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 consequently MSDs is needed. Substitution and engineering controls are in the top of the ‘hierarchy of control’ aiming to protect workers from exposures. However, when it is not feasible for workplaces to substitute or implement engineering controls to reduce exposures, administrative controls may be used. Job rotation has been recommended as an administrative control. Two recent published reviews conclude that there is currently inconsistent evidence for positive or negative effects of job rotation on MSDs and even indicated that it may increase their prevalence. Large variations and low quality in study designs (mainly cross-sectional studies), variations in outcomes, and insufficient description of the job rotation programme contribute to the mixed results. No high-quality methodological study designed to examine job rotation programmes was included in the reviews.

    Source: Rasmussen, Charlotte Diana Nørregaard. (2017). Occupational & Environmental Medicine. Prépublication. http://dx.doi.org/10.1136/oemed-2017-104301

SÉCURITÉ ÉLECTRIQUE

  • 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 consequently MSDs is needed. Substitution and engineering controls are in the top of the ‘hierarchy of control’ aiming to protect workers from exposures. However, when it is not feasible for workplaces to substitute or implement engineering controls to reduce exposures, administrative controls may be used. Job rotation has been recommended as an administrative control. Two recent published reviews conclude that there is currently inconsistent evidence for positive or negative effects of job rotation on MSDs and even indicated that it may increase their prevalence. Large variations and low quality in study designs (mainly cross-sectional studies), variations in outcomes, and insufficient description of the job rotation programme contribute to the mixed results. No high-quality methodological study designed to examine job rotation programmes was included in the reviews.

    Source: Rasmussen, Charlotte Diana Nørregaard. (2017). Occupational & Environmental Medicine. Prépublication. http://dx.doi.org/10.1136/oemed-2017-104301

SÉCURITÉ DES MACHINES

  • Depuis 2005, la CNESST s’intéresse de près à la sécurité des machines. Elle applique une approche de tolérance zéro lorsque des pièces en mouvement de machines sont accessibles aux travailleurs. Le nombre d’accidents associés à celles-ci est considérable quoiqu’en baisse importante depuis 12 ans. Cette « bête noire » perd du terrain, mais il faut la garder à l’oeil, car, pour préserver les acquis, il faut assurer la pérennité des correctifs apportés. Et ce n’est pas toujours facile, comme vous le lirez dans cet article.

    Source: Brassard, Alain. (Avril 2017). Convergence, 33(1), 6-7. Repéré à http://www.centrepatronalsst.qc.ca/publications/convergence.html

SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • 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

  • 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

  • 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

SANTÉ PSYCHOLOGIQUE

  • 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

  • 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/

  • 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

  • Work can be demanding, imposing challenges that can be detrimental to the physical and mental health of workers. Efforts are therefore underway to develop practices and initiatives that may improve occupational well-being. These include interventions based on mindfulness meditation. This paper offers a systematic review of empirical studies featuring analyses of mindfulness in occupational contexts. Databases were reviewed from the start of records to January 2016. Eligibility criteria included experimental and correlative studies of mindfulness conducted in work settings, with a variety of well-being and performance measures. A total of 153 papers met the eligibility criteria and were included in the systematic review, comprising 12,571 participants. Mindfulness was generally associated with positive outcomes in relation to most measures. However, the quality of the studies was inconsistent, so further research is needed, particularly involving high-quality randomized control trials.

    Source: Lomas, Tim, Medina, Juan Carlos, Ivtzan, Itai, Rupprecht, Silke, Hart, Rona, & Eiroa-Orosa, Francisco José. (2017). European Journal of Work and Organizational Psychology. Prépublication. http://dx.doi.org/10.1080/1359432X.2017.1308924

  • « 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

  • This theoretical paper differentiates work engagement from the burnout concept by using a task-level perspective. Specifically, the author argues that work engagement (i.e., the experience of vigor, dedication and absorption, Schaufeli & Bakker, 2004) emerges during the process of working. It does not only differ between persons and does not only fluctuate from one day to the other (or even within the course of a day), but can vary largely between different work tasks. Burnout (and particularly exhaustion) as a chronic state does not differ from one work task to the other. She describes task features derived from the job characteristics model (Hackman & Oldham, 1976) as predictors of task-specific work engagement and discuss interaction effects between task features on the one hand and job-level social and personal resources on the other hand. Finally, she outlines possible avenues for future research and address practical implications, including task design and employee’s energy management throughout the workday.

    Source: Sonnentag, Sabine. (2017). Burnout Research. Prépublication. http://doi.org/10.1016/j.burn.2017.04.001

  • 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

  • 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/

  • 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

  • Moral distress is a growing problem that impacts health care providers at multiple levels in all health care settings. Moral distress can result in burnout, fractured interprofessional relationships, and shortages of health care workers. Most importantly, it undermines the safety and quality of care and contributes to poor outcomes. Yet, few interventions for moral distress have been examined or found to be effective. This report is from a collaborative project developed to identify strategies to help mitigate the detrimental effects of moral distress, build resilience, and create healthy work environments for the health care workforce that will promote safe, quality care for patients and their families.

    Source: Rushton, Cynda Hylton, & Schoonover-Shoffner, Kathy. (2017). AJN: American Journal of Nursing, 117(2 Suppl 1), S2-S25. Repéré à http://journals.lww.com/ajnonline/toc/2017/02001

  • 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/

  • 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

SATISFACTION AU TRAVAIL

  • 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

  • Cette étude, utilisant des méthodes mixtes, a permis de déterminer les caractéristiques personnelles et professionnelles qui déterminent la satisfaction au travail des travailleurs de soutien à domicile (TSD) qui offrent de l’aide aux personnes âgées. Les données étaient fondées sur une mesure normalisée de la satisfaction au travail ainsi que sur des entretiens qualitatifs et approfondis avec 176 travailleurs de soutien à domicile de trois administrations provinciales canadiennes (Colombie-Britannique, Ontario, Nouvelle-Écosse). Les résultats de l’analyse qualitative mettent en lumière les principaux domaines qui ont contribué à la satisfaction au travail. Ces domaines concernent le travail (horaires, voyages d’affaires et sécurité), les questions économiques (sécurité de revenu) ou organisationnelles (communication, soutien et respect). Les auteures recommandent des améliorations en ce qui concerne la communication au lieu de travail, une plus grande marge de temps de déplacement entre les clients et la parité salariale avec des postes équivalents dans les établissements de soins de longue durée.

    Source: Panagiotoglou, Dimitra, Fancey, Pamela, Keefe, Janice, & Martin-Matthews, Anne. (2017). Canadian Journal on Aging / La Revue canadienne du vieillissement, 36(1), 1-14. https://doi.org/10.1017/S0714980816000726

SERVICES À DOMICILE

  • Cette étude, utilisant des méthodes mixtes, a permis de déterminer les caractéristiques personnelles et professionnelles qui déterminent la satisfaction au travail des travailleurs de soutien à domicile (TSD) qui offrent de l’aide aux personnes âgées. Les données étaient fondées sur une mesure normalisée de la satisfaction au travail ainsi que sur des entretiens qualitatifs et approfondis avec 176 travailleurs de soutien à domicile de trois administrations provinciales canadiennes (Colombie-Britannique, Ontario, Nouvelle-Écosse). Les résultats de l’analyse qualitative mettent en lumière les principaux domaines qui ont contribué à la satisfaction au travail. Ces domaines concernent le travail (horaires, voyages d’affaires et sécurité), les questions économiques (sécurité de revenu) ou organisationnelles (communication, soutien et respect). Les auteures recommandent des améliorations en ce qui concerne la communication au lieu de travail, une plus grande marge de temps de déplacement entre les clients et la parité salariale avec des postes équivalents dans les établissements de soins de longue durée.

    Source: Panagiotoglou, Dimitra, Fancey, Pamela, Keefe, Janice, & Martin-Matthews, Anne. (2017). Canadian Journal on Aging / La Revue canadienne du vieillissement, 36(1), 1-14. https://doi.org/10.1017/S0714980816000726

  • Population demographics in the United States are rapidly changing with increased dependence on home healthcare (HHC) by an aging population, patients suffering from chronic diseases, and inability to perform activities of daily living. Despite the occupational injury rates for HHC workers (HHCW) being higher than the national average, an understanding of the occupational safety and health experiences and exposures of HHCW is limited. The purpose of this study was to understand the health and safety risk factors for HHCW.

    Source: Agbonifo, Noma, Hittle, Beverly, Suarez, Rassull, & Kermit, Davis. (2017). Home Healthcare Now, 35(3), 150-159. doi: 10.1097/NHH.0000000000000509

SERVICES AMBULANCIERS – PRÉHOSPITALIERS

  • Ce document de sensibilisation résume les principaux résultats d’une importante étude sur les risques de troubles musculosquelettiques (TMS) chez les techniciens ambulanciers paramédicaux (TAP) dans le but de : 1) sensibiliser les parties concernées aux risques de TMS associés au métier de TAP 2) encourager le développement et la mise en œuvre de divers moyens de prévention ainsi que l’enrichissement des activités de formation et de perfectionnement. Armés de données factuelles, les chercheurs proposent des pistes de prévention pour réduire la fréquence et la sévérité des TMS. On peut ainsi espérer contribuer à réduire le fort roulement de personnel et la perte d’expérience précieuse que connaît ce secteur, car les TAP prennent souvent une retraite anticipée pour des raisons médicales ou quittent leur emploi pour des tâches moins exigeantes ou pour de meilleures conditions de travail à mesure qu’ils vieillissent.

    Source: Corbeil, Philippe, Sutton, Louise, & Lavoie, Linda (2017). Montréal: Institut de recherche Robert-Sauvé en santé et en sécurité du travail, 30 p. (DS-958)

Pour accéder au rapport complet: http://www.irsst.qc.ca/media/documents/PubIRSST/R-944.pdf?v=2017-04-12

STÉRILISATION

  • 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

STATISTIQUES EN 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

  • 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

SYSTÈME DE MANAGEMENT

  • 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

  • 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

TABAGISME

  • 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

TECHNOLOGIES DE L’INFORMATION

TRAVAIL DE BUREAU

  • Les troubles musculosquelettiques (TMS) sont bien présents dans les milieux de travail et, bon an, mal an, des milliers de travailleurs sont affectés. Lorsqu’ils deviennent incapacitants, ces troubles représentent des coûts importants pour les organisations. Et que dire des travailleurs qui en subissent les conséquences! C’est d’ailleurs un des sujets de préoccupations de la Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST) et, peut-être, pour votre entreprise!

    Source: Gauvin, Francine. (Avril 2017). Convergence, 33(1), 12-13. Repéré à http://www.centrepatronalsst.qc.ca/documents/pdf/conv_avril_17.pdf

  • Prolonged sitting at work has been found to increase risk for musculoskeletal pain. The office-based intervention « Take a Stand! » was effective in reducing sitting time at work. The authors aimed to study the effect of the intervention on a secondary outcome: musculoskeletal pain. Take a Stand! included 19 offices (317 workers) at four workplaces cluster randomized to intervention or control. The multicomponent intervention lasted three months and included management support, environmental changes, and local adaptation.

    Source: Danquah, IH, Kloster, S., Holtermann, A., Aadahl, M., & Tolstruo, JS. (2017). Scandinavian Journal of Work, Environment & Health. Prépublication. doi:10.5271/sjweh.3639

  • 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

  • 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 consequently MSDs is needed. Substitution and engineering controls are in the top of the ‘hierarchy of control’ aiming to protect workers from exposures. However, when it is not feasible for workplaces to substitute or implement engineering controls to reduce exposures, administrative controls may be used. Job rotation has been recommended as an administrative control. Two recent published reviews conclude that there is currently inconsistent evidence for positive or negative effects of job rotation on MSDs and even indicated that it may increase their prevalence. Large variations and low quality in study designs (mainly cross-sectional studies), variations in outcomes, and insufficient description of the job rotation programme contribute to the mixed results. No high-quality methodological study designed to examine job rotation programmes was included in the reviews.

    Source: Rasmussen, Charlotte Diana Nørregaard. (2017). Occupational & Environmental Medicine. Prépublication. http://dx.doi.org/10.1136/oemed-2017-104301

  • Computer use and its association with musculoskeletal and visual symptoms is an escalating concern. Organizations are shifting to a more proactive injury prevention perspective. Accordingly, a macroergonomics intervention consisting of flexible workplace design and office ergonomics training was designed to examine the effects on worker’s computing behaviors, postures, and musculoskeletal discomfort, and their relationship to psychosocial factors. Participants were assigned to either group: 1) no-intervention control 2) flexible Workplace-only (WP-only), and 3) flexible Workplace + Training (WP+T).

    Source: Robertson, Michelle M., Huang, Yueng Hsiang, & Lee, Jin. (2017). Applied Ergonomics, 62, 182-196. http://doi.org/10.1016/j.apergo.2017.02.017

  • Sedentary behavior is defined as sitting or lying with low energy expenditure. Humans in industrialized societies spend an increasing amount of time in sedentary behaviors every day. This has been associated with detrimental health outcomes. Despite a growing interest in the health effects of sedentary behavior at work, associations remain unclear, plausibly due to poor and diverse methods for assessing sedentary behavior. Thus, good practice guidance for researchers and practitioners on how to assess occupational sedentary behavior are needed. The aim of this paper is to provide a practical guidance for practitioners and researchers on how to assess occupational sedentary behavior.

    Source: Holtermann, Andreas, Schellewald, Vera, Mathiassen, Svend Erik, Gupta, Nidhi, Pinder, Andrew, Punakallio, Anne,… Draicchio, Francesco. (2017). Applied Ergonomics, 63, 41-52. http://doi.org/10.1016/j.apergo.2017.03.012

  • Ce document de sensibilisation résume les principaux résultats d’une importante étude sur les risques de troubles musculosquelettiques (TMS) chez les techniciens ambulanciers paramédicaux (TAP) dans le but de : 1) sensibiliser les parties concernées aux risques de TMS associés au métier de TAP 2) encourager le développement et la mise en œuvre de divers moyens de prévention ainsi que l’enrichissement des activités de formation et de perfectionnement. Armés de données factuelles, les chercheurs proposent des pistes de prévention pour réduire la fréquence et la sévérité des TMS. On peut ainsi espérer contribuer à réduire le fort roulement de personnel et la perte d’expérience précieuse que connaît ce secteur, car les TAP prennent souvent une retraite anticipée pour des raisons médicales ou quittent leur emploi pour des tâches moins exigeantes ou pour de meilleures conditions de travail à mesure qu’ils vieillissent.

    Source: Corbeil, Philippe, Sutton, Louise, & Lavoie, Linda (2017). Montréal: Institut de recherche Robert-Sauvé en santé et en sécurité du travail, 30 p. (DS-958)

Pour accéder au rapport complet : http://www.irsst.qc.ca/media/documents/PubIRSST/R-944.pdf?v=2017-04-12

TRAVAIL EN ÉQUIPE

  • 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

TRAVAIL EN LABORATOIRE

TRAVAIL SÉDENTAIRE

  • Un poste surélevé pour travailler debout, un tapis roulant ou une chaise spéciale équipée de pédales : le travail actif peut prendre plusieurs formes. Marie-Ève Mathieu, chercheuse au Département de kinésiologie de l’Université de Montréal, et Élise Labonté-LeMoyne, chercheuse à HEC Montréal, expliquent les fondements de ce jeune champ d’études. «Depuis cinq ans, on parle d’inactivité et de sédentarité comme étant deux choses distinctes, explique Marie-Ève Mathieu. On peut donc être actif, mais en même temps sédentaire.» De là l’importance de faire de l’exercice physique modéré tout en travaillant, selon elle.

    Source: Blondin, Sophie-Andrée. (Animatrice). (20 avril 2017). Les bureaux actifs: Entrevue avec Marie-Ève Mathieu et Élise Labonté-Lemoyne. [Audio-fil]. Dans Radio-Canada (Producteur). Les Éclaireurs. Repéré à http://ici.radio-canada.ca/premiere/emissions/les-eclaireurs/segments/entrevue/21318/bureau-travail-actif-bienfaits-sante

  • Prolonged sitting at work has been found to increase risk for musculoskeletal pain. The office-based intervention « Take a Stand! » was effective in reducing sitting time at work. The authors aimed to study the effect of the intervention on a secondary outcome: musculoskeletal pain. Take a Stand! included 19 offices (317 workers) at four workplaces cluster randomized to intervention or control. The multicomponent intervention lasted three months and included management support, environmental changes, and local adaptation.

    Source: Danquah, IH, Kloster, S., Holtermann, A., Aadahl, M., & Tolstruo, JS. (2017). Scandinavian Journal of Work, Environment & Health. Prépublication. doi:10.5271/sjweh.3639

  • Sedentary behavior is defined as sitting or lying with low energy expenditure. Humans in industrialized societies spend an increasing amount of time in sedentary behaviors every day. This has been associated with detrimental health outcomes. Despite a growing interest in the health effects of sedentary behavior at work, associations remain unclear, plausibly due to poor and diverse methods for assessing sedentary behavior. Thus, good practice guidance for researchers and practitioners on how to assess occupational sedentary behavior are needed. The aim of this paper is to provide a practical guidance for practitioners and researchers on how to assess occupational sedentary behavior.

    Source: Holtermann, Andreas, Schellewald, Vera, Mathiassen, Svend Erik, Gupta, Nidhi, Pinder, Andrew, Punakallio, Anne,… Draicchio, Francesco. (2017). Applied Ergonomics, 63, 41-52. http://doi.org/10.1016/j.apergo.2017.03.012

TRAVAILLEURS JEUNES-ÂGÉS

  • 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

TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • Les troubles musculosquelettiques (TMS) sont bien présents dans les milieux de travail et, bon an, mal an, des milliers de travailleurs sont affectés. Lorsqu’ils deviennent incapacitants, ces troubles représentent des coûts importants pour les organisations. Et que dire des travailleurs qui en subissent les conséquences! C’est d’ailleurs un des sujets de préoccupations de la Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST) et, peut-être, pour votre entreprise!

    Source: Gauvin, Francine. (Avril 2017). Convergence, 33(1), 12-13. Repéré à http://www.centrepatronalsst.qc.ca/documents/pdf/conv_avril_17.pdf

  • Prolonged sitting at work has been found to increase risk for musculoskeletal pain. The office-based intervention « Take a Stand! » was effective in reducing sitting time at work. The authors aimed to study the effect of the intervention on a secondary outcome: musculoskeletal pain. Take a Stand! included 19 offices (317 workers) at four workplaces cluster randomized to intervention or control. The multicomponent intervention lasted three months and included management support, environmental changes, and local adaptation.

    Source: Danquah, IH, Kloster, S., Holtermann, A., Aadahl, M., & Tolstruo, JS. (2017). Scandinavian Journal of Work, Environment & Health. Prépublication. doi:10.5271/sjweh.3639

  • 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

  • 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 consequently MSDs is needed. Substitution and engineering controls are in the top of the ‘hierarchy of control’ aiming to protect workers from exposures. However, when it is not feasible for workplaces to substitute or implement engineering controls to reduce exposures, administrative controls may be used. Job rotation has been recommended as an administrative control. Two recent published reviews conclude that there is currently inconsistent evidence for positive or negative effects of job rotation on MSDs and even indicated that it may increase their prevalence. Large variations and low quality in study designs (mainly cross-sectional studies), variations in outcomes, and insufficient description of the job rotation programme contribute to the mixed results. No high-quality methodological study designed to examine job rotation programmes was included in the reviews.

    Source: Rasmussen, Charlotte Diana Nørregaard. (2017). Occupational & Environmental Medicine. Prépublication. http://dx.doi.org/10.1136/oemed-2017-104301

  • Computer use and its association with musculoskeletal and visual symptoms is an escalating concern. Organizations are shifting to a more proactive injury prevention perspective. Accordingly, a macroergonomics intervention consisting of flexible workplace design and office ergonomics training was designed to examine the effects on worker’s computing behaviors, postures, and musculoskeletal discomfort, and their relationship to psychosocial factors. Participants were assigned to either group: 1) no-intervention control 2) flexible Workplace-only (WP-only), and 3) flexible Workplace + Training (WP+T).

    Source: Robertson, Michelle M., Huang, Yueng Hsiang, & Lee, Jin. (2017). Applied Ergonomics, 62, 182-196. http://doi.org/10.1016/j.apergo.2017.02.017

  • Sedentary behavior is defined as sitting or lying with low energy expenditure. Humans in industrialized societies spend an increasing amount of time in sedentary behaviors every day. This has been associated with detrimental health outcomes. Despite a growing interest in the health effects of sedentary behavior at work, associations remain unclear, plausibly due to poor and diverse methods for assessing sedentary behavior. Thus, good practice guidance for researchers and practitioners on how to assess occupational sedentary behavior are needed. The aim of this paper is to provide a practical guidance for practitioners and researchers on how to assess occupational sedentary behavior.

    Source: Holtermann, Andreas, Schellewald, Vera, Mathiassen, Svend Erik, Gupta, Nidhi, Pinder, Andrew, Punakallio, Anne,… Draicchio, Francesco. (2017). Applied Ergonomics, 63, 41-52. http://doi.org/10.1016/j.apergo.2017.03.012

  • Ce document de sensibilisation résume les principaux résultats d’une importante étude sur les risques de troubles musculosquelettiques (TMS) chez les techniciens ambulanciers paramédicaux (TAP) dans le but de : 1) sensibiliser les parties concernées aux risques de TMS associés au métier de TAP 2) encourager le développement et la mise en œuvre de divers moyens de prévention ainsi que l’enrichissement des activités de formation et de perfectionnement. Armés de données factuelles, les chercheurs proposent des pistes de prévention pour réduire la fréquence et la sévérité des TMS. On peut ainsi espérer contribuer à réduire le fort roulement de personnel et la perte d’expérience précieuse que connaît ce secteur, car les TAP prennent souvent une retraite anticipée pour des raisons médicales ou quittent leur emploi pour des tâches moins exigeantes ou pour de meilleures conditions de travail à mesure qu’ils vieillissent.

    Source: Corbeil, Philippe, Sutton, Louise, & Lavoie, Linda (2017). Montréal: Institut de recherche Robert-Sauvé en santé et en sécurité du travail, 30 p. (DS-958)

Pour accéder au rapport complet : http://www.irsst.qc.ca/media/documents/PubIRSST/R-944.pdf?v=2017-04-12

UNITÉS PROTHÉTIQUES

  • 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

VACCINATION DU PERSONNEL

  • 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

COIN DE LA DOCUMENTALISTE – JANVIER-FÉVRIER 2016

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ACCIDENTS DE TRAVAIL

  • The U.S. Department of Labor has identified the health care industry as a major source of all U.S. workplace injuries. Studies have shown that injury within the health care workforce is related to high turnover rates, burnout, poor job satisfaction, and leaving the health care workforce permanently, thus contributing to the existing health care workforce shortages. The purpose of this synthesis of the literature was twofold. The first was to conduct a comprehensive evaluation of the occupational health and safety literature to determine the key antecedents to health care provider injury. The second was to utilize the National Institute for Occupational Safety and Health (NIOSH) framework to organize the findings.

    Source : McCaughey, Deirdre, Kimmel, Ashley, Savage, Grant, Lukas, Tiana, Walsh, Erin, & Halbesleben, Jonathan. (2016). Health Care Management Review, 41(1), 42-55. doi: 10.1097/HMR.0000000000000043

  • How many times were our accidents, injuries and catastrophes literally one breath away from a different result? Isn’t a near-miss really just a “one breath away” moment? How many times in our lives have these words been meaningful?

    Source : Wojick, Tom. (2016, January 21). EHS Today. Repéré à http://ehstoday.com/safety/breath-away-catastrophe-creating-mindful-work-environments

ADMINISTRATION DE LA SANTÉ

  • Cette circulaire a pour but de préciser les attentes ministérielles envers les établissements de santé et de services sociaux dans l’organisation des services entourant l’accès à la marihuana à des fins médicales pour les personnes hospitalisées ou hébergées. Cette circulaire fait suite à l’adoption en novembre 2015 du Projet de loi nº44 visant à renforcer la lutte au tabagisme modifiant la Loi sur le tabac (RLRQ, chapitre T-0.01). On y traite également de la nécessité de protéger les travailleurs exposés à la fumée du tabac et de la marihuana séchée.

    Source :  Québec. Ministère de la Santé et des Services sociaux. (2015, 11 décembre). Organisation des services entourant l’accès à la marihuana (cannabis) à des fins médicales pour les clientèles hospitalisées ou hébergées. Répertoire des normes et pratiques de gestion, Tome II. 7 p. (Circulaire 2015-016). Repéré à http://msssa4.msss.gouv.qc.ca/fr/document/d26ngest.nsf/1f71b4b2831203278525656b0004f8bf/6eb7f4de13f52f8e85257f1c0057dce9/$FILE/2015-016.pdf

  • Health care is shifting out of hospitals into community settings. In Ontario, Canada, home care organizations continue to experience challenges recruiting and retaining nurses. However, factors influencing home care nurse retention that can be modified remain largely unexplored. Several groups of factors have been identified as influencing home care nurse intent to remain employed including job characteristics, work structures, relationships and communication, work environment, responses to work, and conditions of employment. The aim of this study was to test and refine a model that identifies which factors are related to home care nurse intentions to remain employed for the next 5 years with their current home care employer organization.

    Source : Tourangeau, Ann E., Patterson, Erin, Saari, Margaret, Thompson, Heather, & Cranley, Lisa. (2016). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000093

AGRESSIONS – VIOLENCE

  • According to a 2007 Statistics Canada report, which cited findngs from a 2004 survey about people’s experiences with violence, 17 per cent of reported incidents had occured in work environments. No one should have to fear being attacked or physically hurt while at work, but this is a problem that affects all sectors to some degree. Violence is a particular concern in healthcare and social work, in which employees routinely face assault from unstable patients with mental-health conditions.

    Source : Out of control. (2015, November-December). OHS Canada, 31(6), 46-47.

  • Aggression management training for nurses is an important part of a comprehensive strategy to reduce patient and visitor aggression in healthcare. Although training is commonplace, few scientific studies examine its benefits. The purpose of this study was to explore and describe, from a nurse’s perspective, the learning gained from attending aggression management training.

    Source : Heckermann, Birgit, Breimaier, Helga Elisabeth, Halfens, Ruud J.G., Schols, Jos M.G.A., & Hahn, Sabine. (2016). Scandinavian Journal of Caring Sciences. Prépublication. DOI: 10.1111/scs.12281

  • La violence en milieu de travail dans le système de santé canadien entraîne d’importantes répercussions, non seulement sur les travailleurs de la santé et les usagers touchés, mais sur l’ensemble du système de santé. Pour le système de santé canadien, la prévention de la violence en milieu de travail est un défi de taille qui requiert l’engagement de tout le personnel d’encadrement des organismes de soins de santé, de même qu’un suivi constant des tendances au sein de ces organismes. Le présent rapport pancanadien repose sur des données d’ensemble fournies par les organismes de soins de santé qui participent au programme Qmentum d’Agrément Canada. Il témoigne des efforts consentis par ces organismes en matière de sécurité et de prévention de la violence au travail, ainsi que des résultats du Sondage Pulse sur la qualité de vie au travail. Les renseignements ainsi recueillis présentent un point de vue unique sur les soins de santé au Canada.

    Source : Hasanaj, Qendresa, Mitchell, Jonathan, & Roman, Viktoria. (2015). Prévention de la violence et promotion de la sécurité au travail dans les organismes de santé canadiens : Rapport canadien sur l’agrément des services de santé. Ottawa : Agrément Canada, 18 p. Repéré à https://accreditation.ca/sites/default/files/rcas-2015.pdf

  • Depuis quelques années, le personnel d’HAD Nice et Régions est confronté à des situations de violence (en majorité verbale) de la part de certaines personnes qu’ils traitent, mais aussi de leur entourage. Afin d’apporter une réponse à ses salariés dont certains commençaient à développer des symptômes de stress, l’association a décidé de mener une réflexion sur le sujet avec le CHSCT de la structure. L’hospitalisation à domicile Nice et Régions est parvenue à réduire les arrêts maladie de son personnel soignant en menant une politique audacieuse de prévention basée sur une remontée systématique des événements graves ainsi que sur la formation.

    Source : Dorion, Éric. (2015, décembre). Prévenir la violence auprès des soignants. Travail & sécurité, 767, 28-29. Repéré à http://www.travail-et-securite.fr/ts/pages-transverses/revue.html

AMÉNAGEMENT – ARCHITECTURE

  • L’ergonomie étudie l’adaptation de l’homme à une situation de travail dans ses dimensions physique, cognitive et organisationnelle. Dans le cadre d’une intervention de thoracoscopie, une analyse ergonomique de l’activité de l’équipe chirurgicale a été réalisée. Les résultats mettent en valeur, à travers les trois dimensions de la discipline, les exigences de l’activité et les stratégies mises en place par les opérateurs.

    Source : Monpeyssen, Florence. (2015). Inter bloc, 34(4), 245-247. Doi: 10.1016/j.bloc.2015.10.005

  • Stairwell use is a cost-effective opportunity to increase physical activity. Although stairwell use can integrate moderate physical activity in daily work routines, little information is available to guide architects and engineers on how to design facilities that promote stairwell use. This study examined the reasons behind using stairwells versus elevators through a case study at a teaching hospital. A broad range of physical design recommendations were evaluated to understand how the design of stairwells can encourage hospital staff and students to use them. An online survey was used to collect data. Findings indicated travel distance and travel direction as primary reasons for preferring elevators. Design recommendations such as motivational signs and physical movement reinforcements (e.g., cardio indicators) are discussed.

    Source : Moatari-Kazerouni, Alfrooz, Pennathur, Priyadarshini, Tucker, Sharon J., & Leyden, Luke A. (2016). Workplace Health & Safety, 64(2), 57-64. doi: 10.1177/2165079915612789

AMIANTE

  • The numbers of cases and deaths from mesothelioma, a deadly cancer caused primarily by workplace asbestos exposure, have continued to rise and show no signs of abating, recently updated figures from Statistics Canada show. Like asbestos-related lung cancer, mesothelioma can take 20 to 40 years to develop and begin causing symptoms, among them painful coughing, shortness of breath and severe weight loss. About 60 per cent of those affected die within a year of diagnosis. The five-year relative survival rate is seven per cent. There have been thousands of cases and deaths related to occupational asbestos exposure in Canada, the world’s largest producer and exporter of chrysotile asbestos during the last century. In 2012, there were 560 new cases of mesothelioma, up from 276 cases recorded in 1992, the StatsCan website shows. Between 2000 and 2012, the most recent year for which statistics are available, deaths from the asbestos-related malignancy jumped 60 per cent, to 467 from 292.

    Source : The Canadian Press. (2016, January 21). OHS Canada. Repéré à http://www.ohscanada.com/health-safety/cases-of-mesothelioma-deadly-cancer-caused-by-asbestos-exposure-on-rise-statscan/1003349356/

BLOC OPÉRATOIRE – CHIRURGIE

  • L’ergonomie étudie l’adaptation de l’homme à une situation de travail dans ses dimensions physique, cognitive et organisationnelle. Dans le cadre d’une intervention de thoracoscopie, une analyse ergonomique de l’activité de l’équipe chirurgicale a été réalisée. Les résultats mettent en valeur, à travers les trois dimensions de la discipline, les exigences de l’activité et les stratégies mises en place par les opérateurs.

    Source : Monpeyssen, Florence. (2015). Inter bloc, 34(4), 245-247. Doi: 10.1016/j.bloc.2015.10.005

  • Nurses and other caregivers who manually lift and move patients often become patients themselves. Unless given the right tools and best practice standards to handle patients safely, healthcare workers are in serious risk of suffering musculoskeletal injuries, chronic pain, absenteeism, financial hardship and emotional distress. According to an American Nurses Association (ANA) survey, the problem is pervasive, with 42 percent of nurses reporting a significant level of risk to their safety from lifting or repositioning patients. More than 50 percent say they regularly experience shoulder, neck, back and arm pain while working. Assistant Secretary of Labor for Occupational Safety and Health at OSHA, Dr. David Michaels, says it’s time healthcare facilities get serious about implementing safe patient handling and mobility (SPHM) programs.

    Source : Dimond, Valerie J. (2016, January). Healthcare Purchasing News, 40(1), 14-16. Repéré à http://www.hpnonline.com/inside/2016-01/1601-OR-PatientHandling.html

CANCERS PROFESSIONNELS

  • The numbers of cases and deaths from mesothelioma, a deadly cancer caused primarily by workplace asbestos exposure, have continued to rise and show no signs of abating, recently updated figures from Statistics Canada show. Like asbestos-related lung cancer, mesothelioma can take 20 to 40 years to develop and begin causing symptoms, among them painful coughing, shortness of breath and severe weight loss. About 60 per cent of those affected die within a year of diagnosis. The five-year relative survival rate is seven per cent. There have been thousands of cases and deaths related to occupational asbestos exposure in Canada, the world’s largest producer and exporter of chrysotile asbestos during the last century. In 2012, there were 560 new cases of mesothelioma, up from 276 cases recorded in 1992, the StatsCan website shows. Between 2000 and 2012, the most recent year for which statistics are available, deaths from the asbestos-related malignancy jumped 60 per cent, to 467 from 292.

    Source : The Canadian Press. (2016, January 21). OHS Canada. Repéré à http://www.ohscanada.com/health-safety/cases-of-mesothelioma-deadly-cancer-caused-by-asbestos-exposure-on-rise-statscan/1003349356/

CANNABIS

CENTRE JEUNESSE

  • The use of mindfulness-based interventions (MBIs) is well documented in the mental health, medical, and education literature. There is minimal research on the use of mindfulness with social workers. As demonstrated in other professional and helping fields, mindfulness may enhance clinical skills, reduce burnout, and increase job satisfaction among social workers. In the health care field mindfulness appears integral to patient and family relationships and personal resilience. The evolving and expanding role of hospital social workers may lead to increased work stress and greater demands from both the medical system and patients and families. Research with medical providers, such as physicians and nurses, suggests mindfulness may help in reducing stress, enhancing relationships, and fostering the self-reflection required to provide patient-centered care. We systematically reviewed the existing literature to begin understanding both mindfulness qualities and practices and the effectiveness of MBIs among social workers as well as the relationship of mindfulness to patient-centered care.

    Source : Trowbridge, Kelly, & Lawson, Lisa Mische. (2016).  Mindfulness-based interventions with social workers and the potential for enhanced patient-centered care: A systematic review of the literature. Social Work in Health Care. Prépublication.  DOI:10.1080/00981389.2015.1094165

CHAMPS ÉLECTROMAGNÉTIQUE

  • En 2015, le groupe de travail sur les champs électromagnétiques du Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR), un comité d’experts chargé de conseiller la Commission Européenne à propos des risques émergents, a publié une mise à jour des connaissances relatives aux risques associés à l’exposition aux champs électromagnétiques (CEM) de 0 Hz à 20 000 GHz. Même si l’analyse du SCENIHR considère l’exposition et les effets potentiels sur la santé des  champs magnétiques statiques (0 Hz), des CEM de fréquence intermédiaire (300 Hz à 100 kHz), et du rayonnement Terahertz (0,3 à 20 THz), le présent résumé porte principalement sur les résultats concernant les CEM d’extrêmement basse fréquence (de plus de 0 Hz à 300 Hz) et des radiofréquences (100 kHz à 300 GHz).

    Source : Gauthier, Mathieu, & Gauvin, Denis. (19 janvier 2016). Effets potentiels sur la santé humaine de l’exposition aux champs électromagnétiques : résumé. BISE : Bulletin d’information en santé environnementale. Repéré à https://www.inspq.qc.ca/bise/effets-potentiels-sur-la-sante-humaine-de-l-exposition-aux-champs-electromagnetiques

CHUTES DE BÉNÉFICIAIRES

  • Sometimes tragedy can lead to positive change. This was the case of PeopleCare, where the death of one resident led to a complete  » rethink  » of the protection offered by bedrails. Bedrails are commonly believed to provide protection from falls. But alter an extensive review, PeopleCare concluded that the risks posed by bedrails outweigh their benefits in most cases, particularly for people with cognitive challenges such as dementia. Research showed there was a greater risk of resident injuries when their bedrails were left up – and these injuries were more serious than those caused by falls out of bed when rails were down.

    Source : Rethinking bedrail safety. (2015, Fall/Winter). Long Term Care Today, 26(3), 10-13. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p10

  • In October 2015, Ontario’s health quality agency issued its annual report on the health system, highlighting areas of improvement, poor performance and unequal progress Health Quality Ontario’s report, Measuring Up, looked specifically at long-term care wait times and quality of care related to restraint use, falls, and pressure ulcers. Quality of care shows improvement. The report showed good news about restraints: the daily use of restraints in long-term care homes has been cut in half in just four years.

    Source : Restraint use cut by half in Ontario in four years. (2015, Fall/Winter). Long Term Care Today, 26(3), 14. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p14

CIGARETTE ÉLECTRONIQUE

  • There are over 7,000 e-cigarette flavors currently marketed. Flavoring chemicals gained notoriety in the early 2000’s when inhalation exposure of the flavoring chemical diacetyl was found to be associated with a disease that became known as « Popcorn Lung. » There has been limited research on flavoring chemicals in e-cigarettes. The purpose of this study is to determine  if the flavoring chemical diacetyl, and two other high-priority flavoring chemicals 2,3-pentanedione, and acetoin, are present in a convenience sample of flavored e-cigarettes.

    Source : Allen, Joseph, G., Flanigan, Skye S., LeBlanc, Mallory, Vallarino, Jose, MacNaughton, Piers, Stewart, James H., & Christiani, David C. (2015). EHP : Environmental Health Perspectives. Prépublication. DOI:10.1289/ehp.1510185

CONSTRUCTION

  • Le décret 1078-2015, en date du 2 décembre 2015 a été publié dans la Gazette officielle du Québec. Ce règlement modifie le Code de sécurité pour les travaux de construction. Il vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs sur les chantiers de construction. Il prévoit l’ajout de définitions ainsi que de nouvelles mesures et normes en matière de circulation sur de tels chantiers, particulièrement en ce qui a trait aux manoeuvres de recul. Il propose aussi des modifications applicables relativement aux signaleurs, aux alarmes de recul ainsi qu’au port de vêtements de sécurité à haute visibilité.

    Source : Gouvernement du Québec. (16 décembre 2015). Décret 1078-2015, 2 décembre 2013 : Code de sécurité pour les travaux de construction – Modification. Gazette officielle du Québec, Partie 2, 147e année, no 50, 4730-4731. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=64170.pdf

CONTENTION – DÉCONTENTION

  • Sometimes tragedy can lead to positive change. This was the case of PeopleCare, where the death of one resident led to a complete  » rethink  » of the protection offered by bedrails. Bedrails are commonly believed to provide protection from falls. But alter an extensive review, PeopleCare concluded that the risks posed by bedrails outweigh their benefits in most cases, particularly for people with cognitive challenges such as dementia. Research showed there was a greater risk of resident injuries when their bedrails were left up – and these injuries were more serious than those caused by falls out of bed when rails were down.

    Source : Rethinking bedrail safety. (2015, Fall/Winter). Long Term Care Today, 26(3), 10-13. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p10

  • Physical restraints continue to be used in acute care settings, despite the challenges and calls to reduce this practice. The current guideline on restraint use is updated with evidence that includes critical care settings and issues related to restraint use in acute care units. Nurses play a significant role in the use of restraints. Factors such as nurse’s knowledge and patient characteristics combined with the culture and resources in health care facilities influence the practice of physical restraint use. Nurses can identify patients at high risk for restraint use; assess the potential causes of unsafe behaviors; and target interventions in the areas of physiological, psychological, and environmental approaches to address those unsafe behaviors. Members of the interdisciplinary team can provide additional consultation, and institutions can provide resources and education and implement monitoring processes and quality improvement practices to help reduce the practice of physical restraint use.

    Source : Lach, Helen W., Leach, Kathy M., & Butcher, Howard K. (2016). Journal of Gerontological Nursing, 42(2), 17-26. DOI: 10.3928/00989134-20160113-04

  • In October 2015, Ontario’s health quality agency issued its annual report on the health system, highlighting areas of improvement, poor performance and unequal progress Health Quality Ontario’s report, Measuring Up, looked specifically at long-term care wait times and quality of care related to restraint use, falls, and pressure ulcers. Quality of care shows improvement. The report showed good news about restraints: the daily use of restraints in long-term care homes has been cut in half in just four years.

    Source : Restraint use cut by half in Ontario in four years. (2015, Fall/Winter). Long Term Care Today, 26(3), 14. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p14

DÉPLACEMENTS DES BÉNÉFICIAIRES

  • This study examined the effects of lifting range, hand-to-toe distance, and lifting direction on single-person lifting strengths and two-person teamwork lifting strengths. Six healthy males and seven healthy females participated in this study. Two-person teamwork lifting strengths were examined in both strength-matched and strength-unmatched groups. Our results showed that lifting strength significantly decreased with increasing lifting range or hand-to-toe distance. However, lifting strengths were not affected by lifting direction. Teamwork lifting strength did not conform to the law of additivity for both strength-matched and strength-unmatched groups. In general, teamwork lifting strength was dictated by the weaker of the two members, implying that weaker members might be imposed a higher potential danger in teamwork exertions. To avoid such overexertion in teamwork, members with significantly different strength ability should not be assigned to the same team.

    Source : Lee, Tzu-Hsien. (2016). International Journal of Occupational Safety and Ergonomics. Prépublication. Repéré à http://www.tandfonline.com/doi/abs/10.1080/10803548.2015.1133924#

  • The process of loading a stretcher into an ambulance is known to cause a high incidence of back injuries among paramedics. This study aimed to assess the forces at L5/S1 during real-life stretcher loading activities and to determine the variables that contribute significantly to these forces. Analyses involved 58 paramedics (111 shifts) and 175 stretcher loading activities. Recommendations to reduce the risk of back injuries are proposed with regard to stretcher and ambulance loading design as well as training in stretcher lifting for paramedics.

    Source : Prairie, Jérôme, Plamondon, André, Hegg-Deloye, Sandrine, Larouche, Dominique, & Corbeil, Philippe. (2016). Industrial Journal of Industrial Ergonomics, 54, 1-9. doi:10.1016/j.ergon.2015.11.014

  • Ce document constitue la première édition de la CAN/CSA-Z10535.1, Lève-personnes pour transférer des personnes handicapées – Exigences et méthodes d’essai. Il s’agit de l’adoption, avec exigences propres au Canada, de la norme ISO (Organisation internationale de normalisation) 10535 (deuxième édition, 2006-12-15) qui porte le même titre. Cette norme remplace l’édition antérieure publiée en 2003 qui portait le même titre, mais la désignation CAN/CSA-Z10535 (ISO 10535:1998 adoptée). Cette norme s’applique aux lève-personnes et aux éléments de soutien destinés au transfert de personnes handicapées ; typiquement entre un lit, un fauteuil, une civière, une baignoire, ou autre ou à les aider à se lever. Ainsi, elle s’applique aux lève-personnes et aux éléments de soutien souvent appelés lève-personnes au plafond, lève-personnes mobiles, lève-personnes mobiles au sol, verticalisateurs, chaises de bain, et leurs toiles et autres accessoires, etc.

    Source : Association canadienne de nromalisation. (2015). Lève-personnes pour transférer des personnes handicapées : exigences et méthodes d’essai (ISO 10535:2006, MOD). Toronto, Ont.: Groupe CSA, 12, vi, 51 p. (CAN/CSA-Z10535.1:F15). Repéré à http://shop.csa.ca/fr/canada/transport-et-technologie-pour-les-personnes-handicapees/cancsa-z105351f15/invt/27020012015

  • Nurses and other caregivers who manually lift and move patients often become patients themselves. Unless given the right tools and best practice standards to handle patients safely, healthcare workers are in serious risk of suffering musculoskeletal injuries, chronic pain, absenteeism, financial hardship and emotional distress. According to an American Nurses Association (ANA) survey, the problem is pervasive, with 42 percent of nurses reporting a significant level of risk to their safety from lifting or repositioning patients. More than 50 percent say they regularly experience shoulder, neck, back and arm pain while working. Assistant Secretary of Labor for Occupational Safety and Health at OSHA, Dr. David Michaels, says it’s time healthcare facilities get serious about implementing safe patient handling and mobility (SPHM) programs.

    Source : Dimond, Valerie J. (2016, January). Healthcare Purchasing News, 40(1), 14-16. Repéré à http://www.hpnonline.com/inside/2016-01/1601-OR-PatientHandling.html

ÉBOLA

  • The Ebola epidemic in West Africa presents a considerable occupational risk to the health personnel involved. The principal mode of virus transmission to health care personnel is through direct contact with the patient, although transmission by aerosols through the air may also occur. Many safety protocols have been suggested relating to personal protection and particularly respiratory protection. It is generally agreed that all health care workers should have easy access to personal protective equipment. However, the degree of respiratory safety escalates from a mask, to an adequate respirator, and finally to a whole body suit with integrated helmet and positive air pressure. Recent publications demonstrate a lack of consensus on the degree of safety necessary. The step from “safe enough” to being “absolutely safe” seems, in most countries, insurmountable because of costs and logistics.

    Source : Hanoa, R.O., & Moen, B.E. (2016). Workplace Health & Safety, 64(2), 48-50.  doi: 10.1177/2165079915608405

ÉQUIPEMENT – AVIS ET RETRAITS

ÉQUIPEMENT DE PROTECTION

  • According to this study, contamination of the skin and clothing of health care personnel occurred frequently during removal of personal protective equipment (PPE). Furthermore, many health care personnel doffed PPE incorrectly. Finally, a hospital-wide intervention that included education on proper use, practicing, and immediate visual feedback significantly reduced (but did not eliminate) the risk of contamination during the removal of PPE.

    Source : Rosenberg, Karen, & Zolot, Joan. (2016). AJN : American Journal of Nursing, 116(1), 64-65. doi: 10.1097/01.NAJ.0000476175.40993.c3

  • The Ebola epidemic in West Africa presents a considerable occupational risk to the health personnel involved. The principal mode of virus transmission to health care personnel is through direct contact with the patient, although transmission by aerosols through the air may also occur. Many safety protocols have been suggested relating to personal protection and particularly respiratory protection. It is generally agreed that all health care workers should have easy access to personal protective equipment. However, the degree of respiratory safety escalates from a mask, to an adequate respirator, and finally to a whole body suit with integrated helmet and positive air pressure. Recent publications demonstrate a lack of consensus on the degree of safety necessary. The step from “safe enough” to being “absolutely safe” seems, in most countries, insurmountable because of costs and logistics.

    Source : Hanoa, R.O., & Moen, B.E. (2016). Workplace Health & Safety, 64(2), 48-50.  doi: 10.1177/2165079915608405

  • Nosocomial infections pose a significant and escalating threat to both patients and healthcare workers (HCWs). By their nature, hospitals induce antibiotic resistance in virulent and commensal strains, leading to increasingly severe hospital-acquired infections. This study measured environmental exposure experienced by domestic staff cleaning vacated patient rooms of a community hospital to bacteria in ambient bioaerosols. While they cleaned the room, participants wore an N95 filtering facepiece respirator (FFR), from which coupons were cut and bacteria were extracted, cultured and enumerated.

    Source : Heimbuch, Brian K., Wallace, William H., Balzli, Charles L., Laning, Michelle L., Harnish, Delbert A., & Wander, Joseph D. (2016). Journal of Occupational and Environmental Hygiene, 13(2), D11-D15. DOI:10.1080/15459624.2015.1091966

  • Ce document constitue la première édition de la CAN/CSA-Z10535.1, Lève-personnes pour transférer des personnes handicapées – Exigences et méthodes d’essai. Il s’agit de l’adoption, avec exigences propres au Canada, de la norme ISO (Organisation internationale de normalisation) 10535 (deuxième édition, 2006-12-15) qui porte le même titre. Cette norme remplace l’édition antérieure publiée en 2003 qui portait le même titre, mais la désignation CAN/CSA-Z10535 (ISO 10535:1998 adoptée). Cette norme s’applique aux lève-personnes et aux éléments de soutien destinés au transfert de personnes handicapées ; typiquement entre un lit, un fauteuil, une civière, une baignoire, ou autre ou à les aider à se lever. Ainsi, elle s’applique aux lève-personnes et aux éléments de soutien souvent appelés lève-personnes au plafond, lève-personnes mobiles, lève-personnes mobiles au sol, verticalisateurs, chaises de bain, et leurs toiles et autres accessoires, etc.

    Source : Association canadienne de nromalisation. (2015). Lève-personnes pour transférer des personnes handicapées : exigences et méthodes d’essai (ISO 10535:2006, MOD). Toronto, Ont.: Groupe CSA, 12, vi, 51 p. (CAN/CSA-Z10535.1:F15). Repéré à http://shop.csa.ca/fr/canada/transport-et-technologie-pour-les-personnes-handicapees/cancsa-z105351f15/invt/27020012015

ÉQUIPEMENTS INNOVATEURS EN SST

  • This study was conducted to assess functional parameters and comfort of a new computer mouse (Ergomice) as compared with three other input devices. Functional parameters (i.e., task completion time and error rate) of each device were assessed by 10 participants using standardized software based on Standard No. ISO 9241-9:2000. Comfort evaluation was also undertaken for each device using the visual analogue scale technique. In conclusion, the  design features of Ergomice could improve its functional properties. Hand/wrist posture comfort of Ergomice was judged to be high compared with that of the other devices.

    Source : Dehgan, Naser, Choobineh, Alireza, Razeghi, Mohsen, Hasanzadeh, Jafar, Irandoost, Moslem, & Ebrahimi, Samaneh. (2015). International Journal of Occupational Safety and Ergonomics. 21(4), 493-497. Repéré à http://www.tandfonline.com/doi/full/10.1080/10803548.2015.1096060

ÉTABLISSEMENTS D’HÉBERGEMENT

  • Les professionnels qui choisissent de travailler dans le domaine du vieillissement sont confrontés aux complexités de la perte et du deuil. Les situations stressantes qui peuvent causer des sentiments d’impuissance, de désespoir et d’une perte de sens font partie des risques à travailler avec la perte. Il faut tenir compte de ces risques pour éviter l’insatisfaction au travail, l’absentéisme et l’épuisement professionnel. Cet article s’attarde aux défis personnels et professionnels des personnes œuvrant dans le domaine du vieillissement et décrit des types de réponse pouvant favoriser la résilience, un renouvellement du sens et le sentiment d’accomplissement au travail.

    Source : MacKinnon, Christopher J., & Ummel, Deborah. (2015, Automne). Pluriâges, 6(1), 12-18. Repéré à http://www.creges.ca/wp-content/uploads/2015/12/Pluriages_Vol.6_n1_Automne2015_Finale.pdf

  • Physical restraints continue to be used in acute care settings, despite the challenges and calls to reduce this practice. The current guideline on restraint use is updated with evidence that includes critical care settings and issues related to restraint use in acute care units. Nurses play a significant role in the use of restraints. Factors such as nurse’s knowledge and patient characteristics combined with the culture and resources in health care facilities influence the practice of physical restraint use. Nurses can identify patients at high risk for restraint use; assess the potential causes of unsafe behaviors; and target interventions in the areas of physiological, psychological, and environmental approaches to address those unsafe behaviors. Members of the interdisciplinary team can provide additional consultation, and institutions can provide resources and education and implement monitoring processes and quality improvement practices to help reduce the practice of physical restraint use.

    Source : Lach, Helen W., Leach, Kathy M., & Butcher, Howard K. (2016). Journal of Gerontological Nursing, 42(2), 17-26. DOI: 10.3928/00989134-20160113-04

  • Désorientation, accès de panique, chutes, fractures et hospitalisation : ce sont là des conséquences directes constatées par les gestionnaires et les propriétaires de résidences privées pour aînés (RPA) qui surviennent trop souvent lorsque se déroule un exercice d’évacuation avec leurs résidents. Rappelons que ces exercices d’évacuation sont obligatoires, y compris pour les aînés, et ce, sur une base annuelle, afin que les RPA se qualifient pour la certification du ministère. La position du RQRA à ce sujet est claire : les exercices d’évacuation incendie ont leur raison d’être, mais ils devraient être réservés aux cadres et au personnel des RPA. En ce qui concerne les aînés résidant dans les RPA, le RQRA considère que les exercices d’évacuation leur causent davantage de préjudices que de bien.

    Source : Regroupement québécois des résidences pour aînés. (2015). Montréal : RQRA, 44 p. Repéré à http://www.rqra.qc.ca/client_file/upload/20151007SondageEvacuation_Final.pdf

  • Sometimes tragedy can lead to positive change. This was the case of PeopleCare, where the death of one resident led to a complete  » rethink  » of the protection offered by bedrails. Bedrails are commonly believed to provide protection from falls. But alter an extensive review, PeopleCare concluded that the risks posed by bedrails outweigh their benefits in most cases, particularly for people with cognitive challenges such as dementia. Research showed there was a greater risk of resident injuries when their bedrails were left up – and these injuries were more serious than those caused by falls out of bed when rails were down.

    Source : Rethinking bedrail safety. (2015, Fall/Winter). Long Term Care Today, 26(3), 10-13. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p10

  • In October 2015, Ontario’s health quality agency issued its annual report on the health system, highlighting areas of improvement, poor performance and unequal progress Health Quality Ontario’s report, Measuring Up, looked specifically at long-term care wait times and quality of care related to restraint use, falls, and pressure ulcers. Quality of care shows improvement. The report showed good news about restraints: the daily use of restraints in long-term care homes has been cut in half in just four years.

    Source : Restraint use cut by half in Ontario in four years. (2015, Fall/Winter). Long Term Care Today, 26(3), 14. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p14

ÉVACUATION D’URGENCE

  • Désorientation, accès de panique, chutes, fractures et hospitalisation : ce sont là des conséquences directes constatées par les gestionnaires et les propriétaires de résidences privées pour aînés (RPA) qui surviennent trop souvent lorsque se déroule un exercice d’évacuation avec leurs résidents. Rappelons que ces exercices d’évacuation sont obligatoires, y compris pour les aînés, et ce, sur une base annuelle, afin que les RPA se qualifient pour la certification du ministère. La position du RQRA à ce sujet est claire : les exercices d’évacuation incendie ont leur raison d’être, mais ils devraient être réservés aux cadres et au personnel des RPA. En ce qui concerne les aînés résidant dans les RPA, le RQRA considère que les exercices d’évacuation leur causent davantage de préjudices que de bien.

    Source : Regroupement québécois des résidences pour aînés. (2015). Montréal : RQRA, 44 p. Repéré à http://www.rqra.qc.ca/client_file/upload/20151007SondageEvacuation_Final.pdf

ÉVALUATION DES RISQUES

  • Pour identifier, corriger et contrôler les risques dans votre établissement, vous devez mettre en œuvre une démarche de prévention. Cette démarche nécessite de mettre en place des moyens pour identifier les risques présents dans votre établissement;  passer à l’action afin de corriger ces situations et d’éliminer les risques; mettre en place des mesures de contrôle afin d’empêcher que les risques ne reviennent.

    Cet outil s’adresse aux principaux acteurs concernés par la prise en charge de la santé et la sécurité du travail (SST) dans les établissements, qu’il s’agisse de l’employeur, des travailleurs, de leurs représentants, des membres du comité de santé et de sécurité ou de tout autre groupe de travail concerné.

    Source : Bourque, Guylaine, & Lacasse, Audrey. (2016). [S.l.] : Commission des normes, de l’équité, de la santé et de la sécurité du travail, pag. mult. : Repéré à http://www.csst.qc.ca/publications/200/Documents/DC200-418web.pdf

  • Because healthcare will always be a volatile environment – and hazards will always be plentiful in the healthcare workplace – effective hazard control is vital to safety. The author  explores the components of hazard control: proactively identifying hazards; implementing mandatory regulatory compliance measures; implementing best practice hazard controls as performance expectations; and training and conditioning employees to follow safe practices using hazard controls. Compliance in the development of safe working conditions is only the foundation of a true safety culture. Safe behaviors, as the result of situational awareness and critical thinking to identify hazards and use hazard controls, are key.

    Source : Worden, Cory. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 32-37.

FORMATION EN SST

  • Aggression management training for nurses is an important part of a comprehensive strategy to reduce patient and visitor aggression in healthcare. Although training is commonplace, few scientific studies examine its benefits. The purpose of this study was to explore and describe, from a nurse’s perspective, the learning gained from attending aggression management training.

    Source : Heckermann, Birgit, Breimaier, Helga Elisabeth, Halfens, Ruud J.G., Schols, Jos M.G.A., & Hahn, Sabine. (2016). Scandinavian Journal of Caring Sciences. Prépublication. DOI: 10.1111/scs.12281

GESTION – LEADERSHIP

  • Entrevue avec France St-Hilaire, professeure agrégée au département de management et de gestion des ressources humaines de l’Université de Sherbrooke. Ses travaux de recherche portent sur la santé et le bien-être des individus au travail. Les nombreuses observations qu’elle est amenée à formuler sont fortement marquées par une approche nord-américaine tournée vers l’individu et la gestion de données comportementales au détriment de l’action sur l’organisation du travail.

    Source : Ravallec, Céline, & Vaudoux, Delphine. (2015, décembre). Le grand entretien : À tout facteur de risque correspond un facteur de protection. Travail & sécurité, 767, 13-15. Repéré à http://www.travail-et-securite.fr/ts/pages-transverses/revue.html

  • Providing quality care requires positive, collaborative working relationships among healthcare team members. In today’s increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management. The aim of this study was to review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict.

    Source : Almost, Joan, Wolff, Angela C., Stewart-Pyne, Althea, McCormick, Loretta G., Strachan, Diane, & D’Souza, Christine. (2016). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12903

  • When it comes to work these days, we’re all expected to do more with less. But is this nose-to-the-grindstone philosophy the best way to run a business? Alarmingly low employee engagement numbers indicate otherwise. In his new book, The Optimistic Workplace: Creating an Environment that Energizes Everyone, management and leadership consultant Shawn Murphy tackles the productivity challenge and argues that our best work is the product of a positive environment.

    Source : Smith, Sandy. (2015, December 2). EHS Today. Repéré à http://ehstoday.com/safety-leadership/maximizing-optimism-workplace

GESTION DE LA SST

  • Le décret 1078-2015, en date du 2 décembre 2015 a été publié dans la Gazette officielle du Québec. Ce règlement modifie le Code de sécurité pour les travaux de construction. Ce règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs sur les chantiers de construction. Il prévoit l’ajout de définitions ainsi que de nouvelles mesures et normes en matière de circulation sur de tels chantiers, particulièrement en ce qui a trait aux manoeuvres de recul. Il propose aussi des modifications applicables relativement aux signaleurs, aux alarmes de recul ainsi qu’au port de vêtements de sécurité à haute visibilité.

    Source : Gouvernement du Québec. (16 décembre 2015). Décret 1078-2015, 2 décembre 2013 : Code de sécurité pour les travaux de construction – Modification. Gazette officielle du Québec, Partie 2, 147e année, no 50, 4730-4731. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=64170.pdf

  • L’impact des horaires de travail sur la santé et la sécurité constitue un enjeu essentiel compte tenu du recours de plus en plus important à des horaires atypiques dans beaucoup de secteurs industriels, des services ou des transports. La prévention de la fatigue associée à ces horaires passe le plus souvent par des limitations réglementaires des temps de service et de calcul de temps de repos minimum. Ces approches prescriptives présentent plusieurs inconvénients, y compris pour la fatigue des salariés. Cet article présente une alternative aux réglementations des temps de service permettant de gérer le risque fatigue au plus près des contraintes spécifiques du travail. Les grands principes de ces systèmes de gestion du risque fatigue sont illustrés par quelques exemples. Leurs principales limitations sont également discutées.

    Source : Cabon, Philippe. (2015). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 17-2, 11 p. Repéré à https://pistes.revues.org/4571

  • Les tableaux de bord de gestion (TBG) sont trop peu utilisés dans le domaine de la santé et de la sécurité au travail (SST). La démarche générique de développement et d’implantation d’un TBG comporte typiquement six (6) étapes, expliquées dans cet article.

    Source : Pérusse, Michel. (2015, Décembre). Travail et santé, 31(4), 14-17.

  • Depuis la création des lois du travail, il s’en est parcouru du chemin pour enfin constater tout l’avancement des milieux de travail en matière de prévention des accidents et des maladies professionnelles. Qui plus est, plusieurs normes viennent appuyer ces exigences en y intégrant des notions de gestion, d’amélioration continue et de mieux-être tels qu’OHSAS, ISO, CSA et Entreprise en santé. Levons notre chapeau à tous ces ambassadeurs qui y ont cru et qui s’y investissent. Malgré les nombreuses avancées, qu’en est-il de la performance concrète de ces résultats ?

    Source : Laberge, Marie. (2015, Décembre). Travail et santé, 31(4), 36-38.

  • Au début de l’humanité, l’homme vivait dangereusement pour gagner sa susbsistance. Petit à petit, les techniques de travail se sont améliores et les techniques de production sont devenues plus efficaces. Le travail est devenu moins pénible et la fréquence d’accidents et de maladies liées au travail a diminué. Si au début de l’humanité, les accidents de travaiil étaient l’une des plus importantes causes de mortalité, on note aujourd’hui une évolution considérable.

    Source : Gauvin, Jean-Pierre. (2015, Décembre). Travail et santé, 31(4), 28-29.

  • Because healthcare will always be a volatile environment – and hazards will always be plentiful in the healthcare workplace – effective hazard control is vital to safety. The author  explores the components of hazard control: proactively identifying hazards; implementing mandatory regulatory compliance measures; implementing best practice hazard controls as performance expectations; and training and conditioning employees to follow safe practices using hazard controls. Compliance in the development of safe working conditions is only the foundation of a true safety culture. Safe behaviors, as the result of situational awareness and critical thinking to identify hazards and use hazard controls, are key.

    Source : Worden, Cory. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 32-37.

  • The U.S. Department of Labor has identified the health care industry as a major source of all U.S. workplace injuries. Studies have shown that injury within the health care workforce is related to high turnover rates, burnout, poor job satisfaction, and leaving the health care workforce permanently, thus contributing to the existing health care workforce shortages. The purpose of this synthesis of the literature was twofold. The first was to conduct a comprehensive evaluation of the occupational health and safety literature to determine the key antecedents to health care provider injury. The second was to utilize the National Institute for Occupational Safety and Health (NIOSH) framework to organize the findings.

    Source : McCaughey, Deirdre, Kimmel, Ashley, Savage, Grant, Lukas, Tiana, Walsh, Erin, & Halbesleben, Jonathan. (2016). Health Care Management Review, 41(1), 42-55. doi: 10.1097/HMR.0000000000000043

  • Various scheduling models have been tested to attract and retain nursing staff. Little is known about how these schedules affect staff and patients. Fixed scheduling and self-scheduling have been studied to a small extent, solely from a staff perspective. The aim of this study was to evaluate fixed scheduling compared with self-scheduling for nursing staff in oncological inpatient care with regard to patient and staff outcomes. The authors implemented fixed scheduling on two of four oncological inpatient wards. Two wards kept self-scheduling. Through a quasi-experimental design, baseline and follow-up measurements were collected among staff and patients. The Safety Attitudes Questionnaire was used among staff, as well as study-specific questions for patients and staff.

    Source : Kullberg, Anna, Bergenmar, Mia, & Sharp, Lena. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12352

  • Nursing workload is a common term used in the health literature, but often without specification of its exact meaning. Concept clarification is needed to delineate the meaning of the term ‘nursing workload’. The aim of the present study was to develop a comprehensive understanding of the concept ‘workload’ within the nursing profession in order to arrive at a clear definition of nursing workload based on the evidence in existing literature. A concept analysis was conducted to clarify the defining attributes of nursing workload. As the subject matter was nursing focused, only one database was searched, the Cumulative Index for Nursing and Allied Health Literature (CINAHL).

    Source : Alhamdi, Mohammed G. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12354

  • Harmoniser le système de gestion de la santé et de la sécurité au travail aux autres systèmes de management pourrait figurer parmi vos résolutions 2016 ! En septembre 2015, la norme en management de l’environnement (ISO 14001) et celle en management de la qualité (ISO 9001) ont été revues. Parallèlement à cela, se poursuit le développement de la norme de management de la santé et de la sécurité au travail (ISO 45001). Cette nouvelle norme de management remplacera la norme britannique en santé et sécurité au travail : OHSAS 18001. Si votre entreprise est déjà certifiée conforme à la norme OHSAS 18001 ou à une autre norme de management en SST, soit la norme canadienne CSA Z1000 ou la norme américaine ANSI Z10, votre résolution pour 2016 pourrait être de planifier la transition vers ISO 45001. Beaucoup de travail en perspective !

    Source : Centre patronal de santé et sécurité du travail du Québec. (2016, Janvier). Info SST. Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/normes-sst/systemes-de-management.html

  • Pour identifier, corriger et contrôler les risques dans votre établissement, vous devez mettre en œuvre une démarche de prévention. Cette démarche nécessite de: mettre en place des moyens pour identifier les risques présents dans votre établissement; passer à l’action afin de corriger ces situations et d’éliminer les risques; mettre en place des mesures de contrôle afin d’empêcher que les risques ne reviennent. Cet outil s’adresse aux principaux acteurs concernés par la prise en charge de la santé et la sécurité du travail (SST) dans les établissements, qu’il s’agisse de l’employeur, des travailleurs, de leurs représentants, des membres du comité de santé et de sécurité ou de tout autre groupe de travail concerné.

    Source : Bourque, Guylaine, & Lacasse, Audrey. (2016). [S.l.] : Commission des normes, de l’équité, de la santé et de la sécurité du travail, pag. mult. : Repéré à http://www.csst.qc.ca/publications/200/Documents/DC200-418web.pdf

  • How many times were our accidents, injuries and catastrophes literally one breath away from a different result? Isn’t a near-miss really just a “one breath away” moment? How many times in our lives have these words been meaningful?

    Source : Wojick, Tom. (2016, January 21). EHS Today. Repéré à http://ehstoday.com/safety/breath-away-catastrophe-creating-mindful-work-environments

  • La violence en milieu de travail dans le système de santé canadien entraîne d’importantes répercussions, non seulement sur les travailleurs de la santé et les usagers touchés, mais sur l’ensemble du système de santé. Pour le système de santé canadien, la prévention de la violence en milieu de travail est un défi de taille qui requiert l’engagement de tout le personnel d’encadrement des organismes de soins de santé, de même qu’un suivi constant des tendances au sein de ces organismes. Le présent rapport pancanadien repose sur des données d’ensemble fournies par les organismes de soins de santé qui participent au programme Qmentum d’Agrément Canada. Il témoigne des efforts consentis par ces organismes en matière de sécurité et de prévention de la violence au travail, ainsi que des résultats du Sondage Pulse sur la qualité de vie au travail. Les renseignements ainsi recueillis présentent un point de vue unique sur les soins de santé au Canada.

    Source : Hasanaj, Qendresa, Mitchell, Jonathan, & Roman, Viktoria. (2015). Prévention de la violence et promotion de la sécurité au travail dans les organismes de santé canadiens : Rapport canadien sur l’agrément des services de santé. Ottawa : Agrément Canada, 18 p. Repéré à https://accreditation.ca/sites/default/files/rcas-2015.pdf

  • Employee health professionals must work with clinical colleagues to develop clear, supportive policies that clarify when ill healthcare workers should take a sick day rather than expose vulnerable patients and co-workers, researchers recommend. Recent studies suggest that working while ill is surprisingly common, as healthcare workers with symptoms such as high fever, diarrhea, and even confirmed flu infection report for duty.

    Source : Evans, Gary. (2016, January). Hospital Employee Health, 35(1), 1-4. Repéré à http://www.ahcmedia.com/articles/136806-the-sick-treating-the-sick-hcws-pressured-to-work-ill

GESTION DES RISQUES

  • Because healthcare will always be a volatile environment – and hazards will always be plentiful in the healthcare workplace – effective hazard control is vital to safety. The author  explores the components of hazard control: proactively identifying hazards; implementing mandatory regulatory compliance measures; implementing best practice hazard controls as performance expectations; and training and conditioning employees to follow safe practices using hazard controls. Compliance in the development of safe working conditions is only the foundation of a true safety culture. Safe behaviors, as the result of situational awareness and critical thinking to identify hazards and use hazard controls, are key.

    Source : Worden, Cory. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 32-37.

GESTION DU CHANGEMENT

  • Qui a dit que la vie au travail est un long fleuve tranquille? Entre évoluer comme entreprise, s’adapter aux réalités du marché ou coller aux besoins des clients… s’adapter au travail devient le mot d’ordre. Nouveau projet d’orientation client, changement d’équipes, réflexion stratégique, restructurations en série, innovations en tout genre… tout indique qu’un nouveau scénario se dessine avec son lot d’inconnues. Soubresauts garantis. Comment gérer ces changements au quotidien? Que faire pour atténuer l’effet déstabilisant du revirement de position? Conseils pour apprendre à s’adapter durablement au changement permanent.

    Source : Jézéquel, Myriam. (2016, 8 janvier). Portail RH. Ressources. Repéré à http://www.portailrh.org/ressources/AZ/specialites/article_une/fiche.aspx?p=629615

HORAIRE DE TRAVAIL

  • L’impact des horaires de travail sur la santé et la sécurité constitue un enjeu essentiel compte tenu du recours de plus en plus important à des horaires atypiques dans beaucoup de secteurs industriels, des services ou des transports. La prévention de la fatigue associée à ces horaires passe le plus souvent par des limitations réglementaires des temps de service et de calcul de temps de repos minimum. Ces approches prescriptives présentent plusieurs inconvénients, y compris pour la fatigue des salariés. Cet article présente une alternative aux réglementations des temps de service permettant de gérer le risque fatigue au plus près des contraintes spécifiques du travail. Les grands principes de ces systèmes de gestion du risque fatigue sont illustrés par quelques exemples. Leurs principales limitations sont également discutées.

    Source : Cabon, Philippe. (2015). PISTES : Perspectives interdisciplinaires sur le travail et la santé, 17-2, 11 p. Repéré à https://pistes.revues.org/4571

  • In a study of 16 night-shift workers, more than one-third were involved in near crashes while participating in a test drive after work, researchers report. The same drivers experienced zero near-crashes after sleeping sufficient amounts the night before the same test drive, according to the study, published online Dec. 21 in the Proceedings of the National Academy of Sciences. « What is unique about this study is that it (was) done in daytime » and there was a « stupendously increased risk of these near-crash events, » said study author Dr. Charles Czeisler, chief of the division of sleep and circadian disorders at Brigham and Women’s Hospital in Boston.

    Source : Night-Shift Workers May Be Prone to Car Crashes. (2015, December 22). MedlinePlus. HealthDay. Repéré à https://www.nlm.nih.gov/medlineplus/news/fullstory_156348.html

  • Various scheduling models have been tested to attract and retain nursing staff. Little is known about how these schedules affect staff and patients. Fixed scheduling and self-scheduling have been studied to a small extent, solely from a staff perspective. The aim of this study was to evaluate fixed scheduling compared with self-scheduling for nursing staff in oncological inpatient care with regard to patient and staff outcomes. The authors implemented fixed scheduling on two of four oncological inpatient wards. Two wards kept self-scheduling. Through a quasi-experimental design, baseline and follow-up measurements were collected among staff and patients. The Safety Attitudes Questionnaire was used among staff, as well as study-specific questions for patients and staff.

    Source : Kullberg, Anna, Bergenmar, Mia, & Sharp, Lena. (2016). Journal of Nursing Management. Prépublication. DOI: 10.1111/jonm.12352

HYGIÈNE ET SALUBRITÉ

  • Nosocomial infections are a serious problem in health care facilities. Bacteria can be transferred from patient to patient via contaminated reusable medical devices and equipment. An anesthesia machine and objects representative of smooth and ridged machine knobs were contaminated with Staphylococcus aureus, Bacillus atrophaeus spores, and Clostridium sporogenes spores. The ability of 5 commercially available cleaning-disinfecting wipes to remove bacteria was compared with gauze soaked with water or bleach. Gauze soaked with water was used to determine the optimal wetness for bacteria removal, which was then used to evaluate the efficacy of the wipe ingredients. The results indicated that physically removing bacteria from device surfaces with water was often as effective as the cleaning-disinfecting wipes. Of the wipe active ingredients evaluated, sodium hypochlorite was the most effective overall. The wetness of the wipes may also play a role in their effectiveness.

    Source : Gonzalez, Elizabeth A., Nandy, Poulomi, Lucas, Anne D., & Hitchins, Victoria M. (2015). AJIC : American Journal of Infection Control, 43(12), 1331-1335. DOI: http://dx.doi.org/10.1016/j.ajic.2015.07.024

  • The author offers a detailed background of scabies mites and how an exposure can affect many in the hospital environment if not quickly diagnosed and treated. She provides readers with a list of questions to consider when implementing a facility-specific process and the components that should be incorporated into a successful program: surveillance; diagnostic services; control and treatment; environmental disinfection and communication. Following these tips and organizing available resources will help occupational health professionals to effectively manage a scabies mites outbreak.

    Source : Ninassi, Karen. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 14-15.

MÉDICAMENTS DANGEREUX – PHARMACIE

  • The occupational risk associated with handling of cytotoxic anticancer drugs is well documented and, in many countries, pharmaceutical isolators are used to contain cytotoxic residues during preparation of cytotoxic infusions. Isolators are difficult to clean leading to concerns that cytotoxic contamination from the work area could be transferred to surfaces of products leaving the isolator. This study investigated the surface contamination arising from the preparation of five anticancer drug infusions (Epirubicin, Fluorouracil, Cisplatin, Oxaliplatin and Carboplatin) in a pharmaceutical isolator and compared use of a conventional syringe and needle technique with a closed-system drug transfer device (CSDTD).

    Source : Vyas, N., Turner, A., Clark, JM., & Sewell, GJ. (2016). Journal of Oncology Pharmacy Practice, 22(1), 10-19.

  • Contamination of workplace surfaces by antineoplastic drugs presents an exposure risk for healthcare workers. Traditional instrumental methods to detect contamination such as liquid chromatography-mass spectrometry/mass spectrometry (LC-MS/MS) are sensitive and accurate but expensive. Since immunochemical methods may be cheaper and faster than instrumental methods. The authors wanted to explore their use for routine drug residue detection for preventing worker exposure.

    Source : Smith, Jerome P., Sammons, Deborah L., Robertson, Shriley A., Pretty, Jack R., DeBord, D. Gayle, Connor, Thomas H., & Snawder, John E. (2016). Journal of Oncology Pharmacy Practice, 22(1), 60-67.

  • Evidence of occupational exposure risks to novel anticancer agents is limited and yet to be formally evaluated from the Australian healthcare perspective. From March to September 2013 medical databases, organizational policies, drug monographs, and the World Wide Web were searched for evidence relating to occupational exposure to monoclonal antibodies, fusion proteins, gene therapies, and other unclassified novel anticancer agents.

    Source : King, Julie, Alexander, Marliese, Byrne, Jenny, MacMillan, Kent, Mollo, Adele, Kirsa, Sue, & Green, Michael. (2016). Journal of Oncology Pharmacy Practice, 22(1), 121-134.

  • Despite growing awareness of the hazards of exposure to antineoplastic drugs (ADs), surveys continue to find incomplete adherence to recommended safe handling guidelines. A 2011 survey of healthcare workers presents an opportunity to examine factors associated with adherence among 1094 hospital nurses who administered ADs. The results suggest that training and familiarity with guidelines for safe handling of ADs, adequate time to adhere to guidelines, and availability of PPE and certain engineering controls are key to ensuring adherence to safe handling practices.

    Source : Silver, Sharon R., Steege, Andrea L., & Boiano, James M. (2015). Journal of Occupational and Environmental Hygiene. Prépublication. DOI:10.1080/15459624.2015.1091963

  • The aim of this study was to compare environmental contamination of cyclophosphamide (CP) during 1 week of drug compounding by conventional manual procedure in a biological safety cabinet (BSC) with laminar airflow and a new robotic drug preparation system (APOTECAchemo). During four consecutive days, similar numbers of infusion bags with cyclophosphamide were prepared with both techniques in a cross-over design. Wipe samples (49 for BSC, 50 for APOTECAchemo) were taken at several locations (gloves, infusion bags, trays, BSC-benches, floor) in the pharmacy and analyzed for CP concentrations by GC-MSMS (LOD 0.2 ng/sample).

    Source : Schierl, Rudolf, Masini, Carla, Groeneveld, Svenja, Fischer, Elke, Böhlandt, Antje, Rosini, Valeria, & Paolucci, Demis. (2016). Journal of Oncology Pharmacy Practice, 22(1), 37-45. doi: 10.1177/1078155214551316

  • Réponse de l’INRS à une question posée par un médecin du travail : Existe-t-il un risque pour les personnels soignants exposés à des fluides (excrétas) ou linges souillés de patients traités par des produits cytotoxiques ? Comment évaluer l’exposition de ces personnels soignants ?

    Source : Passeron, Jean. (2015). Références en santé au travail, 144, 131. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/QuestionsReponses/TI-RST-QR-105/qr105.pdf

  • Even while following best practices, surface exposures of hazardous drugs (HDs) are high and numerous. Thus, it is important to develop new products to reduce the surface contamination of HDs. Hazardous Drug Clean (HDClean™) was developed to decontaminate and remove HDs from various types of surfaces and overcome the problems associated with other cleaning products. HDClean was evaluated to remove mock surface exposures of HDs (docetaxel, paclitaxel, ifosfamide, cyclophosphamide, 5-FU, and cisplatin) from various types of surfaces.

    Source : Cox, Joshua, Speed, Vonni, O’Neal, Sara, Hasselwander, Terry, Sherwood, Candice, Eckel, Stephen F., & Zamboni, William C. (2015). Journal of Oncology Pharmacy Practice. Prépublication.  doi: 10.1177/1078155215621151

  • To use a mobile air decontamination unit (MADU) for a microbial destruction and decreased particle burden making a cleanroom controlled environment in a Centralized Chemotherapy Preparation Unit (CCPU). Good manufacturing practices (GMP) in France specify that the ambient air in the vicinity of a class III biosafety cabinet (isolator) complies with air cleanliness ISO 8 level in CCPU. This guideline has a significant impact because implementing a dedicated air handling unit (AHU) brings some engineering constraints and generates substantial additional costs. Authors have previously studied some technical and economical aspects to evaluate the feasibility of the MADU option.

    Source : Lecordier, Julien, Plivard, Claire, Gardeux, Michel, Daouadi, Karim, & Lahet, Jean-Jacques. (2016).  Journal of Oncology Pharmacy Practice, 22(1), 151-156.

MANUTENTION DE CHARGES

  • Le poste des commis à l’expédition comporte de nombreuses contraintes pour le système musculosquelettique. L’intervention ergonomique réalisée dans une entreprise manufacturière de revêtements extérieurs en polymère le prouve encore une fois.

    Source : Gaudreault-Boivin, Amélie. (2015, Décembre). Travail et santé, 31(4), 21-23.

  • This study examined the effects of lifting range, hand-to-toe distance, and lifting direction on single-person lifting strengths and two-person teamwork lifting strengths. Six healthy males and seven healthy females participated in this study. Two-person teamwork lifting strengths were examined in both strength-matched and strength-unmatched groups. Our results showed that lifting strength significantly decreased with increasing lifting range or hand-to-toe distance. However, lifting strengths were not affected by lifting direction. Teamwork lifting strength did not conform to the law of additivity for both strength-matched and strength-unmatched groups. In general, teamwork lifting strength was dictated by the weaker of the two members, implying that weaker members might be imposed a higher potential danger in teamwork exertions. To avoid such overexertion in teamwork, members with significantly different strength ability should not be assigned to the same team.

    Source : Lee, Tzu-Hsien. (2016). International Journal of Occupational Safety and Ergonomics. Prépublication. Repéré à http://www.tandfonline.com/doi/abs/10.1080/10803548.2015.1133924#

MILIEU DE VIE

  • Sometimes tragedy can lead to positive change. This was the case of PeopleCare, where the death of one resident led to a complete  » rethink  » of the protection offered by bedrails. Bedrails are commonly believed to provide protection from falls. But alter an extensive review, PeopleCare concluded that the risks posed by bedrails outweigh their benefits in most cases, particularly for people with cognitive challenges such as dementia. Research showed there was a greater risk of resident injuries when their bedrails were left up – and these injuries were more serious than those caused by falls out of bed when rails were down.

    Source : Rethinking bedrail safety. (2015, Fall/Winter). Long Term Care Today, 26(3), 10-13. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p10

  • Les professionnels qui choisissent de travailler dans le domaine du vieillissement sont confrontés aux complexités de la perte et du deuil. Les situations stressantes qui peuvent causer des sentiments d’impuissance, de désespoir et d’une perte de sens font partie des risques à travailler avec la perte. Il faut tenir compte de ces risques pour éviter l’insatisfaction au travail, l’absentéisme et l’épuisement professionnel. Cet article s’attarde aux défis personnels et professionnels des personnes œuvrant dans le domaine du vieillissement et décrit des types de réponse pouvant favoriser la résilience, un renouvellement du sens et le sentiment d’accomplissement au travail.

    Source : MacKinnon, Christopher J., & Ummel, Deborah. (2015, Automne). Pluriâges, 6(1), 12-18. Repéré à http://www.creges.ca/wp-content/uploads/2015/12/Pluriages_Vol.6_n1_Automne2015_Finale.pdf

  • The essential importance of patient-centredness is no longer in dispute. More than 15 years ago, the Institute of Medicine incorporated patient-centred care as elemental to the definition of quality care. In his 2009 ‘Confessions of an Extremist‘ essay, Sir Donald Berwick goes further, arguing that patient-centredness is ‘not a route to the point; it is the point’. At the same time, we all recognise that our current systems do not optimise patient centredness. At our institution, we have begun tracking episodes of ‘disrespect’ with the same systems we use to track patient safety events, and are learning that these emotional harms are more common than the physical harms we have tracked so rigorously for many years. The case has been made and the challenge accepted: we need to reconfigure care delivery to be more patient-centred. The challenge now is how best to achieve that reconfiguration, using evidence-based interventions.

    Source : Sands, Kenneth EF. (2016). BMJ Quality & Safety. Prépublication. Repéré à http://qualitysafety.bmj.com/content/early/2016/01/28/bmjqs-2015-005035.full.pdf+html

  • Physical restraints continue to be used in acute care settings, despite the challenges and calls to reduce this practice. The current guideline on restraint use is updated with evidence that includes critical care settings and issues related to restraint use in acute care units. Nurses play a significant role in the use of restraints. Factors such as nurse’s knowledge and patient characteristics combined with the culture and resources in health care facilities influence the practice of physical restraint use. Nurses can identify patients at high risk for restraint use; assess the potential causes of unsafe behaviors; and target interventions in the areas of physiological, psychological, and environmental approaches to address those unsafe behaviors. Members of the interdisciplinary team can provide additional consultation, and institutions can provide resources and education and implement monitoring processes and quality improvement practices to help reduce the practice of physical restraint use.

    Source : Lach, Helen W., Leach, Kathy M., & Butcher, Howard K. (2016). Journal of Gerontological Nursing, 42(2), 17-26. DOI: 10.3928/00989134-20160113-04

  • In October 2015, Ontario’s health quality agency issued its annual report on the health system, highlighting areas of improvement, poor performance and unequal progress Health Quality Ontario’s report, Measuring Up, looked specifically at long-term care wait times and quality of care related to restraint use, falls, and pressure ulcers. Quality of care shows improvement. The report showed good news about restraints: the daily use of restraints in long-term care homes has been cut in half in just four years.

    Source : Restraint use cut by half in Ontario in four years. (2015, Fall/Winter). Long Term Care Today, 26(3), 14. Repéré à http://mediaedge.imirus.com/Mpowered/book/vltc15/i3/p14

NANOTECHNOLOGIES

NORMES ET LÉGISLATION

  • Le décret 1078-2015, en date du 2 décembre 2015 a été publié dans la Gazette officielle du Québec. Ce règlement modifie le Code de sécurité pour les travaux de construction. Ce règlement vise à assurer la santé, la sécurité et l’intégrité physique des travailleurs sur les chantiers de construction. Il prévoit l’ajout de définitions ainsi que de nouvelles mesures et normes en matière de circulation sur de tels chantiers, particulièrement en ce qui a trait aux manoeuvres de recul. Il propose aussi des modifications applicables relativement aux signaleurs, aux alarmes de recul ainsi qu’au port de vêtements de sécurité à haute visibilité.

    Source : Gouvernement du Québec. (16 décembre 2015). Décret 1078-2015, 2 décembre 2013 : Code de sécurité pour les travaux de construction – Modification. Gazette officielle du Québec, Partie 2, 147e année, no 50, 4730-4731. Repéré à http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=1&file=64170.pdf

  • Harmoniser le système de gestion de la santé et de la sécurité au travail aux autres systèmes de management pourrait figurer parmi vos résolutions 2016 ! En septembre 2015, la norme en management de l’environnement (ISO 14001) et celle en management de la qualité (ISO 9001) ont été revues. Parallèlement à cela, se poursuit le développement de la norme de management de la santé et de la sécurité au travail (ISO 45001). Cette nouvelle norme de management remplacera la norme britannique en santé et sécurité au travail : OHSAS 18001. Si votre entreprise est déjà certifiée conforme à la norme OHSAS 18001 ou à une autre norme de management en SST, soit la norme canadienne CSA Z1000 ou la norme américaine ANSI Z10, votre résolution pour 2016 pourrait être de planifier la transition vers ISO 45001. Beaucoup de travail en perspective !

    Source : Centre patronal de santé et sécurité du travail du Québec. (2016, Janvier). Info SST. Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/normes-sst/systemes-de-management.html

  • Ce document constitue la première édition de la CAN/CSA-Z10535.1, Lève-personnes pour transférer des personnes handicapées – Exigences et méthodes d’essai. Il s’agit de l’adoption, avec exigences propres au Canada, de la norme ISO (Organisation internationale de normalisation) 10535 (deuxième édition, 2006-12-15) qui porte le même titre. Cette norme remplace l’édition antérieure publiée en 2003 qui portait le même titre, mais la désignation CAN/CSA-Z10535 (ISO 10535:1998 adoptée). Cette norme s’applique aux lève-personnes et aux éléments de soutien destinés au transfert de personnes handicapées ; typiquement entre un lit, un fauteuil, une civière, une baignoire, ou autre ou à les aider à se lever. Ainsi, elle s’applique aux lève-personnes et aux éléments de soutien souvent appelés lève-personnes au plafond, lève-personnes mobiles, lève-personnes mobiles au sol, verticalisateurs, chaises de bain, et leurs toiles et autres accessoires, etc.

    Source : Association canadienne de nromalisation. (2015). Lève-personnes pour transférer des personnes handicapées : exigences et méthodes d’essai (ISO 10535:2006, MOD). Toronto, Ont.: Groupe CSA, 12, vi, 51 p. (CAN/CSA-Z10535.1:F15). Repéré à http://shop.csa.ca/fr/canada/transport-et-technologie-pour-les-personnes-handicapees/cancsa-z105351f15/invt/27020012015

PRÉVENTION DES INFECTIONS

  • According to this study, contamination of the skin and clothing of health care personnel occurred frequently during removal of personal protective equipment (PPE). Furthermore, many health care personnel doffed PPE incorrectly. Finally, a hospital-wide intervention that included education on proper use, practicing, and immediate visual feedback significantly reduced (but did not eliminate) the risk of contamination during the removal of PPE.

    Source : Rosenberg, Karen, & Zolot, Joan. (2016). AJN : American Journal of Nursing, 116(1), 64-65. doi: 10.1097/01.NAJ.0000476175.40993.c3

  • Nosocomial infections are a serious problem in health care facilities. Bacteria can be transferred from patient to patient via contaminated reusable medical devices and equipment. An anesthesia machine and objects representative of smooth and ridged machine knobs were contaminated with Staphylococcus aureus, Bacillus atrophaeus spores, and Clostridium sporogenes spores. The ability of 5 commercially available cleaning-disinfecting wipes to remove bacteria was compared with gauze soaked with water or bleach. Gauze soaked with water was used to determine the optimal wetness for bacteria removal, which was then used to evaluate the efficacy of the wipe ingredients. The results indicated that physically removing bacteria from device surfaces with water was often as effective as the cleaning-disinfecting wipes. Of the wipe active ingredients evaluated, sodium hypochlorite was the most effective overall. The wetness of the wipes may also play a role in their effectiveness.

    Source : Gonzalez, Elizabeth A., Nandy, Poulomi, Lucas, Anne D., & Hitchins, Victoria M. (2015). AJIC : American Journal of Infection Control, 43(12), 1331-1335. DOI: http://dx.doi.org/10.1016/j.ajic.2015.07.024

  • The authors conducted hospital-based contact investigations of 55 serial sputum smear-positive tuberculosis (TB) patients and 771 health care workers (HCWs) from 2006-2013. HCWs who made contact with TB patients in the absence of appropriate airborne precautions were evaluated using interferon gamma release assays to identify TB infection. Twenty-nine HCWs (3.8%) were newly diagnosed with TB infection. The 10 TB patients responsible for transmission had a duration of contact of >7 days by multivariate analysis.

    Source : Ito, Yutaka, Nagao, Miki, IInuma, Yoshitsugu, Matsumura, Yasufumi, Yamamoto, Masaki, Takakura, Shunji,… Mishima, Michiaki. (2016). AJIC: American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.022

  • The Ebola epidemic in West Africa presents a considerable occupational risk to the health personnel involved. The principal mode of virus transmission to health care personnel is through direct contact with the patient, although transmission by aerosols through the air may also occur. Many safety protocols have been suggested relating to personal protection and particularly respiratory protection. It is generally agreed that all health care workers should have easy access to personal protective equipment. However, the degree of respiratory safety escalates from a mask, to an adequate respirator, and finally to a whole body suit with integrated helmet and positive air pressure. Recent publications demonstrate a lack of consensus on the degree of safety necessary. The step from “safe enough” to being “absolutely safe” seems, in most countries, insurmountable because of costs and logistics.

    Source : Hanoa, R.O., & Moen, B.E. (2016). Workplace Health & Safety, 64(2), 48-50.  doi: 10.1177/2165079915608405

  • Nosocomial infections pose a significant and escalating threat to both patients and healthcare workers (HCWs). By their nature, hospitals induce antibiotic resistance in virulent and commensal strains, leading to increasingly severe hospital-acquired infections. This study measured environmental exposure experienced by domestic staff cleaning vacated patient rooms of a community hospital to bacteria in ambient bioaerosols. While they cleaned the room, participants wore an N95 filtering facepiece respirator (FFR), from which coupons were cut and bacteria were extracted, cultured and enumerated.

    Source : Heimbuch, Brian K., Wallace, William H., Balzli, Charles L., Laning, Michelle L., Harnish, Delbert A., & Wander, Joseph D. (2016). Journal of Occupational and Environmental Hygiene, 13(2), D11-D15. DOI:10.1080/15459624.2015.1091966

  • The authors  provide a long-awaited update to the 1995 EPINet report on blood and body fluid exposures by analyzing data across a 10-year period from seven participating hospitals that utilize the EPINet tracking system. Their study illustrates the frequency of exposures that have occurred since the passage of the Needlestick Safety and Prevention Act of 2001 and documents that the occupational risk for blood and body fluid exposures continues to be a serious concern for healthcare workers. They recommend improvements in: engineering controls; administrative and work practice controls; personal protective equipment; and the expansion of standardized surveillance.

    Source : Mitchell, Amber Hogan, Jagger, Janine C., & Parker, Ginger. (2015, Fall). Journal of the Association of Occupational Health Professionals in Healthcare (AOHP), 35(4), 24-31.

  • Employee health professionals must work with clinical colleagues to develop clear, supportive policies that clarify when ill healthcare workers should take a sick day rather than expose vulnerable patients and co-workers, researchers recommend. Recent studies suggest that working while ill is surprisingly common, as healthcare workers with symptoms such as high fever, diarrhea, and even confirmed flu infection report for duty.

    Source : Evans, Gary. (2016, January). Hospital Employee Health, 35(1), 1-4. Repéré à http://www.ahcmedia.com/articles/136806-the-sick-treating-the-sick-hcws-pressured-to-work-ill

PRODUITS TOXIQUES

  • Cette circulaire a pour but de préciser les attentes ministérielles envers les établissements de santé et de services sociaux dans l’organisation des services entourant l’accès à la marihuana à des fins médicales pour les personnes hospitalisées ou hébergées. Cette circulaire fait suite à l’adoption en novembre 2015 du Projet de loi nº44 visant à renforcer la lutte au tabagisme modifiant la Loi sur le tabac (RLRQ, chapitre T-0.01). On y traite également de la nécessité de protéger les travailleurs exposés à la fumée du tabac et de la marihuana séchée.

    Source : Québec. Ministère de la Santé et des Services sociaux. (2015, 11 décembre). Organisation des services entourant l’accès à la marihuana (cannabis) à des fins médicales pour les clientèles hospitalisées ou hébergées. Répertoire des normes et pratiques de gestion, Tome II. 7 p. (Circulaire 2015-016). Repéré à http://msssa4.msss.gouv.qc.ca/fr/document/d26ngest.nsf/1f71b4b2831203278525656b0004f8bf/6eb7f4de13f52f8e85257f1c0057dce9/$FILE/2015-016.pdf

  • There are over 7,000 e-cigarette flavors currently marketed. Flavoring chemicals gained notoriety in the early 2000’s when inhalation exposure of the flavoring chemical diacetyl was found to be associated with a disease that became known as « Popcorn Lung. » There has been limited research on flavoring chemicals in e-cigarettes. The purpose of this study is to determine  if the flavoring chemical diacetyl, and two other high-priority flavoring chemicals 2,3-pentanedione, and acetoin, are present in a convenience sample of flavored e-cigarettes.

    Source : Allen, Joseph, G., Flanigan, Skye S., LeBlanc, Mallory, Vallarino, Jose, MacNaughton, Piers, Stewart, James H., & Christiani, David C. (2015). EHP : Environmental Health Perspectives. Prépublication. DOI:10.1289/ehp.1510185

  • Comme dans un grand nombre de secteurs, la nanotechnologie exerce une influence croissante sur le secteur des soins de santé, ce qui accentue le risque d’exposition des travailleurs aux nanomatériaux dans leur milieu professionnel. La nanotechnologie et les nanomatériaux dans les applications médicales peuvent offrir quantité d’avantages. Toutefois, malgré un effort soutenu de recherches, le domaine de la nanotechnologie se développe plus rapidement que les connaissances sur les aspects liés à la santé et à la sécurité des nanomatériaux. Il existe toujours de nombreuses inconnues, ce qui soulève des questions concernant l’évaluation des risques pour la sécurité et la santé au travail (SST). Cette fiche explique comment le personnel des soins de santé peut être exposé aux nanomatériaux sur son lieu de travail durant ses activités quotidiennes. Il fournit également des informations sur les mesures pouvant être prises afin d’empêcher des expositions potentielles.

    Source : Agence européenne pour la sécurité et la santé au travail. (2016?). Bilbao (Spain) : EU-OSHA, 15 p. (E-Facts; 73). Repéré à https://osha.europa.eu/sites/default/files/publications/documents/fr/publications/e-facts/e-fact-73-nanomaterials-in-the-healthcare-sector-occupational-risks-and-prevention/Efact%2073%20Nanomaterials%20in%20healthcare%20sector_fr.pdf

  • The numbers of cases and deaths from mesothelioma, a deadly cancer caused primarily by workplace asbestos exposure, have continued to rise and show no signs of abating, recently updated figures from Statistics Canada show. Like asbestos-related lung cancer, mesothelioma can take 20 to 40 years to develop and begin causing symptoms, among them painful coughing, shortness of breath and severe weight loss. About 60 per cent of those affected die within a year of diagnosis. The five-year relative survival rate is seven per cent. There have been thousands of cases and deaths related to occupational asbestos exposure in Canada, the world’s largest producer and exporter of chrysotile asbestos during the last century. In 2012, there were 560 new cases of mesothelioma, up from 276 cases recorded in 1992, the StatsCan website shows. Between 2000 and 2012, the most recent year for which statistics are available, deaths from the asbestos-related malignancy jumped 60 per cent, to 467 from 292.

    Source : The Canadian Press. (2016, January 21). OHS Canada. Repéré à http://www.ohscanada.com/health-safety/cases-of-mesothelioma-deadly-cancer-caused-by-asbestos-exposure-on-rise-statscan/1003349356/

  • The use of medicinal marijuana is increasing. Marijuana has been shown to have therapeutic effects in certain patients, but further research is needed regarding the safety and efficacy of marijuana as a medical treatment for various conditions. A growing body of research validates the use of marijuana for a variety of healthcare problems, but there are many issues surrounding the use of this substance. This article discusses the use of medical marijuana and provides implications for home healthcare providers.

    Source : Capriotti, Teri. (2016). Home Healthcare Now, 34(1), 10-15. Repéré à  http://pdfs.journals.lww.com/homehealthcarenurseonline/2016/01000/Medical_Marijuana.3.pdf

PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

    • Stairwell use is a cost-effective opportunity to increase physical activity. Although stairwell use can integrate moderate physical activity in daily work routines, little information is available to guide architects and engineers on how to design facilities that promote stairwell use. This study examined the reasons behind using stairwells versus elevators through a case study at a teaching hospital. A broad range of physical design recommendations were evaluated to understand how the design of stairwells can encourage hospital staff and students to use them. An online survey was used to collect data. Findings indicated travel distance and travel direction as primary reasons for preferring elevators. Design recommendations such as motivational signs and physical movement reinforcements (e.g., cardio indicators) are discussed.

      Source : Moatari-Kazerouni, Alfrooz, Pennathur, Priyadarshini, Tucker, Sharon J., & Leyden, Luke A. (2016). Workplace Health & Safety, 64(2), 57-64. doi: 10.1177/2165079915612789

PROTECTION RESPIRATOIRE

      • The authors conducted hospital-based contact investigations of 55 serial sputum smear-positive tuberculosis (TB) patients and 771 health care workers (HCWs) from 2006-2013. HCWs who made contact with TB patients in the absence of appropriate airborne precautions were evaluated using interferon gamma release assays to identify TB infection. Twenty-nine HCWs (3.8%) were newly diagnosed with TB infection. The 10 TB patients responsible for transmission had a duration of contact of >7 days by multivariate analysis.

        Source : Ito, Yutaka, Nagao, Miki, IInuma, Yoshitsugu, Matsumura, Yasufumi, Yamamoto, Masaki, Takakura, Shunji,… Mishima, Michiaki. (2016). AJIC: American Journal of Infection Control. Prépublication. DOI: http://dx.doi.org/10.1016/j.ajic.2015.11.022

      • Nosocomial infections pose a significant and escalating threat to both patients and healthcare workers (HCWs). By their nature, hospitals induce antibiotic resistance in virulent and commensal strains, leading to increasingly severe hospital-acquired infections. This study measured environmental exposure experienced by domestic staff cleaning vacated patient rooms of a community hospital to bacteria in ambient bioaerosols. While they cleaned the room, participants wore an N95 filtering facepiece respirator (FFR), from which coupons were cut and bacteria were extracted, cultured and enumerated.

        Source : Heimbuch, Brian K., Wallace, William H., Balzli, Charles L., Laning, Michelle L., Harnish, Delbert A., & Wander, Joseph D. (2016). Journal of Occupational and Environmental Hygiene, 13(2), D11-D15. DOI:10.1080/15459624.2015.1091966

QUALITÉ DE L’AIR

SANTÉ – BIEN-ÊTRE AU TRAVAIL

  • Entrevue avec France St-Hilaire, professeure agrégée au département de management et de gestion des ressources humaines de l’Université de Sherbrooke. Ses travaux de recherche portent sur la santé et le bien-être des individus au travail. Les nombreuses observations qu’elle est amenée à formuler sont fortement marquées par une approche nord-américaine tournée vers l’individu et la gestion de données comportementales au détriment de l’action sur l’organisation du travail.

    Source : Ravallec, Céline, & Vaudoux, Delphine. (2015, décembre). Le grand entretien : À tout facteur de risque correspond un facteur de protection. Travail & sécurité, 767, 13-15. Repéré à http://www.travail-et-securite.fr/ts/pages-transverses/revue.html

  • Selon l’Institut de la statistique du Québec, la population de 15 ans et plus consacre en moyenne près de 7,5 heures par jour à ses activités professionnelles. Si on comptabilise la moyenne hebdomadaire, ça fait beaucoup d’heures passées au bureau, en position assise. Le Conseil national de recherche du Canada a démontré qu’un cadre de travail sain, notamment au niveau de l’environnement physique, permet de réduire le taux d’absentéisme, car il garantit la santé des employés et procure un sentiment de bien-être.

    Source : Banville, Julie, & Ayotte, Jacinthe. (2015, décembre). Travail et santé – Guide source en SST 2016, 31(5), suppl., 23-25.

  • Le bien-être au travail (BET) continue de gagner en importance dans les esprits des employés et des employeurs dans tous les pays. Bien qu’il existe différentes définitions de ce concept, une définition utile, au sein de l’Union européenne (UE), reconnaît que le bien-être est «un concept sommatif qui caractérise la qualité de la vie professionnelle, incluant des aspects liés à la sécurité et à la santé au travail (SST), et qui peut être un déterminant majeur de la productivité au niveau des individus, des entreprises et de la société». Compte tenu des différentes interprétations qui existent autour du concept de bien-être au travail (BET), une enquête proposant des questions ouvertes a été réalisée dans des pays d’Europe afin de cerner leur définition de ce concept et d’évaluer si des similitudes existent entre les pays.

    Source : European Agency for Safety and Health at Work. (2015). Bien-être au travail : créer un environnement de travail positif. Bilbao (Spain) : EU-OSHA. 4 p. (E-Facts; 76). Repéré à https://osha.europa.eu/en/oshnews/e-fact-76-well-being-work-creating-positive-work-environment?pk_campaign=2015

  • La violence en milieu de travail dans le système de santé canadien entraîne d’importantes répercussions, non seulement sur les travailleurs de la santé et les usagers touchés, mais sur l’ensemble du système de santé. Pour le système de santé canadien, la prévention de la violence en milieu de travail est un défi de taille qui requiert l’engagement de tout le personnel d’encadrement des organismes de soins de santé, de même qu’un suivi constant des tendances au sein de ces organismes. Le présent rapport pancanadien repose sur des données d’ensemble fournies par les organismes de soins de santé qui participent au programme Qmentum d’Agrément Canada. Il témoigne des efforts consentis par ces organismes en matière de sécurité et de prévention de la violence au travail, ainsi que des résultats du Sondage Pulse sur la qualité de vie au travail. Les renseignements ainsi recueillis présentent un point de vue unique sur les soins de santé au Canada.

    Source : Hasanaj, Qendresa, Mitchell, Jonathan, & Roman, Viktoria. (2015). Prévention de la violence et promotion de la sécurité au travail dans les organismes de santé canadiens : Rapport canadien sur l’agrément des services de santé. Ottawa : Agrément Canada, 18 p. Repéré à https://accreditation.ca/sites/default/files/rcas-2015.pdf

SANTÉ PSYCHOLOGIQUE

  • Entrevue avec France St-Hilaire, professeure agrégée au département de management et de gestion des ressources humaines de l’Université de Sherbrooke. Ses travaux de recherche portent sur la santé et le bien-être des individus au travail. Les nombreuses observations qu’elle est amenée à formuler sont fortement marquées par une approche nord-américaine tournée vers l’individu et la gestion de données comportementales au détriment de l’action sur l’organisation du travail.

    Source : Ravallec, Céline, & Vaudoux, Delphine. (2015, décembre). Le grand entretien : À tout facteur de risque correspond un facteur de protection. Travail & sécurité, 767, 13-15. Repéré à http://www.travail-et-securite.fr/ts/pages-transverses/revue.html

  • L’équilibre se situe entre le trop et le pas assez. Mais, en ces temps de pression, où investissons-nous trop de nous-mêmes, trop de temps, d’argent, d’énergie, d’efforts plus ou moins consentis ? En conséquence, quels secteurs d’une vie saine négligeons-nous ? Comment ajuster les choses pour que notre vie soit plus près de ce à quoi nous aspirons vraiment ? Comment éviter stress et fatigue, signes de déséquilibre, que nous vivons souvent sans satisfaction véritable en retour ?

    Source : Lafleur, Jacques. (2015, Décembre). Travail et santé, 31(4), 30-32. Repéré à http://www.apprivoisersonstress.ca/stress-au-travail/articles-parus-dans-travail-et-sante/l-equilibre-personnel-toujours-possible-en-2015/

  • Les professionnels qui choisissent de travailler dans le domaine du vieillissement sont confrontés aux complexités de la perte et du deuil. Les situations stressantes qui peuvent causer des sentiments d’impuissance, de désespoir et d’une perte de sens font partie des risques à travailler avec la perte. Il faut tenir compte de ces risques pour éviter l’insatisfaction au travail, l’absentéisme et l’épuisement professionnel. Cet article s’attarde aux défis personnels et professionnels des personnes œuvrant dans le domaine du vieillissement et décrit des types de réponse pouvant favoriser la résilience, un renouvellement du sens et le sentiment d’accomplissement au travail.

    Source : MacKinnon, Christopher J., & Ummel, Deborah. (2015, Automne). Pluriâges, 6(1), 12-18. Repéré à http://www.creges.ca/wp-content/uploads/2015/12/Pluriages_Vol.6_n1_Automne2015_Finale.pdf

  • Le bien-être au travail (BET) continue de gagner en importance dans les esprits des employés et des employeurs dans tous les pays. Bien qu’il existe différentes définitions de ce concept, une définition utile, au sein de l’Union européenne (UE), reconnaît que le bien-être est «un concept sommatif qui caractérise la qualité de la vie professionnelle, incluant des aspects liés à la sécurité et à la santé au travail (SST), et qui peut être un déterminant majeur de la productivité au niveau des individus, des entreprises et de la société». Compte tenu des différentes interprétations qui existent autour du concept de bien-être au travail (BET), une enquête proposant des questions ouvertes a été réalisée dans des pays d’Europe afin de cerner leur définition de ce concept et d’évaluer si des similitudes existent entre les pays.

    Source : European Agency for Safety and Health at Work. (2015). Bien-être au travail : créer un environnement de travail positif.  Bilbao (Spain) : EU-OSHA. 4 p. (E-fact; 76). Repéré à https://osha.europa.eu/en/oshnews/e-fact-76-well-being-work-creating-positive-work-environment?pk_campaign=2015

  • The use of mindfulness-based interventions (MBIs) is well documented in the mental health, medical, and education literature. There is minimal research on the use of mindfulness with social workers. As demonstrated in other professional and helping fields, mindfulness may enhance clinical skills, reduce burnout, and increase job satisfaction among social workers. In the health care field mindfulness appears integral to patient and family relationships and personal resilience. The evolving and expanding role of hospital social workers may lead to increased work stress and greater demands from both the medical system and patients and families. Research with medical providers, such as physicians and nurses, suggests mindfulness may help in reducing stress, enhancing relationships, and fostering the self-reflection required to provide patient-centered care. We systematically reviewed the existing literature to begin understanding both mindfulness qualities and practices and the effectiveness of MBIs among social workers as well as the relationship of mindfulness to patient-centered care.

    Source : Trowbridge, Kelly, & Lawson, Lisa Mische. (2016).  Mindfulness-based interventions with social workers and the potential for enhanced patient-centered care: A systematic review of the literature. Social Work in Health Care. Prépublication.  DOI:10.1080/00981389.2015.1094165

  • Providing quality care requires positive, collaborative working relationships among healthcare team members. In today’s increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management. The aim of this study was to review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict.

    Source : Almost, Joan, Wolff, Angela C., Stewart-Pyne, Althea, McCormick, Loretta G., Strachan, Diane, & D’Souza, Christine. (2016). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12903

  • Musculoskeletal pain and stress-related disorders are leading causes of impaired work ability, sickness absences and disability pensions. However, knowledge about the combined detrimental effect of pain and stress on work ability is lacking. This study investigates the association between pain in the neck-shoulders, perceived stress, and work ability. In a cross-sectional survey at a large pharmaceutical company in Denmark 473 female laboratory technicians replied to questions about stress, musculoskeletal pain intensity of the neck and shoulders, and work ability. General linear models tested the association between variables. In the multi-adjusted model, stress and pain had independent main effects on the work ability index score, and there was no significant stress by pain interaction. Work ability decreased gradually with both increased stress and pain. Workers with low stress and low pain had the highest Work Ability Index score and workers with high stress and high pain had the lowest score. This cross-sectional study indicates that increased stress and musculoskeletal pain are independently associated with lower work ability in female laboratory technicians.

    Source : Jay, Kenneth, Friborg, Maria Kristine, Sjøgaard, Gisela, Jakobsen, Markus Due, Sundstrup, Emil, Brandt, Mikkel, & Andersen, Lars Louis. (2015). International Journal of Environmental Research and Public Health, 22(12), 15834-15842; doi:10.3390/ijerph121215024

  • The American Association of Critical-Care Nurses’ (AACN) has created tools to address issues associated with a healthy work environment, including burnout and “compassion fatigue,” available at http://www.aacn.org/.

    Source : A burnout barometer to assess your work culture. (2016, February). Hospital Employee Health, 35(2), 13-24. Repéré à http://www.ahcmedia.com/articles/137012-a-burnout-barometer-to-assess-your-work-culture

  • Qui a dit que la vie au travail est un long fleuve tranquille? Entre évoluer comme entreprise, s’adapter aux réalités du marché ou coller aux besoins des clients… s’adapter au travail devient le mot d’ordre. Nouveau projet d’orientation client, changement d’équipes, réflexion stratégique, restructurations en série, innovations en tout genre… tout indique qu’un nouveau scénario se dessine avec son lot d’inconnues. Soubresauts garantis. Comment gérer ces changements au quotidien? Que faire pour atténuer l’effet déstabilisant du revirement de position? Conseils pour apprendre à s’adapter durablement au changement permanent.

    Source : Jézéquel, Myriam. (2016, 8 janvier). Portail RH. Ressources. Repéré à http://www.portailrh.org/ressources/AZ/specialites/article_une/fiche.aspx?p=629615

  • When it comes to work these days, we’re all expected to do more with less. But is this nose-to-the-grindstone philosophy the best way to run a business? Alarmingly low employee engagement numbers indicate otherwise. In his new book, The Optimistic Workplace: Creating an Environment that Energizes Everyone, management and leadership consultant Shawn Murphy tackles the productivity challenge and argues that our best work is the product of a positive environment.

    Source : Smith, Sandy. (2015, December 2). EHS Today. Repéré à http://ehstoday.com/safety-leadership/maximizing-optimism-workplace

SÉCURITÉ DES MACHINES

  • Quand faut-il cadenasser ? Voilà une question souvent entendue. En effet, chez certains employeurs la confusion règne sur le choix de la bonne méthode de contrôle des énergies au moment des interventions typiques que l’on trouve dans une entreprise.

    Source : Giroux, Benoit. (2015, Décembre). Travail et santé, 31(4), 12-13.

SÉCURITÉ ROUTIÈRE

  • In a study of 16 night-shift workers, more than one-third were involved in near crashes while participating in a test drive after work, researchers report. The same drivers experienced zero near-crashes after sleeping sufficient amounts the night before the same test drive, according to the study, published online Dec. 21 in the Proceedings of the National Academy of Sciences. « What is unique about this study is that it (was) done in daytime » and there was a « stupendously increased risk of these near-crash events, » said study author Dr. Charles Czeisler, chief of the division of sleep and circadian disorders at Brigham and Women’s Hospital in Boston.

    Source : Night-Shift Workers May Be Prone to Car Crashes. (2015, December 22). MedlinePlus. HealthDay. Repéré à https://www.nlm.nih.gov/medlineplus/news/fullstory_156348.html

SERVICE DES ARCHIVES

SERVICES À DOMICILE

  • Un questionnaire a permis de recueillir des éléments sur les conditions de travail des salariés d’une entreprise du secteur de l’aide à domicile. Les résultats montrent des contraintes physiques importantes ainsi qu’une charge mentale élevée. Suite aux préconisations du service de santé au travail, de nombreuses actions ont été mises en place sur des thématiques importantes telles que les accidents du travail, le renforcement de l’accompagnement de l’encadrement auprès des intervenants, la formation ou la communication. Une évaluation approfondie des risques professionnels a également été initiée. Comprend un questionnaire d’enquête.

    Source : Massoni, P., Rajaona, R., Rupied, C., Albu, A., Costa, V., Kahal, E.,… Murcia, M. (2015). Références en santé au travail, 144, 49-62. Repéré à http://www.rst-sante-travail.fr/rst/dms/dmt/ArticleDMT/VuDuTerrain/TI-RST-TF-231/tf231.pdf

  • Health care is shifting out of hospitals into community settings. In Ontario, Canada, home care organizations continue to experience challenges recruiting and retaining nurses. However, factors influencing home care nurse retention that can be modified remain largely unexplored. Several groups of factors have been identified as influencing home care nurse intent to remain employed including job characteristics, work structures, relationships and communication, work environment, responses to work, and conditions of employment. The aim of this study was to test and refine a model that identifies which factors are related to home care nurse intentions to remain employed for the next 5 years with their current home care employer organization.

    Source : Tourangeau, Ann E., Patterson, Erin, Saari, Margaret, Thompson, Heather, & Cranley, Lisa. (2016). Health Care Management Review. Prépublication. doi: 10.1097/HMR.0000000000000093

  • The aim was to determine the prevalence of work-related musculoskeletal disorders (WMSDs) and health profile among urban versus rural continuing care aides (CCAs) in Canada. This cross-sectional study of 42 urban and rural CCAs assessed WMSDs and health profiles using the Nordic Musculoskeletal Questionnaire (NMQ), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), and a health background questionnaire. CCAs were generally unhealthy, with rural CCAs somewhat healthier. Greatest WMSD complaint was reported at the neck. Urban CCAs were more likely to report foot complaints. No other statistically significant differences were found. Back and shoulder scores were correlated with poorer nutrition status, higher body mass index, and more years worked. Workplace wellness programs should address the health issues faced by CCAs through active surveillance and practical interventions to improve CCAs’ health status, prevent and manage WMSDs, and lost workdays.

    Source : Johnson, Shanthi, McLeod, Katherine, Engel, Patricia, & Tulloch, Lori. (2015). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822315608617

  • The use of medicinal marijuana is increasing. Marijuana has been shown to have therapeutic effects in certain patients, but further research is needed regarding the safety and efficacy of marijuana as a medical treatment for various conditions. A growing body of research validates the use of marijuana for a variety of healthcare problems, but there are many issues surrounding the use of this substance. This article discusses the use of medical marijuana and provides implications for home healthcare providers.

    Source : Capriotti, Teri. (2016). Home Healthcare Now, 34(1), 10-15. Repéré à  http://pdfs.journals.lww.com/homehealthcarenurseonline/2016/01000/Medical_Marijuana.3.pdf

SERVICES AMBULANCIERS – PRÉHOSPITALIERS

  • The process of loading a stretcher into an ambulance is known to cause a high incidence of back injuries among paramedics. This study aimed to assess the forces at L5/S1 during real-life stretcher loading activities and to determine the variables that contribute significantly to these forces. Analyses involved 58 paramedics (111 shifts) and 175 stretcher loading activities. Recommendations to reduce the risk of back injuries are proposed with regard to stretcher and ambulance loading design as well as training in stretcher lifting for paramedics.

    Source : Prairie, Jérôme, Plamondon, André, Hegg-Deloye, Sandrine, Larouche, Dominique, & Corbeil, Philippe. (2016). Industrial Journal of Industrial Ergonomics, 54, 1-9. doi:10.1016/j.ergon.2015.11.014

SERVICES DE GARDE – CPE

  • Les fiches d’auto-inspection thématiques sont conçues à l’intention des centres de la petite enfance (CPE) et des garderies. Elles portent sur la santé, la sécurité et le bien-être des enfants fréquentant les services de garde éducatifs à l’enfance du Québec. Les éléments à vérifier lors d’une auto-inspection seront éventuellement examinés par un inspecteur ou une inspectrice du ministère de la Famille. Chaque élément jugé non conforme durant une inspection entraînera la délivrance d’un avis de non-conformité ou, s’il n’est pas corrigé, l’imposition d’une sanction. Vous pouvez utiliser les fiches d’auto-inspection afin de vous aider à préparer l’inspection de votre service de garde et ainsi vous assurer de demeurer conforme à la Loi sur les services de garde éducatifs à l’enfance (LSGEE) et à ses règlements. Vous pouvez procéder à l’auto-inspection de votre service de garde selon votre propre parcours, car chaque fiche peut être utilisée séparément.

    Source : Québec. Ministère de la Famille. (2015). Fiches d’auto-inspection d’une installation : centre de la petite enfance et garderie. Québec : Ministère de la Famille, 28 p. Repéré à https://www.mfa.gouv.qc.ca/fr/publication/Documents/fiches-auto-inspection-installation.pdf

SST EN MILIEU HOSPITALIER

  • The U.S. Department of Labor has identified the health care industry as a major source of all U.S. workplace injuries. Studies have shown that injury within the health care workforce is related to high turnover rates, burnout, poor job satisfaction, and leaving the health care workforce permanently, thus contributing to the existing health care workforce shortages. The purpose of this synthesis of the literature was twofold. The first was to conduct a comprehensive evaluation of the occupational health and safety literature to determine the key antecedents to health care provider injury. The second was to utilize the National Institute for Occupational Safety and Health (NIOSH) framework to organize the findings.

    Source : McCaughey, Deirdre, Kimmel, Ashley, Savage, Grant, Lukas, Tiana, Walsh, Erin, & Halbesleben, Jonathan. (2016). Health Care Management Review, 41(1), 42-55. doi: 10.1097/HMR.0000000000000043

  • La violence en milieu de travail dans le système de santé canadien entraîne d’importantes répercussions, non seulement sur les travailleurs de la santé et les usagers touchés, mais sur l’ensemble du système de santé. Pour le système de santé canadien, la prévention de la violence en milieu de travail est un défi de taille qui requiert l’engagement de tout le personnel d’encadrement des organismes de soins de santé, de même qu’un suivi constant des tendances au sein de ces organismes. Le présent rapport pancanadien repose sur des données d’ensemble fournies par les organismes de soins de santé qui participent au programme Qmentum d’Agrément Canada. Il témoigne des efforts consentis par ces organismes en matière de sécurité et de prévention de la violence au travail, ainsi que des résultats du Sondage Pulse sur la qualité de vie au travail. Les renseignements ainsi recueillis présentent un point de vue unique sur les soins de santé au Canada.

    Source : Hasanaj, Qendresa, Mitchell, Jonathan, & Roman, Viktoria. (2015). Prévention de la violence et promotion de la sécurité au travail dans les organismes de santé canadiens : Rapport canadien sur l’agrément des services de santé. Ottawa : Agrément Canada, 18 p. Repéré à https://accreditation.ca/sites/default/files/rcas-2015.pdf

SYSTÈME DE MANAGEMENT

  • Harmoniser le système de gestion de la santé et de la sécurité au travail aux autres systèmes de management pourrait figurer parmi vos résolutions 2016 ! En septembre 2015, la norme en management de l’environnement (ISO 14001) et celle en management de la qualité (ISO 9001) ont été revues. Parallèlement à cela, se poursuit le développement de la norme de management de la santé et de la sécurité au travail (ISO 45001). Cette nouvelle norme de management remplacera la norme britannique en santé et sécurité au travail : OHSAS 18001. Si votre entreprise est déjà certifiée conforme à la norme OHSAS 18001 ou à une autre norme de management en SST, soit la norme canadienne CSA Z1000 ou la norme américaine ANSI Z10, votre résolution pour 2016 pourrait être de planifier la transition vers ISO 45001. Beaucoup de travail en perspective !

    Source : Centre patronal de santé et sécurité du travail du Québec. (2016, Janvier). Info SST. Repéré à http://www.centrepatronalsst.qc.ca/infos-sst/le-point-sur/normes-sst/systemes-de-management.html

TECNHOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

TRAVAIL DE BUREAU

  • This study was conducted to assess functional parameters and comfort of a new computer mouse (Ergomice) as compared with three other input devices. Functional parameters (i.e., task completion time and error rate) of each device were assessed by 10 participants using standardized software based on Standard No. ISO 9241-9:2000. Comfort evaluation was also undertaken for each device using the visual analogue scale technique. In conclusion, the  design features of Ergomice could improve its functional properties. Hand/wrist posture comfort of Ergomice was judged to be high compared with that of the other devices.

    Source : Dehgan, Naser, Choobineh, Alireza, Razeghi, Mohsen, Hasanzadeh, Jafar, Irandoost, Moslem, & Ebrahimi, Samaneh. (2015). International Journal of Occupational Safety and Ergonomics. 21(4), 493-497. Repéré à http://www.tandfonline.com/doi/full/10.1080/10803548.2015.1096060

  • Selon l’Institut de la statistique du Québec, la population de 15 ans et plus consacre en moyenne près de 7,5 heures par jour à ses activités professionnelles. Si on comptabilise la moyenne hebdomadaire, ça fait beaucoup d’heures passées au bureau, en position assise. Le Conseil national de recherche du Canada a démontré qu’un cadre de travail sain, notamment au niveau de l’environnement physique, permet de réduire le taux d’absentéisme, car il garantit la santé des employés et procure un sentiment de bien-être.

    Source : Banville, Julie, & Ayotte, Jacinthe. (2015, décembre). Travail et santé – Guide source en SST 2016, 31(5), suppl., 23-25.

  • The aim of the study was to determine whether chronic low back pain (LBP) might be attenuated through the introduction of a sit-stand workstation (SSW) in office employees. Participants were randomized to receive a SSW at the beginning or at the end of a 3-month study period. Participants responded to a short survey at the end of each workday and a comprehensive survey at weeks 1, 6, and 12. Forty-six university employees with self-reported chronic LBP were enrolled. The findings support the hypothesis that chronic LBP might be improved by the introduction of a SSW in an office environment.

    Source : Ognibene, Grant T., Torres, Wilson, von Eyben, Rie, & Horst, Kathleen C. (2016). JOEM : Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000615

TRAVAIL EN ÉQUIPE

  • Providing quality care requires positive, collaborative working relationships among healthcare team members. In today’s increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management. The aim of this study was to review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict.

    Source : Almost, Joan, Wolff, Angela C., Stewart-Pyne, Althea, McCormick, Loretta G., Strachan, Diane, & D’Souza, Christine. (2016). Journal of Advanced Nursing. Prépublication. DOI: 10.1111/jan.12903

TRAVAIL EN LABORATOIRE

  • Musculoskeletal pain and stress-related disorders are leading causes of impaired work ability, sickness absences and disability pensions. However, knowledge about the combined detrimental effect of pain and stress on work ability is lacking. This study investigates the association between pain in the neck-shoulders, perceived stress, and work ability. In a cross-sectional survey at a large pharmaceutical company in Denmark 473 female laboratory technicians replied to questions about stress, musculoskeletal pain intensity of the neck and shoulders, and work ability. General linear models tested the association between variables. In the multi-adjusted model, stress and pain had independent main effects on the work ability index score, and there was no significant stress by pain interaction. Work ability decreased gradually with both increased stress and pain. Workers with low stress and low pain had the highest Work Ability Index score and workers with high stress and high pain had the lowest score. This cross-sectional study indicates that increased stress and musculoskeletal pain are independently associated with lower work ability in female laboratory technicians.

    Source : Jay, Kenneth, Friborg, Maria Kristine, Sjøgaard, Gisela, Jakobsen, Markus Due, Sundstrup, Emil, Brandt, Mikkel, & Andersen, Lars Louis. (2015). International Journal of Environmental Research and Public Health, 22(12), 15834-15842; doi:10.3390/ijerph121215024

TRAVAIL SÉDENTAIRE

  • Selon l’Institut de la statistique du Québec, la population de 15 ans et plus consacre en moyenne près de 7,5 heures par jour à ses activités professionnelles. Si on comptabilise la moyenne hebdomadaire, ça fait beaucoup d’heures passées au bureau, en position assise. Le Conseil national de recherche du Canada a démontré qu’un cadre de travail sain, notamment au niveau de l’environnement physique, permet de réduire le taux d’absentéisme, car il garantit la santé des employés et procure un sentiment de bien-être.

    Source : Banville, Julie, & Ayotte, Jacinthe. (2015, décembre). Travail et santé – Guide source en SST 2016, 31(5), suppl., 23-25.

TRAVAIL SOCIAL

  • The use of mindfulness-based interventions (MBIs) is well documented in the mental health, medical, and education literature. There is minimal research on the use of mindfulness with social workers. As demonstrated in other professional and helping fields, mindfulness may enhance clinical skills, reduce burnout, and increase job satisfaction among social workers. In the health care field mindfulness appears integral to patient and family relationships and personal resilience. The evolving and expanding role of hospital social workers may lead to increased work stress and greater demands from both the medical system and patients and families. Research with medical providers, such as physicians and nurses, suggests mindfulness may help in reducing stress, enhancing relationships, and fostering the self-reflection required to provide patient-centered care. We systematically reviewed the existing literature to begin understanding both mindfulness qualities and practices and the effectiveness of MBIs among social workers as well as the relationship of mindfulness to patient-centered care.

    Source : Trowbridge, Kelly, & Lawson, Lisa Mische. (2016).  Mindfulness-based interventions with social workers and the potential for enhanced patient-centered care: A systematic review of the literature. Social Work in Health Care. Prépublication.  DOI:10.1080/00981389.2015.1094165

TROUBLES MUSCULOSQUELETTIQUES (TMS)

  • The aim of the study was to determine whether chronic low back pain (LBP) might be attenuated through the introduction of a sit-stand workstation (SSW) in office employees. Participants were randomized to receive a SSW at the beginning or at the end of a 3-month study period. Participants responded to a short survey at the end of each workday and a comprehensive survey at weeks 1, 6, and 12. Forty-six university employees with self-reported chronic LBP were enrolled. The findings support the hypothesis that chronic LBP might be improved by the introduction of a SSW in an office environment.

    Source : Ognibene, Grant T., Torres, Wilson, von Eyben, Rie, & Horst, Kathleen C. (2016). JOEM : Journal of Occupational and Environmental Medicine. Prépublication. doi: 10.1097/JOM.0000000000000615

  • The aim was to determine the prevalence of work-related musculoskeletal disorders (WMSDs) and health profile among urban versus rural continuing care aides (CCAs) in Canada. This cross-sectional study of 42 urban and rural CCAs assessed WMSDs and health profiles using the Nordic Musculoskeletal Questionnaire (NMQ), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), and a health background questionnaire. CCAs were generally unhealthy, with rural CCAs somewhat healthier. Greatest WMSD complaint was reported at the neck. Urban CCAs were more likely to report foot complaints. No other statistically significant differences were found. Back and shoulder scores were correlated with poorer nutrition status, higher body mass index, and more years worked. Workplace wellness programs should address the health issues faced by CCAs through active surveillance and practical interventions to improve CCAs’ health status, prevent and manage WMSDs, and lost workdays.

    Source : Johnson, Shanthi, McLeod, Katherine, Engel, Patricia, & Tulloch, Lori. (2015). Home Health Care Management & Practice. Prépublication. doi: 10.1177/1084822315608617

  • Le travail en station debout prolongée a déjà été associé à divers symptômes comme la douleur lombaire et la fatigue généralisée. Des études récentes ont démontré une association entre la douleur lombaire en posture debout prolongée et des patrons de coactivation des muscles de la région lombo-pelvienne. Cependant, ces patrons n’ont jamais été mesurés pour d’autres postures de travail, ou lorsque la posture debout était accompagnée de gestes répétitifs des membres supérieurs. L’objectif principal de ce projet était d’évaluer l’effet de différentes postures de travail (debout, assise, assis-debout) sur les patrons de coactivation musculaire lombo-pelvienne lors d’une tâche manuelle répétitive réalisée dans deux environnements distincts. L’objectif secondaire consistait à mesurer, pour chacune des postures, l’association entre les patrons musculaires et les symptômes d’inconfort.

    Source : Côté, Julie, Antle, David, Emery, Kim, & Ngomo, Suzy. (2016). Montréal : Institut de recherche Robert-Sauvé en santé et en sécurité du travail, ix, 42 p. (Études et recherches, rapport R-897)

  • Musculoskeletal pain and stress-related disorders are leading causes of impaired work ability, sickness absences and disability pensions. However, knowledge about the combined detrimental effect of pain and stress on work ability is lacking. This study investigates the association between pain in the neck-shoulders, perceived stress, and work ability. In a cross-sectional survey at a large pharmaceutical company in Denmark 473 female laboratory technicians replied to questions about stress, musculoskeletal pain intensity of the neck and shoulders, and work ability. General linear models tested the association between variables. In the multi-adjusted model, stress and pain had independent main effects on the work ability index score, and there was no significant stress by pain interaction. Work ability decreased gradually with both increased stress and pain. Workers with low stress and low pain had the highest Work Ability Index score and workers with high stress and high pain had the lowest score. This cross-sectional study indicates that increased stress and musculoskeletal pain are independently associated with lower work ability in female laboratory technicians.

    Source : Jay, Kenneth, Friborg, Maria Kristine, Sjøgaard, Gisela, Jakobsen, Markus Due, Sundstrup, Emil, Brandt, Mikkel, & Andersen, Lars Louis. (2015). International Journal of Environmental Research and Public Health, 22(12), 15834-15842; doi:10.3390/ijerph121215024

  • Pendant la seconde moitié du 20e siècle, les écrans de télé et d’ordinateur nous ont cloués à nos chaises. Voilà maintenant que les appareils mobiles se mettent de la partie en modifiant notre façon de bouger. Et c’est par la tête et les pouces qu’ils nous tiennent! Voici des conseils pour prévenir les impacts des textos sur vos articulations.

    Source : Fortier, Denis. (2015?). Conseils d’un physio pour les accros du texto. [Billet de blogue]. Repéré à http://www.conseilsdunphysio.com/#!Conseils-dun-physio-pour-les-accros-du-texto/c22zv/564f91970cf23c042f8ff9ce

  • Texter à profusion sur son téléphone ou regarder des séries télévisuelles sur sa tablette électronique n’est pas sans conséquence. Le physiothérapeute Denis Fortier dévoile que l’utilisation prolongée des appareils mobiles n’est pas idéale pour notre pauvre cou.

    Source : Blondin, Sophie-Andrée. (21 novembre 2015). Ici Radio-Canada Première : Les éclaireurs. Repéré à http://ici.radio-canada.ca/emissions/les_eclaireurs/2015-2016/chronique.asp?idChronique=390340

 

COIN DE LA DOCUMENTALISTE – AOÛT 2015

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

AGRESSIONS ET VIOLENCE

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

AMÉNAGEMENT – ARCHITECTURE

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

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

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

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

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

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

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

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

APPROCHE RELATIONNELLE DE SOINS (ARS)

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

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

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

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

BRUIT EN MILIEU DE TRAVAIL

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

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

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

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

CIVILITÉ EN MILIEU DE TRAVAIL

CONTENTION – DÉCONTENTION

CONTRAINTES THERMIQUES

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

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

DÉPLACEMENT DES BÉNÉFICIAIRES

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

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

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

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

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

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

ÉCLAIRAGE

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

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

ÉQUIPEMENT DE PROTECTION

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

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

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

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

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

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

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

ERGOTHÉRAPIE – PHYSIOTHÉRAPIE

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

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

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

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

ÉTABLISSEMENTS D’HÉBERGEMENT

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

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

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

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

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

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

GESTION DE LA SST

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

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

HORAIRE DE TRAVAIL

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

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

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

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

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

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

HYGIÈNE ET SALUBRITÉ

MÉDECINE NUCLÉAIRE

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

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

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

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

MÉDICAMENTS DANGEREUX

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

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

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

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

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

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

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

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

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

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

MILIEU DE VIE

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

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

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

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

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

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

PHARMACIE HOSPITALIÈRE

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

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

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

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

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

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

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

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

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

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

PRÉVENTION DES INFECTIONS

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

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

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

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

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

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

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

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

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

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

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

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

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

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

PRODUITS TOXIQUES

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

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

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

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

PROTECTION RESPIRATOIRE

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

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

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

QUALITÉ DE L’AIR

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

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

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

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

RADIOPROTECTION

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

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

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

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

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

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

SANTÉ ET BIEN-ÊTRE AU TRAVAIL

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

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

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

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

SANTÉ GLOBALE DES TRAVAILLEURS

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

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

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

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

SANTÉ PSYCHOLOGIQUE

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

SERVICES À DOMICILE

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

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

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

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

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

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

SERVICES DE GARDE – CPE

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

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

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

SIMDUT – SGH

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

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

STATISTIQUES EN SST

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

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

SYSTÈME DE MANAGEMENT

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

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

TECHNOLOGIES DE L’INFORMATION ET DES COMMUNICATIONS (TIC)

TRAVAIL DE BUREAU

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

TRAVAIL DE LABORATOIRE

TRAVAIL SÉDENTAIRE

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

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

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

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

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

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

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

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

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

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

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

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

TRAVAILLEUSE ENCEINTE – GROSSESSE

TROUBLES MUSCULOSQUELETTIQUES (TMS)

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

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

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

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

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

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

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

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

COIN DE LA DOCUMENTALISTE – JUIN 2015

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ADMINISTRATION DE LA SANTÉ

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

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

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

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

AGRESSIONS ET VIOLENCE

AMÉNAGEMENT-ARCHITECTURE

AMIANTE

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

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

APPROCHE LEAN

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

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

APPROCHE RELATIONNELLE DE SOINS

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

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

ASTHME PRODFESSIONNEL

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

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

CANCERS PROFESSIONNELS

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

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

CENTRES DE PRÉLÈVEMENT

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

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

CENTRES D’HÉBERGEMENT

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

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

CENTRES JEUNESSE

CHAMPS ÉLECTROMAGNÉTIQUES

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

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

CHUTES ET GLISSADES

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

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

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

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

CIVILITÉ EN MILIEU DE TRAVAIL

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

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

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

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

COLLOQUE DE L’ASSTAS 2015

CONTRAINTES THERMIQUES

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

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

DÉPLACEMENTS DES BÉNÉFICIAIRES

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

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

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

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

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

ÉBOLA

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

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

ENQUÊTE ET ANALYSE D’ÉVÉNEMENTS ACCIDENTELS (EAEA)

ENTRETIEN MÉNAGER À DOMICILE

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

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

ÉQUIPEMENTS DE PROTECTION

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

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

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

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

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

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

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

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

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

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

ÉQUIPEMENTS INNOVATEURS

ÉVALUATION DES RISQUES

ERGONOMIE

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

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

GESTION-LEADERSHIP

GESTION DE LA SST

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

GESTION DU CHANGEMENT

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

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

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

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

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

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

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

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

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

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

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

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

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

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

HORAIRE DE TRAVAIL

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

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

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

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

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

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

HYGIÈNE DU TRAVAIL

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

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

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

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

HYGIÈNE ET SALUBRITÉ

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

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

IMAGERIE MÉDICALE

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

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

MÉDICAMENTS DANGEREUX

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

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

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

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

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

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

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

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

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

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

NANOTECHNOLOGIES

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

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

NORMES EN SST

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

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

PRÉVENTION DES INFECTIONS

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

PRODUITS TOXIQUES

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

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

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

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

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

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

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

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

PROTECTION RESPIRATOIRE

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

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

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

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

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

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

QUALITÉ DE L’AIR

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

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

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

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

RADIOPROTECTION

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

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

SÉCURITÉ ROUTIÈRE

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

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

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

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

SANTÉ – BIEN-ÊTRE AU TRAVAIL

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

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

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

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

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

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

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

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

SANTÉ PSYCHOLOGIQUE

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

SERVICES À DOMICILE

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

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

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

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

SIMDUT-SGH

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

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

SST EN MILIEU DE SOINS

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

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

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

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

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

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

STATISTIQUES EN SST

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

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

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

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

SYSTÈME DE MANAGEMENT

TECHNOLOGIES SANS FIL

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

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

TRAVAIL DE BUREAU

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

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

TRAVAIL EN LABORATOIRE

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

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

TRAVAILLEURS JEUNES/ÂGÉS

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

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

TROUBLES MUSCULOSQUELETTIQUES

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

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

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

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

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

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

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

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