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

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


Infographique sur la prévention de la propagation

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

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

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


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

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

Lisez l’article complet sur le site du RMTC

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


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

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

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

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

COIN DE LA DOCUMENTALISTE – MAI 2017

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

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

Pour contacter notre documentaliste :

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

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 – NOVEMBRE 2016

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

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

Pour contacter notre documentaliste :

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

ADMINISTRATION DE LA SANTÉ

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

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

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

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

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

AMÉNAGEMENT – ARCHITECTURE

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

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

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

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

APPROCHE LEAN

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

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

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

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

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

BLOC OPÉRATOIRE – CHIRURGIE

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

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

BUANDERIE

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

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

CIVILITÉ EN MILIEU DE TRAVAIL

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

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

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

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

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

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

CPE – SERVICES DE GARDE

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

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

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

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

DÉCHETS DANGEREUX

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

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

DÉPLACEMENTS DES BÉNÉFICIAIRES

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

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

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

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

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

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

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

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

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

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

ENTREPRISE EN SANTÉ

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

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

ENTRETIEN MÉNAGER À DOMICILE

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

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

ÉQUIPEMENTS DE PROTECTION

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

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

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

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

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

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

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

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

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

ÉTABLISSEMENTS D’HÉBERGEMENT

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

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

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

ÉVACUATION D’URGENCE

GESTION – LEADERSHIP

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

GESTION DE LA SST

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

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

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

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

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

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

GESTION DES RISQUES

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

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

GESTION DU CHANGEMENT

HARCÈLEMENT AU TRAVAIL

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

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

HORAIRE DE TRAVAIL

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

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

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

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

HYGIÈNE ET SALUBRITÉ

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

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

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

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

MÉDICAMENTS DANGEREUX – PHARMACIE

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

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

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

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

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

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

Pour accéder à la version complète des lignes directrices :

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

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

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

Pour accéder à la nouvelle liste 2016 :

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

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

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

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

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

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

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

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

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

MANUTENTION DE CHARGE

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

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

MILIEU DE VIE

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

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

NORMES ET LÉGISLATION EN SST

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

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

Pour consulter l’analyse d’impact réglementaire :

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

PRÉVENTION DES INFECTIONS

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

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

Pour accéder à la version complète des lignes directrices :

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

PRDUITS TOXIQUES

PROMOTION DE LA SANTÉ EN MILIEU DE TRAVAIL

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

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

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

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

PROTECTION RESPIRATOIRE

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

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

QUALITÉ DE L’AIR

RÉTENTION DU PERSONNEL

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

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

SÉCURITÉ DES MACHINES – CADENASSAGE

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

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

SANTÉ – BIEN-ÊTRE AU TRAVAIL

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

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

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

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

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

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

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

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

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

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

SANTÉ PSYCHOLOGIQUE

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

SERVICE D’ONCOLOGIE

SERVICE DES URGENCES

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

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

SERVICES À DOMICILE

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

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

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

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

SOINS INTENSIFS

STATISTIQUES EN SST

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

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

TENUE VESTIMENTAIRE

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

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

TRAVAIL DE BUREAU

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

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

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

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

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

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

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

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

TRAVAIL EN ÉQUIPE

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

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

  • Alt