An investigation of a workplace-based return-to-work program for shoulder injuries

The purpose of this study was to investigate and evaluate the current workplace management of rotator cuff injuries in a manufacturing plant. The secondary aims were to examine the impact of the company's return-to-work processes, compare outcomes to current industry standards for work (re)entry and to identify the components that characterized this workplace-based return-to-work (RTW) program. This investigation involved a case study approach comprised of an examination of the program context using interviews, onsite visits, a document review and a retrospective analysis of the RTW experiences of 184 workers with shoulder injuries. Findings revealed that the workplace-based RTW program was consistent with and shaped by the organizational culture of problem solving, knowledge exchange and equitable participation of workers, supervisors and health professionals. These components contributed to the program in achieving the following outcomes for workers with shoulder injuries. One-third of workers were placed on modified duties within three days, 56% of workers who engaged in an early RTW program returned to work within one month. Overall, 87.8% of workers with rotator cuff injuries successfully returned to pre-injury work. The implications of developing capacity for workplace-based programs to manage injuries at work are discussed.     

Engaging Students in Practice Evaluation: Defining and Monitoring Critical Initial Interview Components

Abstract

The social work profession has strived for nearly a century to implement scientific methods to evaluate practice. Evidence indicates, however, that social workers currently do not evaluate their own practice. In this article, the author describes a method of engaging social work students in the evaluation of their own practice. Using this method, students focus on their implementation of the critical components of the initial interview in classroom role plays, field placements, and class assignments. The rationale for this approach is grounded in adult learning theories and the literature on research use by practitioners. An initial interview checklist is presented as one example of a tool for operationally defining initial interview components and for monitoring the implementation of these components.     

Impacts of introducing a new tool for the manual harvesting of sugar cane: the ergonomic analysis contribution

The purpose of this study was to evaluate the impact of introduction a new work tool on health and productivity of manual harvesting sugarcane workers. In this study it was performed aErgonomic Work Analysis (EWA) to analyze the work tool changes.The study included sugarcane workers, drivers, fiscals, and technical's safety at work.During the analysis process, 134 questionnaires were applied,aimed to identify the constraints that such workers are submitted,to evaluate the tool introduced, in order to propose modifications to improve it.The results showed a decrease in perceived exertion and discomfort, without compromising the cut quality. The main contributions of Ergonomic Work Analysis were the possibility of bringing the logic of the worker, in order to understand the inherent real work characteristics, to the process of developing the new tool. Besides, it was also noted that this methodology, based on the analysis workers activity in a real usage, as an application tool in design projects, providing innovations from the workers perspective.     

Seeking common ground for people: Livelihoods, governance and waste

Jam Chakro is a large International Donor-funded landfill site in Karachi, when opened in 1996 it was intended to be carefully managed by the Karachi municipal authorities. However, within weeks of opening it was overtaken by informal-sector waste workers. They are mostly poor rural migrants who have gravitated towards urban areas seeking work. Their waste sorting and recycling work, which involves burning waste, is now responsible for serious environmental degradation and poor waste management.Nearby residents are being affected by the smoke, and wish to see an end to the burning. Local authorities are under pressure to manage the waste better and wish to see an end to the recycling activities. However, initial attempts to stop these activities and relocate people, sometimes involving force, have been unsuccessful. The workers complain that they depend on the waste work for their survival.This paper is concerned with the problems caused by the informal-sector recycling work at Jam Chakro, and the need for finding environmentally and financially sustainable solutions which respect the interests of all stakeholders. It is based on fieldwork which involved detailed stakeholder identification and consultation, to ensure that different perspectives were heard and accounted for. In the light of research findings, the paper discusses some of the proposed options for integrating informal-sector livelihoods into the formal operation of the landfill site. These are based around organising waste reclamation and recycling work and enabling it to take place without burning waste.The paper proposes that the problems at Jam Chakro can in part be attributed to not having accounted for the poor in planning, necessary for developing sustainable solutions to the problems.Approximate exchange-rate at time of writing: US$1: Rs. 60.     

Nonstandard Employment in the Nonmetropolitan United States*

Abstract We examine the prevalence of nonstandard employment in the nonmetropolitan United States using the Current Population Survey Supplement on Contingent Work (1999 and 2001). We find that nonstandard work is more prevalent in nonmetropolitan than in central city or suburban areas. Logistic regression models controlling for sociode‐mographic and work characteristics, show that nonmetropolitan workers experience higher odds of nonstandard employment than central city or suburban workers. Variations in industrial and occupational structures in nonmetro and metro areas do not explain residential differences in nonstandard work. We also estimate the odds of employment in each of the three components of nonstandard work: contingent work, part‐time, and varied hour work. Nonmetropolitan workers are more likely than central city and suburban workers to be employed in contingent or varied hour work. The benefits and wages of nonstandard work are lower than for standard work across residence areas. The results highlight the importance of understanding nonstandard work and the components of nonstandard work, particularly when considering the nature of work across industries, occupations, and residence.     

Child welfare workers use of knowledge in their daily work

The debate continues on what constitutes core knowledge in professional work in child welfare and child protection. The aims of this article are to examine what different sources of knowledge social workers report to use in their daily work and to determine the importance of different knowledge sources in relation to their work experience, educational background and type of employment (caseworker/manager). Data were obtained from a survey completed by 390 social workers in municipal child welfare services in Western Norway. Social workers answered questions regarding their use of different knowledge sources in their daily work. The information they obtained in a particular case and their personal experiences were the most frequently used sources. Factor analysis revealed four subgroups of knowledge sources: The most frequently used were: (a) Colleagues and Supervision and (b) Personal Experience, followed by (c) Social Work Education, Courses and Municipal and State Documents, with (d) Journal Articles, Textbooks and External Sources being the least frequently used. The most important source for social workers with less work experience was Colleagues and Supervision, whereas the factor Journal Articles, Textbooks and External Sources was more often important for social workers with a master’s degree than for those without this level of education. Overall, social workers seem to rely mostly on personal experience and their colleagues as sources of knowledge in their work.     

Work ability among nursing personnel in public hospitals and health centers in Campinas--Brazil

Nursing personnel is essential in hospital, health centers and enterprises and is the large work force in health system. A cross-sectional study was conducted in a large city in two public hospitals and five health centre with the objective of to evaluate the work ability and health aspects of nursing staff. The sample was composed by 570 workers. The Work Ability Index - WAI and a questionnaire with socio-demographic, health and life style data was applied. The majority of workers was women (83%), married (50.4%), and was working in night shift work (65.6%); 61.4% was auxiliary nursing, 22.3% was registered nurses (RN). The average age was 38.9 years (SD 7.8) and the Body Mass Index mean was 25.8 (SD 5.3). Only 17.2% referred to practice at least 150 minutes of physical exercise five times per week or more. 26.8% had a second job. The work ability mean was 39.3 (SD 5.3) points. Age had a negative correlation with WAI (p=0.0052). Public hospital and health centre workers had poor work ability score when compared with workers from another branches. Public policies related to workplace health promotion need to be implemented in public hospital and health centre to improve the work ability.     

Centrelink: how social workers make a difference for young persons. A model of intervention

It is mandatory for social workers at Centrelink to interview and assess under 18-year-old youth who are applying for the ‘Unreasonable to Live at Home’ (UTLAH) rate of Youth Allowance. The aims of this research project were to identify and describe social work models of intervention when interviewing young persons who applied for UTLAH payments and to examine the way in which social workers developed a response to organisational and legislative changes. The qualitative research consisted of two components: field observations of social work interviews with claimants and an open-ended questionnaire completed by social workers after the observed interaction. The research confirmed the hypothesis that parts of a number of social work interventions could be combined and used to effectively assess and assist clients within the prescribed short-term approach. In addition, it supported the researchers' belief that social work models of intervention could be adapted to organisational and environmental changes. A potential challenge for social workers at Centrelink is to produce a brief social work model of intervention that is flexible enought to be used by professionals across sectors.     

“Stuck in the Middle with You?” Supervisory Level and Anger about Work

Although sociologists have long been interested in the stratification of emotions, the occupational stratification of anger has been investigated in only a few general population studies. Through analyses of data representative of workers in Toronto, we evaluate the hypothesis that workplace hierarchical position, defined by supervisory level, has an inverted u‐shaped association with the frequency of anger about work. We also evaluate the more specific hypothesis that the difference in work‐related anger between front‐line supervisors and nonsupervisory workers will be relatively larger among workers in the commodified services sector than other sectors. Results are generally consistent with our hypotheses. We find that both front‐line supervisors in the commodified services sector, and secondary supervisors in all employment sectors, report more frequent anger about work than do nonsupervisory workers. In contrast, higher level supervisors report anger about work at about the same frequency as nonsupervisory workers. These associations are only slightly reduced by controls for work stress and stressors. We discuss how supervisory relations might explain differences in anger about work among workers at different levels in organizational hierarchies.     

Investigating the quality of social work. An experience of self-assessment with Italian social workers

Evaluating the quality of social work practice is becoming increasingly important for various reasons, among which are changes in the welfare system and the reduction of resources. Meanwhile, it is acknowledged that evaluating the quality of social work is a highly complex task. Different meanings are attributed to the concept of quality and the concept of quality in itself is linked to the notion of social work identity, nature and aims, which is an object in transition. Although performance appraisal systems are spreading, a common understanding about what is ‘good social work practice’ is lacking, also within the professional community. In Italy, social workers seem missing in the arena of investigating and indicating which criteria can be used to evaluate social work practice. To counteract this weakness, a participative research-intervention project was developed from 2006 to 2011, aimed at supporting social workers in evaluating their work. During workshops with practitioners a self-evaluation tool was designed by means of asking social workers for the possible criteria to be used to define ‘good social work practice’. This paper presents the structure and methods adopted throughout such project, focusing on both the self-assessment questionnaire and the emerging notions of quality of social work.     

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.     

A cross-sectional study on the shift work and metabolic syndrome in Japanese male workers

Introduction.?Shift work has been reported to be associated with an increase in the metabolic syndrome (MetS). To clarify the association between the type of shift work and the risk of MetS, a cross-sectional field survey was conducted after adjusting for age and lifestyle factors.

Methods.?The subjects were 3007 Japanese males, aged 34–64 years old, who were employees (1700 day and 1307 shift workers) of a car-manufacturing company. The standard Japanese criteria for the diagnosis of MetS was used. Age, smoking habit, drinking habit, sleeping habit and exercise habit were used as the independent variables.

Results.?The prevalence of MetS in the day workers, two-shift workers, and three-shift workers were 13.8% (234/1700), 10.7% (120/1125) and 17.6% (32/182), respectively. There was a significant difference in the prevalence between the two-shift workers and the day workers. Estimation of the odds ratios (95% confidence intervals) of age, two-shift work and habitual exercise for MetS were 1.03 (1.01–1.04), 0.77 (0.61–0.98) and 0.64 (0.51–0.81), respectively.

Conclusion.?Two-shift work was associated with lower risk of MetS, which is not in accordance with past reports. This finding should therefore be re-analysed, including investigation of the job content in each group.     

Combining key elements in training and research: Developing social work assessment theory and practice in partnership

This paper is based on a joint project between staff from a university department of social work and a local social services department and is jointly written by the four people involved. It reports on the development of a package of training and research over the past 5 years designed to improve standards of assessment in the work of child and family social workers employed by the authority. It analyses the positive reception given to the project both from practising social workers and from management. It contends that this model of combining theory, training, research and practice can and should be used more widely as a basis for supporting and developing professional social work. It discusses the introduction of a theoretical framework which anticipated the new national framework for assessment, but which has been used to critically assess it (as well as other models of assessment), and has involved experienced workers in their evaluation.     

Transferring training to child welfare practice: Individual and collective efforts

The transfer of training to practice constitutes an ongoing challenge in child welfare services. Many efforts to understand and promote training transfer address the concept as an individual-level behavior. This study suggests that training transfer is both an individual and collective process. The study involves a survey at two time points of 214 workers from child welfare agencies who attended a training program. Principle components analysis identified two meaningful sub-components within the concept of the training transfer. Hierarchical linear regression was used to assess the influence of individual-level and contextual factors on both components. Findings suggest that to promote collective training transfer and enhance both individual and group performance, child welfare administrators may need to strengthen supervisory support and to promote positive work climates in which trainees can discuss training concepts and work together to apply them.     

Musculoskeletal disorders and psychosocial risk factors among workers of the aircraft maintenance industry

During the recent decades Brazil has experienced an exponential growth in the aviation sector resulting in an increasing workforce. The aircraft maintenance industry stands out, where the workers have to handle different kind of objects. The aim of this study was to evaluate psychosocial indicators as well as musculoskeletal symptoms and disorders among aircraft maintenance workers. One hundred and one employees were evaluated (32.69 ± 8.25 yr, 79.8 ± 13.4 kg, and 1.75 ± 0.07 m). Musculoskeletal symptoms and disorders were assessed through the Nordic Musculoskeletal Questionnaire (NMQ) and a standardized physical examination. The Job Content Questionnaire (JCQ) and the Utrecht Work Engagement Scale (UWES) were applied to evaluate psychosocial indicators. Results of the NMQ indicate the lower back as the most affected body region. On the other hand, the physical examination has shown clinical diagnosis of shoulder disorders. Neck, upper back and ankle/foot were also reported as painful sites. Most of workers have active work-demand profile and high work engagement levels. We suggest that musculoskeletal symptoms may be related to high biomechanical demand of the tasks performed by workers, what must be further investigated.     

Research Note—Globalization and Social Work: Influencing Practice Through Continuing Education

This study determined the effect of a continuing education (CE) program on increasing social workers’ knowledge about global issues and subsequently influencing decisions for future practice. Thirty-eight participants took a CE course (3-session face-to-face or 1-month online) on global issues. Social Work Practitioner Globalization Survey was used to test participants’ (1) knowledge about globalization and global references, (2) belief about the importance of globalization for making practice decisions, and (3) intent to seek global knowledge in the future. Pre- and postcourse data from 32 respondents showed increases in knowledge, belief, and intended action toward the use of globalization knowledge in social work practice. Findings help social work educators justify and plan curricula that infuse globalization and global issues as curriculum components.     

‘My profession is gone’: how social workers experience de-professionalization in the Netherlands

Recently social work in the Netherlands underwent two major changes. Specialized agencies were replaced by one-stop shops (district teams) and the welfare state was replaced by a ‘participation society’, in which vulnerable groups have to rely on their social network rather than resort to professional care. The first change is termed ‘de-specialization’; the second ‘basic de-professionalization’. The research question in this article is: how do Dutch social workers experience and evaluate these two developments? Qualitative interviews with 29 experienced social workers show that most of them endorse de-specialization, as this type of aid is deemed better for clients with complex problems. Moreover, many social workers like to take on new tasks. Basic de-professionalization is met with more reserve. Social workers observe that many clients do not have a suitable network and need professional help. In addition, they feel that their profession is being degraded as lay people and volunteers take over (part of) their work. However, they feel unable to resist this development, because resistance might get them sacked. Some social workers even enhance basic de-professionalization because of their willingness to continue working as (retired) volunteers. Social workers and theorists need to address and counter the move towards basic de-professionalization.     

Comparison of a simulated versus work environment lifting task on L5/S1 compression forces

Since a patient's ability to perform simulated work activities guides return-to-work decisions, a significant question to address is whether the simulated work environment accurately reflects the actual work environment. Work hardening programs have been used extensively as a method of rehabilitating workers to return to their pre-injury functioning levels. Re-training workers to lift boxes is a common method used to simulate the work environment. Although very few boxes used in the real work environment have handles, boxes with handles are often used in the simulated work environment. The difference in compression forces at the L5/S1 joint while lifting boxes with and without handles was investigated. The Lift Trak Motion Analysis system was used to estimate lumbar isometric compression forces exerted while lifting a 20-pound (9.07-kg) box. The results indicated that estimates of compression forces when lifting a box without handles were significantly different (p < 0.01) than when lifting the same box with handles. Based on these results, it is recommended that work hardening professionals carefully re-evaluate the simulated work environments currently being used for treatment.     

Sustainable Social Work: An Environmental Justice Framework for Social Work Education

Environmental degradation is not experienced by all populations equally; hazardous and toxic waste sites, resource contamination (e.g., exposure to pesticides), air pollution, and numerous other forms of environmental degradation disproportionately affect low income and minority communities. The communities most affected by environmental injustices are often the same communities where social workers are entrenched in service provision at the individual, family, and community level. In this article, we use a global social work paradigm to describe practical ways in which environmental justice content can be infused in the training and education of social workers across contexts in order to prepare professionals with the skills to respond to ever-increasing global environmental degradation. We discuss ways for social work educators to integrate and frame environmental concerns and their consequences for vulnerable populations using existing social work models and perspectives to improve the social work profession's ability to respond to environmental injustices. There are significant social work implications; social workers need to adapt and respond to contexts that shape our practice, including environmental concerns that impact the vulnerable and oppressed populations that we serve.     

The influence of the tasks characteristics in physical performance and psychosocial aspects of workers

The work and life conditions have influence on the health and life quality of workers. Physically active persons can demonstrate a life style that are and affect the physical performance, psychosocial aspects and work capacity. The purpose of this study was to investigate the physical activity level and work capacity in different tasks characteristics, one with more physical exertion and other with more cognitive exertion. A total of 193 workers from an institution of higher education and 457 workers from a metallurgical industry participated in the current study. All participants completed the International Physical Activity Questionnaire (IPAQ-short) and Work Ability Index (WAI). The results indicated that both groups were classified as having high level of physical activity while only few of them were considered sedentary (less than 27%). However, the group of metallurgical workers had greater indices (82%) than the workers from higher education institution (74%). Overall, the workers reported their work ability as moderate to excellent, suggesting that overall they are satisfied with their working and health conditions. It can be concluded that even though workers performed tasks with different demands (cognitive versus physical), they demonstrated similar level of physical activity as well as work ability.