Workplace Health & Safety最新文献

{"title":"Protecting America's Farmers From the Bird Flu, H5N1.","authors":"Hannah Rumsey","doi":"10.1177/21650799241282685","DOIUrl":"10.1177/21650799241282685","url":null,"abstract":"","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"47"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478565","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":"Staff Safety Alert Banner Program Against Workplace Violence at an Urban American Hospital.","authors":"Crystal Li, Stephanie Bentley, Mangla S Gulati, Kristie Snedeker, Madeline R Marks","doi":"10.1177/21650799241280667","DOIUrl":"10.1177/21650799241280667","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence (WPV) in healthcare has become an issue worldwide, with increasing prevalence after the COVID-19 pandemic. Notably, WPV in any setting has individual and systemic repercussions. However, despite extensive literature reporting the prevalence of WPV in healthcare worldwide, effective, standardized prevention policies have not been established. We developed and piloted a WPV initiative at an urban hospital in the state of Maryland. Here, we aim to describe our program development methods and implementation.</p><p><strong>Methods: </strong>The 6-month program utilized a reporting tool developed within patients' electronic medical records (EMRs) to request the display of a Staff Safety Alert (SSA) banner to alert healthcare professionals of patients who engaged in violent behavior and are at increased risk of subsequent behavior. This tool was piloted on 21 patient care units. A review committee either approved or denied case requests filed by frontline workers, with holistic consideration involving patient status, potential biases, and communication flaws.</p><p><strong>Results: </strong>Twenty-one banner requests were filed during the course of the pilot. Of which, eight were approved, and 13 were denied. The multi-trauma intermediate care floor filed the most case requests for a safety banner.</p><p><strong>Conclusions/application to practice: </strong>Our pilot program offers a patient-centered intervention program where extensive personnel training and patient-focused considerations were applied prior to the approval or denial of a banner display. The SSA program was the initial step in institutionally combatting WPV in healthcare as staff are encouraged to officially document unsafe events followed by careful action in response.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"38-46"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378450","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":"Improving Access and Timeliness of Employee Annual Exams.","authors":"Katie E Davis, Carrie E Huntsman-Jones, Lyndsay Wixom, Joshua Dean Twitchell, Jennifer Clifton, Morgan West","doi":"10.1177/21650799241277935","DOIUrl":"10.1177/21650799241277935","url":null,"abstract":"<p><strong>Background: </strong>Access to preventive healthcare improves health outcomes and reduces risk of chronic disease. Annual examinations were integrated into an underutilized clinic at the University of Utah to improve access to preventive care.</p><p><strong>Methods: </strong>Nurse practitioners conducted these examinations, which included history, physical examination, age-based screenings, and immunizations. The service was part of a wellness program offering health premium discounts for participants. With employee permission, visit documentation was shared with primary care providers (PCPs) or used to help establish a PCP. Human <b>resources</b> received monthly reports of participating employees identification numbers, validating participation in order to receive premium discount.</p><p><strong>Results: </strong>In 2023, 373 examinations were performed, including 719 preventive services and screenings, with 143 referrals for specialty and primary care. Patient satisfaction remained high throughout implementation.</p><p><strong>Conclusion/application to practice: </strong>This initiative effectively increased access to preventive care for employees, demonstrating the feasibility of offering annual examinations in worksite clinics. The program addresses common barriers to preventive care such as long wait times, PCP shortages, and travel time to appointments.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"33-37"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631123","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":"Multicomponent Workplace Tobacco Cessation Interventions: A Scoping Review.","authors":"Courtney Baay, Geneviève Jessiman-Perreault, Ann M Toohey, Lisa K Allen Scott","doi":"10.1177/21650799241282757","DOIUrl":"10.1177/21650799241282757","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco is the leading modifiable risk factor for cancer and other chronic diseases. The workplace provides an opportunity to advance tobacco cessation efforts. Combining tobacco cessation with complementary components addressing mental health, physical activity, and healthy eating has demonstrated effectiveness in non-workplace settings. This scoping review examines the literature on multicomponent workplace tobacco cessation interventions to identify core components and implementation facilitators and barriers to support uptake in the workplace setting.</p><p><strong>Methods: </strong>A scoping review was conducted following PRISMA guidelines for Scoping Reviews and Arksey and O'Malley's five-step process. Peer-reviewed literature published in the past 20 years was searched across 9 databases. A search for relevant gray literature (i.e., conference papers/proceedings) was also completed. Articles were screened by two independent researchers for inclusion. Included studies evaluated workplace interventions recruiting individuals to participate in a tobacco cessation program alongside a complementary component (i.e., physical activity, mental health, healthy eating).</p><p><strong>Results: </strong>Most of the 12 included studies paired tobacco cessation with mental health or stress reduction interventions. Most complementary components targeted the individual versus organizational or policy levels. The synthesized facilitators indicated that multicomponent interventions should be incentivized and tailored to adequately meet the needs of different workplaces and employees.</p><p><strong>Discussion: </strong>This scoping review synthesizes studies integrating multiple complementary program components into workplace tobacco cessation efforts. Future interventions should implement tobacco cessation interventions at multiple levels, combining complementary components to maximize effectiveness and overcome barriers (e.g., weight gain and stress) to successful outcomes.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":"73 1","pages":"4-20"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781673","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":"E-Cigarette and Vaping Perspectives: Recommendations for Occupational Health Nurses.","authors":"Sheila A Quinn, Kim Olszewski, Debra M Wolf","doi":"10.1177/21650799241279991","DOIUrl":"10.1177/21650799241279991","url":null,"abstract":"<p><strong>Background: </strong>Statistics from the Centers for Disease Control indicate that the use of e-cigarettes, vaping, and other electronic nicotine delivery systems (ENDS) are increasing although data on their safety is limited. While most employers ban smoking in the workplace, tobacco-free policies do not always extend specifically to e-cigarette products.</p><p><strong>Methods: </strong>An IRB approved exploratory, cross-sectional study was conducted to investigate occupational health professionals' (OHPs) knowledge of e-cigarettes, vaping and ENDS and the ability to create change in tobacco-free workplace policies. A 91-item electronic survey was sent via email to 3248 OHPs who were members of the American Association of Occupational Health Nurses.</p><p><strong>Findings: </strong>A total of 299 surveys were returned, but only 230 completed the entire survey. Of those who completed the entire survey, those with advanced education had higher attitude toward change summary scores (<i>p</i> = .043) and those with lower years of practicing had low scores for transformational leadership (<i>p</i> = .039). Approximately 40% of individuals did not have or were unsure that a tobacco-free program was in place that included e-cigarettes, but the majority (90%) perceived their organizational leaders as interested in safety changes.</p><p><strong>Conclusions: </strong>The majority of respondents understood the health issues inherent in e-cigarettes, were open to implementing policies that included e-cigarettes but needed education and both managerial and employee support to implement policy changes.</p><p><strong>Application to practice: </strong>OHPs are well positioned to be advocates for workplace education, policy development, and worker health promotion for smoking and vaping cessation by leading organizational change.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"22-32"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378449","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 Health Injuries and Illness Among Women Workers in the Chemical Industry: A Scoping Review.","authors":"Rocío Romero-Serrano, Carmen Arnaiz, Dolores Torres-Enamorado, Inmaculada Lancharro-Tavero, Almudena Arroyo-Rodríguez","doi":"10.1177/21650799241302501","DOIUrl":"https://doi.org/10.1177/21650799241302501","url":null,"abstract":"<p><strong>Background: </strong>The number of women in the chemical industry has recently increased due to more women pursuing science careers. It is necessary, therefore, to analyze the emerging health risks for female workers in the chemical industry. This study examines the relationship between occupational health and sex/gender in the chemical industry, with a gender perspective.</p><p><strong>Methods: </strong>We present a scoping review (<i>n</i> = 97). After removing duplicates and applying eligibility criteria, we selected 27 articles published in the last decade that explored the industry's occupational risks.</p><p><strong>Findings: </strong>Most of the papers include predominantly male samples and describe adult populations, mainly from developed countries. The studies focus on various employment contexts of chemical industries. We identified health risks in oncology, dermatology, and the respiratory system, among others. We found that particular emphasis was given to the relationship between occupational exposure and cancer, especially breast cancer. Furthermore, we observed sex/gender differences in the prevalence of respiratory and dermatological disorders. These results highlight the need to consider specific sex/gender-based health risk factors in the chemical industry.</p><p><strong>Conclusions/application to practice: </strong>The chemical industry is considered a crucial health determinant, however, the studies focused on sex/gender-based differences without considering gender-specific physiology and work circumstances. Although some studies do mention sex/gender disparities, such as occupational rhinitis, which is more frequent in women, studies are scarce. The absence of a segregated analysis with a gender perspective could lead to the ignorance of emerging health risks for female workers, highlighting the urgent need to include a gender perspective in future research.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799241302501"},"PeriodicalIF":2.3,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878622","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":"Clinical Evaluation and Assessment of Shoulder Pain by Occupational Health Nurses for Delivery Drivers.","authors":"George L Panzak","doi":"10.1177/21650799241295359","DOIUrl":"https://doi.org/10.1177/21650799241295359","url":null,"abstract":"","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799241295359"},"PeriodicalIF":2.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807933","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":"Reliability of Wearable Technology to Monitor Core Temperature Among Helicopter-Based EMS Crews.","authors":"Michael Callihan, Heather Cole, Amanda Callihan, Elizabeth Penn, Lauren Peek, Mahalia Barrow, Claudiu Lungu, Emmanuel Atuahene Odame, Jonghwa Oh, Holly Stokley, Jeffrey Wickliffe, Lee Winchester","doi":"10.1177/21650799241271139","DOIUrl":"10.1177/21650799241271139","url":null,"abstract":"<p><strong>Background: </strong>Excessive heat stress led to more than 400 deaths in the United States from 2011 to 2021. Common methods for heat injury prevention revolve around measurements of the environment and fail to account for the unique individual response to stressors.</p><p><strong>Methods: </strong>An observational approach was utilized with nine helicopter-based emergency medical services personnel during emergency flights to compare core temperature readings obtained from an ingestible temperature monitoring pill and the estimated core temperature reading of the Slate Safety Band V2 wearable device. Comparison of data was conducted within Microsoft Excel programming to determine the mean square error (MSE), root mean square error (RMSE), mean absolute error (MAE), mean biased error (MBE), and Bland-Altman plot development.</p><p><strong>Findings: </strong>A significant bias (<i>t</i> = 17.58, <i>p</i> < .001) toward the Slate Safety device reading higher with an average difference of -0.48°C (-0.86°F) was found, meaning the average temperature reading is 0.48°C (-0.86°F) higher with the Slate Safety device. A significant correlation of .26 (<i>p</i> < .001) was noted between the ingestible pill and the wearable device with a 95% confidence interval of 0.23 to 0.29. Aggregate core temperature data demonstrated an MSE of 0.43, an RMSE of 0.65, an MAE of 0.54, and an MBE of -0.48.</p><p><strong>Conclusions/application to practice: </strong>The ability to monitor the physiological parameters of a worker remotely adds safety tools relative to the risks of heat stress. The slightly higher reading associated with the Slate Safety wearable device provides an added safety margin to protect our workers.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"520-527"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113867","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":"Wipe Disinfection of Reusable Elastomeric Half-Mask Respirators for Health Care Use.","authors":"Kimberly Erukunuakpor, Karen Emily Nielsen, Morgan A Lane, Adam Hornbeck, Caitlin McClain, Rohan Fernando, Margaret Sietsema, Colleen S Kraft, Lisa M Casanova","doi":"10.1177/21650799241273972","DOIUrl":"10.1177/21650799241273972","url":null,"abstract":"<p><strong>Background: </strong>During shortages, elastomeric half-mask respirators (EHMRs) are an alternative to reusing N95 filtering facepiece respirators but require between-use disinfection. The objectives of this study were to (a) measure microbial reductions on EHMR surfaces under laboratory conditions by a standardized procedure using wipes impregnated with health care disinfectants and to (b) measure microbial reductions on EHMRs disinfected by volunteer health care providers.</p><p><strong>Method: </strong>We inoculated EHMR (Honeywell model RU8500) surfaces with <i>Pseudomonas aeruginosa, Bacillus atrophaeus</i> spores, and bacteriophages MS2 and Φ6, and disinfected them using two wipes with hydrogen peroxide (HP), alcohols, and quaternary ammonium compounds (QACs). Then, we randomized 54 volunteer subjects into three groups (Group 1: two wipes with instructions, Group 2: five wipes with instructions, Group 3: no instructions or set number of wipes) and used 0.5% HP wipes without precleaning on EHMRs inoculated with <i>Raoultella terrigena</i> and MS2.</p><p><strong>Findings: </strong>The laboratory study demonstrated that all organisms achieved at least 4 log₁₀ median reductions (HP>QAC/alcohol>QAC>QAC/saline). <i>Pseudomonas</i> was highly susceptible to HP and QAC/alcohol and Φ6 to all disinfectants. MS2 reduction was highest using HP and lowest using QAC/saline. <i>Bacillus</i> was least susceptible. The volunteer study showed a 3 to 4 log₁₀ average reductions of bacteria and virus; <i>Raoultella</i> reductions were greater than MS2, with variability within and between subjects. <i>Conclusions</i>: HP disinfectant wipes used in laboratory and by volunteers reduce bacteria and viruses on EHMRs by 3 to 4 log₁₀ on average.</p><p><strong>Implications for practice: </strong>Commercially available hospital disinfectant wipes reduce bacteria and viruses on EHMRs and can fill the need for between-use disinfection. HP and combination QAC/alcohol have the greatest efficacy under our test conditions.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"550-558"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378451","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":"Lower Back Injury in Factory Workers.","authors":"Petrit Hila, Marie-Anne Sanon Rosemberg","doi":"10.1177/21650799241292367","DOIUrl":"https://doi.org/10.1177/21650799241292367","url":null,"abstract":"","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799241292367"},"PeriodicalIF":2.3,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741080","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}