Successful Strategies for Occupational Health and Safety in Small and Medium Enterprises: Insights for a Sustainable Return to Work.

IF 2.1 3区 医学 Q1 REHABILITATION
Iuliana Nastasia, Romain Rives
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Abstract

Purpose: The objectives of this paper were to summarize successful strategies in occupational health and safety (OHS) management in small and medium-sized enterprises (SMEs) and to explore their potential applicability for disability management (DM) and return-to-work (RTW) after work-related injuries.

Methods: A scoping review was conducted, using a consensus-based iterative approach, and a consultation with stakeholders. Twelve databases were searched in collaboration with a specialized librarian, using keywords and combinations of terms. The reviewers identified pertinent articles, selected those which corresponded to the inclusion criteria, extracted data, and analyzed information using qualitative content analyses. A synthesis was presented to the stakeholders, and their comments on overall applicability of these strategies in the Quebec context of DM and RTW were detailed.

Results: A total of 638 references were retrieved from all sources, resulting in 37 scientific articles being analyzed. Four main strategies for improving OHS management in SMEs were identified: dissemination and exchange of information; transmission and acquisition of knowledge, skills, and abilities; using a participatory and collaborative approach; and considering the organizational context. Even if DM and sustainable RTW were sometimes mentioned by authors as important for OHS management in SMEs, specific strategies and implementation elements were not actually described by authors. However, different resources, structures, and activities, associated with one or more of the OHS management strategies described, through their different interactions between the various stakeholders, seem having the potential to act also in sustainable RTW.

Conclusion: This review has provided an overview of strategies deployed to improve OSH in SME. The results invite stakeholders to a deep reflection on the potential application of such strategies to encompass sustainable RTW in SMEs.

中小企业职业健康和安全的成功战略:可持续重返工作岗位的见解。
目的:总结中小企业职业健康安全管理的成功策略,并探讨其在工伤后残疾管理和重返工作中的潜在适用性。方法:使用基于共识的迭代方法进行范围审查,并与利益相关者协商。与专业图书管理员合作,使用关键字和术语组合搜索了12个数据库。审稿人识别相关文章,选择符合纳入标准的文章,提取数据,并使用定性内容分析分析信息。向利益相关者提交了一份综合报告,并详细介绍了他们对这些战略在魁北克DM和RTW背景下的总体适用性的评论。结果:共检索到638篇参考文献,分析了37篇科学论文。确定了改善中小企业职业健康安全管理的四项主要战略:传播和交流信息;知识、技能和能力的传递和获取;采用参与性和合作性方法;考虑到组织环境。即使作者有时提到DM和可持续RTW对中小企业的职业健康安全管理很重要,但作者实际上并没有描述具体的策略和实施要素。然而,与所描述的一种或多种职业健康安全管理战略相关的不同资源、结构和活动,通过不同利益相关者之间的不同互动,似乎也有可能在可持续的RTW中发挥作用。结论:本综述概述了改善中小企业职业安全与健康的策略。结果邀请利益相关者深入思考这些战略的潜在应用,以涵盖中小企业的可持续RTW。
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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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