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Price: EUR 250.00Authors: 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: Dost, Ayse | Üner, Elif
Article Type: Research Article
Abstract: BACKGROUND: Retail workers comprise millions of people, but little is known about their eating behaviors and food consumption patterns. OBJECTIVE: To examine the healthy eating behaviors and food consumption frequencies of retail workers in shopping malls. METHODS: The sample of this descriptive study consisted of 385 retail employees working in ready-made garment stores of shopping malls in Istanbul (42% of those eligible). A descriptive information form, the nutrition subscale of the Health-promoting Lifestyle Profile (HPLP), and the Food Consumption Frequency Survey were used as data collection tools. RESULTS: It was …determined that more than half of the participants skipped breakfast and other meals and consumed fast food and packaged and acidic drinks five to six days a week. The mean score of the participants on the HPLP-nutrition subscale was determined to be 11.79±3.29. CONCLUSIONS: The retail workers in shopping malls were found to have insufficient healthy eating behaviors, a low frequency of healthy food consumption, and a high level of fast-food consumption. Maintaining healthy eating habits is crucial for the health of employees. It is necessary for workplaces to take steps to help their employees become aware of and practice healthy eating. Workplaces should also be encouraged to provide healthy food options for their employees. Show more
Keywords: Retail worker, healthy eating, shopping mall
DOI: 10.3233/WOR-230460
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-08, 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
Authors: Matsuo, Akiko | Tsujita, Masaki | Kita, Kotoko | Ayaya, Satsuki | Kumagaya, Shin-ichiro
Article Type: Research Article
Abstract: BACKGROUND: Presenteeism-induced productivity loss is a global concern. This issue is equally serious in Japan. As a “super-aged society,” maintaining and promoting Japanese employees’ health is an urgent issue. The combination of these factors makes it imperative to identify the factors that affect presenteeism and clarify the mechanisms driving these factors in Japanese organizations. OBJECTIVE: Only a few extant studies address presenteeism as a performance variable. Presenteeism can create serious productivity losses in Japan, as it is a “super-aged society.” Hence, this study aims to clarify the relationships between humble leadership, psychological safety, and presenteeism …in Japanese organizations. METHODS: We hypothesized that psychological safety mediated the effect of humble leadership on presenteeism. The data of 462 employees from 11 companies were analyzed. RESULTS: The results supported our hypothesis. Additionally, leader humility, as perceived by the followers, was positively correlated with leaders’ own psychological safety in their teams. CONCLUSIONS: Our findings contribute to the existing literature by highlighting the roles of humble leadership and psychological safety in health and productivity management while accounting for cultural influences. The practical implications of our findings and future directions are also discussed. Show more
Keywords: Organizational management, leadership, safety, presenteeism, productivity, culture
DOI: 10.3233/WOR-230197
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Oral, Belgin | Solak, Yavuzalp | Durmuş, Hasan
Article Type: Research Article
Abstract: BACKGROUND: While absenteeism refers to not attending work, presenteeism is defined as not being present at work. These two conditions, which negatively affect employee health, can be indicators of work efficiency, work peace, work safety and work engagement. OBJECTIVE: Several factors were evaluated in this study concerning absenteeism and presenteeism among factory workers. METHODS: This cross-sectional study was conducted among workers in a factory operating in a heavy industry in southern Turkey in 2021. A survey consisting of 57 questions was applied to 152 factory workers by face-to-face interview method. The participants’ behaviour over the last …month was evaluated regarding absenteeism and presenteeism. RESULTS: It was reported that 24 (15.8%) of all employees were absent from work in the last month (absenteeism), excluding holidays and sick leave, and that 20 (13.2%) employees engaged in presenteeism, working when they should not have been at the workplace. There was a high absenteeism rate among employees who had an acute illness and were dissatisfied with their jobs. Several factors have been associated with presenteeism, including poor economic conditions, family health problems, previous unemployment, working overtime, job dissatisfaction, poor relationships with colleagues and difficulty finding a replacement, acute illness, sleep problems and fatigue. CONCLUSIONS: To increase the productivity and commitment of employees, it may be useful to identify the reasons for absenteeism and present behaviours, to facilitate effective interpersonal communication skills by examining the organisational climate of employees, and to regulate workload based on a comprehensive assessment of the health status of employees. Show more
Keywords: Presenteeism, absenteeism, occupational health, employee health, total worker health, industry health
DOI: 10.3233/WOR-230642
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: Youssfi, Imen | Mechergui, Najla | Ziedi, Hiba | Mersni, Mariem | Chemingui, Siwar | Haouari, Wala | Aouida, Dorra | Youssef, Imen | Ladhari, Nizar
Article Type: Research Article
Abstract: BACKGROUND: Healthcare workers (HCW) may experience anxiety and prolonged work schedules during pandemics. The mental health status after a COVID-19 infection and the work ability of HCW are interesting criteria in assessing their fitness to work at the return to work (RTW) medical visit. OBJECTIVES: To assess mental health and work ability after a COVID-19 infection among HCW at the RTW medical visit. METHODS: An observational cross-sectional and descriptive study was carried out among HCW of Charles Nicolle Hospital of Tunisia infected with COVID-19 from September to December 2020. Anxiety and depression were screened using the …Hospital Anxiety and Depression Scale (HAD). The perceived ability to work at RTW was measured using the Work Ability Index (WAI). RESULTS: We included 531 HCW. The median age was 40 years. HCW belonged to surgical departments (36.9%) and were nurses (32.4%). The median delay to RTW was 15 days (IQR: 13–18). At the RTW medical visit, certain anxiety and depression were found in 36.5% and 33.3% of the patients respectively. The perceived work ability was evaluated as good to very good in 37.8% of cases. The delay to RTW increased proportionally with a better-perceived work ability (p = 0.007). CONCLUSION: Our study described the perceived work ability and the prevalence of anxiety and depression among the HCW at the RTW medical visit after COVID-19 infection in the early stages of the pandemic. Specific strategies for RTW after COVID-19 should take into consideration the mental health and work ability of HCW. Show more
Keywords: Mental health, COVID-19, work ability, healthcare worker
DOI: 10.3233/WOR-230352
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: Mänttäri, Satu | Rauttola, Ari-Pekka | Halonen, Janne | Karkulehto, Jutta | Säynäjäkangas, Pihla | Oksa, Juha
Article Type: Research Article
Abstract: Background: The body of literature regarding the use of an upper limb exoskeleton during authentic working conditions is sparse. Objective: The aim of this study was to evaluate the effectiveness of an upper limb exoskeleton in reducing muscle strain during authentic industrial construction work. Methods: Fifteen male participants, comprising of roofers, scaffolders, builders, bricklayers, and graders performing overhead work participated in the study. During work without (REF) and with exoskeleton (EXO), muscle activity from 8 muscles, heart rate (HR), metabolic equivalent (MET), and upper arm elevation angles were recorded. Results: …When using the exoskeleton, a significant reduction of 20.2% in average muscle activity of 8 muscles was found. The largest effect focused on m. deltoideus , where 46.2 and 32.2% reduction occurred in medial and anterior parts of the muscle, respectively. HR and MET were unaffected. Upper arm elevation angles were similar between REF and EXO, indicating equal biomechanical loading. Conclusions: This study indicates that exoskeletons show great promise in reducing the potential for musculoskeletal strain during authentic overhead construction work. Show more
Keywords: Passive exoskeleton, overhead work, physical workload, construction work, shoulder load, usability
DOI: 10.3233/WOR-230218
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Straker, Leon
Article Type: Research Article
Abstract: In the wake of 3 years of societal disruptions related to COVID-19 many workers and organisations are reflecting on the value of work. Despite work generally being good for individuals, it is often framed negatively by individuals. Occupational professionals may have inadvertently contributed to this negative perception by focussing on reducing occupational risks. This editorial outlines 5 issues and invites researchers and practitioners involved in work design to reflect on the contribution they can make in a post-pandemic world.
Keywords: Work design, sustainability, well-being, occupational health, ergonomics, inequality, professional practice
DOI: 10.3233/WOR-230387
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-5, 2024
Authors: Mirzaei, Emadeddin | Kouhnavard, Bahram | Daneshmandi, Hadi | Seif, Mozhgansadat | Zamanian, Zahra
Article Type: Research Article
Abstract: BACKGROUND: Musculoskeletal disorders are one of the most important problems faced by ergonomists today. OBJECTIVE: This study was conducted with the aim of investigating the effect of weather conditions, working conditions and mental workload on musculoskeletal disorders of rescuers and water and sewage company accidents in hot and cold seasons. METHODS: The present study was a longitudinal study that was performed on all employees of rescue and disaster teams of Shiraz Water and Sewerage Company in Iran (184 people) by census. Demographic and Nordic questionnaires, NASA Load Index (NASA-TLX), work environment assessment with temperature screening checklist …and workplace ergonomic risk factor (WERA) assessment method were performed by the researcher. The collected data were analyzed using SPSS version 23 software and parametric and non-parametric statistical tests. RESULTS: The results showed that the highest and lowest prevalence of musculoskeletal disorders related to knee and back in winter and thigh in summer with prevalence of 57.1, 55.4 and 6% . The comparison of exposure to heat stress factors in summer and winter seasons showed that the temperature factors and work clothes of the workers in both seasons are in worse conditions than other factors (P < 0968). The results of the mental workload of people in two seasons showed that the highest and lowest mental workload is related to physical changes in the winter season and frustration in the summer season, and this relationship was significant (P < 0.001). Using multiple logistic regression model, the potential risk factors for musculoskeletal injuries including age, height, BMI, level of education and work experience in both hot and cold seasons were compared. The results showed that in summer, work experience (OR = 1.16 (1.06–1.28.)) and height (OR = 1.03(0.98–1.08) had a direct effect on the prevalence of pain and discomfort arranged in the back areas. One year of increase in work experience significantly increases the chance of a disorder in the back by 16% and a one centimeter increase in height increases the chance of a disorder in the lumbar region by 3%, although this relationship is significant. CONCLUSION: It is recommended that suitable solutions such as using appropriate and up-to-date mechanical tools, reducing activity time, increasing rest time, increasing the number of personnel in order to reduce mental workload, using work clothes suitable for the season and type of work, and ergonomics training for workers are on the agenda of company officials. Water and sewage should be placed. Show more
Keywords: Musculoskeletal disease, risk assessment, posture, workplace, workload
DOI: 10.3233/WOR-220372
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-13, 2024
Authors: Zeverdegani, Sara Karimi | Mohebian, Zohreh
Article Type: Research Article
Abstract: BACKGROUND: Nail salon technicians are susceptible to potential exposure to a diverse array of hazardous chemicals in the form of dust or vapors. One of the main routes of exposure is dermal contact. OBJECTIVE: The aim of present study was to health risk assessment of dermal exposure to heavy dust containing heavy metals in nail salon technicians. METHODS: Dust sampling was done on the work surface of 20 available nail salon technicians. The concentration of five metals including cadmium, lead, chromium, nickel, and manganese were determined using ICP-MS. Afterwards, the United States Environmental Protection Agency (USEPA) …guideline was used to estimate the potential health risks, including carcinogenic and non-carcinogenic risks, associated with the analyzed metals. RESULTS: Results indicated the mean concentrations of Pb, Cd, Ni, Cr and Mn were 0.7953±0.4373, 0.0952±0.0264, 0.7666±0.8629, 0.4900±0.5994 and 1.134±0.4736, respectively. The hazard quotient (HQ) of all metals was within the permissible value, while hazard index (HI) was greater than 1. The probability of cancer risk (CR) resulting from dermal exposure to Ni, Cd and Cr exceeded the acceptable risk levels (10 - 6 –10–4 ), but CR calculated for Pb was less than allowable value. CONCLUSION: Implementation of engineering controls such as downdraft vented nail tables and portable source capture systems is necessary. Besides, the use of personal protective equipment such as disposable nitrile gloves, N95 respirator masks, and ensuring proper training on safe work practices is recommended. Show more
Keywords: Health risk assessment, dermal exposure, nail technicians, heavy metals, average daily dose, hazard quotient
DOI: 10.3233/WOR-230336
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Pokhrel, Sobhit | Hwang, Jaejin
Article Type: Research Article
Abstract: BACKGROUND: There is a lack of information about the optimal setup of multiple screen configurations in virtual reality (VR) office work. OBJECTIVE: The objective of this study was to evaluate the effects of different screen configurations on neck flexion, rotation, neck muscle activity, and simulator sickness symptoms during Virtual Reality (VR) office work. METHODS: Twelve participants (7 males; 21 to 27 years old) performed copy-paste and drag-drop tasks in three different screen configurations (single screen, primary-secondary screen, and double screen) in a randomized order. Optical motion capture system, electromyography (EMG) device, and simulator sickness questionnaire (SSQ) …were used to measure the users’ responses. RESULTS: Neck rotation angles, muscle activities, and VR sickness were significantly affected by the screen configurations (p < 0.021). The primary-secondary screen showed the highest right rotation angle (median: -33.47°) and left sternocleidomastoid (SCM) muscle activities (median: 12.57% MVC). Both single (median: 22.42) and primary-secondary (median: 22.40) screen showed the highest value of SSQ. CONCLUSIONS: The screen configurations in VR could be an important design factor affecting the users’ physical demands of the neck and VR sickness symptoms. Asymmetric neck rotations caused by the primary-secondary screen conditions should be avoided. Show more
Keywords: Virtual reality, screen configuration, neck motion, neck muscle activity, office work, simulator sickness
DOI: 10.3233/WOR-230230
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: Al-Hourani, Zeid A. | Almhdawi, Khader A. | AlBakri, Isra A. | Alibrahim, Anas N. | Obeidat, Donia
Article Type: Research Article
Abstract: BACKGROUND: Dental team members are susceptible to high mental and physical stress levels, which could have increased during the Coronavirus disease 2019 (COVID-19). OBJECTIVE: This study aimed to evaluate Jordanian dental workers’ health-related quality of life (HRQoL) and determine its predictors during the COVID-19 Pandemic. METHODS: This was a cross-sectional survey study conducted on dental team members, namely; Dentists, dental Assistants, and Dental Technicians. The survey questionnaire was composed of questions related to stress during COVID-19, a short-form survey of 12 items (SF-12), a Depression, Anxiety, and Stress scale (DASS-21), and a Nordic …musculoskeletal disorder questionnaire (NMQ). Descriptive analyses were used to describe the main outcome measures, and multiple variable regression analysis was conducted to identify the quality of life predictors. RESULTS: Participants’ HRQoL measured by SF-12 showed a mean±SD score of 67.1±17.19 for the physical component and 54.51±20.27 for the mental component. The Nordic scale showed symptoms of lower back pain as 63.9% over 12 months, 32% over 12 months’ functional limitation symptoms, and 45% in 7 days The regression model was found strong for our study with 53.8% variations (r2 = 0.538, F = 43.739, P < 0.001) in health-related quality of life. CONCLUSIONS: Our study concluded that the level of HRQoL among Jordanian dental specialists during COVID-19 was observed to impact levels of physical and mental well-being which negatively influence the quality of life. Predictive factors like depression, stress, anxiety, musculoskeletal health, and individual everyday quality of life significantly affect the HRQoL of dental specialists. Show more
Keywords: Epidemiology, Cross-sectional studies, humans, workers, quality of life, Health
DOI: 10.3233/WOR-220458
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: Soeker, Mogammad Shaheed | Allie, Mishkah | Arend, Raeesa | Bell, Chelsea | Benjamin, Aqeeda | Cassiem, Tasneem
Article Type: Research Article
Abstract: BACKGROUND: The South African Labour Relations Act, specifically the Code of Good Practice (CGP) advocates against the discrimination and unfair dismissal of individuals with mental health conditions in the workplace. However, little is known about the implementation of these national policies within the workplace, especially from the perspective of the employer rather than the employee. OBJECTIVE: The aim of this study was to explore the experiences and perceptions of how human resource practitioners accommodate and support individuals with mental health conditions in the workplace. METHOD: Eleven participants (Human Resource Professionals) participated in the study. The researchers …utilized semi-structured interviews where the data was analysed by means of thematic analysis to formulate themes. RESULTS: Three themes emerged depicting the participants’ experiences and perceptions of barriers and facilitators which influenced their return to work: The themes that emerged through thematic analysis consisted of 1) Challenges perceived by Human Resource personnel that influences work participation; 2) The influence that workplace accommodations and support structures have on the work participation; 3) The prevalence of policies and laws that are available in theworkplace. CONCLUSION: The study highlighted that Human Resource Professionals struggle to interpret and implement labor related polices that aid in employing individuals with mental health conditions in the workplace. It is important to implement strategies that will assist Human Resource practitioners in understanding how to implement such policies to successfully accommodate individuals with mental health conditions in the workplace. Show more
Keywords: Mental health illness, reasonable accommodation, work setting, enabler, barrier, accommodated and support
DOI: 10.3233/WOR-220688
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-15, 2024
Authors: Umair, Sonia | Waqas, Umair | Mrugalska, Beata
Article Type: Research Article
Abstract: BACKGROUND: The success of organizations’ sustainable performance mainly depends on their human resource capital and for this organizations now need to focus on green human capital development programs including green talent management (GTM). GTM entails attracting, nurturing, and retaining those people who can promote the green initiatives of the organization. OBJECTIVE: This paper aims to investigate the impact of GTM, transformational leadership, and employee engagement on the sustainable environmental performance of organizations. METHODS: The data were collected from both academic and administrative employees in five Omani higher education institutions (HEIs). In total 367 questionnaires were collected …using drop-off and pickup methods. RESULTS: The results of the study showed that green hard and green soft talent management (TM) and employee engagement with green initiatives are significant predictors of the sustainable environmental performance of HEIs. Moreover, transformational leadership can moderate the influence of green soft TM on employee engagement with green initiatives by strengthening the relationship. CONCLUSIONS: For sustainable performance and development, organizations especially HEIs need to actively assume their social responsibilities and implement sustainable environmental management. The present study provides meaningful implications for practitioners, educational policymakers, and leaders to promote GTM and employee engagement for sustainable environmental performance. Supporting green skill development, engaging employees with green initiatives, and promoting staff with green skills can help organizations particularly HEIs to increase their sustainable environmental performance and gain a competitive advantage. Show more
Keywords: Human resource management, green talent management, leadership, employee engagement, sustainability, sustainable environmental performance
DOI: 10.3233/WOR-230357
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-13, 2023
Authors: Lorente Ramos, L. | Rodriguez Lozano, B. | Barroso Morales, M.L. | Rodríguez Perez, D. | Jiménez Sosa, A. | Hernández Cabrera, N.E. | Mora Quintero, M.L. | Rodríguez Gaspar, M. | Bustabad Reyes, M.S. | Cueto Serrano, M.M.
Article Type: Research Article
Abstract: BACKGROUND: Workplace aggressions on hospital workers is a very frequent and under-reported problem. OBJECTIVE: The novel objective of our study was to analyze the number of workplace aggressions per hospital worker. Other objectives of the study were to analyze the management knowledge and interest in receiving training on aggressions by hospital workers. METHODS: An anonymous survey was handed out among all professionals in a university hospital. RESULTS: A total of 1118 anonymous surveys were collected. The responders declared that throughout their working life they had suffered some sort of verbal aggression in the hospital …in 766 cases (68.5%) and physical aggression in 393 cases (35.2%). Multiple logistic regression analyses found higher risk of receiving physical and verbal aggression in the nursing category and in the Emergency, Critical Care or Psychiatry Units, and a higher risk of receiving physical aggression in women. The score on the level of personal knowledge regarding the legal, physical, and psychological management of aggressions (score 0–10 for each of the 3 aspects) was 2.91±2.68 in legal management, 2.97±2.77 in psychological management and 2.91±2.76 in physical management. The opinion about the interest of receiving training (score from 0 to 10) on the legal management of hospital aggressions was 8.90±1.72, on psychological management was 8.85±1.78 and on physical management was 8.88±1.78. CONCLUSIONS: Workplace aggression on hospital workers mainly affects women, the nursing category and the Emergency, Critical Care or Psychiatry Units. Hospital workers showed little knowledge on the topic but a great interest in receiving training. Show more
Keywords: Aggression, violence, health care professionals, workers, hospital, workplace
DOI: 10.3233/WOR-220702
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2023
Authors: Chin, Tay Lee | Chee, Tay Lee
Article Type: Research Article
Abstract: BACKGROUND: Strengthening safety compliance behaviour can reduce the organizations’ unexpected financial losses and prevent employees from continuous COVID-19. It drives this study to create a research framework involved by organizational, individual and social factors to predict employees’ safety compliance behaviour. OBJECTIVE: This study examines how risk perceptions of COVID-19, employee well-being, workplace health and safety training, safety motivation and safety related stigma impact safety compliance behavior in times COVID-19 pandemic. METHODS: A self-administered questionnaire was disseminated to healthcare workers. In all, 344 acceptable questionnaires were derived for further analysis. RESULTS: The results revealed that …the risk perception of COVID-19 and employee well-being has no significant relationship with safety compliance behavior. Similarly, safety related stigma also has no moderating effect on safety motivation and safety compliance behavior. However, workplace health and safety training and safety motivation have significant relationships with safety compliance behavior. CONCLUSION: This study contributes to the literature by illuminating on the importance of organizational, individual, social factors and how they can interact with safety compliance behaviour. Additionally, knowing the unique function of safety related stigma in building safety compliance behaviour may help guide future efforts and training initiatives to enhance workplace safety. Show more
Keywords: Safety compliance behavior, risk perception of COVID-19, employee well-being, workplace health and safety training, safety motivation, safety related stigma, SDG goal 12
DOI: 10.3233/WOR-230522
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2023
Authors: Almandoz, Jaime P. | Xie, Luyu | Tejani, Sanaa | Mathew, M. Sunil | Schellinger, Jeffrey N. | Morales-Marroquin, Elisa | Messiah, Sarah E.
Article Type: Research Article
Abstract: BACKGROUND: The impact of employment and the work-from-home (WFH) setting on body weight among people with obesity is unknown. OBJECTIVE: This study examined the relationship between employment status, WFH setting, and change in body weight among adults with obesity during the COVID-19 pandemic. METHODS: Patients from an obesity medicine clinic completed an online survey in 2022 to assess health, work, and lifestyle behaviors. Multiple regression models examined the association between WFH status and change in body weight. RESULTS: The analytical sample included 380 patients (81.9% female, mean age 52.5 years, mean body mass index …43.25, 50.0% non-Hispanic White, 25.7% non-Hispanic Black, 18.7% Hispanic, 5.7% other ethnicity). During the pandemic, 28.7% were employed in a WFH setting (73.4% of this subgroup were in a WFH setting only), 36.1% were employed but not in a WFH setting, 11.8% were unemployed, and 23.4% were retired. Mean body weight change for participants who partially WFH during the pandemic was +5.4 (±7.2) % compared to those completely WFH –0.3 (±9.8) % (P = 0.006). After adjusting for key demographics, participants who were partially WFH gained 7.8% more weight compared to those completely WFH (β = 7.28, SE = 1.91, p < 0.001). The most significant predictors for weight gain after adjusting for WFH frequency (partially vs. completely) included overeating (aOR 11.07, 95% CI 3.33–36.77), more consumption of fast food (aOR 7.59, 95% 2.41–23.91), and depression (aOR 6.07, 95% CI 1.97–18.68). CONCLUSION: These results show that during the COVID-19 pandemic, the WFH hybrid (combination of office and WFH) setting is associated with greater weight gain compared to those who completely WFH in people with obesity. Risk factors include overeating, higher fast food consumption, and depression. Show more
Keywords: Work, obesity, COVID-19, environment, weight gain, behaviour, weight management
DOI: 10.3233/WOR-230055
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2023
Authors: Duijs, Saskia Elise | van Wees, Martine | Abma, Tineke | Bourik, Zohra | Plak, Olivia | Jaspers, Yvonne | Jhingoeri, Usha | Senoussi, Naziha | Verdonk, Petra
Article Type: Research Article
Abstract: BACKGROUND: The health of care workers in residential long-term care (LTC) is under pressure. Scholars emphasize the importance of gender-sensitive and intersectional approaches to occupational health. OBJECTIVE: To unravel how the health of nurses and nursing aides is shaped by gender, class, age, sexuality and race. METHODS: A qualitative participatory study. A participatory research team, consisting of academic scholars and nursing aides, conducted semi-structures interviews (N = 20) and one natural group discussion (N = 8 participants) to validate our findings. Thematic data-analysis was guided by gender and intersectionality theory. RESULTS: Empirical findings suggest that …gendered norms limit possibilities for self-care for female nurses and nursing aides. Feeling uncared for by society and LTC organizations, paid care workers describe how they take care of each other. These relational health strategies require a feeling of sameness, limiting space for diversity and disability within care teams. Care workers seen as ‘cultural other’, or those who experienced (chronic) health issues, financial struggles or informal caregiving, risked being excluded from relational care within care teams, which negatively impacted their health. CONCLUSIONS: Care workers’ relational health strategies are a gendered and care ethical response to the lack of societal and political care for LTC, but can become mechanisms of exclusion within care teams. This can be understood as a sign of exhaustion, shaped by adverse working conditions and leading to moral stress. The lack of societal appreciation needs to be addressed by occupational health physicians and LTC organizations, to counter mechanisms of exclusion among paid care workers. Show more
Keywords: Low-paid care workers, long-term care, occupational health, gender, intersectionality
DOI: 10.3233/WOR-220653
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Erol, Özgül | Küçükkaya, Burcu | Yenici, Ecehan
Article Type: Research Article
Abstract: BACKGROUND: Nurses working in the intensive care units (ICU) regarding the work-index-nursing work environment, the effect level ICU environment has on the nurses’ care behaviors and stress levels of the nurses should be determined. OBJECTIVE: The study aimed to investigate the effect of the nurse manpower on care behaviours and stress level of the nurses working in the ICU. METHODS: This was a cross-sectional and correlational study. The sample of the study consisted of 123 nurses working in the ICUs. The data were collected using the survey form, Distress Thermometer (DT), The Practice Work Environment Scale …of the Nursing Work Index (PES-NWI), and Caring Behaviors Scale-24 (CBS-24). RESULTS: The mean age of nurses in the ICU was 30.2±5.6 and the mean of working time in the intensive care unit of nurses in the ICU was 3.7±3.1 years. The mean of the DT was 4.8±3.4, and the mean score of PES-NWI was 2.6±1.0 and the mean score of CBS-24 was 4.7±1.1 in nurses in the ICU. The regression model which was studied to investigate the relationship between caring behaviors and stress and nurse manpower of nurses working in intensive care unit was significant. CONCLUSION: Care behaviors and stress levels of nurses working in intensive care units are negatively affected by insufficient nurse manpower. Show more
Keywords: Intensive care unit, nurse, nurse manpower, caring behaviors, stress
DOI: 10.3233/WOR-220710
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024
Authors: Srinivasan, Vignesh | Abathsagayam, Kumaresan | Suganthirababu, Prathap | Alagesan, Jagatheesan | Vishnuram, Surya | Vasanthi, Rajkumar Krishnan
Article Type: Research Article
Abstract: BACKGROUND: In the working population especially among older adults, anxiety problems have grown dramatically. This element has a significant impact on employee absenteeism and problems with physical and mental health. It was widely known that security personnel had several physical and mental difficulties during their various work hours. It is important to investigate the effects of anxiety on them. OBJECTIVE: The present study aims to provide insights into the prevalence of anxiety disorders and explore the correlations between anxiety symptoms, sleep, and memory during the COVID-19 pandemic. METHODS: To conduct a cross-sectional study, 42 older adult …participants between the ages of sixty to seventy years were chosen and the procedure was explained.Data were gathered by giving instructions on how to complete the self-reported Generalized Anxiety Disorder Assessment -7 (GAD-7), the Epworth Sleepiness Scale, and the revised Everyday Memory Questionnaire. RESULTS: A total of 36 out of 42 participants (85.71%) experienced moderate to severe anxiety. Anxiety and sleep had a correlation of 0.8, while anxiety and memory had a correlation of 0.87 with a positive EMQ-R relationship. Moreover, there was a statistically significant association between sleep and memory, with a positive correlation of 0.73. CONCLUSION: The study concludes that, there is a substantial prevalence of anxiety accompanied by notable insomnia and memory problems in elderly security officers. Our findings indicate a clear relationship between sleep disturbances, memory issues, and most prevalent anxiety symptoms. These results emphasize the importance of incorporating mental health assessments and addressing an effective treatment for anxiety. Show more
Keywords: COVID-19 pandemic, general anxiety disorder, epworth sleepiness scale, everyday memory questionnaire-revised, elderly, mental health, fear, cognitive impairment
DOI: 10.3233/WOR-230144
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-7, 2023
Authors: Li, Guang | Alam, Beenish Fatima | Bashir, Raima | Tarhini, Ali | Nayab, Talha | Sousa, Lindsey M.
Article Type: Research Article
Abstract: BACKGROUND: Problem-based learning (PBL), a student-centered approach which has been implemented in many educational institutes worldwide. OBJECTIVES: This study aimed to evaluate and compare the proficiency of students in 5 key areas of PBL process and assess perceptions of students towards PBL learning using a self-explanatory questionnaire. METHOD: This cross-sectional study was conducted from March 2020 to September 2022 and evaluated perceptions of 1st year dental students of Batch 2021 (having Face-to-face PBL sessions) and batch 2020 (having online PBL sessions) using a questionnaire. Three similar PBL cases were used, which assessed PBL parameters that …included attendance, group dynamics, knowledge, communication skills and preparation. Statistical analysis was performed for all the categorical and continuous variables. RESULTS: Majority of Distance Learning (DL) group (66.7%) concurred that PBL helped improve their communication skills, decision making power (66.7%), self-directed learning (80%) and promoted interaction with peers (66.7) and teachers (68.9%). The Face –to- Face (FF) group demonstrated better scores (7.7±2.42 & 7.55±2.55) with respect to their attendance and group dynamics (7.44±2.17 & 8.02±2.40) in PBL 1 & 3 as compared to DL group. Overall, better performance in all the 5 key areas of PBL was observed for the FF group versus the DL group. CONCLUSION: The Distance learning (DL) group displayed a positive attitude and perception towards PBL as a learning strategy whereas Face-to-face (FF) group showed greater performance and proficiency in the key PBL parameters scores. Show more
Keywords: Problem-based-learning, conventional teaching, distance learning, coronavirus disease 2019
DOI: 10.3233/WOR-220674
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Wu, Kevin A. | Anastasio, Albert T. | Kim, Joshua K. | Choudhury, Ankit | Adams, Samuel B.
Article Type: Research Article
Abstract: BACKGROUND: The COVID-19 pandemic caused notable shifts in healthcare behavior, influenced by remote work policies. This study examines the impact of Work from Home (WFH) policies on public interest in ankle-related orthopaedic surgeries, utilizing Google search trends. Understanding these trends is crucial for healthcare providers, enabling them to adapt services and communication to evolving patient needs during challenging times. OBJECTIVE: To comprehend variations in search volume and trends for ankle-related queries due to WFH policies during the COVID-19 pandemic. METHODS: Ankle-related terms accessible to laypersons were analyzed using Google Trends data from March 2018 to March …2022 in the United States. Data were divided into pre-pandemic (March 2018-March 2020) and post-pandemic (March 2020-March 2022) periods. Weekly search interest data for 20 terms were analyzed using a Mann-Whitney U test. The study aimed to identify significant changes in search interest, providing insights into public information-seeking behavior concerning ankle surgeries. RESULTS: Among the 20 terms analyzed, 11 exhibited significant changes. Ankle arthritis and ankle bursitis showed increased interest, suggesting heightened concern during the pandemic. Conversely, post-pandemic interest decreased for terms 9 terms, including ankle pain and ankle tendonitis, indicating reduced worry. Moderate declines were noted for ankle gout, Achilles tendonitis, and heel bursitis, reflecting shifting patient priorities. Some terms, including ankle fracture and ankle arthroplasty, showed stable information-seeking behavior despite the pandemic. CONCLUSIONS: The study underscores the nuanced impact of WFH policies on public interest in ankle-related orthopaedic surgeries. Varied search trends highlight changing patient concerns. Healthcare providers can use these insights to tailor services effectively, meeting evolving patient needs and enhancing communication strategies. Show more
Keywords: Orthopaedic, ankle surgery, work from home, pandemic, COVID-19, telemedicine
DOI: 10.3233/WOR-230621
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-6, 2024
Authors: Jorgensen, Michael J. | Hafez, Khaled | Hakansson, Nils A.
Article Type: Research Article
Abstract: BACKGROUND: The American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Values (TLVs) for Lifting is a manual material handling (MMH) assessment method to identify weight limits that nearly all workers may be exposed to without developing work-related low back disorders (LBD). However, this assessment method only applies to lifting with the torso within 30° asymmetry of the sagittal plane. OBJECTIVE: Estimate TLV weight limits while lifting with torso asymmetry greater than 30° beyond the sagittal plane. METHODS: Lifting tasks were performed from various horizontal and vertical locations, at torso asymmetry angles of 0°, 15°, 30°, …45°, 60°, 75° and 90°, using ACGIH identified TLVs. Validated MMH assessment methods (NIOSH Lifting Equation, Ohio State University LBD Risk Model) were utilized to estimate TLVs at torso asymmetries greater than 30°. RESULTS: The current ACGIH TLVs resulted in low- to moderate-risk risk levels for torso asymmetries from 0° to 30°, and the risk incrementally increased as torso asymmetry increased to 90°. With the intention to keep the risk levels to that found at 30° torso asymmetry, lower TLV weight limits in the vertical and horizontal zones investigated were estimated for torso asymmetries from 45° to 90°. The resulting adjusted TLVs were consistent with weight limits identified for similar lifting conditions from other assessment methods that account for torso asymmetry. CONCLUSIONS: This research found current ACGIH-defined TLVs possess less than high-risk for LBD, and provided guidance to practitioners for reduced TLVs when torso asymmetry is greater than 30° from the sagittal plane. Show more
Keywords: ACGIH TLV for lifting, manual materials handling, assessment method, torso asymmetry, NIOSH lifting equation, LBD risk model
DOI: 10.3233/WOR-230405
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-14, 2024
Authors: Çolakoğlu, Cavit | Öz, C. Selek | Toygar, A.
Article Type: Research Article
Abstract: BACKGROUND: Work to develop a universal tool for the psychological evaluation and measurement of decent work is relatively new. In addition, the Decent Work Questionnaire, which evaluates decent work using a psychological approach, has not yet been adapted and validated in the Turkish sample group. OBJECTIVE: To adapt and validate the Turkish version of the Decent Work Questionnaire and to evaluate the effect of decent work on the job satisfaction among knowledge workers. METHODS: The study sample consisted of 906 knowledge workers. In the process of adapting and validating the Decent Work Questionnaire, the structural validity, …internal consistency, convergent validity, divergent validity, and compatibility of the sample group data were tested. The effect of decent work on job satisfaction of knowledge workers was examined using structural equation modeling. RESULTS: The Decent Work Questionnaire was validated in the Turkish sample. The results showed that the reliability coefficients and dimensions of the Decent Work Questionnaire were highly satisfactory and consistent with the scale developers’ study. According to another result of the study, decent work was found to have a significant and positive effect on Turkish knowledge workers’ job satisfaction. CONCLUSIONS: This study will fill gaps in the literature and will also contribute to the evaluation of decent work in all areas of the labor market, identifying its shortcomings and contributing to the development of effective human resource policies. Show more
Keywords: Occupational health, job satisfaction, workplace stress, workload, psychometrics, surveys and questionnaires
DOI: 10.3233/WOR-230279
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-13, 2023
Authors: Srinivasan, Vignesh | Abathsagayam, Kumaresan | Suganthirababu, Prathap | Alagesan, Jagatheesan | Vishnuram, Surya | Vasanthi, Rajkumar Krishnan
Article Type: Research Article
Abstract: BACKGROUND: Healthcare workers (HCWs) have been significantly impacted by the pandemic. Elderly health care workers carry out a variety of duties at work and have years of clinical expertise. Anxiety and insomnia are among the more commonly encountered problems in senior physicians and other geriatric medical professional populations. OBJECTIVE: The study aims to determine the effect of vagal nerve stimulation on anxiety and sleep disturbances among geriatric medical professionals. METHOD: 42 Participants were enrolled in this study based on the inclusion and exclusion criteria. The participants were divided into two groups using the closed envelope approach, …and they took part in therapy sessions lasting 30 minutes, three times per week for a period of four weeks. The Experimental group A received non-invasive transcutaneous auricular vagal nerve stimulation(taVNS) and Control group A received Jacobson’s progressive muscle relaxation technique. RESULTS: With a p value of 0.001, transcutaneous auricular vagal nerve (taVNS) stimulation significantly improved sleep quality and reduced anxiety after 4 weeks.The post-intervention assessment revealed a highly significant improvement in Group A, with a T value of 251 (p < 0.001). CONCLUSION: The findings suggest that taVNS may be an effective intervention for addressing anxiety and sleep issues in geriatric medical professionals. These results contribute to the exploration of non-invasive strategies to enhance the well-being of healthcare professionals working in demanding environments. Show more
Keywords: General anxiety disorder, insomnia, elderly, health care workesrs, post COVID-19 pandemic
DOI: 10.3233/WOR-231362
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2023
Authors: Deng, Kai-Qin | Chen, Xin-Yuan | Yuan, Xian-Ming | Ren, Yan-Rui | Luo, Zhong-Mei | Li, Gang-Ying | Deng, Xia-Kang
Article Type: Research Article
Abstract: BACKGROUND: In a previous study, more attention has been given to the psychological state of doctors than to that of nurses although the workload, working hours, and patient contact time are generally higher for nurses than doctors. The current status of nurses’ perceived stress, work engagement, and perceived professional benefit during the routine management of the Corona Virus Disease 2019(COVID-19) pandemic and how their perceived stress affects the other two variables are topics that merit research attention. OBJECTIVE: In this study, the status of nurses’ perceived stress, work engagement, and perceived professional benefit during the routine …management of the Corona Virus Disease 2019 pandemic was investigated to explore whether their perceived stress level has any effect on the other two variables. METHODS: The convenience sampling method was adopted, and 669 nurses from the First People’s Hospital of Jingzhou were selected to participate in this study. Questionnaires on perceived stress, work engagement, and perceived professional benefit were used in the survey, and the data were processed using the SPSS 20.0 program for the descriptive statistics, independent sample t -test, analysis of variance. RESULTS: The total score of the nurses’ perceived stress was 18.58±4.37 points. The total scores of their work engagement (43.32±14.01) and perceived professional benefit (140.23±17.75). CONCLUSION: The nurses’ total perceived stress score was at an upper-middle level, and their total work engagement and perceived professional benefit scores were relatively high. Overall, perceived stress has a negative effect on nurses’ work engagement and perceived professional benefit. That is, the higher the pressure perception of nurses, the lower the degree of work engagement and perceived professional benefit. Show more
Keywords: COVID-19 pandemic, perceived stress, work engagement, perceived professional benefit in nurse
DOI: 10.3233/WOR-220498
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2023
Authors: Martin, Joel | Toczko, Michael | Sax van der Weyden, Megan | Lockie, Robert
Article Type: Research Article
Abstract: BACKGROUND: Despite the physical nature of the occupation many firefighters have low levels of physical fitness which is associated with poor performance of occupational tasks and increased injury rates. For many fire departments an initial step in promoting health and wellness within the department is to conduct annual fitness testing. OBJECTIVE: To examine the effects of implementing a consequential fitness assessment within a fire department. METHODS: A retrospective repeated measures design was used to analyze annual fitness assessment data of professional firefighters (n = 1415) from 2019 to 2022 within a large urban fire department located in …the mid-Atlantic region of the United States. The fitness tests included assessments of pull-ups, push-ups, sit-ups, aerobic capacity, and body composition. Repeated measure analyses of variances (ANOVAs) assessed the effect of year and a 2-way ANOVA was conducted to investigate the effects of sex and age on fitness measures on 2022 data. RESULTS: All fitness measures were found to be maintained over the 4-year period. Significant main effects of age and sex across all fitness measures, but no significant interactions were found. Older firefighters (50 + years) exhibited lower performance (p < 0.001, d > 0.80) on muscular fitness assessments than young firefighters (20–29 years). A large effect of sex (males > females) was found for pull-ups (d = 1.04), push-ups (d = 1.23), and aerobic capacity (d = 1.38). CONCLUSIONS: The results suggest that implementing a consequential fitness assessment could help maintain firefighters’ fitness levels over a multi-year period. Show more
Keywords: Firefighters, exercise, health, cardiorespiratory fitness, muscular strength, body composition
DOI: 10.3233/WOR-230378
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Louzán, Rita | Villarroya López, Alberto
Article Type: Research Article
Abstract: BACKGROUND: Self-reported test is one of the main psychosocial risk assessment tools. However, this test it is susceptible to certain sources of error, including social desirability. Since psychosocial risks are emerging, there are not many studies on their assessment. OBJECTIVE: The aim of this work is to analyze the impact of social desirability on the short version of the CopSoq-ISTAS 21 assessment tool. METHOD: A total of 563 workers (45.10% women and 54.90% men) participated in this study. The short version of the CoPsoQ-Istas21 questionnaire with four Likert scale questions as markers, which …correspond to the Eysenck Personality Lie Scale Questionnaire Revised (EPQ-r), were used. The sample was divided into two halves, and both a confirmatory analysis and an exploratory analysis were carried out to find out the factorial structure of the scale and, with it, apply the bias filtering method. RESULTS: The results indicate that 10% of the scale is biased due to social desirability, and that there are significant differences between the group with bias clean scores and the group with scores without bias control. CONCLUSIONS: The effects of social desirability on the scale are verified, so it is concluded that in a psychosocial risk assessment is not enough to apply a self-report test and interpret its results, being necessary to minimize the sources of error. Show more
Keywords: Risk assessment methodologies, occupational risk, occupational stress, social desirability, bias, reproducibility of results
DOI: 10.3233/WOR-230184
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Öztürk, Yunus Emre | Kahveci, Şeyma | Başol, Şeymanur
Article Type: Research Article
Abstract: BACKGROUND: The education process is based on leading the choice of profession in line with the interests and abilities of the individual and helping them with their career plans in these professions. OBJECTIVE: The aim of this study is to investigate the effect of the occupational interest levels of the Health Management Department students on their career commitment. METHODS: In the study, descriptive findings were included by using a quantitative research design. In the research, data were collected from 282 students studying Department of Health Management. SPSS 26.0 package program was used for …statistical analysis of research data. Parametric tests (t -test, analysis of variance, Pearson correlation analysis, normal linear regression analysis) were utilized since the data fit the normal distribution. RESULTS: 57.1% of the individuals participating in the research are female, 47.8% have the age range of 21 to 22. There is a positive, moderate (r = 0.677 p < 0.01) significant relationship between professional interest and career commitment scales. The level of professional interest and career dedication varies according to gender, age, income status and the class of the student. CONCLUSION: It is very important that health management students have an interest in their profession. Because this interest will guide them in what kind of a career they should make in their business life after graduation. Show more
Keywords: Profession, career, professional interest, career dedication, health management, students
DOI: 10.3233/WOR-230366
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-7, 2023
Authors: Yucel, Hulya
Article Type: Research Article
Abstract: BACKGROUND: Playing performance of musicians may affect their occupational balance. The violin is one of the riskiest string instruments for the musculoskeletal health. OBJECTIVE: To show the effect of socio-demographics, playing posture, pain, and functionality on occupational balance in professional violinists in Istanbul. METHODS: Forty-five violinists aged 29.1±10.6 years were included. The Personal Information Form, the Edinburgh Handedness Inventory, the Wong-Baker Faces Pain Rating Scale, the Disability of Arm, Shoulder and Hand - Sports/Musicians (DASH-SM), the Rapid Upper Limb Assessment, and the 11-item revised version of the Occupational Balance Questionnaire (OBQ11 - T) were used. Spearman …correlation analysis was performed to examine the relationship between the variables and occupational balance. RESULTS: The only significant correlation was found between doing regular exercise and occupational balance (r = 0.539, p < 0.001) with those having an exercise habit reporting higher occupational balance scores. The mean pain score of the violinists increased from a pre-performing mean of 1.6±2.3 to a post-performance mean of 3.91±2.4. CONCLUSIONS: Musicians indicate that they practice physical exercise regularly. A strong methodological limitation of this study is that variables like exercise were evaluated with a self-reported survey which limited the analysis and so we hardly find any relationships between them. To the best of our knowledge, this is the first study to evaluate the relationship between playing-related factors and occupational balance in violinists. There may be other factors affecting occupational balance in violinists and also in the other musicians. Similar studies are needed in other countries also using different assessments specific to musicians. Show more
Keywords: Musician, exercise, playing-related pain, posture, occupational balance, violinist
DOI: 10.3233/WOR-230476
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2023
Authors: Cruise, Cera E. | Celis, Sofia | Lashewicz, Bonnie M.
Article Type: Research Article
Abstract: BACKGROUND: Long-term care (LTC) facilities were hard hit by the COVID-19 pandemic in Canada. Using life course theory concepts, we looked for conditions that led to worker moral distress –i.e. pain or anguish over not being able to take right action - and how life stage may influence experiences. OBJECTIVE: To illuminate the experiences of adults under the age of 30 who stepped into, and/or persevered in, working in LTC during the pandemic, recognizing that this emerging workforce represents the future of LTC in Canada. METHODS: This secondary analysis uses interview data from a sub-sample of …16 young workers between 18 and 29 years of age who had been working in Canadian LTC facilities for between 8 months and 7 years. RESULTS: Young workers expressed feeling guilt about mourning the loss of socially significant milestones as these milestones paled by comparison to the loss of life and consequences of resident isolation they witnessed at work. To manage feelings of moral distress, young workers attempted to maintain high standards of care for LTC residents and engaged in self-care activities. For some workers, this was insufficient and leaving the field of LTC was their strategy to respond to their mental health needs. CONCLUSION: The life stage of young LTC workers influenced their experiences of working during the COVID-19 pandemic. Interventions are needed to support young workers’ wellbeing and job retention. Show more
Keywords: Long-term care, young adult, COVID-19, mental health, moral injury, policy, workers
DOI: 10.3233/WOR-230437
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-18, 2023
Authors: Danielsson, Louise | Frantz, Anna | Holmgren, Kristina
Article Type: Research Article
Abstract: BACKGROUND: People seeking care at primary healthcare centres may be exposed to work-related stress, increasing the risk of future sick leave. Thus, it is important to identify work-related stress, and to explore how stress relates to work ability and health. OBJECTIVE: To investigate the association between work-related stress and a) work ability, and b) self-rated health, among working women and men seeking care for physical or mental health complaints. METHODS: This cross-sectional study analyzed baseline data (n = 232) from a randomized controlled trial investigating the effects of a brief intervention to prevent sick …leave. Data regarding work-related stress, work ability and self-rated health were analyzed using binary logistic regression models. RESULTS: In models adjusted for age, gender and education, high work-related stress measured by the Work Stress Questionnaire was significantly associated with low work ability. The highest odds ratio (OR 3.27, 95% CI 1.66–6.42) was found between the domain “interference between work and leisure time” and work ability, suggesting a more than three times higher odds for low work ability when perceiving that work interferes with leisure time. No significant association was found between work-related stress and self-rated health. CONCLUSION: Health professionals should explore patients’ work-related stress when they seek care for physical or mental complaints in primary healthcare. Patients’ perceived balance between work and leisure time seems particularly important to address. Increased awareness might facilitate timely, relevant strategies to reduce stress and promote work ability. Show more
Keywords: Occupational health, occupational stress, work performance, primary care, primary prevention, mental health
DOI: 10.3233/WOR-230141
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Mawari, Govind | Kumar, Naresh | Sarkar, Sayan | Joshi, Tushar Kant | Frank, Arthur L. | Daga, Mradul Kumar | Singh, Mongjam Meghachandra
Article Type: Research Article
Abstract: BACKGROUND: Mercury (Hg) is a toxic heavy metal with multiple uses in various medical devices. Hg is used in dentistry as a restorative material. Such use creates significant exposure to dental practitioners. Hence, it is important to assess the risk created by Hg use in healthcare. OBJECTIVE: To quantify airborne Hg vapour exposure and Hg levels in dental healthcare workers, and determine the association of various symptoms and diseases to Hg exposure. METHODS: Air monitoring of Hg vapours were conducted in dental clinics and amalgam rooms. Urine samples were collected from occupationally exposed …dental healthcare workers and urine Hg levels were measured. A cross-sectional health survey was conducted in 23 healthcare units of Delhi to determine an association between Hg exposure and various health effects. RESULTS: Hg vapour concentration ranged from 0.96μg/m3 to 15μg/m3 , the highest concentration was recorded in the amalgam room (15μg/m3 ). Urine Hg levels in healthcare workers (0.51±0.17μg/L) were higher than the control (0.29±0.05μg/L). A cross-sectional health survey revealed a significant prevalence of confusion, forgetfulness, muscle spasm, and tremors by the respondents. CONCLUSION: Hg concentration in dental clinics may hover above the prescribed safe levels posing a definitive health risk to healthcare workers. Urinary Hg measurements did not reveal an excess of body burden except in one case. Since Hg bio accumulates, it is probable as these workers grow older, they may end up with a higher body burden of Hg that may lead to a variety of adverse health outcomes. Show more
Keywords: Dental, health survey, mercury vapour, occupation, urine mercury
DOI: 10.3233/WOR-230109
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-7, 2024
Authors: Liu, Zi Rui
Article Type: Review Article
Abstract: BACKGROUND: The COVID-19 pandemic accelerated the transition to remote preschool education, highlighting the crucial role of preschool teachers in navigating pedagogical transformations, adapting to technology, and addressing the challenges of distance learning. OBJECTIVE: This study delved into the intricate challenges confronted by educators specializing in early childhood education within the realm of remote instruction during the COVID-19 pandemic. Additionally, it scrutinized a spectrum of tactics and interventions implemented to overcome the challenges, presenting nuanced insights to enhance the effectiveness of online pedagogy. METHODS: Conducting a systematic literature review, this study comprehensively analysed academic sources to synthesize …challenges faced by preschool teachers and their adaptive strategies during the transition to remote instruction induced by the COVID-19. The investigation focused on online teaching strategies, COVID-19 implications, and the broader landscape of remote learning. RESULTS: The review illuminated intricate challenges, encompassing technological constraints, pedagogical adjustments, and psychological adaptations. These challenges compelled the deployment of a diverse range of strategies, underscoring educators’ resilience and resourcefulness in maintaining vibrant online teaching and learning ecosystems. CONCLUSION: This study offers a valuable compendium of insights, providing a comprehensive view of the evolving landscape of remote pedagogy. By fostering a nuanced understanding of the challenges and strategies, educators, administrators, and policymakers can collaboratively devise informed interventions. This collaborative effort optimizes online teaching practices, fostering enriched learning outcomes within the digital epoch. Show more
Keywords: Preschool, teaching, education, computer-assisted instruction, COVID-19, teleworking
DOI: 10.3233/WOR-230321
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-16, 2024
Authors: Sejdiu, Rrahim | Jashari, Bujar | Zejnullahu, Fakije | Sylejmani, Blertë | Topuzi, Ramadan
Article Type: Research Article
Abstract: BACKGROUND: There are some rules that furniture designers must take into consideration to design ergonomic furniture. The main design principle is the target group for which the furniture will be designed, considering the dimensions of people who use the furniture. OBJECTIVE: The paper presents the correlation between 12 parts of children’s body, as well as the proportion between stature and 11 other parts of the body which are used for the purposes of furniture and interior designers. METHODS: Field measurements include: Stature (S), Sitting height (She), Shoulder height (Sh), Popliteal height (Ph), Hip width (Hb), Elbow …rest height (Erh), Buttock-popliteal length (Bpl), Buttock-knee length (Bkl), Thigh clearance (Tc), Eye height sitting (Eh), Knee height (Kh) and Shoulder breadth (Sb) to pupils aged 6–11 (grades 1 to 5). The measurements were done in 687 children in 12 primary schools in 4 different regions in Kosovo. RESULTS: The data of the study shows that, in general, there is a correlation (in some parts strong and in some medium) for the measured parts. Also, the study presents the proportion between the stature and other parts of the body which are necessary for the design of children’s furniture. CONCLUSION: Using this data will enable furniture designers to easily target the dimensions of the group they will design, even by measuring only one dimension, i.e. stature and then setting the proportions for each piece separately. Show more
Keywords: Body, dimension, proportion, children, furniture, designers
DOI: 10.3233/WOR-230435
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-17, 2024
Authors: Mak, Susanne | Thomas, Aliki | Razack, Saleem | Root, Kelly | Hunt, Matthew
Article Type: Research Article
Abstract: BACKGROUND: Health human resources are scarce worldwide. In occupational therapy (OT), physical therapy (PT), and speech-language pathology (S-LP), attrition and retention issues amplify this situation and contribute to the precarity of health systems. OBJECTIVE: To investigate the phenomena of attrition and retention with OTs, PTs and S-LPs who stayed in, or left their profession. METHODS: Cultural-historical activity theory provided the theoretical scaffolding for this interpretive description study. We used purposeful sampling (maximum variation approach) to recruit OTs, PTs, and S-LPs from Quebec, Canada. Individual interviews were conducted with 51 OTs, PTs, and S-LPs …from Quebec, Canada, in English or French (2019–2020). Inductive and deductive approaches, and constant comparative techniques were used for data analysis. RESULTS: Six themes were developed: 1) characteristics of work that made it meaningful; 2) aspects of work that practitioners appreciate; 3) factors of daily work that weigh on a practitioner; 4) factors that contribute to managing work; 5) relationships with different stakeholders that shape daily work; and 6) perceptions of the profession. Meaningfulness was tied to participants’ sense that their values were reflected in their work. Factors outside work shaped participants’ work experiences. Recurrent negative experiences led some to leave their profession. CONCLUSION: Findings underscore a critical need to address contributing factors to attrition and retention which are essential to ensuring the availability of OTs, PTs and SLPs for present and future rehabilitation needs. Show more
Keywords: Occupational therapy, physical therapy, speech-language pathology, career mobility, rehabilitation, qualitative research, health workforce
DOI: 10.3233/WOR-230531
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-15, 2024
Authors: Liu, Wenyao | Meng, Qingfeng | Li, Zhen | Ai, Xijie | Chong, Heap-Yih
Article Type: Research Article
Abstract: BACKGROUND: Frontline supervisors have the most frequent interactions with workers on construction projects. Although Supervisors’ Safety Leadership (SSL) is commonly practiced, its specific inter-relationship with workers’ safety violations remains unclear, especially when it comes to detailed interactions between supervisors and workers, such as supervisors’ safety coaching/safety controlling/safety caring against workers’ situational/routine safety violations. OBJECTIVE: This study aims to uncover the intrinsic relationship between SSL and safety violations from the perspective of construction workers with the help of mediating variables at both organizational and individual levels. METHODS: A questionnaire survey was conducted to test all hypotheses based …on empirical data from 346 construction workers. The path coefficient of the fitted model was then analyzed, including associated mediating effects. RESULTS: Situational safety violations are directly affected only by safety caring (β= –0.161, p < 0.05), while routine safety violations are impacted only by safety coaching (β= –0.159, p < 0.05). SSL can influence different types of safety violations through differing mediators. In particular, safety coaching acts on individuals’ routine safety violations mainly through self-efficacy (β= 0.199, p < 0.01; standardized indirect effect = –0.121, 95% CI[–0.226, –0.024]); safety controlling is more oriented to influence individuals’ situational safety violations through group safety norm (β= 0.383, p < 0.001; standardized indirect effect = –0.091, 95% CI[–0.177, –0.036]); and safety caring further influences individuals’ situational safety violations mainly through safety motivation (β= 0.581, p < 0.001; standardized indirect effect = –0.263, 95% CI[–0.418, –0.146]). CONCLUSION: The research enhances existing knowledge by clarifying the complex relationships between supervisor behavior and safety outcomes, particularly from the perceptions of construction workers towards supervisors’ actions and leadership. Show more
Keywords: Supervisors’ safety leadership, construction worker, safety violations, safety motivation, group safety norm, self-efficacy
DOI: 10.3233/WOR-240048
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-19, 2024
Authors: Alves, Roberta A. | Penna, Thaísa A. | Silva, Michel O. | Oliveira, Bruno R.R. | Oliveira, Aldair J.
Article Type: Research Article
Abstract: BACKGROUND: The COVID-19 pandemic had major impacts on the physical lives of individuals, especially on home office workers. In this way, the practice of physical activity has been identified as an ally in the reduction and prevention of musculoskeletal pain. OBJECTIVE: To investigate the association between leisure-time physical activity and musculoskeletal pain in adult workers before and during the COVID-19 pandemic. METHODS: A cross-sectional study was conducted with 374 workers of both sexes (age = 46.5±10.5 years). Leisure-time physical activity, number of pain sites, and musculoskeletal pain status were investigated using a questionnaire designed for the study. Statistical …analysis was performed using Multinomial Logistic Regression. The significance level adopted was 5%. RESULTS: A significant association was found between physical activity status and the number of pain sites (p = 0.002). In addition, an inverse association was found between physical activity before and during the quarantine and the number of pain sites (two pain sites – OR = 0.40; 95% CI = 0.2–0.7; three or more pain sites – OR = 0.24; 95% CI = 0.1–0.5). Physical activity interruption during quarantine increased pain perception by 2.86 times (OR = 2.86; 95% CI = 1.0–7.5). CONCLUSIONS: The findings showed that physical activity before and during the pandemic was a protective factor for body pain during the COVID-19 pandemic. Show more
Keywords: Physical activity, exercise, musculoskeletal pain, adults, workers, pandemics, COVID-19
DOI: 10.3233/WOR-230364
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024
Authors: Wong, Jasin | Su, Han | Kudla, Angelika | Munsell, Elizabeth G.S. | Ezeife, Nnaemezie | Crown, Deborah | Trierweiler, Robert | Capraro, Pamela | Tomazin, Stephanie | Park, Mirang | Heinemann, Allen W.
Article Type: Research Article
Abstract: BACKGROUND: There is increasing evidence that employment, or the lack thereof, affects an individual’s health. Consequently, employment provides people with physical disabilities (PWPD) with financial independence, enhances their well-being and self-worth, and facilitates a sense of purpose. People with physical disabilities often retain job skills and motivation to return to work after acquiring a disability. Their vocational rehabilitation and job accommodation needs likely differ from people with disabilities resulting from developmental, sensory, cognitive, and mental health conditions. To better target the needs of PWPD and improve vocational rehabilitation services, it is crucial to identify the modifiable factors that influence their …employment outcomes. OBJECTIVE: This research aimed to examine systematically the client-, employer-, and context-related facilitators and barriers to employment experienced by PWPD. METHODS: We recruited to this cross-sectional study, PWPD from the Midwestern United States who returned to work after injury or illness. An online survey collected data on demographic characteristics and educational history; disability and functional status; supports, facilitators and barriers to employment; and job information and accommodations. RESULTS: 347 working-age PWPD completed the survey; at the time of survey completion, 270 were working and 77 were not. People with physical disabilities who reported social support and encouragement at work were more likely to be working than respondents who did not. Negative attitudes of supervisors and colleagues, inaccessible work environments, and inflexible work schedules were barriers to employment. Important reasons for working included financial needs, a sense of purpose, and self-worth. CONCLUSIONS: Results provide insights into the importance of social supports in the work environment. Novel approaches are needed to develop supportive relationships with supervisors and coworkers. Show more
Keywords: Rehabilitation, vocational, return to work, work, employment, supported, unemployment, disabled persons
DOI: 10.3233/WOR-220721
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Feyzi, Masoud | Navid, Hossein | Castellucci, Héctor Ignacio | Dianat, Iman
Article Type: Research Article
Abstract: BACKGROUND: The dimensional seat design process should consider both the users’ tasks and their physical characteristics. OBJECTIVE: To use an approach for the design and evaluation of seat dimensions based on the anthropometric characteristics of the Iranian population and the requirements of tractor operators. METHODS: Some existing equations relating the seat dimensions to anthropometric characteristics were modified according to logical justifications and international standards. A new mathematical-statistical method was used to extract the equations estimating the constant seat dimensions based on the theoretical maximizing of the accommodation level. In addition, an Overall Seat …Accommodation Score (OSAS) was developed to represent the mean of seat dimensions accommodation level and dimensional accommodation equality, simultaneously. RESULTS: The dimensional seat design can be affected under different conditions of adjustability, esthetic, and space limitations. However, it was shown that it is possible to improve the design of tractor seats without any significant increase in the final cost and complexity. CONCLUSION: A new approach was used for tractor seats for a sample of Iranian operators and can be used for the design and evaluation of tractor seats for other target populations. Show more
Keywords: Agricultural health, dimensional accommodation, ergonomics, seat design
DOI: 10.3233/WOR-230605
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-18, 2024
Authors: Imeshtari, Valentin | Imeshtari, Anila | La Torre, Giuseppe
Article Type: Research Article
Abstract: BACKGROUND: In the last years cardiovascular risk has decreased in grown adults and elderly while it seems to be rising among young adults. OBJECTIVE: to assess the 10-year cardiovascular risk (CVR) in young healthcare professionals at the teaching hospital in Rome, using two scores, and identify possible determinants in order to design and implement preventive strategies. METHODS: A cross-sectional study was carried out between January 2019 and July 2020. Participants underwent medical history collection, physical examination, and blood tests. CVR was calculated using CUORE and Framingham Risk Scores. A multiple linear regression analysis was conducted having …the scores as dependent variables. Diagnostic tests were used for checking model assumptions. RESULTS: The study was carried out including 525 participants, 58.5% physicians and 32.1% nurses. Multivariate analysis was carried out only for men, since the pp plot for the whole population and for females for the dependent variables showed some evidence of non-normality, and the residual plot shows variance of the residuals was not constant across the range of fitted values. CVR, using the Framingham equation, directly correlated with age (β = 0.260; p < 0.001). Using the CUORE score, qualification as a physician (p < 0.001) is associated with a lower risk of having a CVR, while age (p < 0.001) is directly proportional to this risk. CONCLUSIONS: Increasing age consistently emerges as a prominent factor, positively influencing both the Framingham risk score and CUORE score, but this association was found only for men. Being a doctor is a protective factor for the CUORE score. Show more
Keywords: Framingham, CUORE score, healthcare workers, cardiovascular diseases, cardiac event
DOI: 10.3233/WOR-220701
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024
Authors: Boden, Leslie I. | Pan, Yixin | Gregas, Matt | McTernan, Melissa | Peters, Susan E. | Bhagia, Div | Wagner, Gregory R. | Sabbath, Erika L.
Article Type: Research Article
Abstract: BACKGROUND: Few studies have addressed whether using manager or worker perceptions of safety policies and practices alone predict reported injury rates less accurately than using both. OBJECTIVE: This study provides an example and describes a method that can be used to address this issue with survey instruments designed to measure safety climate, policies, or practices. METHODS: Using multilevel logistic regression, we estimated the relationship between worker and manager perceptions of a given exposure and the odds of worker injury during the post-survey year for three safety scales. We tested whether surveying both workers and managers provides …additional predictive value compared with surveying just one group, RESULTS: Injury in the year following the survey was significantly associated with worker scores on two of the three scales. Manager responses were not significantly associated with injury and did not significantly improve injury rate prediction when added to a model with only worker survey responses. CONCLUSIONS: The capacity of manager-only or worker-only perceptions of safety policies and practices to predict worker injuries should be established before choosing to survey just one or the other. The approach and findings in this paper can be applied to other survey instruments and in other settings to help make this choice. Show more
Keywords: Survey research, safety policies and practices, injury prevention, occupational safety and health
DOI: 10.3233/WOR-240029
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024
Authors: Björk-Fant, Janina M. | Nordmyr, Johanna | Forsman, Anna K.
Article Type: Research Article
Abstract: BACKGROUND: Work-life balance is associated with many positive effects at multiple levels and demands increased research attention. In the international literature on work-life balance, the term “gendered life-course” has been used to describe the differences between men and women in work biographies. However, whether this term applies to the Nordic work context remains underexplored. OBJECTIVE: This study examined Finnish men’s and women’s subjective experience of the association between work-life balance and the psychosocial work environment (work demands and social support at work) across the life course, devoting special attention to family life stages encompassing the care of (young) …children. METHODS: Data from the Quality of Work Life Survey 2018 were utilized to conduct binary logistic regression analyses (N = 3790). Separate analyses were conducted for men and women. RESULTS: A significant association between family life stage and high work-life balance was found for women but not for men in the Finnish working life. Women in family life stages involving the care of young, dependent children reported the lowest odds of high work-life balance. For both men and women, a positive association between social support at work and high work-life balance was found, while a negative association was found between work demands and high work-life balance. CONCLUSIONS: These findings highlight the importance of psychosocial factors in both the work and family settings for work-life balance. Further, the findings call for an expanded focus on gender equality, also including issues in unpaid work in addition to issues in paid work. Show more
Keywords: Work-life balance, psychosocial factors, life span, gender equality, scandinavian and nordic countries, work environment
DOI: 10.3233/WOR-230166
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Rossetto, Gianluca | Sala, Emma | Albertelli, Ivan Ferdinando | Donatoni, Claudio | Mazzali, Marco | Merlino, Valeria | Paraggio, Emilio | De Palma, Giuseppe | Lopomo, Nicola Francesco
Article Type: Review Article
Abstract: BACKGROUND: The impact of work-related tasks with potential biomechanical overload on the musculoskeletal system represents an essential socio-economical challenge. OBJECTIVE: This scoping review aimed to map the current literature to identify musculoskeletal disorders and diseases among healthcare professionals and define the approaches used to assess these problems. METHODS: The analysis was developed according to the JBI methodologies for scoping reviews and reported following the PRISMA-ScR framework. RESULTS: We conducted specific searches on online databases; of the 357 articles initially identified, only 118 met the inclusion criteria. CONCLUSIONS: Despite some discrepancies in their …unambiguous identification, the presence of work-related musculoskeletal disorders in healthcare professionals is unequivocal. On the other hand, using technology as a supporting evaluation tool still needs to be explored. Furthermore, several improvements are required to enhance the quality of work and simplify the analysis across studies. Show more
Keywords: Healthcare professionals, musculoskeletal disorders, questionnaire, assessment technologies
DOI: 10.3233/WOR-230577
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024
Authors: Memon, Muhammad Rizwan | Memon, Hina | Memon, Sarwat | Memon, Shahzad | Bhurgri, Humera | Baig, Muhammad Nadeem | Khattak, Osama | Iqbal, Azhar | Issrani, Rakhi | Prabhu, Namdeo
Article Type: Research Article
Abstract: BACKGROUND: Safety signs are very important communication tools for accident prevention, fire safety, health hazard information, and emergency evacuation. However, they are helpful only when properly designed and understood by employees. OBJECTIVES: The purpose of the present study was to assess the awareness of health and safety signs amongst health care workers including doctors, dentists and paramedics in different health care sectors across Pakistan. METHODS: Data was collected via Google forms circulated through WhatsApp social media to predetermined groups of health care professionals to assess their understanding of safety signs across different health sectors. The survey …included questions pertaining to awareness of 19 different health and safety signs complied with International Organization for Standardization 1710 and the Safety Signs and Signal Regulations 1996 chosen randomly. RESULTS: A total of 987 people participated in our study and were asked to comprehend the meaning of nineteen health and safety signs. The mean comprehension score for 19 signs was 42.2%. The mean score for warning signs was the lowest and fire safety signs was highest. The lowest comprehension scores were for oxygen cylinder sign (W029) 7.5% and highest for first aid sign (E003) 75.9%. Only two signs, that are first aid (E003) and mandatory gloves (M009) had acceptable comprehensive score of 75.9% and 73.7% respectively as per ISO 7010 i.e. >67%. Statistically significant differences were found only for trip hazard sign (W007) with respect to education and for risks of bomb explosion (W002), ionising radiation (W009), evacuation assembly point (E007), location of automated external heart defibrillator (E010) and mandatory gloves (M009) with work experience. CONCLUSION: Based on our results, we conclude that there is dire need of special and frequent training to better recognize the safety signs amongst health care employees since these kinds of interventions promote early detection of hazards and their associated risks. Thus, we propose that health care safety sign training must be included in every health care profession curriculum. Show more
Keywords: Safety, health care, accident prevention, workplace, curriculum, emergencies
DOI: 10.3233/WOR-240064
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Tang, Meirun | Fu, Lifei
Article Type: Research Article
Abstract: BACKGROUND: Amidst the post-COVID-19 economic downturn and the expanding higher education landscape in China, employee employment challenges have given rise to the widespread overqualification issue. This phenomenon has attracted extensive attention and is prompting a need for an in-depth exploration of perceived overqualification. However, existing studies predominantly concentrate on its outcomes rather than antecedents, leaving a notable gap in understanding the influence mechanism between individual advantageous resources (e.g., job embeddedness, career adaptability) and overqualification, particularly in specific events such as career shocks. OBJECTIVE: This study aims to examine the interplay between employees’ career adaptability, job embeddedness, and the …mediating role of relative deprivation in shaping perceived overqualification, particularly in the aftermath of career shocks. METHODS: A comprehensive analysis was conducted using data gathered from 339 questionnaire responses. Partial Least Square (PLS) path analysis, R’s necessary condition analysis (NCA), and the Random Forest (RF) algorithm were employed to scrutinize the relationships and identify critical factors influencing perceived overqualification. RESULTS: The findings indicate that after encountering career shocks, career adaptability and job embeddedness not only directly impact perceived overqualification but also exert their influence indirectly through the mediation of relative deprivation; Career adaptability, job embeddedness, and relative deprivation are necessary conditions for perceived overqualification, with relative deprivation having the most significant impact. CONCLUSIONS: Based on the results, focusing on the psychological changes of employees after suffering career shocks provides valuable guidance for managers in channelling the emotional and cognitive responses of their employees. Show more
Keywords: Conservation of Resources Theory, Turnover Unfolding Model, Relative Deprivation, Career Shocks, Overqualification, Necessary Conditions Analysis
DOI: 10.3233/WOR-230587
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-16, 2024
Authors: Chen, Na | Hu, Yitong | Liang, Man | Qin, Xiangnan | Liu, Jun
Article Type: Research Article
Abstract: BACKGROUND: Research on muscle activity to reduce injuries during firefighting training has getting increasing attention. OBJECTIVE: The purpose of this study was to assess the activity changes in nine muscles of firefighters during the seven firefighting training programs, and to analyze the influence of different firefighting training programs on muscle activity. METHODS: Ten healthy male firefighters were recruited to measure the field surface electromyographic activities (including the percentage of Maximum Voluntary Contraction electromyography (% MVC) and the integrated electromyography value (iEMG)) during all the firefighting training programs. RESULTS: The results showed that the electromyographic …activity of gastrocnemius (GA) was stronger in climbing the hooked ladder and climbing the six-meter long ladder training programs. Arms, shoulders, and lower limb muscles were more activated, myoelectric activities were more intense, and fatigue in these areas was more likely to occur during climbing five-story building with loads. Compared with other muscles, erector spine (ES) had a higher degree of activation during different postures of water shooting. The Borg scale scores of shoulders, trunk, thighs and calves were also higher. CONCLUSION: After completing all training programs, GA, tibialis anterior (TA), trapezius (TR), and ES were strongly activated, and all muscles had obvious force. The % MVC and iEMG analyses correspond well with the Borg Scale score. The results can provide certain reference for reducing the musculoskeletal injury of firefighters, carrying out scientific training and formulating effective injury prevention measures for them. Show more
Keywords: Firefighter, muscle activity, ergonomics, surface electromyography (sEMG), % MVC, iEMG, firefighting training program
DOI: 10.3233/WOR-230614
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-14, 2024
Authors: Yağar, Fedayi | Gerçek, Emine | Dökme Yağar, Sema | Tunç, Ahmet
Article Type: Research Article
Abstract: BACKGROUND: Social capital is an important resource that enables employees to build trust-based relationships with other individuals and groups in the workplace. Although the evidence reveals the effect of employee empowerment on burnout, the moderator role of social capital in this relationship is still unexplored. However, considering the health employees who have mental health problems and increased dissatisfaction with the COVID-19 epidemic, the importance of determining the antecedent factors that may affect burnout plays an even more critical role. OBJECTIVE: The effect of the epidemic process on the burnout level of health employees was examined. In addition, the …effect of employee empowerment on burnout was examined and the moderate role of social capital was evaluated. METHODS: A total of 492 health employee completed the measures of social capital, perceived empowerment, and burnout. Structural equation modelling was used to evaluate the moderate variable. Dawson slope were used to visualize the results. RESULTS: The burnout levels of health employees were low (2.00±1.34). Social capital had a moderating effect on the negative effect of employee empowerment on burnout (β = 0.191). Apart from that, employee empowerment (β = –0.192) and social capital (β = –0.508) were negatively associated with burnout level (p < 0.05). CONLUSION: These results are expected to provide useful recommendations to management in the health sector to reduce burnout among health employees by focusing on social capital and employee empowerment. Show more
Keywords: Social relations, employee productivity, psychological problems, pandemic, hospitals, Turkey
DOI: 10.3233/WOR-230049
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024
Authors: Ollé-Espluga, Laia | Vargas-Leguas, Hernán | Torrens Mèlich, Lluís | Juan Serra, Marta | Arcas, Maria Marta | Cortès-Franch, Imma
Article Type: Research Article
Abstract: BACKGROUND: In 2018, Barcelona City Council implemented a pilot phase of an organisational change in the municipal home care service (HCS) system. Inspired in the Buurtzorg model, the new model promotes the creation of self-managing teams operating in a restricted community setting. OBJECTIVE: To assess the pilot phase of the new model, focusing on employees’ working and employment conditions as well as on their health and well-being outcomes. METHODS: Mixed-methods impact evaluation. First, a quantitative evaluation was conducted between October 2018 and October 2020, using a pre-post study design with one pretest and two posttest measurements …in an intervention and a comparison group. The intervention group was composed of the members of the work teams implemented in the pilot phase from October 2018 onwards (baseline n = 44). The comparison group consisted of workers from the same districts working under the usual HCS system (baseline n = 72). Next, a qualitative study was conducted in workers from the intervention group in winter 2021–2022 (n = 10). RESULTS: The pre-post study results yielded positive changes for the intervention group in social support and autonomy, as well as in many of the employment conditions. This group also experienced increases in psychological demands, painful positions, fatigue and psychological distress. Two main themes affecting workers’ well-being emerged from the interviews: factors inherent to the self-management model and external factors. CONCLUSIONS: Health and well-being outcomes seem to depend on the balance between job demands, resources, and ways of channelling conflicts within teams. Show more
Keywords: Home care services, self-organising teams, employment conditions, working conditions, health, evaluation study
DOI: 10.3233/WOR-230668
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-16, 2024
Authors: Matheson, Leonard N. | Verna, Joe L. | Mayer, John M.
Article Type: Research Article
Abstract: BACKGROUND: The Multidimensional Task Ability Profile (MTAP) is a measure of self reported physical work capacity developed for injured workers with musculoskeletal disorders (MSDs) to determine readiness to return to work. OBJECTIVE: This study compared the concurrent validity of a new short form MTAP (MTAP-SF) comprised of 16 lifting and/or carrying items with the MTAP 55-item version. The hypothesis addressed is whether the validity of a version that imposes less respondent burden (MTAP-SF) would be comparable to the more burdensome instrument (MTAP-55). METHODS: MTAP scores were compared with demonstrated lift capacity in 1,252 healthy adults. Parallel …regression analyses were conducted to examine the explanatory power of both MTAP versions. RESULTS: Age, gender, body mass and MTAP-SF explained 55% of the variance (p < 0.001) in demonstrated lift capacity, equivalent to MTAP-55. CONCLUSIONS: Self reported performance in physical work capacity tasks accounts for significant variance in lifting performance. MTAP-SF diminishes respondent burden while maintaining validity and may be useful for managing MSDs by enhancing understanding of the evaluee’s psychophysical component in return-to-work rehabilitation planning. Show more
Keywords: Musculoskeletal disorders, work capacity evaluation, return to work, functional capacity evaluation, physical functional performance, occupational health, disability evaluation
DOI: 10.3233/WOR-230438
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-13, 2024
Authors: Jia, Hongyan | Liang, Shuanrong
Article Type: Research Article
Abstract: BACKGROUND: Today’s youth is facing environmental changes. The environmental behavior of adolescents is critical to mitigating the negative impacts of these environmental problems. OBJECTIVE: According to value – basis theory and Value-Belief-Norm theory, the current research examines the link between biospheric values and pro-environmental behavior, together with the mediating and moderating effects of environmental self-identity and environmental concern. METHODS: We conducted cluster sampling of students in grades four to nine. A total of 1,053 students participated in the survey, and 763 valid data records were finally obtained (the return rate was 72.46%). RESULTS: The …findings indicated that: (1) there was a significant positive correlation between adolescents’ biospheric values and pro-environmental behavior; (2) there was a significant positive correlation between adolescent biospheric values and environmental self-identity; there was a significant correlation between adolescents’ environmental self-identity and pro-environmental behavior. The relationship between biospheric values and adolescents’ pro-environmental behavior is mediated by environmental self-identity; (3) adolescents’ environmental concern moderates their biospheric values and affects the latter half of pro-environmental behavior through environmental self-identity. Environmental self-identity has a greater predictive impact on pro-environmental behavior when there is a higher level of environmental concern. CONCLUSIONS: This paper proposes and verifies the positive relationship between biospheric values and adolescents’ pro-environmental behavior, as well as the mediating role of environmental self-identity and the moderating role of adolescents’ environmental concern. Show more
Keywords: Pro-environmental behavior, biospheric values, environmental self-identity, environmental concern, adolescents
DOI: 10.3233/WOR-230471
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Salmani, Roghayeh | Rezakhani moghaddam, Hamed | Mousazadeh, Yalda
Article Type: Research Article
Abstract: BACKGROUND: Due to the changing environment and responding to the needs of the society, change in the traditional education system is inevitable. Also, the occurrence of events such as the COVID-19 pandemic showed that the existence of a virtual education system to prevent the cessation of education is the need of today’s society. OBJECTIVE: This study aimed to investigate the students’ experiences of virtual education in Iranian universities of medical sciences during the COVID-19 pandemic. METHODS: This qualitative study was conducted on 28 students studying in Iranian universities of medical …sciences from October 2021 to January 2022 to investigate their experiences of virtual education during the COVID-19 pandemic. The participants were selected by purposive sampling. An interpretive phenomenological approach and semi-structured, face-to-face, in-depth interview were used to collect the data. The data were analyzed by Colizzi’s seven-step method. RESULTS: Students’ experiences of virtual education during the COVID-19 pandemic were categorized into three themes and seven sub-themes, including the strengths of virtual education (sub-themes: individual and educational dimensions), the weaknesses of virtual education (sub-themes: infrastructural, educational, tests and assignments fields), and suggestions to improve virtual education (sub-themes: infrastructural development and educational planning). CONCLUSION: According to the study results, the virtual education during the COVID-19 pandemic led to students staying away from the crowded centers. However, some weaknesses were also mentioned by the participants. Therefore, by anticipating requirements and needs, planning and policy making, and seriously reviewing human, financial, and support resources, virtual education can be developed and used as a supplement to face-to-face education in the future. Show more
Keywords: Covid-19, qualitative study, phenomenology, student, virtual education
DOI: 10.3233/WOR-230328
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Honkonen, Niina | Lamminpää, Anne | Liira, Juha
Article Type: Research Article
Abstract: BACKGROUND: Work ability meetings (WAM) are an essential and common tool of disability management in occupational health services in Finland. Meetings are held between an employee, a supervisor, and an occupational physician (OP). The aim is mainly to support work ability. OBJECTIVES: To describe challenges and resolutions in the meetings as described by OPs. METHODS: An internet survey was emailed to the members (n = 1304) of the Finnish Society of Occupational Health Physicians in August 2014. We asked physicians to describe those WAMs they had attended, especially challenges and resolutions concerning WAM. RESULTS: A …total of 302 (23%) OPs responded to the survey. Most severe of the challenges were personal conflicts and a lack of confidence between the parties at the workplace. Also, the participants’ views may differ about the purpose and goal of the meeting. The respondents noted that the employer might be unable to organize modified work for disabled employees. As a resolution, OPs need to prepare well and maintain their professional and neutral role in WAMs in all cases. OPs also mentioned the need for training in insurance medicine and rehabilitation as well as skills as a mediator. CONCLUSIONS: WAM is a potential tool for return to work and disability management in collaboration between employees, employers, and occupational health when all the participants reach a common goal and become aware of their role in the process. OPs need to recognize possible conflicting interests and contact each party before WAM. Keeping confidentiality in WAMs is a crucial matter. Show more
Keywords: Cooperation within the workplace, occupational health, communication, return to work, supervisor, negotiation
DOI: 10.3233/WOR-230331
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024
Authors: Bulut, Aliye | Atici, Erhan
Article Type: Research Article
Abstract: BACKGROUND: It is crucial that emergency health workers respond to people exposed to chemical, biological, radiological and nuclear agents appropriately and in a timely manner. OBJECTIVE: This study aims to find out how much Turkish emergency health workers know about chemical, biological, radiological, and nuclear hazards, as well as identify what possible factors contribute to their level of knowledge. METHOD: The data were collected from 321 participants using a personal information form as well as a questionnaire about chemical, biological, radiological and nuclear hazards prepared in accordance with the literature. RESULTS: The results revealed …that the place of residence and status of choosing the profession willingly showed no difference in terms of being trained on chemical, biological, radiological and nuclear hazards (p > 0.05). Likewise, the participants under the age of 25 years, who were single and had a tenure of less than 10 years highly believed that they did ‘not have a sufficient grasp of chemical, biological, radiological and nuclear hazards’. Women also highly believed that they did ‘not have a solid grasp of chemical, biological, radiological and nuclear hazards.’ CONCLUSIONS: Healthcare professionals who work in high-risk zones should be given compulsory training about chemical, biological, radiological and nuclear hazards so that they become more aware of how to best deal with such situations. Show more
Keywords: CBRN threats, emergency health workers, health personnel, knowledge level
DOI: 10.3233/WOR-230219
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: Pélissier, Carole | Varano, Mariasole | Moulin, Martine | Carcasset, Pierre | Fontana, Luc
Article Type: Research Article
Abstract: BACKGROUND: In a context of reorganization of the activity, of increase of the psychological, emotional and physical constraints of the nursing staff induced by the first wave of the COVID-19 pandemic, an increase of the anxiety disorders could occur. OBJECTIVE: This study aims to assess the prevalence of anxiety disorders in healthcare workers (HCWs) by wards and to investigate medical, personal, and occupational factors associated with anxiety disorder. METHODS: In France, in May 2020, a monocentric observational cross-sectional study was proposed to 285 HCWs of the University Hospital of Saint Etienne, working in 3 types of …randomly selected care wards. Information was collected using an anonymous self-questionnaire offered to eligible HCWs. Validated questionnaires were used to assess anxiety (Hospital anxiety and Depression Scale) and burnout (Maslach Burnout Inventory). RESULTS: Of the 164 HCWs who participated in the study (57% participation rate), 69 (42%) caregivers had anxious symptomatology. The prevalence of anxiety disorders did not differ significantly by type of wards. Anxiety disorders are significantly associated with occupational factors (increased COVID-19 stress level, increased emotional load, increased mental load, high work/life stress during confinement, emotional exhaustion and loss of empathy), with medical factors (medical history of anxiety disorders, psychotropic treatment and impaired sleep quality) and personal factors (concern about working conditions and/or media reports). CONCLUSIONS: Preventive actions focusing on organizational factors could be carried out to reduce the emotional and mental load, the level of stress and the burnout of HCWs. Show more
Keywords: First wave of the COVID-19 pandemic, healthcare workers, mental health, occupational stress, burnout
DOI: 10.3233/WOR-230428
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Rogerson, Shane | Brearley, Matt
Article Type: Research Article
Abstract: BACKGROUND: In the event of a severe occupational heat-related illness, paramedic assistance may not be immediately available. A worker’s survival may depend on their co-workers access to efficacious field-based cooling modalities. One cooling method that has been claimed to be practical in field-based settings is the ice towel method. OBJECTIVES: This case study assessed the practicality of the ice towel method in an industrial setting, where criteria for use include cost effectiveness, portability, scalability, and implementation by a single worker under the stress of an emergency. METHODS: This case study describes the emergency application of the …ice towel method while awaiting paramedics, for a worker suffering suspected exertional heat stroke on a remote job site. RESULTS: Ice towels were able to be transported to a remote field site and applied successfully by a single worker under the stress of a potentially life-threatening emergency. CONCLUSIONS: The ice towel method was cost effective, scalable, transportable, and rapidly applied in a field-based emergency. This case study demonstrates the importance of organizations assessing their heat-related risks, and determining controls based upon their efficacy and practicality for their unique setting. Show more
Keywords: Core temperature, heat stroke, heat illness, workers
DOI: 10.3233/WOR-240060
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-6, 2024
Authors: Liedberg, Gunilla M. | Björk, Mathilda | Coutu, Marie-France | Durand, Marie-José | Turesson, Christina
Article Type: Research Article
Abstract: BACKGROUND: A well-defined and clear procedure is a key factor supporting return-to-work and enhancing collaboration and understanding between employers and employees. The adaptation of the Tool for Support-Gradual Return to Work, TS-GRTW, addresses relevant cultural aspects valuable for wider adoption. OBJECTIVE: develop a Swedish version, the GRTWswe, for implementation and integration into the Swedish labor market’s RTW process. This involved translating, culturally adapting, and assessing the appropriateness and utility. METHODS: In the initial step, a double back translation was performed to create an initial translated version. This version was then utilized in individual consultations, accompanied by …an agreement questionnaire. For the subsequent step, group consultations were held to refine and customize the tool to suit the Swedish context. Ten occupational therapists completed the questionnaires, with mean agreement scores surpassing three on a four-point scale. Out of these, nine participated in group consultations. RESULTS: The findings suggest the requirement for specific modifications to the GRTWswe. These adaptations are essential because of cultural differences in organizational structures and reference frameworks. Moreover, participants unanimously agreed to broaden the scope of target groups, encompassing employees without regard for diagnosis and expanding the range of professions that can utilize this tool. This step aims to enhance the tool’s applicability and usefulness. CONCLUSIONS: The study found strong alignment between questionnaire responses and group consultations outcomes, affirming the adapted tool’s suitability for use in a Swedish context. The tool benefits employers and employees by enhancing communication, encouraging collaboration, and structuring processes, promising lasting improvements to work conditions. Show more
Keywords: Return-to-work, vocational rehabilitation, chronic pain, instrument development, cross cultural comparison, occupational therapist
DOI: 10.3233/WOR-230665
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Myles, Louise | Massy-Westropp, Nicola | Barnett, Fiona
Article Type: Research Article
Abstract: BACKGROUND: Handgrip strength (HGS) is a reliable assessment of hand function. Interpretation of HGS is commonly done using normative data. Normative HGS data HGS considers the influence of age and gender without adjustment for anthropometric measurements or functional factors known to influence HGS. OBJECTIVE: To determine the potential relationship of select anthropometric measurements (height, weight, hand length and width, forearm length and circumference) and functional factors (hand dominance, work and lifestyle category) to HGS. METHODS: This study included a sample of 119 males and 96 female workers from North Queensland. HGS and six anthropometric measurements were …obtained using calibrated instruments and reliable measurement protocols. Age and gender along with three functional factors were documented by self-report. RESULTS: Right and left mean HGS was greater for individuals who performed heavy/very heavy work (58.1±10.1 kg and 54.1±10.9 kg respectively) compared to light (38.5±12.3 kg and 35.5±11.8 kg) or medium work (44.1±10.8 kg and 40.0±12.9 kg). Mean HGS was greater for individuals who performed heavy/very heavy activity (right 48.5±13.6 kg and left 44.5±13.7 kg) compared to light activity (right 36.3±11.2 kg and left 33.9±11.3 kg) within their lifestyle. HGS positively correlated with gender (p = 0.0001), work (p = 0.001) and anthropometric measurements of forearm circumference (p = 0.001), hand length (p = 0.006) and hand width (p = 0.052). CONCLUSIONS: Easy to measure anthropometric measurements of forearm circumference, hand length and width are the strongest predictors of HGS in addition to an individual’s physical activity at work and in their lifestyle. Consideration of these factors could lead to improved evaluation of HGS scores. Show more
Keywords: Key words: Hand grip strength, JAMAR dynamometer, normative data, hand anthropometry
DOI: 10.3233/WOR-230519
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Lopes, Ester Rodrigues do Carmo | Macêdo, Flávia Pessoni Faleiros | Fifolato, Thaís Marques | Nardim, Heloisa Correa Bueno | Suzuki, Karen Ayumi Kawano | Fonseca, Marisa de Cássia Registro
Article Type: Research Article
Abstract: BACKGROUND: Work-related shoulder disorders adversely affect the quality of life and lead to increased costs related to decreased productivity and injury treatment. Therefore, understanding the relationship between strength, upper extremity function and work ability contributes to the development of interventions aimed to improve the well-being of healthcare workers. OBJECTIVE: Correlate shoulder abduction and handgrip strength with upper extremity function and work ability in healthcare workers with shoulder complaints. METHODS: 67 workers with shoulder pain in the last year were assessed by Disability of Arm, Shoulder and Hand (QuickDASH), Work Ability Index (WAI), isokinetic shoulder …strength and isometric handgrip strength dynamometers. Data were analysed with Spearman’s Correlation Coefficient (ρ = 0.05), SPSS 20.0 ® . RESULTS: 52% males, mean age 48.4 years, 42% physically active, most administrative and general services workers. Low correlation between handgrip strength and QuickDASH (r =-0.359; p = 0.004); low correlation between handgrip strength and WAI (r = 0.359; p = 0.003) and between shoulder abduction strength and the QuickDASH (r = -0.267; p = 0.049); no significant correlation between shoulder abduction strength and WAI (r = 0.001; p = 0.997). CONCLUSIONS: Handgrip and shoulder abduction strength were inversely associated with upper extremity dysfunction. Shoulder abduction strength was associated with work ability. The inclusion of strength assessment in workers is important to guide strategies to prevent musculoskeletal disorders. Show more
Keywords: Occupational health, musculoskeletal disease, work, muscle strength, shoulder, pain
DOI: 10.3233/WOR-230373
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Jin, Haizhe | Zhou, Junnan | Zhang, Jiahao | Fu, Yongyan
Article Type: Research Article
Abstract: BACKGROUND: The performance of healthcare workers directly impacts patient safety and treatment outcomes. This was particularly evident during the coronavirus disease 2019 (COVID-19) pandemic. OBJECTIVE: This study aimed to analyze research trends on factors influencing work performance among healthcare workers through bibliometric analysis and conduct a comparative analysis from macro and micro perspectives before and after the COVID-19 pandemic to complement the existing research. METHODS: This study involved a bibliometric analysis of 1408 articles related to work performance in the healthcare field published between 2010 and 2023, using the Web of Science, Scopus, and PubMed databases, …and 37 articles were selected to determine the factors influencing work performance. RESULTS: By conducting a bibliometric analysis of the articles based on country, institution, journal, co-cited references, and keywords, this study identified a significant growth trend regarding the factors influencing work performance in the healthcare field, and research hotspots shifted from organizational factors like standard towards psychological factors such as burnout, anxiety, and depression following the outbreak of the COVID-19 pandemic. Subsequently, this study extracted 10 micro-level and 9 macro-level influencing factors from the selected articles for supplementary analysis. Furthermore, this study conducted a comparative analysis of the impact of these factors on work performance before and after the COVID-19 pandemic. CONCLUSIONS: This study addressed the limitations of previous studies regarding incomplete extraction of factors influencing work performance and unclear comparisons of parameters before and after the COVID-19 pandemic. The findings provide insights and guidance for improving the performance of healthcare workers. Show more
Keywords: Healthcare workers, work performance, influencing factors, COVID-19 pandemic
DOI: 10.3233/WOR-230327
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-20, 2024
Authors: Willeke, Kristina | Janson, Patrick | Kirchner, Anna | Tischer, Christina | D’Souza, Arun | Heuschmann, Peter U. | Zapf, Andreas | Wildner, Manfred | Stupp, Carolin | Keil, Thomas
Article Type: Research Article
Abstract: BACKGROUND: Compared to workers of larger companies it is less clear what health promoting interventions might be beneficial for employees of small businesses and self-employed individuals. OBJECTIVE: Our aim was to critically appraise trials investigating health promotion programs among small business workers and self-employed individuals, by means of a systematic review. METHODS: We conducted a search of primary studies using MEDLINE, Web of Science, LIVIVO and the Cochrane library. Our assessment followed the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. RESULTS: We identified six trials including 5,854 participants from …Asia, North America and Australia. Most were of moderate methodological quality, only one was of low quality. Some of the supervised psycho-educational lifestyle programs focusing on individual behavior changes showed benefits in terms of stress reduction and increased physical activity levels among small enterprise employees. CONCLUSIONS: There is a huge knowledge gap on evidence-based health promotion interventions for self-employed and for small business workers, especially in Europe. Show more
Keywords: Intervention, small business, medium-sized business, microenterprise, occupational health, health promotion, systematic review, wellness programs
DOI: 10.3233/WOR-230441
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-17, 2024
Authors: Chen, Yin-Che | Wang, Yu-Hsiang | Chu, Hui-Chuang
Article Type: Research Article
Abstract: BACKGROUND: Workplace friendships, which are informal relationships in the workplace, foster mutual trust, assistance, and emotional support and create a sense of belonging among coworkers. Employees with positive perceptions of their job responsibilities, psychological needs, and work environment experience happiness, satisfaction, and an overall sense of well-being. A heightened sense of well-being in the workplace positively affects employee satisfaction with job tasks and the work environment, reinforcing employees’ sense of belonging and organizational commitment. OBJECTIVE: The study proposed and validated a theoretical model, with meta-analytic structural equation modeling employed to conduct quantitative, empirical research on workplace friendships, well-being, …and organizational commitment in Taiwan and to analyze correlations between relevant variables. METHODS: The theoretical model was further validated through structural equation modeling, which yielded favorable goodness of fit in terms of various indicators. RESULTS: The mediating effect of well-being was verified through bootstrapping analysis. Within a 95% confidence interval, the total effect size of workplace friendships on organizational commitment was 0.549, which is the sum of its direct effect (0.255) and indirect effect (0.294). CONCLUSIONS: This finding indicates that well-being plays a mediating role in the association between workplace friendships and organizational commitment. The proposed theoretical model in this study is supported. Finally, the research results are discussed, and practical suggestions are provided. Show more
Keywords: Workplace friendship, well-being, organizational commitment, meta-analytic structural equation modeling
DOI: 10.3233/WOR-230482
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-15, 2024
Authors: Askaripoor, Taleb | Siadat, Morteza | Saleh, Elahe | Aghaei, Hamed
Article Type: Research Article
Abstract: BACKGROUND: Occupational accidents remain a critical challenge for healthcare professionals. OBJECTIVE: In the present study, using the Bayesian network (BN) approach association among resilience, job satisfaction, stress, and occupational accidents among healthcare professionals is examined. METHODS: Data was gathered using several valid questionnaires. The BN approach was utilized to analyze the r5/31/2024ionships between the variables of the current study. The performance of BN analysis was evaluated using related indexes. RESULTS: In total, 300 healthcare professionals participated in this study. Results showed that almost 23% of healthcare professionals had experienced occupational accidents. Results of the …sensitivity analysis demonstrated that job satisfaction had the most significant influence on occupational accidents in healthcare settings. The belief updating analysis results showed that by increasing job satisfaction and decreasing stress of healthcare professionals the occurrence of occupational accidents decreased 9.8% and 6.4%, respectively. Moreover, decreasing the stress of healthcare professionals can lead to an increase in the level of job satisfaction. Evaluation indexes showed that the performance of the developed BN was acceptable (error rate: 16.09). CONCLUSION: The Findings reveal that both job satisfaction and stress had a significant influence on occupational accidents in healthcare professionals. Moreover, by influencing job satisfaction and stress, resilience can indirectly affect occupational accidents. Show more
Keywords: Resilience, job satisfaction, accidents, Bayes theorem, hospitals, occupational stress
DOI: 10.3233/WOR-240178
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Aras, Fatih Mehmet | Gümüşsoy, Süreyya
Article Type: Research Article
Abstract: BACKGROUND: With the onset of the COVID-19 pandemic, pre-hospital emergency healthcare workers (PHEHW) assumed critical responsibilities in controlling and preventing the spread of the virus. OBJECTIVE: This descriptive study aimed to explore the emotional burnout, job satisfaction, and intention to leave among PHEHW during the COVID-19 pandemic. METHODS: The study was conducted with 401 emergency medical technicians and paramedics. The Sociodemographic Data Form, the Emotional Burnout Scale, the Job Satisfaction Scale, the Intention to Leave the Profession Scale were used to collect data. The findings were assessed with a significance level set at …p < 0.05 and a 95% confidence interval. RESULTS: The participants demonstrated moderate scores in emotional burnout, job satisfaction, and intention to leave the profession. The analysis revealed a negative correlation, indicating that as emotional burnout increased, job satisfaction decreased, and the intention to leave the profession heightened. Notably, the participants who had 6–9 years of service, lacked knowledge about COVID-19, had no COVID-19 training, underwent COVID-19 testing, and experienced the loss of a healthcare worker due to COVID-19 exhibited higher levels of burnout. Furthermore, those who had 6–9 years of service, lacked knowledge about COVID-19, had no COVID-19 training, and lost a healthcare worker due to COVID-19 reported lower levels of job satisfaction. Additionally, participants who had 6-9 years of service, lacked knowledge about COVID-19, had no COVID-19 training, and experienced the loss of a healthcare worker due to COVID-19 displayed a greater intention to leave the profession. CONCLUSIONS: It is important to implement improvement initiatives that will increase the motivation and job satisfaction of PHEHW. These include the regulation of working hours and shifts, augmenting staff numbers, enhancing working conditions, improving salaries, and implementing strategies aimed at fostering motivation and job satisfaction. Show more
Keywords: Pandemic, COVID-19, pre-hospital emergency healthcare workers, emotional burnout, job satisfaction, intention to leave the profession
DOI: 10.3233/WOR-230589
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-13, 2024
Authors: Quach, Ha-Linh | Do, Chi Lan Thi | Dang, Giap Xuan | Nguyen, Thang Manh | Le, Thang Cao | Nguyen, Ha Thu
Article Type: Research Article
Abstract: BACKGROUND: In 2022, many universities transitioned from virtual learning back to in-person teaching. Significant changes in working conditions, along with COVID-19-related anxiety during the pandemic, might impact the well-being of lecturers. OBJECTIVE: This study aims to assess the perceived stress, self-rated physical and occupational health of Vietnamese lecturers in 2022 compared to the pre-pandemic levels, and to identify their associating factors. METHOD: This is a cross-sectional study conducted in May–June 2022 through an online survey questionnaire. A sample of 425 university lecturers were included. Participants’ stress levels were assessed using the Perceived Stress Scale. Participants were …asked to compare their current physical and occupational health with before the pandemic. Explanatory variables included (1) COVID-19 exposure; and (2) perceptions of changes in working environment due to the pandemic. Multivariable ordinal least squared regression analyses were used to estimate the coefficient and 95% confidence intervals for the associations between COVID-19 exposure variables, work conditions, and each outcome. RESULTS: Our findings indicated that over 60% of participants experienced moderate stress, while nearly half reported worsened physical and occupational health during the pandemic. Gender, age, perceptions of workload, workplace safety, COVID-19 infection, and incentive programs were significant factors associated with higher stress levels and worse self-rated health. CONCLUSION: To ensure occupational safety and support lecturers as they return to in-person classes, it is crucial to provide appropriate psychological and health support services. Show more
Keywords: Perceived stress, occupational health, physical health, self-rated health, university lecturers, COVID-19
DOI: 10.3233/WOR-230265
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-14, 2023
Authors: Garrett, Levi R. | Harveson, Andrew T. | Ayars, Candace
Article Type: Research Article
Abstract: BACKGROUND: Firefighter health is of utmost importance both to first responders and the individuals they serve daily. The impact of shift schedule on firefighter health remains poorly understood. OBJECTIVE: The purpose of this study was to examine differences in health and performance outcomes in firefighters across two different shift schedules. METHODS: Firefighter (N = 1995) body composition, muscular strength, endurance, flexibility, and cardiorespiratory endurance were assessed and described. A Mann-Whitney U test was conducted to compare differences between shift schedules (48/96 and 4’s and 6’s). RESULTS: There was a statistically …significant difference in BMI (U = 70115, z =–1.988, p = .047), BF% (U = 67341, z =–2.779, p = .005), and trunk flexion score (U = 81362, z = 1.979, p = .048) favoring the 48/96 shift schedule. CONCLUSION: Firefighters following a 48/96 shift schedule exhibited improved body composition and fitness performance in comparison to peers who followed a 4’s and 6’s shift schedule. Findings may guide regional firefighter scheduling to optimize health and performance. Show more
Keywords: Keywords: Firefighter, health, physical fitness, cardiorespiratory disease, shift work
DOI: 10.3233/WOR-230388
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2023
Authors: Osmanovic, Sabina | Pajic, Sofija | Petrovic, Ivana B. | Portoghese, Igor
Article Type: Research Article
Abstract: BACKGROUND: The academic environment is known for its high demands in research, teaching, and administration, that along with increasing publish or perish culture can lead to reduced psychological well-being and mental health issues. OBJECTIVE: This study aimed to investigate the associations between workaholism, work engagement, and burnout among academics in Montenegro. METHODS: A cross-sectional design was used to develop anonymous online survey. Data was collected from 131 participants employed as teaching and research staff at public and private universities. To measure the variables of interest we used: ultra-short Utrecht Work Engagement Scale (UWES-3), …the work-related burnout subscale from the Copenhagen Burnout Inventory (CBI-7) and the Dutch Work Addiction Scale (DUWAS-10). Psychometric network analysis was employed to examine the relationships among variables. RESULTS: The findings revealed two distinct clusters: the first containing the dimensions of work engagement and the second containing burnout and the dimensions of workaholism. The two clusters were connected with the dimensions of dedication - burnout having the strongest edge (–0.25 and –0.40). In the cross-sample network the strongest connection was burnout –working excessively (.35). No significant differences in network density (0.80 (12/15 edges)) and global strength (p = 0.159) in the networks of public and private universities were found. CONCLUSION: Results of the network centrality and the edge strength analyses suggest that the interventions focused at increasing dedication while not fostering a work environment that encourages working excessively might be the key to preventing and reducing burnout in academia across contexts of public and private universities. Show more
Keywords: Workaholism, work engagement, burnout, academia, psychometric network analysis, Montenegro
DOI: 10.3233/WOR-230347
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2023
Authors: Soltanzadeh, Ahmad | Mahdinia, Mohsen | Nikbakht, Neda | Hosseinzadeh, Kiana | Sadeghi-Yarandi, Mohsen
Article Type: Research Article
Abstract: BACKGROUND: The hazardous material release has frequently occurred worldwide. As a respiratory stimulant and a toxic substance, ammonia has numerous adverse effects on human health. OBJECTIVE: The purpose of this study was to evaluate the human vulnerability and toxic effects of both chronic and acute respiratory exposure to ammonia. METHODS: This study was conducted in an ice factory. Ammonia reservoirs were selected as the danger center. The scenarios were evaluated from the perspective of the worst-case. The Emergency Response Planning Guidelines 1–3 was used to predict the dangerous concentrations in acute exposure. The probability of human …vulnerability was estimated using the Probit model. PHAST 7.2 software was used to model consequences. As a measure of chronic exposure to ammonia, NMAM 6016 was used. A respiratory symptom questionnaire developed by the American Thoracic Society was used for collecting respiratory symptom histories. RESULTS: The ERPG3 level or concentration of 750 ppm was found at a distance of 617.71 and 411.01 meters from tanks, respectively, as a result of a rupture in reservoir 1 over a period of two halves of the year. It was found that the highest probit values for tank 2 at distances of zero, 25, 50, 75, 100, 125, and 150 meters were 9.55, 5.92, 5.47, 4.82, 4.23, 3.56 and 2.96, respectively. The prevalence of pulmonary symptoms, which include coughing, dyspnea, phlegm, and wheezing, was 28%, 19%, 15%, and 26% in the chronic exposure group. CONCLUSION: In the event that an ammonia reservoir ruptures catastrophically, it may cause human injury at ERPG-2 or ERPG-3 levels. Results revealed that exposure to this substance can impose many pulmonary symptoms on the respiratory system of workers in industries. In order to reduce the vulnerability of humans to potential release scenarios, control measures must be implemented. Also, preventive and mitigation measures can be designed to enhance safety and resilience against the release of hazardous materials. Show more
Keywords: Human vulnerability, consequence modeling, toxicity, respiratory symptoms, ammonia, ice factory
DOI: 10.3233/WOR-230106
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-13, 2023
Authors: Emerick, Giselly Storch | Zandonade, Eliana | Prado, Camila Bruneli do | Pires, Luciana Bicalho Cevolani | Bezerra, Ol&ıvia Maria de Paula Alves | Salaroli, Luciane Bresciani
Article Type: Research Article
Abstract: BACKGROUND: As a reflection of the health emergency caused by COVID-19, many countries adopted guidelines, which included activity restrictions. As a result, some companies maintained their activities with on-site work and telework. OBJECTIVE: Analyzing the morbidity and mortality profile due to COVID-19 of workers in telework and on-site work in an oil and gas company. METHODS: Cross-sectional, quantitative, and analytical study that included 8,394 workers diagnosed with COVID-19 at an oil and gas company in Brazil, from June 2020 to June 2021. The company’s Surveillance Program database was used as an information source. …RESULTS: The total prevalence of cases was 21.7% . For teleworking and face-to-face workers, they were 20.7% and 23.3%, respectively. There was a predominance of women (19.7%), white ethnicity/colour (64.7%), higher level position (52.6%), age group over 40 years (36.7%), married (53, 8%), working at the company for a period that ranges from 7 to 10 years (17%), administrative activity (68.5%), and a higher number of symptomatic workers and deaths in telework compared to on-site work. CONCLUSIONS: The results suggest that testing is important to refrain the virus spread in the company’s work environments, as it allowed asymptomatic workers to be diagnosed with COVID-19. The study suggested that on-site work was not a transmission facilitator in the occupational environment, which points out the importance of preventive measures in the workplace and the adoption of remote work for the largest possible number of workers to improve the safety of employees, workers who remained in the on-site work modality. Show more
Keywords: COVID-19, occupational groups, oil and gas industry, teleworking, workplace, occupational health
DOI: 10.3233/WOR-230114
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Audet, Jessika | Lecours, Alexandra
Article Type: Research Article
Abstract: BACKGROUND: Considering current labour shortages, the recent increase in the number of aging workers in the labour market is deemed economically beneficial. However, due to specific characteristics (e.g. biological, generational), aging workers take longer to recover and return to work after an occupational injury. Yet, few studies have examined the rehabilitation, return, and stay at work process of aging workers and current knowledge makes it difficult for stakeholders to identify which interventions to use with this specific population. OBJECTIVE: This study aimed to describe which interventions are used in the rehabilitation, return, and stay at work …process of aging workers having suffered an occupational injury. METHODS: We conducted a five-step scoping review. Five databases were used for the literature search. A qualitative analysis of the retained manuscripts was conducted. RESULTS: Our analysis led to the extraction of information from seven manuscripts that concern the rehabilitation, return, and stay at work process of aging workers who suffered an occupational injury exclusively. We identified 19 interventions (e.g. work capacity development, work task modifications, permanent part-time work, and alternative roles) and were described according to the different phases of the Cycle of Work Disability Prevention (CWDP). CONCLUSIONS: This study offers informative, non-prescriptive, and operational interventions useful for stakeholders who support aging workers. Furthermore, it is a knowledge base to develop future projects that promote the rehabilitation, return, and stay at work process of aging workers. Show more
Keywords: Older worker, occupational injury, occupational rehabilitation, intervention, return-to-work, stay-at-work, scoping review
DOI: 10.3233/WOR-230509
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-19, 2024
Authors: Cropley, Mark | Da Silva, Isabella N. | Rydstedt, Leif W. | Olsson, Maria I.T.
Article Type: Research Article
Abstract: BACKGROUND: Recent research indicates that as men age, their tendency to ruminate about work decreases, while ruminating remains high in women, which poses an increased risk for impaired health among older women. OBJECTIVE: This study explored gender differences/similarities in the process of unwinding from work in men and women aged between 56–65 years. METHODS: Semi-structured qualitative interviews were conducted online with eight men and eight women, recruited from a UK leading organization that provides health care solutions between May and June 2022. Participants were asked about their job role and responsibilities, their leisure …time activities, how they unwind post work, and their experiences of thinking about work related thoughts outside of work. Transcripts were analyzed using an inductive analysis. RESULTS: Three superordinate themes were identified that underpinned their ability to unwind: ‘Work style’, ‘Creating work-life balance’ and ‘Switching off from one’s responsibilities’. Women reported a more perfectionist approach, they set high standards for themselves, were worried about making mistakes, and demonstrated, if in a supervisory role, a more nurturing and holistic approach to their colleagues/subordinates, while men, were more focused on task completion. Most women, but not men, also described difficulties in psychologically switching off from work, and stated they could only truly relax outside the home, when they are away from household activities. CONCLUSION: The study provides nuanced insights into the experiences of unwinding from work, and the findings suggest the need for person-centric approaches in developing interventions to help workers over 56 years to psychologically disengage from work. Show more
Keywords: Age, gender, work, work-related rumination, affective rumination, problem-solving pondering, leisure activities
DOI: 10.3233/WOR-230406
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Fortin-Bédard, Noémie | Bouchard, David | Ladry, Naomie-Jade | Lettre, Josiane | Normand, Boucher | Beaulieu-Bonneau, Simon | Lecours, Alexandra | Perreault, Kadija | Annie, LeBlanc | Routhier, FranÇcois | Lamontagne, Marie-Eve
Article Type: Research Article
Abstract: BACKGROUND: Since the beginning of the COVID-19 pandemic, protection and isolation measures established by the Canadian and Quebec governments have directly affected the work of health and social professionals (HSPs). These measures have added pressure on HSPs, complexified their work and added tasks to their already busy workload. However, few studies have explored in depth the impacts of the pandemic on HSPs working with people with disabilities. OBJECTIVE: The objective of this study was to qualitatively explore the experiences of HSPs working among people with disabilities in the province of Quebec, Canada, during the COVID-19 pandemic …(January and February 2021), including the impact on their work, the relationships with their colleagues, and on their immediate social and familial environment. METHODS: HSPs participated in a semi-structured interview. A mixed thematic analysis approach, combining inductive and deductive coding, was carried out using N’Vivo 12. RESULTS: Fifty-five HSPs participated in the interviews (mean [SD] age, 42 [9 ]). They mostly identified as women (91% ). Three main themes representing the impacts of the pandemic were identified, including 1) Health and Well-being; 2) Family and social networks including the subthemes; 2.1) Fear of being a vector of contamination for their loved ones; 2.2) Work-family balance; 2.3) Social Network, and finally 3) Work, highlighting, including 3.1) Workload and adaptative strategies developed; 3.2) Relationship with colleagues; 3.3) Perceived support received at work, and 3.4) Services offered to patients. CONCLUSIONS: These findings highlight the importance of closely tracking and supporting the well-being of HSPs. Show more
Keywords: Healthcare, COVID-19, qualitative research, work, disabled persons, social support, coping skills, work-life balance
DOI: 10.3233/WOR-230404
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Eklund, Annika | Sterner, Anders | Nilsson, Maria Skyvell | Larsman, Pernilla
Article Type: Research Article
Abstract: BACKGROUND: Transition programs for newly graduated nurses in hospital settings are reported to provide learning opportunities, strengthening confidence, workplace integration and skills, retention and job satisfaction. Still, our knowledge of long-term effects is scarce and few studies have used control groups. OBJECTIVE: To explore the long-term impact of having attended a transition program on the nurses’ experiences of the first years of practice. More specifically, ideology-infused psychological contract, ethical stress, perceived organizational support, job satisfaction, opportunities for learning, and intention to stay in the nursing profession, were explored as outcome variables. METHODS: …A questionnaire survey was carried out among registered nurses from November 2019 to January 2020, with a 54% response rate. The analysis was based on 149 nurses who had attended a transition program, and 72 who had not attended. The nurses had seniority between one and three years. Independent samples t -test were used to investigate differences between the groups. RESULTS: The two groups showed small and non-significant differences in the outcome variables. However, regarding the frequency of ethical value conflicts induced by insufficient resources, as well as experiences of ethical value conflict distress, the group of nurses who had attended a transition program showed statistically significantly higher mean values, although the effect sizes were small. CONCLUSION: Newly graduated nurses need more than transition programs and skills training to progress in their nursing role and develop competence, increase job satisfaction, and reduce stress. Achieving these goals requires a long-term supportive learning environment that is integrated into everyday work. Show more
Keywords: New graduated nurses, transition, well-being, job satisfaction, moral distress, turnover, hospital work environment
DOI: 10.3233/WOR-230537
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024
Authors: Niu, Long | Liu, Meng | Fan, Lijuan | Yiting, E.
Article Type: Research Article
Abstract: BACKGROUND: In the discourse on the heterogeneity of gender and environmental concern, gender equality awareness can further illuminate the complexity of gender and environmental concern across different cultural backgrounds. OBJECTIVE: Differing from prior research, our study focuses on exploring the relationship between different genders, gender equality awareness, and environmental concern, as well as investigating whether gender equality awareness has distinct effects on environmental concern among different genders. METHODS: Utilizing data from the 2021 China General Social Survey (CGSS), we conducted a theoretical investigation into gender differences in environmental concern. First, we used descriptive statistics to observe …the differences between the samples. Secondly, in order to compare the influence of gender equality awareness on different genders, we conducted t -tests on gender subgroups. Subsequently, an Ordinary Least Squares (OLS) regression model was employed to examine the effects of gender and gender equality awareness on environmental issues. Finally, gender equality awareness was introduced as a moderating variable to explore its potential interaction with gender and investigate whether a moderation mechanism exists between gender and environmental concern. RESULTS: Findings indicate that 1) male respondents in China exhibit greater concern for the environment compared to female respondents; 2) higher levels of gender equality awareness are positively correlated with higher levels of environmental concern; 3) the influence of gender on environmental concern is moderated by the degree of gender equality awareness. Specifically, when gender equality awareness is strengthened, female respondents exhibit a higher degree of environmental concern. CONCLUSION: Enhancing gender equality awareness contributes to improving both social gender equality and equitable concern for the environment. The findings could provide insights for similar developing countries like China. Show more
Keywords: Environmental concern, gender difference, gender, consciousness of gender equality
DOI: 10.3233/WOR-230227
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Singh, Roma | Das, Runumi
Article Type: Research Article
Abstract: BACKGROUND: According to Gallup survey report, 69% of U.S. workers moved to working remotely in April 2020. Due to COVID-19, work is changing rapidly, including where individuals work. OBJECTIVE: Research in this field has drawn much attention, and in the last ten years, there is a constant augment in the number of publications on the same. Several works of literature on Remote Working (RW) culture have been reported. Nevertheless, only less research is present on bibliometric reviews of RW culture. Therefore, Bibliometric research is wielded in this work and a comprehensive review of relevant publications was …taken from Scopus, Web of Science (WOS), together with the Social Science Citation Index Expanded. METHODOLOGY: At first, meticulous bibliometric analyses of 430 published articles are done and descriptive information about a piece of work, namely (a) author, (b) title, (c) date of publication, et cetera, is provided. RESULTS: Mapping the scope along with the structure of the discipline is enabled by these analyzes, which discovers the instituted collaboration patterns amongst countries and organizations, and identifies authoritative papers together with authors. Therefore, the publication’s evolution over time is illustrated by these analyses, and the current research interests and potential directions for future study are identified. CONCLUSIONS: This paper incorporates insights on remote working culture and enables mapping the scope and structure of the discipline, discovering the established collaboration patterns among countries and organizations. Thus, these analyses illustrate the publication’s evolution over time and identified the current research interests and potential directions for the research. Show more
Keywords: Remote working, work place, flexible workplace, work-life balance, bibliometric analysis, statistical bibliographies, COVID-19
DOI: 10.3233/WOR-230340
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-16, 2024
Authors: Kilic, Eren | Cetin-Kilic, Nergiz | Tatar, Berivan
Article Type: Research Article
Abstract: BACKGROUND: Covid-19 has introduced many contextual changes into individuals’ work and family lives, affecting their career sustainability. Although previous studies have provided evidence for these changes, little is known about how changing contextual demands (de)motivated them to take proactive initiatives for crafting sustainable careers. OBJECTIVE: This study aims to explore how changing work and family demands of academic parents during Covid-19 affected their career sustainability indicators and career initiatives regarding health, happiness, and productivity. METHODS: Data were collected through semi-structured interviews with 21 academic parents during the post-lockdown period of Covid-19 in Turkey. We …analyzed the qualitative data by using content analysis via MAXQDA software. RESULTS: Results revealed differing career sustainability experiences and initiatives regarding gender roles, career stage, and work/family demands and resources. Notably, women academics with higher contextual demands and lower contextual resources and early-career academics reported relatively adverse experiences concerning their health, happiness, and productivity. Besides, even though early-career academics faced problems with sustaining their career development, they were relatively more oriented to engage in career initiatives, such as reorganizing developmental needs, improving career skills, and seeking career support and guidance. CONCLUSIONS: This study sheds light on the context, time, and person aspects of sustainable careers during Covid-19. Moreover, the study represents one of the first investigations into the proactive initiatives for crafting sustainable careers during the pandemic and provides a deeper insight into the (de)motivators for career proactivity. Show more
Keywords: Covid-19, career choice, sustainable development, parents, work-family balance, academic performance, gender role, qualitative research
DOI: 10.3233/WOR-230164
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-15, 2024
Authors: Craven, Kristelle | De Dios Pérez, Blanca | Holmes, Jain | Fisher, Rebecca | Radford, Kathryn A
Article Type: Research Article
Abstract: BACKGROUND: People with acquired brain injuries (ABIs) often experience residual limitations and co-morbid mental illnesses that restrict work participation. Employers are key in enabling successful return-to-work and job retention. OBJECTIVE: This review aimed to explore employers’ perspectives of factors influencing their support for people with ABIs and/or mental illness to return to- and stay in work. Review questions focused on barriers and facilitators to their support, and contextual characteristics present at the time. METHODS: Five databases were searched from October 2010 until November 2023 for relevant qualitative studies published in English. Findings from included studies (N … = 25) were synthesised using thematic synthesis. RESULTS: Included studies focused on employees with ABI or mental illness, rather than dually diagnosed ABI and mental illness. Employers’ support was influenced by their awareness/knowledge of- and attitudes towards the employee’s condition/illness; their skills and experience in supportive strategies; factors related to provision of work accommodations; and stakeholder influence. Similarities and differences in influential factors were observed across the ABI and mental illness literature. Contextual characteristics related to organisational characteristics, cultural taboo, and involvement of certain stakeholders. CONCLUSIONS: ABI survivors (with and without co-morbid mental illness) and their employers may benefit from specialist support and resources to guide them through the return-to-work process. Further research is needed to investigate employers’ knowledge of ABI and mental illness and supportive strategies. Exploration of the influence of other stakeholders, socio-demographic characteristics, and contextual factors on employers’ return-to-work and retention support for ABI survivors with co-morbid mental illness is warranted. Show more
Keywords: Return to work, vocational rehabilitation, employment, work, work engagement, systematic review
DOI: 10.3233/WOR-230214
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-29, 2024
Authors: Kersten, Amber | van Woerkom, Marianne | Geuskens, Goedele | Blonk, Roland
Article Type: Research Article
Abstract: BACKGROUND: Despite the societal importance to improve understanding of the role of employers in the inclusion of workers with a distance to the labor market, scant knowledge is available on the effectiveness of human resource management (HRM) bundles for the inclusion of vulnerable workers. OBJECTIVE: This paper studies which HRM bundles are applied by employers that hired people with a distance to the labor market, and to what extent these different bundles of HRM practices are related to employment of workers with specific vulnerabilities, such as people with disabilities or people with a migration background. …METHODS: A latent class analysis of 1,665 inclusive employers was used to identify HRM bundles based on seven HRM practices: financial support practices, specialized recruitment, promotion and career opportunities, training opportunities, part-time work, job crafting, and adaptations to the workplace. RESULTS: Six bundles were identified: a recruitment and development bundle (34.4% of employers), a development bundle (24.8%), maintenance-focused practices (16.5%), a recruitment bundle (9.4%), a sustainable employment bundle (8.9%), and passive HRM (6.0%). Post-hoc analyses showed the probability of hiring specific vulnerable groups for each bundle (e.g., sustainable employment bundles showed the highest overall probability to hire people with a physical disability). CONCLUSION: Nuancing what is suggested in strategic HRM literature, we conclude that both extensive HRM and focused HRM bundles can be successful for the employment of vulnerable workers. In conclusion, there is no one-size-fits-all approach to inclusive employment and employers, large or small, can tailor their HRM systems to include vulnerable workers. Show more
Keywords: Rehabilitation, diversity, equity, inclusion, vulnerable populations, latent class analysis
DOI: 10.3233/WOR-230314
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-14, 2024
Authors: Unuvar, Bayram Sonmez | Gercek, Hasan | Tufekci, Osman | Torlak, Mustafa Savas | Erbas, Onur
Article Type: Research Article
Abstract: BACKGROUND: Low back pain is a common health issue, and such pains are often associated with muscle tightness. Understanding the link between lower back pain and tight lower extremity muscles is essential for effective pain management and enhanced quality of life. OBJECTIVE: The objective of this study was to investigate the relationship between lower extremity muscle tightness and pain and disability in individuals with non-specific low back pain (NSLBP). METHODS: A total of 52 individuals with NSLBP were enrolled in this cross-sectional study. Lower extremity muscle tightness was assessed using various clinical tests, …including the Active Knee Extension Test, Active Straight Leg Raise, Ober Test, and Modified Thomas Test. Pain intensity and disability were evaluated using the Visual Analog Scale and the Oswestry Disability Index, respectively. Statistical analyses were conducted to assess the correlation between muscle tightness, pain, and disability. RESULTS: The study found weak to moderate negative correlations between lower extremity muscle tightness and both pain intensity and disability in individuals with NSLBP (r: –0.287 to –0.526, p < 0.05). Dominant and non-dominant extremities exhibited differences in muscle flexibility, with the dominant extremity showing greater flexibility (p < 0.05). CONCLUSIONS: In individuals with NSLBP, lower extremity muscle tightness is closely related to pain severity and disability. These findings suggest that lower extremity muscle tightness plays a significant role in the severity of low back pain and disabilities. Additionally, the observed flexibility difference between dominant and non-dominant extremities warrants further investigation for more personalized treatment approaches. Show more
Keywords: Chronic pain, disability evaluation, hamstring muscles, low back pain, lower extremity, muscle tightness
DOI: 10.3233/WOR-230547
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024
Authors: Platts, Katharine | Scott, Emma | Griffiths, Kerry | Carter, Anouska
Article Type: Research Article
Abstract: BACKGROUND: Ethnic minorities make up approximately 14% of the UK workforce. Despite the disproportionate burden of ill-health amongst ethnic minorities, and the increased interest in Diversity, Equity & Inclusion (DE&I) in the workplace, workplace health and wellbeing interventions are still most often designed for the ethnic majority. OBJECTIVE: The purpose of this scoping review was to explore the depth and breadth of evidence on the attitudes to and perceptions of health and wellbeing interventions in the workplace within ethnic minority groups in the UK, and to identify gaps in evidence that would provide direction for future …research needs. METHODS: A scoping review with quality appraisal was undertaken, supplemented by a review of grey literature and a narrative review exploring related evidence from the knowledge bases related to community and cultural adaptation. RESULTS: Only three peer-reviewed studies met inclusion criteria, preventing broad conclusions. 14 papers from the community and cultural adaptation literature provided additional information about how health promotion may be approached effectively in the workplace, including the importance of culturally sensitive, people-centred design, and the use of established adaptation frameworks. CONCLUSION: The literature suggests a need for improvements in four key areas: (1) reporting of ethnic minorities in data relating to workplace health and wellbeing research, (2) more thorough review of perceptions and attitudes of ethnic minority workers in the UK, (3) design of culturally appropriate interventions that are tested for impact, and (4) testing of the effectiveness of culturally adapted interventions. Show more
Keywords: Workplace, health promotion, ethnic and racial minorities, United Kingdom, occupational groups, qualitative research
DOI: 10.3233/WOR-230576
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-17, 2024
Authors: Davenport, Todd E. | Lee, Alan C. | Raja, Bhavana | Stark, Matthew L. | Reed, Christopher | Magnusson, Dawn M.
Article Type: Research Article
Abstract: BACKGROUND: Telehealth is becoming more prevalent in physical therapy, involving a whole host of clinical services. These services are often provided without structured training in telehealth, and no formal curricula currently exist for this purpose. OBJECTIVE: To develop a set of educational competencies (ECs) to guide instruction of telehealth-related skills in entry-level programs (i.e., Doctor of Physical Therapy), existing programs (i.e., residencies and fellowships), and potential future post-graduate programs specific to telehealth physical therapy. METHODS: Physical therapists and physical therapist assistants from diverse geographic locations and practice areas were invited to participate on …an expert panel. A modified Delphi process was then used to evaluate the acceptability of draft ECs gathered from the extant literature by a steering group. Draft ECs were presented to the expert panel on a questionnaire, which asked expert participants to rate each draft EC according to applicability and clarity. Draft ECs were accepted if they met a priori established criteria for acceptability and clarity. Unendorsed ECs were revised by the steering group according to open-ended comments from respondents and presented during a subsequent round. Three rounds of surveys were undertaken. RESULTS: Thirty-eight participants formed the expert panel; 38 participants completed the Round 1 survey, 28 participants completed the Round 2 survey, and 24 participants completed the Round 3 survey. Delphi group members approved 48 ECs in the first round, 23 ECs in the second round, and 2 ECs in the third round. There were 4 ECs that remained unendorsed after the modified Delphi process. Endorsed ECs spanned 7 conceptual areas. Distinct sets of ECs characterized expected end points of first professional degree, existing residency and fellowship, and potential future telehealth physical therapy post-graduate program. CONCLUSIONS: Consensus-based ECs identified in this study may guide instruction in knowledge and skills relevant to physical therapy telehealth. Show more
Keywords: Mobile health, virtual medicine, ehealth, telecare, competency based education, education, delphi study, consensus development
DOI: 10.3233/WOR-230618
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-19, 2024
Authors: Wickens, Christine M. | Mann, Robert E. | Stoduto, Gina | Toccalino, Danielle | Colantonio, Angela | Chan, Vincy
Article Type: Research Article
Abstract: BACKGROUND: Mild traumatic brain injury (mTBI) can profoundly impact overall health, employment, and family life. Incidence of mTBI in the workplace represents an important subgroup with poorer outcomes. Mental health (MH) and substance use (SU) challenges are a primary correlate of TBI, but are rarely assessed among individuals with a work-related (wr)-mTBI, particularly at a population-level. OBJECTIVE: This study aimed to assess the association between lifetime wr-mTBI and non-wr-mTBI and the experience of MH and SU challenges. METHODS: The 2019 Centre for Addiction and Mental Health (CAMH) Monitor is a cross-sectional telephone survey …of adults aged≥18 years in Ontario, Canada, employing a stratified (six regions) two-stage (telephone number, respondent) list-assisted random digit dialing probability selection procedure (N = 1792). Adjusting for sociodemographic variables, binary logistic regression was conducted to assess the association between lifetime wr-mTBI and non-wr-mTBI (relative to no TBI) and four outcomes: hazardous use of alcohol and of cannabis, psychological distress, and fair/poor mental health. RESULTS: Adjusting for sociodemographic variables, non-wr-mTBI demonstrated increased odds of hazardous alcohol (AOR = 2.12, 95% CI = 1.41, 3.19) and cannabis use (AOR = 1.61, 95% CI = 1.05, 2.45), psychological distress (AOR = 1.68, 95% CI = 1.14, 2.49), and fair/poor mental health (AOR = 1.70, 95% CI = 1.11, 2.59). Lifetime wr-mTBI demonstrated increased odds of reporting psychological distress (AOR = 3.40, 95% CI = 1.93, 5.97) and fair/poor mental health (AOR = 2.16, 95% CI = 1.12, 4.19) only. CONCLUSIONS: Non-wr-mTBI was associated with both MH and SU, whereas wr-mTBI was associated with MH only. MH outcomes were more strongly associated with wr-mTBI than non-wr-mTBI. Physicians, employers, and insurers need to consider the potential association between wr-mTBI and MH, and provide care accordingly. Show more
Keywords: Brain injuries, traumatic, workplace, mental health, psychological distress, substance-related disorders, ethanol, cannabis
DOI: 10.3233/WOR-230418
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024
Authors: Araújo, Patrícia da Silva | Nogueira, Wynne Pereira | Freire, Maria Eliane Moreira | Barroso, Barbara Iansã de Lima | Barreto, Anne Jaquelyne Roque | Silva, Ana Cristina de Oliveira e
Article Type: Research Article
Abstract: BACKGROUND: Sexually Transmitted Infections (STIs), such as Human Immunodeficiency Virus (HIV) transmitted by biological, socioeconomic and cultural factors that increase the vulnerability of certain population groups such as civil construction workers. OBJECTIVE: To evaluate the knowledge of workers in the construction industry about infection by HIV and associated factors. METHODS: A cross-sectional, analytical study was conducted, including 381 construction workers, in the cities of João Pessoa, Cabedelo, and Santa Rita, in the State of Paraíba, Brazil, performed through interviews, using a data collection instrument with social demographic variables and the HIV Knowledge Questionnaire. …Data were analyzed using descriptive measures, and for comparison between the categories the Kruskal-Wallis test was used, with margin of error of 5% . RESULTS: A predominance of male workers was observed (97.4%) among 381 workers; aged 30-39 (34.1%); married (81.4%); with up to eight years of education (66.6%); family income of up to 2x the minimum wage (52.8%) and coming from the country (43.8%). The average of correct responses was 63.3%, with higher indices (70.0%) related to transmission and forms of prevention. There were higher percentages of hits among those who had studied for 12 years or more. Workers from the capital of Paraíba presented a higher number of correct responses (67.44%). CONCLUSIONS: There is a low index of knowledge of construction workers about HIV, highlighting their consequent vulnerability to acquiring this infection. Show more
Keywords: Operators, health education, sexual vulnerability, sexually transmitted diseases
DOI: 10.3233/WOR-220636
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: van Niekerk, Lana | Claassens, Nicheri | Fish, Jenna | Foiret, Chanel | Franckeiss, Jenna | Thesnaar, Lomarie
Article Type: Research Article
Abstract: BACKGROUND: Unemployment and restricted work opportunities for youth are enduring social challenges that affect health, well-being, and quality of life, especially in low- to middle-income countries. When considering the advantages associated with work as a determinant of health, unemployment is understood to contribute to occupational injustice. However, self-employment, hailed the solution to youth unemployment, is often necessity-driven, precarious in nature and restricted by the low success rate of business start-ups. OBJECTIVE: Research was undertaken to explore factors perceived to contribute to the success of start-up businesses in an informal settlement in the Western Cape of South …Africa. The importance of support in the success of business start-ups will be the focus of this article. METHODS: A collective case study, using narrative interviewing and - analysis, was undertaken in South Africa. Two narrative interviews were conducted with each of the five participants who were youth entrepreneurs and founders of start-up businesses. Data analysis comprised the use of narrative analysis and paradigmatic type narrative analysis. RESULTS: Three themes captured factors deemed to have contributed to the success of start-up businesses. The vital role of support systems and networks in business success was demonstrated. CONCLUSIONS: Support systems included family, friends, role models, mentors, team members and business partners. Identification, utilization, and ongoing development of support structures available in the social networks of young entrepreneurs were perceived to have contributed to the success of start-ups. Show more
Keywords: Entrepreneurship, microenterprise, small business, work, youth, unemployment
DOI: 10.3233/WOR-230527
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024
Authors: Garg, Mudit | Das, Gurumukh | Vuppuluri, Prem Prakash
Article Type: Research Article
Abstract: BACKGROUND: Quantitatively analyzing the impact of UV radiation and noise during welding operations is essential to assess the exposure, identify potential hazards, and develop targeted safety protocols to ensure worker safety and adherence to safety regulations, especially in developing countries with inadequate adherence to safety standards and resources. OBJECTIVES: This study employs machine learning for predicting ultraviolet radiation and noise levels during welding, emphasizing worker safety. The focus is on the Indian foundry sector to gauge actual exposure vis-á-vis safety standards. MATERIALS AND METHODS: Ultraviolet radiation and noise emitted during the welding of …a ferrous alloy were collected from three foundries in Agra, India. Five machine learning (ML) algorithms were applied for data analysis and prediction of UV radiation and noise levels, and a relative performance comparison was carried out on the compiled data against safety standards. RESULTS: Out of all the ML algorithms applied, the Support Vector Machine regression algorithm (RMSE = 356.93) obtained the best performance on UV radiation data, and the Random Forest algorithm (RMSE = 11.4) was found to give the best results for the noise level prediction task. CONCLUSIONS: This work represents the first known application of machine learning techniques for predicting UV radiation and noise levels in arc welding processes. The results show the efficacy of algorithms such as SVM regression and Random Forest for the problem. Further, the datasets and ML algorithms implemented in the work will be made openly available to support further research endeavors in this and related areas. Show more
Keywords: Welding, Ultraviolet (UV) radiation, occupational noise, safety, health, machine learning, industry
DOI: 10.3233/WOR-230465
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Erden, Dilek
Article Type: Research Article
Abstract: BACKGROUND: It is extremely important for nursing students to be professionally motivated to train qualified future professional nurses. Students’ vocational motivation is affected by their experiences in clinical and academic learning environments. OBJECTIVE: The aim of this study was to investigate the correlation between the vocational motivation levels of nursing students and their attitudes toward clinical practice. METHODS: 292 nursing students participated in the cross-sectional, descriptive study. The Student Information Form, Nursing Students’ Attitudes Towards Clinical Practices Scale, Motivation Sources and Problems Scale (MSPS) were used to gather the data. RESULTS: …The average score for students’ attitudes toward clinical practice was 107.08±18.13, while the total score for MSPS stood at 3.80±0.63. A positive correlation was identified between the attitude toward clinical practice and vocational motivation levels (r = 0.367; p < 0.001). There were positive correlations between the intrinsic motivation (r = 0.572; p < 0.001) and extrinsic motivation (r = 0.58; p < 0.001), and negative correlations were observed between the negative motivation (r = -0.324; p < 0.001) and the attitude toward clinical practice scale. There were positive correlations between belief and expectation (r = 0.492; p < 0.001) and positive approach (r = 0.532; p < 0.001) with the MSPS. In the multiple regression analysis, intrinsic motivation, extrinsic motivation, satisfaction with studying nursing, and participation in vocational courses were determined as effective predictors of attitudes towards clinical practice and explained 60.4% of the variance. CONCLUSIONS: The study concluded that nursing students’ attitudes toward clinical practices affect vocational motivation. Clinical learning environments should be arranged in a way to increase the motivation level of students towards professional learning. Show more
Keywords: Attitude, clinical practice, clinical mentoring, nursing education, nursing students, vocational motivation
DOI: 10.3233/WOR-230492
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024
Authors: Lucas, Ruan Eduardo Carneiro | da Silva, Luiz Bueno | de Souza, Erivaldo Lopes | Leite, Wilza Karla dos Santos | da Silva, Jonhatan Magno Norte
Article Type: Research Article
Abstract: BACKGROUND: Educational environments can have environmental conditions that are incompatible with the needs of students, compromising their well-being and affecting their performance. OBJECTIVE: To identify the environmental variables that influence the performance of university students and measure this influence through an experiment in indoor environments. METHODS: The study applied an experimental methodology for three consecutive days in seven educational environments located in different regions of Brazil, measuring the environ-mental conditions, the students’ perception of the environment, and their cognitive performance. The impact of environmental variables and environmental perception on student performance was analyzed …using Generalized Linear Models and a Structural Equation Model. RESULTS: Students who took the test at air temperatures between 22.4°C and 24.7°C had a 74.20% chance of performing better than those outside this range. Air temperatures between 26.2°C and 29°C were associated with an 86% chance of taking less time to complete the test. High illuminance levels increased the chance of taking longer to answer the test by 41.7%. CONCLUSIONS: Three environmental variables (relative humidity, lighting and air temperature) and two perceptual dimensions (light and thermal perception) directly influence student performance. Show more
Keywords: Students, classroom, indoor environments, environmental variables, perception, performance
DOI: 10.3233/WOR-220055
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024
Authors: Ichikura, Kanako | Fukase, Yuko | Asada, Fuminari | Hino, Ayako | Tanoue, Asuka | Murase, Hanako | Shimazu, Akihito | Tagaya, Hirokuni
Article Type: Research Article
Abstract: BACKGROUND: The COVID-19 pandemic could have led to a technological revolution however it has caused work productivity loss, especially among people working from home. OBJECTIVE: This study examined the frequency and related factors of work productivity loss, focusing on work-related factors, during the first wave of the COVID-19 pandemic in Japan. METHODS: We conducted a cross-sectional, web-based survey of Japanese workers. Questionnaires were distributed using snowball sampling through e-mail and social networking sites. RESULTS: Of the respondents, 708 non-medical workers reported subjective work productivity loss during the first wave of …the pandemic, compared with before. A multiple regression analysis showed that living with preschool-age children, having poor mental health, not using video conferencing solutions, and increased e-mail communication were related to work productivity loss. A subgroup analysis of those working from home showed similar variables associated with work productivity loss. CONCLUSIONS: More than 70% of workers in Japan experienced work productivity loss during the first wave of the pandemic. Moreover, factors such as time-consuming tasks or background distractions might lead to operational inefficacy. Show more
Keywords: COVID-19, infections, efficiency, teleworking, mental health, family characteristics
DOI: 10.3233/WOR-230415
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
Authors: Shrimal, Pragya Jain | Maharana, Satyapriya | Dave, Anupama | Metri, Kashinath G. | Raghuram, Nagarathna | Shrimal, Shivendra
Article Type: Research Article
Abstract: BACKGROUND: Health Care Professionals (HCPs) working on the frontlines of health care emergencies/pandemics often experience elevated anxiety, stress and reduced quality of sleep. Yoga is a mind-body practice that has been proven to effective in improving physical and mental health. OBJECTIVE: To evaluate the effectiveness of integrated Yoga intervention on mental health measures and sleep quality among HCPs working during the COVID-19 pandemic. METHODS: It was a quasi-experimental study on 110 HCPs, including Doctors and nursing staff, with an age range of 20 to 65 years who were recruited through a convenience sampling …method and assigned to a Yoga group (n = 55) or a control group (n = 55).The Yoga group received a weekly one-hour Yoga session followed by a 30-minute self-practice three times a week at home for one month. The control group followed routine activity. Heart rate (HR), Blood Pressure, stress measures (Perceived Stress and visual analogue Scale for Stress), COVID-related anxiety, Sleep Quality, Quality of life and Preservative Thinking were assessed before and after the intervention. RESULTS: A significant decrease in stress measures, COVID-19-related anxiety and fear, and perseverative thinking was noticed in the Yoga group. Sleep quality and quality of life also improved significantly. The control group showed no significant change. At one month, the Yoga group showed significantly greater improvement in stress measures, COVID-19-related anxiety and fear, perseverative thinking, sleep quality and quality of life compared to the control group. CONCLUSION: Yoga practice during the public health crisis would help reduce anxiety and stress and improve sleep among HCPs. Further, RCT studies are warranted. Show more
Keywords: Mental health, healthcare, sleep, mind-body medicine
DOI: 10.3233/WOR-230061
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024
Authors: Bingöl, Ümran | Kutlu, Adalet
Article Type: Research Article
Abstract: BACKGROUND: It is important to identify the hazards encountered by nurses before and after COVID-19, assess the potential risks and risk levels, take measures for the identified hazards and risks, and determine the effect of risk management on employee performance evaluation. OBJECTIVE: The aim of this study was to determine the effect of hazard and risk management of nurses before and after COVID-19 on performance evaluation. METHODS: The study consisted of two stages. The first stage had a descriptive design, while the second stage had a one-group pre-test and post-test design. The second …stage of the study was conducted during the COVID-19 pandemic. There were 377 nurses who agreed to participate in the study in the first stage and 201 nurses in the second stage. The study data was collected via Information Form, Hazard and Risk Identification Form, and Employee Performance Scale (EPS). In the second stage of the study, training was provided using instruction cards called “Means of Protection Against Hazards and Risks” for potential moderate- and high-level hazards and risks existing after the pre-test. The post-test stage was conducted two weeks after the training. Mann-Whitney U Test, Kruskal-Wallis Test, and Spearman’s correlation coefficients were used for statistical analyses of descriptive statistics RESULTS: The mean EPS score was found to be pre training 3,85±0,60 after training \it was was found to be 3.92±0.55. Moreover, there was a weak negative correlation between pre- and post-training risk levels during the COVID-19 pandemic. CONCLUSION: Hazard and risk management training had a positive effect on the performance of employees. Show more
Keywords: Nurse, hazard, risk management, COVID-19, employee performance
DOI: 10.3233/WOR-230285
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-16, 2024
Authors: Alsobhi, Mashael | Aldhabi, Rawan
Article Type: Research Article
Abstract: BACKGROUND: Hajj is a series of rituals that are done in specific areas and periods in Mecca. Performing Hajj requires a great amount of physical demand which may result in musculoskeletal pain (MSP) in different age groups. OBJECTIVE: To estimate the prevalence of MSP and understand its pattern via exploring the factors that could be associated with muscular pain among pilgrims in the 2022 Hajj. METHODS: A web-based survey was distributed during the annual Hajj mass gathering. Pilgrims were recruited from Hajj ritual sites. The collected data included demographics, musculoskeletal …pain at ten anatomical body sites, and physical activity (PA) level. Descriptive and inferential statistics were used to analyze the data at a 0.05 significance level. RESULTS: A total of 248 pilgrims participated in the study. The mean age of the sample was 43.49±12.70 years. Of all pilgrims, 78.6% had reported MSP in at least one anatomical body site during performing Hajj. Results revealed that Pilgrims were more likely to have MSP in the lower limb while performing Hajj rituals where the most prevalent reported pain was in the legs (46% ), followed by the lower back (45% ), knees (37% ), and ankles/feet (30% ). Age, sex, and PA were not significantly associated with MSP except the BMI was found to be a significant factor related to MSP among pilgrims (p <0.05). CONCLUSION: Many pilgrims exhibited pain in at least one body part. Although physical fitness recommendations are published in the Saudi Ministry of Health, MSP preventative measures need to be disseminated by organizations and interested parties worldwide. Show more
Keywords: Musculoskeletal pain, musculoskeletal diseases, muscle stress, physical activity, mass gathering, pain
DOI: 10.3233/WOR-230483
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024
Authors: Kakaraparthi, Venkata Nagaraj | Vishwanathan, Karthik | Gadhavi, Bhavana | Abdulelah Alkhamis, Batool | Reddy, Ravi Shankar | Tedla, Jaya Shanker | Dixit, Snehil | Gular, Kumar | Gannamaneni, Vamsi Krishna | Ahmad, Irshad | Alshahrani, Oun Mohammad | Almushari, Muath Hassan Yahya
Article Type: Research Article
Abstract: BACKGROUND: Accurate assessment tools for work rehabilitation are essential in healthcare settings. Adapting the Work Rehabilitation Questionnaire (WORQ) to Arabic-speaking populations ensures effective evaluation and intervention for individuals with work-related disabilities. OBJECTIVE: To execute a cross-cultural adaptation of interview-administered version Work Rehabilitation Questionnaire –Arabic (WORQ-A) and assess the psychometric properties of WORQ-A in patients with musculoskeletal problems. METHODS: WORQ is mainly intended to assess the work functioning of persons who are involved in vocational rehabilitation. Psychometric properties were scrutinized in the outpatient rehabilitation center. Test–retest reliability was examined with intraclass correlation coefficient (ICC), …and internal consistency was evaluated with Cronbach’s alpha. The usability of WORQ-A was established in 46 patients with musculoskeletal problems. RESULTS: WORQ-A exhibited exceptional internal consistency (0.93) and a great test–retest reliability (0.87). Regarding usability, the ability to understand the questions and answer choices was established as good. Five percent of the participants encountered minor difficulties with certain words, while the majority found it quite straightforward to choose the correct answers. CONCLUSIONS: The WORQ-A is an effective, consistent, and very easy to administer questionnaire to assess the work-related functions assumed in our study context and the individualities of the sample. Show more
Keywords: Translation, cross-cultural adaptation, validation, vocational rehabilitation, WORQ
DOI: 10.3233/WOR-230241
Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 2024
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