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1.
J Foot Ankle Res ; 14(1): 53, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34470650

RESUMO

BACKGROUND: Occupational musculoskeletal injuries are prevalent in healthcare workers and are reported to be profession-specific. There is, however, a paucity of information around the injuries sustained from working as a podiatrist. This paper looks at the incidence of injury from working as a podiatrist, the aggravating factors to sustain these injuries and whether the changes in workload due to the COVID-19 pandemic altered the incidence. METHODS: A modified work based musculoskeletal injury questionnaire was distributed in the UK via podiatry led social media platforms. Open and Closed questions explored the demographics of the sample, perceived injury 12 months prior to the COVID-19 pandemic and then 6 months into the lockdown. Pre and post COVID-19 data were analysed for differences and thematic analysis was included to categorise reported experiences. RESULTS: 148 podiatrists representing 3 % of HCPC registered practitioners responded to the questionnaire. Employment status altered as a result of the COVID-19 pandemic with a 13 % reduction in those working full time. Environments also changed with domiciliary and telehealth significantly increasing (p > 0.00) and non-clinical roles being extended (p > 0.002). Pain frequency and intensity significantly (p > 0.04) increased as a result of the pandemic with shoulder pain being most frequent before lockdown altering to the neck during the lockdown. Two main themes were identified that were attributed to the causes of pain including physical demands and working in awkward spaces. CONCLUSIONS: Work-related musculoskeletal pain in podiatrists is common with the shoulder and neck being the most frequently affected. Changes in work practices due to the restrictions enforced from the COVID-19 pandemic increased the frequency and intensity of pain mostly associated with increased domiciliary and telehealth working environments.


Assuntos
Acidentes de Trabalho , COVID-19 , Cervicalgia , Doenças Profissionais , Podiatria , Dor de Ombro , Acidentes de Trabalho/prevenção & controle , Acidentes de Trabalho/estatística & dados numéricos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Controle de Doenças Transmissíveis/métodos , Pesquisas sobre Serviços de Saúde/métodos , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Humanos , Cervicalgia/epidemiologia , Cervicalgia/etiologia , Doenças Profissionais/classificação , Doenças Profissionais/epidemiologia , Podiatria/métodos , Podiatria/tendências , Prevalência , SARS-CoV-2 , Dor de Ombro/epidemiologia , Dor de Ombro/etiologia , Telemedicina/métodos , Reino Unido/epidemiologia , Carga de Trabalho/estatística & dados numéricos , Local de Trabalho/normas
2.
JAMA Netw Open ; 4(9): e2124116, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34524438

RESUMO

Importance: Essential workers in agriculture and food production have been severely affected by the ongoing COVID-19 pandemic. Objective: To identify risk factors associated with SARS-CoV-2 infection among farmworkers in California. Design, Setting, and Participants: This cross-sectional study invited farmworkers in California's Salinas Valley (Monterey County) receiving transcription-mediated amplification (TMA) tests for SARS-CoV-2 infection at federally qualified community clinics and community sites to participate. Individuals were eligible if they were not pregnant, were 18 years or older, had conducted farmwork since the pandemic started, and were proficient in English or Spanish. Survey data were collected and SARS-CoV-2 tests were conducted among participants from July 16 to November 30, 2020. Exposures: Sociodemographic, household, community, and workplace characteristics. Main Outcomes and Measures: TMA- and immunoglobulin G (IgG)-positive SARS-CoV-2 infection. Results: A total of 1107 farmworkers (581 [52.5%] women; mean [SD] age, 39.7 [12.6] years) were included in these analyses. Most participants were born in Mexico (922 [83.3%]), were married or living with a partner (697 [63.0%]), and worked in the fields (825 [74.5%]). Overall, 118 of 911 (13.0%) had a positive result on their TMA test for SARS-CoV-2 infection, whereas 201 of 1058 (19.0%) had antibody evidence of infection. In multivariable analyses accounting for recruitment venue and enrollment period, the incidence of TMA-positive SARS-CoV-2 infection was higher among those with lower than primary school-level education (adjusted relative risk [aRR], 1.32; 95% CI, 0.99-1.76; non-statistically significant finding), who spoke an Indigenous language at home (aRR, 1.30; 95% CI, 0.97-1.73; non-statistically significant finding), who worked in the fields (aRR, 1.60; 95% CI, 1.03-2.50), and who were exposed to a known or suspected COVID-19 case at home (aRR, 2.98; 95% CI, 2.06-4.32) or in the workplace (aRR, 1.59; 95% CI, 1.18-2.14). Positive results on IgG tests for SARS-CoV-2 infection were more common among those who lived in crowded housing (aRR, 1.23; 95% CI, 0.98-1.53; non-statistically significant finding), with children aged 5 years or younger (aRR, 1.40; 95% CI, 1.11-1.76), with unrelated roommates (aRR, 1.40; 95% CI, 1.19-1.64), and with an individual with known or suspected COVID-19 (aRR, 1.59; 95% CI, 1.13-2.24). The risk of IgG positivity was also higher among those with body mass index of 30 or greater (aRR, 1.65; 95% CI, 1.01-2.70) or diabetes (aRR, 1.31; 95% CI, 0.98-1.75; non-statistically significant finding). Conclusions and Relevance: In this cross-sectional study of farmworkers in California, both residential and workplace exposures were associated with SARS-CoV-2 infection. Urgent distribution of COVID-19 vaccines and intervention on modifiable risk factors are warranted given this population's increased risk of infection and the essential nature of their work.


Assuntos
COVID-19/transmissão , Fazendeiros/estatística & dados numéricos , Adulto , COVID-19/epidemiologia , California/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos
3.
Medicine (Baltimore) ; 100(35): e27102, 2021 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-34477148

RESUMO

ABSTRACT: The turnover rate among kindergarten teachers in advanced countries is extremely high. As such, there is an urgent need to determine the reasons for this turnover and to identify ways to prevent it. The current study investigates the individual and environmental factors that impact kindergarten teachers' willingness to continue working.A total of 600 kindergarten teachers in Japan participated in this study. Participants responded to questionnaires regarding their willingness to continue working, mental health, work engagement, and the availability of social support. Multiple logistic regression analysis was used to analyze participants' data, with willingness to continue working for 5 or more years as the dependent variable. Additionally, Spearman rank correlation was used to examine the correlations between factors associated with willingness to continue working.Factors such as older age, living with a spouse, caring for younger children (up to 2 years old) at work, good mental health, and higher work engagement were significantly associated with teachers' higher willingness to continue working. Factors such as marriage, health and family problems, overtime work, issues with workplace childcare, and education policy, working time/day problems, human relations, and difficulties taking care of children were correlated with teachers' lack of willingness to continue working.The findings of this cross-sectional study suggest that welfare benefits and individual support systems could be key elements to encourage kindergarten teachers to continue working and could lead to their improved job satisfaction and mental health. Balanced work conditions and workers' high agreement with their workplace's overall childcare or educational policies may lead to lower turnover. Some programs - such as relationship counselling - could have a positive impact on teachers' mental health and job satisfaction.


Assuntos
Satisfação no Emprego , Professores Escolares/psicologia , Adulto , Distribuição de Qui-Quadrado , Estudos Transversais , Feminino , Humanos , Japão , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Reorganização de Recursos Humanos , Professores Escolares/estatística & dados numéricos , Inquéritos e Questionários , Carga de Trabalho/psicologia , Local de Trabalho/psicologia , Local de Trabalho/normas
4.
Ind Health ; 59(5): 318-324, 2021 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-34421104

RESUMO

COVID-19 is around the world. We attempt to apply three-step method in ISO/IEC Guide 51: 2014 to COVID-19 infection control in the workplace. The results show that the COVID-19 infection control measures include the eradication of the virus, the destruction of infectivity, the detoxification and weakening and the elimination of opportunities for infection as "Inherently Safe Design Measures", the avoidance of contact as "Safeguarding and Complementary Protective Measures" and the reduction of contact and the avoidance of seriousness as "Information for Use". Among these specific measures, the New Normal, especially in the manufacturing industries, would be "telecommuting" and "unmanned workplaces", which are part of the elimination of opportunities for infection, and "changes in flow lines" and "changes in airflow", which are part of the avoidance of contact. Where "telecommuting" and "unmanned workplaces" are feasible, they should be implemented as much as possible, and where they are not, attempts should be made to minimize human-to-human contact by "changes in flow lines". In addition, in the area of "changes in airflow", there are high expectations for future research on how to establish a ventilation design for COVID-19, in which but also the source would be workers themselves, not only combustible gases and toxic gases.


Assuntos
COVID-19/epidemiologia , COVID-19/prevenção & controle , Controle de Infecções/organização & administração , Saúde do Trabalhador/normas , Local de Trabalho/organização & administração , Saúde Global , Humanos , Controle de Infecções/normas , Instalações Industriais e de Manufatura/normas , SARS-CoV-2 , Teletrabalho , Ventilação/normas , Local de Trabalho/normas
5.
Maturitas ; 150: 14-21, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34219903

RESUMO

Governments, employers, and trade unions are increasingly developing "menopause at work" policies for female staff. Many of the world's most marginalised women work, however, in more informal or insecure jobs, beyond the scope of such employment protections. This narrative review focuses upon the health impact of such casual work upon menopausal women, and specifically upon the menopausal symptoms they experience. Casual work, even in less-then-ideal conditions, is not inherently detrimental to the wellbeing of menopausal women; for many, work helps manage the social and emotional challenges of the menopause transition. Whereas women in higher status work tend to regard vasomotor symptoms as their main physical symptom, women in casual work report musculoskeletal pain as more problematic. Menopausal women in casual work describe high levels of anxiety, though tend to attribute this not to their work as much as their broader life stresses of lifelong poverty and ill-health, increasing caring responsibilities, and the intersectionally gendered ageism of the social gaze. Health and wellbeing at menopause is determined less by current working conditions than by the early life experiences (adverse childhood experiences, poor educational opportunities) predisposing women to poverty and casual work in adulthood. Approaches to supporting menopausal women in casual work must therefore also address the lifelong structural and systemic inequalities such women will have faced. In the era of COVID-19, with its devastating economic, social and health effects upon women and vulnerable groups, menopausal women in casual work are likely to face increased marginalisation and stress. Further research is need.


Assuntos
Emprego/psicologia , Menopausa/fisiologia , Menopausa/psicologia , Saúde do Trabalhador/normas , Local de Trabalho/normas , Feminino , Humanos , Local de Trabalho/organização & administração , Local de Trabalho/psicologia
6.
Molecules ; 26(12)2021 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-34201360

RESUMO

This paper presents a method of implementation and the results of aerosol dispersion tests in underground mine workings. Numerous tests were carried out to determine the potential risk of SARS-CoV-2 coronavirus infection in the underground environment of the mines. The influence of selected parameters of mine air on the possibility and method of aerosol transmission through ventilation routes was experimentally determined in real conditions. The concentration of additional aerosols in the class of ultrafine and fine aerosols increased with the distance from the generator, while the concentration of coarse particles decreased. Assuming the consumption of the solution with which aerosols were generated, even at a small level of 1 cm3/min., the number of additional aerosols was several hundred particles in one cubic centimeter of air at a distance of 50-70 m from the generator. The concentration of ultrafine particles in the range of 40-20,000 nm increased from 122 particles/cm3 to 209 particles/cm3 at air temperature of 12 °C and relative humidity of 95-96%, and from 90 particles/cm3 to 243 particles/cm3 at air temperature of 17 °C and relative humidity of 76-82%, with the increasing distance from the generator (10 m to 50 m).


Assuntos
Aerossóis/análise , COVID-19/transmissão , Minas de Carvão , Local de Trabalho/normas , Ar/análise , Monitoramento Ambiental/instrumentação , Monitoramento Ambiental/métodos , Desenho de Equipamento , Humanos , Exposição Ocupacional/análise , Tamanho da Partícula , Material Particulado/análise , Polônia , SARS-CoV-2
8.
J Safety Res ; 77: 13-22, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34092303

RESUMO

INTRODUCTION: A critical aspect of occupational safety is workplace inspections by experts, in which hazards are identified. Scientific research demonstrates that expectation generated by context (i.e., prior knowledge and experience) can bias the judgments of professionals and that individuals are largely unaware when their judgments are affected by bias. METHOD: The current research tested the reliability and biasability of expert safety inspectors' judgments. We used a two-study design (Study 1, N = 83; Study 2, N = 70) to explore the potential of contextual, task-irrelevant, information to bias professionals' judgments. We examined three main issues: (1) the effect that biasing background information (safe and unsafe company history) had on professional regulatory safety inspectors' judgments of a worksite; (2) the reliability of those judgments amongst safety inspectors and (3) inspectors' awareness of bias in their judgments and confidence in their performance. RESULTS: Our findings establish that: (i) inspectors' judgments were biased by historical contextual information, (ii) they were not only biased, but the impact was implicit: they reported being unaware that it affected their judgments, and (iii) independent of our manipulations, inspectors were inconsistent with one another and the variations were not a product of experience. CONCLUSION: Our results are a replication of findings from a host of other professional domains, where honest, hardworking professionals underappreciate the biasing effect of context on their decision making. The current paper situates these findings within the relevant research on safety inspection, cognitive bias and decision making, as well as provides suggestions for bias mitigation in workplace safety inspection. Practical Application: Our results have implications for occupational health and safety given that inspection is an integral aspect of an effective safety system. In addition to our findings, this study contributes to the literature by providing recommendations regarding how to mitigate the effect of bias in inspection.


Assuntos
Viés , Julgamento , Auditoria Administrativa/normas , Saúde do Trabalhador/normas , Local de Trabalho/normas , Humanos , Conhecimento , Reprodutibilidade dos Testes
9.
Rev Gaucha Enferm ; 42(spe): e20200339, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34161545

RESUMO

OBJECTIVE: To trigger a reflection on the current working conditions of Nursing professionals in coping with the Covid-19 pandemic. METHOD: A theoretical-reflective study supported by studies from the Marxist perspective, national and international scientific articles, and official documents from the World Health Organization and the Federal Nursing Council. RESULTS: The daily work of Nursing professionals in the face of the Covid-19 pandemic presents unfavorable working conditions in Brazil and worldwide, with emphasis on the deficit of professionals, overload of activities, low pay, and personal protective equipment, often insufficient and inadequate, conditions that can lead to exhaustion, illness and death. CONCLUSION: This study can contribute to raising discussions about the need for improvements in the working conditions of Nursing professionals, especially in pandemic times and the impact on the health of these professionals.


Assuntos
COVID-19/epidemiologia , Recursos Humanos de Enfermagem , Pandemias , Carga de Trabalho , Local de Trabalho/normas , Brasil/epidemiologia , Humanos , Recursos Humanos de Enfermagem/economia , Recursos Humanos de Enfermagem/provisão & distribuição , Teoria de Enfermagem , Equipamento de Proteção Individual/provisão & distribuição , Salários e Benefícios/economia
10.
Ann Agric Environ Med ; 28(2): 231-236, 2021 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-34184503

RESUMO

INTRODUCTION: The study presents the difference between occupational and para-occupational diseases in terms of Polish law, and indicates the fact that cardiovascular diseases (CVDs) are considered to be work-related, and describes the latest reports on the prevalence of cardiovascular risk factors in workplaces. OBJECTIVE: The aim of this study is to present the difference between occupational and para-occupational diseases in terms of Polish law. Also indicated is the fact that cardiovascular diseases (CVDs) are considered to be work-related and the latest reports on the prevalence of cardiovascular risk factors in workplaces are described. BRIEF DESCRIPTION OF THE STATE OF KNOWLEDGE: Polish law distinguishes two groups of diseases that may arise in connection with work: occupational diseases and work-related diseases (so-called para-occupational diseases). Despite the fact that both groups are connected with the work environment they are not equivalent in legal terms. CVDs are one of the greatest threat to human life. The pathogenesis of these diseases is highly dependent on the compilation of adverse risk factors, which are typically divided into modifiable and non-modifiable. To-date, modifiable factors, i.a. excess weight and high blood pressure, were mainly associated with an unhealthy lifestyle. However, a shift in perspective has taken place and currently researchers focus more on the work environment as a possible factor affecting people's health. It is emphasized that an unhealthy work environment increases the risk of CVD. Research shows that workplaces are rich in risk factors specifically related to work, including psychosocial, physical and chemical factors. CONCLUSIONS: Legal principles covering para-occupational diseases in Poland seem incomplete. It is suggested that providing detailed legal authorization and defining the bodies that will objectively and reliably engage in the diagnostic process of para-occupational diseases may be beneficial to employees.


Assuntos
Doenças Cardiovasculares/epidemiologia , Doenças Profissionais/epidemiologia , Doenças Vasculares/epidemiologia , Humanos , Saúde do Trabalhador , Polônia/epidemiologia , Fatores de Risco , Local de Trabalho/normas
11.
J Occup Environ Med ; 63(7): 557-564, 2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-34184650

RESUMO

OBJECTIVES: Explore workplace control frequencies and factors associated with US food retail workers' safety perceptions during COVID-19. METHODS: An online, cross-sectional survey captured working conditions and safety perceptions among a large, national sample of US food retail workers from July to October 2020. RESULTS: Overall, 40.3% reported feeling "not so" or "not protected" by COVID-19 controls. Administrative controls were more commonly reported (56.8% reported ≥5 controls) than engineering (19.5% reported ≥3). Fomite-related controls were more common than those reducing interpersonal contact. After adjustment, organizational safety climate (prevalence ratio (PR): 1.53, 95% CI: 1.24, 1.89), and perceived strict prevention measure enforcement (PR: 0.60, 95% CI: 0.46, 0.78) were associated with safety perceptions. CONCLUSIONS: Many workers do not feel well-protected by COVID-19 controls. Safety climate and control enforcement are associated with workers' COVID-19 safety perceptions.


Assuntos
COVID-19/prevenção & controle , Saúde do Trabalhador , Estresse Ocupacional , Pandemias , Segurança , Local de Trabalho/normas , Adolescente , Adulto , Idoso , COVID-19/epidemiologia , Comércio , Estudos Transversais , Feminino , Indústria Alimentícia , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Percepção , SARS-CoV-2 , Adulto Jovem
12.
Workplace Health Saf ; 69(9): 435-441, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33942679

RESUMO

BACKGROUND: Violent workplace deaths among health care workers (HCWs) remain understudied in the extant literature despite the potential for serious long-term implications for staff and patient safety. This descriptive study summarized the number and types of HCWs who experienced violent deaths while at work, including the location in which the fatal injury occurred. METHODS: Cases were identified from the Centers for Disease Control and Prevention's National Violent Death Reporting System between 2003 and 2016. Coded variables included type of HCW injured, type of facility, and location within the facility and perpetrator type among homicides. Frequencies were calculated using Excel. FINDINGS: Among 61 HCW deaths, 32 (52%) were suicides and 21 (34%) were homicides; eight (13%) were of undetermined intent. The occupations of victims included physicians (28%), followed by nurses (21%), administration/support operations (21%), security and support services (16%), and therapists and technicians (13%). Most deaths occurred in hospitals (46%) and nonresidential treatment services (20%). Within facility, locations included offices/clinics (20%) and wards/units (18%). Among homicide perpetrators, both Type II (perpetrator was client/patient/family member) and Type IV (personal relationship to perpetrator) were equally common (33%). CONCLUSION/ APPLICATIONS TO PRACTICE: Suicide was more common than homicide among HCW fatal injuries. Workplace violence prevention programs may want to consider both types of injuries. Although fatal HCW injuries are rare, planning for all types of violent deaths could help minimize consequences for staff, patients, and visitors.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Violência no Trabalho/estatística & dados numéricos , Centers for Disease Control and Prevention, U.S./organização & administração , Centers for Disease Control and Prevention, U.S./estatística & dados numéricos , Humanos , Saúde do Trabalhador/estatística & dados numéricos , Sistema de Registros/estatística & dados numéricos , Estados Unidos , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos
13.
Worldviews Evid Based Nurs ; 18(3): 190-200, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33973346

RESUMO

BACKGROUND: Low-to-middle income countries (LMICs) experience a high burden of disease from both non-communicable and communicable diseases. Addressing these public health concerns requires effective implementation strategies and localization of translation of knowledge into practice. AIM: To identify and categorize barriers and strategies to evidence implementation in LMICs from published evidence implementation studies. METHODS: A descriptive analysis of key characteristics of evidence implementation projects completed as part of a 6-month, multi-phase, intensive evidence-based clinical fellowship program, conducted in LMICs and published in the JBI Database of Systematic Reviews and Implementation Reports was undertaken. Barriers were identified and categorized to the Donabedian dimensions of care (structure, process, and outcome), and strategies were mapped to the Cochrane effective practice and organization of care taxonomy. RESULTS: A total of 60 implementation projects reporting 58 evidence-based clinical audit topics from LMICs were published between 2010 and 2018. The projects included diverse populations and were predominantly conducted in tertiary care settings. A total of 279 barriers to implementation were identified. The most frequently identified groupings of barriers were process-related and associated predominantly with staff knowledge. A total of 565 strategies were used across all projects, with every project incorporating more than one strategy to address barriers to implementation of evidence-based practice; most strategies were categorized as educational meetings for healthcare workers. LINKING EVIDENCE TO ACTION: Context-specific strategies are required for successful evidence implementation in LMICs, and a number of common barriers can be addressed using locally available, low-cost resources. Education for healthcare workers in LMICs is an effective awareness-raising, workplace culture, and practice-transforming strategy for evidence implementation.


Assuntos
Países em Desenvolvimento , Prática Clínica Baseada em Evidências/métodos , Prática Clínica Baseada em Evidências/tendências , Humanos , Melhoria de Qualidade , Local de Trabalho/normas
14.
Fam Syst Health ; 39(1): 38-54, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34014729

RESUMO

INTRODUCTION: The purpose of this article is to introduce how social networks can be utilized as an effective approach to health informatics and to provide evidence from a quantitative research study regarding the effects of interpersonal interactions at work on healthcare employees' burnout and health. METHODS: Tests of moderation were calculated to explore whether interpersonal interactions at work changed the associations between job stress and burnout and health. The study used cross sectional data from a North Carolina convenience sample. Participants were 237 multidisciplinary employees from healthcare organizations who were at least 18 years of age. RESULTS: The results from this study provided evidence that more frequent friendly work-related communication benefitted employees' health, while more frequent hostile or difficult communication was detrimental to employees' burnout and health. DISCUSSION: In this article, an explanation for using social networks to collect quantitative, relational data to determine when interpersonal interactions at work are beneficial or detrimental to employees' health and burnout is provided. The article concludes with a discussion regarding how these results and methods can be used to advance the national movements aimed at addressing healthcare employees' health and burnout. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Esgotamento Profissional/psicologia , Pessoal de Saúde/psicologia , Nível de Saúde , Rede Social , Adulto , Estudos Transversais , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , North Carolina , Local de Trabalho/psicologia , Local de Trabalho/normas
15.
Nurs Adm Q ; 45(3): 243-252, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33935211

RESUMO

The Greater Boston Nursing Collective, a consortium composed of university nursing deans and chief nursing officers within academic medical centers and specialty hospitals in Boston, Massachusetts, was formed in 2014. Since the group's inception, our mission has been to create and reinforce whole-person/whole-system healing environments to improve the health of all communities. Through our collaboration in navigating the dual epidemics of COVID-19 and structural racism within our respective organizations, and across the United States and the world, we share experiences and lessons learned. Our common mission is clearer than ever: to create safe and joyful work environments, to protect the dignity of those we are privileged to serve, and to generate policies to advance health equity to rectify societal forces that have shaped this dual epidemic. We are humbled by the many who persist despite limited rest and respite, and whose stories, innovations, and leadership we are honored to witness and share. They have defined our generation, just as nurses in earlier crises have done: leading through service to others as our purpose and privilege.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Pandemias , Boston , Cuidadores/psicologia , Cuidadores/tendências , Humanos , Enfermeiras Administradoras/tendências , Estados Unidos , Local de Trabalho/psicologia , Local de Trabalho/normas
16.
Traffic Inj Prev ; 22(5): 413-418, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34037505

RESUMO

OBJECTIVE: Automated Truck-Mounted Attenuators (ATMAs) have the potential to improve work zone safety by removing the human driver out of a vehicle that is positioned in work zones to absorb impact from errant vehicles. However, this automated technology is expensive and can be detrimental to safety and project success if operated incorrectly (e.g., operating limitations and procedures not followed). Therefore, it is important to understand users' perceptions of ATMAs and how training can improve appropriate adoption of this technology. The objective of this study was to evaluate how work zone workers perceive the usefulness of and the capabilities of automation in Truck-Mounted Attenuators. METHODS: A survey study was conducted with 13 Department of Transportation (DOT) workers in Colorado and California. Each of the DOT workers in this study had some previous experience with the ATMA, either in real-world applications and/or formal training. The survey collected information on participant job specifications, experience with the ATMA, training received, trust in the ATMA, usability of the HMIs, and operating capabilities of the automation. RESULTS: Workers reported an overall positive acceptance of this technology. This was supported by their expectation that it would reduce crash severity; that there was a reasonable workload associated with operating procedures for the automation; and by their overall trust in the automation's reliability. However, workers noted concerns regarding their trust in the automation under various contexts, such as poor visibility and denser traffic volumes. Further, trust in the technology was greatest among workers with higher levels of ATMA training and longer experience working with the ATMA. CONCLUSIONS: This research presents a novel perspective on user acceptance of ATMA technology. These findings can help jurisdictions achieve the safety improvements that investment and deployment of automation in work zones offers, by identifying the disconnect between operators and technology.


Assuntos
Acidentes de Trânsito/prevenção & controle , Automação/normas , Condução de Veículo/estatística & dados numéricos , Veículos Automotores/estatística & dados numéricos , Segurança/normas , Carga de Trabalho/normas , California , Colorado , Humanos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Análise e Desempenho de Tarefas , Local de Trabalho/normas
17.
New Solut ; 31(2): 107-112, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34000888

RESUMO

The global political economy is generating new forms and growing shares of informal, insecure, and precarious labor, adding to histories of insecure work and an externalization of social costs. The COVID-19 pandemic has highlighted the consequences of ignoring such signals in terms of the increased risk and vulnerability of insecure labor. This paper explores how such trends are generating intersecting adverse health outcomes for workers, communities, and environments and the implications for breaking siloes and building links between the paradigms, science, practice, and tools for occupational health, public health, and eco-health. Applying the principle of controlling hazards at the source is argued in this context to call for an understanding of the upstream production and socio-political factors that are jointly affecting the nature of work and employment and their impact on the health of workers, the public, and the planet.


Assuntos
Emprego , Saúde do Trabalhador/tendências , Adolescente , África Oriental , África Austral , COVID-19/epidemiologia , Emprego/psicologia , Emprego/normas , Emprego/estatística & dados numéricos , Feminino , Humanos , Masculino , Política , Saúde Pública , Desemprego/psicologia , Desemprego/estatística & dados numéricos , Local de Trabalho/psicologia , Local de Trabalho/normas , Adulto Jovem
18.
J Contin Educ Nurs ; 52(5): 232-239, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34038680

RESUMO

BACKGROUND: Workplace incivility is a common problem in nursing, and novice nurses are particularly vulnerable to incivility. METHOD: Cognitive rehearsal training to defend against incivility was presented to resident nurses. RESULTS: Three months after the educational intervention, 55% of nurses reported that they had witnessed incivility in the past month and 45% reported that they had responded to the incivility when it occurred. CONCLUSION: Most of the nurses expressed that the training improved their ability to manage incivility. Responses to open-ended comments revealed that incivility adversely affects the workplace and that leaders also may benefit from education on incivility and cognitive rehearsal. [J Contin Educ Nurs. 2021;52(5):232-239.].


Assuntos
Incivilidade , Enfermagem , Local de Trabalho , Humanos , Incivilidade/prevenção & controle , Relações Interprofissionais , Enfermagem/normas , Enfermagem/estatística & dados numéricos , Enfermagem/tendências , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos
19.
J Nurs Adm ; 51(6): 329-333, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33989238

RESUMO

Dynamics in the workplace are tumultuous. Downsizing within organizations is one strategy to adjust staffing to volumes. Survivor demoralization and loss of trust in the organization are the primary outcomes of organizational downsizing. These deep emotional responses to psychological contract breach/violation result in decreased organizational citizenship behavior, decreased organizational commitment, decreased productivity, and employees who desire to work elsewhere.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Redução de Pessoal/psicologia , Sobreviventes/psicologia , Adulto , Humanos , Cultura Organizacional , Inquéritos e Questionários , Confiança/psicologia , Local de Trabalho/psicologia , Local de Trabalho/normas
20.
J Nurs Adm ; 51(6): 310-317, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33989239

RESUMO

OBJECTIVE: To determine if Black nurses are more likely to report job dissatisfaction and whether factors related to dissatisfaction influence differences in intent to leave. BACKGROUND: Minority nurses report higher job dissatisfaction and intent to leave, yet little is known about factors associated with these differences in community settings. METHOD: Cross-sectional analysis of 11 778 nurses working in community-based settings was conducted. Logistic regression was used to estimate the association among race, job satisfaction, and intent to leave. RESULTS: Black nurses were more likely to report job dissatisfaction and intent to leave. Black nurses' intent to leave decreased in adjusted models that accounted for dissatisfaction with aspects of their jobs including salary, advancement opportunities, autonomy, and tuition benefits. CONCLUSION: Nurse administrators may find opportunities to decrease intent to leave among Black nurses through focused efforts to target areas of dissatisfaction.


Assuntos
Diversidade Cultural , Intenção , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Afro-Americanos/etnologia , Afro-Americanos/psicologia , Afro-Americanos/estatística & dados numéricos , California/etnologia , Estudos Transversais , Florida/etnologia , Humanos , Modelos Logísticos , New Jersey/etnologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Pennsylvania/etnologia , Reorganização de Recursos Humanos/estatística & dados numéricos , Inquéritos e Questionários , Local de Trabalho/psicologia , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos
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