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Cadre de référence sur le soutien et la réintégration au travail
Vers une approche axée sur la collaboration Le cadre de référence sur le soutien et la réintégration au travail est destiné à l'ensemble des établissements du réseau de la santé et des services sociaux. Il s'adresse d'abord à la haute direction, particulièrement à la Direction des ressources humaines, des communications et des affaires juridiques, qui est responsable du service de la gestion de la présence au travail. Il s'adresse ensuite à l'ensemble du personnel d'encadrement...
Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care
A systematic review For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care. Source: Suman, A., Dikkers, M. F., Schaafsma, F. G., van Tulder, M. W., & Anema, J. R. (2016). Implementation Science, 11 (1), 126. https://dx.doi.org/10.1186%2Fs13012-016-0482-7
Seven “Principles” for Successful Return to Work
What do employers need to do to enhance a worker's return to work (RTW) after an injury or illness? These evidence-based guidelines have the answers. They are based on an IWH review of RTW studies, which identified the elements contributing to a successful return to work. This document is essential for all workplaces and RTW professionals. Source: http://www.iwh.on.ca/seven-principles-for-rtw
Une première en ergothérapie : un guide pour évaluer les capacités reliées au travail
Présenté dans la dernière édition du magazine Prévention au travail, ce guide contient recommandations élaborées en vue d’aider l’ergothérapeute et le client à choisir les stratégies les plus appropriées pour procéder à une ÉCT. Pour bon nombre de travailleurs qui présentent une déficience physique et sont engagés dans un processus de réadaptation, l’évaluation de leurs capacités reliées au travail (ÉCT) constitue une pratique...
Publication d’un guide de pratique pour les ergothérapeutes
L'Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) vient de publier un guide de pratique à l'intention des ergothérapeutes. Mis à la disposition des cliniciens, ce guide fournit les données scientifiques nécessaires pour éclairer leur décision en matière d'évaluation des capacités reliées au travail des personnes présentant une déficience physique. La pratique professionnelle est très variable, ce qui suscite un questionnement sur...
Use of low-back pain guidelines by occupational therapists: A qualitative study of barriers and facilitators
Poitras, Stéphane, Durand, Marie-José, Côté, Anne-Marie et Tousignant, Michel (2011). Use of low-back pain guidelines by occupational therapists: A qualitative study of barriers and facilitators. Work , 9(4): 465-475. Volume 39, Number 4 / 2011 Pages 465-475 Objective: Identify barriers and facilitators related to the use of low-back pain guidelines as perceived by occupational therapists (OTs). Methods and participants: A qualitative approach was used. Nine OTs with varied characteristics were randomly selected. Participants were asked to use the guidelines with at least...
An updated overview of clinical guidelines for the management of non-specific low back pain in primary care
The aim of this study was to present and compare the content of (inter)national clinical guidelines for the management of low back pain. To rationalise the management of low back pain, evidence-based clinical guidelines have been issued in many countries. Given that the available scientific evidence is the same, irrespective of the country, one would expect these guidelines to include more or less similar recommendations regarding diagnosis and treatment. We updated a previous review that included clinical guidelines published up to and including the year 2000. Guidelines were included that met...
A Review of Evidence-Based Biopsychosocial Laws Governing the Treatment of Pain and Injury
The impact of scientific findings on medical, psychological, and legal concepts has led to the adoption of laws and regulations that do not easily fit into the established legal categories of medical law or mental health law. Instead, this convergence of forces has resulted in laws and regulations mandating biopsychosocial treatment guidelines, where both medical and psychological cares are integrated within the framework of a single paradigm. Laws and regulations of this type have been adopted by a number of US states and Canadian provinces, and could be considered to represent a new category...
New Canadian guideline released on opioid use for chronic non-cancer pain
At Work, le bulletin trimestriel de l'Institute for Work and Health (IWH), annonce la parution récente d'un guide canadien sur l'utilisation des opiacés pour contrôler les douleurs au dos. Il est question du mauvais usage des opiacés par les Canadiens et du traitement inadéquat de la douleur. Le guide complet peut être téléchargé à partir du site de l'IWH. Source: http://www.iwh.on.ca/at-work/61/new-canadian-guidelne-released-on-opioid-use-for-chronic-non-cancer-pain
Multicultural and Diversity Considerations in the New Code of Professional Ethics for Rehabilitation Counselors
As the demographic transformation of the U.S. population continues, the challenges of multicultural and diversity-based considerations remain a central focus, as does the need to incorporate cultural competencies into the practice of rehabilitation. The Commission on Rehabilitation Counselor Certification's 2010 Code of Professional Ethics for Rehabilitation Counselors offers guidance for the practice of professional conduct and ethical decision making when one is working with individuals from culturally diverse groups and backgrounds. The revised code sets the expectation that the culturally...
The Necessity of Professional Disclosure and Informed Consent for Rehabilitation Counselors
Within the rehabilitation counseling arena, professional disclosure and informed consent are critical concepts for the rehabilitation counselor to understand. Once understood, they become key components of a rehabilitation counselor's daily practice. Counselors need to provide sufficient prior information about their evaluation and services to respect the individual's right to make an informed choice about participating in the activities. This is one of the most important steps for the counselor to make at the outset of the relationship and thereafter. Yet, inconsistency abounds among rehabilitation...
Réadaptation pour les personnes ayant subi une fracture de hanche
L'Agence de la Santé et des services sociaux de la Montérégie a parcouru une soixantaine de publications (revues systématiques, études contrôlées randomisées) afin de connaître les meilleures pratiques sur l'organisation des soins en réadaptation suite à une fracture de hanche. Par cette recension l'Agence veut s'inspirer des meilleures interventions afin d'améliorer son offre de services. Recueil des meilleures pratiques concernant l'organisation des services et les interventions en réadaptation...
What are the Management Standards for work-related stress?
The Management Standards define the characteristics, or culture, of an organisation where the risks from work-related stress are being effectively managed and controlled. The Management Standards cover six key areas of work design that, if not properly managed, are associated with poor health and well-being, lower productivity and increased sickness absence. In other words, the six Management Standards cover the primary sources of stress at work. The Management Standards represent a set of conditions that, if present, reflect a high level of health well-being and organisational performance. Source...
Red Flags/Green Lights: A Guide to Identifying and Solving Return-to-Work Problems
Most injured workers return to their jobs successfully. For a few, however, problems may arise that complicate their recovery and return to work. This guide, based on IWH research, is designed for such situations. It presents warning signs (or red lights) and helpful practices (or green lights) for those involved in the return-to-work, health-care, vocational rehabilitation or claims process. Source: http://www.iwh.on.ca/rtw-problems-guide
Job characteristics and work organization factors associated with patient-handling injury among nursing personnel
The aim of this cross-sectional study was to explore the association of worker characteristics and work organization factors with prevalence of patient-handling injury among nursing personnel in an acute-care inpatient setting. Self-administered questionnaires (n = 585) captured worker characteristics and patient-handling injuries within the previous 6 months. Karasek's Job Content Questionnaire measured work organization factors, including job strain (high psychological demand, low decision latitude). We created a novel measure (job strain_{PHYSICAL}) reflecting high physical demand and low...

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