Workplace Health & Safety最新文献

{"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}

{"title":"Impact of Pesticide Training on Safety Climate Perception Among French Cereal Farmers.","authors":"Sonia Grimbuhler, Théo Werlen, Jean-François Viel","doi":"10.1177/21650799241264318","DOIUrl":"10.1177/21650799241264318","url":null,"abstract":"<p><p><i>Background:</i> The training of farmers in pesticide safety is of prime importance for reducing pesticide use and exposure through the implementation of sustainable management practices. This study aimed to assess the impact of compulsory training on the knowledge and perceptions of cereal farmers, with the help of a safety climate scale. <i>Method</i>: We approached cereal farmers throughout France during compulsory training and certification procedures for pesticide-related activities. Trainees were asked to complete a safety climate questionnaire at the start and end of the course. In total, 733 cereal farm managers or workers completed the questionnaire at the start of the study, 131 of whom declined to complete the questionnaire at the end of the training session, leaving 602 subjects available for pre-training/post-training comparisons. Statistical analyses were based on paired <i>t</i>-tests and mixed models for repeated measures. <i>Findings</i>: The mean safety climate score increased from 82.37 to 88.22 after the training course (7.1 %, <i>p < .001</i>) in both univariate and multivariate analyses. Mean increases were also found for each of its seven dimensions (<i>p < .001</i>), ranging from 2.8% for \"rules and best practices\" to 12.4% for \"communication and feedback.\" Few covariate-by-time interactions were found to be significant. <i>Conclusion/Application to Practice</i>: This study demonstrates that pesticide training is highly effective in increasing safety climate perception among cereal farmers and provides hints for improving the design of educational programs. Promoting the development and facilitation of lifelong learning with continuously updated training programs should be a top priority for minimizing pesticide exposure.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"483-490"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074315","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":"Short Mindfulness Meditations During Breaks and After Work in Everyday Nursing Care: A Simple Strategy for Promoting Daily Recovery, Mood, and Attention?","authors":"Elisabeth M Riedl, Johanna Perzl, Kathrin Wimmer, Janusz Surzykiewicz, Joachim Thomas","doi":"10.1177/21650799241262814","DOIUrl":"10.1177/21650799241262814","url":null,"abstract":"<p><strong>Background: </strong>Nurses experience high job demands, which makes recovery particularly necessary to maintain well-being and performance. However, these demands also make recovery challenging. Short mindfulness meditations could potentially help alleviate this paradox.</p><p><strong>Methods: </strong>Two ecological momentary intervention studies were conducted among geriatric nurses (Study 1: break study) and hospital nurses (Study 2: after-work study) to investigate whether short audio-guided mindfulness meditations are beneficial for recovery during breaks and psychological detachment after work. Furthermore, break recovery and after-work detachment were examined as mediators of the associations between mindfulness meditations and after-break/after-sleep mood and attention after respective recovery periods. Multilevel path models were based on a sample of 38 nurses and 208 after-break surveys in the break study and 26 nurses and 192 after-sleep surveys in the after-work study.</p><p><strong>Results: </strong>Compared to breaks spent as usual, breaks that incorporated short mindfulness meditations were associated with higher break recovery, which mediated the positive associations between mindful breaks and after-break calmness, valence, and energetic arousal. Only with certain constraints did mindfulness meditations predict a lower rate of attention failures. In the after-work study, short mindfulness meditations were positively related to psychological detachment, which mediated the positive associations between the intervention and after-sleep valence and calmness.</p><p><strong>Conclusion/application to practice: </strong>Both pilot studies showed that short mindfulness meditations aid in recovery among nurses. However, to fully utilize the advantages of recovery-promoting breaks, structural changes are necessary to ensure that breaks of an appropriate duration are consistently implemented.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"491-502"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11488113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082329","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":"Development of a New Tool to Combine the Promotion of Patient Mobility With Safe Patient Handling Equipment: The Johns Hopkins Safe Patient Handling Mobility (JH-SPHM) Guide.","authors":"Sowmya Kumble, Kevin H McLaughlin, Karli Funk, Steven Dekany, Daniel Ludwig, Holley Farley, Anita M Stone, Nozomi Tahara, Erica Newkirk, Erik Hoyer, Daniel L Young","doi":"10.1177/21650799241268745","DOIUrl":"10.1177/21650799241268745","url":null,"abstract":"<p><strong>Background: </strong>Promoting safe patient mobility for providers and patients is a safety priority in the hospital setting. Safe patient handling equipment aids safe mobility but can also deter active movement by the patient if used inappropriately. Nurses need guidance to choose equipment that ensures their safety and that of the patients while promoting active mobility and preventing workplace-related injury.</p><p><strong>Methods: </strong>Using a modified Delphi approach with a diverse group of experts, we created the Johns Hopkins Safe Patient Handling Mobility (JH-SPHM) Guide. This diverse group of 10 experts consisted of nurses, nurse leaders, physical and occupational therapists, safe patient handling committee representatives, and a fall prevention committee leader. The application of the tool was then tested in the hospital environment by two physical therapists.</p><p><strong>Findings: </strong>Consensus was reached for safe patient handling (SPH) equipment recommendations at each level of the Johns Hopkins Mobility Goal Calculator (JH-Mobility Goal Calculator). Expert SPH equipment recommendations were then added to JH-Mobility Goal Calculator levels to create the JH-Safe Patient Handling Mobility Guide. JH-Safe Patient Handling Mobility Guide equipment suggestions were compared with equipment recommendations from physical therapists revealing strong agreement (<i>n</i> = 125, 88%).</p><p><strong>Conclusion: </strong>The newly created JH-Safe Patient Handling Mobility Guide provides appropriate safe patient-handling equipment recommendations to help accomplish patients' daily mobility goals.</p><p><strong>Applications to practice: </strong>The Johns Hopkins Safe Patient Handling Mobility Guide simultaneously facilitates patient mobility and optimizes safety for nursing staff through recommendations for safe patient handling equipment for use with hospitalized patients.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"503-513"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019217","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":"Simulation Integration With Total Worker Health.","authors":"Benjamin McManus, Katherine B Redden, Marjorie L White","doi":"10.1177/21650799241271099","DOIUrl":"10.1177/21650799241271099","url":null,"abstract":"","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"514"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082330","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":"Online Mindfulness-Based Interventions for Healthcare Professionals: A Scoping Review.","authors":"Gumhee Baek, Chiyoung Cha, Miran Lee, Aram Cho","doi":"10.1177/21650799241254554","DOIUrl":"10.1177/21650799241254554","url":null,"abstract":"<p><strong>Background: </strong>Healthcare professionals work in challenging environments with extended working hours and excessive workloads to provide high-quality care. However, they hardly get the time to care for themselves. Online mindfulness-based interventions-which are not restricted by time or location-can be a powerful strategy to help healthcare professionals.</p><p><strong>Objectives: </strong>This scoping review aims to explore the current evidence about online mindfulness-based interventions for healthcare professionals.</p><p><strong>Design: </strong>A scoping review was conducted.</p><p><strong>Methods: </strong>A literature search was conducted to retrieve articles published between October 2016 and March 2023 in seven databases, including backward and forward citation tracking from the included articles. Among 1,278 articles retrieved, 33 met the criteria for review.</p><p><strong>Results: </strong>Two-thirds of the studies utilized commercialized mindfulness programs (<i>n</i> = 22). Duration of the mindfulness interventions varied from 1 week to 4 months, and half of the studies used audio-guided programs. Online mindfulness-based intervention studies were targeted to reduce burnout (<i>n</i> = 26), and the majority reported reduction in burnout (<i>n</i> = 18).</p><p><strong>Conclusion: </strong>Most studies used individual audio-guided programs that warrant the use of diverse delivery methods such as video media, simulation, and virtual reality for interactions in the future. Although the literature has accumulated evidence for commercialized online mindfulness-based interventions, further studies are needed to develop and test tailored interventions for healthcare professionals.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"460-482"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113866","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":"Impact of COVID-19 on Healthcare Professionals at a Midwestern Quaternary Academic Urban Health Center.","authors":"Jennifer A Sledge, Donna Prentice, Cassandra Arroyo","doi":"10.1177/21650799241260604","DOIUrl":"10.1177/21650799241260604","url":null,"abstract":"<p><strong>Background: </strong>Prior pandemic research has focused on physicians and nurses who provide direct patient care. Literature on the experiences of nonnurse/physician clinicians and nonclinical health care professionals is sparse.</p><p><strong>Methods: </strong>An observational, cross-sectional study was conducted over threetime points to examine the impact of COVID-19 on clinical and nonclinical healthcare professionals (<i>n</i> = 464).</p><p><strong>Findings: </strong>There were no significant differences in distress across survey waves, except for anger (<i>p</i> = .046). No significant differences in distress scores were found between job types. Multiple linear regression results varied. Both the threat and interrupted plans scores were significant predictors of distress. Resources available to healthcare providers (HCPs) were underutilized in all three waves.</p><p><strong>Conclusions: </strong>Healthcare professionals' distress increases with exposure. Integrating self-care resources for staff may mitigate the impact and maintain a healthy work environment.</p><p><strong>Application to practice: </strong>Occupational health providers should incorporate these findings when developing opportunities to address the needs of health care professionals in the workplace.</p>","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":" ","pages":"439-452"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793873","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":"CE Module: Respiratory Symptoms and Psychological Distress in Farmers Living With Chronic Obstructive Pulmonary Disease.","authors":"Louise O'Keefe","doi":"10.1177/21650799241284064","DOIUrl":"https://doi.org/10.1177/21650799241284064","url":null,"abstract":"","PeriodicalId":48968,"journal":{"name":"Workplace Health & Safety","volume":"72 10","pages":"420"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330590","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}