Work - Volume 73, issue 3

Authors: Zhijie, Song | Gull, Nida | Asghar, Muhammad | Shi, Rui | Sarfraz, Muddassar

Article Type: Research Article

Abstract: BACKGROUND: Paternalistic leadership style has progressively intrigued organisational behaviour study in the last two decades. An abundance of research is integrating the existing literature on leadership and positive organizational culture to better understand the processes through which leadership leads to life satisfaction. OBJECTIVE: One such mechanism through which specific leaders influence life satisfaction is work-family conflict (WFC) and family-work conflict (FWC). Paternalistic leadership is a significant antecedent to develop subordinates’ life satisfaction because it integrates discipline with fatherly support. However, no research exists to date on the effect of paternalistic leaders on subordinate’ WFC and FWC, which in …turn affects their life satisfaction. METHOD: The current study examines the impact of paternalistic leadership on employee life satisfaction using a sample of 198 nurses from public sector hospitals of Sindh province in Pakistan. The data was collected through survey questionnaires, and Smart-PLS-SEM was used to test the proposed hypotheses. RESULTS: The primary goal of this study was to investigate the relationship between paternalistic leadership and life satisfaction. At the same time, there were significant mediation effects on life satisfaction. CONCLUSION: The findings indicate that paternalistic leadership positively impacted life happiness through decreasing followers’ WFC. However, it has a detrimental influence on FWC, which mediates the effect on subordinates’ life satisfaction. Show more

Keywords: Paternalistic leadership, life satisfaction, work-family conflict, family-work conflict, healthcare sector, Pakistan

DOI: 10.3233/WOR-210482

Citation: Work, vol. 73, no. 3, pp. 961-968, 2022

Authors: Singh, Vijendra P. | Nettem, Sowmya | Kyaw Soe, Htoo H. | Babji, Nurul Ashiqin Binti | Sahari, Al-Insyirah Iman Binti | Yusof, Liyana Syatrah Binti Mohd | Mathew, Melwin

Article Type: Research Article

Abstract: BACKGROUND: Dental professionals have been reported to be constantly exposed to work-related musculoskeletal disorders with symptoms often started as early as the student phase. Risk perception may play an important role in modifying risk at work. OBJECTIVE: To assess the influence of gender, academic level, and the presence of painful symptoms on the perception of risk factors at work contributing to musculoskeletal symptoms among dental students of Melaka, Malaysia. METHODS: A cross-sectional survey of 183 clinical year dental students based on a convenience sample. The data were collected using the Nordic Musculoskeletal Questionnaire and Job Factor …Questionnaire for assessment of musculoskeletal symptoms and risk factors at work respectively. Study data were evaluated using percentage, median, Cochran’s Q test, Bonferroni correction, multiple linear regression analysis and Mann-Whitney U Test. The analysis was interpreted considering a 95 % confidence interval and significant level at P  < 0.05. RESULTS: Dental students reported a high prevalence (86.9 %) of musculoskeletal symptoms mostly affected the neck, shoulder, lower and upper back body regions. No significant difference in perception was found with the gender. A significant (P  < 0.05) higher perception was observed in fourth-year students. The presence of painful symptoms was significantly (P  < 0.05) associated with working in the same position, prolonged duration of work and use of tools. CONCLUSIONS: Priority in implementing ergonomic education throughout the training in the dental schools should be considered to improve perception and reduce musculoskeletal disorders associated with the dental profession. Show more

Keywords: Dental education, ergonomics, musculoskeletal discomfort, risk factors awareness

DOI: 10.3233/WOR-210519

Citation: Work, vol. 73, no. 3, pp. 969-976, 2022

Authors: Abraham, Thomas | Binoosh, S.A. | Remesh Babu, K.R.

Article Type: Research Article

Abstract: BACKGROUND: Musculoskeletal risks (MSRs) are a major concern among construction warehouse workers due to the lifting, carrying and lowering of heavy loads. OBJECTIVE: The objective of this study was to reduce MSRs among warehouse workers in the construction industry using virtual modelling and analysis of activities. METHODS: A preliminary study was carried out using the Standard Nordic Questionnaire. Biomechanical analysis, Ovako Working posture Assessment System (OWAS) and Rapid Upper Limb Assessment (RULA) were used to analyse the material handling activities. Virtual modelling was used develop the manikins with autoclaved aerated concrete (AAC) blocks at different carriage …modes and stacking heights for the analysis. RESULTS: The preliminary study results revealed a higher prevalence of risk at their lower back (73.24%) among the construction warehouse workers. Biomechanical analysis showed a higher risk at L4-L5 joint of lumbar spine during overhead and bending postures for stacking the blocks. Posture analysis results of OWAS indicated a lower risk in overhead carriage mode. Detailed analysis with RULA confirms this result. Mean compressive force values at stacking heights were showed a significant difference (p  < 0.05) in 8, 13, 18 and 21 kg AAC blocks. However, stacking height with a range of 120–140 cm was found as safer to the workers by considering all block sizes. CONCLUSION: An ergonomic intervention based on safer stacking heights was developed to reduce MSRs to an acceptable range. It improves productivity of handling the AAC blocks by reducing the cycle time. The intervention can be adapted for handling of similar materials in the construction industry. Show more

Keywords: Manual material handling, musculoskeletal risk, postural analysis, carriage modes, stacking height

DOI: 10.3233/WOR-210742

Citation: Work, vol. 73, no. 3, pp. 977-990, 2022

Authors: Mariscal Aguilar, Pablo | Carpio Segura, Carlos | Tenes Mayen, Andrés | Zamarrón de Lucas, Ester | Villamañán Bueno, Elena | Marín Santos, Mercedes | Álvarez-Sala Walther, Rodolfo

Article Type: Research Article

Abstract: BACKGROUND: Although pulmonary rehabilitation programmes (PRPs) benefit patients with chronic obstructive pulmonary disease (COPD), poor adherence to these programmes is common. OBJECTIVE: This study aimed to analyse the factors associated with poor long-term adherence after completing a PRP. METHOD: We conducted a retrospective study of 70 patients with COPD who performed an 8-week outpatient PRP that included 24 sessions of aerobic training, skeletal muscle resistance exercises, physiotherapy and COPD education. The study classified the patients into 2 groups: (1) long-term adherence and (2) long-term non-adherence to the PRP. We considered long-term non-adherence when the patient did …not attend the 32 weeks follow-up visit after beginning the PRP. We measured the degree of dyspnoea, quality of life, physical activity, anxiety-depression status, submaximal exercise capacity and COPD exacerbations in both groups. RESULTS: The patients’ median age was 69.6 [63.8–75.0] years, and 71.4% were men. The median forced expiratory volume in 1 second was 60.0 [47.7–68.0] % of that predicted. We observed total COPD exacerbations and severe COPD exacerbations in the last year in 32 (45.7%) and 22 (31.4%) patients, respectively. Dyspnoea, physical activity and quality of life significantly improved after completing the PRP. Long-term non-adherence to the PRP was observed in 32 (45.7%) patients. In the single regression model, severe COPD exacerbations (p  = 0.04) and dyspnoea (p  = 0.03) were associated with long-term non-adherence to the PRP. In the multiple regression model, only severe COPD exacerbations remained as an associated factor (OR 2.7; 95% CI 1.1–8,1; p  = 0.04). CONCLUSION: Approximately half of patients who complete PRPs present long-term non-adherence to the programme. Severe COPD exacerbations are associated with long-term non-adherence. Show more

Keywords: Chronic obstructive pulmonary disease, exercise therapy, disease exacerbation

DOI: 10.3233/WOR-210907

Citation: Work, vol. 73, no. 3, pp. 991-1000, 2022

Authors: Teo, Sock Hong | Fong, Kenneth N.K. | Chen, Zhenzhen | Chung, Raymond C.K.

Article Type: Research Article

Abstract: BACKGROUND: Facilitating return-to-work (RTW) for working-age stroke survivors is a key component of stroke rehabilitation, however, research investigating the long-term outcomes of working-age stroke survivors is lacking. OBJECTIVE: To investigate the factors that influence long-term RTW for patients enrolled on a community-based early supported discharge (ESD) rehabilitation program in Singapore about five years post stroke. METHODS: Sixty-nine patients, aged between 18 and 60 years and were employed at the time of their hospitalization, were enrolled into the ESD program between 2012 and 2014. A prospective cohort design was adopted to examine the relationships between the factors— …demographic, functional, personal, psychosocial factors and work related— and RTW at five-year follow-up. Details of RTW were collected through questionnaires via telephone follow-up. RESULTS: Sixty percent of the participants (n  = 49) were selected for Cox and logistic regression analyses of RTW at five-year follow-up. The results indicated that having social problems is a negative predictor of RTW (OR 0.02; 95% CI 0.00–0.22) while being the breadwinner is a positive predictor of RTW (OR 13.79; 95% CI 2.46–77.52). The same factors were also significant in the time to RTW event at five-year follow-up, with a hazard ratio of 0.09 and 4.07, respectively. CONCLUSIONS: Early identification of the characteristics of stroke patients enrolled into an ESD program who have the potential to RTW would make interventions more targeted, increasing the likelihood of RTW. Show more

Keywords: Return-to-work, rehabilitation, stroke

DOI: 10.3233/WOR-210914

Citation: Work, vol. 73, no. 3, pp. 1001-1010, 2022

Authors: Fallah, Hossein | Nazari, Jalil | Choobineh, Alireza | Morowatisharifabad, Mohammad ali | Jafarabadi, Mohamad Asghari

Article Type: Research Article

Abstract: BACKGROUND: As older adults prefer to live in their homes, it is of paramount importance to examine the adaptation of the environment to the older adults’ capabilities. OBJECTIVE: The aim of this study was to develop and evaluate psychometric properties of a scale to measure physical environment problems and barriers in older adults’ homes using an ergonomic approach in Iran. METHODS: This mixed-method investigation was conducted in two stages in Yazd, Iran. The primary 71-item version of the questionnaire was developed according to qualitative findings and a thorough review of the literature. Then the psychometric characteristics, …including face, content, construct validity, were assessed. Content validity was also assessed using CVI and CVR. Finally, its reliability and construct validity were confirmed by composite reliability (CR), Fornell-Larker matrix, and confirmatory factor analysis (CFA) using Smart PLS software version 3. RESULTS: The face validity of the developed scale was acceptable, and the mean scores of CVI and CVR were 0.78 and 0.84, respectively. The preliminary draft of the scale was categorized into seven dimensions. Factor validity and reliability were confirmed by acceptable factor loadings, and desirable realms of composite reliability (>0.7) average variance extracted (>0.5). The cross-loading method and the Fornell-Larker matrix were used to evaluate the divergent validity of the scale, and the results confirmed its acceptable fit. CONCLUSIONS: The findings indicated that reliability reached acceptable values, and different aspects of validity were almost confirmed. Accordingly, the questionnaire was to measure physical environment problems and barriers in older adults’ homes; however, it requires further validation for future use in other contexts. Show more

Keywords: Psychometrics, older adults, barriers, home environment, ergonomic

DOI: 10.3233/WOR-210983

Citation: Work, vol. 73, no. 3, pp. 1011-1022, 2022

Authors: Leroyer, Ariane | Mardon, Céline | Rollin, Laétitia | Volkoff, Serge

Article Type: Research Article

Abstract: BACKGROUND: The diverse and complex variations in the possible forms of health-work interactions are constantly reconfigured over the course of a person’s career. OBJECTIVES: The aims of this study were: 1) assess the scope of the individual changes in working conditions; 2) examine conjoint changes in working conditions; 3) examine the links between these changes and back pain and fatigue. METHOD: Analyses were conducted using data from the French observatory EVREST. The variations for each individual (close to 8,000 in total) were studied by comparing data for each individual obtained at two dates at least four …years apart within the period between 2010 and 2017. RESULTS: The frequency of the studied constraints was often similar at two dates (T1 and T2), but significantly higher for repetitive movements, working additional hours and interruptions which disrupt the work. The variations in physical constraints, intensity of work and lack of agency scores between the two timepoints are two-by-two positively correlated. Finally, respondents in the higher tertiles for any of these working condition scores at T2 had a higher probability of back pain or fatigue, compared to individuals in the lower tertiles at both timepoints. Being in a higher tertile at both dates corresponded to the highest odds-ratios for health complaints. CONCLUSION: From a “sustainability” perspective, these findings support treating this diversity of seniority in a profession and past experience at the same time as major decisions on production are made, rather than dealing with it as an afterthought. Show more

Keywords: Physical constraints, intensity of work, lack of agency, back pain, fatigue

DOI: 10.3233/WOR-210992

Citation: Work, vol. 73, no. 3, pp. 1023-1035, 2022

Authors: Belyayev, Alex | Smith, Todd D.

Article Type: Research Article

Abstract: BACKGROUND: Certified Hand Therapy is a subset of occupational/physical therapy that is relatively unknown to the common individual. Certified Hand Therapists (CHTs) help those with upper extremity injuries, whether it be those with workplace injuries, those who suffered a traumatic injury or those recovering from major surgery to reach the point where they are able to be independent and back to doing daily life activities. OBJECTIVE: This study aimed to discern the roles that Certified Hand Therapists have in rehabilitating individuals with upper extremity injuries, to assess their participation in work-related injury prevention, to examine with whom CHTs …interact during the rehabilitation process, and to gain insight into how the relationships between CHTs and occupational safety professionals can be improved. METHODS: Structured interviews were conducted with eight occupational therapists who are Certified Hand Therapists or are in the process of being certified. Interviews were recorded, transcribed and analyzed to determine themes relative to the study objectives. RESULTS: Content analyses determined trends in job roles, interactions with occupational safety professionals, the importance of patient education in prevention and rehabilitation and barriers to effective treatment of work-related injuries. CONCLUSION: CHTs shared similar thoughts regarding their profession. CHTs revealed common themes in the eight interviews conducted. Specifically, many CHTs believe education is a vital part of the profession in terms of improving the profession and in the rehabilitation process. In addition, patient compliance and the current workers’ compensation system were seen as challenges when rehabilitating patients. Show more

Keywords: Hand therapy, rehabilitation, occupational safety, occupational therapy, hand rehabilitation, safety and health

DOI: 10.3233/WOR-211038

Citation: Work, vol. 73, no. 3, pp. 1037-1043, 2022

Authors: Dargahi, Shahriar | Sadri Damirchi, Esmaeil | Ghamari Kivi, Hossein | Sharif, Ali Rezaei | Nazari, Alimohammad

Article Type: Research Article

Abstract: BACKGROUND: Today, dual-career couples are becoming increasingly prevalent around the world. Due to the nature of the life of this group of people, their sexual and marital life can be damaged. OBJECTIVE: The aim of this study was to develop a psycho-educational model based on the lived experiences of dual career couples who are dissatisfied with sexual relations and its effectiveness on sexual satisfaction. METHODS: This research was done based on a mixed (qualitative and quantitative) method. The qualitative part was performed using the phenomenological method and 13 couples were selected for semi-structured interviews using the …purposive sampling method. In a small part of this study, a single case plan (AB plan) was used, and three couples were selected from those who referred to counseling centers in Ardabil and underwent counseling interventions. In a small part, the Sexual Satisfaction Questionnaire was used to measure the changes of couples during the implementation of the intervention program. The information obtained in the qualitative part was analyzed through content analysis and the quantitative part was analyzed using visual analysis, clinical significance and recovery percentage. RESULTS: Based on the results obtained in the qualitative analysis section, the experiences of sexual dissatisfaction of dual-career couples can be classified into 10 main themes, 20 sub-themes and 30 categories that affect the sexual satisfaction of dual-career couples. The results of the quantitative section indicate that the designed psycho-educational model has led to an increase in sexual satisfaction of dual-career couples. CONCLUSION: Achieving sexual and marital satisfaction and finally mental health and reducing divorce is a process that begins with pathology in the cultural context and is achieved by emphasizing indigenous culture through developing a counseling package for appropriate intervention by therapists and counselors. Show more

Keywords: Sexual satisfaction, dual career couples, mixed research

DOI: 10.3233/WOR-211075

Citation: Work, vol. 73, no. 3, pp. 1045-1058, 2022

Authors: Lockie, Robert G. | Dawes, J. Jay | Orr, Robin M.

Article Type: Research Article

Abstract: BACKGROUND: Health and wellness programs can be implemented at police departments. Little research has detailed the characteristics of officers within these programs. OBJECTIVE: To analyse the health and fitness data of officers involved in a health and wellness program from 2018–2020, and to profile the officers involved relative to population norms. METHODS: Analysis was conducted on archival data from 633 officers (523 males, 110 females) who participated in a health and wellness program from a large city police department. Data included: body mass; body fat percentage; blood pressure (BP); estimated maximal aerobic capacity; sit-and-reach; push-ups; vertical …jump; grip strength; sit-ups; bench press ratio. Data were grouped by year (2018, 2019, 2020), and a univariate ANCOVA with Bonferroni post hoc adjustment determined any significant between-group differences. Individual officer data were also compared to population norms. RESULTS: The 2020 group had higher systolic BP compared to both other groups, and superior sit-and-reach and grip strength compared to the 2018 group (p  < 0.05). Compared to population norms across the 3 years, 74–86% of officers had BP elevated above normal levels. Depending on the fitness component measured most officers (69–98%) were categorised as average or better. CONCLUSIONS: There were few differences between the year groups, although the 2020 officers did have superior sit-and-reach and grip strength. The higher systolic BP from the 2020 group may be indicative of the challenges of the year (pandemic, civil unrest). Officers generally had good profiles relative to population norms. The wellness program appeared to benefit the well-being of officers. Show more

Keywords: Blood pressure, law enforcement, muscular endurance, strength; tactical

DOI: 10.3233/WOR-211089

Citation: Work, vol. 73, no. 3, pp. 1059-1074, 2022