Work - Volume 74, issue 3

Authors: Suijkerbuijk, Yvonne | Nieuwenhuijsen, Karen

Article Type: Research Article

Abstract: BACKGROUND: Return-to-work (RTW) perceptions and attitudes are predictive for future work participation in workers with mental health issues. OBJECTIVE: To identify what RTW perceptions and attitudes occupational health professionals recognize in sick-listed unemployed workers with mental health issues and how these perceptions and attitudes can be systematically assessed. METHODS: Four focus group sessions, each involving five-six different occupational health professionals, were held. The audio records were transcribed verbatim and coded by two researchers independently. A thematic analysis was conducted. RESULTS: Professionals recognized RTW perceptions and attitudes in sick-listed unemployed workers with mental health issues. …These perceptions and attitudes were described as characteristics of three modes in a process regarding RTW: the passive, ambivalent and active RTW mode. A passive RTW mode includes perceptions about not being able to work and an expectant attitude. The ambivalent RTW mode is characterized by uncertainty and ambivalence regarding RTW with a desire for occupational support. Workers in an active RTW mode have positive RTW perceptions and show job search behavior. A main theme was the flexible nature of RTW attitudes and perceptions, with workers switching between the passive, ambivalent and active RTW modes. For the assessment of the RTW mode, the professionals preferred personal contact, possibly with support of a tool. This enables them to ask specific questions and to observe non-verbal signs. CONCLUSIONS: Recurring assessments of the RTW mode can be helpful in identifying unemployed workers with mental health issues at risk of long-term sickness absence and for starting targeted RTW interventions. Show more

Keywords: Mental illness, self-efficacy, sick leave, vocational counseling, occupational rehabilitation

DOI: 10.3233/WOR-210434

Citation: Work, vol. 74, no. 3, pp. 891-906, 2023

Authors: Severinsson, Yvonne | Grimby-Ekman, Anna | Nordeman, Lena | Holmgren, Kristina | Käll, Lina Bunketorp | Dottori, Maria | Larsson, Maria EH

Article Type: Research Article

Abstract: BACKGROUND: To address the increase in sick leave for nonspecific chronic pain and mental illness, the Swedish government and the Swedish Association of Local Authorities and Regions entered into an agreement on a “Rehabilitation Guarantee” to carry out multimodal rehabilitation (MMR). OBJECTIVE: To investigate whether components of primary care MMR are associated with changes in sick leave. METHODS: A web-based survey was conducted in conjunction with a retrospective cross-sectional observational study of 53 MMR units. Sick leave data for the years before and after MMR completion was collected for 846 individuals. RESULTS: There was …great disparity in how MMR was delivered. The average duration of rehabilitation was 4–8 weeks, and 74% of the MMR teams reported having fewer patients than recommended (≥20/year). Only 58% of the teams met the competence requirements. In-depth competence in pain relief and rehabilitation was reported by 45% of the teams and was significantly associated with fewer sick leave days after MMR (26.53, 95% CI: 3.65; 49.42), as were pain duration (17.83, 95% CI: –9.20; 44.87) and geographic proximity (23.75, 95% CI: –5.25; 52.75) of the health care professionals included in the MMR unit. CONCLUSIONS: In-depth competence and knowledge about the complex health care needs of patients seem essential to MMR teams’ success in reducing sickness benefits for patients with nonspecific chronic pain and mental illness. Further research is needed to elucidate the optimal combination of primary care MMR components for increasing the return-to work rate and to determine whether involvement of the Social Insurance Agency or employers could support and further contribute to recuperation and help patients regain their previous work capacity. Show more

Keywords: Bio-psycho-social rehabilitation, multimodal rehabilitation, multidisciplinary rehabilitation, sick leave

DOI: 10.3233/WOR-210836

Citation: Work, vol. 74, no. 3, pp. 907-917, 2023

Authors: Bettac, Erica L. | Probst, Tahira M.

Article Type: Research Article

Abstract: BACKGROUND: Despite considerable differences in national work-family (WF) policies offered in countries around the world, research concerning the implications of such policies for employee reactions to work-family and family-work conflict (WFC/FWC) is limited. OBJECTIVE: The current study examines the contextual role of country-level national WF policies as a moderator of the relationships between individual-level WFC/FWC and job stress, job satisfaction, turnover intentions, organizational commitment, and general health. METHODS: Using archival data sources, the ISSP Work Orientations Survey (2015) and the WORLD Policy Analysis Center Adults Labor Database (2014), multilevel analyses tested the predicted cross-level interaction effect …in a sample of 49,637 individuals (54% female; M age  = 48 years) nested across 36 countries. RESULTS: Results were largely counter to expectations: while more supportive national WF policies attenuated the positive relationship between FWC and job stress, it exacerbated the negative relationships between WFC and organizational commitment, WFC and job stress, and FWC and general health. CONCLUSIONS: Our study responds to calls to consider phenomena functioning at multiple levels of analysis. While reactions were more negative in countries with more robust national-level policies, it suggests an unexpected dark side of such policies. That is, it may not be enough to legislate the availability of national-level policies; it may also be needed to ensure that such policies are meeting employees’ needs. Show more

Keywords: work-family conflict, family-work conflict, national work-family policies, job stress, job satisfaction, turnover intentions, organizational commitment, general health

DOI: 10.3233/WOR-205010

Citation: Work, vol. 74, no. 3, pp. 919-944, 2023

Authors: Biswas, Mrinmoy | Pranav, Prabhanjan Kumar | Nag, Pranab Kumar

Article Type: Research Article

Abstract: BACKGROUND: Paddy milling is the oldest and largest agro-processing industry in India. A large number of workers are employed in the rice mills where they are potentially exposed to dust. It has been shown that exposure to dust results in a high prevalence of respiratory diseases, such as asthma, chronic bronchitis, extrinsic allergic alveoli ties, toxic syndrome, and interstitial lung disease. OBJECTIVE: The aim of this study was to investigate the effect of dust on rice mill workers’ health using lung function tests with comparison to an unexposed population. PARTICIPANTS: Two hundred eighteen rice mill workers …(exposed volunteers) were randomly selected from 25 rice mills in Assam, India. Participants were 18-60 years with at least one year of work experience. Further, 377 volunteers who were not exposed to dust and having similar demographic characteristics also participated as a control group. METHOD: Pulmonary function tests were conducted for all participants by spirometry. The tests included forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC (%), peak expiratory flow (PEF) and forced expiratory flow during the middle half of a forced vital capacity (FEF25-75%). Values from exposed workers were compared with the unexposed volunteers. RESULTS: It was observed that the lung function parameters FVC, FEV1, PEF and FEF25-75% in exposed workers were significantly decreased compared with unexposed volunteers. There were also significantly decreased FVC, FEV1, FEV1/FVC%, PEF and FEF25-75% with increase in age and duration of dust exposure. It was further observed that 48% and 32% of the total male and female volunteers, respectively, had evidence of lung disease. Irrespective of gender, approximately 45% of mill workers had evidence of lung disease, of which 21% was restrictive and 24% was obstructive. CONCLUSION: Compared with unexposed controls, rice mill workers have a greater prevalence of respiratory disease based on pulmonary function tests. Show more

Keywords: Rice mill, Lung function, spirometer, dust exposure, lung disease

DOI: 10.3233/WOR-205146

Citation: Work, vol. 74, no. 3, pp. 945-953, 2023

Authors: Carneiro Lucas, Ruan Eduardo | da Silva, Luiz Bueno | de Souza, Erivaldo Lopes

Article Type: Research Article

Abstract: BACKGROUND: The scientific literature has already identified the influence of thermal conditions on health and performance of students. However, users’ opinions are often overwhelmed by normative evaluations, not receiving the necessary attention. OBJECTIVE: To quantitatively compare the influence of air temperature variability on the thermal perception of students from six air-conditioned teaching environments located in four regions of Brazil. METHODS: Three-day experiments were carried out in six environments. A thermal condition was proposed for each day. From that, the environmental parameters were measured and a questionnaire about the thermal perception was applied. Then, Generalized Linear Models …were applied to obtain a measure of effect and hypothesis test and confidence interval were used to find comfort zones and compare environments. RESULTS: The results showed that students from environments A, B, C and E felt less the effects of the increase in air temperature compared to students from environments D and F. In addition, students from environments A, B, C and E showed less perceptual variability compared to students from environments D and F. CONCLUSIONS: Students acclimated to higher thermal conditions felt less the effects of the increase in air temperature, showed less perceptual variability and a higher degree of thermal adaptability. Show more

Keywords: Teaching environment, students, air temperature, thermal comfort, thermal perception

DOI: 10.3233/WOR-205324

Citation: Work, vol. 74, no. 3, pp. 955-966, 2023

Authors: Ataei, Pouria | Moradhaseli, Somayeh | Karimi, Hamid | Abbasi, Enayat

Article Type: Research Article

Abstract: BACKGROUND: Noise in work environments is regarded as a serious issue. Hearing loss leads to socio-economic problems and huge costs to families and communities. Agriculture is one of the professions in which individuals face occupational noise. Farmers are the second leading group in suffering from hearing loss in the world. OBJECTIVE: This study aims to predict the hearing protection behavior of farmers by using the Protection Motivation Theory (PMT). METHOD: This descriptive study was conducted through a survey. The questionnaire was the main tool for data collection. The population of the study consisted of wheat farmers …in Kermanshah province (N  = 126,900). By using Krejcie and Morgan’s table and stratified random sampling method, 382 farmers were taken as the research sample. The validity of the questionnaire was confirmed by the experts of this field, and the reliability was proved through a pilot study to calculate Cronbach’s alpha. RESULTS: The findings showed that perceived self-efficacy, perceived response efficacy, perceived vulnerability, and perceived response costs had the strongest effects on farmers’ motivation to protect their hearing, respectively. Furthermore, protection motivation had a significant effect on farmers’ protection behavior. CONCLUSION: Threat and coping appraisals as cognitive mediating processes determined farmers’ behavior for hearing protection. The results illustrated that the components of PMT were appropriate predictors of farmers’ hearing protection behavior. Show more

Keywords: Protection behavior, farmers, hearing protection, Protection Motivation Theory, hearing loss

DOI: 10.3233/WOR-210009

Citation: Work, vol. 74, no. 3, pp. 967-976, 2023

Authors: Gorbenko, Ksenia | Romanchuk, Kathryn | Sagliocca, Franco | Mazumdar, Madhu

Article Type: Research Article

Abstract: BACKGROUND: No studies have examined how health care mergers and acquisitions affected the hospital supply chain and its employees since the passing of the Patient Protection and Affordable Care Act. OBJECTIVE: To describe the barriers and facilitators of digital transformation in a hospital supply chain from the employee perspective. METHODS: We conducted two rounds of interviews, one year apart, with supply chain employees at an urban academic health system preparing to adopt an enterprise resource planning (ERP) software (N  = 11 in Round I and N  = 8 in Round II). Two researchers coded transcripts for themes using …NVivo 11. RESULTS: We identified the following barriers to technology integration: silos between supply chain groups (e.g. Purchasing, Information Management, Strategic Sourcing), between employees and management, and resulting from prior mergers; focus on short-term problems and fear of change; and lack of transparent communication about upcoming changes. Facilitators of technology integration included motivation to work in supply chain; long-term vision that allowed tolerance of change and positive outlook; and transparent communication. CONCLUSION: Desire for shared leadership among employees emerged as a major theme, indicating the need for active involvement of employees during transition to new integrative technology. Show more

Keywords: Decision making/process, health service, hospital supply chain, ERP, qualitative

DOI: 10.3233/WOR-210081

Citation: Work, vol. 74, no. 3, pp. 977-990, 2023

Authors: de Souza e Silva, Douglas | das Merces, Magno Conceição | Lua, Iracema | Coelho, Julita Maria Freitas | Santana, Amália Ivine Costa | Reis, Dandara Almeida | Barbosa, Caroline da Silva | D’Oliveira Júnior, Argemiro

Article Type: Research Article

Abstract: BACKGROUND: Burnout Syndrome (BS) is a response of organism against long-lasting exposure to occupational stressors. Those affected usually have comorbidities, as well as cardiovascular and metabolic problems. OBJECTIVE: Estimating the association between BS and obesity in primary health care nurses of in the state of Bahia, Brazil. METHODS: Population-analytical, cross-confirmatory, integrated and multicenter study, conducted with a random sample of primary health care nursing professionals in 43 municipalities from 07 mesoregions of Bahia, Brazil. This study was funded by the Brazilian Board for Scientific and Technological Development. The independent variable (BS) was evaluated by using the …Maslach Burnout Inventory (MBI) scale, and the dependent one (obesity) was based on the Body Mass Index (BMI)≥30. Effect modification and confounding factors were verified by crude, stratified, and multivariate analysis. RESULTS: The prevalence of BS and obesity was 17.7% and 12.7%, respectively. BS was statistically associated with obesity, even after adjustment (RPa: 1.85; CI 95% 1.11–3.06) per gender, age, physical activity, healthy eating, satisfaction with occupation, another job, night shift, primary health care (PHC) time, and working conditions. Effect-modifying variables were not identified. CONCLUSIONS: The specialized literature points out a path to the association identified here. New studies on the subject are relevant and should have more robust methodologies so that the path of causality is better clarified. In addition, occupational health programs become an alternative to control stress and, therefore, its complications, such as burnout and other health aggravations. Show more

Keywords: Psychological burnout, occupational stress, obesity, body mass index, epidemiology

DOI: 10.3233/WOR-210245

Citation: Work, vol. 74, no. 3, pp. 991-1000, 2023

Authors: Xiaolong, Tao | Gull, Nida | Asghar, Muhammad | Sarfraz, Muddassar | Jianmin, Zhang

Article Type: Research Article

Abstract: BACKGROUND: The study’s value is based on a complete understanding of the employee polychronicity–employee intention to leave the relationship in the health care sector. OBJECTIVE: This study examines (1) the role of job engagement in alleviating the relationship between employee polychronicity and intention to leave, and (2) the moderating impact of perceived supervisor support as a relationship. METHOD: This study employed a cross-cultural research design and collected data from nurses working in public sector hospitals. Through job engagement and perceived supervisor support (PSS), the effect of nurses’ polychronicity on turnover intention was examined using the PLS-SEM …approach. RESULTS: The findings of this study demonstrate that employee polychronicity has an impact on employee turnover. Employee engagement appears to operate as a mediator in the association between employee polychronicity and intention to leave and a moderating effect of PSS. CONCLUSION: By emphasizing employee engagement as a mediator and moderating role, the perceived supervisor supports the association between polychronicity and intention to leave of nurses. This study offered a crisp perspective on the complexities of the links between polychronicity, engagement, perceived organizational support, and employees’ intention to leave. Show more

Keywords: Multitasking behavior, polychronicity, healthcare workers, supervisor support, turnover intention

DOI: 10.3233/WOR-210509

Citation: Work, vol. 74, no. 3, pp. 1001-1013, 2023

Authors: Nguyen, Thi Thu Huong | Sendall, Marguerite C. | White, Katherine M. | Young, Ross McD

Article Type: Research Article

Abstract: BACKGROUND: Vietnamese medical students believe becoming “strong” drinkers is important for their future career working as doctor. However, it is unclear if this is a temporary behaviour associated with life as a student, or a phenomenon associated with the transition to working as a medical practitioner. OBJECTIVE: This study explored changes in alcohol-related perceptions and behaviour among Vietnamese early career doctors working after graduation. METHODS: In-depth interviews were conducted with 15 Vietnamese early career doctors in Hanoi city. Thematic analysis was used to analyse the qualitative data. RESULTS: Vietnamese early career doctors perceived binge …drinking as common among doctors, especially male doctors, surgeons, and preventive medicine doctors. This perception was different from when they were medical students because, at that time, they believed doctors would not drink alcohol at hazardous levels. Additionally, Vietnamese early career doctors’ drinking behaviour changed in the frequency and quantity of alcohol consumption after graduation due to peer pressure, job stress, working collaborations, and working environment. CONCLUSIONS: Vietnamese early career doctors changed their alcohol-related perceptions and behaviour after graduation. Gender, mental health (stress), factors related to the working environment, and the role of professional relationships should be considered in strategies to reduce risky alcohol consumption among Vietnamese early career doctors. Show more

Keywords: Binge drinking, early career doctors, qualitative, Vietnam

DOI: 10.3233/WOR-210847

Citation: Work, vol. 74, no. 3, pp. 1015-1026, 2023