Young workers in the construction industry and initial OSH-training when entering work life

Studies have found that young workers are at risk for injuries. The risk for accidents is high within construction, indicating that young workers may be especially vulnerable in this industry. In Norway, it is possible to enter the construction industry as a full time worker at the age of 18. The aim of this paper was to explore how young construction workers are received at their workplace with regards to OHS-training. The study was designed as a qualitative case study. Each case consisted of a young worker or apprentice (< 25 years), a colleague, the immediate superior, the OHS manager, and a safety representative in the company. The interviews were recorded and analyzed through content analysis. The results showed that there were differences between large and small companies, where large companies had more formalized routines and systems for receiving and training young workers. These routines were however more dependent on requirements set by legislators and contractors more than by company size, since the legislation has different requirements with impact on OHS.     

Social Problems Work: The Cases of Children and Youth

This article reviews the literature on social problems work concerned with children and young people. Social problems work involves assessing particular people, events and circumstances as instances of social problems. We focus on how social problems work is organized within discourses of childhood and youth, how it is a site for holding children and young people accountable, and how normalization is an aspect of social problems work. Our review brings together analytic themes in the literature on social problems and that on children and young people. We also point to topics that might be elaborated upon in future research on social problems work concerned with children and young people.     

Relationship between construction workers' musculoskeletal disorders and occupational health service activities

Construction work consists of numerous factors that influence workers' occupational health and that load the musculoskeletal system in particular. Musculoskeletal disorders are responsible for over a third of all sick leaves lasting over nine days in the construction industry. Occupational health services (OHS) were organized for 85% of the construction workers in our study. The proportion of construction workers who had suffered from chronic or repetitive neck and shoulder, shoulder or arm, or low-back disorders was 55.6%, 44.8% and 42.1%, respectively. Those who felt that they had received enough information, advice or guidance from OHS concerning work posture, work performance or work tools were more often those who had not suffered from shoulder or arm disorders (60.9% vs. 39.1%, p=.024, respectively) or low-back disorders (63.6% vs. 36.4%, p=.034, respectively) during the last month than those who had. Those who had received enough support from OHS concerning maintenance of work ability were more often workers who had not suffered from low-back disorders during the last month than those who had (63.3% vs. 36.7%, p=.004, respectively). OHS should focus more on workers who would really benefit from their activities at a particular time and in a particular situation (primary, secondary or tertiary prevention) and who are themselves devoted to improving their health.     

Effects of government policies on the work of home care personnel and their occupational health and safety

The health sector in Québec (Canada) is dealing with profound macro-economic and macro-organizational changes. This article is interested in the impact of these changes on the work of home health aides (HHAs) and home care nurses and their occupational health and safety (OHS). The study was carried out in the home care services (HCS) of four local community service centres (CLSC) with different organizational characteristics. It is based on an analysis by triangulation of 66 individual and group interviews, 22 observed workdays and 35 observed multidisciplinary or professional meetings, as well as on administrative documents. HHAs are experiencing an erosion of their job because the relational and affective aspects of their work are disappearing. This may be due to an increase in their physical workload, leading to an increase in musculoskeletal problems and, to a lesser extent, in psychological health problems. Nurses are seeing an increase in the volume of invisible work that they have to do, which also has the effect of decreasing the relational aspects of their activity. The increasingly numerous psychological health problems are the consequence of this change in their profession. This study also shows that managers' decisions at the local level can reduce or increase the work constraints of HHAs and nurses. Examples of good practices for HHAs are the stabilization of clienteles and the possibility of organizing their itinerary, while for nurses, it is in how clientele follow-up tools are implemented. This article discusses the effects of government policies and decisions on the work and OHS of home care personnel. To address this subject, we use a specific analysis of the workload of home health aides (HHAs) and nurses. We will show the relationships between managers' organizational choices to respond to governmental constraints and the resulting work changes. We will also look at their consequences on occupational health and safety (OHS) and on the work of different personnel.     

Occupational musculoskeletal injuries in the health care environment and its impact on occupational therapy practitioners: a systematic review

The purpose of this systematic review was to explore the occupational and personal factors associated with occupational musculoskeletal injuries among health care providers and to identify the psychosocial issues as a result of the injuries. Then, an extrapolation developed to link the potential risks to occupational therapy practitioners. The inclusion criteria that developed from ten articles was based on content from the health and social science literatures. Searches were conducted via internet databases, hard-copy search of bibliographies, and citation review of article references. This review included 22 research studies over the past fifteen years (1990-2005). Classic scientific research studies and classical readings that went beyond the specified period were also included. The review revealed that patient handling was the most common occupational factor to cause work-related injuries. Inexperience and young age were major personal factors associated with injuries. Fear, anger, isolation, inability to perform duties and leisure activities were common psychosocial issues as a result of the injuries. It was extrapolated that occupational therapy practitioners were at risk for occupational musculoskeletal injuries. Future studies are recommended to examine the prevalence and risk factors specific to occupational therapy practitioners.     

Young people negotiating and maintaining boundaries in youth work relationships: findings from an ethnographic study of youth clubs

‘Professional boundaries’ set limits on appropriate behaviours in the relationship between the service users and practitioners. The professional literature often assumes boundaries are maintained by the practitioners, occupational bodies, or organisational policy. However in youth work this is under-researched. An ethnographic study of four youth clubs in the North East of England into ethical practice revealed that young people were surprisingly adept at maintaining boundaries with the youth workers. These boundaries were negotiated and maintained through the young people's use of space, their willingness to interact with the workers, the way they shared information with the workers, and their inclusion of youth workers into their social networking. Young people also showed a sophisticated awareness of the organisational boundaries youth workers were operating within, and often cooperated in maintaining them with the worker. The article concludes by arguing youth workers should take seriously young people's ability and willingness to set and work within boundaries, and see their negotiation and maintenance as a mutual endeavour. However, this may provide a challenge to organisations with rigid policy-defined boundaries.     

Is Discrimination Against Evangelical Christians a Problem in Social Work Education?

This article reviews the literature regarding discrimination by social work practitioners and educators against evangelical Christian social workers. We examine the methodology of articles that compare religiosity and political ideology between social workers and the general population and also of articles that address discrimination against evangelical Christians in social work education. Our results indicate that there are limited studies to support arguments that such discrimination exists and that these studies have significant methodological weaknesses. We conclude that the claims about social work and social workers discriminating against evangelical Christians are not supported by a sufficient body of rigorous research.     

Social Work Practices for Young People with Complex Needs: An Integrative Review

The aim of this integrative review is to investigate research of social work practices for adolescents and young adults with complex needs. The research questions are: What are the major themes in studies of practices for young people with complex needs? How do studies suggest that complex needs can be met in ways that are beneficial for young people? A young person with complex needs is in this review defined as an adolescent or young adult who, due to mental ill-health in combination with different types of social vulnerabilities, is receiving assistance from multiple welfare services. Searches were conducted in seven databases. These searches resulted in a sample of 1677 records, published 2007–2016, which in the screening process were reduced to 24 publications, all peer-reviewed articles. The participants in the studies in the articles consisted of young people, parents and professionals from mainly Anglo-Saxon countries. The articles were analyzed with qualitative summative content analysis. Three empirically generated themes were found in studies of work practices targeting young people with complex needs: collaboration-, relationship- and empowerment-oriented practices. In conclusion, the practices contain a wide variety of features, but with the joint aim of acknowledging young people’s needs. The results can be used by practitioners and policymakers to further the development of services for youth with mental ill-health and social vulnerabilities, who use multiple welfare services.     

A conceptual model for barrier free facilities planning

This paper presents the proposal of a model for planning a barrier free industrial facilities, considering the demands that inclusion requires, ranging from outside the factory (social environment), to the needs of the production system and the workstation. Along with literature review, the demands were identified in a shoe manufacturer that employs people with disabilities, and organized taxonomically in agreement with the structure for planning facilities. The results show that the problems are not primarily related to eliminating architectural barriers and factors aimed at preventing risks to people's health and safety but, rather, are related to the company's cultural environment, because the main hazards are managerial. In special cases, it is suggested there is a need to adjust those parts of tasks that the worker cannot do, or even to re-schedule work so as to make it possible for employees with disabilities to perform their tasks.     

Quantitative alternatives to narrative reviews for understanding existing research literature

This article is the second in a series that examine the role of literature reviews in rehabilitation research. Methods of generating new knowledge from existing literature are categorized into three approaches: synthetic literature reviews which interpret previous findings in narrative fashion, quantitative literature reviews which summarize findings from primary research studies using a variety "counting" approaches, and meta-analyses which aggregate effect sizes from primary research studies and allow for a more complex analysis of trends in the empirical research literature. This articles examines the role that quantitative literature reviews can play in better understanding the status of knowledge in rehabilitation research, thereby shaping field practices as well as future scientific investigations. Examples of quantitative reviews from contemporary rehabilitation and related health sciences literature are provided throughout the article.     

How can occupational health services in Sweden contribute to work ability?

Occupational health service in Sweden is often described as an important and strategic resource to reduce work-related diseases, improve work ability and successfully assess improvement of the workplace. However, not much research has been done on how OHS contribute to reduced absence due to work-related illness or improvement of the work ability of employees. In our study, the ambition has been to describe how OHS can contribute and give effects in client companies. Fifteen companies considered to be good examples were selected in cooperation with the social partners. Semi-structured interviews were carried out with representatives of the company and OHS. The results show that efficient collaboration depend strongly on the relationship between the OHS and the company, and were highly correlated with a continuously dialogue and contact. Good occupational safety and health management at company level was a key factor for effective use of OHS. The strategic collaborations also often led to that OHSs contribution was gradually shifted from a reactive or medical focus to a more proactive approach. Several of the interviewed OHSs also held this strategy to work more with prevention, and focusing on "treating the organization", not the individual, leaving the executive measures to the company.     

Pilot project in developing community rehabilitation service for migrant workers suffering from pneumoconiosis in Mainland China

Pneumoconiosis is one of the major occupational health problems in China and increasing numbers of migrant workers suffered from this occupational disease after working in a dusty environment for few years. These migrant workers panicked after being diagnosed as suffering from pneumoconiosis and facing physiological disturbances including progressive dyspnea, respiratory failure or complications like silico-tuberculosis after their return to their rural village. This article reviews the preliminary results of a community rehabilitation pilot project conducted in a rural village in Guizhou, one of the provinces in southwest China. It shares the joint effort of professionals from Guangdong Province and Hong Kong SAR on supporting the migrant workers to manage and cope with this occupational disease. Finally, strategies including early intervention were suggested to help migrant workers to manage the disease. Most importantly, occupational health promotion and prevention were urged as the measures of utmost importance in reducing the risk for migrant workers suffering from pneumoconiosis.     

Safe and shealthy integration into semiskilled jobs: does gender matter?

Women report fewer injuries than men when they are young, but report a higher proportion of professional diseases later in life (35 years +). Understanding early work conditions that lead to postponed health outcomes is necessary if we are to prevent women's injury as well as men's. Introduction to work and safe integration programs are often put forward to prevent injuries among youth. This paper aims to illustrate some differences in the job introduction / integration process for men and women and to discuss some gender-based Occupational Health and Safety (OHS) implications. Data come from two waves of interviews with 31 students enrolled in vocational training for a semiskilled trade. Results demonstrated differences between men and women: trades chosen, OHS complaints, supervising patterns, integration to work, etc. Women often choose customer service jobs, have less formal supervision and are often left to themselves when learning to do their job. Men declared more accidents while women reported more musculoskeletal symptoms. Findings from this research suggest young women's OHS issues should not be trivialized and that specific youth prevention programs for sectors where women are more present, such as customer service, should be developed.     

The mental health of young people aging out of care and entering adulthood: Exploring the evidence from England and France

This paper explores the research evidence from England and France on the mental health of young people aging out of care and into adulthood. It represents the first comparative review based on the evidence from these two countries. Set in the legal, policy and service framework for both countries, it reviews evidence on the mental health of young people in the general population, young people living in care, young people aging out of care, and young adults. It shows: the high levels of psychological adversity of young people entering care; the high rates of mental health problems of young people in care compared with the general population of young people; the increased risk of mental and physical problems at the time of aging out of care, and the general improvement in longer-term outcomes for young adults, although some continue to have serious mental health problems. In conclusion, it suggests that interventions across the life course of young people are needed.     

Listening to Children in Care: A Review of Methodological and Theoretical Approaches to Understanding Looked after Children’s Perspectives

This article reviews 44 refereed journal articles published between 2003 and 2008. All of the articles attempt to directly uncover the experiences or perspectives of young people cared for by the state in foster, residential or kinship care homes. The review reveals that this field is developing a rich body of evidence derived from a broad range of methodological and theoretical frameworks. In this sample, research designs appeared to be influenced by placement settings, as well as theoretical orientations, but comparative and longitudinal designs were used in both quantitative and qualitative studies. Participative research designs were only present in qualitative designs within a broadly interpretive theoretical orientation. It is suggested in this article that researchers should critically reflect on the use of constructs that may negatively label young people in care. It is also suggested that there could be fuller reporting of ethical issues. Despite some identified gaps, such as the participation of young people in quantitative research designs and research with younger age groups, the article concludes that there appears to be an encouraging emergence of theoretical and methodological diversity in this research area.     

Examining the effectiveness of health and safety committees and representatives: a review

The establishment of a health and safety committee in the workplace and/or the appointment of an elected health and safety representative is believed to foster employee participation and consultation in the workplace. Despite an emphasis within the Australian occupational health and safety legislation towards employee participation in relation to health and safety issues, there is little known about the effectiveness of the strategies used to involve workers in health and safety matters in the workplace. There is anecdotal evidence published in relation to the implementation of health and safety committees and their effectiveness in the Australian workplace. Few opinions however are substantiated by empirical evidence. Significantly more research has been conducted on the role of health and safety representatives in Australia. This paper presents the findings of a review of the literature and identifies the factors that are considered to impact on the effectiveness of workplace health and safety committees and representatives. Several factors are described as being fundamental to the effective performance of committees and representatives. These factors include management commitment, communication, training and information, union involvement, the infrastructure of an organisation, committee processes and the involvement of professional experts. It is concluded that the effectiveness of health and safety committees in Australia is unexplored and it is unknown if these committees achieve the purpose for which they were established. Recommendations are made for future research to be conducted to test the current anecdotal evidence and assumptions associated with the operation and effectiveness of health and safety committees.     

Risk reduction in musculoskeletal practice assistance professional nursing pilot in semi intensive care unit

The hospitals mostly have a high level of complexity, diversity of services and, consequently, occupational risks. The tasks of mobilization and manual repositioning of patients may require professional of the physical demands due to the weight or excessive patient dependency, attitudes arising from inadequate to lean on a bed or work in a restricted area, sudden weight change that can occur if a patient loses balance or strength to change the position or while moving. These, among many other factors can cause or aggravate musculoskeletal problems in health care workers. These diseases translate into frequent musculoskeletal complaints, high rates of absenteeism, licenses and problems of prolonged labor, creating a vicious cycle that compromises patient safety and performance of institutions. The literature has suggested the administration of courses on handling and transportation of patients as one of the most important strategies to reduce the incidence of problems in the spine between the worker's healths. An exercise program emphasizing global distension and strength, mainly the posterior chain muscles (dorsal region), held twice a week, combined with an approach to ergonomics can reduce musculoskeletal symptoms and absenteeism in nursing.     

Adaptation of the older worker to occupational challenges

The occupational adaptation practice model guided the search for and the analysis of the literature on the older worker. The purpose of this literature review was to: identify the occupational challenges that older workers experience, determine ways in which the occupational therapist can promote the occupational adaptation of older workers, and articulate the research and policy changes implied in the model related to health and improved productivity. The analysis of the worker's personal characteristics, work tasks, and environments highlighted the types of occupational challenges that may overwhelm the older worker's adaptive capacity. Straining adaptive capacity of the older worker leads to degradation in levels of mastery. The occupational therapist and others could assist the older worker to achieve relative mastery in response to occupational challenges through ergonomic solutions, training, assistive devices, management policy, and health promotion. Combined efforts of the employer, of the occupational therapist, and of the older work to capitalize on the older worker's years of experience, existing skills, and knowledge facilitates higher job satisfaction, better performance, and an increased sense of well-being in the older worker.     

“Queer Eye” for Social Work: Rethinking Pedagogy and Practice with Same-sex Attracted Young People

Abstract

Dominant discourses on sexualities construct limited representations and understanding of same-sex attracted young people, often resulting in material and detrimental effects for young people who do not fit the heterosexual mould. Traditionally, social work theory and practice with same-sex attracted young people has relied on ethnic and essentialised models for understanding sexual difference. In the present article, the author reviews current literature on same-sex attracted young people and sexualities, arguing that key elements from queer theory invite social workers to rethink pedagogy and practice with sexually diverse groups. With its critical eye for deconstructing dominant models of sexuality, queer theory provides an alternative framework for informing social work practice. Implications for working in narrative ways with same-sex attracted young people through co-authorship are discussed.     

Professional Decision Making on Elder Abuse: Systematic Narrative Review

Social work and health care professionals internationally are recognizing the need to understand and respond to the abuse of older people. Policy and guidance have identified processes but definitions of key concepts remain problematic, and the literature suggests that practitioners and agencies have little insight or guidance for decision making. Nine bibliographic databases were searched for studies on professional decision making regarding abuse of older people. Relevant studies retrieved were appraised for quality using explicit criteria. The findings of the 19 articles meeting the inclusion criteria were synthesised using a structured narrative approach. Common themes identified were abuse factors, situational factors, and broader contextual factors. Abuse factors relating to risk levels and client vulnerability were central; age, gender, and health status were considered as key indicators of vulnerability. The opinion of adult protection workers about the potential effectiveness of their intervention was a factor in deciding about responding to alleged or suspected abuse. Professionals struggled with complex ethical dilemmas created by elder abuse, particularly when the victim did not want an investigation. Making objective judgements was difficult when faced with complex family and contextual factors. A structured approach to narrative synthesis of a diverse range of studies retrieved through an explicit search and inclusion process provided a useful summary of key issues for practice and identified gaps in the research literature.