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Quels sont les facilitateurs du maintien en emploi en santé des travailleurs seniors dans un milieu d’éducation au Québec?
Le pourcentage de travailleurs seniors âgés de 45 ans et plus augmente sans cesse sur le marché du travail au Québec. Dans le secteur de l'éducation, une large portion de la main-d'œuvre est âgée de 45 ans et plus (41 %) et un tiers du personnel aura quitté son poste entre 2009 et 2018 (Grenier, 2009). Des statistiques récentes montrent aussi que les lésions tant de nature physique que psychologique des travailleurs québécois du secteur de l'éducation sont souvent associées à...
Psychosocial work environment and mental health-related long-term sickness absence among nurses
Purpose: We investigated which job demands and job resources were predictive of mental health-related long-term sickness absence (LTSA) in nurses. Methods: The data of 2059 nurses were obtained from the Norwegian survey of Shift work, Sleep and Health. Job demands (psychological demands, role conflict, and harassment at the workplace) and job resources (social support at work, role clarity, and fair leadership) were measured at baseline and linked to mental health-related LTSA during 2-year follow-up. Cox regression models estimated hazard ratios (HR) and related 95% confidence intervals (CI)....
Évaluation de différents protocoles de gestion d’incident et de soutien aux employés après un incident grave
L'industrie ferroviaire canadienne fait régulièrement face à des incidents critiques (IC) associés à des collisions avec des personnes ou des véhicules. Ces incidents peuvent occasionner des blessures graves, ou des décès, parmi les victimes, mais aussi des problèmes de santé mentale chez les ingénieurs et conducteurs opérant les locomotives. Chaque année, environ 20 personnes décèdent lors de collisions avec un train au Québec et une centaine au Canada. À ces incidents mortels...
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...
Organizational justice and disability pension from all-causes, depression and musculoskeletal diseases
A Finnish cohort study of public sector employees Work-related psychosocial factors that are measured once may not provide an accurate estimate of long-term exposure. Thus, we used repeated measures of organizational justice to evaluate its association with disability pension in a cohort of 24 895 Finnish public sector employees. High organizational justice was associated with lower risk of disability pension due to depression and musculoskeletal diseases. Source: Juvani A, Oksanen T, Virtanen M, Elovainio M, Salo P, Pentti J, Kivimäki M, Vahtera J. Scand J Work Environ Health , 2016. http...
Chronic low back pain among French healthcare workers and prognostic factors of return to work (RTW)
A non-randomized controlled trial Background: Many factors influence the return to work of workers with chronic low back pain (CLBP). They have been said to vary according to socio-professional group. This study first aimed to compare prognostic factors influencing the return to work of CLBP healthcare workers (HCWs) and other workers (non-HCWs) after rehabilitation coupled with an occupational intervention. The second objective was to improve the evolution of indicators such as clinical examination, psychosocial impact and pain impact. Methods: Between 2007 and 2012, a cohort of 217 CLBP workers...
Physical capacity and risk for long-term sickness absence
A prospective cohort study among 8664 female health care workers OBJECTIVE: To assess the prospective associations between self-reported physical capacity and risk of long-term sickness absence among female health care workers. METHODS: Female health care workers answered a questionnaire about physical capacity and were followed in a national register of sickness absence lasting for two or more consecutive weeks during 1-year follow-up. Using Cox regression hazard ratio analyses adjusted for age, smoking, body mass index, physical workload, job seniority, psychosocial work conditions, and previous...
Understanding Work-related Musculoskeletal Injuries in Rehabilitation from a Nursing Perspective
PURPOSE: The incidence and prevalence of work-related musculoskeletal nursing injuries is a top concern for nurses. These injuries are thought to be a dynamic interplay of multiple factors. A literature review reveals a knowledge gap in understanding context-specific patterns of nursing injuries. DESIGN: Using a cross-sectional descriptive research design, 58 rehabilitation nurses participated in this study. METHODS: Anonymous paper surveys were sent to all rehabilitation nursing personnel on the unit. FINDINGS: Six themes emerged: lack of time and help, patient acuity, ergonomics, body movement...
Work Conditions, Recovery and Health: A Study among Workers within Pre-School, Home Care and Social Work
The study investigated the working conditions associated with the accumulation of stress and lack of recovery and how recovery is related to health. The study group was employed in pre-school, home care and social work (n = 193). Recovery was assumed to be an explanatory variable for the relations between work and health. The response rate on a survey was 79 per cent. Cluster analysis identified three groups: the ‘Recovered’ (36 per cent of the total group) and ‘Not Recovered’ (25 per cent) and the ‘In-between’ (39 per cent). The Not Recovered displayed the whole...
How policy on employee involvement in work reintegration can yield its opposite: employee experiences in a Canadian setting
Canada has a long tradition of involving employee representatives in developing work reintegration policies and expects this to positively affect employee involvement to improve work reintegration success. The purpose of this study was to examine employee involvement in reintegration in a Canadian province as experienced by employees. Method: Fourteen semi-structured interviews were held with employees in a healthcare organization. The interview topic list was based on a review of local reintegration policy documents and literature. Interviews were transcribed verbatim and analysed using ethnographic...
Work-related injuries in Canadian occupational therapy practice
BACKGROUND : No studies investigate work-related injuries experienced by Canadian occupational therapists. PURPOSE : To identify the nature and prevalence of work-related injuries, impact of practice context, cultural and structural factors that influence response to these injuries, and strategies used to manage return-to-work after injury. METHODS : Members of the Canadian Association of Occupational Therapists were sent an electronic survey in June 2009. FINDINGS: Over half of the 600 respondents reported at least one injury episode. Patient-handling and equipment-related incidents accounted...
Dose–response relation between perceived physical exertion during healthcare work and risk of long-term sickness absence
Objective : An imbalance between physical work demands and physical capacity of the worker may be a risk factor for poor health. Perceived physical exertion provides information about the individual perception of the work demands relative to the capacity to perform the work. This study estimates the risk for long-term sickness absence (LTSA) from perceived physical exertion among healthcare workers. Methods : This prospective cohort study comprises 8592 Danish healthcare workers who responded to a baseline questionnaire in 2004–2005, and subsequently were followed for one year in the Danish...
Prognostic value of self-reported work ability and performance-based lifting tests for sustainable return to work among construction workers
Objective : This study aims to evaluate whether performance-based tests have additional prognostic value over self-reported work ability for sustainable return to work (RTW) in physically demanding work. Methods : A one-year prospective cohort study was performed among 72 construction workers on sick leave for six weeks due to musculoskeletal disorders. The Work Ability Index (WAI) question regarding “current work ability” was used. Three dynamic lifting tests were used from a Functional Capacity Evaluation (FCE). Sustainable RTW was the number of days on sick leave until the first...
Retour au travail après une absence pour un problème de santé mentale
Les problèmes de santé mentale au travail représentent actuellement l’une des plus importantes causes d’absence au travail, et ce phénomène a connu une croissance marquée au cours des deux dernières décennies. Les travaux entrepris dans le domaine de la réadaptation professionnelle et de la santé mentale au travail ont permis de mettre en évidence l’importance d’une démarche de collaboration entre les acteurs concernés par le processus de retour au travail. Toutefois, si quelques études...
The Return-To-Work Coordinator Role: Qualitative Insights for Nursing
James, Carol et al. (2011). The Return-To-Work Coordinator Role: Qualitative Insights for Nursing. Journal of Occupational Rehabilitation , 21(2): 220-227. (Accès limité) Introduction Few studies have examined the role of RTW Coordination from the perspective of RTW Coordinator's. Furthermore there is little health specific literature on returning injured nurses to work despite the critical workforce shortages of these professionals. The study aimed to examine barriers and facilitators identified by the RTW Coordinator to returning injured nurses to work and influences on specific...
Knee and low back complaints in professional hospital nurses: Occurrence, chronicity, care seeking and absenteeism
Alexopoulos, Evangelos C. et al. (2011). Knee and low back complaints in professional hospital nurses: Occurrence, chronicity, care seeking and absenteeism. Work 38 (4): 329-335. Objective: To investigate the relationships between physical, psychosocial, and individual characteristics and occurrence, chronicity, care seeking and absenteeism due to musculoskeletal complaints of the lower back and knee. Methods and Participants: This was a cross-sectional study among 350 nursing personnel in six hospitals in South-West Greece. Data related to physical and psychosocial workload, need for recovery...
Chronic Diseases and Functional Limitations Among Older Construction Workers in the United States: A 10-Year Follow-up Study
Dong, Xiuwen Sue et al. (2011). Chronic Diseases and Functional Limitations Among Older Construction Workers in the United States: A 10-Year Follow-up Study. Journal of Occupational & Environmental Medicine , 53 (4): 372–380. Objectives: To examine the health status of older construction workers in the United States, and how occupation and the aging process affect health in workers' later years. Methods: We analyzed six waves (1998 to 2008) of the Health and Retirement Study, a longitudinal survey of US residents age 50+. The study sample totaled 7200 male workers (510 in construction...
Are immigrants in the nursing industry at increased risk of bullying at work? A one-year follow-up study
Hogh, Annie et al. (2011). Are immigrants in the nursing industry at increased risk of bullying at work? A one-year follow-up study. Scandinavian Journal of Psychology, 52 (1) : 49-58. The purpose of this study was to explore whether (a) immigrant health care workers (HCW) are more at risk of bullying at work than Danish staff members, (b) this association is increased by previous exposure to bullying and (c) immigrants experience more bullying from supervisors, colleagues and clients/residents. We analyzed cross-sectional baseline data from 5,635 health care students of whom 10.4% were immigrants...
Job burnout and job wornout as risk factors for long-term sickness absence
Objective: Contingent self-esteem has been assumed to be a risk for burnout-related disorders, and a contingent self-worth notion of job burnout was applied to study the prospective relationship between job burnout and registered episodes of sickness absence of ? 60 consecutive days. Methods: Job burnout was defined as being in the high quartiles on the Maslach Burnout Inventory – General Survey (MBI-GS) scales of exhaustion and cynicism and, in addition, as being above the median on a scale for performance-based self-esteem. Another high exhaustion-cynicism group, a "job wornout"...
The influence of work and treatment related factors on clinical status and disability in patients with non-specific work-related upper limb disorders
Objective: To assess the influence of work- and treatment-related factors on clinical status and functional disability in patients with non-specific work-related upper limb disorders (WRULD). Participants: 182 computer workers with non-specific WRULD, 18–50 years old, not having specific WRULD nor incomplete medical records. Methods: Retrospective cohort study among computer workers with non-specific WRULD; average follow-up 4 years. Medical records at time of diagnosis and during treatment period and a follow-up questionnaire were used. Setting: Outpatient department of Rehabilitation Medicine...
Work-related self-efficacy of occupational therapists in mental health
Aim: Changes in the mental health field have created new job expectations of occupational therapists (OTs). The present research investigated differences in general self-efficacy (GSE) and work-related self-efficacy (WRSE) between occupational therapists (OTs) working in psychiatric hospitals and OTs working in community-based mental health services. Method: Thirty-four OTs working in psychiatric hospitals and 30 OTs working in community-based settings ( n = 60) completed the General Self Efficacy Scale (GSE) and the WRSE in Mental Health Occupational Therapy Scale (WSMOT). Results: The two groups...
Sleep Disturbances as a Predictor of Cause-Specific Work Disability and Delayed Return to Work
Study Objective: To examine sleep disturbances as a predictor of cause-specific work disability and delayed return to work. Design: Prospective observational cohort study linking survey data on sleep disturbances with records of work disability (≥ 90 days sickness absence, disability pension, or death) obtained from national registers. Setting: Public sector employees in Finland. Participants: 56,732 participants (mean age 44.4 years, 80% female), who were at work and free of work disability at the study inception. Measurements and Results: During a mean follow-up of 3.3 years, incident diagnosis...
Work disability prevention in rural healthcare workers
Approximately 20% of healthcare workers in high-income countries such as Australia, Canada and the USA work in rural areas. Healthcare workers are known to be vulnerable to occupational injury and poor work disability outcomes; given their rural–urban distribution, it is possible to compare work disability prevention in rural and urban areas. However, little attention has been paid to work disability prevention issues specific to rural workers, including rural healthcare workers. A comprehensive review of the literature was conducted to identify rural–urban differences in work disability...
Predictors of lost time from work among nursing personnel who sought treatment for back pain
Objective: To examine possible predictors of lost workdays among nurses and nurses' aides who sought treatment for work-related back pain. Participants: Nursing staff employed at a tertiary care medical center over a 13-year time period (1994 through 2006). Methods: We used existing data from clinic surveys administered to nursing personnel during their initial treatment visit to the hospital's occupational health clinic. Predictors of losing ? 7 and ? 8 workdays was examined. Results: 589 of 708 (83%) nursing personnel with complaints of work-related back pain completed the survey, with...
Return-to-work/Stay-at-work Interventions for Workers with Mental Health Conditions
Best Practices OHSAH and a core group of stakeholders have developed a consensus and evidence-based Return-to-work (RTW) and Stay-at-work (SAW) Best Practices, adapted to the needs of healthcare workers in British Columbia. These recommendations focus on workplace interventions aimed at assisting workers with common mental health conditions return to work and/or stay at work. Source : http://www.ohsah.bc.ca/media/392-PF-RTW.SAW.pdf
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