A criterion-referenced multidimensional job-related model prediction capability to perform occupations among persons with chronic pain

OBJECTIVE: The purpose of this prospective study was an exploration of the construct of the criterion-referenced multidimensional job-related model (CMVA) aimed for predicting patients' with chronic pain capability to perform occupations. METHODS: The study samples were 1) participants (n=84) who at present were not performing employed work (median sick-listing period 12 months) because of chronic pain and 2) participants (n = 104) who at present were performing employed work at least 20 hours of a workweek. The participants had experiences of 40 different occupations classified into five of the occupational categories of Jist's Enhanced Dictionary of Occupational Titles. Data were collected through ten assessment instruments and a structured interview, comprising 54 variables and 465 items. Data were analyzed using multiple regression with forward entering of variables. RESULTS: The CMVA model (Adjusted R^2 0.777, F (4, 183) = 164.067; p<0.001) was able to explain 78% of the variance. CMVA contained the aspects; "the work demands-variable, the person-variable of work life values, the environment-variable of social support and the two occupational performances-variables; self-perceived capability to perform work tasks/the simulated work tasks". CONCLUSIONS: The construct of CMVA was robust suggesting that among persons with chronic pain, the predictors focusing on their capability to perform occupations are of great importance.     

Multidimensional aspects of work capability

OBJECTIVE: Comparisons of the results of a multidimensional criterion-referenced vocational assessment (CMVA) were performed between a group of patients with chronic pain (group P; n = 86) and individuals working (group W; n = 106). The participants had experience of five job categories. METHODS: The participants' capability to work was assessed from the aspects of personal factors, background data, present work experience, personal and work environmental factors probably influencing work capacity and capacity to perform occupations. Eleven instruments comprising 407 items were used. RESULTS: The results of the comparisons suggest that group P participants' work capacity was significant decreased by how they perceived their present work experience (X^2; p < 0.001), self-assessed or observed capability to perform daily and work occupations (t; p < 0.000). Among the factors which probably influenced their work capability, group P participants significantly (t; p < 0.05) more often used confrontive, emotive, palliative and covert coping strategies and had attained work and other life values to a less extent. Moreover, group P participants perceived that they had had a significant (t; p < 0.000) higher degree of psychosocial demands and more strain incurred from the psychosocial work environment.     

Perception differences between groups of employees identifying the factors that influence a return to work after a work-related musculoskeletal injury

Employee health and productivity losses as a result of work-related injury are estimated to be US dollars 1.2 trillion annually to US companies. This is approximately 14.3% of the gross domestic product [6,8,11,35]. Workers' compensation, medical care, and short and long-term disability are a part of these costs. Controlling or eliminating these costs is a problem for US employers [3,6,14,21,29]. The study discussed in this article examined the perceptions of manufacturing employees in identifying factors that influence a return to work after a work-related musculoskeletal injury. The classification of employees who participated in this study were safety professionals, supervisors and workers from the manufacturing industry in central Kentucky. The worker group consisted of material handlers, assembly line workers and quality control inspectors. The participants completed a developed survey instrument, the Return to Work Perception Survey. This survey instrument examined the perception of the participants on factors related to return to work: company policies and procedures, job satisfaction, worker relationships and work environment. The results indicated safety professionals and supervisors perceptions differ from workers on the variables of job satisfaction, worker relationships and work environment. Their perceptions did not differ on the variable relating to company policies and procedures. In addition, the safety professional and supervisor groups rated the items addressing job satisfaction higher than did the worker group. The worker group did not differ from one another on any of the factors. Implications of this study for manufacturing companies suggest (a). identifying those issues contributing to employee job satisfaction, (b). developing a plan for achieving increased job satisfaction and employee recognition at the workplace among all workers, and (c). consider allowing employees to develop new capacities and new learning, thus fostering motivation and job satisfaction [18,20].     

The Canadian temporary visa programme as an alternative to the European guest worker scheme

This article analyzes Canada's employment visa program, through which foreigners enter the Canadian labor market for relatively short time periods. It further demonstrates some major differences between this policy and the European guest worker scheme. Governments in Western Europe viewed guest workers' benefits as preventing wages and inflation from rising, allowing profits and investments to increase, and sustaining economic growth. A question to consider is whether guest workers' demands on social services, in relation to their tax and other contributions, exceed those of the indigenous population and thus reduce their profitability. Canada, in contrast, has avoided the need to provide services for the children of foreign workers or jobs for their spouses by limiting visa length to a maximum of 1 year. The majority of employment visa holders to Canada enter without dependents. Another difference is the far smaller scope of the Canadian program. Canada's employment visa program provides only about 0.5% of total employment, whereas guest workers in European countries may comprise up to 23% (Switzerland). The occupations of service and teaching account for the majority of workers included in the Canadian visa program, while manufacturing subsumes a large share of European guest workers. It is important to stress that, with relatively low levels for permanent immigration to Canada, the employment visa program rivals that flow as a yearly contributor to labor supply, indicating a need for closer attention to the evaluation of this policy.     

Workers' perspectives on self-directing mainstream return to work following acute mental illness: Reflections on partnerships

Objective: To examine barriers and facilitators influencing self-direction of return to mainstream work following acute mental illness.Participants: Five individuals who had attempted return to mainstream work following acute mental illness. Methods: In depth, semi-structured qualitative interviews with the five participants selected through purposive sampling. Results: The three main themes related to the workers' self-direction of their return to work experience were (a) worker self-management, (b) workers' 'personal' partnerships and (c) workplace partnerships. Conclusion: Personal and workplace partnerships are integral to supporting workers as they take ownership of their full potential and self-direct return to mainstream work.     

Rethinking work-health models for the new global economy: a qualitative analysis of emerging dimensions of work

Technology change, rising international trade and investment, and increased competition are changing the organization, distribution and nature of work in industrialized countries. To enhance productivity, employers are striving to increase innovation while minimizing costs. This is leading to an intensification of work demands on core employees and the outsourcing or casualization of more marginal tasks, often to contingent workers. The two prevailing models of work and health - demand-control and effort-reward imbalance - may not capture the full range of experiences of workers in today's increasingly flexible and competitive economies. To explore this proposition, we conducted a secondary qualitative analysis of interviews with 120 American workers [6]. Our analysis identifies aspects of work affecting the quality of workers' experiences that are largely overlooked by popular work-health models: the nature of social interactions with customers and clients; workers' belief in, and perception of, the importance of the product of their work. We suggest that the quality of work experiences is partly determined by the objective characteristics of the work environment, but also by the fit of the work environment with the worker's needs, interests, desires and personality, something not adequately captured in current models.     

Violence in the workplace and ergonomic prevention

There is a growing problem of violence in the workplace that should not be ignored. An estimated 6,359 deaths occur per year in the workplace [8] and an average one million each year are assaulted while at work [3]. Workplace violence is detrimental to both the employer and employee. It causes decreased worker productivity which results in monetary loss for businesses and the worker. Prevention programs can and should be implemented to address workplace violence. Prevention strategies that incorporate ergonomic and occupational therapy concepts can increase work productivity and job satisfaction. Certain occupations, such as health care and social service workers, are at a high risk for violence in the workplace. Violence in the workplace may never be eliminated, but steps can be taken to hinder the problem from growing.     

Job demands and work ability at older ages

Workers' ability to delay retirement depends partly on the demands of their jobs. Matching occupational characteristics from the Occupational Information Network to Current Population Survey respondents, this study finds that 7% of American workers held highly physically demanding jobs in 2006 and 35% held highly cognitively demanding jobs. The share of the workforce in physically demanding jobs fell by about one-sixth between 1971 and 2006, while the share in cognitively demanding jobs increased by more than one-third. The decline in physically demanding occupations will likely improve employment prospects for older adults, but the growth in cognitive demands may limit options for some older workers.     

The nature of work and the stress of higher status

Are occupational and work conditions associated with work-to-home conflict? If so, do those associations vary by gender? Among a sample of adults in Toronto, Canada, we found that men and women in higher-status occupations reported higher levels of work-to-home conflict than workers in lower-status jobs. In addition, we observed higher levels of work-to-home conflict among workers who are self-employed and among those with more job authority, demands, involvement, and longer hours. The only significant gender-contingent effect was found for nonroutine work, which is associated positively with work-to-home conflict among men but not women. Higher levels of job demands, involvement, and hours among individuals in higher-status occupations significantly contribute to occupation-based differences in work-to-home conflict. Moreover, despite some overlap, these work conditions have largely independent associations with work-to-home conflict. Results generally support the "stress of higher status " hypothesis among both women and men. Although higher-status positions yield many rewards, such positions are not impervious to inter-role stress, and this stress may offset those rewards.     

The functional capacity of healthcare workers with history of severe acute respiratory distress syndrome (SARS) complicated with avascular necrosis--case report

Two years after the SARS outbreak in Hong Kong, 128 healthcare workers continued to present with musculoskeletal complaints and 38 workers were diagnosed with avascular necrosis (AVN) in different joints. 13 healthcare workers were referred to six designated Physiotherapy Departments of the Hospital Authority for a tailor-made standardized Functional Capacity Evaluation (FCE) from 2004 to 2005 on a voluntary basis. Job analysis, workers' self-perceived disability and functional capacity, non-material handling tests, and the cardiopulmonary fitness test were performed. Retrospective review of the FCE data showed that there were 17 AVN of hips, 16 AVN of knees, 3 AVN of shoulders. All patients had AVN of lower limb joints. Nearly full ranges of movement (ROM) were observed in the knees involved, but the hip range was decreased for most subjects suffering from hip AVNs. Most workers (n=12) could not complete the cardiopulmonary test due to intolerable joint pain. Six workers' self-perceived physical demands level (PDC) matched with the physical demands level identified by the FCE. 12 healthcare workers attained a sedentary physical demands level and were unable to match with their previous job demands. One staff was classified as light physical demands and managed his original duty. Four workers had returned to work at the time FCE was performed. The tailor-made FCE added information to facilitate the return-to-work planning for the staff. Four more workers returned to work with modified duties one year after the FCE.     

WHITE-COLLAR PROLETARIANS? THE STRUCTURE OF CLERICAL WORK AND LEVELS OF CLASS CONSCIOUSNESS

Marxist theory has long argued that the development of capitalism tends to proletarianize office employees. This article addresses the validity of this claim. Using survey data drawn from a subsample of clerical workers employed in the communications industry, the article tests a series of hypotheses regarding the relation between computerization, clerical work, and levels of class consciousness. In line with predictions of deskilling, computerization seems to heighten managerial control over workers' jobs, and to lower the conceptual content of workers' tasks as well. Alienation from work also tends to increase apace with the computerization of clerical work. Variation in the structure of workers' jobs, however, displays little or no bearing upon office workers' levels of class consciousness. In short, although the restructuring of clerical work does affect workers' attitudes toward their jobs, it does little to foster an increasingly proletarian attitude toward management. The study suggests that the structure of workers' tasks may be less consequential for the development of class consciousness than has often been presumed.     

Experience of musculo-skeletal disorders,intensity of pain,and general conditions in work -- The case of employees in non-private dental clinics in a county in southern Sweden

OBJECTIVES: (1) To identify perceived musculo-skeletal disorders and intensity of pain among the employees in the non-private dental clinics; (2) To assess perceived psychosocial and physical work conditions on the localization and intensity of musculo-skeletal disorders and pain. STUDY DESIGN: A questionnaire, comprising four sections (demographic, self-reported psychosocial and physical work conditions, self-reported disorders from the musculo-skeletal system, self-reported intensity of pain on nine different localization on the body) was mailed to 391 employees. Of these, 338 reported musculo-skeletal disorders. In this latter group, 239 reported work as the cause. These employees completed the questionnaire. RESULTS: The greatest amount of pain was reported for the cervico-brachial region. Among all participants, a response pattern was found where the physical work demands were very high, the psychosocial work demands fairly high, the work climate supportive, and the control over work moderate. At an occupational group level, theoretical inconsistencies were identified in terms of a lack of anticipated relationships, especially for the dentist groups. CONCLUSIONS: For a scientific and social purpose, more research, which identifies relationships between work-related musculo-skeletal pain and dos-response [8], effort-reward [16], and demand-control [12] aspects of the working conditions, is clearly needed.     

Including the people with disabilities at work: a case study of the job of bricklayer in civil construction in Brazil

The aim of this paper is to present the results of the evaluation of the job of bricklayer in the construction industry to determine the profile of workers with disabilities who could perform this function and what adjustments are needed. The methods and techniques used in the field study were: direct observation of the activities and the environment, interviews with bricklayers on building sites, a video and photographic record of tasks being carried out to analyze the job of bricklayer, software resources were used. This study set out the disabilities most commonly caused by work accidents in the civil construction industry and simulated the conditions of the individuals to determine whether they could perform the activities of this function and what adaptations are needed. It was observed that workers with hearing impairments could perform activities without any change in the workplace and individuals who had had a leg or foot amputated need to use appropriate prostheses to perform the activities of the function. Thus, it was shown that the activity of professionals with experience in Ergonomics is essential since, by the activity of gathering data and analysing the physical, cognitive and organizational requirements of jobs and by collecting data on and analysing the functional capabilities of the worker with a disability, adaptations to jobs can be adequately defined.     

Unexpected barriers in return to work: lessons learned from injured worker peer support groups

Some workers who are injured at work have unexpectedly prolonged absences from work. Experiences of workers who constitute a disproportionate cost to the return-to-work system and the systemic and compliance-related barriers they encounter during the process of returning to work are reported. A qualitative interview based study was conducted with 37 members of three injured worker peer support groups in a Canadian province. Four dimensions of peer support were identified: worker experience of being misunderstood by system providers, need for advocates, social support, help with procedural complexities of the workers' compensation, and health care systems. Peer support constitutes a partial return-to-work solution for workers with injuries, but injured workers encounter an uneven playing field. Injured worker peer support group needs and activities show us that sensitivity to structural and social issues may lead to better return-to-work outcomes.     

The labor process as a source of class consciousness: A critical examination

Much of the recent literature on the labor process has assumed that work content plays a prominent role in the development of class consciousness. Little systematic attention has been given to this assumption, however. The present study examines the relation between aspects of workers' jobs and their levels of class consciousness, using data recently gathered from a survey of workers in the communications industry. Contrary to the prevailing view, the results indicate that extrinsic job characteristics—e.g., job security, patterns of supervision, and working conditions—have much stronger effects on class consciousness than do intrinsic job characteristics. The implication is that analyses of the labor process may have focused too narrowly upon the work itself, at the expense of other critical aspects of the wage-labor relation. Models of the determination of class consciousness will need to consider the expectations workers bring into their jobs. Managerial violation of the workers' expectations may have more to do with the development of class consciousness than does the content of work alone.     

Scheduling challenges among workers in low-wage hourly jobs: similarities and differences among workers in standard- and nonstandard-hour jobs

Work schedules are a central theme in the work–family challenges of low-wage hourly workers. Yet, research on scheduling patterns among this worker population has primarily focused on nonstandard schedules. We know very little about the scheduling patterns of workers in hourly jobs with standard fixed schedules. Knowledge about the key scheduling challenges by schedule type is necessary to develop targeted workplace solutions, such as flexible work arrangements, to enhance work–life fit among workers in low-wage hourly jobs. Using the 2008 National Study of the Changing Workforce, bivariate and multivariate analyses were employed to determine (1) the prevalence of rigid, unpredictable and unstable work schedules among low-wage hourly workers employed in jobs with standard and nonstandard schedules and whether there is variation in these scheduling practices among full- and part-time workers; and (2) the individual or job characteristics that influence the odds of experiencing rigid, unpredictable or unstable work schedules. Results indicate that rigid and unpredictable schedule practices are most prevalent among low-wage hourly workers in full-time standard-hour jobs and part-time nonstandard-hour jobs, while unstable scheduling practices are most prevalent among hourly workers in full- and part-time nonstandard-hour jobs. Implications and limitations of the research are discussed.     

Use of functional capacity evaluations in workplaces and the compensation system: a report on workers' and report users' perceptions

Until recently, little was documented about how functional capacity evaluations (FCEs) are used by employers and workers' compensation organizations. Such information was one focus of a comprehensive research study on FCEs carried out in southern Ontario, Canada, which involved representatives from the full range of groups involved in FCEs: referral sources, assessors, return-to-work specialists, third party payers and injured workers [1]. This paper shares findings from a cohort of injured workers undergoing FCEs, and explored how their FCE results were perceived and utilized by those receiving the reports. Based on study findings, we provide recommendations as to how FCEs should be requested, undertaken, reported and particularly applied to reduce work disability among injured workers.     

The Safety Costs of Contingent Work: Evidence from Minnesota*

We find that workers' compensation costs for leased/staff agency workers are about three times higher than for regular full-time workers. This differential grows even wider when controlling for worker characteristics. Authors give a number of reasons for this result, including claims-reporting moral hazard on the part of contingent workers. We also present results on claim denials by work status, which seems to support the cost model.     

Ergonomics of bridge employment

In many countries of the world, retirement is mandatory at the age at which persons who hold certain jobs or offices are required by employment law to leave their employment, or retire (60 to 65 years). Typically, this is justified by the argument that certain occupations are either too dangerous or require high levels of physical skills and mental work. Every worker has to leave the workforce at that age. However, starting from the last two decades of the last century, it is observed that retirees live more years in retirement than ever before. This relatively long retirement as well as retirees' body fitness made many of them engage in new jobs which are either similar to their career jobs, or completely different from them. In this new type of employment which is called "bridge employment', the retired worker may spend more than ten years. But, to what extent these new jobs are fitted to the aged worker? Considering that experiencing any type of event increases the risk of worse health outcomes over time, bridge employment should be ergonomically designed if it is to fit the aged worker characteristics (physical, mental and affective).     

Intersections on the Class Escalator: Gender,Race, and Occupational Segregation in Paid Care Work

As U.S. manufacturing and production industries have declined, the growth of the care sector has increasingly become an important source of jobs for workers without a college degree. Often requiring some form of postsecondary credentialing, many care occupations can provide better wages, job stability, and possible upward mobility for less educated workers. However, employment patterns in paid care work are both gendered and racialized: women and workers of color are overrepresented in care occupations with fewer entry barriers, benefits, and lower pay. Although these patterns are well documented, the mechanisms producing them are less well understood. Using event history analysis and the National Longitudinal Survey of Youth (NLSY79), this study evaluates the explanatory power of neoclassical economic, status attainment, and social closure theories of occupational segregation for black women’s and men’s greater hazard or “risk” of entering care occupations, relative to white workers. Net of individual and closure mechanisms, significant residual effects suggest labor market discrimination remains a primary explanation for the over-representation of black workers in less credentialed care jobs with fewer benefits.