Work - Volume Pre-press, issue Pre-press

Authors: Dunstan, Joel | Stenner, Brad | Carrick-Ranson, Graeme | Norton, Kevin

Article Type: Research Article

Abstract: BACKGROUND: Firefighting is recognised as a physically demanding occupation involving exposure to hazardous environments and activities. An aging workforce combined with the age-related decline in physical fitness may result in increased future workers’ compensation expenditure for fire service organisations. OBJECTIVE: The objective of this research was to investigate the costs associated with musculoskeletal sprain and strain injury and the impacts of age and injury location on Workers’ Compensation claims submitted by professional urban firefighters. METHODS: Claim rates, direct costs, and days lost were extracted from a professional Fire Service organisation’s workers’ compensation claim …database for financial years between 2011 to 2018. RESULTS: The mean cost per claim increased with age, with a mean claim cost of the 60–70-year-old group over 10 times more than the 20–29-year-old group. The mean days lost per claim were also higher for claims submitted by firefighters aged over 50. CONCLUSIONS: Older firefighters miss more workdays when injured and are associated with increased claims costs, particularly those in the 60–70-year group. With an aging workforce, Fire Service organisations must implement appropriate management and prevention strategies to reduce the potential risks associated with an aging workforce. Show more

Keywords: Ageing workforce, firefighter, workers’ compensation, sprain and strain injury

DOI: 10.3233/WOR-230133

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-07, 2024

Authors: Jensen, Michael

Article Type: Research Article

Abstract: BACKGROUND: Occupational therapy presently has a limited presence within the workplace wellness industry and the profession’s contribution within this area of practice is not fully understood. Occupational therapy’s holistic, occupation-based, and client-centered approach has the potential to provide a valuable contribution to the field of workplace wellness. OBJECTIVE: To explore the experience of organizational employees participating in a workplace wellness program centered in the occupational therapy domain and process. METHODS: Six occupational therapy workplace wellness program participants completed in-depth semi-structured interviews one month after program completion followed by deductive thematic analysis of transcripts. RESULTS: …Three themes emerged (sustainable change across context, process matters, and therapeutic relationship supporting wellness), along with subthemes, describing the participant experience. CONCLUSIONS: The structured and individualized process of occupational therapy delivered within a workplace wellness program was appreciated by participants as a means of addressing workplace wellness and providing sustainable wellness results. Show more

Keywords: Occupational therapy, work wellness, health promotion, occupational health, prevention

DOI: 10.3233/WOR-230723

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Pang, Siu-Chuen | Iqbal, Zaheen Ahmed | Chow, Daniel Hung-Kay

Article Type: Research Article

Abstract: BACKGROUND: Trolley bags have gained popularity among students, but there is limited research comparing them to backpack-style school bags. OBJECTIVE: This study aimed to compare how carrying a backpack versus a trolley bag affects the activity of trunk and lower limb muscles in secondary school students. METHODS: Electromyographic activity was measured in 25 students (13.4±1.1 years) as they walked on level ground and up/down stairs while carrying both types of bags. The activity of the gastrocnemius, tibialis anterior, semitendinosus, rectus femoris, lumbar erector spinae, and rectus abdominis muscles was assessed on both the dominant and non-dominant …sides. RESULTS: The study found significantly reduced muscle activation in most of the targeted muscles when walking on level ground with the trolley bag and when going up/down stairs with the backpack. CONCLUSIONS: Lifting a trolley bag depends on the slope of the walking surface and is more efficient on level ground, while carrying a backpack is more efficient when going up and down stairs. Since it is not practical to switch bags when encountering stairs in schools, a bag with a mixed model design incorporating features of both trolley and backpack may be more beneficial and practical for students to use. Students, parents, and teachers should be aware of the injury risks associated with carrying different types of bags. Show more

Keywords: Backpack, trolley, students, electromyography, muscle activity, walking surface, walking slope

DOI: 10.3233/WOR-230628

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024

Authors: Reineholm, Cathrine | Lundqvist, Daniel | Wallo, Andreas

Article Type: Research Article

Abstract: BACKGROUND: Organizations are in a state of continual evolution, driven by the relentless shifts in their external environments. Numerous theories have been proposed to understand the essential skills and capabilities for successful organizational change. Yet, there remains a gap in capturing a holistic view necessary to fully comprehend the dynamics of competence in today’s rapidly changing landscape. OBJECTIVE: This research aims to explore and consolidate the concept of ‘competence’ in the context of organizational change processes. METHODS: Employing an integrative literature review approach, a total of 3,230 studies were screened. Out of these, …32 studies were selected based on strict relevance and quality criteria, providing a robust foundation for the analysis. RESULTS: The findings reveal a multi-layered nature of organizational change, highlighting that the nature and prerequisites of change vary significantly across different organizational levels. By applying a competence lens, we discern how required competence during change are not uniform but rather vary depending on whether they are applied in an operational or strategic context. This demonstrates a nuanced, level-dependent variability in change competence across the organizational hierarchy. CONCLUSION: We conceptualize ‘change competence’ as a dual-faceted construct. It encompasses both the capacity to leverage existing organizational competence and the adeptness to develop new competence, thereby meeting the evolving demands imposed by both internal and external drivers of change. This comprehensive understanding paves the way for more effective strategies in managing organizational change. Show more

Keywords: Organizational change, change management, organizational innovation, workplace, learning, review

DOI: 10.3233/WOR-230633

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-16, 2024

Authors: Sucu Çakmak, Nefise Cevriye | Çalışkan, Nurcan | Koğar, Hakan

Article Type: Research Article

Abstract: BACKGROUND: Chronic pain is the type of pain that healthcare professionals frequently encounter. Health care students’ attitudes towards pain management are not sufficient and this negatively affects their chronic pain management. When students cannot manage the chronic pain they will experience professional burnout, depersonalization, and a decrease in compassion and empathy in patient care. Therefore, the first step in improving health care students’ attitudes towards patients with chronic pain is to determine their attitudes. OBJECTIVE: This study aims to test the validity and reliability of the Scale for Healthcare Professionals’ Attitudes towards Patients with Chronic Pain (HCPAPCP Scale) …in healthcare students. METHOD: This quantitative study was conducted with 205 health care students in January-February 2022. Data were collected online with Personal Information Form and the HCPAPCP Scale. To determine the reliability of the scale, internal consistency and test-retest, and for construct validity, exploratory factor analysis and confirmatory factor analysis were performed. RESULTS: The results of the exploratory factor analysis showed that the two-factor scale consisting of 18 items, the factor structure, and the distribution of factors in items were the same as the findings of the original scale. The Cronbach’s Alpha coefficient was 0.88 for the first factor and 0.74 for the second factor. Test-retest reliability was 0.60. In confirmatory factor analysis, the model had a good and acceptable fit. CONCLUSION: We found that the HCPAPCP Scale was valid and reliable in healthcare students. Show more

Keywords: Healthcare students, chronic pain, attitude, validity and reliability study, nursing students, medical students

DOI: 10.3233/WOR-230512

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024

Authors: Subramaniam, Shankar | Ganesan, Abbas | Raju, Naveenkumar | Rajavel, Nithyaprakash | Chenniappan, Maheswari | Prakash, Chander | Pramanik, Alokesh | Basak, Animesh Kumar

Article Type: Research Article

Abstract: BACKGROUND: Textile-sizing mill workers are exposed to various hazards in the sizing units during their working hours and are at risk of acquiring lung impairments due to the usage of sizing chemicals in the sizing process. OBJECTIVE: The main aim of this study is to assess the influence of cotton dust and sizing agents on lung function and breathing difficulties among Indian textile sizing mill workers. METHODS: This cross-sectional study was carried out at a textile-sizing mill from August 2022 to September 2022. A modified questionnaire based American Thoracic Society’s standard was used …to assess respiratory symptoms among sizing mill workers and the pulmonary function test was conducted Spirometry. The chi-square test was used to find the difference between respiratory symptoms and the t -test was used to find the difference between spirometric parameters. RESULTS: Textile sizing mill workers showed significant (P  <  0.0001) decline in peak expiratory flow rate, forced vital capacity (FVC), ratio of FEV1 and forced vital capacity, and forced expiratory volume in 1 s (FEV1 ). There was an association between symptoms and duration of exposure to pulmonary abnormality. Sizing mill workers showed a significant decline in lung functions and an increase in pulmonary symptoms. As the service duration of exposure in terms of years increased, respiratory symptoms increased and spirometric abnormality also increased. CONCLUSION: This study confirms that sizing agents such as polyvinyl alcohol (PVA), emulsifier, wax, carboxymethyl cellulose (CMC), and starch used in sizing mills are also responsible for respiratory illness and lung impairment among textile workers. Show more

Keywords: Textiles; sizing mill; cotton dust; respiratory symptoms; pulmonary function; spirometry

DOI: 10.3233/WOR-230399

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Katsu, Akane | Mackenzie, Lynette | Elliott, James M. | Mackey, Martin | Tyack, Zephanie

Article Type: Research Article

Abstract: BACKGROUND: This scoping review aimed to identify the barriers, facilitators and benefits of returning to work following burn injury, outcome measures used, management strategies, and models of care. OBJECTIVE: To provide a comprehensive overview about working-aged adults returning to their preinjury employment after burn injury METHODS: We followed a pre-determined scoping review protocol to search MEDLINE, CINAHL, Embase, PsycINFO, PubMed, Scopus, CCRCT and CDSR databases between 2000 to December 2023. Papers reporting primary data from previously employed adults with cutaneous burn injuries were included. RESULTS: In all, 90 articles met …the review criteria. Return-to-work was both an outcome goal and process of recovery from burn injury. Physical and psychological impairments were identified barriers. Job accommodations and modifications were important for supporting the transition from hospital to workplace. Employment status and quality of life sub-scales were used to measure return-to-work. CONCLUSIONS: Consistent definitions of work and measurements of return-to-employment after burn injury are priorities for future research. Longitudinal studies are more likely to capture the complexity of the return-to-employment process, its impact on work participation and changes in employment over time. The social context of work may assist or hinder return-to-work more than physical environmental constraints. Equitable vocational support systems would help address disparities in vocational rehabilitation services available after burn injury. Show more

Keywords: Return-to-work, burns, rehabilitation, employment, work performance, scoping review, occupational therapy

DOI: 10.3233/WOR-230148

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-28, 2024

Authors: Crizol, Giuliana Raduan | Sá, Kamilla Mayr Martins | Santos, Giovanna Marcílio | Gonçalves, Marcela Letícia Leal | Mendes, Gustavo Duarte | Bussadori, Sandra Kalil | Pacheco, Rafael Leite | Riera, Rachel | Santos, Elaine Marcílio | Martimbianco, Ana Luiza Cabrera

Article Type: Research Article

Abstract: BACKGROUND: Dockworkers are exposed to physical overloads that can contribute to the development of musculoskeletal disorders, leading to functional disability and absenteeism. OBJECTIVE: to map, critically appraise, and synthesize the available evidence on the prevalence of musculoskeletal diseases associated with port occupational activities. METHODS: A comprehensive search was conducted in structured and unstructured databases in August 2023, with no date or language restriction, to identify observational studies evaluating the prevalence of musculoskeletal disorders in dockworkers’ occupational activity. The risk of bias was assessed using validated tools based on the included study designs. Data …from studies were pooled in meta-analyses. The certainty of the evidence was assessed using the GRADE approach. RESULTS: We identified 12 analytical cross-sectional studies involving 7821 participants in ports of five countries. Most studies (75%) had a moderate methodological quality according to the Joanna Briggs Institute tool. Considering the overall worker categories and any musculoskeletal disorders, the meta-analysis showed a prevalence of 58% (95% Confidence Interval [95% CI] 37% to 78%), with degenerative spinal diseases 42% (95% CI –0.6% to 91%) and low back pain 36% (95% CI 21% to 50%) being the most prevalent conditions. Symptoms were predominantly in foremen and stevedores. The certainty of the evidence was very low. CONCLUSIONS: Musculoskeletal disorders seem prevalent among dockworkers, mainly degenerative spinal diseases and low back pain. Studies with greater methodological consistency are still needed to validate these hypotheses and assist in decision-making for implementing preventive and informational policies in maritime port management organizations. PROSPERO registry CRD42021257677. Show more

Keywords: Dockworker, occupational diseases, cumulative trauma disorders, occupational groups, prevalence, systematic review

DOI: 10.3233/WOR-230666

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-16, 2024

Authors: Çağatay, Hüseyin Tolga | Demirel, Yüksel | Ertuğrul, Bekir | Tekinyıldız, Esra

Article Type: Research Article

Abstract: BACKGROUND: Culture has an important role in maximizing the value of human capital, which is regarded as the main source of organizational effectiveness. OBJECTIVE: The research was conducted to determine the effect of organizational culture perceptions of healthcare professionals working in a university hospital on employee flourishing. METHODS: It is a descriptive study conducted with 299 healthcare professionals working in a university hospital. “Structured Personal Information Form”, “Denison Organizational Culture Survey” and “New Flourishing Index” to collect the data. In the analysis descriptive statistical methods such as percentage, frequency, arithmetic mean and standard …deviation as well as Pearson correlation, linear regression and multiple linear regression analyses were performed to determine the relationship between variables. RESULTS: According to the results of linear regression analysis, it was determined that organizational culture and flourishing were related (F : 88.229; p  <  0.05). The organizational culture alone explained 22.6% of flourishing. As a result of multiple regression analysis, it was determined that the relationship between organizational culture sub-dimensions and flourishing was significant (F  = 25.975; p  <  0.05). The sub-dimensions of organizational culture explained 25.1% of the flourishing. CONCLUSIONS: As a result of the study, it is observed that the perception of organizational culture of healthcare professionals has an impact on flourishing, and therefore the favorable development of organizational culture will contribute positively to employee flourishing. In present conditions, it has become a necessity for health organizations to provide the circumstances that will make all investments that will contribute positively to the flourishing of their employees a part of the organizational culture. Show more

Keywords: Corporate culture, organizational change, well-being, happiness, health services administration

DOI: 10.3233/WOR-230286

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024

Authors: Hagendijk, Marije E. | Tan, Zhouwen | Melles, Marijke | Hoving, Jan L. | van der Burg-Vermeulen, Sylvia J. | Zipfel, Nina

Article Type: Research Article

Abstract: BACKGROUND: Value-based healthcare delivery focuses on optimizing care provided by measuring the healthcare outcomes which are most important to the clients relative to the total care costs. However, the understanding of what adds value for clients during work disability assessment is lacking. OBJECTIVE: To explore what medical examiners (MEs) perceive as valuable during the work disability assessment process, by exploring possible: 1) facilitators, 2) barriers and 3) opportunities to add value for the client during the work disability assessment. METHODS: For this explorative qualitative study, 7 semi-structured interviews were conducted with MEs in …the Netherlands. Thematic coding was performed for all interviews. RESULTS: A large variety of facilitators (n  = 22), barriers (n  = 17) and opportunities (n  = 11) were identified and inductively subdivided into four main themes: 1) coherent process, including all time related aspects, 2) interdisciplinary collaboration, including all aspects related to the collaboration between the ME and other professionals, 3) client-centred interaction, including all aspects related to the supportive interplay from the ME towards the client, and 4) information provision on all aspects during the work disability assessment process towards the client to ensure a valuable work disability assessment process. CONCLUSIONS: The overview of identified possible facilitators, barriers and opportunities to add value for clients from the perspective of the ME may stimulate improvement in the current work disability assessment practice and to better match the client needs. Show more

Keywords: Vocational guidance, return to work, sick leave, value-based health care, delivery of health care, qualitative research

DOI: 10.3233/WOR-230305

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-14, 2024