Participatory ergonomics intervention in a sterile processing center: a case study

The following case study describes an ergonomics intervention program, designed and implemented by an occupational therapist (OT), which included principles of participatory ergonomics, had full support of management and administration, and addressed the work, worker, and environment. The ergonomics program took place in the Sterile Processing Center (SPC) of a 398 bed, mid-western hospital. The SPC was responsible for the collection, sterilization, and reassembling of hospital surgical equipment. The 30 employees of the SPC were vulnerable to injury, having experienced 19 in only two years (of the 19 injuries, 9 were WMSD or ergonomics-related injuries). Over a two and a half year period, the OT and SPC manager conducted ergonomic evaluations, implemented employee training, designed a new SPC department, and modified work processes and equipment. In the year following the training and changes, the SPC staff experienced no injuries. Because of it's success, the program is continuing on a quarterly basis to ensure new problems are addressed quickly, new processes or equipment are evaluated, and new staff are properly trained.     

Implantation of an ergonomics administration system in a company: report of an occupational therapist specialist in ergonomics

This article aims to describe step-by-step the implementation of an ergonomics administration system in a company from March 2009 till March 2011 by an occupational therapist specialist in ergonomics based on the OSHAS 18001 guidelines and the Regulatory Norms 17 manual. The process began with the definition of five requisites with bases on the manual of application of the Regulatory Norms 17: survey; materials individual transportation and discharge; workplace furniture; workplace equipments; work environment and organization of the work to be managed with bases on the OSHAS 18001 guidelines. The following steps were established: sensitization of the company high administration, elaboration and institution of an ergonomics politics, development of ergonomics committees, ergonomics analysis of the work with recommendation of ergonomic improvements, implantation of improvements and evaluation or the results. This research experiment suggests the importance not only of a guiding axle but also of a professional qualification and participation of the company on the implementation of an ergonomics management system.     

Effects of a participatory ergonomics intervention computer workshop for university students: a pilot intervention to prevent disability in tomorrow's workers

A participatory approach was used to create a computer ergonomics workshop for college students, incorporating an instructional systems design process and adult learning inquiry perspectives. The primary objective of this participatory ergonomic pilot intervention was to involve students throughout the training design process in solving computer workstation ergonomic problems and adopting healthy computing behaviors. Students' level of participation included becoming part of the training design team, a co-facilitator, or a student trainee. A second objective was to examine the translation of an industrial office ergonomics training program into a college computer ergonomics training program. The long term goal was to reduce upper extremity symptoms and disability. The program was piloted at one private university. The three student trainees significantly increased their knowledge of computer ergonomics from 69% of test items answered correctly pre-training to 82% post-training. Trainees were also successful in conducting computer ergonomic evaluations of students' computing work areas. They achieved 100% accuracy in identifying ergonomic problems and proposing solutions in five ergonomic workstation assessments in the field. This approach was successful in creating a sense of ownership among the student developers and facilitators as reflected in their self-reports during a post-intervention debriefing. The results of this pilot study justify formal controlled trials of this intervention in university students, who will become tomorrow's workers.     

30 years of ergonomics at 3M: a case study

The added value of the Ergonomics Program at 3M was found to be improved employee safety, compliance with regulations and reduction of work-related illness, increases in productivity, and quality and operating efficiency. This paper describes the thirty years of existence of this program. For the first twenty years, the program objectives were to: respond to requests for assistance related to work-related musculoskeletal disorder (WMSD) concerns, raise employee awareness of MSDs and ergonomics; educate engineers in ergonomics design; and develop ergonomics teams at manufacturing locations. Since the year 2000, 3M's Ergonomics Program has been in transition from a US-centric and corporate-based technical-expertled program to a global program applying participatory ergonomics strategies within a macroergonomics framework. During that transition, the existing program requirements were revised, new methods and program tools were created, and expectations for implementation at the manufacturing locations clarified. This paper focuses on the company's manufacturing ergonomics program activities during the past ten years and includes specifics of the program's objectives, risk assessment reduction process, and ergonomics technical expertise development. The main benefit achieved throughout the company is reducing employee injury while also increasing productivity and operating efficiency.     

Conceptualizing ethical knowledge and knowledge transfer in public relations

In a survey with 350 public relation practitioners, this study examined practitioners’ conceptualizations of ethical knowledge and ethical training through a knowledge management framework. The findings show that practitioners characterized ethical knowledge as a form of tacit knowledge that is personal in nature. However, ethical knowledge in public relations is tacit only to the extent that it is a personal body of knowledge grounded in individual actions and experiences. As a professional construct, ethical knowledge in public relations is explicit in that it is a tangible form of knowledge that could be communicated and shared in the workplace.     

From ergonomics to design specifications: contributions to the design of a processing machine in a tire company

The development of ergonomics' recommendations, guidelines and standards are attempts to promote the integration of ergonomics into industrial contexts. Such developments result from several sources and professionals and represent the effort that has been done to develop healthier and safer work environments. However, the availability of large amount of data and documents regarding ergonomics does not guarantee their applicability. The main goal of this paper is to use a specific case to demonstrate how ergonomics criteria were developed in order to contribute to the design of workplaces. Based on the obtained results from research undertaken in a tire company, it was observed that the ergonomics criteria should be presented as design specifications in order to be used by engineers and designers. In conclusion, it is observed that the multiple constraint environment impeded the appliance of the ergonomics criteria. It was also observed that the knowledge on technical design and the acquaintance with ergonomic standards, the level of integration in the design team, and the ability to communicate with workers and other technical staff have paramount importance in integrating ergonomics criteria into the design process.     

Minimum housing spaces, flexibility and sustainability: a reflection on the basis of ergonomics intervention

This article discusses the quality of internal life space in apartments of residential buildings in the northeast region of Brazil, especially the possibility to adapt environments with small areas (according to local building codes) to the needs of different arrangements of families (considering 4 members per family). The research had a gradual approach and used multimethod strategy: (a) studying the universe of residential buildings whose apartment's inner area is between 50 and 60 m2 and were constructed in Natal-RN between 1998 and 2008, as well as not linked to social housing programs and occupied for more than one year; (b) selecting a building to do a Post Occupation Evaluation (POE), using walkthrough, technical observation and questionnaires; (c) choosing of two housing units to do an ergonomic intervention (based in interviews and detailed measurements). The results show the technical possibility to modify the units, but these modifications have a high (social, economic and environmental) price, because in general the space of units projected is not flexible. So, the paper concludes that this type of enterprise needs to be rethought, since part of them is (social and ecologically) unsustainable.     

Integrating ergonomics in design processes: a case study within an engineering consultancy firm

This paper reports on a case study within an engineering consultancy firm, where engineering designers and ergonomists were working together on the design of a new hospital sterile processing plant. The objective of the paper is to gain a better understanding of the premises for integrating ergonomics into engineering design processes and how different factors either promote or limit the integration. Based on a grounded theory approach a model illustrating these factors is developed and different hypotheses about how these factors either promote and/or limit the integration of ergonomics into design processes is presented along with the model.     

The effectiveness of a home-based ergonomics intervention on the proper use of computers by middle school children

A study was conducted in the homes of middle school children (average age = 12.7 years, SD = 0.52 years) to determine if an educational intervention would increase both the children's and their parents' knowledge of ergonomically correct setup of a computer workstation and computer use. Six children and their parents (n = 6) participated in this study. The study consisted of two data collection sessions over a two-week period. Results suggest a significant (p < 0.05) increase in knowledge of computer use and workstation setup for both parents and children, however, no significant changes in posture were noted between sessions. It was concluded that education is an effective method to increase knowledge of ergonomics in both middle school children and their parents but more research is indicated to understand the linkage between ergonomic understanding and durable accomodations.     

Implementation of an ergonomics program for the welding department inside a car assembly company

The premise for this project is to implement an ergonomics program for the welding department of a car assembly company, considering that this area represents the highest occupational risk in relation to musculoskeletal injuries. The project also allows the demonstration of the different implementation processes of an ergonomics program; it also permits the determination of individual risks faced by workers of the welding department, and finally gives a chance of improving common injuries using the sentinel system. The main challenge is to reduce musculoskeletal injuries and absenteeism among welders through actions implemented by the ergonomics program.     

Science as a service: understanding successful knowledge transfer in a New Zealand research institute

This paper reports on an exercise conducted within a state-owned body (Crown Research Institute) in New Zealand aimed at building greater understanding of the key factors in successful research programmes. Success was defined in this study as a high level of uptake of the emerging science, with commensurate benefits to both industry and the community. The methodology had three parts. A review of the knowledge and technology transfer literature; a series of 15 semi-structured interviews with science leaders; and a facilitated workshop. The purpose of the review was to generate a robust framework upon which to centre the interview dialogues, and two models were selected. The results varied, reflecting the diversity of research services provided by the organization, but the findings were predominantly new and valuable. The importance of the long term relationship with the end users was the strongest recurring theme. The methodology may have wider application in both research and consulting settings; for the benefits derived from the interactive process with staff, as well as for the specific findings.     

Understanding intervention through multiplicity: protection politics in South Sudan

ABSTRACT

The margins of international order remain understudied in International Relations. This article engages with the concept of multiplicity proposed by Justin Rosenberg by tracing the mechanisms of multiplicity in justifications for intervention in South Sudan. First, I examine the potential of multiplicity and argue for the importance of maintaining an openness to the concept. Second, I apply the mechanisms of multiplicity to understand UN intervention in South Sudan. In particular, I highlight how relationships between sovereignty and intervention in South Sudan coexist, combine, and interact. Once implemented, policies echo multiple logics, but also produce new and hybrid forms of authority with significant consequences for future sovereignty politics in South Sudan and beyond.     

Understanding the transfer of knowledge and skills from training to preventive action using ergonomic work analysis with 11 female VDT users

A qualitative evaluation of 11 VDT users, who participated in a training program for the prevention of musculoskeletal and visual problems, investigated the extent of the application of the taught principles in everyday work. Data were collected over a 2 to 3 day period for each trainee, through an ergonomic work analysis in situ and semi-structured interviews, followed by recommendations, when appropriate, corresponding to the taught principles. A case analysis and a cross analysis of the data provided information about the developed ability for self-analysis of work regarding posture and visual comfort and what influenced it. A model depicting the process of transfer of knowledge and skills, from the training program to preventive action, was abstracted from data analysis. This model allows both the identification of problems in applying taught principles and the means to readjust the training program.     

New procedures of ergonomics design in a large oil company

This study presents the challenge involved in the negotiation and construction of a standard process in a major petroleum company that has the purpose of guiding the implementation of ergonomic studies in the development of projects, systemising the implementation of ergonomics design. The standard was created by a multi-disciplinary working group consisting of specialists in ergonomics, who work in a number of different areas of the company. The objective was to guide "how to" undertake ergonomics in all projects, taking into consideration the development of the ergonomic appraisals of work. It also established that all the process, in each project phase, should be accompanied by a specialist in ergonomics. This process as an innovation in the conception of projects in this company, signals a change of culture, and, for this reason requires broad dissemination throughout the several company leadership levels, and training of professionals in projects of ergonomics design. An implementation plan was also prepared and approved by the corporate governance, complementing the proposed challenge. In this way, this major oil company will implement new procedures of ergonomics design to promote health, safety, and wellbeing of the workforce, besides improving the performance and reliability of its systems and processes.     

Codifying explicit and tacit practitioner knowledge in community social pediatrics organizations: Evaluation of the first step of a knowledge transfer strategy

In this article, we the present the evaluation of the first phase of a KT initiative, the codification of the tacit and explicit knowledge of community social pediatrics (CSP) practitioners. As increasing numbers of professionals began working in the CSP field, it became necessary to capture the know-how to make it better understood. This first phase of the initiative took advantage of one of the KM stages, the codifying process that is absent from KT models. The evaluation aim to answer the question: “What is the CSPs practitioners level of familiarity with the codification document, as well as their perceptions of its utility and its contribution to the understanding of the CSP model”. The results, show that most respondents had consulted the codification document and were able to describe in detail parts of it. The results also show that they considered it to be a useful and necessary tool to guide practices and helpful in understanding the model. The results of this evaluation is paving the way for the next steps of the KT initiative.     

Aligning theory with practice: Understanding school-family partnerships at an inner-city high school

Ideally, theoretical constructs and real world practice should be closely related. The aim of this study was to examine the ways in which ecological principles (i.e., cycling of resources, adaptation, interdependence, and succession) were reflected in school-family partnerships. Parents (n = 15) and school personnel (n = 10) at a predominantly African American inner-city high school participated in in-depth interviews regarding their conceptualizations of parental involvement, home-school interactions and strengths and weaknesses of home-school communication. Four major themes emerged to highlight the connection between the theoretical principles of ecology and the practice of parental involvement: effective communication, initiation of contact, provide and protect, and contextual conditions. Although theory and practice overlap, study findings suggest ways in which the ecological principals might expand to better align with the practice of school-family partnerships in inner-city high schools. Future directions for theory and practice are discussed.     

Contributions of participatory ergonomics to the improvement of safety culture in an industrial context

This paper presents the results of an ergonomic intervention conducted within a blast furnace plant. As part of its risk prevention program, the company decided to set up an action plan, in a participatory manner, by setting up working groups to solve health & safety issues. This field mission involved 230 employees, 80 of whom participated actively by being incorporated into working groups. After four months of intervention, a questionnaire survey has been conducted among employees to study the effects of participation on the safety climate. The results seem promising and show that the benefits of participation are numerous: a more positive safety climate associated to safer attitudes and behaviors. However, rather than just participation, it seems to be the employee involvement in the working groups and the satisfaction they derive from their participation that guarantee these positive results. Hence, participatory ergonomics seems to be an effective way to decrease the number of unsafe behaviors at work, provided that the type of participation has been previously well defined and organized according to the specific context of each organization.