Using process evaluation to determine effectiveness of participatory ergonomics training interventions in construction

The construction industry continues to experience high rates of musculoskeletal injuries despite the widespread promotion of ergonomic solutions. Participatory ergonomics (PE) has been suggested as one approach to engage workers and employers for reducing physical exposures from work tasks but a systematic review of participatory ergonomics programs showed inconclusive results.. A process evaluation is used to monitor and document the implementation of a program and can aid in understanding the relationship between the program elements and the program outcomes. The purpose of this project is to describe a proposed process evaluation for use in a participatory ergonomic training program in construction workers and to evaluate its utility in a demonstration project among floor layers.     

Participatory ergonomics among female cashiers from a department store

The objective of this paper was to control ergonomic risks among female cashiers working in a department store belonging to the retail market. This study was conducted between May and November 2010. Participatory ergonomics was applied through knowing and understanding how the company works, establishing the work team (Ergo group), training the team in ergonomics-related topics, and making decisions and interventions. The sample was composed of 71 participants--mostly female cashiers--, and all of them have a musculoskeletal compromise, declaring pain or discomfort mainly in the neck, lower back, right wrist and shoulders. Among others, following problems were found: postural overload, repetitive work, manual load handling, mental fatigue, environmental discomfort, variable work schedules, extended working days, and absence of breaks. In the intervention, the main implemented changes were the redesign of workstation, complete change of chairs and keyboards, and the implementation of a rotation system, as well breaks for compensatory exercises. After that, an evident improvement of found problems was observed, therefore it can be concluded that participatory ergonomics is an attractive methodology, appropriate and efficient for solving and controlling ergonomic risks and problems.     

The construction of ergonomic demands: application on artisan fishing using jangada fishing rafts in the beach of Ponta Negra

The present article seeks the process of construction of ergonomics demand referring to the artisan fishing activityfound in Ponta Negra beach located in the city of Natal, Brazil. The instruction/construction of demands correspond to the first stage of Work Ergonomic Analysis and allows the understanding of real issues existent in a work situation, rank them and route the providences. The demand presented on this study, features itself as a induced demand, process which some potential demands or hypothetical demands are taken to an organization, after a preview analysis of the work aimed by the study, resulting from a theoretical research (state of the art) and/or from analysis of a reference situation (state of practice), where demands hypothesis are taken in consideration about the pretended work. The demands construction process using interactional methods and techniques, observation methods and techniques and bibliographic research, researches in state of reference or document. This article demonstrates the efficiency of the methodological choice to construct real ergonomic demands and highlights the importance of social construction on that process, which main goal is to refer the ergonomic actions that allow the improvement of work and life conditions for the fishers and sustainability to Jangadeira activity.     

From 'human being' to 'social subject': "unfreezing" ergonomics and the implications for understanding and intervening health-disease process

Ergonomics has been successful in increasing productivity and comfort in the work arena. It has also contributed to reducing occupational accidents. Despite this, ergonomics is frequently limited to understanding the health-disease process related to human-technology interactions, as this process is more complex than what can be understood from an ergonomic evaluation. Recognising this limit, this work ontologically and epistemologically contrasts the notions of 'human being' and 'social subject', and concludes that the study object of ergonomics, or human-technology interaction, greatly depends on social aspects that nowadays are not tackled explicitly: route (history), project, structure, agency, motivations and power. It also analyses how participatory ergonomics tacitly includes many of these aspects, including some implications that the change of notion, from 'human being' to 'social subject', brings to the understanding of the health-disease process and the reduction of associated risks during human activities.     

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.     

The PhOCoe Model--ergonomic pattern mapping in participatory design processes

The discipline and practice of human factors and ergonomics is quite rich in terms of the availability of analysis, development and evaluation tools and methods for its various processes. However, we lack effective instruments to either map or regulate comprehensively and effectively, cognitive and organizational related impacts, especially the environmental ones. Moreover, when ergonomic transformations through design - such as a new workstation design or even an entire new facility - is at play, ergonomics professionals tend to stay at bay, relying solely on design professionals and engineers. There is vast empirical evidence showing that participation of ergonomists as project facilitators, may contribute to an effective professional synergy amongst the various stakeholders in a multidisciplinary venue. When that happens, everyone wins - users and designers alike -because eventual conflicts, raised up in the midst of options selection, are dissipated in exchange for more convergent design alternatives. This paper presents a method for participatory design, in which users are encouraged to actively participate in the whole design process by sharing their real work activities with the design team. The negotiated results inferred from the ergonomic action and translated into a new design, are then compiled into a "Ergonomic Pattern Manual". This handbook of ergonomics-oriented design guidelines contains essential guidelines to be consulted in recurrent design project situations in which similar patterns might be used. The main drive is simple: nobody knows better than workers themselves what an adequate workplace design solution (equipment, workstation, office layout) should be.     

Job stress management protocol using a merge between cognitive-behavioral techniques and ergonomic tools

This paper presents a protocol for work distress assessment. Work distress is defined as a merge between nonergonomic related aspects, in tasks or environment, and adversely conditions perceived for a worker, in a certain work situation. This frame requires an approach that can treat individuals and organizational factors in the same way, at the same time. For this, we elaborate a psycho-ergonomics method, associating concepts and practices from cognitive-behavioral techniques and work ergonomic analysis, which we named CEWAT - Cognitive-Behavioral Work Analysis Technique. This paper presents CEWAT's foundations and structure, in steps. An application to a complex and dangerous system illustrates its benefits in the ergonomics action.     

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.     

Using Balanced Scorecard (BSC) approach to improve ergonomics programs

The purpose of this paper is to propose foundations for a theory of using the Balanced Scorecard (BSC) methodology to improve the strategic view of ergonomics inside the organizations. This approach may help to promote a better understanding of investing on an ergonomic program to obtain good results in quality and production, as well as health maintenance. It is explained the basics of balanced scorecard, and how ergonomists could use this to work with strategic enterprises demand. Implications of this viewpoint for the development of a new methodology for ergonomics strategy views are offered.     

Understanding knowledge transfer in an ergonomics intervention at a poultry processing plant

This case study reviews the knowledge transfer (KT) process of implementing a knife sharpening and steeling program into a poultry processing plant via a participatory ergonomics intervention. This ergonomics intervention required stakeholder participation at the company level to move a 'train-the-trainer' program, developed in Québec, Canada, into action on the plant's deboning line. Communications and exchanges with key stakeholders, as well as changes in steeling and production behaviours were recorded. The intervention was assumed to be at least partially successful because positive changes in work operations occurred. Ergonomic-related changes such as those documented have been cited in the academic literature as beneficial to worker health. However, several components cited in literature that are associated with a successful participatory ergonomics intervention were not attained during the project. A Dynamic Knowledge Transfer Model was used to identify KT issues that impacted on the success of train-the-trainer program. A debriefing analysis reveals that a failure to consider key participatory ergonomics factors necessary for success were related to capacity deficits in the knowledge dissemination strategy.     

Global ergonomics strategy in Volkswagen: from the product construction, over the planning until the serial process

The Volkswagen Group operates and coordinates the activities of ergonomics from Wolfsburg in Germany and works with its contact persons of every plant and brand of the group towards an integrated proceeding relating to ergonomics. For the ergonomic process it is very important to consider the ergonomics in the whole production process, still from the beginning the conception and construction of the vehicle in the early phases. In these phases there is a big potential to work in the preventive ergonomics and avoid correcting the workstations after start of production. Therefore, it is important to have fluently information in all this phases and identify the potential in each of them. In order to attend these items, Volkswagen has defined different activity fields: coordination of ergonomic standards and the roll-out into all the plants, introducing the ergonomic items in the product development process (PEP), considering the constant improvement of the workplaces in the Volkswagen-Way (KVP and 3P Workshops), taking care of an adequate qualification concept in ergonomics and the intern and extern information exchange within the committees. This topic is established in the industrial engineering of the production area of the group. We are working interdisciplinary with the medical services, human resources, work council and the protection of labor.     

Ergonomic risk assessment with DesignCheck to evaluate assembly work in different phases of the vehicle development process

Occupational hazards exist, if the design of the work situation is not in accordance with ergonomic design principles. At assembly lines ergonomics is applied to the design of work equipment and tasks and to work organisation. The ignoring of ergonomic principles in planning and design of assembly work leads to unfavourable working posture, action force and material handling. Disorders of the musculoskeletal system are of a common occurrence throughout Europe. Musculoskeletal disorders are a challenge against the background of disabled workers. The changes in a worker's capability have to be regarded in the conception of redesigned and new assembly lines. In this way ergonomics becomes progressively more important in planning and design of vehicles: The objective of ergonomic design in different stages of the vehicles development process is to achieve an optimal adaptation of the assembly work to workers. Hence the ergonomic screening tool "Design Check" (DC) was developed to identify ergonomic deficits in workplace layouts. The screening-tool is based on the current ergonomic state of the art in the design of physical work and relevant EU legal requirements. It was tested within a federal German research project at selected work stations at the assembly lines at Dr.-Ing. h.c. F. Porsche AG / Stuttgart. Meanwhile the application of the screening-tool DC is transferred in other parts of the Porsche AG, Stuttgart. It is also realized as an ergonomic standard method to perform assembly work in different phases of the vehicle development process.     

Designing the safety of healthcare. Participation of ergonomics to the design of cooperative systems in radiotherapy

This communication deals with the involvement of ergonomists in a research-action design process of a software platform in radiotherapy. The goal of the design project is to enhance patient safety by designing a workflow software that supports cooperation between professionals producing treatment in radiotherapy. The general framework of our approach is the ergonomics management of a design process, which is based in activity analysis and grounded in participatory design. Two fields are concerned by the present action: a design environment which is a participatory design process that involves software designers, caregivers as future users and ergonomists; and a reference real work setting in radiotherapy. Observations, semi-structured interviews and participatory workshops allow the characterization of activity in radiotherapy dealing with uses of cooperative tools, sources of variability and non-ruled strategies to manage the variability of the situations. This production of knowledge about work searches to enhance the articulation between technocentric and anthropocentric approaches, and helps in clarifying design requirements. An issue of this research-action is to develop a framework to define the parameters of the workflow tool, and the conditions of its deployment.     

Promoting ergonomics in Algeria: activities of "the research and training laboratory" in the University of Oran

The growing need in Algeria to develop ergonomics knowledge and practice in industry was behind the initiative to develop a training and research project within the ergonomics laboratory at Oran University. Since 2005 the laboratory team is running an academic option master in work design and ergonomics. The evaluation of the academic master in 2010 revealed the acute need of the local industry for professional competences in ergonomic and work psychology. A professional training master program in "ergonomics & work psychology" was then developed in partnership with local industry, five European Universities and six Universities from three Maghreb countries. Research projects were initiated around the two training programs, in conjunction with a number of ergonomics dissemination and promotion activities. Preliminary results of the project are presented and discussed in relation to the local context, and in the light of similar cases in Industrially Developing Countries.     

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.     

Participatory ergonomics and new work: reducing neck complaints in assembling

A participatory ergonomics approach is used to create a new work environment, which is aimed at reducing neck complaints in a cell phone assembly. The participatory ergonomics program included an initiative, problem identification, a selection of solutions, an implementation and evaluation. Twenty-eight women, all operators on an assembly line of cell phone boards, voluntarily participated in the design and evaluation of a device before implementing the device to all 215 employees performing that job. Prior to and after the intervention, RULA, comfort experiences and interviews were used. After introducing an adjustable angled small counter, these measurements showed both posture and comfort improvements. 90% of the 215 workers preferred the new work station and the neck complaints were reduced in 75% of the group. It also showed that the initial prototype needed to be modified as to reduce its sharp edges/compression points for the forearm. This project shows the importance of iterative testing and that an initiative by workers enlarges the chance of successful implementation.     

DMAICR in an ergonomic risks analysis

The DMAICR problem-solving methodology is used throughout this paper to show you how to implement ergonomics recommendations. The DMAICR method consists of the following five six steps by which you can solve ergonomic design problems: The steps of the proposed method, adapting DMAICR, are the following: In the steep D, there is the definition of the project or the situation to be assessed and its guiding objectives, known as demand. In the step M, it relates to the work, tasks and organizational protocols and also includes the need of measuring. In the step A, all concepts are about the analysis itself. The step I is the moment of improving or incrementing. In the step C, control, prevention from prospective troublesome situation and implementation of management are the activities controlling the situation. R is Report. Some relevant technical and conceptual aspects for the comparison of these methodologies are illustrated in this paper. The steps of DMAICR were taken by a multifunctional team (multi-professional and multi-disciplinary) termed as focus group, composed by selected members of the company and supported by experts in ergonomics.     

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.     

Analysis of the implementation of ergonomic design at the new units of an oil refinery

Ergonomic design is the adaptation of working conditions to human limitations and skills in the physical design phase of a new installation, a new working system, or new products or tools. Based on this concept, the purpose of this work was to analyze the implementation of ergonomic design at the new industrial units of an oil refinery, using the method of Ergonomic Workplace Assessment. This study was conducted by a multidisciplinary team composed of operation, maintenance and industrial safety technicians, ergonomists, designers and engineers. The analysis involved 6 production units, 1 industrial wastewater treatment unit, and 3 utilities units, all in the design detailing phase, for which 455 ergonomic requirements were identified. An analysis and characterization of the requirements identified for 5 of the production units, involving a total of 246 items, indicated that 62% were related to difficult access and blockage operations, while 15% were related to difficulties in the circulation of employees inside the units. Based on these data, it was found that the ergonomic requirements identified in the design detailing phase of an industrial unit involve physical ergonomics, and that it is very difficult to identify requirements related to organizational or cognitive ergonomics.