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1.
Artigo em Inglês | MEDLINE | ID: mdl-34444145

RESUMO

Work-related mental health issues, accounting for high worker absenteeism in the world's developed economies, are increasing, with the main cause being workplace conditions. The health services sector is especially experiencing great problems with this, because of challenging psychosocial working conditions. The aim of this study was to explore employees' experiences of development work with a focus on the work environment within a hospital department with an outspoken special development assignment. The special assignment was decided by the highest management at the hospital and concerned work environment, caring processes, and ways of organizing the work. Eleven employees completed two individually semi-structured interviews, approximately 7 and 13 months after the start of the special assignment at the department. Interviews were analyzed using thematic analysis. The results reveal that both internal and external aspects influence the development work and highlight the importance of viewing the local development work in relation to how the rest of the organization functions. Important factors and conditions for a supportive and change-friendly work culture are discussed, as well as the need to plan for integration and change to create conditions for successful implementation of the results from organizational development and change initiatives.


Assuntos
Absenteísmo , Local de Trabalho , Atenção à Saúde , Departamentos Hospitalares , Organizações
2.
BMC Womens Health ; 21(1): 279, 2021 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-34340667

RESUMO

BACKGROUND: Although menstruation is a normal physiological process that begins in girls during adolescence, it has the potential to negatively impact on the self-esteem and education of girls particularly those from low- and middle-income countries. We investigated the prevalence and factors associated with menstruation-related school absenteeism among adolescent girls in the Talensi district of rural northern Ghana. METHODS: We conducted a cross-sectional survey among 705 adolescent girls aged 12-19 years who had attained menarche. The sample size was estimated using Epi Info version 6 at 95% confidence interval and a 5% margin of error. A two-stage sampling technique was employed to recruit participants. We conducted univariate and multivariate logistic regression models to determine factors associated with menstruation-related school absenteeism which was defined as "being absent from school due to menstruation-related issues during the last menstruation." RESULTS: The prevalence of menstruation-related school absenteeism was 27.5%. School absenteeism ranged from one to seven days during the menstrual period. Older adolescent girls, (aOR = 2.38, 95% CI 1.29-4.40), use of cloth as a sanitary material at the last menstruation, (aOR = 3.21, 95% CI 2.22-4.63), and cultural restriction, (aOR = 2.54, 95% CI 1.76-3.67) were associated with higher odds of menstruation-related school absenteeism. Meanwhile, girls from moderate income parent(s), [aOR = 0.57 95% CI 0.34-0.94] had lower odds of menstruation-related school absenteeism. Mother's education and privacy in school were only significant at the univariate level. CONCLUSIONS: The prevalence of menstruation-related school absenteeism highlights the need for interventions aimed at improving the availability of sanitary pads for girls, eliminating cultural restrictions associated with menstruation, and also improving parent(s) income level.


Assuntos
Absenteísmo , Menstruação , Adolescente , Estudos Transversais , Feminino , Gana/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Higiene , Prevalência , Instituições Acadêmicas , Estudantes , Inquéritos e Questionários
3.
Proc Natl Acad Sci U S A ; 118(34)2021 08 24.
Artigo em Inglês | MEDLINE | ID: mdl-34400502

RESUMO

Essential worker absenteeism has been a pressing problem in the COVID-19 pandemic. Nearly 20% of US hospitals experienced staff shortages, exhausting replacement pools and at times requiring COVID-positive healthcare workers to remain at work. To our knowledge there are no data-informed models examining how different staffing strategies affect epidemic dynamics on a network in the context of rising worker absenteeism. Here we develop a susceptible-infected-quarantined-recovered adaptive network model using pair approximations to gauge the effects of worker replacement versus redistribution of work among remaining healthy workers in the early epidemic phase. Parameterized with hospital data, the model exhibits a time-varying trade-off: Worker replacement minimizes peak prevalence in the early phase, while redistribution minimizes final outbreak size. Any "ideal" strategy requires balancing the need to maintain a baseline number of workers against the desire to decrease total number infected. We show that one adaptive strategy-switching from replacement to redistribution at epidemic peak-decreases disease burden by 9.7% and nearly doubles the final fraction of healthy workers compared to pure replacement.


Assuntos
Absenteísmo , COVID-19/psicologia , Pessoal de Saúde/psicologia , COVID-19/epidemiologia , Pessoal de Saúde/estatística & dados numéricos , Humanos , Pandemias , Quarentena , Jornada de Trabalho em Turnos , Recursos Humanos/estatística & dados numéricos
5.
Artigo em Inglês | MEDLINE | ID: mdl-34300042

RESUMO

This study aimed to investigate the degree of health-related productivity loss (HRPL) for common health conditions. A total of 4197 workers participated in a web-based questionnaire survey from January to February 2020. HRPL was measured using the Work Productivity and Activity Impairment questionnaire, and a difference in HRPL was calculated for each common health condition. The burden of productivity loss due to each health condition was calculated by the product of the difference in HRPL scores and the percentage of participants who complained. The health conditions most strongly associated with increased HRPL were infertility treatment (30.6%), osteoporosis (25.9%), cancer (25.3%), gastric ulcer or duodenal ulcer (25.0%) and anaemia (23.9%). The most important health conditions in order of their magnitude of induced burden of productivity loss were fatigue, neck or shoulder pain, insufficient sleep, back pain, headache, common cold and flu, insomnia, anxiety and diarrhoea or constipation. HRPL is more strongly and importantly associated with the aforementioned health conditions. Occupational health managers should prioritise addressing health conditions strongly and importantly associated with HRPL when implementing health promotion programmes.


Assuntos
Saúde do Trabalhador , Presenteísmo , Absenteísmo , Estudos Transversais , Eficiência , Humanos , República da Coreia/epidemiologia , Inquéritos e Questionários
6.
Eur J Health Econ ; 22(6): 865-872, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34061299

RESUMO

OBJECTIVE: To evaluate criterion validity of the iMTA Productivity Cost Questionnaire (iPCQ) by comparing iPCQ-reported occurrence and duration of long-term absenteeism (> 4 weeks) with public registry data collected from the Norwegian Labour and Welfare Administration (NAV) among people on sick leave due to musculoskeletal disorders. METHOD: Baseline data from a cohort study was used, in which people on sick leave for at least 4 weeks due to musculoskeletal disorders were recruited electronically through the NAV website. To compare the occurrence of long-term absenteeism overall agreement between the two methods was measured by percentages. To compare the duration (number of days with absenteeism) and adjusted duration (number of days with complete absenteeism) of long-term absenteeism we conducted intraclass correlation coefficient (ICC) two-way random average agreement, descriptive statistic and Wilcoxon signed-rank test. RESULTS: In total, 144 participants with a median age (range) of 49 (24-67) were included. The overall agreement on the occurrence of long-term absenteeism was 100%. The ICC value was 0.97 and 0.86 for duration and adjusted duration of long-term absenteeism, respectively. The median difference(iPCQ-registry) between the two methods was 0 and 17 days for long-term absenteeism duration and adjusted duration, respectively. A significant difference between the two methods was observed (Wilcoxon signed-rank test, p < 0.001) with regards to adjusted duration of long-term absenteeism. CONCLUSION: The iPCQ showed good agreement with public registry data regarding the occurrence and duration of long-term absenteeism among people with musculoskeletal disorders on long-term sick-leave in Norway. However, the iPCQ does not cover part-time sick-leave and thereby potentially overestimate the total amount of long-term absenteeism. TRIAL REGISTRATION: ClinicalTrials.gov Identifier no. NCT04196634.


Assuntos
Doenças Musculoesqueléticas , Licença Médica , Absenteísmo , Estudos de Coortes , Humanos , Doenças Musculoesqueléticas/epidemiologia , Autorrelato , Inquéritos e Questionários
7.
BMC Public Health ; 21(1): 1154, 2021 06 16.
Artigo em Inglês | MEDLINE | ID: mdl-34134668

RESUMO

PURPOSE: Alternative duty work is a procedure that enables an employee with a short-term disability to perform modified duties as an alternative to sickness absence. We examined whether the implementation of an alternative duty policy was associated with reduced sickness absence in the Finnish public sector. METHODS: Two city administrations (A and D) that implemented an alternative duty work policy to their employees (n = 5341 and n = 7538) served as our intervention cities, and two city administrations (B and C) that did not implement the policy represented the reference cities (n = 6976 and n = 6720). The outcomes were the number of annual days, all episodes, and short-term (< 10 days) episodes during the 2 years before versus the 2 years after the intervention year. We applied repeated measures negative binomial regression analyses, using the generalized estimating equations method and the difference-in-difference analysis to compare the intervention and control cities (adjusted for sex, age, type of job contract, occupational class). RESULTS: During the five-year study period, the number of sickness absence days and episodes increased in both the intervention and control cities. Covariate-adjusted analysis of relative risk showed that the overall increase in post- versus pre-intervention sickness absence days was smaller in intervention City A, RR = 1.14 (95% CI = 1.09-1.21) than in control cities B and C, RR = 1.19 (95% CI =1.14-1.24), group × time interaction p < 0.02. In intervention City D, we found a corresponding result regarding all sickness absence episodes and short-term sickness absence episodes but not days. CONCLUSIONS: This follow-up suggests that implementing an alternative duty work policy may marginally decrease employees' sickness absences.


Assuntos
Absenteísmo , Local de Trabalho , Finlândia , Humanos , Setor Público , Licença Médica
8.
BMC Med Res Methodol ; 21(1): 130, 2021 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-34162350

RESUMO

BACKGROUND: An increasing number of randomized controlled trials (RCTs) have measured the impact of interventions on work productivity loss. Productivity loss outcome is inflated at zero and max loss values. Our study was to compare the performance of five commonly used methods in analysis of productivity loss outcomes in RCTs. METHODS: We conducted a simulation study to compare Ordinary Least Squares (OLS), Negative Binominal (NB), two-part models (the non-zero part following truncated NB distribution or gamma distribution) and three-part model (the middle part between zero and max values following Beta distribution). The main number of observations each arm, Nobs, that we considered were 50, 100 and 200. Baseline productivity loss was included as a covariate. RESULTS: All models performed similarly well when baseline productivity loss was set at the mean value. When baseline productivity loss was set at other values and Nobs = 50 with ≤5 subjects having max loss, two-part models performed best if the proportion of zero loss> 50% in at least one arm and otherwise, OLS performed best. When Nobs = 100 or 200, the three-part model performed best if the two arms had equal scale parameters for their productivity loss outcome distributions between zero and max values. CONCLUSIONS: Our findings suggest that when treatment effect at any given values of one single covariate is of interest, the model selection depends on the sample size, the proportions of zero loss and max loss, and the scale parameter for the productivity loss outcome distribution between zero and max loss in each arm of RCTs.


Assuntos
Absenteísmo , Eficiência , Simulação por Computador , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Tamanho da Amostra
9.
Artigo em Inglês | MEDLINE | ID: mdl-34068466

RESUMO

PURPOSE: This study aimed to assess whether self-reported productivity despite presenteeism may be affected by biomarkers and hormones and how these physiological indicators can interact with each other to explain the presenteeism dimensions. METHODS: This pilot study included 180 healthy participants with a mean age of 41.22 years (SD = 13.58), 76.11% of whom were female. The dependent variable included a self-reported measure of productivity loss due to presenteeism: the Stanford Presenteeism Scale 6. This study also includes physiological indicators such as biomarkers (C-reactive protein (CRP) and blood glucose) and hormones (cortisol and TSH thyroid hormone). RESULTS: Multiple linear regression analyses revealed that CRP moderated the relationship between cortisol levels and productivity despite presenteeism. Moreover, the increase of TSH moderated the relationship between cortisol, glycemia, and employees' capacity to complete work tasks while sick. CONCLUSIONS: The results highlight TSH's moderating role in decreasing employees' capacity to fulfill tasks when these individuals have high levels of glycemia and cortisol in their blood. These findings have practical and theoretical implications based on a fuller understanding of how biomarkers and hormones explain productivity despite presenteeism.


Assuntos
Eficiência , Presenteísmo , Absenteísmo , Adulto , Biomarcadores , Estudos Transversais , Feminino , Hormônios , Humanos , Masculino , Projetos Piloto , Inquéritos e Questionários , Local de Trabalho
10.
Artigo em Inglês | MEDLINE | ID: mdl-34063404

RESUMO

Economic stress has been recognized as a major threat to the well-being and performance of workers, especially during times of global economic crisis. An interesting and relatively unexplored research topic concerns the associations between economic stress and employee job outcomes such as innovative behaviors, indispensable for business survival. The aim of the present study was to investigate the relationship between economic stress, absenteeism and innovation. We considered both a direct and a mediation hypothesis and hypothesized that economic stress can have a negative influence on innovation directly and indirectly through increased absenteeism. A cross-sectional study was performed during 2018 and 2019 in an Italian food factory. A sample of 578 employees completed the Stress Questionnaire, the Janssen's nine-item scale and a single-item regarding absenteeism. All relationships are supported by empirical data. As expected, the results indicated that economic stress is negatively related to innovation and positively related to absenteeism, which, in turn, plays a mediating role in the relationship between economic stress and innovative behavior. Herewith, those employees with higher levels of economic stress show higher levels of absenteeism contributing at the same time to a decrease in innovative behaviors. These findings show the importance of economic stress in understanding individual work outcomes and highlight the need to promote adequate intervention programs.


Assuntos
Absenteísmo , Estresse Psicológico , Estudos Transversais , Humanos , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
11.
BMJ Open ; 11(6): e050191, 2021 06 08.
Artigo em Inglês | MEDLINE | ID: mdl-34103323

RESUMO

OBJECTIVES: Socioeconomic position has been linked to sickness absence (SA). However, less is known about the role of occupational prestige, a measure of social status afforded by one's occupation, in SA. We investigated the association between occupational prestige and SA and the distribution of the association in women and men. We also examined the effect of intersections of gender and occupational prestige on SA. DESIGN: Longitudinal. SETTING: A nationwide representative sample of Swedish working population. PARTICIPANTS: 97 397 employed individuals aged 25-59 years selected from the 2004, 2007 and 2010 waves of the Swedish Labour Force Survey and prospectively linked to the Swedish Longitudinal Integration Database for Health Insurance and Labour Market Studies. OUTCOME MEASURES: The number of SA days in any particular year during a 3-year follow-up and long-term (>120 days) SA based on those with at least one sick leave spell during the follow-up. RESULTS: Occupational prestige was weakly associated with SA in the total sample after adjusting for potential confounders. In the gender-stratified analysis, women in lower prestige occupations had higher absenteeism rates than women in high prestige occupations; men in lower prestige occupations had higher odds for long-term SA than men in high prestige occupations. In the intersectional analysis, women regardless of prestige level and men in lower prestige occupations had higher probability of SA compared with men in high prestige occupations. Women in high prestige occupations had the highest absenteeism rates (incidence rate ratio (IRR), 2.25, 95% CI, 2.20 to 2.31), while men in medium prestige occupations had the lowest rates (IRR, 1.17, 95% CI, 1.13 to 1.20). Compared with the rest of the groups, men in low and medium prestige occupations had higher odds for long-term absence. CONCLUSION: There is need to pay close attention to occupational prestige as a factor that may influence health and labour market participation.


Assuntos
Emprego , Licença Médica , Absenteísmo , Feminino , Humanos , Masculino , Ocupações , Sistema de Registros , Suécia/epidemiologia
12.
Rev Saude Publica ; 55: 23, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34133618

RESUMO

OBJECTIVE: To predict the risk of absence from work due to morbidities of teachers working in early childhood education in the municipal public schools, using machine learning algorithms. METHODS: This is a cross-sectional study using secondary, public and anonymous data from the Relação Anual de Informações Sociais, selecting early childhood education teachers who worked in the municipal public schools of the state of São Paulo between 2014 and 2018 (n = 174,294). Data on the average number of students per class and number of inhabitants in the municipality were also linked. The data were separated into training and testing, using records from 2014 to 2016 (n = 103,357) to train five predictive models, and data from 2017 to 2018 (n = 70,937) to test their performance in new data. The predictive performance of the algorithms was evaluated using the value of the area under the ROC curve (AUROC). RESULTS: All five algorithms tested showed an area under the curve above 0.76. The algorithm with the best predictive performance (artificial neural networks) achieved 0.79 of area under the curve, with accuracy of 71.52%, sensitivity of 72.86%, specificity of 70.52%, and kappa of 0.427 in the test data. CONCLUSION: It is possible to predict cases of sickness absence in teachers of public schools with machine learning using public data. The best algorithm showed a better result of the area under the curve when compared with the reference model (logistic regression). The algorithms can contribute to more assertive predictions in the public health and worker health areas, allowing to monitor and help prevent the absence of these workers due to morbidity.


Assuntos
Absenteísmo , Aprendizado de Máquina , Brasil , Pré-Escolar , Estudos Transversais , Humanos , Curva ROC , Instituições Acadêmicas
13.
Einstein (Sao Paulo) ; 19: eAO5506, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34133666

RESUMO

OBJECTIVE: To describe the use of psychotropic drugs among civil servants with registered absenteeism due to mental disorders, and to investigate associations with duration of leave of absence. METHODS: A cross-sectional study with civil servants on leave of absence due to mental disorders, between January and December 2017. Demographic, occupational and clinical variables were extracted from secondary data. Non-parametric tests were used to investigate correlations between use of psychotropic drugs and leave duration. Cluster analysis was used to investigate associations between occupational characteristics and illness profile. RESULTS: Antidepressants were the most commonly used drugs (82.9%). Central tendency values for days on leave differed according to the number of psychotropic drugs used. In cluster analysis, a particular cluster (servants of intermediate age group and work experience - mean of 46 years and 15 years, respectively) stood out regarding use of antidepressants, severity of depression and frequency and duration of leave of absence. CONCLUSION: Leave of absence due to mental disorders was associated with higher rates of psychotropic drug use. The group of servants identified in this study may be a primary target for health promotion, prevention and recovery actions at the organization.


Assuntos
Transtornos Mentais , Licença Médica , Absenteísmo , Estudos Transversais , Humanos , Transtornos Mentais/tratamento farmacológico , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Psicotrópicos/uso terapêutico
14.
BMC Med ; 19(1): 137, 2021 06 07.
Artigo em Inglês | MEDLINE | ID: mdl-34092228

RESUMO

BACKGROUND: The introduction of SARS-CoV-2, the virus that causes COVID-19 infection, in the UK in early 2020, resulted in the introduction of several control policies to reduce disease spread. As part of these restrictions, schools were closed to all pupils in March (except for vulnerable and key worker children), before re-opening to certain year groups in June. Finally, all school children returned to the classroom in September. METHODS: Here, we analyse data on school absences in late 2020 as a result of COVID-19 infection and how that varied through time as other measures in the community were introduced. We utilise data from the Department for Education Educational Settings database and examine how pupil and teacher absences change in both primary and secondary schools. RESULTS: Our results show that absences as a result of COVID-19 infection rose steadily following the re-opening of schools in September. Cases in teachers declined during the November lockdown, particularly in regions previously in tier 3, the highest level of control at the time. Cases in secondary school pupils increased for the first 2 weeks of the November lockdown, before decreasing. Since the introduction of the tier system, the number of absences with confirmed infection in primary schools was observed to be (markedly) lower than that in secondary schools. In December, we observed a large rise in the number of absences per school in secondary school settings in the South East and London, but such rises were not observed in other regions or in primary school settings. We conjecture that the increased transmissibility of the new variant in these regions may have contributed to this rise in secondary school cases. Finally, we observe a positive correlation between cases in the community and cases in schools in most regions, with weak evidence suggesting that cases in schools lag behind cases in the surrounding community. CONCLUSIONS: We conclude that there is no significant evidence to suggest that schools are playing a substantial role in driving spread in the community and that careful monitoring may be required as schools re-open to determine the effect associated with open schools upon community incidence.


Assuntos
Absenteísmo , COVID-19/epidemiologia , Instituições Acadêmicas/estatística & dados numéricos , Inglaterra/epidemiologia , Feminino , Humanos , Incidência , Masculino , Pandemias , SARS-CoV-2/isolamento & purificação
15.
Am J Prev Med ; 61(2): 256-266, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33965267

RESUMO

CONTEXT: Individuals with noncommunicable diseases account for a disproportionate share of medical expenditures, absenteeism, and presenteeism. Therefore, employers are increasingly looking to worksite wellness programs as a cost-containment strategy. Previous reviews examining whether worksite wellness programs deliver a positive return on investment have shown mixed results, possibly because the more optimistic findings come from studies with poorer methodologic quality. The purpose of this systematic review is to critically revisit and update this literature to explore that hypothesis. EVIDENCE ACQUISITION: A total of 4 databases were systematically searched for studies published before June 2019. Included studies were economic evaluations of worksite wellness programs that were based in the U.S., that lasted for at least 4 weeks, and that were with at least 1 behavior change component targeting 1 of the 4 primary modifiable behaviors for chronic disease: physical activity, healthy diet, tobacco use, and harmful consumption of alcohol. Methodologic quality was assessed using Consensus for Health Economic Criteria guidelines and the risk for selection bias associated with the study design. Data extraction (September 2019-February 2020) was followed by a narrative synthesis of worksite wellness programs characteristics and return on investment estimates. EVIDENCE SYNTHESIS: A total of 25 relevant studies were identified. After conducting a quality and bias assessment, only 2 of the 25 studies were found to have both high methodologic rigor and lower risk for selection bias. These studies found no evidence of a positive return on investment in the short term. CONCLUSIONS: The highest-quality studies do not support the hypothesis that worksite wellness programs deliver a positive return on investment within the first few years of initiation.


Assuntos
Saúde do Trabalhador , Local de Trabalho , Absenteísmo , Doença Crônica , Promoção da Saúde , Humanos
16.
J Clin Psychiatry ; 82(2)2021 03 16.
Artigo em Inglês | MEDLINE | ID: mdl-33989464

RESUMO

OBJECTIVE: Estimates of prevalence and burden of treatment-resistant depression (TRD) vary widely in the literature. This study evaluated the prevalence and burden of TRD and the share of TRD in the burden of medication-treated major depressive disorder (MDD) using the most commonly accepted definition of TRD and a novel bottom-up approach. METHODS: Prevalence and health care burden of TRD were estimated by synthetizing inputs across 4 similarly designed claims studies in adults covered by Medicare, Medicaid, commercial plans, and the US Veterans Health Administration (VHA). Productivity (absenteeism and presenteeism) and unemployment burden were estimated based on inputs from a study conducted with data from the Kantar National Health and Wellness Survey (NHWS; 2017). A targeted literature search for additional inputs was performed. A cost model was developed to estimate the burden of TRD and medication-treated DSM-5-defined MDD in the United States. Study outcomes were the 12-month prevalence of TRD and the annual health care, productivity, and unemployment burden of TRD and medication-treated MDD in the United States. RESULTS: The estimated 12-month prevalence of medication-treated MDD in the United States was 8.9 million adults, and 2.8 million (30.9%) had TRD. The total annual burden of medication-treated MDD among the US population was $92.7 billion, with $43.8 billion (47.2%) attributable to TRD. The share of TRD was 56.6% ($25.8 billion) of the health care burden, 47.7% ($8.7 billion) of the unemployment burden, and 32.2% ($9.3 billion) of the productivity burden of medication-treated MDD. CONCLUSIONS: TRD is associated with disproportionate health care costs and unemployment, suggesting potentially large economic and societal gains with effective management.


Assuntos
Efeitos Psicossociais da Doença , Transtorno Depressivo Maior/epidemiologia , Transtorno Depressivo Resistente a Tratamento/epidemiologia , Absenteísmo , Adulto , Antidepressivos/uso terapêutico , Transtorno Depressivo Maior/tratamento farmacológico , Transtorno Depressivo Maior/economia , Transtorno Depressivo Resistente a Tratamento/tratamento farmacológico , Transtorno Depressivo Resistente a Tratamento/economia , Custos de Cuidados de Saúde/estatística & dados numéricos , Humanos , Prevalência , Estados Unidos/epidemiologia
17.
Appl Ergon ; 95: 103434, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33932689

RESUMO

The present article provides a systematic overview on the relationship between psychosocial work characteristics and musculoskeletal disorders, absenteeism, and workplace accidents. The study identified and reviewed the findings of 24 systematic reviews or meta-analysis and 6 longitudinal studies. Publications were systematically searched in several databases from 1966 to January 2021. To summarize the level of evidence, a best evidence synthesis was performed, and the quality of included studies was rated. High job demands, high job strain, high effort/reward-imbalance and low social support showed a strong evidence to increase the risk for musculoskeletal disorders. In addition to job demands and job strain, low perceived fairness proved to be a risk factor of absenteeism with strong evidence. Due to the small number of studies, no reliable evidence assessment for workplace accidents was possible. The summarized findings can improve risk assessment methods, by providing a systematic estimation of the potential risk severity of psychosocial work characteristics and assist practitioners in further developing the psychosocial risk assessment.


Assuntos
Absenteísmo , Doenças Musculoesqueléticas , Acidentes de Trabalho , Humanos , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/etiologia , Fatores de Risco , Estresse Psicológico , Local de Trabalho
18.
J Occup Environ Med ; 63(8): 713-718, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-33973931

RESUMO

OBJECTIVE: To test the role of workplace coronavirus disease (COVID-19) climate in shaping employee attitudes toward the CDC prevention guidelines and subsequent levels of work and non-work sickness presenteeism. METHODS: Three waves of anonymous survey data were collected in October and December 2020 and February 2021. Participants were 304 employed adults in the U.S., of whom half were working onsite. RESULTS: Time 1 workplace COVID-19 climate was positively associated with Time 2 employee attitudes toward the CDC prevention guidelines, which in turn predicted Time 3 levels of non-work and work sickness presenteeism. CONCLUSIONS: The workplace can shape employee attitudes toward the CDC COVID-19 prevention guidelines and their work and non-work sickness presenteeism, thus highlighting the important role companies have in reducing community spread of the novel coronavirus in work and non-work settings.


Assuntos
COVID-19 , Presenteísmo , Absenteísmo , Adulto , Humanos , SARS-CoV-2 , Inquéritos e Questionários , Local de Trabalho
19.
Nervenarzt ; 92(6): 579-590, 2021 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-34009438

RESUMO

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic is associated with extensive changes in the public and private life in Germany. Healthcare personnel are particularly exposed to additional stressors. OBJECTIVE: To identify the mental burden, resilience, tendency towards absenteeism and associated factors during the COVID-19 pandemic in an anonymous cross-sectional survey. METHODS: Data on sociodemographics, occupational situation, contact to COVID-19 patients, mental burden, stressors, resilience, risk and protective factors were assessed among a convenience sample of healthcare personnel in spring 2020 (5 April 2020-7 May 2020). A comparison with the general population in Germany before and during the COVID-19 pandemic was conducted. RESULTS: After the evaluation of 650 completed questionnaires, an increased mental burden was found compared to the German general population before the pandemic, while the mental burden was reduced compared to the general population during the pandemic. The self-reported resilience was slightly higher compared to the general population before and during the pandemic. The COVID-19-related stressors and worries were the most important risk factors, self-efficacy and optimism the most important protective factors. The mental burden was moderately correlated with the intention to change the profession and the tendency towards absenteeism. CONCLUSION: Mental burden in healthcare personnel during the COVID-19 pandemic is associated with a higher tendency towards taking sick leave. In order to support healthcare personnel interventions that foster resources, such as self-efficacy and optimism should be offered to particularly vulnerable groups .


Assuntos
COVID-19 , Pandemias , Absenteísmo , Estudos Transversais , Atenção à Saúde , Alemanha/epidemiologia , Humanos , SARS-CoV-2 , Inquéritos e Questionários
20.
Rev. Ciênc. Plur ; 7(2): 163-176, maio 2021. ilus, graf
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1283575

RESUMO

Introdução: A garantia de um acesso universal, integral e equânime é um dos desafios da Atenção Básica, onde o absenteísmo dos usuários se configura como obstáculo e, ao mesmo tempo, um analisador sobre a organizaçãodo cuidado do serviço de saúde. Dessa forma, necessitando de intervenções para o enfrentamento.Objetivo: Narrar a experiência da construção do "Faltômetro" e refletir sobre o desafio de implementar novas estratégias para o enfrentamento de antigos problemas nos serviços de saúde.Metodologia: Trata-se estudo descritivo do tipo relato de experiência, realizado numaEstratégia de Saúde da Família, no município de Vitória de Santo Antão, estado de Pernambuco, Brasil, com o Núcleo Ampliado de Saúde da Família e Atenção Básicade referência, entre junho e outubro de 2019. A experiência foi realizada em três etapas: monitoramento das demandas; construção do "Faltômetro" e sala de espera com os usuários.Resultados: Por meio da experiência, foi identificada a fragilidade no registro de faltas; a importância do Agente Comunitário de Saúde;a necessidade de identificação das causas das faltas; e a necessidade de repensar a organização do processo de trabalho.Conclusões: O "Faltômetro" e a sala de espera foram estratégias fundamentais para o debate sobre o absenteísmo no âmbito da Atenção Básica. No entanto, faz-se necessário o desenvolvimento de processos de Educação em Saúde com a população, permitindo um diálogo horizontal, para a compreensão das possíveis causasdas faltas. Além disso, os profissionais em saúde necessitam romper com o discurso de culpabilização dos usuários, reconhecendo a existência de barreiras de acesso no território (AU).


Introduction: To guarantee a universal, comprehensive and equal access is a challenge to Primary Health Care, where the user absenteeism is configured as an obstacle and, at the same time, an analyst on the organization of care of the health service. In this way, needing intervention for the confrontation.Objective: To narrate the experience of the construction of the "Faltômetro" and to reflect on the challenge of implementing new strategies for or confronting ancient problems with the health services. Methodology: This is a descriptive study of the type of experience report, carried out in a Family Health Strategy,in the city of Vitória de Santo Antão,State of Pernambuco, Brazil, with the reference Nucleus forFamily Health and Primary Care of reference, between June and October 2019. The experiment was carried out in three stages: monitoring the demands; construction of the "Faltômetro" and waiting room with users.Results: Through experience, weakness in the record of absences was identified; the importance of the Community Health Agent; need to identify the causes of absences; and the need to rethink the organization of the work process.Conclusions: The "Faltômetro" and the waiting room were fundamental strategies for the debate on absenteeism in the scope of Primary Health Care. However, it is necessary to develop Health Education processes with the population, allowing a horizontal dialogue to understand the possible causes of absences. In addition, health professionals need to break the discourse of blaming users, recognizing the existence of barriers to access in the territory (AU).


Introducción: Garantizar el acceso universal, integral y equitativo es uno de los desafíos de la atención primaria, donde el absentismo de los usuarios es un obstáculo y, al mismo tiempo, un analizador de la organización de la atención de los servicios de salud. Por lo tanto, necesita intervenciones para hacer frente.Objetivo: Narrar la experiencia de construir el "Faltômetro" y reflexionar sobre el desafío de implementar nuevas estrategias para enfrentar viejos problemas en los servicios de salud.Metodología: Este es un estudio descriptivo de un tipo de informe de experiencia, llevado a cabo en una Estrategia de salud familiar, en el municipio de Vitória de Santo Antão,estado de Pernambuco, Brasil,con el Centro ampliado de salud familiar y atención primariaentre junio y octubre de 2019. El experimento se llevó a cabo en tres etapas: monitoreo de las demandas; construcción del "Faltômetro" y sala de espera con usuarios. Resultados: A través de la experiencia, se identificó debilidad en el registro de ausencias; la importancia del Agente de Salud Comunitario; necesidad de identificar las causas de las ausencias; y la necesidad de repensar la organización del proceso de trabajo.Conclusiones: El "Faltômetro" y la sala de espera fueronestrategias fundamentales para el debate sobre el absentismo en el ámbito de la Atención Primaria. Sin embargo, es necesario desarrollar procesos de Educación para la Salud con la población, lo que permite un diálogo horizontal para comprender las posibles causas de las ausencias. Además, los profesionales de la salud deben romper el discurso de culpar a los usuarios, reconociendo la existencia de barreras de acceso en el territorio (AU).


Assuntos
Humanos , Masculino , Feminino , Atenção Primária à Saúde , Educação em Saúde , Estratégia Saúde da Família , Absenteísmo , Serviços de Saúde , Brasil/epidemiologia , Epidemiologia Descritiva , Pesquisa Qualitativa , Relatório de Pesquisa
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