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Price: EUR 250.00Authors: Heijstra, Thamar M. | Rafnsd\'ottir, Gudbjörg Linda | Jónsdóttir, Lilja Sigrún
Article Type: Research Article
Abstract: Objective: The aim of this study is to analyze the level of autonomy of Nordic hospital physicians, to examine whether there is a noticeable gender difference, and to evaluate the relation between autonomy and the well-being of these professionals. Participants: This quantitative study is based on 1697 questionnaires that were filled out by hospital physicians in Sweden, Norway and Iceland. Methods: The quantitative data are analysed statistically. Student's independent sample T-test is used to identify significant …gender differences between the means of the variables autonomy and well-being. The Chi-Square test of independence is used to obtain information on the relation between autonomy and the well-being of male and female physicians. Results: Nordic male physicians enjoy significantly more autonomy than their female colleagues but the average level of autonomy is not very high for either of the genders. Autonomy turns out to have a significant positive effect on the well-being of both male and female hospital physicians, but the effect is stronger among women. Conclusion: Even though the recent economical crisis makes cutbacks in the health care system necessary, it is important to avoid drastic reorganizations which are aimed at improved efficiency, but threaten the autonomy and well-being of hospital physicians. Show more
Keywords: Managed care, professionals, reorganization, strain, work conditions
DOI: 10.3233/WOR-2011-1255
Citation: Work, vol. 40, no. 4, pp. 437-443, 2011
Authors: Schapmire, Darrell W. | St. James, James D. | Townsend, Robert | Feeler, Larry
Article Type: Research Article
Abstract: Objective: The objective was to determine if visual estimation of effort (VEE) during lifting tasks is accurate in classifying relative levels of exertion or distinguishing between incomplete lifts that may be potentially unsafe and incomplete lifts of "actors" feigning weakness. Participants: A convenience sample of 117 health professionals and lay subjects participated in the study. Methods: Four actors were videoed performing four complete dynamic lifts (sets of five repetitions) of varying levels …of exertion (relative to subjects' physical maximum). Subjects viewed the videoed performances, presented in no apparent order, attempting to properly classify the lifting tasks. For the four levels of exertion, participants were to judge if the lifts were 25%, 50%, 75% and 100% of each actor's maximum lifting capacity and to distinguish between an incomplete (failed) lift of 110% of maximum and a feigned failure of a lift of 25% of maximum. Results: Accuracy for in classifying all lifting activities was marginally higher than chance. There were no differences in the accuracy of health professionals or lay subjects. Conclusion: The VEE does not accurately classify relative levels of exertion or distinguish between incomplete feigned effort lifts and lifts that are potentially too heavy to safely lift. Show more
Keywords: Psychophysical, kinesiophysical, lifting evaluation, functional capacity evaluation (FCE)
DOI: 10.3233/WOR-2011-1256
Citation: Work, vol. 40, no. 4, pp. 445-457, 2011
Authors: Tarride, J.E. | Harrington, K. | Balfour, R. | Simpson, P. | Foord, L. | Anderson, L. | Lakey, W.
Article Type: Research Article
Abstract: Objective: To evaluate the My Health Matters! (MHM) program, a multifaceted workplace intervention relying on education and awareness, early detection and disease management with a focus on risk factors for metabolic syndrome. Participants: The MHM program was offered to 2,000 public servants working in more than 30 worksites in British Columbia, Canada. Methods: The MHM program included a health risk assessment combined with an opportunity to attend an on-site screening and face-to-face call back visits …and related on-site educational programs. Clinical and economic outcomes were collected over time in this one-year prospective study coupled with administrative and survey data. Results: Forty three per cent of employees (N=857) completed the online HRA and 23 per cent (N=447) attended the initial clinical visit with the nurse. Risk factors for metabolic syndrome were identified in more than half of those attending the clinical visit. The number of risk factors significantly decreased by 15 per cent over six months (N=141). The cost per employee completing the HRA was $205 while the cost per employee attending the initial clinical visit was $394. Eighty-two per cent of employees would recommend the program to other employers. Conclusions: This study supports that workplace interventions are feasible, sustainable and valued by employees. As such, this study provides a new framework for implementing and evaluating workplace interventions focussing on metabolic disorders. Show more
Keywords: Workplace intervention, metabolic syndrome, employee satisfaction
DOI: 10.3233/WOR-2011-1257
Citation: Work, vol. 40, no. 4, pp. 459-471, 2011
Authors: Thompson, Warren G. | Levine, James A.
Article Type: Research Article
Abstract: Objective: Time spent sitting increases all-cause mortality. Sedentary occupations are a major contributor to the obesity epidemic. A treadmill desk offers the potential to increase activity while working; however, it is important to make sure that productivity does not decline. The purpose of this study is to evaluate productivity …while using a treadmill desk. Participants: Eleven experienced medical transcriptionists participated in the study. Methods: Transcriptionists were given 4 hours training in the use of a treadmill desk. They were asked to transcribe tapes for 8 hours both while sitting and while using the treadmill desk. Speed and accuracy of transcription were compared as were the average expended calories per hour. Results: The accuracy of transcription did not differ between sitting and walking transcriptions. The speed of transcription was 16% slower while walking than while sitting (p < 0.001). The transcriptionists expended 100 calories per hour more when they transcribed while walking than when they transcribed while sitting (p < 0.001). Conclusion: The treadmill desk offers a way to reduce sedentariness in the workplace and has potential to reduce employee obesity and health care costs. However, more than 4 hours of training will be necessary to prevent a significant drop in employee productivity. Show more
Keywords: Obesity, sedentariness, physical activity
DOI: 10.3233/WOR-2011-1258
Citation: Work, vol. 40, no. 4, pp. 473-477, 2011
Authors: Tremblay, Carol Horton
Article Type: Research Article
Abstract: Objective: This research seeks to identify job characteristics and workplace policies conducive to the job success of individuals with bipolar disorder, and to examine the interactions between employers and bipolar employees regarding requested workplace accommodations. Participants: The study population consists of 39 adults who were in outpatient care and diagnosed with bipolar I or II disorder. Methods: Each participant completed a mail-in questionnaire regarding workplace characteristics that would enhance job performance. …Results: Primary beneficial work characteristics reported are schedule flexibility, autonomy, and supervisor willingness to provide accommodations. Specific helpful characteristics noted by participants include allowances for working at home, leaves of absence, frequent breaks, barriers between work spaces, control over goal-setting, creativity, and avoidance of jobs with pace set by machinery. Twelve of the 26 workers requested workplace changes, and of the 12 requests, 10 were implemented. Incidents of employer bias were reported. Conclusion: The experiences of the survey participants regarding beneficial workplace accommodations may help to improve the productivity and well-being of other individuals with bipolar disorder. Show more
Keywords: Disability, occupation, employment, bipolar disorder
DOI: 10.3233/WOR-2011-1259
Citation: Work, vol. 40, no. 4, pp. 479-487, 2011
Authors: Marval, Rebecca
Article Type: Research Article
DOI: 10.3233/WOR-2011-1260
Citation: Work, vol. 40, no. 4, pp. 489-493, 2011
Article Type: Research Article
Citation: Work, vol. 40, no. 4, pp. 495-498, 2011
Article Type: Research Article
Citation: Work, vol. 40, no. 4, pp. 499-501, 2011
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