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1.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi ; 37(11): 823-826, 2019 Nov 20.
Artigo em Chinês | MEDLINE | ID: mdl-31826546

RESUMO

Objective: To understand the occupational hazard and distribution of silica dust (free SiO(2)≥10%) in the workplace environment of the enterprises in Fengxian District, and to provide scientific basis for improving the working environment and protecting the physical and mental health of the workers. Methods: Individual sampling monitoring and on-site labor hygiene investigation were conducted on 421 workers involved in 87 silicon dust enterprises in the jurisdiction from 2014 to 2018, and measured concentration-time weighted average (C(TWA)) . Results: The results showed that the range of the C(TWA) was (0.021~17.000) mg/m(3), the median was 1.600 mg/m(3), and the qualified rate of 30.88%. The difference of total dust concentration was statistically significant in different years (Z=38.831, P<0.05) . The qualified rate of small-scale enterprises is higher than that of medium-scale enterprises (χ(2)=9.472, P<0.05) . The qualified rate of other domestic enterprises is higher than that of private enterprises and foreign enterprises (χ(2)=10.089, P<0.05) . The acceptance rate of metal products manufacturing is lower than that of general equipment manufacturing and other manufacturing enterprises (χ(2)=64.626, P<0.05) . The qualification rate of natural ventilation is higher than that of mechanical ventilation (χ(2)=6.278, P<0.05) . Conclusion: The enterprises involved in silicon production in Fengxian District need to further strengthen the production process reform and improve the ventilation and dust removal protection measures. Widely carry out the publicity of occupational disease prevention and control law, conduct targeted pre-job training, improve workers' awareness of self-protection, and protect the occupational health of workers in many ways.


Assuntos
Poeira , Exposição Ocupacional , Dióxido de Silício , Local de Trabalho , Poeira/análise , Humanos , Exposição Ocupacional/análise , Saúde do Trabalhador , Dióxido de Silício/análise , Local de Trabalho/normas
2.
Artigo em Russo | MEDLINE | ID: mdl-31765544

RESUMO

The publication presents the definition of key terms in pricing, sets out pricing methods, lists the current legal documents on cost indicators in health care. Methodical approaches to the calculation of remuneration, as one of the components of the cost of medical care, involve the use of labor standards of medical workers, differentiated by their participation in the therapeutic and diagnostic process. The analysis of the regulatory framework for labor in health made the need for its revision.


Assuntos
Assistência à Saúde , Pessoal de Saúde , Local de Trabalho , Humanos , Carga de Trabalho , Local de Trabalho/normas
3.
J Nurs Adm ; 49(11): 531-537, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651612

RESUMO

OBJECTIVE: This study explored the relationships between nurse-sensitive structures, processes (work engagement [WE], frequency of fall risk discussion during report, and frequency of purposeful rounds), and patient falls. BACKGROUND: Strong WE is associated with better nurse-assessed quality of care, but previous research is limited by self-reported outcome measures. METHODS: We used a descriptive, cross-sectional, survey design with 41 nursing units from 7 hospitals. Nurses completed a survey including the Utrecht Work Engagement Scale. National Database of Nursing Quality Indicators reports provided falls data. RESULTS: WE was not related to patient falls, even after controlling for RN staffing and skill mix. The nursing units that had more nurses performing frequent purposeful rounds experienced greater falls with injury. Highly engaged nurses participated more in purposeful rounding and discussion of fall risk during bedside report than less engaged nurses. CONCLUSIONS: Further research is needed to understand the impact of WE on patient outcomes.


Assuntos
Acidentes por Quedas/prevenção & controle , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/psicologia , Guias de Prática Clínica como Assunto , Gestão da Segurança/normas , Local de Trabalho/normas , Adulto , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade
4.
J Nurs Adm ; 49(9): 447-453, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31436744

RESUMO

OBJECTIVE: To identify and compare validated tools used to assess incivility in healthcare settings. BACKGROUND: Incivility in the workforce is associated with poor quality outcomes, increased employee turnover, and decreased job satisfaction. Validated tools are essential for accurate measurement of incivility. The aim of this study was to compare characteristics of validated tools for use in a busy clinical setting. METHODS: In a scoping review, English language research studies using incivility tools published in PubMed or CINAHL between March 1, 2013, and March 14, 2018, were assessed for sound psychometric properties and feasibility of use (eg, short, easy to administer). RESULTS: After screening 869 articles and full text review of 244, 5 identified tools met the criteria; the Short Negative Acts Questionnaire seemed best suited for use in a busy healthcare setting. CONCLUSION: Adoption of a standardized and validated incivility tool makes it possible to compare across clinical settings and track progress over time.


Assuntos
Assistência à Saúde/normas , Incivilidade/estatística & dados numéricos , Satisfação no Emprego , Psicometria/instrumentação , Local de Trabalho/psicologia , Local de Trabalho/normas , Humanos , Inquéritos e Questionários
6.
Work ; 63(3): 405-413, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282451

RESUMO

BACKGROUND: Improving Occupational Health and Safety performance has become a challenge for industry, because investing in technology, equipment, or robust management systems has not been enough to prevent accidents in the workplace. With the expansion of commercial relations and the intensification of competitiveness in the global market, leadership is essential to prevention. OBJECTIVE: Evaluate leadership in occupational safety through a case study. METHODS: The leadership training methodology "The seven steps of leadership and worker involvement" was adapted and applied. Data collection was conducted through the application of diagnosis, training, and monitoring of the evolution of the leadership performance in the management of occupational safety via structured interviews, monitoring of accidents and statistical analysis of the data. RESULTS: Research has shown that assertive leadership behavior positively influences performance in the management of occupational safety and the results of this case study showed a reduction in accidents with injuries of more than 50%. CONCLUSIONS: Evidence shows that there is a correlation between safety leadership behavior and the reduction in the occurrence of accidents.


Assuntos
Liderança , Saúde do Trabalhador/normas , Gestão da Segurança/normas , Local de Trabalho/psicologia , Humanos , Gestão da Segurança/métodos , Local de Trabalho/normas
7.
Work ; 63(4): 509-519, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282464

RESUMO

BACKGROUND: If current population and health trends continue, workplace demographics will look significantly different by the turn of the century. Organizations will no longer have a steady pipeline of younger workers and will likely need to rely on older workers to remain competitive in the global marketplace. The future multi-generational workforce will bring with it the challenge of maximizing contributions from each generation whilst at the same time addressing the health, safety and wellbeing needs of all workers. OBJECTIVE: This review provides an insight into aging and older workers, and presents recommendations to promote worker longevity. METHODS: This narrative review draws on evidence from 108 published sources. RESULTS: The relationship between age and work is not simple; factors including the physical nature of the job and worker's health and fitness interact with age to either increase or decrease the potential effect of age. Evidence suggests that the issues arising from an aging workforce can be managed through polices that focus on active aging through: attitude management; flexible working and the provision of occupational health. CONCLUSION: The integration of such interventions would require company and organizational commitment from the top down with educational programs at all levels to ensure understanding and participation.


Assuntos
Envelhecimento/fisiologia , Emprego/normas , Saúde do Trabalhador , Exame Físico/normas , Recursos Humanos/normas , Ageismo/legislação & jurisprudência , Ageismo/prevenção & controle , Atitude Frente a Saúde , Promoção da Saúde , Envelhecimento Saudável/fisiologia , Humanos , Aptidão Física/fisiologia , Políticas , Participação dos Interessados , Local de Trabalho/legislação & jurisprudência , Local de Trabalho/normas
8.
Work ; 63(3): 447-456, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31256101

RESUMO

Mobile technology has revolutionised how we work. It is now relatively easy to work anywhere and anytime, but this has placed the onus is on mobile (or flexible) workers to set up their own work environment for comfort and ease of use. Vision is an important driver of posture, and hence visual ergonomics principles are integral for setting up digital devices. If mobile workers do not have visual ergonomics knowledge, or are unable to apply visual ergonomics knowledge to appropriately set up their work environment, then they are at risk of developing visual-related occupational health issues due to exposure to adverse physical work environments. To address this potential health care issue, we propose the introduction of Visual Ergonomics Health Literacy. This would provide mobile workers (including school children) with the knowledge and skills to set up their work environment for comfort and ease of use, wherever they work. It is important to address this issue now before we have a widespread epidemic of discomfort and injury from not applying sound visual ergonomics principles to work environments.


Assuntos
Ergonomia/normas , Alfabetização em Saúde/métodos , Interface Usuário-Computador , Ergonomia/métodos , Humanos , Local de Trabalho/normas
9.
Work ; 63(3): 347-353, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31256104

RESUMO

BACKGROUND: Standing desks are a low cost option for the reduction of sedentary behavior. OBJECTIVE: This study evaluated changes in utility and health outcomes during a standing desk intervention. METHODS: Thirty-five participants (BMI >25) who reported sitting an average of≥six hours per workday were recruited. Participants were randomized into a control or intervention group. Eleven were enrolled in the control group and 24 in the intervention group. Participants in the intervention group were outfitted with an adjustable standing desktop accessory while participants in the control group maintained a standard work desk. Self-reported and objective measures of sedentary time during an eight hour workday were captured for a baseline and intervention period. Changes in health outcomes and workplace satisfaction were assessed after six months. RESULTS: Self-recorded sedentary behavior decreased by 25% after six months though no changes in health outcomes were observed. Subjective assessments of standing time were over-estimated by 10% (compared to accelerometer recordings) in the intervention group. The intervention group reported higher levels of satisfaction with comfort, customizability, and overall personal workplace. CONCLUSIONS: Despite a decrease in sedentary behavior, no changes in health outcomes occurred after a six month intervention. Future studies should incorporate objective measures of diet and physical activity to assess compensatory behaviors that may offset sedentary reduction. More sensitive health outcome measures should also be considered.


Assuntos
Comportamento Sedentário , Posição Ortostática , Local de Trabalho/normas , Acelerometria/métodos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Postura Sentada , Fatores de Tempo , Local de Trabalho/estatística & dados numéricos
10.
Work ; 63(3): 375-387, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31256107

RESUMO

BACKGROUND: The quality of the places where workers take their breaks may affect the completeness of recovery in the time available. Little is known about how characteristics of a company canteen buffer the relationship between job demands and fatigue. OBJECTIVE: We addressed the possibility that the company canteen buffers the relationship between job demands and fatigue to the extent that workers perceive it to hold restorative quality. Further, we considered how the restorative quality of the canteen signals the provision of organizational support, another job resource thought to buffer the demands-fatigue relationship. ETHODS: A questionnaire was completed by 141 male blue collars workers during their lunch break in the factory canteen of an Italian industrial organization. RESULTS: Canteen restorative quality correlated positively with organizational support. In multivariate regression analyses, the demands-fatigue association was weaker among workers who saw greater restorative quality in the canteen. This buffering effect was accounted for by a buffering effect of organizational support. CONCLUSIONS: When settings for rest in the workplace have higher restorative quality, they may better function as job resources in two respects: serving the immediate needs of workers for recovery from job demands, and signaling the interest of the organization in their well-being.


Assuntos
Fadiga/etiologia , Apoio Social , Local de Trabalho/normas , Adulto , Fadiga/psicologia , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Restaurantes/organização & administração , Inquéritos e Questionários , Carga de Trabalho/psicologia , Carga de Trabalho/normas , Local de Trabalho/psicologia
11.
Work ; 63(3): 427-433, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31256109

RESUMO

BACKGROUND: Industrialization and rising standards of living have contributed to a growing amount of solid waste and consequent disposal problems. Solid waste collection is among the occupations with the highest risk for musculoskeletal disorders. OBJECTIVE: We have conducted this study to assess musculoskeletal complaints and work-related stress levels among municipal solid waste (MSW) collectors. METHODS: The subjects were all currently employed at the MSW Department of the City of Ankara, Turkey. Validated questionnaires were completed by 267 MSW collectors. Data analysis was performed using SPSS software (22.0 version). RESULTS: Upper back pain rate was 89.1% among the collectors. 47.9% of collectors reported having had upper back pain during the last 12 months and 38.7% had experienced it during the last month. 80.9% of the sample complained of shoulder pain. Wrists/hands and neck pain rates were found at rates of 78.7% and 67.8% respectively. Psychological demands, were significantly higher among MSW collectors living with moderate-severe pain. CONCLUSIONS: Ergonomics education, healthy work habits, occupational safety training and improvements in the psychosocial work environment should be considered.


Assuntos
Doenças Musculoesqueléticas/psicologia , Estresse Ocupacional/complicações , Resíduos Sólidos/efeitos adversos , Adulto , Estudos Transversais , Ergonomia/normas , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/psicologia , Medição da Dor/métodos , Prevalência , Psicometria/instrumentação , Psicometria/métodos , Eliminação de Resíduos/métodos , Eliminação de Resíduos/normas , Fatores de Risco , Inquéritos e Questionários , Turquia , Local de Trabalho/psicologia , Local de Trabalho/normas
12.
Work ; 63(3): 457-467, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31322585

RESUMO

BACKGROUND: Given that shift work spreads across many different business sectors, studies of its adverse effects are very topical. Much research has been done on the negative impact of shift work, but many researchers have not focused on its impact in a multicultural environment. OBJECTIVE: The aim of this study was to map out how shift work is perceived by workers in two different shift regimes and two national groups. METHODS: The research was carried out on Czech manufacturing workers and Turkish airport ground personnel using a questionnaire. The impact of shift work was studied from physical, mental, social and health aspects with connection to family status and gender. For statistical evaluation, Pearson's chi-squared test of independence was used. The effect of shift work on workers' performance and scrap rate was analysed only on the sample of the manufacturing workers. RESULTS: Fifty-five Czech male workers, 49 Turkish male workers and 60 Turkish female workers participated in the survey. The dependence between sexes was confirmed for mental aspects and sleeping routines. The main difference between nationalities is in work attitude, social aspects and sleeping routines. According to the family status, the difference was confirmed in all areas except social aspects. The lowest values of productivity and the highest scrap rate were observed on night shifts and the maximum productivity and lowest scrap rates were observed on afternoon shifts. CONCLUSIONS: Some of the basic assumptions were confirmed which suggests that a multicultural environment has an influence on the perception of shift work by the nations and gende.


Assuntos
Diversidade Cultural , Jornada de Trabalho em Turnos/efeitos adversos , Adolescente , Adulto , República Tcheca/epidemiologia , República Tcheca/etnologia , Humanos , Masculino , Indústria Manufatureira/métodos , Indústria Manufatureira/normas , Pessoa de Meia-Idade , Jornada de Trabalho em Turnos/psicologia , Transtornos do Sono do Ritmo Circadiano/epidemiologia , Transtornos do Sono do Ritmo Circadiano/etnologia , Transtornos do Sono do Ritmo Circadiano/etiologia , Inquéritos e Questionários , Turquia/epidemiologia , Turquia/etnologia , Tolerância ao Trabalho Programado/psicologia , Local de Trabalho/psicologia , Local de Trabalho/normas
13.
BMC Health Serv Res ; 19(1): 435, 2019 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-31253161

RESUMO

BACKGROUND: Since the 2013 Rana Plaza incident in Bangladesh, the government of Bangladesh has been under pressure to improve health and safety conditions for workers in the ready-made garment industry. Its efforts have focused heavily on structural safety of the buildings but have largely ignored broader occupational health system issues. This qualitative study explores contextual factors and system challenges that create barriers for ensuring a healthy and safe workplace in the ready-made garment industry in Bangladesh. METHODS: Data were collected through key informant interviews (n = 14) with government officials from the Department of Inspection for Factories and Establishments (DIFE), factory employers, factory doctors and representatives from the Bangladesh Garment Manufacturers and Exporters Association (BGMEA). A thematic analysis was conducted using Atlas-ti v 5.2. RESULTS: A thematic analysis suggests that the capacity of the DIFE to provide adequate occupational health services remains a problem. There is a shortage of both appropriately trained staff and equipment to monitor occupational health and safety in factories and to gather useful data for evidence-based decision-making. Another barrier to effective occupational health and safety of workers is the lack of cooperation by employers in recording data on workers' health and safety problems. Finally, government officials have limited resources and power to enforce compliance with regulations. Such deficiencies threaten the health and safety of this important, largely female, working population. CONCLUSION: This case example focused on the valuable ready-made garment industry sector of Bangladesh's economy. It identifies the critical need for occupational health system strengthening. Specifically system capacity needs to be improved by both increasing human resources for in-factory hazards and health monitoring, regulatory inspection, enforcement, and improved training of government officials around monitoring and reporting.


Assuntos
Saúde do Trabalhador/legislação & jurisprudência , Saúde do Trabalhador/normas , Gestão da Segurança/legislação & jurisprudência , Indústria Têxtil/legislação & jurisprudência , Local de Trabalho/legislação & jurisprudência , Bangladesh , Humanos , Determinação de Necessidades de Cuidados de Saúde , Ocupações , Formulação de Políticas , Pesquisa Qualitativa , Gestão da Segurança/organização & administração , Indústria Têxtil/normas , Tolerância ao Trabalho Programado , Local de Trabalho/organização & administração , Local de Trabalho/normas
14.
Work ; 63(2): 283-289, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156209

RESUMO

BACKGROUND: PTSD is associated with high levels of vocational difficulty, and research on relationships between PTSD and vocational adjustment may be relevant to vocational rehabilitation services to achieve optimal outcomes. Veteran perception of ability to cope with stressors in the workplace setting may play a role in rehabilitation outcome. OBJECTIVE: This article outlines preliminary steps in the development of the Vocational Efficacy in Trauma Survivors Scale (VETSS), to measure perceived efficacy in managing PTSD symptoms in the workplace. This has potential to expand future options for research in vocational rehabilitation for veterans with PTSD. METHODS: Veterans in outpatient treatment for PTSD at a large, mid-western Veterans Affairs Health Care System facility responded to items on the proposed instrument and items on other measures of vocational and psychological functioning to assess the potential validity of items for an instrument to measure vocational self-efficacy among veterans managing PTSD. RESULTS: In a sample of 63 working veterans who receive outpatient care for PTSD, exploratory factor analysis identified two viable subscales, one tapping Workplace Coping, and another tapping Self-Disclosure. CONCLUSIONS: Preliminary findings indicate that the measure demonstrated acceptable indications of reliability and validity, suggesting promise for future use in vocational rehabilitation research.


Assuntos
Adaptação Psicológica , Percepção , Transtornos de Estresse Pós-Traumáticos/complicações , Adulto , Feminino , Humanos , Masculino , Minnesota , Psicometria/instrumentação , Psicometria/métodos , Psicometria/estatística & dados numéricos , Reabilitação Vocacional/métodos , Reabilitação Vocacional/psicologia , Reabilitação Vocacional/estatística & dados numéricos , Autoeficácia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estados Unidos , United States Department of Veterans Affairs/organização & administração , United States Department of Veterans Affairs/estatística & dados numéricos , Local de Trabalho/psicologia , Local de Trabalho/normas
15.
Work ; 63(2): 299-308, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156211

RESUMO

BACKGROUND: In modern society, there is an increase both in the demand and the duration of computer work. Failure to correct body posture while using the computer has become a serious health hazard. OBJECTIVE: To identify global trends in research related to body posture and visual display terminals (VDTs) using a bibliometric approach. METHODS: In the search process, the keywords (posture *) AND (computer* OR "visual display terminal") were used in the study title section, in the Wos, Scopus and Medline databases. RESULTS: 149 references published between 1970 and 2016 were analyzed. The studied variables were the years of publication, authorship and collaboration index, publication type, titles of journals, most used languages, impact of the publications, as well as content of the articles. CONCLUSIONS: In recent years, the studies on body posture in relation to VDT have been increased both in quantity and quality of publications. The analysis and/or design of the workplace, as well as the elements that make up the computer (keyboard and mouse) are the most researched topics in the area.


Assuntos
Postura/fisiologia , Interface Usuário-Computador , Bibliometria , Ergonomia/normas , Humanos , Local de Trabalho/normas
16.
Nurs Adm Q ; 43(3): 230-245, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162342

RESUMO

The primary aim of this literature review was to examine the quantity, quality, and consistency of evidence regarding the span of control (SOC) specific to nurse managers. A secondary aim was to meaningfully translate the evidence and offer guidance to 21st-century nurse leaders. The review results were categorized using Donabedian's (2003) Structure-Process-Outcomes model. The Structure-Process-Outcomes approach was used to review the literature and consider SOC recommendations for today's health care environment. Structures outlined the conditions for current SOC, which included material resources, human resources, and organizational characteristics. Processes were defined as activities or actions stemming from identified structures that led to outcomes. Examples included management/administrative activities, as well as frontline staff participation in these tasks. Outcomes were performance measures of human resources, financial, and quality metrics. The review revealed that an SOC model built on a simplistic full-time employment ratio is outdated. Yet, nurse managers remain in their role in the face of these simplistic models despite feelings of inadequacy, exhaustion, and failure because they passionately care about patients and staff. New attitudes and integration of advanced technologies, pioneering tools including SOC assessment tools, and ongoing competency developments will result in different needs of SOC as health care moves deeper into the modern era. This evidence is offered to inform and drive conversations focused on providing optimal nurse manager SOC for maximum effectiveness within unique and ever-evolving care environments.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Atitude do Pessoal de Saúde , Humanos , Autonomia Profissional , Local de Trabalho/psicologia , Local de Trabalho/normas
17.
Nurs Adm Q ; 43(3): 274-279, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162347

RESUMO

Nurse bullying is a systemic, pervasive problem that begins well before nursing school and continues throughout a nurse's career. A significant percentage of nurses leave their first job due to the negative behaviors of their coworkers, and bullying is likely to exacerbate the growing nurse shortage. A bullying culture contributes to a poor nurse work environment, increased risk to patients, lower Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction scores, and greater nurse turnover, which costs the average hospital $4 million to $7 million a year. Addressing nurse bullying begins with acknowledging the problem, raising awareness, mitigating contributing factors, and creating and enforcing a strong antibullying policy. Nurses and stakeholders also must actively work to change the culture, and understand that bullying has no place in the nursing profession or anywhere else in health care.


Assuntos
Bullying/psicologia , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Humanos , Intenção , Relações Interprofissionais , Local de Trabalho/psicologia , Local de Trabalho/normas
18.
Int J Public Health ; 64(7): 1015-1024, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31243470

RESUMO

OBJECTIVES: To assess the association of living and working conditions experienced during trafficking with mental health of female and male survivors. METHODS: We analyzed a cross-sectional study of 1015 survivors who received post-trafficking services in Cambodia, Thailand, and Vietnam. Modified Poisson regression models were conducted by gender to estimate prevalence ratios. RESULTS: For females, the elevated prevalence of anxiety, depression, and post-traumatic stress disorder (PTSD) symptoms was associated with adverse living conditions, while for males the prevalence of anxiety (PR = 2.21; 95% CI 1.24-3.96) and depression (PR = 2.63; 95% CI 1.62-4.26) more than doubled and almost tripled for PTSD (PR = 2.93; 95% CI 1.65-5.19) after adjustment. For males in particular, excessive and extreme working hours per day were associated with more than a four- and threefold greater prevalence of PTSD. Being in a detention center or jail was associated with all three mental health outcomes in males. CONCLUSIONS: Providers and stakeholders need to consider the complex mental health trauma of the differential effects of living and working conditions for female and male survivors during trafficking to support treatment and recovery.


Assuntos
Habitação/normas , Tráfico de Pessoas/psicologia , Saúde Mental , Sobreviventes/psicologia , Local de Trabalho/normas , Ansiedade/epidemiologia , Camboja/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Fatores Sexuais , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Tailândia/epidemiologia , Vietnã/epidemiologia
19.
Matern Child Health J ; 23(8): 1087-1097, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31190127

RESUMO

OBJECTIVES: Limited research has been conducted on the maternal and child health situation of garment factory workers in Cambodia. This qualitative study investigated the health-seeking behaviours for maternal and infant care of female garment factory workers in Kampong Tralach district, Cambodia. METHODS: We conducted 54 in-depth interviews, six focus group discussions and observed two factories. Participants were pregnant women and mothers of infants who have worked in factories, young women currently working in factories, caregivers of children, village leaders, healthcare workers, and factory managers. Deductive and inductive thematic analysis was performed. RESULTS: The women were accessing regular antenatal and facility-based delivery care. Most factory managers provided maternity leave, and some also provided leave for regular antenatal (ANC) visits. Women often returned to work 2 months post-delivery and this triggered the cessation of exclusive breastfeeding. Feeding was also compromised for the 6-12 months old children as carers, delayed the introduction of complementary feeds. Factories were equipped with childcare and breastfeeding spaces, however these were not used due to both feasibility issues and distrust of factory management. Instead, grandmothers were the preferred childcare providers. CONCLUSIONS FOR PRACTICE: Current factory policies regarding ANC, maternity leave and childcare provisions are context insensitive to rural workers who live far from the workplace to avail themselves of mandated ANC leave or breastfeeding breaks. Our study suggest that the increasing number of young women working in garment factories is compromising the early nutrition of their children, with a reduction in exclusive breastfeeding and inadequate complementary feeding.


Assuntos
Instalações Industriais e de Manufatura/estatística & dados numéricos , Mães/estatística & dados numéricos , Estado Nutricional , Adulto , Camboja , Feminino , Grupos Focais/métodos , Humanos , Pesquisa Qualitativa , Mulheres Trabalhadoras/estatística & dados numéricos , Local de Trabalho/psicologia , Local de Trabalho/normas
20.
Artigo em Inglês | MEDLINE | ID: mdl-31248036

RESUMO

Medical assistants' (MAs) working conditions have been characterized as precarious, and workplace-related intervention needs have been identified. However, strategies to change the MAs adverse working conditions are mostly seen on an individual level, including leaving the employer or even the profession. Since such intentions are antecedents of actual turnover, we aimed to quantify the potential link of reported unmet intervention needs with unfavorable occupational outcomes. Data were collected by means of a nationwide survey among medical assistants (n = 994) in Germany (September 2016-April 2017). The three subscales working conditions, reward from the supervisor, and task-related independence were derived from a 12-item instrument regarding work-related interventions needs (the independent variables). We used subscale-specific z-scores and a total needs z-score. The four outcome variables (i.e., intention to leave the employer, intention to leave the MA profession, choosing MA profession again, and recommending MA profession to young people) were dichotomized, and logistic regression analyses were performed and limited to MAs in employment (n = 887). We found that increasing needs according to the categorized total needs score were associated with increasing odds of all occupational outcomes. Needs pertaining to working conditions and reward from the supervisor were the strongest determinants of MAs' consideration of leaving their employer or profession (Odds ratios: 1.55-2.61). In summary, our study identified unmet work-related intervention needs that are associated with unfavorable occupational outcomes. In light of staffing shortage in health care, the identified needs should be addressed to ensure that sufficient recruitment of junior staff in the profession of medical assistants remains feasible and that experienced staff is retained.


Assuntos
Pessoal Técnico de Saúde/psicologia , Escolha da Profissão , Intenção , Local de Trabalho/organização & administração , Local de Trabalho/psicologia , Adolescente , Adulto , Estudos Transversais , Emprego , Feminino , Alemanha , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Reorganização de Recursos Humanos , Local de Trabalho/normas , Adulto Jovem
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