30%. The Changing Talk to Reduce Resistiveness to Dementia Care (CHAT) study found that an intervention that improved staff communication by reducing elderspeak led to reduced behavioral symptoms of dementia or resistiveness to care (RTC). This analysis evaluates the cost-effectiveness of the CHAT intervention to reduce elderspeak communication by staff and RTC behaviors of NH residents with dementia.

    Source: Williams, K.N., Ayyagari, P., Perkhounkova, Y., Bott, M.J., Herman, R., & Bossen, A. (2017). Journal of Nursing Home Research, 3, 22-27. http://dx.doi.org/10.14283/jnhrs.2017.4

BLOC OPÉRATOIRE – CHIRURGIE

  • Effective operating room ventilation is required to reduce the risk of surgical site infection. Vertical laminar airflow from above the surgical field provides a source of ‘ultra-clean’ air carrying contaminants away from the operative site. The drape often used to shield the operative site from the anaesthetic team defies the principles of vertical laminar airflow. A mock theatre set-up for a total knee replacement was constructed with and without the use of the anaesthetic screening drape. A 10×10 grid was set up within the surgical canopy and the downward air velocities were measured using a hot air anemometer. The average velocity and range of velocities at each grid point were measured in both setups. The range was used as marker of turbulence.

    Source: Sehjal, Ranjit, Bakti, Nik, & Goddard, Richard. (2017). Journal of Hospital Infection. Prépublication. http://doi.org/10.1016/j.jhin.2017.04.012

  • California lawmakers are moving forward with legislation that would require health care facilities to use scavenging systems to reduce surgical plume – toxic airborne contaminants that threaten surgical staff and patients. Surgical plume is a serious, preventable hazard that affects thousands of health care workers on an annual basis, according to NIOSH. The smoke is a byproduct of surgery using a laser or electrosurgical unit, and it may contain toxic gases and vapors such as benzene, formaldehyde and viruses. Exposure can lead to health problems, including eye, nose and throat irritation; emphysema; asthma; and chronic bronchitis. Ventilation systems can help reduce the risk for workers.

    Source: California bill takes aim at surgical smoke exposure. (April 4, 2017). Safety + Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/15515-california-bill-takes-aim-at-surgical-smoke-exposure

BRUIT EN MILIEU DE TRAVAIL

CHAMPS ÉLECTROMAGNÉTIQUES

  • Evidence of whether exposure to extremely low-frequency magnetic fields (ELF-MF) is related to central nervous system diseases is inconsistent. This study updates a previous study of the incidence of such diseases in a large cohort of Danish utility workers by almost doubling the period of follow-up. The authors investigated the risks for dementia, motor neurone disease, Parkinson disease, multiple sclerosis and epilepsy among 32,006 men employed at the 99 utility companies that supplied Denmark with electricity during the period 1900–1993. Cases were identified in the Danish National Patient Registry and the cohort was followed during 1982–2010.

    Source: Pedersen, Camilla, Poulsen, Aslak Harbo, Rod, Naja Hulvel, Frei, Patricia, Hansen, Johnni, Grell, Kathrine, Raaschou-Nielsen, Ole, Schüz, Joachim, & Johansen, Christoffer. (2017). International Archives of Occupational and Environmental Health. Prépublication.doi:10.1007/s00420-017-1224-0

  • Exposure to extremely low-frequency electromagnetic fields (ELF-EMF) was in 2002 classified as a possible human carcinogen, Group 2B, by the International Agency for Research on Cancer at WHO. Life time occupations were assessed in case-control studies during 1997-2003 and 2007-2009.

    Source: Carlberg, Michael, Koppel, Tarmo, Ahonen, Mikko, & Hardell, Lennart. (2017). American Journal of Industrial Medicine, 60(5), 494-503. doi:10.1002/ajim.22707

CHUTES ET GLISSADES

    • À la lecture du rapport Statistiques 2015 de la Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST), nous constatons que, pour le Québec, plus de 16 % des dossiers d’accident sont associés à la problématique des chutes. Toujours selon ce rapport, les chutes de tous types constituent la catégorie d’accidents se situant au troisième rang pour le nombre de dossiers ouverts et acceptés. Voici comment se répartissent les statistiques relatives à tous les dossiers.

      Source: Dubreuil, Denis. (Avril 2017). Convergence, 33(1), 10-11. Repéré à http://www.centrepatronalsst.qc.ca/documents/pdf/conv_avril_17.pdf

      • Les chutes et glissades sont des accidents au cours desquels la victime a été déséquilibrée à l’occasion d’un travail qui n’est pas exécuté en hauteur. La victime peut avoir récupéré son équilibre ou fait une chute, les deux situations se terminant par une lésion. Ces chutes de même niveau ou chutes de plain-pied représentent la troisième cause de lésion indemnisée dans le secteur de la santé et des services sociaux. Ce webinaire vise à faire prendre connaissance de l’ampleur du phénomène dans notre secteur, à présenter les 10 grandes catégories de risques, à savoir élaborer et mettre en place un programme de prévention et à se familiariser avec les outils offerts par l’ASSTSAS.

        Source: Bélanger, Louise. (Mars 2017). Les chutes et les glissades [Webinaire]. ASSTSAS. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/Mat_Pedagogique/2017-004-_chutes_glissades_ppants.pdf

Pour visionner l’enregistrement: http://forum.asstsas.qc.ca/2017-004/kvrrxy5asooo

CIGARETTE ÉLECTRONIQUE

      • Cigarette consumption has become global threat to both smokers and organizations. However, little is known about organizational smoking and vaping policies, and their influence to employees’ smoking and vaping behavior. The authors collected data from 456 employed smokers, vapers, and/or dual users. Smoking and/or vaping behavior, along with perceived organizational smoking/vaping policies were examined. The results showed that organizations should not consider smoking and vaping to be the same when setting policy. Employers should ensure that organizational vaping policies are present and clear to all employees.

        Source: Xiaochuan, Song, English, Master Thomas M., & Whitman, Marilyn V. (2017). JOEM: Journal of Occupational and Environmental Medicine, 59(4), 365-368. doi: 10.1097/JOM.0000000000000963

CIVILITÉ EN MILIEU DE TRAVAIL

COMITÉ DE SANTÉ ET SÉCURITÉ AU TRAVAIL (CPSST)

DERMATOSES PROFESSIONNELLES

      • The American Latex Allergy Association estimates that although a mere 1% of the general population is allergic to latex, some 8%-17% of healthcare workers have this allergy. Other high-risk groups include restaurant workers, children with spina bifida, and anyone who has had several surgeries. In the United States alone, about 3 million people are allergic to latex. Repeated exposure to latex increases the likelihood of becoming allergic to it, which is why certain groups are at higher risk than others.

        Source: Leavitt, Jennifer. (April 26, 2017). Medscape. News & Persepctive. Repéré à http://www.medscape.com/viewarticle/879081

ÉCLAIRAGE

      • Les ampoules LED que nous utilisons quotidiennement pourraient-elles être dangereuses pour la qualité de notre vision ? La question mérite d’être posée car, chez le rat, certaines de leurs longueurs d’onde s’avèrent toxiques pour la rétine. Un mécanisme qui pourrait favoriser la dégénérescence maculaire liée à l’âge. On sait que la rétine peut être endommagée par la lumière du soleil, mais on manque de données sur les lésions que la lumière artificielle peut lui porter. C’est notamment le cas concernant la lumière émise par les ampoules LED qui ont désormais remplacé les ampoules à incandescence. Pour combler ce déficit, une équipe Inserm s’est intéressée à l’impact phototoxique des rayons émis par ces dispositifs.

        Source: Institut national de la santé et de la recherche médicale. (4 janvier 2017). Les LED, pas si inoffensives que ça… [Billet de blogue]. Inserm. Actualités recherche. Repéré à http://www.inserm.fr/actualites/rubriques/actualites-recherche/les-led-pas-si-inoffensives-que-ca

Pour accéder à l’article original: https://www.ncbi.nlm.nih.gov/labs/articles/27751961/

ÉQUIPEMENTS – AVIS ET RETRAITS

      • Le terme « piégeage » décrit un incident où un patient ou résident est coincé, piégé ou immobilisé dans les barrières, le matelas ou le cadre d’un lit d’hôpital. Plusieurs problèmes de santé et caractéristiques des patients sont associés à un risque accru de piégeage dans des lits d’hôpitaux. Mentionnons notamment les troubles cognitifs et de communication, les patients fragiles et de petite taille, l’agitation, la douleur, les mouvements incontrôlés du corps, ainsi que le dysfonctionnement de la vessie ou des intestins. Santé Canada continue de recevoir des rapports d’incidents concernant le piégeage de patients dans des lits d’hôpitaux. Entre août 2012, date du dernier avis aux hôpitaux publié par Santé Canada, et mars 2017, 58 cas de piégeage dans un lit d’hôpital, dont 11 décès, ont été signalés à Santé Canada. Tous les lits d’hôpitaux sont visés.

        Source: Santé Canada. (7 avril 2017). Lits d’hôpitaux – Risque de piégeage des patients. Canadiens en santé. Rappels et avis de sécurité. Repéré à http://canadiensensante.gc.ca/recall-alert-rappel-avis/hc-sc/2017/62960a-fra.php

ÉQUIPEMENTS DE PROTECTION

      • The American Latex Allergy Association estimates that although a mere 1% of the general population is allergic to latex, some 8%-17% of healthcare workers have this allergy. Other high-risk groups include restaurant workers, children with spina bifida, and anyone who has had several surgeries. In the United States alone, about 3 million people are allergic to latex. Repeated exposure to latex increases the likelihood of becoming allergic to it, which is why certain groups are at higher risk than others.

        Source: Leavitt, Jennifer. (April 26, 2017). Medscape. News & Persepctive. Repéré à http://www.medscape.com/viewarticle/879081

ÉTABLISSEMENTS D’HÉBERGEMENT

      • All long-term care homes employ an identifiable style of staff leadership, an imperative in all health-care environments. Some of these styles of leadership include « authoritarian » or « autocratic », « laissez-faire », « transactional », « democratic », and « affiliative ». A more recent style, called « transformational leadership » occurs when a leader works with front-line staff to identify needed change, creating a vision to guide the change through staff inspiration, and executing the change in tandem with committed members of the team. Recently, St. Peter’s Residence at Chedoke in Hamilton, Ontario, a large long-term care home, implemented a « transformational leadership » approach to resident care. This journey is described in detail, along with the basic characteristics of Transformational Leadership.

        Source: Karimi, Bahar, Mills, Janine, Calvert, Elaine, & Ryckman, Markie. (March/April 2017). Canadian Nursing Home, 28(1), 4-7.

CET ARTICLE N’EST PAS DISPONIBLE EN VERSION ÉLECTRONIQUE.

      • Depuis l’an dernier, le CHSLD Bellerive, à La Malbaie, regroupe dans une même unité les résidents qui présentent un profil similaire. Sept sections distinctes ont ainsi été prévues. Appelée «projet micromilieu», l’initiative a eu pour effet de réduire la consommation de médicaments, l’anxiété et l’agressivité chez les patients, rapporte Le Journal de Montréal. La surcharge de travail du personnel aurait également diminué au même rythme, précise le directeur adjoint au programme de soutien à l’autonomie des personnes âgées au CIUSSS de la Capitale-Nationale, Steeve Vigneault. «On a besoin de 15 % moins d’anxiolytiques depuis l’implantation du micromilieu», a-t-il indiqué au Journal.

        Source: Dongois, Michel. (7 avril 2017). Profession Santé. Médecins. Repéré à http://www.professionsante.ca/medecins/interprofessions/actualites/chsld-la-creation-de-micromilieux-pour-reduire-la-prise-de-medicaments-41713

      • Persons with Alzheimer’s disease and other dementias experience behavioral symptoms that frequently result in nursing home (NH) placement. Managing behavioral symptoms in the NH increases staff time required to complete care, and adds to staff stress and turnover, with estimated cost increases of 30%. The Changing Talk to Reduce Resistiveness to Dementia Care (CHAT) study found that an intervention that improved staff communication by reducing elderspeak led to reduced behavioral symptoms of dementia or resistiveness to care (RTC). This analysis evaluates the cost-effectiveness of the CHAT intervention to reduce elderspeak communication by staff and RTC behaviors of NH residents with dementia.

        Source: Williams, K.N., Ayyagari, P., Perkhounkova, Y., Bott, M.J., Herman, R., & Bossen, A. (2017). Journal of Nursing Home Research, 3, 22-27. http://dx.doi.org/10.14283/jnhrs.2017.4

      • People with dementia face a range of challenges. These may include memory loss or difficulty communicating, mobility and navigation issues and other associated problems. Across every part of the housing sector, organisations can make a valuable contribution to supporting people with dementia facing these challenges. This dementia-friendly housing charter seeks to make the housing sector including housing organisations, corporate bodies and sector professionals aware of the challenges of living with dementia so that it can improve home environments for people with the condition. The charter is aimed at the full range of professionals working in the housing sector, from planners and architects to landlords and developers, housing managers and handypersons. It is designed to help all professionals support people living with dementia in their homes and facilitate consistency and good practice.

        Source: Moore, Bruce, Pritchard-Wilkes, Vanessa, Miles, Sara, & Sweeney, Robyn. (2017). Dementia-friendly housing charter : Guidance on delivering a dementia-friendly approach to housing. London, UK : Alzheimer’s Society, 56 p. Repéré à https://www.alzheimers.org.uk/download/downloads/id/3485/dementia-friendly_housing_charter.pdf

FUMÉES CHIRURGICALES

      • California lawmakers are moving forward with legislation that would require health care facilities to use scavenging systems to reduce surgical plume – toxic airborne contaminants that threaten surgical staff and patients. Surgical plume is a serious, preventable hazard that affects thousands of health care workers on an annual basis, according to NIOSH. The smoke is a byproduct of surgery using a laser or electrosurgical unit, and it may contain toxic gases and vapors such as benzene, formaldehyde and viruses. Exposure can lead to health problems, including eye, nose and throat irritation; emphysema; asthma; and chronic bronchitis. Ventilation systems can help reduce the risk for workers.

        Source: California bill takes aim at surgical smoke exposure. (April 4, 2017). Safety + Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/15515-california-bill-takes-aim-at-surgical-smoke-exposure

GESTION – LEADERSHIP

      • While the impact of burnout on organisational commitment has been widely observed, its impact on nursing professional commitment has not previously been investigated. The literature has clarified that professional commitment has three distinct components: affective, continuance and normative. This study aims to investigate the relationships between burnout and the three components of nursing professional commitment.

        Source: Chang, Hao-Yuan, Shyu, Yea-Ing Lotus, Wong, May-Kuen, Chu, Tsung-Lan, Lo, Yuan-Yu, & Teng, Ching-I. (2017). Scandinavian Journal of Nursing Sciences. Prépublication. DOI: 10.1111/scs.12425

      • Perceived organizational support (POS) has been found to predict important organizational outcomes such as increasing employees’ well-being. In this research, we examine a new underlying mechanism of the relationship between POS and employees’ well-being, that is, employees’ perceptions that their organization dehumanizes them. This proposition was tested across two studies. Using an experimental design manipulating POS in a laboratory setting, Study 1 indicated that in the high POS condition, the subsequent feelings of being dehumanized by the organization were lower than in the low POS condition. More importantly, organizational dehumanization perceptions were found to mediate the POS condition and satisfaction link. Furthermore, using a sample of 1209 employees, results of Study 2 indicated that organizational dehumanization mediates the relationship between POS and three indicators of employees’ well-being (i.e., job satisfaction, emotional exhaustion, and psychosomatic strains). Implications for research on both organizational support theory and dehumanization theory are discussed.

        Source: Caesens, Gaëtane, Stinglhamber, Florence, Demoulin, Stéphanie, & De Wilde, Matthias. (2017). European Journal of Work and Organizational Psychology. Prépublication. http://dx.doi.org/10.1080/1359432X.2017.1319817

      • All long-term care homes employ an identifiable style of staff leadership, an imperative in all health-care environments. Some of these styles of leadership include « authoritarian » or « autocratic », « laissez-faire », « transactional », « democratic », and « affiliative ». A more recent style, called « transformational leadership » occurs when a leader works with front-line staff to identify needed change, creating a vision to guide the change through staff inspiration, and executing the change in tandem with committed members of the team. Recently, St. Peter’s Residence at Chedoke in Hamilton, Ontario, a large long-term care home, implemented a « transformational leadership » approach to resident care. This journey is described in detail, along with the basic characteristics of Transformational Leadership.

        Source: Karimi, Bahar, Mills, Janine, Calvert, Elaine, & Ryckman, Markie. (March/April 2017). Canadian Nursing Home, 28(1), 4-7.

CET ARTICLE N’EST PAS DISPONIBLE EN VERSION ÉLECTRONIQUE.

      • Significant changes in a workplace affect the mental and physical health of employees, says a recent study by Toronto-based consulting firm Morneau Shepell. The nationwide survey asked employers and workers about their reactions to major changes like job redesign, downsizing, restructuring or mergers. Results show that about 40 per cent of employee respondents said that organizational changes had affected their health and well-being, while 30 per cent of workers claimed that change had negatively affected their job performance. For nearly half of the respondents (43 per cent), such changes had adversely influenced their perceptions of their employers. Only slightly more than one-quarter indicated that organizational change had improved their health, performance and perceptions of their firms.

        Source: Cottrill, Jeff. (April 3, 2017). OHS Canada. Repéré à http://www.ohscanada.com/features/managing-change/

      • « La reconnaissance. Chacun de nous en a un besoin sans fin, au travail. Et ce, que l’on soit en bas ou tout en haut de la pyramide hiérarchique. Pas vrai? Mais voilà, comment s’y prendre pour exprimer votre reconnaissance aux autres de manière efficace? Oui, comment valoriser les mérites de l’individu comme de l’équipe? Et surtout, sans mettre la main à la poche (ce qui est une «solution» de facilité, donc une «solution» rarement adéquate)? ».

        Source: Schmouker, Olivier. (18 avril 2017). 9 trucs ultrasimples pour témoigner de la reconnaissance à vos employés. [Billet de blogue]. Les Affaires. En tête. Repéré à http://www.lesaffaires.com/blogues/olivier-schmouker/9-trucs-ultrasimples-pour-temoigner-de-la-reconnaissance-a-vos-employes/594393

      • There is inconsistent evidence that deliberate attempts to improve job design realise improvements in well-being. The authors investigated the role of other employment practices, either as instruments for job redesign or as instruments that augment job redesign. Their primary outcome was well-being. Where studies also assessed performance, the authors considered performance as an outcome. They reviewed 33 intervention studies. They found that well-being and performance may be improved by: training workers to improve their own jobs; training coupled with job redesign; and system wide approaches that simultaneously enhance job design and a range of other employment practices.

        Source: Daniels, Kevin, Gedikli, Cigdem, Watson, David, Semkina, Antonina, & Vaughn, Oluwafunmilayo. (2017). Ergonomics. Prépublication. http://dx.doi.org/10.1080/00140139.2017.1303085

      • Il fait partie du sens commun de penser que des employés heureux sont plus productifs. Qui n’a pas vécu personnellement l’incapacité à travailler en raison d’une anxiété trop grande ou d’une déprime ponctuelle? Ou encore, être d’une efficacité incroyable émanant d’une sensation de bien-être et de sérénité? Nos expériences personnelles de même que notre intuition peuvent nous amener à appuyer la « thèse de l’employé heureux et productif », sans compter qu’un certain nombre de recherches le confirment également : une meilleure santé psychologique est liée à une meilleure performance au travail! Et pas seulement en raison d’une diminution de l’absentéisme, mais bien de la contribution supérieure des employés en bonne santé. En effet, dans les dernières décennies, les recherches ont étudié sous divers angles cette question et il existe bel et bien une corrélation entre santé et performance.

        Source: Leclerc, Jean-Simon, & Boudrias, Jean-Sébastien. (12 avril 2017). Revue Gestion HEC Montréal. Repéré à http://www.revuegestion.ca/agir/investir-sante-psychologique-travail-ameliore-performance/

      • In the challenging situation of nursing shortage, nurse executives are required to focus on the retention of nurses. No previous studies have examined the impact of nursing leader’s behavioral integrity and intragroup relationship conflict on nurses’ intention to remain. This study tested a multilevel model examining the effect of nursing leader’s behavioral integrity and intragroup relationship conflict on staff nurses’ intent to remain. The results showed that nursing leader’s behavioral integrity was positively related to nurses’ intention to remain. This relationship was enhanced when the level of intragroup relationship conflict was high.

        Source: Kang, Seung-Wan, Lee, Soojin, & Choi, Suk Bong. (2017). JAN: Journal of Nursing Administration. doi: 10.1097/NNA.0000000000000448

      • Communication between nurse managers and nurses is important for mental health of hospital nurses. The aim of the present study was to investigate the relationship between managers’ communication behaviors toward nurses, and work engagement and psychological distress among hospital nurses using a multilevel model.

        Source: Kunie, Keiko, Kawakami, Norito, Shimazu, Akihito, Yonekura, Yuki, & Miyamoto, Yuki. (2017). International Journal of Nursing Studies. Prépublication. http://dx.doi.org/10.1016/j.ijnurstu.2017.03.011

GESTION DE LA SST

      • Cette étude permet notamment d’identifier des groupes de travailleurs et des industries-catégories professionnelles dont les problèmes de SST sont les plus importants, ce qui constitue une information précieuse pour la planification de la recherche et de la prévention. Elle présente, pour la période 2010-2012, des indicateurs de risque, de gravité, de risque-gravité et de coût des lésions professionnelles acceptées et de celles avec perte de temps indemnisée. Les caractéristiques descriptives des lésions sont aussi présentées. On y traite notamment de la clientèle du secteur affaires sociales.

        Source: Duguay, Patrice, Boucher, Alexandre, Prud’homme, Pascale, Busque, Marc-Antoine, & Lebeau, Martin. (2017). Montréal: Institut de recherche Robert-Sauvé en santé et en sécurité du travail, xxv, 255 p. Repéré à http://www.irsst.qc.ca/media/documents/PubIRSST/R-963.pdf?v=2017-04-26

      • Les statistiques présentées dans ce document se rapportent à des lésions professionnelles pour l’année traitée et les quatre années précédentes et dont l’événement d’origine est survenu entre le 1er janvier et le 31 décembre de chaque année inclusivement, lorsqu’il s’agit d’accidents du travail; pour les maladies professionnelles, la date de référence considérée est celle qui se rapproche le plus de la date du diagnostic, celle-ci devant se situer entre le 1er janvier et le 31 décembre de chaque année. De plus, les lésions retenues sont celles qui sont liées à un dossier d’employeur dont la juridiction est provinciale.

        Source: Commission des normes, de l’équité, de la santé et de la sécurité du travail du Québec. Direction de la comptabilité et de la gestion de l’information. Centre de la statistique et de l’information de gestion. Longchamps, S., & Huot, M. (2017). [Associations sectorielles paritaires, statistiques sur les lésions professionnelles]: ASP-1, secteur des affaires sociales, 2015. Québec: CNESST, 110 p. (DC: 300-262-11). Repéré à https://www.centredoc.cnesst.gouv.qc.ca/in/details.xhtml?id=p%3A%3Ausmarcdef_0000228631

      • Les dangers reliés à l’électricité sont souvent banalisés dans l’industrie. Deux dangers guettent les personnes qui travaillent sur ou à proximité d’un équipement sous tension: le choc électrique et l’éclat d’arc. Avez-vous des travailleurs ou des sous-traitants qui interagissent avec l’électricité comme des électriciens ou des spécialistes en chauffage/climatisation? Pensez-vous que, puisque ces personnes détiennent une licence ou un permis, qu’elles travailleront selon les normes les plus strictes et que vous n’avez pas à trop les encadrer? Détrompez-vous!

        Source: Lacombe, Patrice. (Avril 2017). Convergence, 33(1), 8-9. Repéré à http://www.centrepatronalsst.qc.ca/documents/pdf/conv_avril_17.pdf

      • They are more tech-savvy and better educated than any previous generation. But they also have to scale a higher wall when finding full-time employment in a gig economy, in which temporary jobs are commonplace and companies are inclined towards hiring contractors and freelancers. How will Millennial workers shape the workplace-safety landscape.

        Source: Kucharsky, Danny. (March/April 2017). OHS Canada, 33(2), 26-29. Repéré à http://www.ohscanada.com/digital-archives/ohs-canada-march-april-2017/

      • As the global nursing workforce ages, developing a comprehensive understanding of the experiences, needs and values specific to older nurses is increasingly significant. This paper reviews the evidence with regard to the specific challenges encountered by older nurses in the workplace. A scoping review of the published literature was conducted using the electronic databases Medline, CINAHL, PsycINFO, Science Direct and Google Scholar. A total of 20 papers were included in this review, most of which were qualitative.

        Source: Ryan, C., Bergin, M., & Wells, J.S. (2017). International Journal of Nursing Studies. Prépublication. http://doi.org/10.1016/j.ijnurstu.2017.04.006

      • The evaluation of safety performance in occupational health and safety assessment series (OHSAS) 18001-certified companies provides useful information about the quality of the management system. A certified organization should employ an adequate level of safety management and a positive safety culture to achieve a satisfactory safety performance. The present study conducted in six manufacturing companies: three OHSAS 18001-certified, and three non-certified to assess occupational health and safety (OHS) as well as OHSAS 18001 practices. The certified companies had a better OHS practices compared with the non-certified companies. The certified companies slightly differed in OHS and OHSAS 18001 practices and one of the certified companies had the highest activity rates for both practices. The results indicated that the implemented management systems have not developed and been maintained appropriately in the certified companies. The in-depth analysis of the collected evidence revealed shortcomings in safety culture improvement in the certified companies. This study highlights the importance of safety culture to continuously improve the quality of OHSAS 18001 and to properly perform OHS/OHSAS 18001 practices in the certified companies.

        Source: Ghahramani, Abolfazl. (2017). Industrial Health, 55(2), 138-148. http://doi.org/10.2486/indhealth.2015-0205

      • Il fait partie du sens commun de penser que des employés heureux sont plus productifs. Qui n’a pas vécu personnellement l’incapacité à travailler en raison d’une anxiété trop grande ou d’une déprime ponctuelle? Ou encore, être d’une efficacité incroyable émanant d’une sensation de bien-être et de sérénité? Nos expériences personnelles de même que notre intuition peuvent nous amener à appuyer la « thèse de l’employé heureux et productif », sans compter qu’un certain nombre de recherches le confirment également : une meilleure santé psychologique est liée à une meilleure performance au travail! Et pas seulement en raison d’une diminution de l’absentéisme, mais bien de la contribution supérieure des employés en bonne santé. En effet, dans les dernières décennies, les recherches ont étudié sous divers angles cette question et il existe bel et bien une corrélation entre santé et performance.

        Source: Leclerc, Jean-Simon, & Boudrias, Jean-Sébastien. (12 avril 2017). Revue Gestion HEC Montréal. Repéré à http://www.revuegestion.ca/agir/investir-sante-psychologique-travail-ameliore-performance/

      • Une ambiance sécuritaire favorisant les comportements liés à la sécurité est associée à un nombre moins élevé d’accidents de travail et les précédentes recherches menées dans l’industrie indiquent que les connaissances et la motivation en matière de sécurité sont fortement liés aux comportements en matière de sécurité. Cette relation est peu étudiée dans les milieux de santé. Cette enquête américaine s’est basée sur les résultats de l’enquête 2012 des perceptions du baromètre de sécurité des employés chez les vétérans de l’administration de santé (VHA). Six programmes de sécurité ont été évalués incluant la participation de la direction, celle des superviseurs, des employés, les activités de soutien à la sécurité et son ambiance et l’ambiance organisationnelle.

        Source: Évaluation de l’ambiance sécuritaire et des taux d’accidents de travail chez le personnel soignant. (18 avril 2017). CAMIP.Info: la revue de la santé au travail. Repéré à http://www.camip.info/nous-avons-lu-pour-vous/Sante-au-travail/Organisation-de-la-prevention/article/evaluation-de-l-ambiance

Pour accéder à l’article original: http://oem.bmj.com/content/early/2016/04/27/oemed-2015-103218.short?rss=1

      • La planification pluriannuelle en prévention-inspection 2017-2019 définit les priorités de la Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST) dans l’exercice de sa mission. En somme, elle insuffle une orientation concrète à donner aux activités que l’organisme doit déployer pour assurer sa planification stratégique 2017-2019.

        Source: Commission des normes, de l’équité, de la santé et de la sécurité du travail. (2017). Planification pluriannuelle en prévention-inspection 2017-2019. [Québec] : Commission des normes, de l’équité, de la santé et de la sécurité du travail, 26 p. Repéré à http://www.cnesst.gouv.qc.ca/acces-information/diffusion-de-l-information/Documents/GuidePlanifPrevention_VF.pdf

      • On April 3, changes to the Occupational Health and Safety (OHS) Regulation will come into effect that require employers to make some changes to how their joint health and safety committees (JHSC) operate. New regulations will require that employers evaluate the effectiveness of their committee, provide additional training to new members, and further define how the committee participates in incident investigations.

        Source: Johnson, Gail. (Marck/April 2017). WorkSafe Magazine, 17(2). 7-11. Repéré à https://www.worksafebc.com/en/resources/newsletters/worksafe-magazine/worksafe-magazine-marapr-2017/on-the-cover?lang=en

      • Unsafe behavior is closely related to occupational accidents. Work pressure is one the main factors affecting employees’ behavior. The aim of this study was to provide a path analysis model for explaining how work pressure affects safety behavior. Using a self-administered questionnaire, six variables supposed to affect safety employees’ behavior were measured. Results indicated that work pressure did not influence safety behavior directly. However, it negatively influenced other variables. Group attitude and personal attitude toward safety were the main factors mediating the effect of work pressure on safety behavior. Among the variables investigated in the present study, group attitude, personal attitude, and work pressure had the strongest effects on safety behavior. Managers should consider that in order to improve employees’ safety behavior, work pressure should be reduced to a reasonable level, and concurrently, a supportive environment, which ensures a positive group attitude toward safety, should be provided.

        Source: Ghasemi, Fakrradin, Kalatpour, Omid, Moghimbeigi, Abbas, & Mohhamadfam, Iraj. (2017). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. 23 p. http://dx.doi.org/10.1080/10803548.2017.1313494

      • Ce guide pratique accompagne étape par étape les intervenants dans leur démarche d’évaluation. Il propose des apports méthodologiques sur l’évaluation, des exemples illustratifs et une grille regroupant les conséquences potentielles des démarches de prévention des risques psychosociaux (RPS) et trouble musculosquelettiques (TMS). Il est accompagné du  » Document d’évaluation de mon intervention  » que l’intervenant pourra renseigner au fur et à mesure de sa démarche. La démarche proposée permet de mesurer un large éventail des effets qu’une intervention produit et de les analyser au regard des méthodes mises en oeuvre et de la singularité des contextes rencontrés. Elle permet ainsi de mettre en valeur toute la richesse, la diversité et la complexité des interventions de prévention.

        Source: Institut National de Recherche et de Sécurité & Anact. (2017). Paris: INRS, Lyon: ANACT, 55 p. Repéré à http://www.inrs.fr/dms/inrs/CataloguePapier/HST/TI-CC-18/cc18.pdf

Pour télécharger le « Document d’évaluation de mon intervention »: http://www.inrs.fr/dms/inrs/CataloguePapier/HST/TI-CC-18BIS/Document-Evaluation.docx

      • Partie intégrante d’une saine gestion, le plan d’action en prévention est un ensemble d’activités mises de l’avant par la direction d’un établissement pour atteindre des objectifs mesurables afin d’améliorer la santé et la sécurité du travail (SST). À la suite de l’identification et de l’évaluation des risques, le responsable de la prévention ainsi que le comité paritaire de SST pourront concevoir un plan d’action selon les priorités établies. L’avis des gestionnaires concernés et de leurs équipes sera sollicité. Ce guide se veut un document de référence pour se familiariser avec le contenu d’un plan d’action et ses étapes de conception.

        Source: Bélanger, Louise, & Brouillard, Josianne. (2017). Plan d’action en SST: guide de prévention. Montréal: ASSTSAS, 58 p. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/Guides_Broch_Depl/GP73%20-%20Plan%20d%27action%20en%20SST.pdf

      • La Chaire de recherche en santé mentale et travail souhaite répondre à la mission du Centre de recherche de l’Institut Universitaire en Santé Mentale de Montréal (CR-IUSMM) – Axe interventions et services, en offrant les meilleurs services spécialisés en santé mentale et repousser les limites de la maladie par la recherche et l’évaluation des modes d’intervention. Tout particulièrement, la Chaire souhaite appréhender les modes d’intervention relatifs au retour au travail durable de personnes avec un trouble mental. La Chaire se structure autour de trois axes: 1) Le développement, l’implantation et l’évaluation d’interventions novatrices en santé mentale et travail, 2) Le développement, validation et évaluation d’outils en santé mentale et travail et 3) L’évaluation de la stigmatisation et de la divulgation du trouble mental en milieu de travail.

        Source: http://www.santementaletravail.ca/

      • Since 1998, Maccabi Healthcare Services (MHS) has employed a part-time social worker (SW) in its occupational medicine clinics (OMCs) to help patients deal with the psychosocial aspects of change in their work ability, earning capability loss and rehabilitation issues. The need, expectation and impact of this social work services (SWSs) as part of the independent occupational health service (OHS) have not yet been studied. This study aimed to explore patients’ expectations and satisfaction with the SWS. This study supports the need for SW services and their usefulness in OHS. The study shows the positive impact of the SW service within the public health system of the Israeli OHS with a high patient satisfaction level with the SW service in addressing patient questions.

        Source: Moshe, S., Cinamon, T., Zack, O., Segal, N., Chodick, G., Krakov, A., & Tal, M. (2017). Occupational Medicine, 67(3), 194-198. https://doi.org/10.1093/occmed/kqx009

GESTION DES RISQUES

      • Unsafe behavior is closely related to occupational accidents. Work pressure is one the main factors affecting employees’ behavior. The aim of this study was to provide a path analysis model for explaining how work pressure affects safety behavior. Using a self-administered questionnaire, six variables supposed to affect safety employees’ behavior were measured. Results indicated that work pressure did not influence safety behavior directly. However, it negatively influenced other variables. Group attitude and personal attitude toward safety were the main factors mediating the effect of work pressure on safety behavior. Among the variables investigated in the present study, group attitude, personal attitude, and work pressure had the strongest effects on safety behavior. Managers should consider that in order to improve employees’ safety behavior, work pressure should be reduced to a reasonable level, and concurrently, a supportive environment, which ensures a positive group attitude toward safety, should be provided.

        Source: Ghasemi, Fakrradin, Kalatpour, Omid, Moghimbeigi, Abbas, & Mohhamadfam, Iraj. (2017). JOSE : International Journal of Occupational Safety and Ergonomics. Prépublication. 23 p. http://dx.doi.org/10.1080/10803548.2017.1313494

GESTION DU CHANGEMENT

      • All long-term care homes employ an identifiable style of staff leadership, an imperative in all health-care environments. Some of these styles of leadership include « authoritarian » or « autocratic », « laissez-faire », « transactional », « democratic », and « affiliative ». A more recent style, called « transformational leadership » occurs when a leader works with front-line staff to identify needed change, creating a vision to guide the change through staff inspiration, and executing the change in tandem with committed members of the team. Recently, St. Peter’s Residence at Chedoke in Hamilton, Ontario, a large long-term care home, implemented a « transformational leadership » approach to resident care. This journey is described in detail, along with the basic characteristics of Transformational Leadership.

        Source: Karimi, Bahar, Mills, Janine, Calvert, Elaine, & Ryckman, Markie. (March/April 2017). Canadian Nursing Home, 28(1), 4-7.

CET ARTICLE N’EST PAS DISPONIBLE EN VERSION ÉLECTRONIQUE.

      • Significant changes in a workplace affect the mental and physical health of employees, says a recent study by Toronto-based consulting firm Morneau Shepell. The nationwide survey asked employers and workers about their reactions to major changes like job redesign, downsizing, restructuring or mergers. Results show that about 40 per cent of employee respondents said that organizational changes had affected their health and well-being, while 30 per cent of workers claimed that change had negatively affected their job performance. For nearly half of the respondents (43 per cent), such changes had adversely influenced their perceptions of their employers. Only slightly more than one-quarter indicated that organizational change had improved their health, performance and perceptions of their firms.

        Source: Cottrill, Jeff. (April 3, 2017). OHS Canada. Repéré à http://www.ohscanada.com/features/managing-change/

INSTALLATIONS MATÉRIELLES

      • Les dangers reliés à l’électricité sont souvent banalisés dans l’industrie. Deux dangers guettent les personnes qui travaillent sur ou à proximité d’un équipement sous tension: le choc électrique et l’éclat d’arc. Avez-vous des travailleurs ou des sous-traitants qui interagissent avec l’électricité comme des électriciens ou des spécialistes en chauffage/climatisation? Pensez-vous que, puisque ces personnes détiennent une licence ou un permis, qu’elles travailleront selon les normes les plus strictes et que vous n’avez pas à trop les encadrer? Détrompez-vous!

        Source: Lacombe, Patrice. (Avril 2017). Convergence, 33(1), 8-9. Repéré à http://www.centrepatronalsst.qc.ca/documents/pdf/conv_avril_17.pdf

MÉDICAMENTS DANGEREUX

      • On July 1, 2018, USP <800> Hazardous Drugs – Handling in Healthcare Settings1 will become official, although some states, accreditation organizations, and facility policies may require earlier compliance. In the pursuit of USP <800> compliance, the first step is to identify all of the hazardous drugs (HDs) utilized by the entity, as well as their dosage forms and the specific handling practices for those products.

        Source: Kienle, Patricia C., & Douglass, Kate. (March 2017). Pharmacy Purchasing & Products, 14(3), p. 28-29. Repéré à https://www.pppmag.com/article/2012

      • The publication of the United States Pharmacopeia (USP) Chapter <800> in February, 2016 establishes new standards for handling hazardous drugs (HDs) in health care settings.1 The primary focus of the chapter is ensuring employee and patient safety through proper receipt, storage, compounding, administration, and disposal of HDs. Many health care organizations will need to institute facility upgrades and establish new institutional policies and procedures (P&Ps) to achieve compliance with the regulations outlined in USP <800> by the enforcement deadline of July 1, 2018. A comprehensive understanding of an organization’s USP <800> compliance gaps is essential to developing a plan to achieve full compliance. A recent article published in Pharmacy Purchasing & Products describes the development of a USP <800> compliance strategy, complete with a gap analysis tool.

        Source: Eberwein, Samuel M., & Amerine, Lindsey. (April 2017). Pharmacy Purchasing & Products, 14(4), 12-13. Repéré à https://www.pppmag.com/article/2021

      • Concern exists regarding the possible hazards to the personnel handling anti-neoplastic drugs. The purpose of the present study was to assess the genotoxicity induced by anti-neoplastic agents in oncology department personnel. Results demonstrate the cytogenetic damage in peripheral blood lymphocytes of oncology department personnel. Suitable training and proper knowledge when handling anti-neoplastic drugs are emphasized to avoid potential health hazards caused by cytostatic agents.

        Source: Mahmoodi, Majid, Soleyman-Jahi, Saeed, Zendehdel, Kazem, Mozdarani, Hossein, Azimi, Cyrus, Farzanfar, Farideh,… Rezaei, Nima. (2017). Drug and Chemical Toxicology, 40(2), 235-240. http://dx.doi.org/10.1080/01480545.2016.1209678

      • This study aims at experimentally determining the incidence and extent of liquid releases onto the operator’s hands and into the work environment during common nursing operations involving infusions. A sequence of operations related to the preparation and administration of infusions was conducted by three subjects for 15 times each using fluorescein marked infusion solutions and two different infusion sets (standard set vs. safety-optimized set). Unintended release of liquid was quantified by glove and surface wipe sampling and HPLC/FD analysis of the samples. Operations concerning the disposal of infusions were also part of the study.

        Source: Segner, Verena, Kimbel, Renate, Jochems, Philipp, Heinemann, André, Letzel, Stephan, Wollschläger, Daniel, & Roßbach, Bernd. (2017). International Archives of Occupational and Environmental Health, 90(3), 275-284. doi:10.1007/s00420-017-1196-0

MILIEU DE VIE

      • Depuis l’an dernier, le CHSLD Bellerive, à La Malbaie, regroupe dans une même unité les résidents qui présentent un profil similaire. Sept sections distinctes ont ainsi été prévues. Appelée «projet micromilieu», l’initiative a eu pour effet de réduire la consommation de médicaments, l’anxiété et l’agressivité chez les patients, rapporte Le Journal de Montréal. La surcharge de travail du personnel aurait également diminué au même rythme, précise le directeur adjoint au programme de soutien à l’autonomie des personnes âgées au CIUSSS de la Capitale-Nationale, Steeve Vigneault. «On a besoin de 15 % moins d’anxiolytiques depuis l’implantation du micromilieu», a-t-il indiqué au Journal.

        Source: Dongois, Michel. (7 avril 2017). Profession Santé. Médecins. Repéré à http://www.professionsante.ca/medecins/interprofessions/actualites/chsld-la-creation-de-micromilieux-pour-reduire-la-prise-de-medicaments-41713

      • Persons with Alzheimer’s disease and other dementias experience behavioral symptoms that frequently result in nursing home (NH) placement. Managing behavioral symptoms in the NH increases staff time required to complete care, and adds to staff stress and turnover, with estimated cost increases of 30%. The Changing Talk to Reduce Resistiveness to Dementia Care (CHAT) study found that an intervention that improved staff communication by reducing elderspeak led to reduced behavioral symptoms of dementia or resistiveness to care (RTC). This analysis evaluates the cost-effectiveness of the CHAT intervention to reduce elderspeak communication by staff and RTC behaviors of NH residents with dementia.

        Source: Williams, K.N., Ayyagari, P., Perkhounkova, Y., Bott, M.J., Herman, R., & Bossen, A. (2017). Journal of Nursing Home Research, 3, 22-27. http://dx.doi.org/10.14283/jnhrs.2017.4

      • People with dementia face a range of challenges. These may include memory loss or difficulty communicating, mobility and navigation issues and other associated problems. Across every part of the housing sector, organisations can make a valuable contribution to supporting people with dementia facing these challenges. This dementia-friendly housing charter seeks to make the housing sector including housing organisations, corporate bodies and sector professionals aware of the challenges of living with dementia so that it can improve home environments for people with the condition. The charter is aimed at the full range of professionals working in the housing sector, from planners and architects to landlords and developers, housing managers and handypersons. It is designed to help all professionals support people living with dementia in their homes and facilitate consistency and good practice.

        Source: Moore, Bruce, Pritchard-Wilkes, Vanessa, Miles, Sara, & Sweeney, Robyn. (2017). Dementia-friendly housing charter : Guidance on delivering a dementia-friendly approach to housing. London, UK : Alzheimer’s Society, 56 p. Repéré à https://www.alzheimers.org.uk/download/downloads/id/3485/dementia-friendly_housing_charter.pdf

NORMES ET LÉGISLATION EN SST

      • The evaluation of safety performance in occupational health and safety assessment series (OHSAS) 18001-certified companies provides useful information about the quality of the management system. A certified organization should employ an adequate level of safety management and a positive safety culture to achieve a satisfactory safety performance. The present study conducted in six manufacturing companies: three OHSAS 18001-certified, and three non-certified to assess occupational health and safety (OHS) as well as OHSAS 18001 practices. The certified companies had a better OHS practices compared with the non-certified companies. The certified companies slightly differed in OHS and OHSAS 18001 practices and one of the certified companies had the highest activity rates for both practices. The results indicated that the implemented management systems have not developed and been maintained appropriately in the certified companies. The in-depth analysis of the collected evidence revealed shortcomings in safety culture improvement in the certified companies. This study highlights the importance of safety culture to continuously improve the quality of OHSAS 18001 and to properly perform OHS/OHSAS 18001 practices in the certified companies.

        Source: Ghahramani, Abolfazl. (2017). Industrial Health, 55(2), 138-148. http://doi.org/10.2486/indhealth.2015-0205

      • On July 1, 2018, USP <800> Hazardous Drugs – Handling in Healthcare Settings1 will become official, although some states, accreditation organizations, and facility policies may require earlier compliance. In the pursuit of USP <800> compliance, the first step is to identify all of the hazardous drugs (HDs) utilized by the entity, as well as their dosage forms and the specific handling practices for those products.

        Source: Kienle, Patricia C., & Douglass, Kate. (March 2017). Pharmacy Purchasing & Products, 14(3), p. 28-29. Repéré à https://www.pppmag.com/article/2012

      • The publication of the United States Pharmacopeia (USP) Chapter <800> in February, 2016 establishes new standards for handling hazardous drugs (HDs) in health care settings.1 The primary focus of the chapter is ensuring employee and patient safety through proper receipt, storage, compounding, administration, and disposal of HDs. Many health care organizations will need to institute facility upgrades and establish new institutional policies and procedures (P&Ps) to achieve compliance with the regulations outlined in USP <800> by the enforcement deadline of July 1, 2018. A comprehensive understanding of an organization’s USP <800> compliance gaps is essential to developing a plan to achieve full compliance. A recent article published in Pharmacy Purchasing & Products describes the development of a USP <800> compliance strategy, complete with a gap analysis tool.

        Source: Eberwein, Samuel M., & Amerine, Lindsey. (April 2017). Pharmacy Purchasing & Products, 14(4), 12-13. Repéré à https://www.pppmag.com/article/2021

PRÉVENTION DES INFECTIONS

      • Hepatitis C virus (HCV) transmission to health care personnel (HCP) after exposure to a HCV-positive source has been reported to occur at an average rate of 1.8% (range, 0%-10%). The authors aimed to determine the seroconversion rate after exposure to HCV-contaminated body fluid in a major U.S. academic medical center. A longitudinal analysis of a prospectively maintained database of reported occupational injuries occurring between 2002 and 2015 at the University of Pittsburgh Medical Center was performed. Data collected include type of injury and fluid, injured body part, contamination of sharps, resident physicians’ involvement, and patients’ hepatitis B virus (HBV), HCV, and HIV status.

        Source: Egro, Francesco M., Nwaiwu, Chibueze A., Smith, Saundra, Harper, Jay D., & Spiess, Alexander M. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.03.011

      • The studies enumerating the risk of HIV transmission to health care workers (HCWs) as 0.3% after percutaneous exposure to HIV-positive blood, and 0.09% after a mucous membrane exposure, are weakened by dated literature. This study aims to demonstrate the seroconversion rate after exposure to HIV-contaminated body fluids in a major academic center in the United States. A prospectively maintained database of reported occupational injuries occurring between 2002 and 2015 at an academic medical center was analyzed. Data collected included the type of injury, injured body part, type of fluid, contamination of sharps, involvement of resident physicians, use of postexposure prophylaxis, and patients’ HIV, hepatitis B virus, and hepatitis C virus status.

        Source: Nwaiwu, Chibueze A., Egro, Francesco M., Smith, Saundra, Harper, Jay D., & Spiess, Alexander M. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.03.012

      • Occupational health management plays an important role in the prevention of provider-to-patient transmission in healthcare workers infected with human immunodeficiency virus (HIV), hepatitis B virus (HBV), and/or hepatitis C virus (HCV). Therefore, the Japan Society for Occupational Health’s Scientific Committee of Occupational Health for Health Care Workers has proposed a consensus for the management of healthcare workers infected with HIV, HBV, and/or HCV based on recent evidence for each concerned group.

        Source: Ishimaru, Tomohiro, Wada, Koji, & Smith, Derek, R. (2017). JOSE: Journal of Occupational Health. Prépublication. http://doi.org/10.1539/joh.16-0275-OP

      • The authors investigated the genetic relatedness of Staphylococcus aureus isolates recovered from mobile phones and palms and fingers of users. Genetically identical isolates were detected from mobile phones and their user and multiple users, which is consistent with mobile phones serving as reservoirs of infection in the health care environment. These findings reinforce the need for hand hygiene prior to patient contact as the most effective intervention for preventing health care–associated infection.

        Source: Kanayama, Akiko Katsuse, Takahashi, Hiroshi, Yoshizawa, Sadako, Tateda, Kazuhiro, Kaneko, Akihiro, & Kobayashi, Intetsu. (2017). AJIC: American Journal of Infection Control. Prépublication. http://dx.doi.org/10.1016/j.ajic.2017.02.011

      • Given the current outbreaks of mumps in the U.S. and the similar surge in measles the last few years, the last thing employee health professionals need is people avoiding the MMR vaccine and not immunizing their children. There were mumps outbreaks reported in California, Arkansas, Illinois, and Edmonton, Canada. Undiagnosed cases, particularly of highly transmissible measles, can set off a laborious and expensive scramble to determine worker exposures and existing immunity. Could such outbreaks of vaccine-preventable diseases become more common, threatening to tip herd immunity? Public health advocates are concerned that the thoroughly refuted link between the MMR vaccine and autism will resurface in the current political climate.

        Source: Mumps Outbreaks Widely Reported: Fears measles may also strike given alarmist vaccine rhetoric. (May 2017). Hospital Employee Health, 36(5), 58-59. Repéré à https://www.ahcmedia.com/articles/140485-mumps-outbreaks-widely-reported

      • With the recent commemoration of World TB Day, the CDC reported that tuberculosis continues to decline in the United States, but not on a pace to reach the goal of tuberculosis eradication. “In 2016, a total of 9,287 new tuberculosis cases were reported in the U.S.,” the CDC reported. That means employee health professionals must remain vigilant with TB testing programs for healthcare workers, with the frequency determined by using the standard CDC risk assessment.

        Source: Tuberculosis Proving Difficult to Reduce in U.S.: Maintain vigilance in testing healthcare workers. (May 2017). Hospital Employee Health, 36(5), 57-58. Repéré à https://www.ahcmedia.com/articles/140484-tuberculosis-proving-difficult-to-reduce-in-us

PRODUITS TOXIQUES

      • Depuis plusieurs années, l’utilisation de la subtilisine soulève des questionnements quant à ses effets sur la santé, particulièrement dans les milieux hospitaliers. Toutefois, malgré une limite d’exposition réglementée de 60 ng/m3 d’air, une limitation importante persistait puisqu’aucune méthode ne permettait d’évaluer sa présence dans l’air. Ce webinaire présente les résultats de travaux de recherche sur la mise au point d’une méthode permettant de quantifier la présence de la subtilisine. Grâce à cette méthode, il est désormais possible de vérifier la présence de subtilisine dans les savons enzymatiques et dans l’air ambiant. Ces travaux ont aussi permis de confirmer que la subtilisine peut être retrouvée dans l’air des salles de décontamination du matériel médical. Certains constats relatifs aux fiches signalétiques ainsi que quelques pistes de bonnes pratiques seront également abordés.

        Source: Marchand, Geneviève. (Mars 2017). Survol de la problématique liée à la subtilisine présente dans les savons enzymatiques. [Webinaire]. ASSTSAS. Repéré à http://asstsas.qc.ca/publication/survol-de-la-problematique-liee-la-subtilisine-presente-dans-les-savons-enzymatiques

Pour visionner l’enregistrement: http://forum.asstsas.qc.ca/2017-008/mcwmpty8gyis

Voir aussi l’étude réalisée par l’IRSST: http://www.irsst.qc.ca/publications-et-outils/publication/i/100891/n/analyse-proteasessubtilisine-evaluation-concentrations

PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

  • This study was designed to clarify the effects of active rest, with a focus on the practice of short-time group exercise by workplace units, on personal relationships, mental health, physical activity, and work ability among workers. Fifty-nine white-collar workers (40 males and 19 females) performed our active rest (short-time exercise) program, which consists of warm-up, cognitive functional training, aerobic exercise, resistance training and cool-down for 10 minutes per day, 3 times per week during their lunch breaks for 10 weeks. The results suggest that the practice of active rest by workplace units is important for improving personal relationships, mental health, and physical activity among workers.

    Source: Michishita, Ryoma, Jiang, Ying, Ariyoshi, Daisuke, Yoshida, Marie, Moriyama, Hideko, & Yamato, Hiroshi. (2017). JOSE: Journal of Occupational Health, 59(2), 122-130. http://doi.org/10.1539/joh.16-0182-OA

PUBLICATIONS DE L’ASSTSAS

    • Les chutes et glissades sont des accidents au cours desquels la victime a été déséquilibrée à l’occasion d’un travail qui n’est pas exécuté en hauteur. La victime peut avoir récupéré son équilibre ou fait une chute, les deux situations se terminant par une lésion. Ces chutes de même niveau ou chutes de plain-pied représentent la troisième cause de lésion indemnisée dans le secteur de la santé et des services sociaux. Ce webinaire vise à faire prendre connaissance de l’ampleur du phénomène dans notre secteur, à présenter les 10 grandes catégories de risques, à savoir élaborer et mettre en place un programme de prévention et à se familiariser avec les outils offerts par l’ASSTSAS.

      Source: Bélanger, Louise. (Mars 2017). Les chutes et les glissades [Webinaire]. ASSTSAS. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/Mat_Pedagogique/2017-004-_chutes_glissades_ppants.pdf

Pour visionner l’enregistrement: http://forum.asstsas.qc.ca/2017-004/kvrrxy5asooo

  • Partie intégrante d’une saine gestion, le plan d’action en prévention est un ensemble d’activités mises de l’avant par la direction d’un établissement pour atteindre des objectifs mesurables afin d’améliorer la santé et la sécurité du travail (SST). À la suite de l’identification et de l’évaluation des risques, le responsable de la prévention ainsi que le comité paritaire de SST pourront concevoir un plan d’action selon les priorités établies. L’avis des gestionnaires concernés et de leurs équipes sera sollicité. Ce guide se veut un document de référence pour se familiariser avec le contenu d’un plan d’action et ses étapes de conception.

    Source: Bélanger, Louise, & Brouillard, Josianne. (2017). Plan d’action en SST: guide de prévention. Montréal: ASSTSAS, 58 p. Repéré à http://asstsas.qc.ca/sites/default/files/publications/documents/Guides_Broch_Depl/GP73%20-%20Plan%20d%27action%20en%20SST.pdf

QUALITÉ DE L’AIR

  • Effective operating room ventilation is required to reduce the risk of surgical site infection. Vertical laminar airflow from above the surgical field provides a source of ‘ultra-clean’ air carrying contaminants away from the operative site. The drape often used to shield the operative site from the anaesthetic team defies the principles of vertical laminar airflow. A mock theatre set-up for a total knee replacement was constructed with and without the use of the anaesthetic screening drape. A 10×10 grid was set up within the surgical canopy and the downward air velocities were measured using a hot air anemometer. The average velocity and range of velocities at each grid point were measured in both setups. The range was used as marker of turbulence.

    Source: Sehjal, Ranjit, Bakti, Nik, & Goddard, Richard. (2017). Journal of Hospital Infection. Prépublication. http://doi.org/10.1016/j.jhin.2017.04.012

  • California lawmakers are moving forward with legislation that would require health care facilities to use scavenging systems to reduce surgical plume – toxic airborne contaminants that threaten surgical staff and patients. Surgical plume is a serious, preventable hazard that affects thousands of health care workers on an annual basis, according to NIOSH. The smoke is a byproduct of surgery using a laser or electrosurgical unit, and it may contain toxic gases and vapors such as benzene, formaldehyde and viruses. Exposure can lead to health problems, including eye, nose and throat irritation; emphysema; asthma; and chronic bronchitis. Ventilation systems can help reduce the risk for workers.

    Source: California bill takes aim at surgical smoke exposure. (April 4, 2017). Safety + Health Magazine. Repéré à http://www.safetyandhealthmagazine.com/articles/15515-california-bill-takes-aim-at-surgical-smoke-exposure

  • Cigarette consumption has become global threat to both smokers and organizations. However, little is known about organizational smoking and vaping policies, and their influence to employees’ smoking and vaping behavior. The authors collected data from 456 employed smokers, vapers, and/or dual users. Smoking and/or vaping behavior, along with perceived organizational smoking/vaping policies were examined. The results showed that organizations should not consider smoking and vaping to be the same when setting policy. Employers should ensure that organizational vaping policies are present and clear to all employees.

    Source: Xiaochuan, Song, English, Master Thomas M., & Whitman, Marilyn V. (2017). JOEM: Journal of Occupational and Environmental Medicine, 59(4), 365-368. doi: 10.1097/JOM.0000000000000963

  • Have you ever had to deal with occupant complaints in new buildings? Perhaps excessive room noise from the ventilation systems, or transient smells or nuisance odors being repeatedly drawn into the building? Well, we have, and so this safety guys feature will address some of the most common issues relating to air and environmental quality indoors, and provide some recommendations to eliminate or prevent problems from occuring.

    Source: McLeod, Vince. (April 2017). Lab manager, 12(3), 36-39. Repéré à http://www.labmanager.com/lab-health-and-safety/2017/03/what-s-your-ieq-iq-#.WO6D9NI18dU

RÉTENTION DU PERSONNEL

  • In the challenging situation of nursing shortage, nurse executives are required to focus on the retention of nurses. No previous studies have examined the impact of nursing leader’s behavioral integrity and intragroup relationship conflict on nurses’ intention to remain. This study tested a multilevel model examining the effect of nursing leader’s behavioral integrity and intragroup relationship conflict on staff nurses’ intent to remain. The results showed that nursing leader’s behavioral integrity was positively related to nurses’ intention to remain. This relationship was enhanced when the level of intragroup relationship conflict was high.

    Source: Kang, Seung-Wan, Lee, Soojin, & Choi, Suk Bong. (2017). JAN: Journal of Nursing Administration. doi: 10.1097/NNA.0000000000000448

RECONNAISSANCE AU TRAVAIL

RETOUR AU TRAVAIL

  • La Chaire de recherche en santé mentale et travail souhaite répondre à la mission du Centre de recherche de l’Institut Universitaire en Santé Mentale de Montréal (CR-IUSMM) – Axe interventions et services, en offrant les meilleurs services spécialisés en santé mentale et repousser les limites de la maladie par la recherche et l’évaluation des modes d’intervention. Tout particulièrement, la Chaire souhaite appréhender les modes d’intervention relatifs au retour au travail durable de personnes avec un trouble mental. La Chaire se structure autour de trois axes: 1) Le développement, l’implantation et l’évaluation d’interventions novatrices en santé mentale et travail, 2) Le développement, validation et évaluation d’outils en santé mentale et travail et 3) L’évaluation de la stigmatisation et de la divulgation du trouble mental en milieu de travail.

    Source: http://www.santementaletravail.ca/

ROTATION DES TÂCHES

  • A main cause for absence from work worldwide is musculoskeletal disorders (MSDs). Occupations that are physically strenuous have a particularly high MSD prevalence. Causes of occupational MSDs include poor fitness and poor health habits, but a considerable proportion of MSDs is considered to be caused by physical work exposures. Therefore, implementation of initiatives to reduce physical work exposures and conseque