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Troubles musculosquelettiques et risques psychosociaux dans une population de conducteurs ambulanciers hospitaliers
Objectif: L'objectif de notre étude a été de déterminer la prévalence des TMS et des RPS au sein d'une population de conducteurs ambulanciers (CA) d'un centre hospitalier public et d'évaluer les liens entre eux. Méthodologie: Nous avons étudié une population de 65 agents de la Fonction publique, à l'aide d'un hétéro-questionnaire tiré du guide des bonnes pratiques de l'INRS. Les caractéristiques générales des sujets, les plaintes liées aux TMS, le vécu...
Healthy working time arrangements for healthcare personnel and patients
A systematic literature review Background: A number of working time arrangements have been linked to negative consequences for both health personnel and their patients. A common hypothesis put forth to explain these findings suggests that certain working time arrangements lead to negative patient consequences due to the adverse impact they have on employee health. The purpose of this study is to use systematic reviews to investigate whether employee health explains the relationship between working time arrangements and patient safety. Methods: A systematic literature review was performed including...
Short time between shifts and risk of injury among Danish hospital workers
A register-based cohort study Objectives: Short time between consecutive work shifts (quick returns, ie, ≤11 hours between shifts) is associated with sleepiness and fatigue, both of which have been linked to risk of injury. This paper aims to study quick returns between work shifts and risk of injury among Danish hospital workers. Method: The study population included 69 200 employees, primarily working at hospitals, corresponding to 167 726 person years at risk between 2008–2015. Information on working hours was obtained from payroll data in the Danish Working Hour Database and linked...
Organizational Determinants of Workplace Violence Against Hospital Workers
Objective: To identify organizational factors contributing to workplace violence in hospitals. Methods: A questionnaire survey was conducted in 2013 among employees in a Midwestern hospital system (n = 446 respondents). Questions concerned employees' experiences of violence at work in the previous year and perceptions of the organizational safety climate. Logistic regressions examined staff interaction and safety climate factors associated with verbal and physical violence, respectively. Results: Interpersonal conflict was a risk factor for verbal violence (OR 1.49, 95% CI 1.04 to 2.12, P <...
Aide et soin à la personne - Dossier
En France, plus de 3,5 millions de professionnels travaillent dans l'aide et le soin à la personne. Ce secteur, qui emploie majoritairement du personnel féminin, est toujours en pleine croissance et marqué par une grande diversité d'acteurs. Certains exercent en établissement, d'autres au domicile d'un bénéficiaire avec, d'un lieu à l'autre, des conditions d'intervention et des moyens extrêmement variables. Source: (2018). Travail & sécurité (794). http://www.travail-et-securite.fr/ts/dossier...
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 ...
Effort–Reward Imbalance, Work–Privacy Conflict, and Burnout Among Hospital Employees
Objective: Studies investigating the relative importance of effort–reward imbalance and work–privacy conflict for burnout risk between professional groups in the health care sector are rare and analyses by educational attainment within professional groups are lacking. Methods: The study population consists of 1422 hospital employees in Switzerland. Multivariate linear regression analyses with standardized coefficients were performed for the overall study population and stratified for professional groups refined for educational attainment. Results: Work–privacy conflict is a strong...
Violence towards Emergency Nurses
The Italian National Survey 2016: A qualitative study Introduction: Physical and verbal aggression against health professionals, particularly nurses, is globally serious and widespread, with the most vulnerable being nurses working in the Accident and Emergency Department. Most international research into this issue focused on quantifying aggression, describing its nature, identifying perpetrators, stratifying risk and implementing preventive or mitigating interventions. Few studies investigated the nurses' subjective perceptions. As part of the 2016 Italian National Survey on Violence against...
Burnout risk profiles among French psychologists
The aims of this study were 1) to show that the use of different cut-off scores available in the literature can lead to erroneous conclusions, adding to the emerging literature highlighting the problems associated with its use, and 2) to propose an alternative technique − Cluster Analysis − to assess the risk of burnout as well as to identify profiles at risk of burnout. Burnout was measured among 664 French psychologists using the French-Canadian version of the Maslach Burnout Inventory (Dion & Tessier, 1994). Our participants were classified as high on each dimension of the MBI...
Comprendre l’influence de la régulation des contraintes temporelles sur l’appropriation des principes généraux de déplacement sécuritaire des bénéficiaires par les recrues préposés aux bénéficiaires
Les préposés aux bénéficiaires (PAB) ont comme mandat de réaliser l'ensemble des activités d'assistance envers les résidents des centres d'hébergement et de soins de longue durée (CHSLD) au Québec. Ils exercent une fonction indispensable dans les CHSLD, alors que le vieillissement de la population s'accentue, que les problématiques physiques et cognitives des résidents s'aggravent et que la réponse à leurs besoins se complexifie. Les PAB forment également une catégorie...
Night Shift Work and Its Health Effects on Nurses
The purpose of this research was to study night shift work and its health effects on nurses. This was a quantitative study using descriptive design; it also incorporated three qualitative open-ended questions to complement the study. The data were collected using Survey Monkey, with an Internet-based confidential data collection tool. The population of relevance to this study was nurses employed in hospital settings in the United States. E-mail addresses and Facebook were used to recruit participants. Results indicated that there is an increased risk of sleep deprivation, family stressors, and...
Associations Between Age, Psychosocial Work Conditions, Occupational Well-Being, and Telomere Length in Geriatric Care Professionals
A Mixed-Methods Study Objective: We identified associations between age, psychosocial work characteristics, occupational well-being, and—as a measure of biological age—leukocyte telomere length in geriatric care professionals. Methods: This is a multisource study of self-reports on psychosocial work characteristics, standardized physician's evaluations of health, and relative telomere length measures of peripheral blood leukocytes. We included 141 geriatric care professionals. Telomere length was assessed by an improved polymerase chain reaction (PCR)-based method. Results: Increased...
Outdoor Light at Night and Breast Cancer Incidence in the Nurses’ Health Study II
Background: Animal and epidemiologic studies suggest that exposure to light at night (LAN) may disrupt circadian patterns and decrease nocturnal secretion of melatonin, which may disturb estrogen regulation, leading to increased breast cancer risk.Objectives: We examined the association between residential outdoor LAN and breast cancer incidence using data from the nationwide U.S.-based Nurses' Health Study II cohort.Methods:We followed 109,672 women from 1989 through 2013. Cumulative LAN exposure was estimated using time-varying satellite data for a composite of persistent nighttime illumination...
Does influence at work modify the relation between high occupational physical activity and risk of heart disease in women?
Purpose: To investigate whether influence at work modifies the association between demanding and strenuous occupational physical activity (OPA) and risk of ischaemic heart disease (IHD). Methods: A sample of 12,093 nurses aged 45–64 years from the Danish Nurse Cohort Study was followed for 20.6 years by individual linkage to incident IHD in the Danish National Patient Registry. Information on OPA, influence at work, other occupational factors and known risk factors for IHD was collected by self-report in 1993. Results: During follow-up 869 nurses were hospitalised with incident IHD. Nurses...
Nurses’ occupational physical activity levels
A systematic review Background: Nurses' physical performance at work has implications both for nurses' occupational health and patient care. Although nurses are the largest healthcare workforce, are present 24-hours a day, and engage in many physically demanding tasks, nurses' occupational physical activity levels are poorly understood. Objectives: The aim of this systematic review was to examine nurses' occupational physical activity levels, and explore how nurses accumulate their physical activity during a shift. Source: Chappel, S. E., Verswijveren, S. J., Aisbett, B., Considine...
Preventing workplace violence in the health care sector
Workplace violence in our health care sector is a growing matter that we are committed to addressing. We've seen a concerning increase in the frequency and severity of incidents of workplace violence in our hospitals, mainly experienced by nurses. Nurses play an integral role in providing care to patients in our hospitals and, because of their level of interaction with patients, they are the primary victims of workplace violence. That is unacceptable. Every worker in Ontario should expect a safe and healthy workplace. Source: https://www.ontario.ca/page/preventing-workplace-violence-health...
Rotating night shift work and risk of breast cancer in the Nurses' Health Studies
In 2007, the International Agency for Research on Cancer declared shift work involving circadian disruption to be a “probable” carcinogen (group 2A), noting that human evidence was limited. This study examined associations between rotating night shift work and breast cancer risk in two prospective cohorts, the Nurses' Health Studies (NHS: 1988–2012, n = 78,516; NHS2: 1989–2013, n = 114,559), with 9,541 incident invasive breast malignancies and 24 years of follow-up. Women in NHS with 30+ years of shift work had no increased risk of breast cancer (Hazard ratio (HR) =...
Night-shift work is associated with increased pain perception
Objectives: The aim of the present study was to determine whether shift workers exhibit increased perception of experimentally induced pain after working night shifts. Methods: The study was a paired cross-over design with two sleep conditions, after at least two nights of habitual sleep and after two consecutive night shifts at work. Fifty-three nurses in rotating shift work participated. The sensitivity to electrically induced pain, heat pain, cold pain, pressure pain and pain inhibition was determined experimentally in each sleep condition. Sleepiness and vigilance were also assessed. Results...
Influence of organizational context on nursing home staff burnout
A cross-sectional survey of care aides in Western Canada Purpose: Our study examined care aide characteristics, organizational context, and frequency of dementia-related resident responsive behaviours associated with burnout. Burnout is the experience of emotional exhaustion, cynicism, and professional inefficacy. Care aide burnout has implications for turnover, staff health, and quality of care. Design and methods: We used surveys collected from 1194 care aides from 30 urban nursing homes in three Western Canadian provinces. We used a mixed-effects regression analysis to assess care aide characteristics...
Workplace Violence Toward Mental Healthcare Workers Employed in Psychiatric Wards
Background: Workplace violence (WPV) against healthcare workers (HCWs) employed in psychiatric inpatient wards is a serious occupational issue that involves both staff and patients; the consequences of WPV may include increased service costs and lower standards of care. The purpose of this review was to evaluate which topics have been focused on in the literature and which are new in approaching the concern of patient violence against HCWs employed in psychiatric inpatient wards, in the past 20 years. Methods: We searched for publications in PubMed and Web of Science using selected keywords. Each...
Psychosocial safety climate, emotional exhaustion, and work injuries in healthcare workplaces
Preventing work injuries requires a clear understanding of how they occur, how they are recorded, and the accuracy of injury surveillance. Our innovation was to examine how psychosocial safety climate (PSC) influences the development of reported and unreported physical and psychological workplace injuries beyond (physical) safety climate, via the erosion of psychological health (emotional exhaustion). Self-report data (T2, 2013) from 214 hospital employees (18 teams) were linked at the team level to the hospital workplace injury register (T1, 2012; T2, 2013; and T3, 2014). Concordance between survey...
Proceedings from the 5th International Conference on Violence in the Health Sector
The 5th International Conference on Violence in the Health Sector was held on October 26-28, 2016. This year's theme was "Broadening our view – responding together." Source: http://www.oudconsultancy.nl/Resources/Proceedings_5th_ICVHS_Dublin.pdf
How institutions matter for job characteristics, quality and experiences
A comparison of home care work for older people in Australia and Sweden This article seeks to understand a puzzling finding: that workers in publicly funded home care for older people in Australia, compared to those in Sweden, feel that they are better able to meet their clients' needs, that their workplaces are less pressed, and that their work is less burdensome and more compatible with their family and social commitments. This finding seems to challenge expectations fostered by comparative sociological research that job quality and care services are inferior in Australia compared to Sweden...
Des conditions de travail en EHPAD vécues comme difficiles par des personnels très engagés
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...
Évaluation et intervention en matière de climat psychologique de travail chez le personnel infirmier
Une revue de la littérature Cette revue de littérature a pour thème central l'influence du climat psychologique de travail et de la satisfaction au travail sur l'intention de quitter chez les infirmières. Plus spécifiquement, il s'agit d'abord d'exposer l'influence des dimensions du climat psychologique de travail, soit les perceptions liées à la nature de l'emploi, au rôle professionnel, à la qualité du leadership, à la qualité de l'équipe de travail ainsi qu'à l'organisation...
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