Workplace Health & Safety最新文献

{"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":"Safety Leadership Training Effectiveness Evaluation on Behavior Change Among Large-Herd U.S. Dairy Farm Supervisors.","authors":"David I Douphrate, Anabel Rodriguez, Pete Kines, Amir Hossein Javid","doi":"10.1177/21650799241302817","DOIUrl":"10.1177/21650799241302817","url":null,"abstract":"<p><strong>Background: </strong>Prior research suggests leader-based interventions are considered to have a much stronger influence on worker safety behavior and climate than worker-based interventions. However, no prior research has evaluated training effectiveness of safety-specific leadership skill development for front-line supervisors on dairy farms. A tailored safety leadership training program targeting dairy farm supervisors was developed, delivered, and evaluated for its training effect on the supervisor's safety leadership behavior.</p><p><strong>Methods: </strong>A 12-module safety leadership training program was developed and delivered in an asynchronous format using e-learning methods to 73 dairy farm supervisors, representing 30 farms across five western U.S. states. We employed the Kirkpatrick Model to evaluate different levels of training effectiveness.</p><p><strong>Findings: </strong>Evaluation of knowledge gained among participants revealed significant differences between pre- and post-test scores with medium to very large learning effect sizes across all training modules, particularly with training modules addressing safety culture, workplace conflict, and safety meetings. Safety leadership behavior change evaluation revealed significant pre-post training effects across most training modules, particularly regarding safety dialogue, hazard assessment, safety modeling, and conducting safety meetings.</p><p><strong>Conclusions: </strong>Our findings suggest that safety leadership training can result in essential leadership behavior change among front-line dairy farm supervisors.</p><p><strong>Application to practice: </strong>This study provides many insights into the successful implementation of a safety leadership training program in a challenging industrial sector (rural/remote workplaces, immigrant workforce), as well as training effectiveness evaluation using novel data collection methodology. Additional research is needed on the effectiveness and sustainability of safety leadership training in high-risk industrial sectors such as agriculture.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799241302817"},"PeriodicalIF":2.3,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820029","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}

{"title":"Digital Coaching to Address Health, Wellness, and Burnout Among Healthcare Workers: Pilot Study Results.","authors":"Kelly L'Engle, Evelin Trejo, Anastasia J Coutinho","doi":"10.1177/21650799241291874","DOIUrl":"10.1177/21650799241291874","url":null,"abstract":"<p><strong>Background: </strong>Healthcare worker (HCW) well-being is essential for safe, high-quality patient care, but clinicians and front-line staff continue to experience alarming rates of burnout. This pilot study evaluated a novel 6-week program of remote wellness coaching supported by daily digital messaging to reduce burnout and increase well-being among HCWs.</p><p><strong>Methods: </strong>In spring 2023, staff from a large community health center in California were invited to participate in this single-group pretest-posttest study in an academic-practice partnership. Thirty-four participants who were mostly female (91%), Latina (77%), 36 years old on average (range = 20-61), and represented all major job categories provided informed consent and completed the baseline survey. Of these, 17 completed 6 weekly 20-minute coaching sessions; received daily messages about stress management, self-care, workplace well-being, social connections, and lifestyle and health behaviors, and completed follow-up data collection. The Wilcoxon matched pair signed-rank tests assessed changes from baseline to 2-months follow-up.</p><p><strong>Results: </strong>Self-reported burnout decreased from 59% at baseline to 35% at follow-up. Work exhaustion (<i>p</i> < .05), stress (<i>p</i> < .05) and sleep problems (<i>p</i> < .01) reduced significantly, and wellness practices (<i>p</i> < .05), moderate physical activity (<i>p</i> < .01), and healthy daily eating (<i>p</i> < .05) improved.</p><p><strong>Conclusions/applications to practice: </strong>Our pilot study suggests that a brief digital wellness program may address burnout and increase health and well-being among front-line staff and clinicians. Healthcare settings should consider this type of program for their workers, especially given the added burden of COVID-19 on the healthcare system.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799241291874"},"PeriodicalIF":2.3,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741078","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 Impact of Post-Traumatic Stress Disorder Symptoms on Depressive Symptoms and Health-Promoting Behaviors Among Korean Coast Guards: The Mediating Role of Social Support.","authors":"Hyung-Eun Seo, Mijung Yeom, Hye-Jin Kim","doi":"10.1177/21650799241288878","DOIUrl":"https://doi.org/10.1177/21650799241288878","url":null,"abstract":"<p><strong>Background: </strong>Post-traumatic stress disorder (PTSD) can result in severe depression. Yet, it is not clear how to improve health-promoting behavior and reduce depressive symptoms. This study aimed to examine whether social support mediates the link between PTSD, depression, and health-promoting behaviors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 308 Korean Coast Guards in Gangwon-do, South Korea, in October and November 2020. The variables of PTSD and depressive symptoms were assessed using the Korean versions of the Impact of Event Scale-Revised and the Center for Epidemiologic Studies Depressive Scale-Revised. Health-promoting behaviors and social support were assessed using the Health-Promoting Lifestyle Profile-II and the Korean version of the Personal Resource Questionnaire 85-Part 2. Multiple regression analysis and Sobel tests were performed.</p><p><strong>Findings: </strong>Higher levels of PTSD symptoms and lower levels of social support were significantly associated with higher levels of depressive symptoms. Social support had a significant partial mediating effect on the association between PTSD and depressive symptoms. In addition, lower levels of PTSD symptoms and higher levels of social support were significantly associated with higher levels of health-promoting behaviors. Social support has a full mediating effect on the association between PTSD symptoms and health-promoting behaviors.</p><p><strong>Conclusions/application to practice: </strong>Our findings indicate that social support may mediate the association between PTSD symptoms and health outcomes. Occupational health nurses can use these findings to proactively develop interventions which improve social support for coast guard workers who are at risk of developing PTSD due to exposure to traumatic events on their job.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799241288878"},"PeriodicalIF":2.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717362","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":"Understanding the Experience of Workplace Violence in Hospitals as Documented by Nursing Staff: Using the READ Approach.","authors":"Scott Brunero, Emine Tetik, Nikita Donnelly, Scott Lamont PhD","doi":"10.1177/21650799241282343","DOIUrl":"10.1177/21650799241282343","url":null,"abstract":"<p><p><i>Background:</i> Workplace violence has a significant impact on patients, families, and staff safety. Workplace violence can produce traumatic results for those involved; the importance of preventive measures needs to be paramount in health service policy and process. Health care staff are required to document their experiences of violent incidents after every occasion, usually via an incident reporting system, which allows for a free text description of the event. There is a lack of understanding of how health care staff document reports of violence and how they explain the events. <i>Methods</i>: This study aims to determine the circumstances surrounding workplace violent events as documented by health care staff. The four-step Review, Extract, Analyze, and Document (READ) approach to document analysis was used to examine workplace violence incident reports over 12 months (September 2021-September 2022) in a tertiary referral hospital. <i>Findings</i>: Six categories of workplace violence were found: (a) \"Escalation Dynamics\"-patterns and progression of how violence incidents intensify; (b) \"Warning Behaviors\"-verbal or non-verbal signals that may foreshadow physical violence if not addressed; (c) \"Authoritative Institutional Interventions\"-how aggression correlates to protocols involving security personnel or law enforcement; (d) \"Care Delivery Methods\"-how certain treatment procedures and approaches might inadvertently elicit violence; (e) \"Situational Stressors\"-external circumstances or changes that act as triggers for violence; and (f) \"Unprovoked triggers\"-sudden and seemingly unprovoked violent outbursts. <i>Conclusions and application to practice</i>: Workplace violence in health care is a multifaceted interplay of events with the nurse involved in all aspects of the process. These findings can be used by occupational health nurses in education and policy development. The findings can be used to focus education on how violent incidents may escalate and provide more opportunities for de-escalation by health care staff.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"21650799241282343"},"PeriodicalIF":2.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631126","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}