Work - Volume 41, issue Supplement 1

Authors: Robertson, Michelle M. | Boiselle, Philip | Eisenberg, Ronald | Siegal, Dainel | Chang, Che-Hsu (Joe) | Dainoff, Marvin | Garabet, Angela | Garza, Jennifer Bruno | Dennerlein, Jack

Article Type: Research Article

Abstract: Radiologists are intensive computer users as they review and interpret radiological examinations using the Picture Archiving and Communication Systems (PACS). Since their computer tasks require the prolonged use of pointing devices, a high prevalence of Musculoskeletal Disorders (MSDs) is reported. The first phase of this study involved conducting a Cognitive Work Analysis in conjunction with a Participatory Ergonomics approach to perform a total work system analysis. We also conducted an ergonomic survey as well as collected computer use data, specifically for the mouse and keyboard. The goal of the study was to reduce the physical exposures for radiologists. This paper …presents Phase I results describing the analyses and redesign process of the radiologists tasks, training design, computer use, and selected survey results. Show more

Keywords: work systems analysis, participatory ergonomics, computer task exposure, musculoskeletal discomfort, training

DOI: 10.3233/WOR-2012-0391-1818

Citation: Work, vol. 41, no. Supplement 1, pp. 1818-1820, 2012

Authors: Pais, Fernando Lima | Azevedo, Paulo Roberto | Medeiros, Lícia Helena de Oliveira | de Freitas, Iraí Borges | Stamato, Cláudia

Article Type: Research Article

Abstract: This article is the result of an Ergonomic Diagnosis in a study for a Specialization Course in Ergonomics. The research is being done in a public hospital in the city of Rio de Janeiro, where the target system is the radiology sector. For diagnosis purposes, subjective techniques were used, such as an open-ended survey, Corlett questionnaire and techniques for evaluating ergonomic risk such as Owas and Rula. Systematic observation was emphasized using photos and films. Preliminary observations made to the radiographers found that these professionals suffer risks of physical and verbal harassment, as well as sexual harassment. Most of them …feel discriminated against in terms of race and accumulate activities demanding a lot of attention, as the medical diagnosis and subsequent procedures will depend on the outcome of this task. They accumulate tension due to the weight of responsibility, since there are cases where the patient has risk of death. Show more

Keywords: Ergonomic Diagnosis, radiology sector, ergonomic assessment

DOI: 10.3233/WOR-2012-0641-1821

Citation: Work, vol. 41, no. Supplement 1, pp. 1821-1827, 2012

Authors: Biquand, Sylvain | Zittel, Benoit

Article Type: Research Article

Abstract: Increased lifespan in western societies causes the increase of hospitalization in the old age, notably for patient showing forms of dementia including Altzheimer disease. These patients relate poorly to care givers and nurses, and cases of maltreatment have repeatedly been reported. To prevent abuse and increase patient’s quality of life, Gineste and Pelissier (2007) proposed a philosophy of care based on the Humanitude® concept. Acknowledging that being human is being vertical and related to other humans, the pillars of Humanitude® are gaze, touch, talk, and standing. These modes of relation are systematically developed in care giving techniques derived from the …concept. After several studies in geriatric hospitals, to assess psychosocial and ergonomic aspects of work, we present an analysis of the gap between the logic of human care and the logic of hospital organization, impacting employees work conditions and psychological welfare. Care giving is not only a “one to one” relation with the patient but needs to be integrated in the whole organization. Psychologists and ergonomists should be instrumental in defining the project and the organization linking human care giving towards the patients and better work conditions for healthcare employees. Show more

Keywords: work analysis, care, maltreatment, humanitude, burn-out

DOI: 10.3233/WOR-2012-0392-1828

Citation: Work, vol. 41, no. Supplement 1, pp. 1828-1831, 2012

Authors: Silvana, Salerno | Laura, Forcella | Ursula, Di Fabio | Irene, Figà Talamanca | Paolo, Boscolo

Article Type: Research Article

Abstract: Introduction. Patient’s aggressive behavior is one of the major problem in the psychiatric ward. Here we present the preliminary results of a psychiatric ward case-study, of a public hospital in the Chieti province, in order to plan ergonomic improvement. Method We applied the Method of Organizational Congruencies in the psychiatric ward in order to study the relationship between organized hospital work and nurses wellbeing in a 24 hour shifts. Results We observed 58 main phases in the three work shifts. The technical actions are mainly those of any hospital wards (shift briefing, preparing and administering drugs, recording data on clinical …charts, etc.). We found important differences mainly due to the nurses overcontrol activities on the patients behavior (preventing suicides or self destructive behavior), the occurrence of restraint procedure towards patients, the pollution due to patient’s cigarette smoke. Discussion The fear of patient’s self destructive behavior or other aggressive behaviour are the main cognitive and social aspects of this hospital ward. Nurses working in this psychiatric ward have to accept: locked doors, poor and polluted environment, restraint procedure with high risk of aggression and no availability of mental health care programs. A new interdisciplinary concept for ergonomics in psychiatry setting may represent a challenge for both nurses and patients and the community. Show more

Keywords: psychiatric ward, ergonomics, health care workers, nurses, aggressions

DOI: 10.3233/WOR-2012-0393-1832

Citation: Work, vol. 41, no. Supplement 1, pp. 1832-1835, 2012

Authors: Sacouche, D. A. | Morrone, L.C. | Silva-Júnior, J.S.

Article Type: Research Article

Abstract: Background: In health care services, the workers from laundry and linen services are exposed to various occupational hazards, including the ergonomic risk. Were decided to study the effect of ergonomic factors at work in the musculoskeletal system for employees in this sector. Methods: Cross-sectional study conducted in a mid-sized general hospital in Brazil. Site visit was conducted to apply recognition of occupational hazards and work activities flow. Medical evaluation of twenty-one workers was performed for designing the health status of them, focusing on orthopedic disorders. Results: Their activities are to distribute clothes in all units of hospital care in order …to organize and maintain supplies. The principal complaints were back pain (43%) and shoulder pain (24%). The ergonomic risk happens due to repeated movements of lumbar flexion in sealing, raising the arms above shoulder level in storage and transportation of loads on the distribution of clean clothes. Conclusions: The complaints by workers are consistent with the overloads identified in the evaluation of jobs. It is recommended to adjust anthropometrically the sealing workplace; the availability of stairs; the implantation of trolleys with four swivel wheels; short breaks during the workday; and to stretch the muscles before and during work. Show more

Keywords: ergonomics, musculoskeletal disease, hospital distribution system, occupational health

DOI: 10.3233/WOR-2012-0394-1836

Citation: Work, vol. 41, no. Supplement 1, pp. 1836-1840, 2012

Authors: Cabral, A. | Souza e silva, M. | Louzada, E. | Cesar, W.

Article Type: Research Article

Abstract: The purpose of this study is to describe the use of the Ergonomic Analysis of Work (EAW) in the process of rehabilitating workers, insured by the National Institute of Social Security (INSS) in Brazil, and to conduct a brief analysis of the instrument used by this body. Information obtained from EAW enabled the demand, the requirements of the activity and the skills needed to perform the tasks in the workplace to be determined, thus aiding the decision of the INSS as to rehabilitating the workers and their return to their jobs.

Keywords: professional rehabilitation, analysis of job, social security in Brazil

DOI: 10.3233/WOR-2012-0395-1841

Citation: Work, vol. 41, no. Supplement 1, pp. 1841-1848, 2012

Authors: Bandeira, Maria Goreth | Diniz, Raimundo Lopes | Sardinha, Ana Hélia

Article Type: Research Article

Abstract: The goal of this study was to comprehensively identify ergonomic constraints among nursing workers in two public hospitals in Brazil. We used a qualitative research design and conducted interviews, field observation and performed a subjective questionnaire with nurses of emergency care sectors. The Cronbach α technique was used to determine the internal consistency of the questionnaire. Based on this qualitative study, we identified some ergonomic constraints related to work environment, biomechanics/anthropometrics, work organization and work station (hospital direction).

Keywords: nurses, ergonomic constraints, emergency care, public hospital

DOI: 10.3233/WOR-2012-0396-1849

Citation: Work, vol. 41, no. Supplement 1, pp. 1849-1854, 2012

Authors: Sharan, Deepak | Ajeesh, PS

Article Type: Research Article

Abstract: This review targeted all research previously conducted on the topic of musculoskeletal disorders and injury among physiotherapists, with a particular focus on studies that had examined individual, physical and psychosocial risk factors and provided suggestions or recommendations to prevent such injuries. Scientific literature published in English languages was searched using electronic way. A total of 17 appropriate studies were located and examined, most of which had focused on the prevalence of musculoskeletal disorders/pan or any other injury. From the review, it was shown that major risk factors among the physiotherapist were manual therapy, repetitive movement, awkward and static posture, physical …load, lifting and transferring, treating large number of patients treating in a single day, working while injured, years of experience. The preventive measures that described in these literatures were awareness of reporting of injury, use of less manual therapy, proper exercise, formulation of new devices, intervention at the level of workplace, work schedule allocation, proper training, ongoing risk assessment and control. Show more

Keywords: “Work related musculoskeletal disorders”, “prevention mechanism”, “Ergonomics”

DOI: 10.3233/WOR-2012-0397-1855

Citation: Work, vol. 41, no. Supplement 1, pp. 1855-1859, 2012

Authors: Maciel, D.P. | Millen, R.A.M. | Xavier, C.A. | Morrone, L.C. | Silva-Júnior, J.S.

Article Type: Research Article

Abstract: Background: Experts in medical invasive evaluations, like colonoscopy, could be exposed to ergonomic risks during their work. Little attention has been given to these spectrum of occupational health. Its aimed to analyze possible clinical problems related to upper limb of physicians who perform those exams. Methods: Cross-sectional study in a health service in Sao Paulo, Brazil. For evaluation of the workplace of the colonoscopist physician were applied two tools: Couto´s check list and Sue Rodgers Method. The results direct the potential risk to upper limb injuries. Results: The procedure is done and the final report is issued. There are no …mandatory pauses during workday. The dominant hand holds the tube insertion with pincer movement during the exam, digital prehension being necessary at times. For this activity the employee has to use some strength. Couto´s check list indicates a significant biomechanical factor. Sue Rodgers´s Method states high ergonomic risk for dominant hand/wrist/fingers. Conclusion: The main risk for the development of health disorders are associated with the use of force and repetitive movements of hands. The adoption of regular breaks to recover most of the structures required is recommended. Show more

Keywords: colonoscopy, cumulative trauma disorders, occupational health, healthcare professional, ergonomics

DOI: 10.3233/WOR-2012-0398-1860

Citation: Work, vol. 41, no. Supplement 1, pp. 1860-1863, 2012

Authors: Long, Jennifer | Burgess-Limerick, Robin | Stapleton, Fiona

Article Type: Research Article

Abstract: Work-related musculoskeletal discomfort and injuries are reported by optometrists. The purpose of this paper is to describe the process used to investigate work-related discomfort in Australian optometrists. A multistage project was conducted which included questionnaires, interviews and onsite observations. Participants, with and without self-reported discomfort, included clinical optometrists, optometry students and clinical teachers. The various stages of the study developed over the course of the project, primarily in response to results collected at various stages. A multistage approach proved valuable for confirming results and testing hypotheses, and for investigating different groups of workers (clinicians, teachers and students). General guidelines to …reduce the risk of work-related discomfort in optometrists can be developed from this project. Specific recommendations and teaching curricula have been identified in this project as areas of future research and development. Show more

Keywords: education, guidelines, interview, observation, questionnaire

DOI: 10.3233/WOR-2012-0399-1864

Citation: Work, vol. 41, no. Supplement 1, pp. 1864-1868, 2012