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1.
An. psicol ; 36(2): 361-369, mayo 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192073

RESUMO

Las organizaciones están implementando acciones para la mejora de la salud y calidad de vida de sus empleados. Este hecho repercute por tanto en las empresas y en sus empleados, caracterizándose éstos últimos por disponer de cinco fortalezas como son el engagement, la resiliencia, la autoeficacia, el optimismo y la esperanza. El cuestionario del empleado saludable mide ocho dimensiones, por lo que el objetivo del trabajo es validar el instrumento reduciendo el constructo del empleado saludable de ocho dimensiones a cinco dimensiones y constatar la fiabilidad del mismo como medio de evaluación del empleado saludable. 287 empleados (208 hombres y 79 mujeres) de edades comprendidas entre 20-59 años participaron en es-te estudio. Se analizó el ajuste de los modelos de cinco y ocho dimensiones mediante un Análisis Factorial Confirmatorio (AFC), utilizando el método de estimación de Máxima Verosimilitud Robusto. Los índices incrementa-les (CFI y NNFI) y el absoluto SRMR mostraron un buen ajuste en ambos modelos al ser superiores a ,90 e inferior a ,08 respectivamente. En cuanto a la comparación de modelos se observa un aumento significativo del estadístico de contraste Chi Cuadrado de Satorra-Bentler en el modelo de cinco frente al de ocho dimensiones, aunque la reducción del CFI en el modelo de cinco dimensiones no superó el criterio de ,01, lo que permitió considerar ambos modelos como similares en cuanto a ajuste. Ambos modelos mostraron resultados satisfactorios en cuanto al ajuste, este hecho confirma el uso del cuestionario del empleado saludable de ocho dimensiones a cinco dimensiones


Organisations are implementing actions to improve the health and quality of life of their employees. This fact therefore has an impact on companies and their employees, the latter being characterised by five strengths: engagement, resilience, self-efficacy, optimism and hope. The Healthy Employee Questionnaire measures eight dimensions, so the aim of the work is to validate the instrument by reducing the construct of the healthy employee from eight dimensions to five dimensions and to ascer-tain the reliability of the instrument as a means of evaluating the healthy employee. 287 employees (208 men and 79 women) aged 20-59 participat-ed in this study. The fit of the five- and eight-dimensional models was ana-lysed by Confirmatory Factor Analysis (CFA), using the Robust Maximum Likelihood estimation method. The incremental indices (CFI and NNFI) and the absolute SRMR showed a good fit in both models being higher than .90 and lower than .08, respectively. In terms of model comparison, a significant increase in the Satorra-Bentler Chi Square contrast statistic was observed in the five versus eight-dimensional model, although the reduc-tion of the CFI in the five-dimensional model did not exceed the criterion of .01, which allowed both models to be considered as similar in terms of fit. The two models showed satisfactory results in terms of fit, this fact confirming the reduction of the healthy employee questionnaire from eight dimensions to five dimensions


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Inquéritos e Questionários/normas , 16054/psicologia , Saúde do Trabalhador/estatística & dados numéricos , Autoeficácia , Resiliência Psicológica , Análise Fatorial , Serviços de Saúde do Trabalhador/estatística & dados numéricos
2.
Lancet Psychiatry ; 7(10): 893-910, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32949521

RESUMO

Mental illness and substance use disorders in the workplace have been increasingly recognised as a problem in most countries; however, evidence is scarce on which solutions provide the highest return on investment. We searched academic and grey literature databases and additional sources for studies that included a workplace intervention for mental health or substance abuse, or both, and that did an economic analysis. We analysed the papers we found to identify the highest yielding and most cost-effective interventions by disorder. On the basis of 56 studies, we found moderate strength of evidence that cognitive behavioural therapy is cost-saving (and in some cases cost-effective) to address depression. We observed strong evidence that regular and active involvement of occupational health professionals is cost-saving and cost-effective in reducing sick leave related to mental health and in encouraging return to work. We identified moderate evidence that coverage for pharmacotherapy and brief counselling for smoking cessation are both cost-saving and cost-effective. Addressing mental health and substance misuse in the workplace improves workers' wellbeing and productivity, and benefits employers' bottom line (ie, profit). Future economic analyses would benefit from the consideration of subgroup analyses, examination of longer follow-ups, inclusion of statistical and sensitivity analyses and discussion around uncertainty, and consideration of potential for bias.


Assuntos
Serviços de Saúde do Trabalhador/economia , Serviços de Saúde do Trabalhador/métodos , Terapia Ocupacional/economia , Terapia Ocupacional/métodos , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Terapia Cognitivo-Comportamental/economia , Terapia Cognitivo-Comportamental/métodos , Análise Custo-Benefício , Economia Médica , Humanos , Saúde Mental , Ensaios Clínicos Controlados Aleatórios como Assunto , Licença Médica/estatística & dados numéricos , Local de Trabalho
5.
Workplace Health Saf ; 68(6): 263-271, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32421473

RESUMO

Background: A drug-free workplace program (DFWP) has been shown to be effective in reducing workers' drug misuse. The purpose of this project was to determine the need and capacity for a new or enhanced DFWP in a large health system. If determined to be needed, the next step would be to develop, implement, and evaluate a toolkit to assist occupational health nurses to promote a new or enhanced DFWP. Methods: A strategic prevention framework was used to assess the need and capacity for a toolkit to prepare occupational health nurses to promote a new or enhanced DFWP. The project was conducted in the occupational health services department at a large health system in the Midwest U.S. occupational health nurses and employee assistance counselors in the hospital system completed a survey assessing the need and capacity for a new or enhanced DFWP. Findings: A gap was identified in the perceived effectiveness of training about DFWP and current DFWP components. The findings reflect the need and capacity for a DFWP toolkit. Optimally, a DFWP toolkit would include evidence-based drug and alcohol screening tools. We found that a toolkit for occupational health nurses to promote a new or enhanced DFWP in the project site was warranted. Conclusion/Application to practice: A DFWP can be an effective method of promoting workplace health and safety. Occupational health nurses can contact state and national representatives to encourage monitoring of drug-related work injuries to provide evidence to influence health policies to support effective DFWPs.


Assuntos
Serviços de Saúde do Trabalhador/métodos , Transtornos Relacionados ao Uso de Substâncias/psicologia , Promoção da Saúde/métodos , Humanos , Enfermagem do Trabalho/métodos , Enfermagem do Trabalho/tendências , Desenvolvimento de Programas/métodos , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Transtornos Relacionados ao Uso de Substâncias/terapia , Local de Trabalho/psicologia , Local de Trabalho/normas
6.
Rev Med Suisse ; 16(693): 998-1001, 2020 May 13.
Artigo em Francês | MEDLINE | ID: mdl-32401441

RESUMO

The humanitarian mission (expatriation) represents a particular type of long-term travel. A mission with the ICRC lasts on average 12 to 18 months depending on the type of profession and the level of responsibility. Health risk factors are the sum of the risks linked to travel and those linked to the work. The travel destinations naturally present a particular risk profile with security constraints, acceptance of the ICRC's action and living conditions that can be difficult. This article details the measures taken by the ICRC for the health management of its staff, with the aim of better articulating the collaboration between treating doctor and medical teams within the ICRC, and providing the best possible support to humanitarian workers before, during and after their field assignment.


Assuntos
Serviços de Saúde do Trabalhador , Saúde do Trabalhador , Socorro em Desastres , Doença Relacionada a Viagens , Humanos , Fatores de Risco , Condições Sociais
8.
Occup Med (Lond) ; 70(5): 359-363, 2020 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-32406513

RESUMO

BACKGROUND: Disasters, crises and pandemics are emergencies which impact on businesses severely. The COVID-19 pandemic reached its peak in mid-April 2020 in the UK. During this period, NHS Occupational Health Services (OHS) were stretched to their limit along with other health services. OHS may have had to change their pattern of operation, operating times, services offered, etc. to cope with the pandemic. Data about business model modifications, services offered by the OHS businesses during the pandemic could help in better utilization of OHS resources in the future. AIMS: To understand the behaviour of OHS in different parts of the country during the COVID-19 pandemic. METHODS: An online survey link was sent to both accredited and unaccredited UK Occupational Health Physicians (OHPs). RESULTS: Sixty-two OHPs responded to the survey. In the current pandemic, 51% of the OHS (95% CI 0.38-0.62) offered weekend or out-of-hours (OOH) services, 21% had to employ extra staff (95% CI 0.13-0.33) and 54% had to change their working hours (95% CI 0.41-0.65). Ninety per cent of the OHS (95% CI 0.78-0.94) continued to offer routine services; however, there was a decline in offering vaccination services. Fifty-six per cent of the OHS (95% CI 0.42-0.67) offered a dedicated telephone line and 46% of the OHS (95% CI 0.32-0.56) started a dedicated COVID-19 queries inbox. CONCLUSIONS: There was a change in the behaviour of the OHS to cope with the pandemic. Having a dedicated helpline to manage the crisis situation seemed a logical step whilst offering routine services.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Serviços de Saúde do Trabalhador/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Humanos
10.
Occup Med (Lond) ; 70(5): 375-381, 2020 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-32449754

RESUMO

BACKGROUND: During the COVID-19 pandemic, it has been essential for occupational health services (OHS) providers to react rapidly to increased demand and to utilize resources in novel ways. The impact of the COVID-19 pandemic on the psychological well-being of staff is already identified as an area of high risk; therefore, providing timely access to psychological support may be vital, although limited evidence is available on how these risks are best managed. AIMS: To describe implementation and analysis of a psychology-led COVID-19 telephone support line in a National Health Service OHS. METHODS: Data from calls made to the support line were collected over the first 4 weeks of service implementation. Numerical data including frequency of calls and average waiting time were first considered. A content analysis was then conducted on call notes to identify prevalence of themes. RESULTS: Six hundred and fifty-five calls were received, and 362 notes included sufficient information for use within the content analysis. Frequency of calls peaked within the first week followed by a reduction in the number of calls received per day over time. Most calls included discussion around clarification of guidance (68%) with a smaller subset of calls offering support around anxiety (29%). Prevalence of themes did not appear to change over time. CONCLUSIONS: Clear and timely information is vital to support the well-being of healthcare staff. A psychologically informed telephone support line was a good use of occupational health service resources in the interim while more tailored advice and services could be established.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Linhas Diretas , Serviços de Saúde do Trabalhador/organização & administração , Pandemias , Pneumonia Viral , Humanos , Apoio Social , Medicina Estatal , Telefone , Reino Unido
13.
Muscle Nerve ; 62(1): 60-69, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32304244

RESUMO

INTRODUCTION: The quality of electrodiagnostic tests may influence treatment decisions, particularly regarding surgery, affecting health outcomes and health-care expenditures. METHODS: We evaluated test quality among 338 adults with workers' compensation claims for carpal tunnel syndrome. Using simulations, we examined how it influences the appropriateness of surgery. Using regression, we evaluated associations with symptoms and functional limitations (Boston Carpal Tunnel Questionnaire), overall health (12-item Short Form Health Survey version 2), actual receipt of surgery, and expenditures. RESULTS: In simulations, suboptimal quality tests rendered surgery inappropriate for 99 of 309 patients (+32 percentage points). In regression analyses, patients with the highest quality tests had larger declines in symptoms (-0.50 point; 95% confidence interval [CI], -0.89 to -0.12) and functional impairment (-0.42 point; 95% CI, -0.78 to -0.06) than patients with the lowest quality tests. Test quality was not associated with overall health, actual receipt of surgery, or expenditures. DISCUSSION: Test quality is pivotal to determining surgical appropriateness and associated with meaningful differences in symptoms and function.


Assuntos
Síndrome do Túnel Carpal/cirurgia , Eletrodiagnóstico/normas , Gastos em Saúde/normas , Serviços de Saúde do Trabalhador/normas , Medidas de Resultados Relatados pelo Paciente , Indicadores de Qualidade em Assistência à Saúde/normas , Adulto , Síndrome do Túnel Carpal/diagnóstico , Síndrome do Túnel Carpal/economia , Eletrodiagnóstico/economia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/economia , Indicadores de Qualidade em Assistência à Saúde/economia , Resultado do Tratamento
16.
PLoS One ; 15(4): e0231792, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32298356

RESUMO

There is little knowledge on socioeconomic differences in use of health care organized by different care schemes and on exclusive and concurrent use of health care at different schemes in different socioeconomic groups. In Finland, public, occupational and private schemes offer parallel outpatient primary health care services. Each scheme mainly reaches different population groups because of differences in availability, costs and gatekeeping. This study aimed to analyse how the probability of using health care organized by the three schemes differed by socioeconomic status in a working-age population. Individual-level register-based data on use of public, occupational and private outpatient primary health care during 2013 as well as data on sociodemographic covariates were linked for the total population aged 25-64 of the city of Oulu, Finland. Data were analysed with descriptive methods and multinomial logistic regression models. Those in the study population most often used only occupational care or only public care, or did not use any of the studied health care schemes at all. The lower the socioeconomic status, the higher was the probability of not using care or using only public care. The higher the socioeconomic status, the higher was the probability of using occupational care-either only occupational care or occupational care in combination with private care. Education, occupational class and income were all associated with care use also when adjusted for sociodemographic covariates and chronic disease, but income proved to be the strongest predictor of the three. The results reflect the design of the Finnish health care system, with a strong occupational health care scheme for the employed population contributing to inequality in use of health care and potentially to health inequality between socioeconomic groups.


Assuntos
Disparidades nos Níveis de Saúde , Classe Social , Adulto , Assistência Ambulatorial/estatística & dados numéricos , Emprego , Feminino , Finlândia/epidemiologia , Humanos , Renda/estatística & dados numéricos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Setor Privado/estatística & dados numéricos , Setor Público/estatística & dados numéricos , Sistema de Registros , Fatores Socioeconômicos
17.
Occup Environ Med ; 77(7): 454-461, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32291291

RESUMO

OBJECTIVES: Common mental disorders (CMDs) are among the main causes of sickness absence and can lead to suffering and high costs for individuals, employers and the society. The occupational health service (OHS) can offer work-directed interventions to support employers and employees. The aim of this study was to evaluate the effect on sickness absence and health of a work-directed intervention given by the OHS to employees with CMDs or stress-related symptoms. METHODS: Randomisation was conducted at the OHS consultant level and each consultant was allocated into either giving a brief problem-solving intervention (PSI) or care as usual (CAU). The study group consisted of 100 employees with stress symptoms or CMDs. PSI was highly structured and used a participatory approach, involving both the employee and the employee's manager. CAU was also work-directed but not based on the same theoretical concepts as PSI. Outcomes were assessed at baseline, at 6 and at 12 months. Primary outcome was registered sickness absence during the 1-year follow-up period. Among the secondary outcomes were self-registered sickness absence, return to work (RTW) and mental health. RESULTS: A statistical interaction for group × time was found on the primary outcome (p=0.033) and PSI had almost 15 days less sickness absence during follow-up compared with CAU. Concerning the secondary outcomes, PSI showed an earlier partial RTW and the mental health improved in both groups without significant group differences. CONCLUSION: PSI was effective in reducing sickness absence which was the primary outcome in this study.


Assuntos
Transtornos Mentais/terapia , Estresse Ocupacional/terapia , Resolução de Problemas , Licença Médica/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/métodos , Retorno ao Trabalho/estatística & dados numéricos , Suécia
18.
PLoS One ; 15(4): e0231216, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32302329

RESUMO

BACKGROUND: The Brazilian Workers Food Program (WFP) is a public policy program of nutritional assistance to workers, with the main objective of improving nutritional conditions, which was implemented 40 years ago and serves over 21.4 million workers. OBJECTIVES: To compare the long-term change in anthropometric indicators of the nutritional status and dietary intake between workers of manufacturing industries adherent to and non-adherent to the WFP. METHODS: A prospective cohort study, based on a combined stratified and multistage probability sampling, was carried out, with two waves with a 4-year interval. The change in body mass index (BMI), waist circumference (WC) and dietary intake at lunch by the 24-hour recall method were compared between groups with analysis of covariance. RESULTS: A total of 273 workers in 16 industries from an initial cohort of 1069 workers in 26 industries of the State of Rio Grande do Norte in Brazil were evaluated in the two waves. The mean age was 37±10 years and 53.1% were male, with no differences between groups in age and sex distribution. BMI increased in both groups (0.44 kg/m2 in non-WFP, p = 0.003, and 0.56 kg/m2 in WFP, p = 0.0006) and WC increased in the WFP group (1.50 cm, p = 0.0006). BMI change over time did not show statistical differences between groups (p = 0.54) but WC had a greater increase in the WFP group (difference 1.37 cm, p = 0.047). There were no differences between groups in the change over time of the dietary intake. CONCLUSION: BMI and WC increased over time in manufacturing workers of industries both adherent and non-adherent to the WFP, but with a greater increase of WC in the WFP group. In order to achieve the objectives of the WFP, there will be a need for periodic evaluation and monitoring of nutritional indicators in these workers and implementation of monitoring and enforcement actions of the WFP.


Assuntos
Assistência Alimentar/normas , Abastecimento de Alimentos/estatística & dados numéricos , Estado Nutricional , Recursos Humanos , Local de Trabalho , Adulto , Antropometria , Índice de Massa Corporal , Brasil/epidemiologia , Dieta , Feminino , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Masculino , Indústria Manufatureira , Pessoa de Meia-Idade , Saúde do Trabalhador , Serviços de Saúde do Trabalhador/normas , Estudos Prospectivos , Circunferência da Cintura
19.
Artigo em Inglês | MEDLINE | ID: mdl-32244960

RESUMO

Occupational health service (OHS) is the main provider of primary care services for the working population in Finland. We investigated whether socioeconomic differences in the utilization of OHS predict sickness absence (SA) due to mental disorders. We used register linkage data covering the employees of the City of Helsinki aged 18-34 years (N = 6545) and 35-54 years (N = 15,296) from 2009 to 2014. The outcome was medically certified long-term (over 11 days) SA due to mental disorders. Cox regression analyses were performed to obtain hazard ratios (HR) and their 95% confidence intervals (CIs). Employees with low socioeconomic position (SEP) used OHS more frequently. The number of OHS visits independently predicted SA due to mental disorders. HRs were 1.59 (95% CI 1.35, 1.86) for those with frequent visits and 1.73 (95% CI 1.30, 2.29) for those with a clustered visit pattern among 18-34 year old employees; and 1.46 (95% CI 1.18, 1.81) and 1.41 (95% CI 1.14, 1.74) among 35-54 year old employees, respectively. In both age groups, lower education and routine non-manual worker position indicated the highest probability of SA. Low SEP predicts both high OHS utilization and subsequent SA due to mental disorders. Medical records may be used to accurately predict future SA, and the results indicate that preventive measures should be targeted particularly to younger employees with lower SEP.


Assuntos
Transtornos Mentais , Serviços de Saúde do Trabalhador , Saúde do Trabalhador , Licença Médica , Adolescente , Adulto , Feminino , Finlândia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
20.
Arch. prev. riesgos labor. (Ed. impr.) ; 23(1): 22-33, ene.-mar. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-192640

RESUMO

OBJETIVO: Presentar las prácticas usadas por las empresas en la implementación del sistema de gestión en seguridad y salud cuando tienen teletrabajadores y plantear la adecuación de los elementos del sistema al teletrabajo. MÉTODOS: La población de estudio está formada por empresas del sector servicios y sus teletrabajadores en la ciudad de Bogotá. Para establecer las prácticas utilizadas por las empresas se empleó una encuesta para los teletrabajadores y entrevista a los responsables seguridad y salud en el trabajo. La propuesta de adecuación de los elementos del sistema de gestión al teletrabajo se realizó a partir del análisis e integración del marco teórico y conceptual con las prácticas de las empresas con teletrabajadores. RESULTADOS: Se estableció que las empresas continúan con las estrategias habituales de seguridad y salud en el trabajo, sin diferenciar la naturaleza del trabajo. De la síntesis entre lo teórico y conceptual con el diagnóstico de la gestión de los riesgos en las empresas, se identificó que los componentes del sistema susceptibles de ser modificados al teletrabajo son la organización y planeación, la aplicación y por último la evaluación. CONCLUSIONES: Las prácticas habituales de las empresas con teletrabajadores para la gestión de los riesgos deben mejorar a través del ajuste de algunos de los componentes del sistema de gestión. Las principales adecuaciones para realizar implican la gestión de la información e innovación de tecnología aplicadas a la organización y planeación, aplicación y evaluación del sistema de gestión de seguridad y salud en el trabajo


OBJECTIVE: To analyze occupational health and safety (OHS) management practices used by companies that allow teleworking and propose modifications to the OHS management system. METHODS: The unit of study were companies in the services sector of Bogotá and their teleworkers. To identify company practices, , we conducted a survey of teleworkers and key informant interviews with those responsible for OHSh. Recommendations for adapting the elements of the teleworking management system were made based on the analysis and integration of the theoretical and conceptual framework with the practices of companies with teleworkers. RESULTS: Overall, we observed that companies continue with usual strategies for workplace health and safety, without considering the different nature of the work. The synthesis that resulted from combining the theoretical and conceptual framework with the risk management analysis in companies identified that the system components could be modified for telework, specifically in the organization and planning, application and evaluation components of the OHS management system. CONCLUSIONS: Usual OHS risk management practices of companies with teleworkers should be improved by adjusting some of the components of the management system. These adjustments include managing information and technological innovations by applying them to the organization and planning, application and evaluation components of the system


Assuntos
Humanos , Serviços de Saúde do Trabalhador , Saúde do Trabalhador , Telecomunicações , Colômbia , Gestão da Segurança , Local de Trabalho
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