Workplace Health & Safety最新文献

{"title":"Effectiveness of a University's Active Shooter Preparedness Program: An Evaluation.","authors":"Aaron Bidwell, Cindy Joffrion, Karen Riehm, Aoyjai Montgomery, Karen Heaton, Stephanie Hammond","doi":"10.1177/21650799251324579","DOIUrl":"https://doi.org/10.1177/21650799251324579","url":null,"abstract":"<p><strong>Background: </strong>Comparing 2018 to 2022, active shooter incidents (ASIs) increased by over 66% from 30 to 50 shootings, respectively. There are limited data on the effectiveness of currently available active shooter preparedness programs. This quality improvement (QI) project evaluated the effectiveness of the 2022 active shooter training (AST) for staff and faculty of a large southeastern university's School of Nursing (SON).</p><p><strong>Methods: </strong>Survey participants were SON faculty and staff recruited via emails sent pre- and post-AST. An online survey was used to obtain the participants' demographics, knowledge regarding the recommended actions for responding to ASI, and confidence in their ability to react appropriately. Data were analyzed using descriptive statistics.</p><p><strong>Findings: </strong>Information was obtained from 141 survey responses (80 pre- and 61 post-survey responses). Overall, group confidence in the ability to react to ASIs increased from pre- to post-training. Correct responses to knowledge-based questions based on the training increased by 7.8% in the post-training survey. Post-survey respondents indicated a 33.6% increased accurate response to the question, \"What is the correct response to an active shooter?\"</p><p><strong>Conclusion: </strong>The SON AST effectively improved the readiness and confidence of the trainees in case of such a future shooting incident. Future AST should integrate didactic and simulation aspects into programs for further efficacy.</p><p><strong>Application to practice: </strong>Active shooter incident instruction in the workplace and further evaluation of the effectiveness of training programs should become a national priority. Occupational health nurses are well suited to help evaluate and improve AST effectiveness.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799251324579"},"PeriodicalIF":2.3,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Efficacy, Physical Function, and Healthy Behaviors in Working Adults With Multiple Chronic Conditions.","authors":"Amanda Schmitt, Danielle Olds, Frances M Yang, Barbara Polivka","doi":"10.1177/21650799251322201","DOIUrl":"https://doi.org/10.1177/21650799251322201","url":null,"abstract":"<p><strong>Background: </strong>Individuals living with multiple chronic conditions (MCC; e.g., obesity, hypertension, diabetes, dyslipidemia) are at an increased risk for occupational injuries, decreased work productivity, and early departure from the workforce.</p><p><strong>Methods: </strong>A cross-sectional online survey of 200 working adults with obesity and hypertension, diabetes, and/or dyslipidemia was conducted to examine the relationships across self-efficacy, physical function, and healthy behaviors in addition to their relationship with the work environment.</p><p><strong>Findings: </strong>Self-efficacy was found to have a statistically significant positive association with physical function (<i>p</i> < .001) as well as with eating behaviors (<i>p</i> < .001). Full-time workers reported greater physical function than part-time workers (<i>p</i> < .001), and those working in active/manual labor positions reported more physical activity compared to those working in sedentary positions (<i>p</i> = .001).</p><p><strong>Conclusion: </strong>Individuals with greater self-efficacy for managing their chronic conditions also had higher physical function capabilities and healthier eating behaviors. In addition, individuals who work full-time reported higher physical function capabilities, and those in active work positions had higher physical activity scores. Future research is needed to implement and evaluate the effectiveness of interventions.</p><p><strong>Application to practice: </strong>Occupational health nurses need to work with employees with MCC to help accommodate healthcare provider visits and/or work restrictions to allow employees to maintain full-time work in addition to encouraging sedentary workers to increase physical activity.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799251322201"},"PeriodicalIF":2.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Well-Being Disparities: A Comparative Analysis of Urban and Rural Clinicians Using the NIOSH Worker Well-Being Questionnaire.","authors":"Nayeon Lee, Marianne Baernholdt, Beth Epstein, Jennifer Bissram, Karthik Adapa, Lukasz M Mazur","doi":"10.1177/21650799251319366","DOIUrl":"https://doi.org/10.1177/21650799251319366","url":null,"abstract":"<p><strong>Background: </strong>Clinician well-being is crucial to the healthcare system, particularly during the COVID-19 pandemic, which intensified psychological distress among clinicians. This study examines well-being disparities between rural and urban clinicians using the NIOSH Worker Well-Being Questionnaire (WellBQ).</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 222 clinicians from one urban and three rural hospitals in North Carolina between September and December 2022. The WellBQ assessed well-being across five domains. Data analysis identified concerning thresholds based on positive and negative responses, with discrepancies resolved through independent reviews and focus group validation.</p><p><strong>Findings: </strong>In the work evaluation and experience domain, rural hospitals reported concerns with time paucity and work overload, while urban hospitals focused on work-related fatigue and job engagement. Rural hospitals noted issues with job benefits, health programs, and schedule flexibility, whereas urban hospitals emphasized the lack of supportive work culture and management trust. Both settings reported concerns in the physical environment and safety climate domain, including sexual harassment, physical violence, and bullying. Health status concerns in rural hospitals included overall stress and poor mental health, while urban hospitals highlighted chronic health conditions and risky drinking.</p><p><strong>Conclusion: </strong>This study identified significant well-being disparities between rural and urban clinicians, with urban hospitals showing higher concerning thresholds. Future research should refine these thresholds, explore workplace violence causes, and assess long-term impacts on clinician well-being.Applications to Practice:This study reveals significant well-being disparities between rural and urban clinicians, emphasizing the need for tailored occupational health interventions.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799251319366"},"PeriodicalIF":2.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational Risk Perception and Associated Factors Among Textile Workers: A Cross-Sectional Study From Türkiye.","authors":"İrem Medeni, Esra Gültekin Koç, Volkan Medeni, Mustafa Necmi İlhan","doi":"10.1177/21650799251322198","DOIUrl":"https://doi.org/10.1177/21650799251322198","url":null,"abstract":"<p><strong>Background: </strong>The textile industry, a vital sector in Türkiye, exposes workers to numerous occupational risks, including physical, chemical, and ergonomic hazards. The weaving stage, in particular, involves prolonged exposure to chemicals, noise, and dust, posing significant health challenges. Identifying workplace hazards is critical to safeguarding employee health and productivity.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in two textile factories in Türkiye. This research investigated perceived workplace risks and related factors to which weaving workers are exposed. Sociodemographics, work-related characteristics and perceptions of chemical, noise, and dust exposures were analyzed. A total of 355 people participated in the study.</p><p><strong>Findings: </strong>Nearly three-quarters of participants were male, 40% were smokers, and 55.8% worked over 45 hours weekly. Chemical exposure was reported in 21.1% of workplaces, 75.5% identified noise as a hazard, and 65.9% noted dusty environments. About 19.3% did not use personal protective equipment (PPE), citing discomfort and perceived inefficacy. Health complaints in the past week included skin issues (10.7%), eye irritation (17.5%), hearing problems (12.7%), and respiratory symptoms (11.5%).</p><p><strong>Conclusions: </strong>Weaving workers face significant occupational risks, particularly from chemical, noise, and dust exposures. Long-term exposure to these hazards may lead to chronic diseases, reducing workers' quality of life. Training and preventive measures are essential to mitigate these risks and improve workplace safety.</p><p><strong>Application to practice: </strong>Implementing targeted interventions, such as enhanced workplace planning, safer technologies, regular maintenance, ergonomic support, and comprehensive training programs, can improve health and safety conditions for weaving workers while boosting productivity and reducing healthcare costs.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799251322198"},"PeriodicalIF":2.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety Leadership Training: Implementation and Effectiveness Evaluation in the Dairy Farm Industry.","authors":"David I Douphrate, Anabel Rodriguez, Pete Kines, Amir Hossein Javid, G Robert Hagevoort, Lisa Pompeii","doi":"10.1177/21650799251319313","DOIUrl":"10.1177/21650799251319313","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based interventions for the prevention of safety incidents at work are most effective when they include a focus on the hierarchy of controls. However, prior studies addressing the effects of safety leadership and safety climate are limited. The determination and adoption of evidence-based interventions specifically in the U.S. Agricultural, Forestry, and Fishing (AgFF) sector can be a challenge, and prior studies have shown a paucity of evidence-based occupational safety and health practices in the AgFF sector.</p><p><strong>Methods: </strong>We enrolled 73 dairy farm supervisors from 27 U.S. farms to participate in a 12-module dairy leadership training program. We employed the Kirkpatrick Model (KM) to evaluate different levels of training effectiveness.</p><p><strong>Findings: </strong>Participant reactions to the program were positive (KM level 1), and evaluation of knowledge gained among participants revealed 90% had learned new safety leadership information (KM level 2) that could be applied in their role as a dairy farm supervisor (KM level 3). Nearly 88% reported favorable experiences during their training participation. Post-training group interviews with supervisors (<i>n</i> = 21) provided information regarding training experiences and constructive feedback regarding opportunities for training improvement. Behavior change evaluation revealed nearly 50% of observed safety hazards on farms were related to livestock handling (21.6%), trips/falls (17.1%), and moving machinery (10.4%). The largest percentage of observed workplace conflicts were verbal (27.8%).</p><p><strong>Conclusions/application to practice: </strong>The application of the Kirkpatrick Model of training evaluation suggests participating dairy farm supervisors had positive experiences with the training program, and acquired safety hazard and workplace conflict identification skills.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799251319313"},"PeriodicalIF":2.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Mindfulness and Social Media Addiction Among Nurses: A Cross-Sectional Study.","authors":"Chunliang Kang, Huan Wang, Jinfang Li, Qiuxiang Zhang, Wenzhao Xie","doi":"10.1177/21650799241282000","DOIUrl":"10.1177/21650799241282000","url":null,"abstract":"<p><strong>Background: </strong>With the increasing use of social media, social media addiction (SMA) has become a pressing issue and is associated with multiple negative outcomes. Lack of mindfulness has been shown to be associated with an increased risk of SMA, yet such an association has never been explored among nurses in China.</p><p><strong>Methods: </strong>From December 4, 2022 to March 14, 2023, a cross-sectional study was conducted in 29 hospitals in Hunan Province, China. A total of 1,141 nurses were recruited and completed the online questionnaires. Mindfulness and SMA were assessed by the Mindful Awareness Attention Scale (MAAS) and Social Networking Service Addiction Scale (SNSAS), respectively. Multivariate linear regression analysis was used to explore the association between mindfulness and SMA, and other influencing factors of SMA.</p><p><strong>Results: </strong>The nurses had an average score of 68.02 ± 11.86 for mindfulness and 46.15 ± 15.09 for SMA. The results of linear regression analysis showed that lower levels of mindfulness (β = -0.06, <i>p</i> < .001), shorter working years (β = -0.21, <i>p</i> = .014), and experiencing more frequent workplace violence (β = 0.21, <i>p</i> =.007) were associated with an increased risk of SMA.</p><p><strong>Conclusions/application to practice: </strong>Our study shows a generally moderate level of SMA among nurses in Hunan Province, which was influenced by mindfulness, working years, and workplace violence. Mindfulness-based interventions may be effective interventions to alleviate nurses' SMA. Special attention should also be paid to nurses with shorter working years and those who experienced workplace violence.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"150-157"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Work Factors, Job Stress, and Self-Rated Health Among Hotel Housekeepers.","authors":"M Esther García-Buades, Maribel Montañez-Juan, Joanna Blahopoulou, Silvia Ortiz-Bonnin, Xènia Chela-Alvarez, Oana Bulilete, Joan Llobera","doi":"10.1177/21650799241282787","DOIUrl":"10.1177/21650799241282787","url":null,"abstract":"<p><strong>Background: </strong>Hotel housekeeping is widely recognized as a poor-quality job due to its high demands and limited resources. Hotel housekeepers (HHs) face both hard physical work and mentally demanding conditions, yet psychosocial factors in this feminized and precarious occupation remain under-researched. To address this gap, this study examines HHs' exposure to psychosocial factors at work and their impact on job stress and self-rated health.</p><p><strong>Methods: </strong>A cross-sectional survey of a random sample of 926 HHs in the Balearic Islands (Spain) assessed job stress, self-rated health, psychosocial factors (job demands and resources), and sociodemographic variables using the Copenhagen Psychosocial Questionnaire II (COPSOQ-II) and the National Health Survey. Descriptive analysis and hierarchical linear regression models were applied.</p><p><strong>Results: </strong>The prevalence of job stress was 61.1% (95% confidence interval [CI] = [57.8%, 64.1%]), while the prevalence of poor self-rated health was 59.9% (95% CI = [56.6%, 62.9%]). Hotel housekeepers were highly exposed to job demands such as intense work pace, job-specific stressors, work-life conflict, and emotional demands; highly available job resources were role clarity, task meaning, and social support. Regression models revealed work pace, work-life conflict, nationality, and weak leader support as key predictors of job stress; and work-life conflict and leadership quality as key predictors of self-rated health.</p><p><strong>Conclusion/application to practice: </strong>Although considered an eminently physical job, psychosocial work factors play a key role in explaining HHs' job stress and self-rated health. Occupational health professionals should design workplace interventions to reduce work pace, mitigate work-life conflict, and enhance resources such as leader support, sense of community, and leadership quality.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"116-130"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Workplace Wellness: A Comprehensive Approach to Sleep Apnea Screening in Onsite Health.","authors":"Selina Kozan, Kathryn Evans Kreider, Anne Derouin","doi":"10.1177/21650799241301082","DOIUrl":"10.1177/21650799241301082","url":null,"abstract":"<p><strong>Background: </strong>This quality improvement project aimed to increase the screening rate for OSA in individuals aged 18 and above with obesity (body mass index [BMI] ≥30).</p><p><strong>Methods: </strong>This quality improvement study occurred from March 2023 to August 2023 using a two-independent pre-implementation post-implementation design. The STOP-Bang Questionnaire (SBQ) was implemented during annual exams, chronic disease management visits, and Department of Transportation (DOT) physicals.</p><p><strong>Findings: </strong>There were 946 patients involved in the study, including 471 in the pre-implementation group and 475 in the post-implementation group. OSA screening increased from 14.1% to 71.6% after implementing the screening protocol in the general population and 26.7% to 90.4% in the commercial driver's license (CDL) holder population. Of the CDL holders screened in the pre-intervention group, 15 (65.2%) were at intermediate to high risk for OSA (SBQ ≥3), and in the post-intervention group, 33 (50%) had an SBQ score of ≥3.</p><p><strong>Conclusions/application to practice: </strong>Standardized OSA screening is crucial because it is common but underdiagnosed. Screening for OSA during DOT exams promotes community safety. Earlier identification of at-risk patients leads to earlier diagnosis and treatment of OSA to prevent long-term complications, reduce healthcare costs, improve patient outcomes, and improve community safety.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"131-138"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Updated Blood Pressure Guidelines: Navigating Workplace Impact.","authors":"Nancy S Shinozuka-Johnson, Shandelon L Garner, Allison R Jones","doi":"10.1177/21650799241288269","DOIUrl":"10.1177/21650799241288269","url":null,"abstract":"","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"158"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transformative Safety Leadership: Evaluating E-Learning Interventions for Behavior Change and Enhanced Workplace Safety Climate.","authors":"Paul Arjanto","doi":"10.1177/21650799251324614","DOIUrl":"https://doi.org/10.1177/21650799251324614","url":null,"abstract":"","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799251324614"},"PeriodicalIF":2.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}