Patients' Evaluations of the Mental Health Service at a Health Sciences Campus

Abstract

Health science students, along with the health professionals they hope to become, are at increased risk for certain occupational injuries and illnesses. One of these risks is occupational exposure to blood-borne pathogens, such as human immunodeficiency virus (HIV) and hepatitis, which may result in severe illnesses or even death. Two case studies demonstrate postexposure care of exposed individuals at the University of Texas Medical Branch Student Health Services before and after policy changes and prevention strategies were strengthened in response to exposure incidents.     

Application of ergonomics principles in underground mines through the Occupational Safety and Health Management System--OSHMS OHSAS 18.001:2007

The underground mining activity is regarded as one of the activities that cause most accidents, deaths and illnesses in the world, highlighting the coal mines. This study examined how ergonomics principles can help improve this environment, reduce the number of accidents and occupational diseases, train and empower workers and leaders and humanize the activities of the duty cycle of an underground mine. For this, it was developed a conceptual model of safety managing and health at work for the underground mining through the incorporation of ergonomics principles in the Occupational Safety and Health Management System and OHSAS 18001 (2007). The elaboration of the model was based on analysis of the environments and stages of work in underground mines and the PDCA cycle to ensure continuous improvement.     

Patterns and stratification of stressor exposure among Canadian workers

This research note identifies patterns of stressor exposure among Canadian workers, their stratification by occupational and socio‐demographic factors, and their relationship to high self‐reported work stress. Using latent class analysis and data from the Canadian Community Health Survey we examine the intersection of six stressors, identifying five distinct patterns (Few stressors, Multiple stressors, Physical, Monotonous, and Chaotic patterns of stressor exposure). Results show that the patterns of stressor exposure are stratified by gender, education, income, age group, and occupation; as well as give insight on how particular patterns of stressor exposure relate to individual perceptions of high self‐reported work stress. The project also provides a research example of using quantitative data to examine qualitative differences in patterns of experience that provide more nuanced insight into complex social phenomena.     

Social inequalities in intimate partner violence: a study of women in Kenya

This study examines social inequalities in intimate partner violence (IPV) among women of reproductive age in Kenya. A sample comprising 3,696 women was retrieved from the Kenyan Demographic and Health Survey of 2003. The study design was cross-sectional. Chi-square tests and logistic regression were used to analyze the data. Results indicated that while high education among women reduced the risk of IPV exposure, both being employed and having a higher education/occupational status than her partner increased a woman's vulnerability to IPV. Age differences between the partners, illiteracy, and lack of autonomy and access to information increased the likelihood of IPV. Finally, being in polygamous relationships was associated with IPV exposure. The findings indicate demographic, social, and structural differences in exposure to IPV with important implications for interventions.     

A gulf of difference: disputes over Gulf War-related illnesses.

The social discovery of Gulf War-related illnesses, like other occupational and environmental disease, is firmly rooted in ongoing disputes over causation. Pressure from veterans groups, as well as intra-governmental disputes, have driven innovative research directions and challenged the dominant epidemiological paradigm. This dominant epidemiological paradigm was originally a position that viewed stress as the primary causal factor. In the emerging dominant epidemiological paradigm, researchers view veterans' symptoms as similar to other multi-symptom diseases and conditions, but with a firmer respect for the reality of those symptoms. In addition, some researchers pursue interactions between stress and physical exposure. We examine the evolution of the DEP to demonstrate that in many disease disputes, an affected population challenges government and science decision-making, and even ways of knowing, in an attempt to negotiate a disease definition and etiology that results in better treatment and prevention. After considerable research effort, only limited evidence has been found for environmental causation, and even many researchers sympathetic to veterans are doubtful that much more will be found. We analyze the social discovery and ongoing contestation of these illnesses, and the consequent effects on health and public policy. For extension to other disease disputes, we provide an overall model of disease discovery and contestation, examining the key forces of government, science, and citizens.     

Sociodemographic Determinants of Occupational Risks of Exposure to COVID‐19 in Canada

The activities performed by Canadian workers in some occupations may increase the risk of exposure to infectious diseases such as COVID‐19. This research note explores how occupational exposure risks vary by labor force characteristics using publicly available Canadian data in combination with a data set providing information on the level of physical proximity and frequency of exposure to infections or diseases faced by workers in different occupations. The results show important sociodemographic differences. First, women work in occupations associated with significantly higher average risks of exposure to COVID‐19 than men. This is driven by their overrepresentation in high‐risk broad occupational categories such as health occupations. Second, older workers (65 years or more), a group vulnerable to COVID‐19, appear to work in occupations requiring performing activities characterized by a lower level of physical proximity than their younger colleagues, with minimal differences in the frequency of exposure to diseases or infections. Finally, workers in low‐income occupations are employed in occupations that put them at greater risk of exposure to COVID‐19 than other workers. This is especially the case for women, immigrants, and members of visible minority groups in low‐income occupations. More broadly, this research note provides insights into the health‐related dimension of the literature on occupational tasks and labor market stratification.     

Encombrantes victimes. Pourquoi les maladies professionnelles restent-elles socialement invisibles en France ?

Except for wage-earners suffering from asbestos-related forms of cancer, the casualties of work-related accidents and illnesses are still invisible in public health discussions in France. This is even more surprising since the victims of collective risks in many other sectors have mobilized to draw public attention to their cause and seek legal redress. To shed light on the reasons for the invisibility of occupational pathologies, the difficulties are presented that an association of the victims of a toxic substance very frequently used in occupational settings (glycol ether) encountered. The integration of this organization's actions in the broader framework of the labor movement spawned contradictions that were resolved by “marginalizing” the victims.     

Do Female Colleagues and Supervisors Influence Family Role Attitudes? A Three‐Level Test of Exposure Explanations Among Employed Men and Women in 27 European Countries

This study examines the relationship between various aspects of female labor participation and people's family role attitudes. Following exposure theory, we expect that individuals may adopt more egalitarian family roles as they are more often exposed to employed women because it dispels negative ideas about women's capabilities and brings them into contact with nontraditional networks. This study provides an elaborate test by examining the role of exposure to female colleagues and supervisors in three contexts: workplaces, occupational sectors, and countries. We found that the number of female colleagues at work and in occupational sectors was positively related to egalitarian family roles of employed men. Our study further showed that this positive relationship between exposure to female colleagues at work and men's egalitarian family roles was weaker in female‐dominated sectors. Remarkably, exposure to national female labor participation was not significantly related to the family roles of employed women.     

Study on Work and the Workplace: Implications of the Psychological Aspects for Health Education and an Occupational Health and Safety Program on a University Campus

Abstract

The purpose of the present study is to examine social and psychological factors accounting for satisfaction and dissatisfaction at work and to relate levels of job satisfaction to physical and psychological well-being. Eight hundred eighty-seven male and female employees at all job levels at a large mid-Atlantic university completed the questionnaire, responding to questions on job satisfaction, health characteristics (chronic conditions and physical symptoms) and psychological well-being. Job satisfaction was a function of those variables associated with occupational status, particularly the intrinsic dimension of challenge. Overall satisfaction was highest among the occupational group with highest status — faculty/administration — and lowest among the secretarial/clerical group. Health status appeared also to be related to occupational group; secretarial/clerical, the group with the lowest job satisfaction, also reported significantly more physical symptoms than faculty/administration. Faculty/administration reported highest levels of overall psychological well-being, significantly higher than associate staff and secretarial/clerical. A major implication to be drawn from these data is that the relationship between job satisfaction and physical and psychological well-being indicates the need for modification of certain job characteristics to minimize or eliminate unnecessary stressors. Health professionals from different disciplines all play a role in promoting a healthful and safe work environment.     

The Occupational Cost of Being Illegal in the United States: Legal Status,Job Hazards,and Compensating Differentials

Considerable research and pervasive cultural narratives suggest that undocumented immigrant workers are concentrated in the most dangerous, hazardous, and otherwise unappealing jobs in U.S. labor markets. Yet, owing largely to data limitations, little empirical work has addressed this topic. Using data from the 2004 and 2008 panels of the Survey of Income and Program Participation, we impute legal status for Mexican and Central American immigrants and link their occupations to Bureau of Labor and Statistics (BLS) data on occupational fatalities and occupational hazard data from the U.S. Department of Labor to explore racial and legal status differentials on several specific measures of occupational risk. Results indicate that undocumented workers face heightened exposure to numerous dimensions of occupational hazard – including higher levels of physical strain, exposure to heights, and repetitive motions – but are less exposed than native workers to some of the potentially most dangerous environments. We also show that undocumented workers are rewarded less for employment in hazardous settings, receiving low or no compensating differential for working in jobs with high fatality, toxic materials, or exposure to heights. Overall, this study suggests that legal status plays an important role in determining exposure to job hazard and in structuring the wage returns to risky work.     

Exposure assessment in different occupational groups at a hospital using Quick Exposure Check (QEC) - a pilot study

In order to test the feasibility and sensitivity of the ergonomic exposure assessment tool Quick Exposure Check (QEC), a pilot-study was conducted. The aim was to test QEC in different occupational groups to compare the exposure in the most common work task with the exposure in the work task perceived as the most strenuous for the neck/shoulder region, and to test intra-observer reliability. One experienced ergonomist observed 23 workers. The mean observation time was 45 minutes, waiting time and time for complementary questions included. The exposure scores varied between the different occupational groups as well as between workers within the occupational groups. Eighteen workers rated their most common work task as also being the most strenuous for the neck/shoulder region. For the remaining five workers, the mean exposure score were higher both for the neck and shoulder/arm in the most common work task. Intra-observer reliability shows agreement in 86% of the exposure interactions in the neck and in 71% in the shoulder/arm. QEC seems to fulfill the expectations of being a quick, sensible and practical exposure assessment tool that covers physical risk factors in the neck, upper extremities and low back.     

Medical Family Therapists in Action: Embracing Multiple Roles

Medical family therapy (MedFT) is a growing area of interest within the field of marriage and family therapy. Its practice necessitates a shift from conventional family therapy practices to include diverse ways of providing care. Literature highlights approaches for patients with specific illnesses and for particular healthcare contexts. Less is understood about frameworks for treating patients with different illnesses across settings. Contributing to the growing discourse surrounding MedFT, we present a role‐based practice framework that identifies six consistent roles, Therapist, Brief Interventionist, Health Coach, Patient Advocate, Consultant to Health Professionals, and Trainer specific tasks associated with each. We describe the skills needed to perform each role and describe how we move fluidly between roles to provide comprehensive care.     

How are nurses at risk?

The effectiveness of occupational health and safety management systems (OHSMS) can be understood through analysis of surveys such as the experiences of exposure to occupational hazards by Australian nursing occupations. How effectively OHSMS are implemented in the Australian health industry is unclear as few studies describe current hazard exposure patterns or the impact of OHSMS in the Australian health industry. This paper concludes from the analysis of an Exposure Survey of Australian nursing occupations that nursing occupations perceive themselves to be "at risk" of injury and/or management of OHS risk in work duties is affected by the patterns of hazard exposure, occupation group as well as employee attributes, perceptions, patterns and situations of work. The results highlight the top-rated hazards and imply that the perceptions of hazards in the workplace are different to actual risk experience (e.g. injury patterns). There is an unacceptable level of exposure to diverse hazards in Australian nursing occupations workplaces in regard to regulatory and performance obligations. Stronger strategies to achieve more effective risk treatment, integrate with hospital accreditation and quality programs are discussed to benefit system performance and the welfare of those in nursing occupations.     

Comparison between occupational noise measurement strategies: why is it important?

The international standard ISO 9612:2009, regarding the determination of occupational noise exposure through an engineering method, establishes a methodology for evaluating the exposure of workers to occupational noise, through the specification of three different strategies, namely: task-based measurement (TBM); job-based measurement (JBM) and; full day measurement (FDM). In this work, questions are raised, "resulting in a literature review regarding the need to test the functionality of the three strategies, through the systematic comparison between them and analysis of their application impact at several levels. There is a need to test the compare these three strategies, since there are no peer-review studies in this domain. In fact, there are still no studies that systematically do the comparison between them and analyze the impact of their application at various levels, such as the precision and accuracy of the results, the required equipment, time spent and, most important, the estimation of the uncertainty associated to the measurements.     

Professional quality of life of adult protective service workers

Adult Protective Services (APS) workers are exposed to substantial occupational hazards and job stress, but these stressors are underdocumented. Therefore, we sought to describe APS workers’ work environments and responses to occupational hazards and stressors, including compassion fatigue, burnout, and secondary traumatic stress. Survey data were gathered with closed-ended questionnaires administered to APS workers in an urban setting. Virtually all workers (97%) reported exposure to one or more environmental hazards in their work, and 80% reported hazard exposure in the past month. Workers also reported mixed responses to their work environment and to experiences with supervision. A sizable minority (22.7%) was at high risk for burnout, 24.6% were at risk for secondary traumatic stress, and 19.9% reported low compassion satisfaction. The results document multiple stressors in APS work. The APS partner is committed to ongoing efforts to better support its staff, and these findings can inform future efforts to enhance supervisor support and worker self-care, to minimize burnout and secondary traumatic stress.     

Safe patient handling curriculum in occupational therapy and occupational therapy assistant programs: A descriptive study of school curriculum within the United States of America

The purpose of this study was to identify safe patient handling (SPH) curricular content in accredited occupational therapy and occupational therapy assistant programs in the United States of America. A survey was emailed to 155 accredited occupational therapy and 137 accredited occupational therapy assistant programs. With a 39% response rate, most programs addressed SPH curricula by including lectures and lab-based experiences with gait belts, slide boards, and manual transfers while stressing ‘safe’ body mechanics. There were limited responses regarding curricular-based hands-on experience, evaluation of sit-to-stand lifts, how to safely transfer bariatric persons, and information on “no-lift” policies. While occupational therapists have a central role in teaching SPH to caregivers, it is important to enhance SPH curricula to reduce exposure to musculoskeletal risk, thereby, increasing the health and safety of the occupational therapy workforce as well those whom the profession serves.     

A simple tool for preliminary hazard identification and quick assessment in craftwork and small/medium enterprises (SME)

During the last Congress of the International Ergonomics Association (IEA), Beijing, August 2009, an international group was founded aimed at developing a "toolkit for MSD prevention" within IEA and in collaboration with World Health Organization (WHO). Possible users of toolkits are: members of health and safety committees, health and safety representatives, line supervisors; labor inspectors; health workers implementing basic occupational health services; occupational health and safety specialists.According to ISO standard 11228 series and the new Draft CD ISO 12259-2009: Application document guides for the potential user, a computer software ( in Excel?) was create dealing with hazard "mapping" in handicraft The proposed methodology, using specific key enters and quick assessment criteria, allows a simple ergonomics hazard identification and risk estimation. Thus it makes possible to decide for which professional hazards a more exhaustive risk assessment will be necessary and which professional consultant should be involved (occupational physician, safety engineer, industrial hygienist, etc.).     

Devenir victime des pesticides. Le recours au droit et ses effets sur la mobilisation des agriculteurs Phyto-victimes

This article analyses the effects of legal action on the mobilisation of farmworkers suffering from illnesses they link to the use of pesticides. It draws on a qualitative survey conducted with members of the Phyto-Victims Association, a protest organization comprising sick farmworkers, their families and the legal professionals who support them. Using this material, we retrace the paths taken by these farmworkers to obtain recognition for their status as pesticide “victims”. We describe the ambiguous effects of the law on this process at the individual and collective levels. We show how the law helps the farmworkers to see their illness as an injury requiring compensation and to consider themselves as “occupational victims”. We also suggest that legal action prevents a full exploration of the responsibilities involved, and may trap farmworkers in a reductive face-off with pesticide producers.     

Analyzing Employer Motives:

Throughout the late 1970s and 1980s, many private sector employers adopted policies barring fertile women, usually defined as all women between the ages of 15 and 50, from any jobs that might expose them to known or suspected reproductive or fetal hazards. Employers termed these policies "fetal protection policies," and contended that excluding women from the workplace was necessary to prevent fetal exposure to occupational toxins. This article attempts to evaluate the "scientific evidence" upon which fetal protection policies were based. After defining the relevant scientific terms, this article explores the existing federal regulations that aim at limiting both maternal and paternal exposures to reproductive hazards. It then examines the existing data on the effects of paternal and maternal exposure to occupational toxicants. This paper concludes that the "scientific evidence" upon which fetal protection policies were based does not definitively establish that excluding fertile women will eliminate the risk of fetal harm.