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2.
Managua; s.n; mayo 2019. 71 p. tab, ilus, graf.
Tese em Espanhol | LILACS | ID: biblio-1015387

RESUMO

OBJETIVO: Caracterizar el ausentismo laboral de causa médica en el personal del Centro de Salud Sócrates Flores de la ciudad de Managua ­ Nicaragua en el año 2018 METODOLOGÍA: Estudio de tipo descriptivo, de corte transversal, con un universo de 115 trabajadores, estableciendo una muestra de 58 recursos que se ausentaron de sus labores por causa médica. Se establecieron criterios de selección y exclusión. La recolección de la información se realizó a través de una ficha. RESULTADOS: El ausentismo laboral por causa médica predominó en las mujeres (46%), en las edades entre 50 y 59 años (36%), en médicos generales (21%), con un perfil asistencial (59%), con más de 15 años de laborar (52%), en el área de la consulta externa (24%). El tiempo de ausencia predominante fue de 1 a 3 días (60%), por enfermedad común (67%), la mayoría presentó de 1 a 3 afectaciones en el año (36%), por problemas de tipo musculoesquelético (50%), con mayor frecuencia en los meses de agosto (13%) y octubre (12%). Tasa de Frecuencia de 1.43 episodios de ausencia por año en relación al número de trabajadores. Tasa de Incapacidad anual de 10.98 días de ausencia por trabajador y una Tasa de Severidad anual de 8 días de duración promedio por ausencia. CONCLUSIONES: El ausentismo laboral por causa médica predominó en las mujeres, en trabajadores entre 50 y 59 años, médicos generales, con un perfil de trabajo asistencial, con más de 15 años de laborar, en el área de la consulta externa. El tiempo de ausencia predominante fue de 1 a 3 días, por enfermedad común, la mayoría presentó de 1 a 3 ausencias, por problemas de tipo musculoesquelético, con mayor frecuencia en los meses de agosto y octubre. La tasa de frecuencia anual se encuentra por encima de lo encontrado en otros estudios internacionales


Assuntos
Humanos , Trabalhadores , Absenteísmo , Serviços de Saúde do Trabalhador , Epidemiologia Descritiva , Estudos Transversais
3.
BMC Public Health ; 19(1): 493, 2019 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-31046713

RESUMO

BACKGROUND: Good employee health and wellbeing is of key importance to employers and the economy. The workplace can serve as a setting for health and wellbeing promotion. Financial incentives may encourage employers to invest in employee health and wellbeing. The aim is to evaluate the effectiveness of health and wellbeing financial incentives offered to small medium enterprises in the West Midlands, UK. METHODS: A cluster randomised controlled trial was designed to evaluate the effectiveness of a workplace health and wellbeing initiative with or without monetary incentives. We will evaluate the effectiveness of the financial incentive using a mixed methods evaluation approach. DISCUSSION: The trial will help establish whether small-medium enterprises will improve their health and wellbeing offer and achieve higher employee awareness and participation in the offer in response to a monetary wellbeing incentive. TRIAL REGISTRATION: AEARCTR-0003420 , registration date: 17.10.2018, retrospectively registered.


Assuntos
Fortalecimento Institucional/organização & administração , Promoção da Saúde/organização & administração , Serviços de Saúde do Trabalhador/organização & administração , Saúde do Trabalhador/estatística & dados numéricos , Local de Trabalho/organização & administração , Humanos , Capacitação em Serviço/organização & administração , Motivação , Avaliação de Processos e Resultados (Cuidados de Saúde)
4.
BMC Public Health ; 19(1): 485, 2019 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-31046740

RESUMO

BACKGROUND: Although it is well known that employment conditions exert considerable effects on health and health equity, the association between employment conditions and the use of preventative health services has rarely been studied. We explored whether inequities in the use of preventative services were associated with employment conditions. We used gastric cancer screening as a surrogate for the use of preventative health services. METHODS: The study population was derived from the Korea National Health and Nutrition Survey IV (2007-2009), which included data on 5626 individuals over 40 years of age. Employment conditions were grouped by employment status, work hours, employment contract term, and salary source. Participants who had undergone gastroscopy or an upper gastrointestinal series within the past 2 years were considered to have used cancer screening services according to the National Cancer Screening Program guidelines. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using multiple logistic regression analysis. As the survey procedure incorporated sample weights, we adjusted our calculations to consider the complex sample design. RESULTS: Self-employed workers were less likely to participate in regular cancer screening than were wage workers (OR = 0.79, 95% CI = 0.68-0.92), and part-time workers were less likely to participate than were full-time workers (OR = 0.81, 95% CI = 0.67-0.99). Among wage workers, temporary workers and daily workers exhibited lower participation rates than did regular workers (OR = 0.81, 95% CI = 0.63-1.05 and OR = 0.58, 95% CI = 0.44-0.76, respectively). Dispatched workers also exhibited lower participation rates (OR = 0.45, 95% CI = 0.25-0.80). CONCLUSIONS: We found obvious inequities in the use of preventative health services associated with various employment conditions. Self-employed, irregular, and dispatched workers were significantly less likely to participate in cancer screening than were other workers. Political efforts should be made to reduce employment insecurity and to improve participation in preventative screening services by vulnerable employees so as to resolve the evident health inequities.


Assuntos
Detecção Precoce de Câncer/estatística & dados numéricos , Emprego/estatística & dados numéricos , Programas de Rastreamento/estatística & dados numéricos , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Neoplasias Gástricas/diagnóstico , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , República da Coreia , Neoplasias Gástricas/epidemiologia , Inquéritos e Questionários , Local de Trabalho
5.
BMC Health Serv Res ; 19(1): 281, 2019 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-31053125

RESUMO

BACKGROUND: As compliance to guidelines is generally low among health care providers, little is known about the impact of guidelines on the quality of delivery of care. To improve adherence to guideline recommendations on mental health problems, an implementation strategy was developed for Dutch occupational physicians (OPs). The aims were 1) to assess adherence to a mental health guideline in occupational health care and 2) to evaluate the effect of a tailored implementation strategy on guideline adherence compared to traditional guideline dissemination. METHODS: An audit of medical records was conducted as part of a larger RCT study. Participants were 66 OPs (32 intervention and 34 control) employed at one of six sites of an Occupational Health Service in southern Netherlands. OPs in the intervention group received multiple-session peer group training which focused on identifying and addressing barriers to using the guideline, using a Plan-Do-Check-Act approach. The control group did not receive training. Medical records of 114 workers sick-listed with mental health problems were assessed (56 intervention and 58 control). Guideline adherence was determined by auditing the records using 12 guideline-based performance indicators (PI), grouped into 5 PIs: process diagnosis, problem orientation, interventions/treatment, relapse prevention, and continuity of care. Differences in performance rates of the PIs between the intervention and control groups were analyzed, taking into account the cluster study design. RESULTS: OPs who received the training showed significantly greater adherence compared to the controls (p < .028) in 4 out of 5 grouped PIs, i.e. process diagnosis, problem orientation, interventions/treatment and relapse prevention. In one out of 12 PIs adherence was found adequate (53% of the medical records), in 6 PIs adherence was found minimal, and in 5 PIs the majority of the records showed no adherence. CONCLUSIONS: An implementation strategy which addressed key barriers for change and tailor-made interventions improves adherence to an occupational health guideline for mental health problems compared to traditional guideline dissemination. However, adherence to the guideline recommendations is still far from optimal. To optimize adherence, it is recommended that implementation strategies focus on the workers level, organizational level, and the professional level. TRIAL REGISTRATION: ISRCTN86605310 . Registered 30 June 2010.


Assuntos
Fidelidade a Diretrizes/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Serviços de Saúde do Trabalhador , Adulto , Atitude do Pessoal de Saúde , Feminino , Pessoal de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador/normas , Avaliação de Programas e Projetos de Saúde
7.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 780-784, abr.-maio 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-987575

RESUMO

Objective: The study's purpose has been to assess the nurses' role regarding both the risks and vulnerabilities faced by civil construction workers. Methods: It is a literature systematic review, which was carried out over the years of 2014 and 2015 and based on the analysis of scientific articles contained in online databases. The selection of articles was performed through the following keywords: civil construction, work accident, and occupational health nurse. There were used 15 articles that addressed the occupational risks of civil construction. Results: It is the nurse's role to act towards preventive actions capable of minimizing the occupational hazards that construction workers are constantly exposed. Conclusion: The nursing professional must provide nursing care capable of promoting the health of workers, as well as, reducing the rates of work accidents in the civil construction field


Objetivo: Objetivou-se analisar o papel do enfermeiro acerca dos riscos e vulnerabilidades dos trabalhadores da construção civil. Métodos: Revisão sistemática da literatura, realizada durante os anos de 2014 e 2015 a partir da análise de artigos científicos contidos em bases de dados on-line. A seleção dos artigos foi realizada através das seguintes palavras-chave: construção civil, acidente de trabalho, enfermeiro do trabalho. Foram utilizados 15 artigos que tratavam sobre os riscos ocupacionais da construção civil. Resultados: É papel do enfermeiro atuar no desenvolvimento de ações preventivas capazes de minimizarem os riscos ocupacionais que os trabalhadores da construção civil estão expostos. Conclusão: É premente que o enfermeiro desenvolva uma assistência de enfermagem capaz de promover a saúde dos trabalhadores e reduzir os índices de acidentes de trabalho da construção civil


Objetivo: El objetivo era analizar el papel de las enfermeras sobre los riesgos y vulnerabilidades de los trabajadores de la construcción. Métodos: Revisión bibliográfica sistemática, llevada a cabo durante los años 2014 y 2015 en base al análisis de artículos científicos contenidos en las bases de datos en línea. La selección de artículos se ha realizado mediante las siguientes palabras clave: construcción, accidentes industriales, enfermera ocupacional. Utilizaron 15 artículos que tratan sobre los riesgos laborales de la construcción. Resultados: Es el papel de las enfermeras trabajan en el desarrollo de acciones preventivas que pueden minimizar los riesgos laborales que los trabajadores de la construcción están expuestos. Conclusión: Es urgente que las enfermeras desarrollan una atención de enfermería que promueve la salud de los trabajadores y reducir las tasas de accidentes de trabajo de construcción


Assuntos
Humanos , Masculino , Feminino , Riscos Ocupacionais , Indústria da Construção , Enfermagem do Trabalho , Saúde do Trabalhador , Serviços de Saúde do Trabalhador
8.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 828-835, abr.-maio 2019. il
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-987274

RESUMO

Objective: The study's purpose has been to further understand the health promotion strategies towards nursing professionals. Methods: It is an integrative literature review with a qualitative approach, which is composed of 23 articles that answer the following guiding question: What are the health promotion strategies developed for nursing professionals? Results: The findings were gathered into four strategy groups, as follows: Promoting the Work Planning, which are based on regulating the workload and salary relationship; Promoting Knowledge, which are focused on the professional update through the use of technologies; Promoting Physical Activity, aiming to guarantee the access to physical exercise, both intra and extra the work environment; and, Promoting Integrative and Complementary Practices, indicating music therapy, relaxation techniques and yoga, which together with the other ones might contribute to reduce work stress, musculoskeletal and cardiovascular problems. Conclusion: The work planning can be considered the main strategy of health promotion for nursing professionals, since it is associated with the development of the others


Objetivo: Conhecer as estratégias de promoção à saúde para os trabalhadores de enfermagem. Método: Revisão integrativa composta por 23 artigos que respondem a questão norteadora: Quais as estratégias de promoção à saúde, desenvolvidas para os trabalhadores de enfermagem? Aplicou-se uma abordagem qualitativa. Resultados: As estratégias para Promoção da Organização do Trabalho pautam-se na regulação da relação carga de trabalho e salário. As do Conhecimento, na atualização profissional com uso de tecnologias. Já as da Atividade Física, na garantia do acesso ao exercício físico, intra e extra, ambiente de trabalho. As de Promoção de Práticas Integrativas e Complementares indica a musicoterapia, as técnicas de relaxamento e yoga, que em conjunto com as demais, contribuem para reduzir o estresse laboral e problemas musculoesqueléticos e cardiovasculares. Conclusão: A organização do trabalho pode ser considerada a principal estratégia de promoção à saúde para trabalhadores de enfermagem, pois a ela associa-se o desenvolvimento das demais


Objetivo: Conecer las estrategias de promoción a la salud para los trabajadores de enfermería. Método: Revisión integrativa compuesta por 23 artículos que responden a la cuestión orientadora: ¿Cuáles son las estrategias de promoción a la salud, desarrolladas para los trabajadores de enfermería? Se aplicó un enfoque cualitativo. Resultados: Las estrategias para Promoción de la Organización del Trabajo se basan en la regulación de la relación carga de trabajo y salario. Las del Conocimiento, en la actualización profesional con uso de tecnologías. Las de la Actividad Física, en la garantía del acceso al ejercicio físico, intra y extra, ambiente de trabajo. Las de Promoción de Prácticas Integrativas y Complementarias indica la musicoterapia, las técnicas de relajación y yoga, que en conjunto con las demás, contribuyen para reducir el estrés laboral y problemas musculoesqueléticos y cardiovasculares. Conclusión: La organización del trabajo puede ser considerada la principal estrategia de promoción a la salud para trabajadores de enfermería, pues a ella se asocia el desarrollo de las demás


Assuntos
Humanos , Masculino , Feminino , Serviços de Saúde do Trabalhador/métodos , Serviços de Saúde do Trabalhador/tendências , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Terapias Complementares/estatística & dados numéricos , Saúde do Trabalhador , Promoção da Saúde
9.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 823-827, abr.-maio 2019. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-987293

RESUMO

Objective: The study's purpose has been to assess the occurrence of low back pain in patients assisted by an Urgent Care Centre and its associated factors. Methods: It is a cross-sectional study with a quantitative approach that was carried out at an Urgent Care Centre from Petrolina city, Pernambuco State. The data were collected from the patients' medical records who were assisted over 2015 showing either complaints or diagnosis of low back pain. The analysis was performed through descriptive statistics, and also the multivariate binary logistic regression model in order to estimate the Odds Ratio. Results: The findings have shown that » of the patients had lumbar pain. Men (56.7%) represented more than half of the patients, where the patients' age average was 39.7 years old (SD=15.7), and 99.2% demanded care spontaneously without any referral from others healthcare services. Conclusion: Stimulating preventive practices turns out to be an important alternative targeting the reduction of low back pain cases, as well as the adoption of an effective treatment not only based on pain mitigation


Objetivo: Avaliar a ocorrência de lombalgia em pacientes atendidos em uma Unidade de Pronto Atendimento e fatores associados. Métodos: Estudo transversal, de abordagem quantitativa, realizado na Unidade de Pronto Atendimento (UPA), no município de Petrolina-PE. Os dados foram coletados dos prontuários de pacientes atendidos em 2015 com queixa ou diagnóstico de lombalgia. A análise ocorreu por meio de estatística descritiva e através do modelo de regressão logística binária multivariado para estimativa das razões de chance (Odds Ratio ­ OR). Resultados: » dos pacientes apresentaram dor lombar. Os homens (56,7%) representam mais da metade dos atendimentos, a média de idade dos pacientes foi de 39,7 anos (Desvio padrão - DP 15,7), 99,2% buscaram atendimento espontaneamente sem encaminhamento de outros serviços de saúde. Conclusão: O estímulo a práticas preventivas é uma alternativa importante para contribuir na redução dos casos de lombalgia, além da adoção de um tratamento efetivo baseado não só na paliação


Objetivo: Evaluar la ocurrencia de lumbalgia en pacientes atendidos en una Unidad de Pronto Atención y factores asociados. Métodos: Estudio transversal, de abordaje cuantitativo, realizado en la Unidad de Pronto Atención (UPA), en el municipio de Petrolina-PE. Los datos fueron recolectados de los prontuarios de pacientes atendidos en 2015 con queja o diagnóstico de lumbalgia. El análisis se realizó por medio de estadística descriptiva ya través del modelo de regresión logística binaria multivariado para estimación de las razones de oportunidad (Odds Ratio - OR). Resultados: » de los pacientes presentaron dolor lumbar. Los hombres (56,7%) representan más de la mitad de las atenciones, la media de edad de los pacientes fue de 39,7 años (Desviación estándar - DP 15,7), el 99,2% buscó atención espontáneamente sin encaminamiento de otros servicios de salud salud. Conclusión: El estímulo a prácticas preventivas es una alternativa importante para contribuir en la reducción de los casos de lumbalgia, además de la adopción de un tratamiento efectivo basado no sólo en la paliación


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Dor Lombar/prevenção & controle , Dor Lombar/epidemiologia , Serviços de Saúde do Trabalhador , Atenção Primária à Saúde , Promoção da Saúde
10.
JAMA ; 321(15): 1491-1501, 2019 04 16.
Artigo em Inglês | MEDLINE | ID: mdl-30990549

RESUMO

Importance: Employers have increasingly invested in workplace wellness programs to improve employee health and decrease health care costs. However, there is little experimental evidence on the effects of these programs. Objective: To evaluate a multicomponent workplace wellness program resembling programs offered by US employers. Design, Setting, and Participants: This clustered randomized trial was implemented at 160 worksites from January 2015 through June 2016. Administrative claims and employment data were gathered continuously through June 30, 2016; data from surveys and biometrics were collected from July 1, 2016, through August 31, 2016. Interventions: There were 20 randomly selected treatment worksites (4037 employees) and 140 randomly selected control worksites (28 937 employees, including 20 primary control worksites [4106 employees]). Control worksites received no wellness programming. The program comprised 8 modules focused on nutrition, physical activity, stress reduction, and related topics implemented by registered dietitians at the treatment worksites. Main Outcomes and Measures: Four outcome domains were assessed. Self-reported health and behaviors via surveys (29 outcomes) and clinical measures of health via screenings (10 outcomes) were compared among 20 intervention and 20 primary control sites; health care spending and utilization (38 outcomes) and employment outcomes (3 outcomes) from administrative data were compared among 20 intervention and 140 control sites. Results: Among 32 974 employees (mean [SD] age, 38.6 [15.2] years; 15 272 [45.9%] women), the mean participation rate in surveys and screenings at intervention sites was 36.2% to 44.6% (n = 4037 employees) and at primary control sites was 34.4% to 43.0% (n = 4106 employees) (mean of 1.3 program modules completed). After 18 months, the rates for 2 self-reported outcomes were higher in the intervention group than in the control group: for engaging in regular exercise (69.8% vs 61.9%; adjusted difference, 8.3 percentage points [95% CI, 3.9-12.8]; adjusted P = .03) and for actively managing weight (69.2% vs 54.7%; adjusted difference, 13.6 percentage points [95% CI, 7.1-20.2]; adjusted P = .02). The program had no significant effects on other prespecified outcomes: 27 self-reported health outcomes and behaviors (including self-reported health, sleep quality, and food choices), 10 clinical markers of health (including cholesterol, blood pressure, and body mass index), 38 medical and pharmaceutical spending and utilization measures, and 3 employment outcomes (absenteeism, job tenure, and job performance). Conclusions and Relevance: Among employees of a large US warehouse retail company, a workplace wellness program resulted in significantly greater rates of some positive self-reported health behaviors among those exposed compared with employees who were not exposed, but there were no significant differences in clinical measures of health, health care spending and utilization, and employment outcomes after 18 months. Although limited by incomplete data on some outcomes, these findings may temper expectations about the financial return on investment that wellness programs can deliver in the short term. Trial Registration: ClinicalTrials.gov Identifier: NCT03167658.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde , Nível de Saúde , Saúde do Trabalhador , Adulto , Comércio , Feminino , Gastos em Saúde , Promoção da Saúde/economia , Humanos , Masculino , Serviços de Saúde do Trabalhador/economia , Aceitação pelo Paciente de Cuidados de Saúde , Autorrelato , Inquéritos e Questionários , Estados Unidos , Local de Trabalho
11.
BMC Health Serv Res ; 19(1): 130, 2019 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-30791905

RESUMO

BACKGROUND: Health risk assessment (HRAs) are commonly used by occupational health services (OHS) to aid workplaces in keeping their employees healthy, but for unknown reasons, many employees choose not to participate in the HRAs. The aim of the study was to explore whether demographic, lifestyle and health-related factors in employees are associated with non-participation in initial and repeated HRAs. METHODS: In an OHS-based health project, 2022 municipal employees were asked to participate in three repeated HRAs. Multiple logistic regression analyses were used so as to determine associations between non-participating and demographic, lifestyle and health-related factors (e.g. biomarkers). RESULTS: Among the employees who were asked to participate in the health project, more than half did not participate in any HRA and among those who did, more than one third did not participate in repeated HRAs. Young age, male sex and being employed in the Technical department or Health and Social Care department in comparison with being employed in the department for Childcare and Education were factors significantly associated with non-participation in the initial HRA. These factors, together with being on sick leave and having unhealthy dietary habits, were factors associated with non-participation in repeated HRAs. CONCLUSIONS: Among the non-participators in initial HRAs and in repeated HRAs younger men and those already related to ill-health were overrepresented. This implicates that health care providers to a higher extent should focus on "those most needed" and that employers should be more engaged in results of repeated HRA's. Future studies should focus on modifiable variables that could make the HRAs more attractive and inclusive.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde , Indicadores Básicos de Saúde , Serviços de Saúde do Trabalhador/estatística & dados numéricos , Medição de Risco/estatística & dados numéricos , Engajamento no Trabalho , Adulto , Idoso , Feminino , Pessoal de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
12.
BMC Public Health ; 19(1): 183, 2019 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-30760237

RESUMO

BACKGROUND: Workplace health programs (WHPs) may improve adult health but very little evidence exists on multi-level WHPs implemented at-scale and so the relationship between program implementation factors and outcomes of WHPs are poorly understood. This study evaluated Get Healthy at Work (GHaW), a state-wide government-funded WHP in Australia. METHODS: A mixed-method design included a longitudinal quasi-experimental survey of businesses registered with GHaW and a comparison group of businesses surveyed over a 12-month period. Semi-structured interviews and focus groups with key contacts and employees of selected intervention group businesses and the service providers of the program were conducted to assess program adoption and adaptation. RESULTS: Positive business-level changes in workplace culture were observed over time among GHaW businesses compared with the control group. Multilevel regression modelling revealed perceptions that employees were generally healthy (p = 0.045 timeXgroup effect) and that the workplace promoted healthy behaviours (p = 0.004 timeXgroup effect) improved significantly while the control group reported no change in work culture perceptions. Changes in perceptions about work productivity were not observed; however only one third of businesses registered for the program had adopted GHaW during the evaluation period. Qualitative results revealed a number of factors contributing to program adoption: which depended on program delivery (e.g., logistics, technology and communication channels), design features of the program, and organisational factors (primarily business size and previous experience of WHPs). CONCLUSIONS: Evaluation of program factors is important to improve program delivery and uptake and to ensure greater scalability. GHaW has the potential to improve workplace health culture, which may lead to better health promoting work environments. These results imply that government can play a central role in enabling prioritisation and incentivising health promotion in the workplace.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde/organização & administração , Saúde do Trabalhador , Local de Trabalho/organização & administração , Adulto , Austrália , Promoção da Saúde/métodos , Humanos , Serviços de Saúde do Trabalhador/organização & administração , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários
13.
Med Lav ; 110(1): 46-55, 2019 Feb 22.
Artigo em Italiano | MEDLINE | ID: mdl-30794248

RESUMO

BACKGROUND: In 2016 the Administration of the Tuscany Region, Italy, established a health surveillance programme for workers with past asbestos exposure. The programme includes two levels of activities, a local basic health evaluation, and a centralized in-depth evaluation of specific cases. OBJECTIVES: To estimate the number and identify the workers with past exposure to asbestos in Tuscan industrial settings entitled to participate in the health surveillance programme. METHODS: The number of formerly-exposed workers was estimated from the records of the working population of 15,441 workers of thirteen Tuscan asbestos industrial plants and from the existing data bases of the Local Health Administrations (USLs) and the Institute for Study, Prevention and Cancer Network (ISPRO), and from national data bases such as Social Security Administration (INPS) and National Institute for Insurance against Accidents at Work (INAIL). The expected number of medical examinations per year was estimated from the adhesion rates seen in previous comparable programmes. RESULTS: The estimated number of workers with past asbestos exposure eligible to the programme was 5,446. The estimated number of health examinations in the first and second phases of the surveillance programme during 2016-24 was 7,275 and 7,155, respectively, follow-up examinations included. The number of workers identified from local data bases was 4,713: They had been operating in 129 plants that had been using asbestos in the past. Further 1,395 workers were identified from previous health surveillance activities. CONCLUSIONS: The use of several sources of information and the cooperation between occupational health services made it possible to identify a high proportion of former asbestos workers and plants., It is, nevertheless, still necessary to complete the list of eligible workers, and to facilitate their participation by making the programme more widely known.


Assuntos
Asbestos , Exposição Ocupacional , Serviços de Saúde do Trabalhador , Humanos , Indústrias , Itália/epidemiologia , Exposição Ocupacional/estatística & dados numéricos , Vigilância da População
14.
BMC Womens Health ; 19(1): 7, 2019 01 10.
Artigo em Inglês | MEDLINE | ID: mdl-30630484

RESUMO

BACKGROUND: In many European countries, women have a higher sickness absence rate than men. Women also report higher levels of work-life conflict, which has a negative impact on women's self-perceived health. Interventions studies on work-life balance literature are scarce. This research adds knowledge about work-life balance by examining female employees' experiences of a newly developed intervention program, the BELE program (Balance in Everyday Life Empowerment program), aiming to enhance the work-life balance and wellbeing of female employees. METHODS: All participants in the BELE program were included in the sample (n = 55) of the study. The methods used for gathering data were focus group interviews (n = 8) and semi-structured individual interviews (n = 8). A qualitative content analysis was used for the analyses. RESULTS: The results showed that a majority of the participants experienced a process of change for enhancement of wellbeing and balance in their everyday life when taking part in the BELE program. In the analyses, three main themes emerged. Reflecting and strengthening inner resource, Trying to change everyday patterns and habits and Experiencing more balance and well-being. CONCLUSIONS: The results point out the importance of awareness and reflection on everyday life to promote work-life balance and wellbeing. The BELE program was described as a wakeup call to one's own life and as an enhancer of empowerment processes and equality in the homes. Moreover, the results showed the need for health education in the workplace focusing on both work and private life to enhance balance and wellbeing among female employees'. The findings indicate that it is important to work at individual and group levels in work-life balance interventions and not merely at the organizational level or in the workplace setting.


Assuntos
Promoção da Saúde/organização & administração , Serviços de Saúde do Trabalhador/organização & administração , Licença Médica/estatística & dados numéricos , Mulheres Trabalhadoras/estatística & dados numéricos , Equilíbrio Trabalho-Vida , Adulto , Feminino , Grupos Focais , Humanos , Masculino , Desenvolvimento de Programas , Pesquisa Qualitativa , Autoimagem , Suécia , Mulheres Trabalhadoras/psicologia , Local de Trabalho
16.
Br Med Bull ; 129(1): 25-34, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-30544131

RESUMO

BACKGROUND: Many people who experience a disaster will do so as part of an occupational group, either by chance or due to the nature of their role. SOURCES OF DATA: This review is based on literature published in scientific journals. AREAS OF AGREEMENT: There are many social and occupational factors, which affect post-disaster mental health. In particular, effective social support-both during and post-disaster-appears to enhance psychological resilience. AREAS OF CONTROVERSY: There is conflicting evidence regarding the best way to support trauma-exposed employees. Many organisations carry out post-incident debriefing despite evidence that this is unhelpful. GROWING POINTS: Employees who are well supported tend to have better psychological outcomes and as a result may be more likely to perform well at work. AREAS TIMELY FOR DEVELOPING RESEARCH: The development and evaluation of workplace interventions designed to help managers facilitate psychological resilience in their workforce is a priority. Successful interventions could substantially increase resilience and reduce the risk of long-term mental health problems in trauma-exposed employees.


Assuntos
Desastres , Doenças Profissionais/terapia , Serviços de Saúde do Trabalhador/métodos , Transtornos de Estresse Pós-Traumáticos/terapia , Adaptação Psicológica , Vítimas de Desastres/psicologia , Humanos , Saúde Mental , Resiliência Psicológica , Apoio Social , Ferimentos e Lesões/psicologia
17.
BMC Public Health ; 18(1): 1362, 2018 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-30526543

RESUMO

BACKGROUND: The National Health Service (NHS) seems appropriately placed to be an exemplar employer in providing effective and proactive workplace health and wellbeing services for its staff. However, NHS staff sickness absence costs an estimated £2.4 billion. Evidence suggests staff health and wellbeing services delivered in the NHS can improve health, productivity and sickness absence and yet the adoption of these services remains a challenge, with few examples nationally. This research aimed to explore the perceptions of NHS senior leaders and health and wellbeing practitioners regarding barriers and facilitators to implementing workplace health and wellbeing services for staff in the NHS. METHODS: Semi-structured interviews were conducted with NHS staff, consisting of four senior leaders, four heads of department and three health and wellbeing practitioners in one region of the UK. Interviews were transcribed verbatim and analysed using thematic analysis. RESULTS: Themes describe the experience of delivering workplace health and wellbeing services in the NHS, and barriers and facilitators to implementation from senior decision makers. Barriers to implementation of services include; a busy and pressurised environment, financial constraints and reluctance to invest in staff health and wellbeing. Barriers to staff engagement were also reported and include difficulty of access to health and wellbeing services and lack of time. Initiating services were facilitated by financial incentives, a supportive organisational structure and culture that takes a preventative, rather than reactive, approach to staff health and wellbeing. Facilitators to implementing health and wellbeing services include a coherent, strategic approach to implementation, effective communication and advertisement, being creative and innovative with resources and conducting a needs analysis and evaluation before, during and after implementation. CONCLUSIONS: Barriers to the successful initiation and implementation of health and wellbeing services in the NHS are numerous and range from front-line logistical issues with implementation to high-level strategic and financial constraints. Adopting a strategic and needs-led approach to implementation and ensuring thorough staff engagement are amongst a number of factors that facilitate implementation and help overcome barriers to initiation of wellbeing programmes in the NHS. There is a need for a culture that supports staff health and wellbeing in the NHS.


Assuntos
Acesso aos Serviços de Saúde , Serviços de Saúde do Trabalhador/organização & administração , Medicina Estatal/organização & administração , Atitude do Pessoal de Saúde , Humanos , Liderança , Pesquisa Qualitativa , Reino Unido
18.
Artigo em Russo | MEDLINE | ID: mdl-30566810

RESUMO

The article presents the results of expert appraisal of corporation approaches to protection of health of workers, role of social partnership and measures of incentives to implementation of programs of development of healthy life-style at enterprises. The results of study of modern approaches of Russian companies to protection of health of workers permits to establish availability among employers of significant potential for amelioration of health of working population. It is most expressed among large companies and is expressed in development on the following main directions: evaluation of health of workers, evaluation of industrial risks, organization of medical care, organization of sanitary anti-epidemiological activities, formation of healthy life-style. To stimulate employers to implementing corporation programs combining priorities of business and state, development of national standard or model intersectoral program considering best practices of companies-leaders. The experts emphasized importance of development of standard of medical specialist of management of health protection of workers. Their competences are to bypass the framework of occupational safety and include skills in personnel management, economic efficiency calculation, development of complex programs of protection and promotion of health of workers, including healthy life-style.


Assuntos
Serviços de Saúde do Trabalhador , Saúde do Trabalhador , Promoção da Saúde , Humanos , Indústrias , Saúde da População , Federação Russa
19.
Index enferm ; 27(4): 196-200, oct.-dic. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-180345

RESUMO

Objetivo: reflexionar los elementos del proceso comunicacional en el trabajo de la Red Nacional de Atención Integral a la Salud del Trabajador. Método: investigación de campo realizada por medio de entrevistas con 97 profesionales de la salud del trabajador de Río Grande del Sur - Brasil. Fue analizada cualitativamente en el software NVivo 10.0, con soporte en el Modelo General de Comunicación de Gerbner. Resultados: las fuentes de contenidos se constituyen por los profesionales ubicados en los diferentes niveles de atención a la salud del trabajador. La forma de operar el contenido fue pautada en las acciones de vigilancia, asistencia y educación en salud. El contacto con el contenido de la salud del trabajador revela escasa formación superior en el área de la salud y enfermería. La significación del contenido se basa en la forma de contacto interpersonal mediado por las tecnologías de información y comunicación audio-visuales. Conclusión: coexisten comunicaciones bidireccionales y unidireccionales que confirman la intersectorialidad en el trabajo


Objective: apprehending the communicational process elements in the work of the National Network of Integral Attention to the Worker's Health. Method: field research conducted through interviews with 97professional of worker's health in Rio Grande do Sul-Brazil. Analyzed qualitatively on the NVivo 10.0 software, supported on the General model of Communication of Gerbner. Results: the sources of content are constituted by professionals at various levels of the worker's health care. The content was operationalized in the actions of health surveillance, assistance and health education. The contact with the contents of the worker's health reveals scarce higher education in the area of health, nursing. The meaning of the content was based in the ways of interpersonal contact mediated by information and audio or visual communication technologies. Conclusion: bi and unidirectional communications coexist confirming the intersectoral approach at work


Assuntos
Humanos , Saúde do Trabalhador , Serviços de Saúde do Trabalhador , Comunicação , Entrevistas como Assunto , Brasil
20.
Nihon Eiseigaku Zasshi ; 73(3): 413-420, 2018.
Artigo em Japonês | MEDLINE | ID: mdl-30270309

RESUMO

INTRODUCTION: From 2007, competitive bidding for procurement became widely employed by the Japanese Government, and health check providers for government workers are selected every year by this method. Deterioration of health check quality due to excessive price competition is a serious concern. The National Federation of Industrial Health Organization (Zeneiren) conducted an investigative research on the contracting of health check providers and occupational physicians in workplaces in 2015-2016 in an effort to prevent low-cost but low-quality health checks. The report of the research is available on the homepage of Zeneiren. In this paper, we provide a brief overview of the report, and deterioration of health check quality due to dumping by and switching of health check providers is discussed from economic and legal viewpoints. METHOD: Information was obtained from articles in print and on the Internet. RESULTS: A questionnaire survey of health check providers revealed that excessive discounts due to both competitive bidding and demand from companies commissioning health checks occurred on a routine basis, and some providers were concerned about worsening business conditions in the future. In a separate questionnaire survey of occupational physicians, it was discovered that they were able to evaluate the quality of health checks, whereas administrative officials responsible for selecting the providers were seldom able to adequately evaluate the health check quality, resulting in contracting providers of questionable quality, which in turn caused considerable dissatisfaction on the part of occupational physicians. Moreover, when health check providers were switched, the reporting format of health check results changed. The physicians did not favor such a change because of the considerably increased workload involved in coordinating past and current data and the risk of decreased occupational health service quality. DISCUSSION: Dumping makes the management of health check providers very difficult and is a cause of loss of social capital. If health check providers of good quality withdraw from the market, the supply of high-quality health checks decreases. This corresponds to external diseconomy caused by dumping on the part of the health check providers and loss of social surplus (economic surplus). CONCLUSIONS: To avoid deterioration of occupational health service due to low-quality health checks and changes in the reporting format, occupational physicians must actively engage in the selection of health check providers of good quality.


Assuntos
Serviços de Saúde do Trabalhador/economia , Medicina do Trabalho/economia , Exame Físico/economia , Médicos/economia , Garantia da Qualidade dos Cuidados de Saúde , Qualidade da Assistência à Saúde/economia , Humanos , Japão , Inquéritos e Questionários , Local de Trabalho
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