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Une forme de gestion désincarnée de l’activité
L'exemple d'une formation en santé et sécurité du travail destinée aux préposés aux bénéficiaires au Québec Cet article a pour objectif d'illustrer les limites d'un mode de gestion désincarné de l'activité réelle de travail. Nous prenons l'exemple d'un mode de gestion « top-down » d'une formation en santé au travail destinée aux préposés aux bénéficiaires travaillant dans les organisations gériatriques au Québec...
Managerial Quality and Risk of Depressive Disorders Among Danish Eldercare Workers
A Multilevel Cohort Study Objective: To examine whether low managerial quality predicts risk of depressive disorders. Methods: Using multilevel mixed-effects logistic regression analyses we examined the prospective association of individual-level and workplace-mean managerial quality with onset of depressive disorders among 5244 eldercare workers from 274 workplaces during 20 months follow-up. Results: Low managerial quality predicted onset of depressive disorders in both the individual-level (odds ratio [OR] = 1.85, 95% confidence interval [CI] = 1.25 to 2.76) and the workplace-mean analysis ...
Work demands and health consequences of organizational and technological measures introduced to enhance the quality of home care services
This study of home care workers in a Norwegian municipality aimed to examine the effect of two measures involving organizational (job checklists) and technological (personal digital assistants) job aids on perceived work demands and musculoskeletal health. Questionnaire data was collected in 2009 (n = 138, response rate 76.2%) and 2011 (n = 80, response rate 54%). Forty-six home care workers responded at both waves. Respondents were assigned into ‘high', ‘moderate' and ‘low' strain groups based on their responses to open and closed survey questions regarding impact...
Reasons Why Physicians and Advanced Practice Clinicians Work While Sick
A Mixed-Methods Analysis Importance: When clinicians work with symptoms of infection, they can put patients and colleagues at risk. Little is known about the reasons why attending physicians and advanced practice clinicians (APCs) work while sick. Objective: To identify a comprehensive understanding of the reasons why attending physicians and APCs work while sick. Design, Setting, and Participants: We performed a mixed-methods analysis of a cross-sectional, anonymous survey administered from January 15 through March 20, 2014, in a large children's hospital in Philadelphia, Pennsylvania. Data...
Impact of Organizational Policies and Practices on Workplace Injuries in a Hospital Setting
Objective: This study aimed to assess relationships between perceptions of organizational practices and policies (OPP), social support, and injury rates among workers in hospital units. Methods: A total of 1230 hospital workers provided survey data on OPP, job flexibility, and social support. Demographic data and unit injury rates were collected from the hospitals' administrative databases. Results: Injury rates were lower in units where workers reported higher OPP scores and high social support. These relationships were mainly observed among registered nurses. Registered nurses perceived coworker...
La souffrance au travail des soignants
Une analyse des conséquences délétères des outils de gestion L'évolution des réformes hospitalières conduit désormais les établissements de santé à être jugés sur la production de leur activité de soins et la performance économique obtenue par celle-ci. De ce fait, les soignants sont confrontés à des paradoxes souvent difficiles à dénouer performance économique versus qualité, cadres réglementaire et normatif versus personnalisation de la prise...
Le Rapport canadien sur l’agrément des services de santé
Le Rapport canadien sur l'agrément des services de santé de 2010 fait une étude approfondie des relations qui existent entre la qualité de vie au travail et la sécurité des patients dans les organismes de santé. Le rapport se penche aussi sur les liens qui existent entre la façon dont les membres du personnel de soins de santé perçoivent le climat de travail et la culture de sécurité des patients dans leur organisme, et la façon dont ces perceptions servent à cerner les problèmes de sécurité...

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