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This is a case study comparing the use of two different assessment tools (Rapid Entire Body Assessment versus New Zealand Manual Handling Hazard Control Record) to assess, plan and implement changes in manual handling practices in the supermarket industry. Existing manual handling practices being used within these supermarkets were assessed using each of these tools. The most hazardous tasks were revised to improve work methods and reviewed again using both tools, to determine the usefulness and effectiveness of these tools. The process generated considerable discussion regarding the benefits and drawbacks of each tool. The usefulness of each tool appears dependant on the reason for assessment and the anticipated outcome. REBA may be more useful if specific ergonomic or biomechanical changes are being implemented to decrease risk of work-related injury (particularly if an objective numeric score is required for re-assessment following modifications, to determine their effectiveness). The New Zealand Code of Practice for Manual Handling 'Hazard Control Record' Risk Score analysis process lacks specificity and objectivity, however it is less reductionistic and takes into account many factors other than biomechanics and ergonomics. It directs the user toward implementing controls, which are thorough, multi-factorial and useful to control hazards relating to several other areas, including task, load, environment, people and management factors.  相似文献   

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OBJECTIVES: This study examined the validity of hand therapists' self-report of cumulative trauma disorder (CTD) risk factors by comparing the self-report to observations performed by the raters. Inter-rater reliability was also analyzed between the raters who observed the hand therapists. STUDY DESIGN: Two raters simultaneously observed each hand therapist during a splinting task at a therapy facility. Following this task, the raters and the hand therapist independently completed an identical assessment tool. Thirteen therapists were observed and a total of six raters observed the therapists. Responses from two categories of the self-assessment, "posture" and "mechanical stress", were compared. Percentage of agreement was calculated by dividing the number of like responses by the total number of possible responses for each category. RESULTS: Overall inter-rater reliability was 72%, significantly above the accepted minimum standard of 60-70%, and validity was 39%, significantly below the accepted minimum. CONCLUSION: The high percentage of inter-rater reliability established consistency and accuracy among the raters in their observations. However, the low percentage of validity should prompt hand therapists to investigate the accuracy of a patient's self-report before relying on it for treatment.  相似文献   

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Abstract

The World Health Organization (WHO) ratified the International Classification of Functioning, Disability and Health (ICF) in 2001. This followed a ten year period of international development which shifted emphasis from a system concerned with the consequences of disease to a system concerned with human functionality and health. Disability advocates contributed to this system which has potential as a tool for social work classification and assessment. Familiarity with the system also brings the profession in step with the disability studies movement which promotes a social model of disability.  相似文献   

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Carers of bariatric (morbidly obese) clients are exposed to manual handling injury risk throughout the journey that such clients take within the healthcare system. To identify the factors that affect risks associated with bariatric clients and the subsequent adoption of risk control measures focus groups were conducted in two Australian state capitals: a suburban region of Melbourne and a large regional Victorian town. Participants, were recruited from within the primary health care sector, ambulance services, fire services and funeral businesses. It was found that the risks to which nurses, ambulance officers, fire fighters, and funeral industry employees are exposed are significant. The injury risk is influenced by the nature and design of the range of environments within which client movement is undertaken; the limited range of handling equipment available for use with bariatric clients; and the efficacy of organisational procedures and training. Adoption of risk controls is hampered by the absence of a standard definition of the term ``bariatric' and the gaps in information flow during the bariatric client journey through the health care system. Various definitions of bariatric are applied in different sectors and there are limitations to the use of both weight and body mass index in those definitions.  相似文献   

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In 2012, the Centers for Disease Control and Prevention (CDC) established the Achieving Public Health Impact through Research (APHIR) contract mechanism. APHIR provides CDC’s Centers, Institute, and Offices (CIOs) a mechanism that supports multiyear, high impact public health research. Awarded projects supported research on a wide range of topics (e.g., cancer surveillance, HIV education programs, development of biological assays, and evaluation of traumatic brain injury prevention programs) and achieved diverse outcomes (e.g., contribution to the body of knowledge in their field, changes in practice and health service delivery, and capacity building). This article describes how existing impact frameworks and a variety of methods and tools (key informant interviews, online survey, bibliometric analysis, Altmetric and document reviews) were used to identify the outcomes achieved by awarded projects. The approach discussed in this paper can be used to evaluate projects that involve a diversity of activities and outcomes.  相似文献   

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This study reports the findings of an assessment of a life-care center for elderly persons in a rural area using the Multiphasic Environmental Assessment Procedure (Moos and Lemke, 1979a). The study assesses the physical and architectural features, the social climate, and the policies and programs of the home. The results are compared to previous assessments of sheltered-care facilities, and the findings of the study support similar research conducted by Moos and Lemke. The facility's selection process leads to a population with similar characteristics, tending to promote a harmonious environment. The residents have a positive perception of their personal environment which encompasses the physical and social environment and organizational structure. This type of environment offers a smooth transition from living in a private residence to a residential life-care center.  相似文献   

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Social work education is well positioned for workforce development initiatives that prepare practitioners to use Screening, Brief Intervention, and Referral to Treatment (SBIRT) with people at risk for alcohol use disorders. This article presents preliminary process and outcome evaluation data from the first year of a three-year grant which suggests that the training is acceptable and results in significant changes in trainees’ knowledge, attitudes, and self-perceived SBIRT skills. Training was embedded within the curricula of an urban school of social work, which includes a Bachelor of Social Work (BSW) program and a single-concentration clinical Master of Social Work (MSW). Trainees included social work students (n = 134) and field instructors (n = 38). More than 90% of students were very satisfied or satisfied with the training, and 100% of field instructors rated the training as excellent or good. Students demonstrated significant changes from pre- to posttraining in substance use knowledge, confidence in SBIRT skills, and attitudes about integrating SBIRT into practice. Field instructors reported increased confidence in screening. Integrating SBIRT training into social work curriculum is a promising method of developing a workforce that can effectively prevent and alleviate alcohol misuse.  相似文献   

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VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Crowdfunding opened up new opportunities for nonprofits to mobilize resources in the increasingly competitive world....  相似文献   

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University students report significantly worse sleep quality than the general population. Sleep problems are related to increased health concerns, irritability, depression, fatigue, and attention and concentration difficulties, along with poor academic performance. Clinical research indicates that psychoeducational interventions are among the most effective methods for improving sleep quality in the general population. Similar studies for university students are lacking. In this study, the authors describe the development of the Sleep Treatment and Education Program for Students (STEPS) and evaluate its effectiveness with a double blind, experimental design. Students in the treatment group reported significantly improved sleep quality and sleep hygiene behaviors at 6 weeks posttreatment.  相似文献   

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Urban Ecosystems - Urban agriculture (UA) is regarded as an emerging tool and strategy for sustainable urban development as it addresses a wide array of environmental, economic and social...  相似文献   

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Consumer evaluation research is defined and analyzed as an experimental model for establishing a link between social science research and public policy. The paper reports the results of an 18-month longitudinal study of an experimental citizen evaluation group. Participant observation was the method used to organize the data. The impact of the model on methodological issues, such as objectivity, researcher autonomy, and control over research decision-making, is discussed. Implications of the CER model for integrating social research and public policy formulation are analyzed.  相似文献   

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Urban Ecosystems - The agricultural impacts of the Red Imported Fire Ant, Solenopsis invicta Buren 1972, have been well studied in North America, but have received less emphasis in Asia where the...  相似文献   

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