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1.
Rev Bras Enferm ; 73(suppl 2): e20200670, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33295388

RESUMO

OBJECTIVE: To describe the prevalence and factors associated with pressure injuries related to the use of personal protective equipment during the COVID-19 pandemic. METHODS: Cross-sectional study conducted using an instrument made available in social networks with 1,106 health professionals. The data were analyzed using descriptive statistics and compared, considering pvalue < 0.05. RESULTS: There was a prevalence of 69.4% for pressure injuries related to the use of personal protective equipment, with an average of 2.4 injuries per professional. The significant factors were: under 35 years of age, working and wearing personal protective equipment for more than six hours a day, in hospital units, and without the use of inputs for protection. CONCLUSION: Pressure injuries related to the use of medical devices showed a high prevalence in this population. The recognition of the damage in these professionals makes it possible to advance in prevention strategies.


Assuntos
/epidemiologia , Traumatismos Ocupacionais/epidemiologia , Pandemias , Equipamento de Proteção Individual/efeitos adversos , Pressão/efeitos adversos , Adulto , Brasil/epidemiologia , Distribuição de Qui-Quadrado , Intervalos de Confiança , Estudos Transversais , Feminino , Humanos , Masculino , Corpo Clínico/estatística & dados numéricos , Recursos Humanos de Enfermagem/estatística & dados numéricos , Traumatismos Ocupacionais/etiologia , Traumatismos Ocupacionais/prevenção & controle , Fisioterapeutas/estatística & dados numéricos , Prevalência , Fatores de Tempo
2.
Curr Sports Med Rep ; 19(9): 373-379, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32925377

RESUMO

Horseracing is among the most popular and increasingly lucrative industry sports in the nation. The average jockey must control a thoroughbred horse 10 times their weight that may act unpredictably whether at rest or full gallop resulting in falls, kicks, or even biting injuries. Despite the risks, jockeys do not have access to the same quality of medical care that is standard in similarly profitable sports organizations. Beyond the mental and physical demands of training and performance endured by any professional athlete, jockeys are confronted with health challenges unique to their sport. In this review of the literature, we aim to educate sports medicine physicians regarding the underlying causes of injuries, describe injury management, and make recommendations for appropriate preventive strategies. Overall, there is a void of literature, and so our authors offer expert opinion and encourage others to get involved in making this a safer sport.


Assuntos
Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Cavalos , Traumatismos Ocupacionais/etiologia , Traumatismos Ocupacionais/prevenção & controle , Medicina Esportiva/educação , Animais , Humanos
3.
Artigo em Inglês | MEDLINE | ID: mdl-32962274

RESUMO

Education is a common strategy used to prevent occupational injuries. However, its effectiveness is often measured using surrogate measures instead of true injury outcomes. To evaluate the effectiveness of workplace educational interventions, we selectively analyzed studies that reported injury outcomes (PROSPERO ID: CRD42019140631). We searched databases for peer-reviewed journal articles and sources of grey literature such as abstracts, registered trials, and theses published between 2000 and 2019. Studies on educational interventions that reported fatal or non-fatal occupational injury outcomes were selected. Two reviewers independently and in duplicate screened the studies, extracted data, and assessed risk of bias. Heterogeneity in the data precluded meta-analysis, and the results were reviewed narratively. In total, 35 studies were included. Of which, 17 found a significant reduction in injuries, most of which featured a multifaceted approach or non-didactic education. The remaining studies either described equivocal results or did not report statistical significance. Overall, interventions in the manufacturing industry were more effective than those in the construction sector. Risk of bias among included studies was moderate to high. In conclusion, educational interventions could be an effective part of multifaceted injury prevention programs. However, over-reliance on didactic education alone is not advised.


Assuntos
Traumatismos Ocupacionais , Local de Trabalho , Educação , Humanos , Traumatismos Ocupacionais/epidemiologia , Traumatismos Ocupacionais/prevenção & controle
4.
Medicine (Baltimore) ; 99(34): e21831, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32846829

RESUMO

Adoption of interventional endoscopic procedures is increasing with increasing prevalence of diseases. However, medical radiation exposure is concerning; therefore, radiation protection for medical staff is important. However, there is limited information on the usefulness of an additional lead shielding device during interventional endoscopic procedures. Therefore, we aimed to determine whether an additional lead shielding device protects medical staff from radiation.An X-ray unit (CUREVISTA; Hitachi Medical Systems, Tokyo, Japan) with an over-couch X-ray system was used. Fluoroscopy-associated scattered radiation was measured using a water phantom placed at the locations of the endoscopist, assistant, nurse, and clinical engineer. For each location, measurements were performed at the gonad and thyroid gland/eye levels. Comparisons were performed between with and without the additional lead shielding device and with and without a gap in the shielding device. Additionally, a clinical study was performed with 27 endoscopic retrograde cholangiopancreatography procedures.The scattered radiation dose was lower with than without additional lead shielding at all medical staff locations and decreased by 84.7%, 82.8%, 78.2%, and 83.7%, respectively, at the gonad level and by 89.2%, 86.4%, 91.2%, and 87.0%, respectively, at the thyroid gland/eye level. Additionally, the scattered radiation dose was lower without than with a gap in the shielding device at all locations.An additional lead shielding device could protect medical staff from radiation during interventional endoscopic procedures. However, gaps in protective equipment reduce effectiveness and should be eliminated.


Assuntos
Exposição Ocupacional/prevenção & controle , Exposição à Radiação/prevenção & controle , Proteção Radiológica/instrumentação , Radiografia Intervencionista/efeitos adversos , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Colangiopancreatografia Retrógrada Endoscópica/estatística & dados numéricos , Fluoroscopia/efeitos adversos , Gônadas/efeitos da radiação , Humanos , Traumatismos Ocupacionais/prevenção & controle , Imagens de Fantasmas/estatística & dados numéricos , Equipamentos de Proteção/normas , Doses de Radiação , Lesões por Radiação/prevenção & controle , Proteção Radiológica/métodos , Glândula Tireoide/efeitos da radiação
5.
J Environ Public Health ; 2020: 2875297, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32774391

RESUMO

Introduction: Occupational injuries are occurrences arising out of, or in the course of, work which results in a fatal or nonfatal injury, e.g., a fall from a height or contact with moving machines. They pose psychological, behavioral, social, vocational, and economic problems. No previous studies have been conducted on the prevalence and associated risk factors of occupational injuries among workers in Bahir Dar Textile Share Company (SC). Therefore, this study aimed to assess the prevalence and associated risk factors of occupational injury in Bahir Dar Textile SC, Northwest Ethiopia. Methods: A cross-sectional study was conducted among employees of Bahir Dar Textile SC in 2019. Three hundred (195 males and 105 females) employees were selected using proportional simple random sampling from the spinning, weaving, finishing, engineering, and administration sections. Results: The one-year and the two-week occupational injury prevalences were 42.7% and 6.7%, respectively. The one-year report from all the respondents shows that abrasion (10.7%) and eye injury (7.7%) were the two top injuries, hands (12.7%) and eyes (7.7%) were the top injured body parts, and machines (22.7%) and falling/slipping (6.3%) caused most injuries. Statistically significant differences in injuries (p < 0.05) were observed due to variations in gender, job category, exposure to vibration, exposure to rays/welding sparks, and labor-intensive work. The weaving section was positively associated with occupational injuries at AOR = 4.497 and p=0.05. Conclusions: Occupational injuries prevalence is high over the last year. The major causes of injuries were machines and falling/slipping, while the major injuries were abrasions, eye injuries, sprains, and burns. The factors significantly associated with occupational injuries were male gender, job category, use of vibrating tools, high intensive work, and rays/welding sparks. Occupational safety and health training, use of personal protective equipment (PPE), and shifting employees from intensive works are recommended.


Assuntos
Traumatismos Ocupacionais/epidemiologia , Indústria Têxtil/estatística & dados numéricos , Adulto , Estudos Transversais , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/prevenção & controle , Exposição Ocupacional/estatística & dados numéricos , Saúde do Trabalhador , Traumatismos Ocupacionais/prevenção & controle , Prevalência , Fatores de Risco , Inquéritos e Questionários
7.
BMC Public Health ; 20(1): 794, 2020 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-32460738

RESUMO

BACKGROUND: Personal protective equipment (PPE) is a material, device, equipment, or clothing used or worn by workers to reduce their chance of exposure or contact with any harmful material or energy that causes injury, disease, or even death. The use of PPE is a universal legal requirement to reduce occupational injuries and illnesses in the workplace. Therefore, this study was conducted to assess PPE utilization and its associated factors among building construction workers in Addis Ababa, Ethiopia, 2019. METHODS: Institution based quantitative cross-sectional study was conducted on the selected construction sites of Addis Ababa city from April 1 to May 18, 2019. Data were collected among all (206) building construction workers via interviewer-administered questionnaires. Data were entered into Epi info version 7.1 and exported to SPSS version 25 statistical software for analysis. Variables with a p-value of less than 0.20 in bivariate analysis were included in multivariate logistic regression. Finally, variables with a p-value of less than 0.05 in multivariate analysis were considered as significantly associated. RESULTS: The utilization of at least one PPE among building construction workers in Addis Ababa was found to be 38%. The majority (41.1%) of the participants' reason for not using PPE were the unavailability of PPE followed by absence of orientation on using PPE (21.3%). The majority (35.3%) and (32.2%) of participants knew abrasion as a type of injury and suffered from abrasion respectively. Factors associated with utilization of PPE were the presence of training on PPE use (AOR = 4.8; 95% CI: 2.3, 10.3), presence of safety training (AOR = 2,8; 95% CI:1.5, 5.2), safety orientation before commencing work (AOR = 4.0; 95% CI:1.9, 9.0) and presence of supervision (AOR = 5.0; 95% CI:1.9,13). CONCLUSIONS: PPE utilization among building construction workers in Addis Ababa was low. The main reasons for non-utilization of PPE were unavailability of the materials and the absence of orientation on using PPE. The presence of PPE use training, presence of safety training, safety orientation, and governmental supervision were factors associated with PPE utilization. There should be continuous supervision of construction sites to assure all workers get material and training on how to use it.


Assuntos
Traumatismos Ocupacionais/prevenção & controle , Equipamento de Proteção Individual/estatística & dados numéricos , Local de Trabalho/organização & administração , Adulto , Cidades , Estudos Transversais , Etiópia , Feminino , Instalações de Saúde , Humanos , Modelos Logísticos , Masculino , Análise Multivariada , Traumatismos Ocupacionais/epidemiologia , Inquéritos e Questionários , Local de Trabalho/estatística & dados numéricos
8.
Environ Res ; 186: 109532, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32334170

RESUMO

On March 1, 2012, the Chinese government implemented the Administrative Measures on Heatstroke Prevention (AMHP2012) to combat the occupational health impacts of extreme heat, and reducing occupational injury was one of the main purposes. This study aimed at quantifying the intervention effects of the AMHP2012 on extreme heat-related occupational injuries and subsequent insurance payouts in Guangzhou, China. Data on occupational injuries and insurance payouts were collected from March 1, 2011, to February 28, 2013, from the occupational injury insurance system of Guangzhou. A quasi-experimental design with before-after control was adopted. Interrupted time series analysis was performed to quantify the change of occupational injuries and insurance payouts after policy implementation. The distributed lag non-linear model was used to explore whether injury claims and insurance payouts due to extreme heat decreased. A total of 9851 injury claims were included in the analysis. After policy implementation, the risk of occupational injuries and insurance payouts decreased by 13% (RR = 0.87, 95%CI: 0.75, 0.99) and 24% (RR = 0.76, 95% CI: 0.58, 0.94), respectively. The attributable fraction of extreme heat-related occupational injuries decreased from 3.17% (95%eCI: 1.35, 4.69) to 1.52% (95%eCI: -0.36, 3.15), which contributed to 0.86 million USD reduction of insurance payouts. Both males and females, low-educated, young and middle-aged workers, workers at small or medium-sized enterprises, engaging in manufacturing, and with both minor and severe injuries were apparently associated with decreased rates of extreme heat-related occupational injuries. The AMHP2012 policy contributed to the reduction of extreme heat-related occupational injuries and insurance payouts in Guangzhou, China, and this research provided novel evidence for decision-makers to better understand the necessity of implementing health protection policies among laborers under climate change.


Assuntos
Calor Extremo , Exposição Ocupacional , Traumatismos Ocupacionais , China/epidemiologia , Cidades , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismos Ocupacionais/epidemiologia , Traumatismos Ocupacionais/prevenção & controle
9.
Work ; 65(4): 869-880, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32310216

RESUMO

BACKGROUND: Investigation of the safety management efficiency in a coal mine aims to improve its safety management level thus ensuring coal mining safety. However, the safety management efficiency is affected by many factors especially for those coal mines operated underground. Furthermore, the constraint factors that are difficult to be identified and eliminated may impede safety management efficiency. OBJECTIVE: This work aims to explore the constraints affecting safety management efficiency through a mathematical model accompanied by some effective measures guided by the theory of constraint (TOC). METHODS: An index system for coal mining safety management efficiency (CMSME) is first established. Then a mathematical model roughly identifying the constraint factors is constructed. The principle of the proposed model is a comparison with the changes of the ratio of integrated CMSME and the ratio of each impact factor over a certain period. Thus, a constraint factor may be one whose ratio changes at a slower rate than that of the integrated CMSME. Following this, some measures are adopted to identify one, or more, real constraints. Finally, the constraints may be broken by internal, or external, means. RESULTS: A case study from Quandian coal mine verified the proposed method: the constraints affecting CMSME could be identified and broken through during the production. This research currently is applied to coal mining activities in a few coal mines, and it will be widely used in the future. CONCLUSIONS: This paper provides a novel method investigating the constraints affecting CMSME and breaking through them. The case study shows that breaking through constraints during the production is beneficial to CMSME. Furthermore, a coal mine with a high CMSME index may still, at some time, have one, or more, bottleneck constraints.


Assuntos
Minas de Carvão/normas , Eficiência Organizacional/normas , Gestão da Segurança/normas , Minas de Carvão/métodos , Minas de Carvão/estatística & dados numéricos , Eficiência Organizacional/estatística & dados numéricos , Humanos , Traumatismos Ocupacionais/etiologia , Traumatismos Ocupacionais/prevenção & controle , Alocação de Recursos/métodos , Alocação de Recursos/normas , Alocação de Recursos/estatística & dados numéricos , Gestão da Segurança/métodos , Gestão da Segurança/estatística & dados numéricos
10.
Appl Ergon ; 85: 103045, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32174341

RESUMO

The purpose of this study was to develop a new pipette design in which the pipette is operated by four fingers, taking into account the anatomy and anthropometry of the hand. The proposed new pipette designs were compared with a traditional thumb-push pipette based on muscle activity, wrist posture, subjective discomfort ratings for upper extremities, and user preference. The results of the study revealed that the four-finger, ergonomic pipette design reduced muscle exertion (25% reduction for aspiration and 35% reduction for dispensing), awkward wrist posture (33% reduction in wrist flexion, radial and ulnar deviation), and perceived discomfort in the wrist, hand and lower arm. Furthermore, most participants (9 of 10) who used a pipette in their daily work preferred the new pipette designs to a traditional thumb-push pipette design. Thus, we expect that this study will contribute to the reduction of WMSDs risk factors and pain.


Assuntos
Técnicas de Laboratório Clínico/instrumentação , Desenho de Equipamento , Ergonomia , Análise e Desempenho de Tarefas , Adulto , Antropometria , Feminino , Dedos/fisiologia , Força da Mão/fisiologia , Voluntários Saudáveis , Humanos , Pessoal de Laboratório , Masculino , Traumatismos Ocupacionais/etiologia , Traumatismos Ocupacionais/prevenção & controle , Esforço Físico/fisiologia , Polegar/fisiologia , Punho/fisiologia , Traumatismos do Punho/etiologia , Traumatismos do Punho/prevenção & controle
11.
Artigo em Inglês | MEDLINE | ID: mdl-32013180

RESUMO

Epidemiological evidence has shown an association between exposure to high temperatures and occupational injuries, an issue gaining importance with environmental change. The aim of this study was to better understand contributing risk factors and preventive actions based on personal experiences. Interviews were conducted with 21 workers from five Australian states using a critical phenomenological approach to capture the lived experiences of participants, whilst exploring contextual factors that surround these experiences. Two case studies are presented: a cerebrovascular injury and injuries among seasonal horticulture workers. Other accounts of heat-related injuries and heat stress are also presented. Risk factors were classified as individual, interpersonal and organizational. In terms of prevention, participants recommended greater awareness of heat risks and peer-support for co-workers. Adding value to current evidence, we have provided new insights into the etiology of the health consequences of workplace heat exposure with workers identifying a range of influencing factors, prevention measures and adaptation strategies. Underpinning the importance of these are future climate change scenarios, suggesting that extended hot seasons will lead to increasing numbers of workers at risk of heat-stress and associated occupational injuries.


Assuntos
Transtornos de Estresse por Calor/etiologia , Transtornos de Estresse por Calor/prevenção & controle , Traumatismos Ocupacionais/etiologia , Traumatismos Ocupacionais/prevenção & controle , Adulto , Idoso , Austrália , Feminino , Temperatura Alta , Humanos , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional , Saúde do Trabalhador , Adulto Jovem
12.
Appl Ergon ; 84: 103029, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31983396

RESUMO

Interventional radiologists are at increased risk for musculoskeletal discomfort/disorders and this has been linked to the use of radiation personal protective equipment (rPPE). This study examined the effects of rPPE on the development of fatigue of the erector spinae and trapezius muscles. Surface electromyography (EMG) was used to capture muscle activity, and both time domain (average rectified value) and frequency domain (median frequency) measures were considered in the assessment of localized muscle fatigue. Sixteen participants performed a simulated surgical procedure requiring intermittent 30° flexed static trunk posture with and without rPPE on separate days. The results showed that the rPPE condition demonstrated significantly greater (p < 0.05) downward shift in median frequency in the left lumbar erector spinae and left lower thoracic erector spinae consistent with task-induced localized muscle fatigue. Ergonomic intervention strategies are discussed.


Assuntos
Eletromiografia , Traumatismos Ocupacionais/prevenção & controle , Equipamento de Proteção Individual/efeitos adversos , Lesões por Radiação/prevenção & controle , Radiologia Intervencionista , Adulto , Músculos do Dorso/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fadiga Muscular/fisiologia , Músculo Esquelético/fisiopatologia , Postura/fisiologia , Ombro/fisiopatologia
14.
Accid Anal Prev ; 135: 105372, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31790968

RESUMO

In this study, we test the widely held belief that young workers (aged 15-24) are less likely than adults (aged 25 and over) to speak up about safety concerns. Counter to this belief, and in line with age-related resource selectivity theory, we hypothesized that older workers would actually be less likely than younger workers to speak up about workplace safety concerns ("safety voice intentions") when their supervisors are unclear about their own commitment to safety. To test this, we created two realistic scenarios in which we manipulated clarity of supervisor commitment to safety: (1) it is clear the supervisor clearly cares about/is open to hearing suggestions about safety (the "clear commitment" condition) and (2) it is unclear whether the supervisor cares about/is open to hearing suggestions about safety (the "unclear commitment" condition). We randomly assigned participants (N = 80; 58 % women; 40 % over the age of 24) to one of the two scenarios and measured their safety voice intentions. In the face of clear supervisor commitment to safety, younger and adult workers did not differ on their safety voice intentions. However, compared to younger workers, adult workers were less likely to speak up about safety in the face of unclear signals about the supervisor's commitment to safety. These findings have implications for our understanding of young and adult worker safety voice, and the importance of how supervisors signal commitment to safety.


Assuntos
Traumatismos Ocupacionais/prevenção & controle , Gestão da Segurança , Adolescente , Adulto , Feminino , Humanos , Intenção , Liderança , Masculino , Local de Trabalho/psicologia , Adulto Jovem
15.
Int J Occup Saf Ergon ; 26(1): 1-8, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29436289

RESUMO

Purpose. To compare the effects of object handled and handgrip used on lumbar spine motion and loading during occupational lifting task simulations. Methods. Eight male and eight female volunteers performed barbell and crate lifts with a pronated (barbell) and a neutral (crate) handgrip. The mass of barbells/crates lifted was identical across the objects and fixed at 11.6 and 9.3 kg for men and women, respectively. The initial heights of barbells/crates were individualized to mid-shank level. Body segment kinematics and foot-ground reaction kinetics were collected, and then input into an electromyography-assisted dynamic biomechanical model to quantify lumbar spine motion and loading. Results. Lumbar compression and net lumbosacral moment magnitudes were 416 N and 17 Nm lower when lifting a barbell than when lifting a crate (p < 0.001), respectively. There were no between-condition differences in lumbar flexion displacements (p > 0.392) or flexion/extension velocities (p > 0.085). Conclusions. Crate- and barbell-lifting tasks can be used interchangeably if assessing lifting mechanics based on peak spine motion variables. If assessments are based on the spine loading responses to task demands, however, then crate- and barbell-lifting tasks cannot be used interchangeably.


Assuntos
Remoção , Vértebras Lombares/fisiologia , Região Lombossacral/fisiologia , Traumatismos Ocupacionais/prevenção & controle , Adolescente , Adulto , Feminino , Humanos , Masculino , Músculo Esquelético/fisiologia , Saúde do Trabalhador , Postura/fisiologia , Análise e Desempenho de Tarefas , Adulto Jovem
16.
Int J Occup Saf Ergon ; 26(1): 181-193, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29663865

RESUMO

Introduction. Global trends such as digitalization, globalization and demographic change are changing workplaces, and accordingly occupational safety and health (OSH) needs. To better prepare for the future and to foster proactive prevention, the German Social Accident Insurance (DGUV) established an OSH risk observatory (RO OSH). Methods. The RO OSH relies on an online survey and calls upon the expertise of labour inspectors. In total, 398 labour inspectors participated in the first RO OSH enquiry. They rated developments with regard to their sector-specific relevance for OSH in the near future. The RO OSH also provides ideas for preventive measures that can be implemented by the German Social Accident Insurance Institutions. Results. Work intensity, demographic aspects and digitalization play a major role for most or all sectors. However, familiar OSH issues such as musculoskeletal strain and noise also continue to be of major importance and require further consideration and specific solutions in prevention. Outlook. For the DGUV, training and consulting have great potential for proactive prevention in these priority areas, e.g., by fostering a prevention culture and supporting companies in (psychosocial) risk assessment (also for mobile work). For instance, concepts for increasing physical activity at sedentary workplaces and data security require continued research.


Assuntos
Doenças Profissionais/prevenção & controle , Traumatismos Ocupacionais/prevenção & controle , Local de Trabalho , Alemanha , Seguro de Acidentes , Medição de Risco , Inquéritos e Questionários
17.
Workplace Health Saf ; 68(1): 24-31, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31540565

RESUMO

Background: In Ontario, when an occupational injury occurs in the mining industry, there is often a need to interact with the Workplace Safety and Insurance Board (WSIB). During this process, miners experience economic, social, and mental health-related issues that can affect their overall well-being. This study aimed to determine the impact of a lower back injury and the WSIB claim process experience expressed by some male, underground miners in Sudbury, Ontario, Canada. Methods: A qualitative descriptive study design that utilized in-depth, individual qualitative interviews was conducted. Twelve male participants (underground miners) were interviewed in Sudbury, Ontario. Interviews were transcribed and thematically analyzed. Findings: The results emphasized the need for improved communication, the necessity for resources to be allocated to enhance public discussion about injury prevention, the social and economic burden that miners and their families face, and the power imbalances between injured miners and the companies that were meant to support them. Conclusion/Application to Practice: The findings indicate that several areas require improvement for an injured miner who submits a WSIB claim. Ideally, participants wanted an improved and streamlined process for reporting an injury and for WSIB claim management. These findings suggest that occupational health practices that foster a safe and healthy work environment in the mining industry must be promoted, which will help to guide future policies that enhance support for an injured worker and the WSIB claim process.


Assuntos
Lesões nas Costas/economia , Mineradores , Indenização aos Trabalhadores/organização & administração , Lesões nas Costas/prevenção & controle , Família , Humanos , Masculino , Traumatismos Ocupacionais/economia , Traumatismos Ocupacionais/prevenção & controle , Ontário , Pesquisa Qualitativa , Indenização aos Trabalhadores/economia
18.
Appl Ergon ; 82: 102955, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31605829

RESUMO

Health and safety inductions are ubiquitous in construction but tend to be poorly designed and suffer low levels of worker engagement. In this paper we report on the evaluation of an innovative, full day, actor-based health and safety induction called EPIC, currently being used on London's Thames Tideway Tunnel megaproject. As of March 2019, more than 14,000 individuals had attended EPIC. This evaluation examines the impact of EPIC from the perspective of participants and other stakeholders, and considers the utility of actor-based immersive health and safety inductions for use more widely, in both construction and other sectors. Using a mixed-method, longitudinal approach to data collection, EPIC is evaluated against Kirkpatrick's (1959) 'four levels' framework of reactions, learning, behaviour change and results. This paper discusses factors which support and hinder actor-based inductions, and the challenges involved in assessing the impact of inductions on subsequent behaviour and health and safety outcomes.


Assuntos
Indústria da Construção , Saúde do Trabalhador/educação , Adulto , Feminino , Humanos , Aprendizagem , Londres , Masculino , Doenças Profissionais/prevenção & controle , Traumatismos Ocupacionais/prevenção & controle , Cultura Organizacional
19.
Int J Occup Med Environ Health ; 33(1): 35-43, 2020 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-31691681

RESUMO

OBJECTIVES: This paper describes some operational tactical procedures (OTP) and discusses the results of a 14-year-long study, spanning the period 2003-2016, conducted by the Municipal Police of Cádiz, Spain, which comprised 3 time periods: 2003-2006, when the officers were trained in traditional policing procedures; 2007-2013, when the officers were taught an innovative set of OTP in the form of a basic set of self-defense and arrest mechanisms, different from the traditional policing procedures that rely on martial arts and combat sports; and finally 2014-2016, when the OTP training was discontinued. The aim of this study was to improve policing and reduce officer injuries resulting from interventions in controversial or violent situations, such as problematic arrests. MATERIAL AND METHODS: The study involved 162 police officers and commanders of the Municipal Police of Cádiz, who were in street duty for their first time. There were 8 females and 154 males aged 24-55 years. Three OTP stages are shown as examples. RESULTS: Based on the analysis of "training hours" and "physical interventions in problematic arrests," the results were: 1) the number of sick leaves in the police was identical according to the number of arrests, and 2) data on sick leaves show remarkable differences among the 3 periods under analysis. CONCLUSIONS: The OTP-based training substantially reduced officer sick leaves. The overall reduction in sick leaves in the period 2007-2013 was observed that cannot be ascribed to a decrease in criminal acts, and hence in police physical interventions. Int J Occup Med Environ Health. 2020;33(1):35-43.


Assuntos
Aplicação da Lei/métodos , Traumatismos Ocupacionais/epidemiologia , Polícia/educação , Licença Médica/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismos Ocupacionais/prevenção & controle , Espanha/epidemiologia , Violência no Trabalho
20.
J Nurs Care Qual ; 35(2): 130-134, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31306238

RESUMO

BACKGROUND: Safe Patient Handling and Mobility (SPHM) programs reduce staff injuries from lifting and repositioning patients. Early Mobility programs improve many patient-centered outcomes. Reframing SPHM equipment as mobilization tools can help safely mobilize hospitalized patients to their highest abilities. PROBLEM: Combining SPHM and Early Mobility programs is logical, but to date, no one has articulated the process of integration. INTERVENTION: A quality improvement process was developed at the Phoenix Veterans Affairs Health Care System to integrate an Early Exercise and Progressive Mobility initiative in the intensive care unit into an ongoing SPHM program using the Iowa Model for Evidence-Based Implementation. RESULTS: Integration of these programs was possible through extensive collaboration between stakeholders throughout planning, implementation, and refinement phases. Interdisciplinary Early Exercise and Progressive Mobility simulation training, standardized assessment, communication of patient status, and appropriate equipment use facilitated staff confidence to safely mobilize patients. CONCLUSIONS: Successful integration of Early Exercise and Progressive Mobility and SPHM was achieved at the Phoenix Veterans Affairs Health Care System.


Assuntos
Deambulação Precoce , Unidades de Terapia Intensiva , Movimentação e Reposicionamento de Pacientes , Equipe de Assistência ao Paciente , Melhoria de Qualidade , Gestão da Segurança , Arizona , Hospitais de Veteranos , Humanos , Traumatismos Ocupacionais/prevenção & controle , Segurança do Paciente/normas , Inquéritos e Questionários
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