Occupational Medicine-Oxford最新文献_第2页

App jobs, algorithms, and risks: Hidden hazards of platform work.

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae131

Y Samant, R Naz Malik

引用次数: 0

Decentralized worker-centred occupational management in health care: nationwide survey and alpha testing. 卫生保健中以工人为中心的分散职业管理：全国调查和alpha测试。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae129

S Barrit, S Abene, A de Froidmont, J André, S El Hadwe, M Al Barajraji, A Niset

{"title":"Decentralized worker-centred occupational management in health care: nationwide survey and alpha testing.","authors":"S Barrit, S Abene, A de Froidmont, J André, S El Hadwe, M Al Barajraji, A Niset","doi":"10.1093/occmed/kqae129","DOIUrl":"10.1093/occmed/kqae129","url":null,"abstract":"Background: Occupational stress among healthcare workers negatively impacts job satisfaction and patient care quality, jeopardizing healthcare system sustainability. Traditional employer-driven approaches often fail to address these challenges comprehensively, leading to persistent gaps in work condition transparency and well-being.Aims: To elucidate the working conditions of health workers and introduce a worker-centred, technology-based strategy moving beyond traditional practices and entrenched medical culture.Methods: A nationwide survey of Belgian medical residents evaluated occupational conditions and perceptions of management practices. Additionally, the alpha version of a decentralized mobile application was tested to gather user satisfaction and feedback on its usability. The data were surveyed using Pearson's chi-squared and Kruskal-Wallis rank sum tests to assess associations between categorical and ordinal variables, respectively. Alpha-testing results were evaluated using descriptive statistics.Results: The nationwide survey, involving 257 participants, revealed significant associations between medical specialty, work choices and compensation. Notably, 91% of participants expressed strong interest in our proposed open, decentralized solution. In the alpha testing phase, 12 testers reported high satisfaction regarding time-tracking accuracy and payroll verification, though challenges related to administrative burden were also identified.Conclusions: The findings underscore the need for innovative, worker-centred occupational management solutions. The proposed solution shows promise in improving autonomy and transparency, potentially enhancing healthcare delivery and sustainability.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"42-49"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016197","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

Burnout reflections: musings on Bianchi and Schonfeld's five focal areas. 倦怠反思：对 Bianchi 和 Schonfeld 的五个重点领域的思考。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae134

Leon T De Beer, Wilmar B Schaufeli

引用次数: 0

Prevalence and symptoms of Long Covid-19 in the workplace. 工作场所新型冠状病毒的流行和症状

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae128

H Mohd Yusoff, S Q Yew, A Mohammed Nawi, O Htwe, N Mohd Tohit, Z Mohamed, M A Muhamad Noordin, N Che Mohamed, F H Mohd

{"title":"Prevalence and symptoms of Long Covid-19 in the workplace.","authors":"H Mohd Yusoff, S Q Yew, A Mohammed Nawi, O Htwe, N Mohd Tohit, Z Mohamed, M A Muhamad Noordin, N Che Mohamed, F H Mohd","doi":"10.1093/occmed/kqae128","DOIUrl":"10.1093/occmed/kqae128","url":null,"abstract":"Background: The symptoms of Long coronavirus disease 2019 (Covid-19) are heterogeneous, creating uncertainty for employers regarding the diagnosis. The prevalence of Long Covid-19 in the workforce is also unknown. Furthermore, workers affected by Long Covid-19 encounter considerable difficulties in ensuring work safety and returning to their jobs due to this condition.Aims: This review is aimed to identify the prevalence of Long Covid-19 in the workplace and to determine the various symptoms of Long Covid-19 experienced by the workers.Methods: A meta-analysis was conducted to calculate the pooled estimates for the prevalence of Long Covid-19. Heterogeneity among the estimates was evaluated using the I² statistic.Results: The pooled prevalence of Long Covid-19 among workers across the 11 studies was 38% (95% CI 23-56). A total of 43 symptoms associated with Long Covid-19 were identified in the workplace, with the top five symptoms being dyspnoea at moderate activity (51%, 95% CI 39-62), mental symptoms (38%, 95% CI 6-87), dyspnoea at mild activity (35%, 95% CI 25-47), fatigue (26%, 95% CI 3-78) and effort intolerance (24%, 95% CI 15-35).Conclusions: The review indicates a significant burden of long-lasting symptoms within the workforce. The top five reported symptoms of Long Covid-19 were dyspnoea during mild and moderate activities, mental symptoms, fatigue and effort intolerance.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"33-41"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973376","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

Self-reported symptoms or activity limitations and job loss during the COVID-19 pandemic in Japan. 日本COVID-19大流行期间自我报告的症状或活动限制和失业。

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-04-04 DOI: 10.1093/occmed/kqae132

S Okahara, Y Fujino, T Nagata, M Kuwamura, K Mafune, K Muramatsu, S Tateishi, A Ogami, K Mori

{"title":"Self-reported symptoms or activity limitations and job loss during the COVID-19 pandemic in Japan.","authors":"S Okahara, Y Fujino, T Nagata, M Kuwamura, K Mafune, K Muramatsu, S Tateishi, A Ogami, K Mori","doi":"10.1093/occmed/kqae132","DOIUrl":"10.1093/occmed/kqae132","url":null,"abstract":"Background: Previous studies have reported the impact of a diagnosed disease or self-perceived poor overall health on job loss. However, evidence is lacking on which self-reported symptoms or activity limitations are related to job loss, especially during the coronavirus disease 2019 (COVID-19) pandemic.Aims: We investigated whether self-reported symptoms or activity limitations were correlated with the occurrence of job loss within 1 year during the COVID-19 pandemic.Methods: In this prospective cohort study, we used questionnaires administered to Japanese workers. A baseline survey conducted in December 2020 was used to determine workers' symptoms or activity limitations. Experiencing job loss since the baseline survey was ascertained with a follow-up survey in December 2021. The odds ratios of experiencing job loss were estimated using a logistic model with adjusted covariates.Results: Men (n = 8682) accounted for 58% of the total sample (n = 14 910), and the respondent mean age was 48.2 years. Multivariate analysis showed that workers with pain-related problems; limited physical movement and mobility; fatigue, loss of strength or appetite, fever, dizziness and moodiness; mental health problems; sleep-related problems or eye-related matters had a greater probability of experiencing job loss owing to health reasons.Conclusions: Several self-reported symptoms or activity limitations can lead to job loss after 1 year, indicating that prevention and resolution of symptoms or activity limitations are important to reduce workers' risk of losing their jobs.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":"50-57"},"PeriodicalIF":2.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807648","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

A service evaluation of PTSD Resolution therapy for military veterans.

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-03-31 DOI: 10.1093/occmed/kqaf012

C E Hall, N Greenberg

{"title":"A service evaluation of PTSD Resolution therapy for military veterans.","authors":"C E Hall, N Greenberg","doi":"10.1093/occmed/kqaf012","DOIUrl":"https://doi.org/10.1093/occmed/kqaf012","url":null,"abstract":"Background: Post-traumatic stress disorder (PTSD) Resolution is a UK-based charity that provides treatment for military veterans, reservists and their families. However, there is little contemporary evaluation of their clinical outcomes to inform commissioners or potential service users.Aims: To establish whether treatment by PTSD Resolution therapists resulted in positive outcomes at the end of therapy and follow-up; to establish risk and resilience factors associated with positive treatment outcomes; and to the extent possible, compare PTSD Resolution with National Health Service (NHS)-Improving Access to Psychological Therapies (IAPT) services.Methods: A sample of 211 closed cases from the service provider between April 2022 and May 2023 were utilized. Clients provided demographic data and completed a series of mental health screening tools. Follow-up data were also collected where possible. Paired t-tests, univariable binary logistic regressions and chi-squared tests were used in the analysis.Results: Around 6% of clients attended only one session, with 82% having a planned ending. This service evaluation suggests that veterans who enter therapy with PTSD Resolution appear to experience similar rates of recovery to IAPT users. Analysis of follow-up data revealed that clients scores slightly increased following the completion of therapy but remained below caseness thresholds and significantly lower than entry-level scores.Conclusions: These data suggest that veterans who choose to engage with PTSD Resolution for their mental health difficulties should expect to experience a similar benefit to that they would have experienced if they had sought outpatient care from the NHS.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756082","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

Presenteeism and physio-psychological disorders among frontline nurses fighting COVID-19.

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-03-29 DOI: 10.1093/occmed/kqaf011

W Kong, L Sun, T Deng, D Feng

{"title":"Presenteeism and physio-psychological disorders among frontline nurses fighting COVID-19.","authors":"W Kong, L Sun, T Deng, D Feng","doi":"10.1093/occmed/kqaf011","DOIUrl":"https://doi.org/10.1093/occmed/kqaf011","url":null,"abstract":"Background: Presenteeism, defined as workers continuing to work despite being sick, was associated with poor health outcomes amongst frontline nurses, particularly those assisting other cities during the pandemic. The mechanisms behind this association remain unclear.Aims: To investigate the presenteeism rate of frontline nurses and explore the effect of presenteeism on their physio-psychological disorders with personal health prevention and control strategies as the mediator.Methods: The cross-sectional study was conducted between April and May 2022 among Chinese frontline nurses working in isolation wards and assisting Shanghai in combating the COVID-19 outbreak. A total of 350 participants from one hospital were invited to complete a questionnaire survey. Structural equation modelling examined the relationships among presenteeism, personal health prevention and control strategies, and physio-psychological disorders.Results: A total of 300 frontline nurses participated. Participants reported a presenteeism rate of 66%. Presenteeism had a direct influence on mental disorders (β = 0.29, 95% confidence interval [CI]: 0.12, 0.47) and physical disorders (β = 0.37, 95% CI: 0.22, 0.54). Personal health prevention and control strategies mediated the relationship between presenteeism and mental disorders (β = 0.10, 95% CI: 0.01, 0.20) or physical disorders (β = 0.21, 95% CI: 0.07, 0.33).Conclusions: Presenteeism remained high among Chinese frontline nurses. Personal health prevention and control strategies partly mediated the negative effect of presenteeism on health. Thus, reducing presenteeism and enhancing protection and control strategies may be important measures to promote the health of these nurses.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744380","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

Health and Safety Executive Management Standards: associations with operational effectiveness in policing.

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-03-19 DOI: 10.1093/occmed/kqaf018

Jonathan Houdmont

{"title":"Health and Safety Executive Management Standards: associations with operational effectiveness in policing.","authors":"Jonathan Houdmont","doi":"10.1093/occmed/kqaf018","DOIUrl":"https://doi.org/10.1093/occmed/kqaf018","url":null,"abstract":"Background: The United Kingdom (UK) Health and Safety Executive's Management Standards encompass a set of aspirational quality standards and a risk management methodology pertaining to psychosocial working conditions. Two decades since their introduction, implementation of the Management Standards or equivalent approaches remains far from universal across UK organizations. This may be due, in part, to a paucity of evidence concerning their operational effectiveness benefits.Aims: This study aimed to generate evidence on the business benefits of the Management Standards by examining associations between achievement of the good practice quality standards and indices of operational effectiveness.Methods: Police custody sergeants (N = 1493) completed the Management Standards Indicator Tool that assesses the extent to which the quality standards are met, plus measures of operational effectiveness (job performance, attendance behaviours, intention to leave). Logistic regression was used to examine associations between achievement of the quality standards and operational effectiveness.Results: The proportion of respondents reporting fulfilment of the quality standards in their workplace ranged from 3% (change) to 65% (role). Achievement of the quality standards was variously associated with elevated odds for the concurrent presence of desirable states of operational effectiveness.Conclusions: These findings point to the operational effectiveness benefits of a preventative approach to the management of workplace psychosocial risk and may encourage organizations to adopt the Management Standards or an equivalent approach to fulfil their legal duty in respect to psychosocial risk management.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659729","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

Occupational benzene exposure and skin cancers: a systematic review and meta-analysis.

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-02-28 DOI: 10.1093/occmed/kqae112

M Angelini, M S Seyyedsalehi, P Boffetta

{"title":"Occupational benzene exposure and skin cancers: a systematic review and meta-analysis.","authors":"M Angelini, M S Seyyedsalehi, P Boffetta","doi":"10.1093/occmed/kqae112","DOIUrl":"https://doi.org/10.1093/occmed/kqae112","url":null,"abstract":"Background: Exposure to benzene is a widespread occupational hazard that has been associated with haematopoietic neoplasms. The increasing awareness of the health effects that can arise from extended dermal contact with aromatic hydrocarbons, such as benzene, may elevate the risk of skin cancer.Aims: This study addresses the association between occupational benzene exposure and its incidence and mortality, encompassing non-melanoma skin cancer (NMSC), including basal cell carcinoma and squamous cell carcinoma, as well as cutaneous melanoma (CM).Methods: After removing duplicates, we screened 5652 articles from four different sources (Embase, Pubmed, Scopus and IARC Monographs), retrieving 29 independent studies on occupational benzene exposure and skin cancer. The meta-analysis used a random-effects model, overall and stratifying by gender, publication year, outcome, geographic region, industry type and study design.Results: The analysis encompasses 18 risk estimates on CM and 21 on either NMSC or not-specified skin cancer (NM/NS) mostly from Europe and North America and predominantly from oil industry cohorts. There was no association with either CM (relative risk [RR] = 0.99, 95% confidence interval [CI] 0.81; 1.21) or NM/NS (RR = 1.19, 95% CI 0.94; 1.50), except for a positive association between employment in the chemical industry and NM/NS risk. There was no evidence of publication bias for either type of cancer (P = 0.70 and P = 0.08).Conclusions: Our meta-analysis found no association between occupational benzene exposure and skin cancer. Further research should aim to describe the association of benzene exposure with skin cancer in less developed countries and among various occupations.","PeriodicalId":54696,"journal":{"name":"Occupational Medicine-Oxford","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558602","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

Correction to: Decentralized worker-centred occupational management in health care: nationwide survey and alpha testing.

IF 2.4 4区医学

Occupational Medicine-Oxford Pub Date : 2025-02-27 DOI: 10.1093/occmed/kqaf008

引用次数: 0