Occupational Medicine-Oxford最新文献_第10页

False-positive HIV screening test in a healthcare student. 一名医学生的艾滋病毒筛查测试呈假阳性。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2024-05-09 DOI: 10.1093/occmed/kqae015

J Quigley, T Hussain, C Arthur

引用次数: 0

Psychological support during a pandemic: an intervention for hospital teams. 疫情期间的心理支持：对医院团队的干预。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-05-09 DOI: 10.1093/occmed/kqad107

L M Quarmby, M Hotton, S Jenner, J Kalthoff, E Patterson, A Scholcz, E Springham

{"title":"Psychological support during a pandemic: an intervention for hospital teams.","authors":"L M Quarmby, M Hotton, S Jenner, J Kalthoff, E Patterson, A Scholcz, E Springham","doi":"10.1093/occmed/kqad107","DOIUrl":"10.1093/occmed/kqad107","url":null,"abstract":"Background: The COVID-19 pandemic placed unprecedented stress on healthcare professionals and resulted in teams being scattered by shielding, working from home and redeployment. The Recovery, Readjustment and Reintegration programme (R3P) was implemented and evaluated in an acute NHS hospital Trust with the aim of supporting those staff involved.Aims: To explore the impact of offering themed reflective sessions to staff in an acute hospital and to disseminate this learning for application in other settings and future pandemics.Methods: During the initial recovery phase of the pandemic, all Trust staff were invited to attend an R3P where themed discussions were facilitated by psychologists. Feedback was requested pre- and post-session, and a mixed-methods design was followed to gain quantitative and qualitative information.Results: A total of 430 staff members attended an R3P between April 2021 and January 2022. A significant majority found attendance helpful and agreed that it had provided them with the opportunity to reflect on their own and their teams' experience of pandemic working and led them to feel more supported by their organization.Conclusions: Finding meaning in experiences through facilitated reflective discussion can help limit the negative psychological impact of working in an acute hospital during a pandemic. Staff are likely to benefit from such opportunities in any future pandemic recovery phase.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"208-210"},"PeriodicalIF":5.1,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523402","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}

引用次数: 0

Survey to assess the feasibility of establishing an international network for evidence synthesis in occupational safety and health. 开展调查，评估建立国际职业安全与健康证据综合网络的可行性。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqad148

D M McElvenny, J Verbeek, D Gagliardi, C Tikka, J L Hoving

{"title":"Survey to assess the feasibility of establishing an international network for evidence synthesis in occupational safety and health.","authors":"D M McElvenny, J Verbeek, D Gagliardi, C Tikka, J L Hoving","doi":"10.1093/occmed/kqad148","DOIUrl":"10.1093/occmed/kqad148","url":null,"abstract":"Background: Evidence synthesis in the field of occupational safety and health (OSH) has been continuously growing over the last two decades. With over 100 systematic reviews now published, the Cochrane Work Review group has played an important role in this development and the Cochrane Thematic Group 'Work & Health & Social Security' was established recently to combine evidence from both the OSH and insurance medicine fields. Worldwide, many organizations produce and synthesize evidence in OSH that can complement and support each other. We believe that a global network including Cochrane and others can collaborate on methods development and in the production, synthesis, use and dissemination of different types of evidence even more effectively.Aims: To determine if establishing a global network for evidence synthesis in OSH is feasible.Methods: We conducted a survey of international and national institutions between November 2022 and January 2023 using LimeSurvey. Participants included representatives of affiliated and sustaining members of the International Commission on Occupational Health, national institutes for OSH, academia and other international organizations.Results: From 151 invitations, we received responses from 57 representatives of 54 organizations. Representatives reported that their organization will contribute financially on an annual basis (n = 1) or provide in-kind support (n = 10), and will probably be able to provide financial or in-kind support (n = 25).Conclusions: The feasibility criterion was met and an international network is being established.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"146-151"},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900859","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}

引用次数: 0

Occupational Health Services in policing: identifying the psychological burden to OHS team members. 警务工作中的职业健康服务：确定职业健康和安全小组成员的心理负担。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae011

N Tehrani

{"title":"Occupational Health Services in policing: identifying the psychological burden to OHS team members.","authors":"N Tehrani","doi":"10.1093/occmed/kqae011","DOIUrl":"10.1093/occmed/kqae011","url":null,"abstract":"Background: Occupational Health Services (OHS) workers in the police are exposed to stressful and pressurized environments where they try to help employees deal with serious physical and mental health conditions.Aims: This study used psychological surveillance to identify the level of mental health conditions within each of the police OHS (POHS) roles and to identify whether it was possible to identify the main hazards and resilience factors related to these conditions.Methods: Data on mental health conditions (anxiety, depression, post-traumatic stress disorder [PTSD] and secondary trauma) were gathered with questionnaires measuring lifestyle, coping skills, workability and illness behaviour. Personal information and average symptoms, hazards, and resilience factors were measured and compared between the POHS groups. Stepwise linear regression was used to identify the variable that explained the symptoms' level.Results: Data were gathered from 251 POHS team members working in multidisciplinary services, including OH physicians, psychologists, advisors, nurses, technicians, well-being and administrators. The results showed that POHS teams are experiencing levels of symptoms significantly higher than those found in the general population and that OH counsellors had lower levels of symptoms and sickness absence than their colleagues. The stepwise regression identified managing workloads to be associated with lower symptom levels.Conclusions: The findings illustrated the importance of a manageable workload, a stable, resilient personality and a positive attitude towards work. Using coping skills, including physical fitness, social support, involvement and getting enough sleep is associated with lower anxiety, depression, PTSD and secondary trauma symptoms.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"193-197"},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934269","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}

引用次数: 0

Help-seeking intentions of UK construction workers: a cross-sectional study. 英国建筑工人的求助意向：横断面研究。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae007

M Duncan, D Bansal, E Cooke

{"title":"Help-seeking intentions of UK construction workers: a cross-sectional study.","authors":"M Duncan, D Bansal, E Cooke","doi":"10.1093/occmed/kqae007","DOIUrl":"10.1093/occmed/kqae007","url":null,"abstract":"Background: In response to the high rates of poor mental health in the construction industry, numerous workplace interventions have been designed to address the known and suspected risk factors to employee mental health and well-being. A key challenge of these strategies is low engagement in support services.Aims: The goals of this research were to investigate the help-seeking intentions of employees in the construction industry, explore levels of mental well-being in this population and provide insight into employee engagement with mental health support strategies.Methods: Employees from two UK construction companies completed an online cross-sectional questionnaire (n = 119), designed to measure help-seeking intentions, levels of mental well-being and worker attitudes towards workplace mental health support strategies.Results: One-third of the sample reported experiencing an episode of mental health difficulties in the past 6 months. Employees reported a greater preference for seeking support from informal versus formal help sources. Participants were most likely to seek help from a partner and least likely to seek help from a Mental Health First Aider/ Champion. The study also showed some association between help-seeking intention and age of employees.Conclusions: Given the poor levels of mental well-being in this population, it is essential that adequate workplace support is provided. Whilst formal help sources are important for this population, our study highlights the potential benefits of informal help sources to support employees. Future interventions may therefore wish to consider developing tailored, informal workplace support networks and programmes.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"172-177"},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698856","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}

引用次数: 0

Culture of presenteeism: emergent perspectives from an NHS-workforce convenience sample. 旷工文化：来自英国国家医疗服务系统劳动力便利样本的新观点。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae006

Z Marciniak-Nuqui, M L Cabling, R J Romanelli

{"title":"Culture of presenteeism: emergent perspectives from an NHS-workforce convenience sample.","authors":"Z Marciniak-Nuqui, M L Cabling, R J Romanelli","doi":"10.1093/occmed/kqae006","DOIUrl":"10.1093/occmed/kqae006","url":null,"abstract":"Background: The United Kingdom's National Health Service (NHS) has been under strain for more than a decade, which has been exacerbated by the 2019 coronavirus disease (COVID-19) pandemic. According to NHS staff, this is felt especially during the winter (also called 'winter pressure'), when both absenteeism and presenteeism rates are high in the healthcare workforce.Aims: To understand the culture of presenteeism amongst NHS staff, focusing specifically on how presenteeism both persisted and changed during the COVID-19 pandemic and during periods of annual winter pressure.Methods: Data for this study were derived from 20 in-depth interviews conducted with NHS staff, drawn from a convenience sample of primary- and secondary-care services. Interviews were guided by a semi-structured interview protocol.Results: This study contributes to an understanding of presenteeism by describing the ways in which the practice both changed and, in some ways, stayed the same during COVID-19 self-isolation regulations, with remote work arrangements enabling some healthcare workers to continue working even when unwell. Despite this, isolation guidelines threw into stark relief NHS workers' deeply held beliefs about duty, service, and commitment to the wider healthcare system, while exposing their experiences and perceptions of profound systemic challenges and a lack of wider support to carry out their work.Conclusions: The emergent findings from this study suggest that the culture of presenteeism is linked to wider NHS staff's identification with the institutional goals of the NHS, resulting in their motivation to continue working, even if remotely; yet, the consequences are not fully understood.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"167-171"},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698854","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}

引用次数: 0

Impacts of workplace verbal aggression classified via text mining on workers' mental health. 通过文本挖掘分类的工作场所语言攻击对工人心理健康的影响。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae009

Y Nishimura, S Matsumoto, T Sasaki, T Kubo

{"title":"Impacts of workplace verbal aggression classified via text mining on workers' mental health.","authors":"Y Nishimura, S Matsumoto, T Sasaki, T Kubo","doi":"10.1093/occmed/kqae009","DOIUrl":"10.1093/occmed/kqae009","url":null,"abstract":"Background: Exposure to workplace aggression adversely affects workers' health; however, little is known regarding the impact of specific types of verbal content.Aims: We aimed to examine the relationship between exposure to several types of aggressive words at work and the victim's depressive symptoms and sleep disturbance using text mining.Methods: We conducted a longitudinal survey with 800 workers in wholesale and retail companies; of which, 500 responded to the follow-up survey. The Centre for Epidemiologic Studies-Depression Scale and Pittsburgh Sleep Quality Index were filled out by the participants, and their responses were analysed by logistic regression to evaluate the risk of depression or sleep problems. We collected exact aggressive words encountered at work over the past year as a dependent variable and classified it into four types using text mining, such as words criticizing one's performance.Results: The follow-up rate was 63%. Exposure to words threatening one's life showed a significant relationship with the risk of depression (odds ratio [OR] = 13.94, 95% confidence interval [CI] = 1.76-110.56). The exposure to words criticizing one's job performance is significantly related to the risk of sleep disturbance (OR = 5.56, 95% CI = 2.08-14.88).Conclusions: These findings suggest that different contents of verbal aggression can have different impacts on workers' health. This indicates that not only overtly threatening and abusive language but also words related to one's performance can be a risk factor for workers, depending on how they are delivered. To mitigate the adverse effects, promoting effective communication and cultivating psychological detachment from work may be beneficial.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"186-192"},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725057","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}

引用次数: 0

Nightshift work and irregular menstrual cycle: 8-year follow-up cohort study. 夜班工作与月经周期不规律：8 年跟踪队列研究。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqad162

K Kim, M Y Lee, Y Chang, S Ryu

{"title":"Nightshift work and irregular menstrual cycle: 8-year follow-up cohort study.","authors":"K Kim, M Y Lee, Y Chang, S Ryu","doi":"10.1093/occmed/kqad162","DOIUrl":"10.1093/occmed/kqad162","url":null,"abstract":"Background: Irregular menstruation is a major health problem among women, although its association with nightshift work remains controversial.Aims: To study the association between nightshift work and irregular menstrual cycle among female workers and investigate any differences according to sleep quality, working hours or obesity.Methods: This study included female workers who underwent health examinations from 2012 to 2019. Nightshift work, working hours, sleep quality and menstrual cycles were assessed using self-administered questionnaires. Irregular menstrual cycle was defined as self-reported irregular or ≥36 days. Adjusted odds ratios and 95% confidence intervals (CIs) were calculated by multivariable logistic regression; adjusted hazard ratios (95% CIs) for incident irregular menstrual cycle were calculated by Cox proportional hazard models with time-dependent analysis.Results: The study participants were 87 147 in the cross-sectional study and 41 516 in the longitudinal study. After adjusting for all covariates in the cross-sectional analyses, the odds ratio for prevalent irregular menstrual cycle among female nightshift workers versus the reference was 1.26 (95% CI 1.2-1.33). In the cohort study, the adjusted hazard ratio for incident irregular menstrual cycle among nightshift workers was 1.95 (95% CI 1.61-2.35) in the period after 6 years. No significant differences were observed among subgroups stratified by sleep quality, working hours or obesity.Conclusions: Nightshift work is associated with an increased risk of both prevalent and incident irregular menstrual cycle in female workers without significant interactions by sleep quality, working hours or obesity.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"152-160"},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708603","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}

引用次数: 0

Validity of submaximal aerobic capacity and strength tests in firefighters. 消防员亚极限有氧能力和力量测试的有效性。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqae004

W Hart, D Taylor, D C Bishop

{"title":"Validity of submaximal aerobic capacity and strength tests in firefighters.","authors":"W Hart, D Taylor, D C Bishop","doi":"10.1093/occmed/kqae004","DOIUrl":"10.1093/occmed/kqae004","url":null,"abstract":"Background: Typically, the fitness of UK firefighters is assessed via submaximal estimate methods due to the low demands on time, money, expertise and equipment. However, the firefighter-specific validity of such testing in relation to maximum aerobic capacity (V˙O2max) and particularly muscular strength is not well established.Aims: To examine the validity of submaximal methods to estimate V˙O2max and maximal strength in operational firefighters.Methods: Twenty-two full-time operational firefighters (3 female) completed same-day submaximal (Chester Step Test; CST) and maximal (treadmill) assessments of V˙O2max, with a sub-sample of 10 firefighters (1 female) also completing submaximal and maximal back-squat (i.e. one repetition maximum; 1RM) assessments. All participants then completed the Firefighter Simulation Test (FFST) within 2-4 days.Results: CST underestimated actual V˙O2max by 1.4 ml·kg-1·min-1 (~3%), although V˙O2max values were positively correlated (r = 0.61, P < 0.01) and not significantly different. Estimated V˙O2max values negatively correlated with FFST performance (r = -0.42). Predicted 1RM underestimated actual 1RM by ~2%, although these values were significantly correlated (r = 0.99, P < 0.001) and did not significantly differ. The strongest predictive model of FFST performance included age, body mass index, and direct maximal measures of 1RM and V˙O2max.Conclusions: Submaximal back-squat testing offers good validity in estimating maximum firefighter strength without exposure to the fatigue associated with maximal methods. The CST provides a reasonably valid and cost-effective V˙O2max estimate which translates to firefighting task performance, although the error observed means it should be used cautiously when making operational decisions related to V˙O2max benchmarks.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"161-166"},"PeriodicalIF":5.1,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934270","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}

引用次数: 0

The time is right to establish a Global Network for Evidence for Work. 建立全球工作证据网络的时机已经成熟。

IF 5.1 4区医学

Occupational Medicine-Oxford Pub Date : 2024-04-03 DOI: 10.1093/occmed/kqad097

Stefania Curti, Stefano Mattioli

引用次数: 0