Work - Volume 79, issue 2

Authors: Jacobs, Karen

Article Type: Editorial

DOI: 10.3233/WOR-246017

Citation: Work, vol. 79, no. 2, pp. 501-501, 2024

Authors: Lindholm, Maria | Reiman, Arto | Tappura, Sari

Article Type: Research Article

Abstract: BACKGROUND: Work itself and occupational health and safety (OHS) have evolved through industrial revolutions and will also continue to evolve in the future. OBJECTIVE: The aim of this qualitative literature review was to examine how the scientific discussion on new and emerging risks (NERs) related to OHS has evolved in recent decades in developed and newly industrialized countries. METHODS: A search of the Scopus database yielded 34 articles published before 2000 and from 2020 onwards. RESULTS: A review of the articles identified NERs themes related to changes in work patterns, changing workforce and growth …in some sectors, climate change, new materials or increased use of materials, new technology and technological development, and viruses. In both article collection periods, possible adverse OHS effects discussed included musculoskeletal disorders, exposure to toxic agents, chemical compounds and hazardous materials, increased stress, increased likelihood of errors and accidents, psychosocial problems, mental fatigue, and increases in work-related illnesses and accidents. CONCLUSIONS: The articles published during both periods discussed similar themes. The main differences were regarding specific time-related cases, such as climate change and COVID-19. Based on the findings of this review, points to consider in OHS management and future studies are discussed. Show more

Keywords: Change, climate change, human factors and ergonomics, materials, technology, viruses

DOI: 10.3233/WOR-230005

Citation: Work, vol. 79, no. 2, pp. 503-521, 2024

Authors: Katsu, Akane | Mackenzie, Lynette | Elliott, James M. | Mackey, Martin | Tyack, Zephanie

Article Type: Research Article

Abstract: BACKGROUND: This scoping review aimed to identify the barriers, facilitators and benefits of returning to work following burn injury, outcome measures used, management strategies, and models of care. OBJECTIVE: To provide a comprehensive overview about working-aged adults returning to their preinjury employment after burn injury METHODS: We followed a pre-determined scoping review protocol to search MEDLINE, CINAHL, Embase, PsycINFO, PubMed, Scopus, CCRCT and CDSR databases between 2000 to December 2023. Papers reporting primary data from previously employed adults with cutaneous burn injuries were included. RESULTS: In all, 90 articles met …the review criteria. Return-to-work was both an outcome goal and process of recovery from burn injury. Physical and psychological impairments were identified barriers. Job accommodations and modifications were important for supporting the transition from hospital to workplace. Employment status and quality of life sub-scales were used to measure return-to-work. CONCLUSIONS: Consistent definitions of work and measurements of return-to-employment after burn injury are priorities for future research. Longitudinal studies are more likely to capture the complexity of the return-to-employment process, its impact on work participation and changes in employment over time. The social context of work may assist or hinder return-to-work more than physical environmental constraints. Equitable vocational support systems would help address disparities in vocational rehabilitation services available after burn injury. Show more

Keywords: Return-to-work, burns, rehabilitation, employment, work performance, scoping review, occupational therapy

DOI: 10.3233/WOR-230148

Citation: Work, vol. 79, no. 2, pp. 523-550, 2024

Authors: Willeke, Kristina | Janson, Patrick | Kirchner, Anna | Tischer, Christina | D’Souza, Arun | Heuschmann, Peter U. | Zapf, Andreas | Wildner, Manfred | Stupp, Carolin | Keil, Thomas

Article Type: Research Article

Abstract: BACKGROUND: Compared to workers of larger companies it is less clear what health promoting interventions might be beneficial for employees of small businesses and self-employed individuals. OBJECTIVE: Our aim was to critically appraise trials investigating health promotion programs among small business workers and self-employed individuals, by means of a systematic review. METHODS: We conducted a search of primary studies using MEDLINE, Web of Science, LIVIVO and the Cochrane library. Our assessment followed the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. RESULTS: We identified six trials including 5,854 participants from …Asia, North America and Australia. Most were of moderate methodological quality, only one was of low quality. Some of the supervised psycho-educational lifestyle programs focusing on individual behavior changes showed benefits in terms of stress reduction and increased physical activity levels among small enterprise employees. CONCLUSIONS: There is a huge knowledge gap on evidence-based health promotion interventions for self-employed and for small business workers, especially in Europe. Show more

Keywords: Intervention, small business, medium-sized business, microenterprise, occupational health, health promotion, systematic review, wellness programs

DOI: 10.3233/WOR-230441

Citation: Work, vol. 79, no. 2, pp. 551-567, 2024

Authors: Reineholm, Cathrine | Lundqvist, Daniel | Wallo, Andreas

Article Type: Research Article

Abstract: BACKGROUND: Organizations are in a state of continual evolution, driven by the relentless shifts in their external environments. Numerous theories have been proposed to understand the essential skills and capabilities for successful organizational change. Yet, there remains a gap in capturing a holistic view necessary to fully comprehend the dynamics of competence in today’s rapidly changing landscape. OBJECTIVE: This research aims to explore and consolidate the concept of ‘competence’ in the context of organizational change processes. METHODS: Employing an integrative literature review approach, a total of 3,230 studies were screened. Out of these, …32 studies were selected based on strict relevance and quality criteria, providing a robust foundation for the analysis. RESULTS: The findings reveal a multi-layered nature of organizational change, highlighting that the nature and prerequisites of change vary significantly across different organizational levels. By applying a competence lens, we discern how required competence during change are not uniform but rather vary depending on whether they are applied in an operational or strategic context. This demonstrates a nuanced, level-dependent variability in change competence across the organizational hierarchy. CONCLUSION: We conceptualize ‘change competence’ as a dual-faceted construct. It encompasses both the capacity to leverage existing organizational competence and the adeptness to develop new competence, thereby meeting the evolving demands imposed by both internal and external drivers of change. This comprehensive understanding paves the way for more effective strategies in managing organizational change. Show more

Keywords: Organizational change, change management, organizational innovation, workplace, learning, review

DOI: 10.3233/WOR-230633

Citation: Work, vol. 79, no. 2, pp. 569-584, 2024

Authors: Crizol, Giuliana Raduan | Sá, Kamilla Mayr Martins | Santos, Giovanna Marcílio | Gonçalves, Marcela Letícia Leal | Mendes, Gustavo Duarte | Bussadori, Sandra Kalil | Pacheco, Rafael Leite | Riera, Rachel | Santos, Elaine Marcílio | Martimbianco, Ana Luiza Cabrera

Article Type: Research Article

Abstract: BACKGROUND: Dockworkers are exposed to physical overloads that can contribute to the development of musculoskeletal disorders, leading to functional disability and absenteeism. OBJECTIVE: to map, critically appraise, and synthesize the available evidence on the prevalence of musculoskeletal diseases associated with port occupational activities. METHODS: A comprehensive search was conducted in structured and unstructured databases in August 2023, with no date or language restriction, to identify observational studies evaluating the prevalence of musculoskeletal disorders in dockworkers’ occupational activity. The risk of bias was assessed using validated tools based on the included study designs. Data from studies …were pooled in meta-analyses. The certainty of the evidence was assessed using the GRADE approach. RESULTS: We identified 12 analytical cross-sectional studies involving 7821 participants in ports of five countries. Most studies (75%) had a moderate methodological quality according to the Joanna Briggs Institute tool. Considering the overall worker categories and any musculoskeletal disorders, the meta-analysis showed a prevalence of 58% (95% Confidence Interval [95% CI] 37% to 78%), with degenerative spinal diseases 42% (95% CI –0.6% to 91%) and low back pain 36% (95% CI 21% to 50%) being the most prevalent conditions. Symptoms were predominantly in foremen and stevedores. The certainty of the evidence was very low. CONCLUSIONS: Musculoskeletal disorders seem prevalent among dockworkers, mainly degenerative spinal diseases and low back pain. Studies with greater methodological consistency are still needed to validate these hypotheses and assist in decision-making for implementing preventive and informational policies in maritime port management organizations. PROSPERO registry CRD42021257677. Show more

Keywords: Dockworker, occupational diseases, cumulative trauma disorders, occupational groups, prevalence, systematic review

DOI: 10.3233/WOR-230666

Citation: Work, vol. 79, no. 2, pp. 585-600, 2024

Authors: Çağatay, Hüseyin Tolga | Demirel, Yüksel | Ertuğrul, Bekir | Tekinyıldız, Esra

Article Type: Research Article

Abstract: BACKGROUND: Culture has an important role in maximizing the value of human capital, which is regarded as the main source of organizational effectiveness. OBJECTIVE: The research was conducted to determine the effect of organizational culture perceptions of healthcare professionals working in a university hospital on employee flourishing. METHODS: It is a descriptive study conducted with 299 healthcare professionals working in a university hospital. “Structured Personal Information Form”, “Denison Organizational Culture Survey” and “New Flourishing Index” to collect the data. In the analysis descriptive statistical methods such as percentage, frequency, arithmetic mean and standard …deviation as well as Pearson correlation, linear regression and multiple linear regression analyses were performed to determine the relationship between variables. RESULTS: According to the results of linear regression analysis, it was determined that organizational culture and flourishing were related (F : 88.229; p  < 0.05). The organizational culture alone explained 22.6% of flourishing. As a result of multiple regression analysis, it was determined that the relationship between organizational culture sub-dimensions and flourishing was significant (F  = 25.975; p  < 0.05). The sub-dimensions of organizational culture explained 25.1% of the flourishing. CONCLUSIONS: As a result of the study, it is observed that the perception of organizational culture of healthcare professionals has an impact on flourishing, and therefore the favorable development of organizational culture will contribute positively to employee flourishing. In present conditions, it has become a necessity for health organizations to provide the circumstances that will make all investments that will contribute positively to the flourishing of their employees a part of the organizational culture. Show more

Keywords: Corporate culture, organizational change, well-being, happiness, health services administration

DOI: 10.3233/WOR-230286

Citation: Work, vol. 79, no. 2, pp. 601-611, 2024

Authors: Alam, Beenish Fatima | Abbasi, Nabeela | Han, Bing | Fahim, Faisal | Ali, Muhammad Iftikhar | Mehmood, Muhammad Awais

Article Type: Research Article

Abstract: BACKGROUND: COVID-19 pandemic had disrupted the teaching in most of the educational institutes worldwide. It has tested the readiness of educational institutes in their ability to deal with crisis. OBJECTIVE: This study aimed to determine the perception of health sciences faculty toward online education during the period of pandemic in Pakistan. METHODS: This cross-sectional research determined the perception using online survey which had been taken from the study conducted by Almahasees et al. Questions related to faculty’s perception regarding IT skills, online classes taking more effort than on-campus learning, online platforms having adequate …tools to facilitate teaching. Data was analyzed using SPSS. Statistical tests comprised of descriptive statistics and Kruskal-Walli’s test. RESULTS: From a total of 318 participants, there were 234 females and 84 males. A statistically significant association was identified between field of specialization and competency to teach online (p  = 0.022). Faculty stated that more efforts were required to teach online (p  < 0.001). Most of the tutors reported virtual sessions helped improved the interaction with their students (p  < 0.001). Most of the time faculty had to prompt students to complete their assignments on time (p  < 0.001). Many of the faculty members disagreed that delivering virtual sessions from home was quite ineffective (p  = 0.221) and reported experiencing distractions (p  < 0.001). CONCLUSION: This study showed that online learning proved less effective than face-to-face learning. The main drawback of distance learning was the lack of teacher-student interaction. Online learning promotes student-centered learning and could be applied in situations of crisis like the COVID-19 pandemic. Show more

Keywords: Healthcare faculty, online education, experience, pandemic

DOI: 10.3233/WOR-230248

Citation: Work, vol. 79, no. 2, pp. 613-621, 2024

Authors: Youssfi, Imen | Mechergui, Najla | Ziedi, Hiba | Mersni, Mariem | Chemingui, Siwar | Haouari, Wala | Aouida, Dorra | Youssef, Imen | Ladhari, Nizar

Article Type: Research Article

Abstract: BACKGROUND: Healthcare workers (HCW) may experience anxiety and prolonged work schedules during pandemics. The mental health status after a COVID-19 infection and the work ability of HCW are interesting criteria in assessing their fitness to work at the return to work (RTW) medical visit. OBJECTIVES: To assess mental health and work ability after a COVID-19 infection among HCW at the RTW medical visit. METHODS: An observational cross-sectional and descriptive study was carried out among HCW of Charles Nicolle Hospital of Tunisia infected with COVID-19 from September to December 2020. Anxiety and depression were screened using the …Hospital Anxiety and Depression Scale (HAD). The perceived ability to work at RTW was measured using the Work Ability Index (WAI). RESULTS: We included 531 HCW. The median age was 40 years. HCW belonged to surgical departments (36.9%) and were nurses (32.4%). The median delay to RTW was 15 days (IQR: 13–18). At the RTW medical visit, certain anxiety and depression were found in 36.5% and 33.3% of the patients respectively. The perceived work ability was evaluated as good to very good in 37.8% of cases. The delay to RTW increased proportionally with a better-perceived work ability (p  = 0.007). CONCLUSION: Our study described the perceived work ability and the prevalence of anxiety and depression among the HCW at the RTW medical visit after COVID-19 infection in the early stages of the pandemic. Specific strategies for RTW after COVID-19 should take into consideration the mental health and work ability of HCW. Show more

Keywords: Mental health, COVID-19, work ability, healthcare worker

DOI: 10.3233/WOR-230352

Citation: Work, vol. 79, no. 2, pp. 623-631, 2024

Authors: Fortin-Bédard, Noémie | Bouchard, David | Ladry, Naomie-Jade | Lettre, Josiane | Normand, Boucher | Beaulieu-Bonneau, Simon | Lecours, Alexandra | Perreault, Kadija | Annie, LeBlanc | Routhier, FranÇcois | Lamontagne, Marie-Eve

Article Type: Research Article

Abstract: BACKGROUND: Since the beginning of the COVID-19 pandemic, protection and isolation measures established by the Canadian and Quebec governments have directly affected the work of health and social professionals (HSPs). These measures have added pressure on HSPs, complexified their work and added tasks to their already busy workload. However, few studies have explored in depth the impacts of the pandemic on HSPs working with people with disabilities. OBJECTIVE: The objective of this study was to qualitatively explore the experiences of HSPs working among people with disabilities in the province of Quebec, Canada, during the COVID-19 pandemic …(January and February 2021), including the impact on their work, the relationships with their colleagues, and on their immediate social and familial environment. METHODS: HSPs participated in a semi-structured interview. A mixed thematic analysis approach, combining inductive and deductive coding, was carried out using N’Vivo 12. RESULTS: Fifty-five HSPs participated in the interviews (mean [SD] age, 42 [9 ]). They mostly identified as women (91%). Three main themes representing the impacts of the pandemic were identified, including 1) Health and Well-being; 2) Family and social networks including the subthemes; 2.1) Fear of being a vector of contamination for their loved ones; 2.2) Work-family balance; 2.3) Social Network, and finally 3) Work, highlighting, including 3.1) Workload and adaptative strategies developed; 3.2) Relationship with colleagues; 3.3) Perceived support received at work, and 3.4) Services offered to patients. CONCLUSIONS: These findings highlight the importance of closely tracking and supporting the well-being of HSPs. Show more

Keywords: Healthcare, COVID-19, qualitative research, work, disabled persons, social support, coping skills, work-life balance

DOI: 10.3233/WOR-230404

Citation: Work, vol. 79, no. 2, pp. 633-644, 2024

Authors: Srinivasan, Vignesh | Ruthuvalan, Varalakshmi | Raja, Sakthi | Jayaraj, Vanitha | Sridhar, Swathi | Kothandaraman, Muthulakshmi | Suganthirababu, Prathap | Abathsagayam, Kumaresan | Vishnuram, Surya | Alagesan, Jagatheesan | Vasanthi, Rajkumar Krishnan

Article Type: Research Article

Abstract: BACKGROUND: Excessive fear, worry and behavioral disturbances define anxiety, with particular significance attributed to vagal nerve, a crucial transmitter of information to the brain regions governing anxiety. Highlighting the importance of vagal nerve, transcutaneous auricular vagal nerve stimulation (TaVNS) emerges as a tolerable and safe technique. The success of non-invasive vagal nerve stimulation in alleviating anxiety underscores the pivotal role of the vagal nerve. OBJECTIVES: The purpose of this study was to assess the effectiveness of physiotherapy interventions in mitigating anxiety among retired teachers during the COVID-19 pandemic, emphasizing the relevance of targeting the vagal nerve …for improved mental well-being. METHODS: 60 retired teachers diagnosed with anxiety were chosen through random allocation. Participants were divided into two groups: Group A (Experimental group) received transcutaneous auricular vagal nerve stimulation (TaVNS), and Group B (Control group) underwent the Jacobson relaxation technique. Intervention period spanned 4 weeks, with four sessions per week, lasting 30 minutes. The outcome measures included Generalized Anxiety Disorder-7 (GAD-7) questionnaire and salivary cortisol levels. RESULTS: Following the 4-week intervention, both groups exhibited a significant reduction in Generalized Anxiety Disorder-7 (GAD-7) scores and salivary cortisol levels (P  < 0.001). Notably, Group A demonstrated a significantly higher effectiveness rate compared to Group B. CONCLUSION: The study concludes that transcutaneous auricular vagal nerve stimulation (TaVNS) is effective in reducing anxiety among retired teachers. Transcutaneous auricular vagal nerve stimulation (TaVNS) proves to be a powerful and effective intervention in alleviating anxiety among retired teachers, emphasizing its potential significance in enhancing mental well-being. Show more

Keywords: Anxiety, vagal nerve stimulation, COVID-19 Pandemic, transcutaneous, autonomic nervous system, salivary cortisol, Generalized Anxiety Disorder-7 (GAD-7)

DOI: 10.3233/WOR-230356

Citation: Work, vol. 79, no. 2, pp. 645-652, 2024

Authors: Fan, Boya | Wang, Gang | Wu, Wei

Article Type: Research Article

Abstract: BACKGROUND: Varied noise environments, such as impulse noise and steady-state noise, may induce distinct patterns of hearing impairment among personnel exposed to prolonged noise. However, comparative studies on these effects remain limited. OBJECTIVE: This study aims to delineate the different characteristics of hearing loss in workers exposed to steady-state noise and impulse noise. METHODS: As of December 2020, 96 workers exposed to steady-state noise and 177 workers exposed to impulse noise were assessed. Hearing loss across various frequencies was measured using pure tone audiometry and distortion product otoacoustic emission (DPOAE) audiometry. RESULTS: Both groups …of workers exposed to steady-state noise and impulse noise exhibited high frequencies hearing loss. The steady-state noise group displayed significantly greater hearing loss at lower frequencies in the early stages, spanning 1– 5 years of work (P  < 0.05). Among individuals exposed to impulse noise for extended periods (over 10 years), the observed hearing loss surpassed that of the steady-state noise group, displaying a statistically significant difference (P  < 0.05). CONCLUSION: Hearing loss resulting from both steady-state noise and impulse noise predominantly occurs at high frequencies. Early exposure to steady-state noise induces more pronounced hearing loss at speech frequencies compared to impulse noise. Show more

Keywords: Steady-state noise, impulse noise, noise-induced hearing loss, pure tone audiometry, distorted product otoacoustic emissions

DOI: 10.3233/WOR-230066

Citation: Work, vol. 79, no. 2, pp. 653-660, 2024

Authors: Hopwood, Pamela | MacEachen, Ellen | Coté, Daniel | Meyer, Samantha B. | Majowicz, Shannon | Hyun, Ai-Thuy | Crouch, Meghan K. | Amoako, Joyceline | Jahangir, Yamin T. | Correal, Amelia León | Ilic, Antonela

Article Type: Research Article

Abstract: BACKGROUND: During the COVID-19 pandemic, low-wage public-facing frontline workers (FLWs), such as grocery store clerks, were required to monitor retail customers and enforce COVID-19 protocols. OBJECTIVE: This analysis aimed to examine FLWs experiences of enforcing COVID-19 pandemic measures. METHODS: Between September 2020 and March 2021, in Ontario and Quebec (Canada), we conducted in-depth interviews about customer-related work and health risks with FLWs who interacted with the public (n  = 40) and their supervisors (n  = 16). Using a lens of situational analysis, verbatim transcripts were coded according to recurring topics. RESULTS: We found that enforcing public …health measures placed already-precarious workers in difficult occupational health circumstances. Enforcement of measures created additional workplace responsibilities, stress, and exposed them to potentially negative reactions from customers. CONCLUSIONS: Interventions to better support these workers and improved methods of protection are discussed. Show more

Keywords: Workers, health disparate populations, public health practices, occupational exposure, disease transmission, infectious, control, communicable disease

DOI: 10.3233/WOR-230315

Citation: Work, vol. 79, no. 2, pp. 661-672, 2024

Authors: Jensen, Michael

Article Type: Research Article

Abstract: BACKGROUND: Occupational therapy presently has a limited presence within the workplace wellness industry and the profession’s contribution within this area of practice is not fully understood. Occupational therapy’s holistic, occupation-based, and client-centered approach has the potential to provide a valuable contribution to the field of workplace wellness. OBJECTIVE: To explore the experience of organizational employees participating in a workplace wellness program centered in the occupational therapy domain and process. METHODS: Six occupational therapy workplace wellness program participants completed in-depth semi-structured interviews one month after program completion followed by deductive thematic analysis of transcripts. RESULTS: …Three themes emerged (sustainable change across context, process matters, and therapeutic relationship supporting wellness), along with subthemes, describing the participant experience. CONCLUSIONS: The structured and individualized process of occupational therapy delivered within a workplace wellness program was appreciated by participants as a means of addressing workplace wellness and providing sustainable wellness results. Show more

Keywords: Occupational therapy, work wellness, health promotion, occupational health, prevention

DOI: 10.3233/WOR-230723

Citation: Work, vol. 79, no. 2, pp. 673-682, 2024

Authors: Pang, Siu-Chuen | Iqbal, Zaheen Ahmed | Chow, Daniel Hung-Kay

Article Type: Research Article

Abstract: BACKGROUND: Trolley bags have gained popularity among students, but there is limited research comparing them to backpack-style school bags. OBJECTIVE: This study aimed to compare how carrying a backpack versus a trolley bag affects the activity of trunk and lower limb muscles in secondary school students. METHODS: Electromyographic activity was measured in 25 students (13.4±1.1 years) as they walked on level ground and up/down stairs while carrying both types of bags. The activity of the gastrocnemius, tibialis anterior, semitendinosus, rectus femoris, lumbar erector spinae, and rectus abdominis muscles was assessed on both the dominant and non-dominant …sides. RESULTS: The study found significantly reduced muscle activation in most of the targeted muscles when walking on level ground with the trolley bag and when going up/down stairs with the backpack. CONCLUSIONS: Lifting a trolley bag depends on the slope of the walking surface and is more efficient on level ground, while carrying a backpack is more efficient when going up and down stairs. Since it is not practical to switch bags when encountering stairs in schools, a bag with a mixed model design incorporating features of both trolley and backpack may be more beneficial and practical for students to use. Students, parents, and teachers should be aware of the injury risks associated with carrying different types of bags. Show more

Keywords: Backpack, trolley, students, electromyography, muscle activity, walking surface, walking slope

DOI: 10.3233/WOR-230628

Citation: Work, vol. 79, no. 2, pp. 683-694, 2024

Authors: Dunstan, Joel | Stenner, Brad | Carrick-Ranson, Graeme | Norton, Kevin

Article Type: Research Article

Abstract: BACKGROUND: Firefighting is recognised as a physically demanding occupation involving exposure to hazardous environments and activities. An aging workforce combined with the age-related decline in physical fitness may result in increased future workers’ compensation expenditure for fire service organisations. OBJECTIVE: The objective of this research was to investigate the costs associated with musculoskeletal sprain and strain injury and the impacts of age and injury location on Workers’ Compensation claims submitted by professional urban firefighters. METHODS: Claim rates, direct costs, and days lost were extracted from a professional Fire Service organisation’s workers’ compensation claim …database for financial years between 2011 to 2018. RESULTS: The mean cost per claim increased with age, with a mean claim cost of the 60–70-year-old group over 10 times more than the 20–29-year-old group. The mean days lost per claim were also higher for claims submitted by firefighters aged over 50. CONCLUSIONS: Older firefighters miss more workdays when injured and are associated with increased claims costs, particularly those in the 60–70-year group. With an aging workforce, Fire Service organisations must implement appropriate management and prevention strategies to reduce the potential risks associated with an aging workforce. Show more

Keywords: Ageing workforce, firefighter, workers’ compensation, sprain and strain injury

DOI: 10.3233/WOR-230133

Citation: Work, vol. 79, no. 2, pp. 695-701, 2024

Authors: Dost, Ayse | Üner, Elif

Article Type: Research Article

Abstract: BACKGROUND: Retail workers comprise millions of people, but little is known about their eating behaviors and food consumption patterns. OBJECTIVE: To examine the healthy eating behaviors and food consumption frequencies of retail workers in shopping malls. METHODS: The sample of this descriptive study consisted of 385 retail employees working in ready-made garment stores of shopping malls in Istanbul (42% of those eligible). A descriptive information form, the nutrition subscale of the Health-promoting Lifestyle Profile (HPLP), and the Food Consumption Frequency Survey were used as data collection tools. RESULTS: It was …determined that more than half of the participants skipped breakfast and other meals and consumed fast food and packaged and acidic drinks five to six days a week. The mean score of the participants on the HPLP-nutrition subscale was determined to be 11.79±3.29. CONCLUSIONS: The retail workers in shopping malls were found to have insufficient healthy eating behaviors, a low frequency of healthy food consumption, and a high level of fast-food consumption. Maintaining healthy eating habits is crucial for the health of employees. It is necessary for workplaces to take steps to help their employees become aware of and practice healthy eating. Workplaces should also be encouraged to provide healthy food options for their employees. Show more

Keywords: Retail worker, healthy eating, shopping mall

DOI: 10.3233/WOR-230460

Citation: Work, vol. 79, no. 2, pp. 713-720, 2024

Authors: Sucu Çakmak, Nefise Cevriye | Çalışkan, Nurcan | Koğar, Hakan

Article Type: Research Article

Abstract: BACKGROUND: Chronic pain is the type of pain that healthcare professionals frequently encounter. Health care students’ attitudes towards pain management are not sufficient and this negatively affects their chronic pain management. When students cannot manage the chronic pain they will experience professional burnout, depersonalization, and a decrease in compassion and empathy in patient care. Therefore, the first step in improving health care students’ attitudes towards patients with chronic pain is to determine their attitudes. OBJECTIVE: This study aims to test the validity and reliability of the Scale for Healthcare Professionals’ Attitudes towards Patients with Chronic Pain (HCPAPCP Scale) …in healthcare students. METHOD: This quantitative study was conducted with 205 health care students in January-February 2022. Data were collected online with Personal Information Form and the HCPAPCP Scale. To determine the reliability of the scale, internal consistency and test-retest, and for construct validity, exploratory factor analysis and confirmatory factor analysis were performed. RESULTS: The results of the exploratory factor analysis showed that the two-factor scale consisting of 18 items, the factor structure, and the distribution of factors in items were the same as the findings of the original scale. The Cronbach’s Alpha coefficient was 0.88 for the first factor and 0.74 for the second factor. Test-retest reliability was 0.60. In confirmatory factor analysis, the model had a good and acceptable fit. CONCLUSION: We found that the HCPAPCP Scale was valid and reliable in healthcare students. Show more

Keywords: Healthcare students, chronic pain, attitude, validity and reliability study, nursing students, medical students

DOI: 10.3233/WOR-230512

Citation: Work, vol. 79, no. 2, pp. 721-731, 2024

Authors: Han, Lei | Du, Zhigang | He, Shiming

Article Type: Research Article

Abstract: BACKGROUND: The effects of traffic sign information volume (TSIV) on the visual characteristics and workload of novice and experienced drivers were investigated in this study. TSIV plays a crucial role in road traffic safety, and understanding its impact on drivers is essential for designing effective traffic sign systems. OBJECTIVE: This research aimed to compare the visual characteristics and workload of novice and experienced drivers under varying TSIV doses through simulated driving tests. The objective was to provide insights for optimizing the design of road TSIV. METHODS: Six TSIV levels were considered: S0, S1, …S2, S3, S4, and S5, representing different workload levels. Participants, including both novice and experienced drivers, were involved in simulated driving scenarios with varying TSIV levels. Eye movement data was collected using an eye tracker device. The study was conducted in China, and appropriate driving simulators and equipment were utilized. RESULTS: The findings revealed several valuable results. Experienced drivers exhibited a higher proportion of saccade behavior in the 30–90 ms time period and did not show rapid saccade behavior during the 0–30 ms period, indicating superior visual search strategies. Both novice and experienced drivers demonstrated improved visual cognitive abilities at the S3 level of TSIV, which corresponds to normal and safe driving conditions. Furthermore, a majority of both groups had saccade amplitudes in the range of 0°–4°, with experienced drivers showing a slightly higher proportion. About 82% of experienced drivers had saccade behavior within the range of 0°–2°, compared to 75% of novice drivers. CONCLUSIONS: The study concludes that the S3 level of TSIV, corresponding to 30 bits/km, is optimal for both novice and experienced drivers. This level promotes better visual performance and reduces visual workload, indicating that drivers’ information acquisition capacity and visual search strategies are maximized while keeping the workload associated with driving at a minimum. These findings have significant implications for enhancing driving safety. Show more

Keywords: TSIV, novice drivers, experienced drivers, driving safety, visual characteristics

DOI: 10.3233/WOR-230349

Citation: Work, vol. 79, no. 2, pp. 733-751, 2024

Authors: Mänttäri, Satu | Rauttola, Ari-Pekka | Halonen, Janne | Karkulehto, Jutta | Säynäjäkangas, Pihla | Oksa, Juha

Article Type: Research Article

Abstract: Background: The body of literature regarding the use of an upper limb exoskeleton during authentic working conditions is sparse. Objective: The aim of this study was to evaluate the effectiveness of an upper limb exoskeleton in reducing muscle strain during authentic industrial construction work. Methods: Fifteen male participants, comprising of roofers, scaffolders, builders, bricklayers, and graders performing overhead work participated in the study. During work without (REF) and with exoskeleton (EXO), muscle activity from 8 muscles, heart rate (HR), metabolic equivalent (MET), and upper arm elevation angles were recorded. Results: …When using the exoskeleton, a significant reduction of 20.2% in average muscle activity of 8 muscles was found. The largest effect focused on m. deltoideus , where 46.2 and 32.2% reduction occurred in medial and anterior parts of the muscle, respectively. HR and MET were unaffected. Upper arm elevation angles were similar between REF and EXO, indicating equal biomechanical loading. Conclusions: This study indicates that exoskeletons show great promise in reducing the potential for musculoskeletal strain during authentic overhead construction work. Show more

Keywords: Passive exoskeleton, overhead work, physical workload, construction work, shoulder load, usability

DOI: 10.3233/WOR-230218

Citation: Work, vol. 79, no. 2, pp. 753-763, 2024

Authors: Subramaniam, Shankar | Ganesan, Abbas | Raju, Naveenkumar | Rajavel, Nithyaprakash | Chenniappan, Maheswari | Prakash, Chander | Pramanik, Alokesh | Basak, Animesh Kumar

Article Type: Research Article

Abstract: BACKGROUND: Textile-sizing mill workers are exposed to various hazards in the sizing units during their working hours and are at risk of acquiring lung impairments due to the usage of sizing chemicals in the sizing process. OBJECTIVE: The main aim of this study is to assess the influence of cotton dust and sizing agents on lung function and breathing difficulties among Indian textile sizing mill workers. METHODS: This cross-sectional study was carried out at a textile-sizing mill from August 2022 to September 2022. A modified questionnaire based American Thoracic Society’s standard was used …to assess respiratory symptoms among sizing mill workers and the pulmonary function test was conducted Spirometry. The chi-square test was used to find the difference between respiratory symptoms and the t -test was used to find the difference between spirometric parameters. RESULTS: Textile sizing mill workers showed significant (P  < 0.0001) decline in peak expiratory flow rate, forced vital capacity (FVC), ratio of FEV1 and forced vital capacity, and forced expiratory volume in 1 s (FEV1 ). There was an association between symptoms and duration of exposure to pulmonary abnormality. Sizing mill workers showed a significant decline in lung functions and an increase in pulmonary symptoms. As the service duration of exposure in terms of years increased, respiratory symptoms increased and spirometric abnormality also increased. CONCLUSION: This study confirms that sizing agents such as polyvinyl alcohol (PVA), emulsifier, wax, carboxymethyl cellulose (CMC), and starch used in sizing mills are also responsible for respiratory illness and lung impairment among textile workers. Show more

Keywords: Textiles; sizing mill; cotton dust; respiratory symptoms; pulmonary function; spirometry

DOI: 10.3233/WOR-230399

Citation: Work, vol. 79, no. 2, pp. 765-774, 2024

Authors: Hagendijk, Marije E. | Tan, Zhouwen | Melles, Marijke | Hoving, Jan L. | van der Burg-Vermeulen, Sylvia J. | Zipfel, Nina

Article Type: Research Article

Abstract: BACKGROUND: Value-based healthcare delivery focuses on optimizing care provided by measuring the healthcare outcomes which are most important to the clients relative to the total care costs. However, the understanding of what adds value for clients during work disability assessment is lacking. OBJECTIVE: To explore what medical examiners (MEs) perceive as valuable during the work disability assessment process, by exploring possible: 1) facilitators, 2) barriers and 3) opportunities to add value for the client during the work disability assessment. METHODS: For this explorative qualitative study, 7 semi-structured interviews were conducted with MEs in …the Netherlands. Thematic coding was performed for all interviews. RESULTS: A large variety of facilitators (n  = 22), barriers (n  = 17) and opportunities (n  = 11) were identified and inductively subdivided into four main themes: 1) coherent process, including all time related aspects, 2) interdisciplinary collaboration, including all aspects related to the collaboration between the ME and other professionals, 3) client-centred interaction, including all aspects related to the supportive interplay from the ME towards the client, and 4) information provision on all aspects during the work disability assessment process towards the client to ensure a valuable work disability assessment process. CONCLUSIONS: The overview of identified possible facilitators, barriers and opportunities to add value for clients from the perspective of the ME may stimulate improvement in the current work disability assessment practice and to better match the client needs. Show more

Keywords: Vocational guidance, return to work, sick leave, value-based health care, delivery of health care, qualitative research

DOI: 10.3233/WOR-230305

Citation: Work, vol. 79, no. 2, pp. 775-788, 2024

Authors: Garcês, Caroline Pereira | Soares, Camila Faleiros Veloso | Sisconeto, Tássia Magnabosco | Martins, Guilherme Cabral Borges | Dias, Marina Abreu | Vivenzio, Rafaella Andrade | Moreira, Thiago Ferreira | Camargo, Yanne da Silva | Crispim, Cibele Aparecida | Balieiro, Laura Cristina Tibiletti | Cheik, Nadia Carla

Article Type: Research Article

Abstract: BACKGROUND: In response to the COVID-19 pandemic, educational institutions had to swiftly adapt and transition to remote teaching in order to maintain academic activities. However, these changes presented a number of challenges for professors, which could have negative effects on their health. OBJECTIVE To analyze the association between changes in dietary and sleep habits, physical activity level, and sedentary behavior with the development of non-communicable diseases (NCDs) among Brazilian higher education professors during the pandemic period. METHODS This is a cross-sectional and retrospective study conducted using an online form. Generalized linear models, adjusted for age, sex, …and body mass index, were used to verify the difference between pre-pandemic and pandemic periods. Logistic regression models were used to predict the odds ratio (OR) for the development of NCDs according to physical activity time, sedentary behavior time, dietary and sleep patterns. RESULTS A total of 936 professors residing across Brazil participated in the survey. The duration of sedentary behavior increased, sleep duration slightly decreased, and meal times shifted to earlier during the pandemic. A total of 22.9%of the participants reported the diagnosis of some NCDs during this period. Physical activity practice was associated with a lower risk of diseases during the pandemic, regardless of the intensity performed. On the other hand, late eating habits and excessive food consumption during the pandemic were associated with a higher risk. CONCLUSION The results provide data that can help in the development of public policies that promote health actions to minimize the consequences associated with the pandemic period. Show more

Keywords: Physical activity, sedentary behavior, feeding behavior, chrononutrition, university professor, coronavirus

DOI: 10.3233/WOR-230518

Citation: Work, vol. 79, no. 2, pp. 789-799, 2024

Authors: Feyzi, Masoud | Navid, Hossein | Castellucci, Héctor Ignacio | Dianat, Iman

Article Type: Research Article

Abstract: BACKGROUND: The dimensional seat design process should consider both the users’ tasks and their physical characteristics. OBJECTIVE: To use an approach for the design and evaluation of seat dimensions based on the anthropometric characteristics of the Iranian population and the requirements of tractor operators. METHODS: Some existing equations relating the seat dimensions to anthropometric characteristics were modified according to logical justifications and international standards. A new mathematical-statistical method was used to extract the equations estimating the constant seat dimensions based on the theoretical maximizing of the accommodation level. In addition, an Overall Seat …Accommodation Score (OSAS) was developed to represent the mean of seat dimensions accommodation level and dimensional accommodation equality, simultaneously. RESULTS: The dimensional seat design can be affected under different conditions of adjustability, esthetic, and space limitations. However, it was shown that it is possible to improve the design of tractor seats without any significant increase in the final cost and complexity. CONCLUSION: A new approach was used for tractor seats for a sample of Iranian operators and can be used for the design and evaluation of tractor seats for other target populations. Show more

Keywords: Agricultural health, dimensional accommodation, ergonomics, seat design

DOI: 10.3233/WOR-230605

Citation: Work, vol. 79, no. 2, pp. 801-818, 2024

Authors: McDonnall, Michele C. | Cmar, Jennifer L.

Article Type: Research Article

Abstract: BACKGROUND: Vision loss increases with age and is thus more likely to happen later in one’s career. With more individuals working beyond typical retirement age, the possibility of experiencing vision loss while working has increased. OBJECTIVE: The purpose of this study was to investigate how developing vision loss during midlife affects employment and retirement. METHOD: Using longitudinal Health and Retirement Study data, we identified a sample of 167 workers, 44 to 64 years old, who developed vision loss and a matched comparison sample of 800 workers who did not. We explored job retention …and retirement differences between the groups and differences between people with vision loss who retained jobs versus those who did not. RESULTS: Vision loss was associated with leaving the labor force, although there was a clear trend over time of increasing likelihood of job retention. Occupational category was associated with job retention and people who continued working had more favorable financial situations. Retirees with vision loss were more likely to report involuntary retirement and dissatisfaction with retirement. CONCLUSIONS: The decreasing likelihood of leaving the labor market after vision loss is an encouraging finding of this study. Workers who left the labor force after vision loss were more likely to be in precarious financial positions, and retirees did not have positive experiences with retirement. Assisting workers with vision loss to remain in the labor force is of vital importance, and increasing awareness and usage of free services for this population may reduce involuntary retirement and its negative consequences. Show more

Keywords: Low vision, reduced vision, visual impairment, employment, employment termination, retirement

DOI: 10.3233/WOR-230669

Citation: Work, vol. 79, no. 2, pp. 819-830, 2024

Authors: Depreli, Özde | Topcu, Zehra Güçhan | Tomaç, Hayriye

Article Type: Research Article

Abstract: BACKGROUND: Appropriate arrangement of classroom ergonomics is necessary for maintaining health and improving academic performance, learning, and motivation. OBJECTIVE: We aimed to determine the anthropometric measurements and ergonomic risk levels of students during a handwriting activity on a fixed desk and chair and to analyze the mismatch and relationships between these factors. METHODS: This study included 149 university students (female:73, male:76). Anthropometric measurements (lower and upper extremity length, shoulder height, elbow-rest height, hip-popliteal length, popliteal height, knee height, the distance between tragus and wall, and between acromion and wall) were done with a …tape measure. The Rapid Upper Limb Assessment (RULA) tool was conducted to determine the ergonomic risk level while students wrote a standard text on a fixed desk and chair as if they were taking notes in the classroom. The mismatch was evaluated between backrest height and sitting shoulder height, seat height, and popliteal height. The Pearson Chi-Square and the Spearman Correlation test were used for statistical analysis. RESULTS: The median values of the participants’ age, height, weight, and BMI were 22 years, 1.70 m, 68 kg, and 23.18 kg/cm2 , respectively. Most students had inadequate ergonomic posture while writing on fixed furniture at the university (Median RULA grand score: 4). More mismatches for seat height (54.4%) were found in high ergonomic risk levels but mismatches for backrest height did not follow a similar result. CONCLUSIONS: More investigation should be conducted with prospective studies including interventions like adjustable furniture. Show more

Keywords: Ergonomics, university, students, anthropometry, furniture, handwriting

DOI: 10.3233/WOR-230590

Citation: Work, vol. 79, no. 2, pp. 831-840, 2024

Authors: Mak, Susanne | Thomas, Aliki | Razack, Saleem | Root, Kelly | Hunt, Matthew

Article Type: Research Article

Abstract: BACKGROUND: Health human resources are scarce worldwide. In occupational therapy (OT), physical therapy (PT), and speech-language pathology (S-LP), attrition and retention issues amplify this situation and contribute to the precarity of health systems. OBJECTIVE: To investigate the phenomena of attrition and retention with OTs, PTs and S-LPs who stayed in, or left their profession. METHODS: Cultural-historical activity theory provided the theoretical scaffolding for this interpretive description study. We used purposeful sampling (maximum variation approach) to recruit OTs, PTs, and S-LPs from Quebec, Canada. Individual interviews were conducted with 51 OTs, PTs, and S-LPs …from Quebec, Canada, in English or French (2019–2020). Inductive and deductive approaches, and constant comparative techniques were used for data analysis. RESULTS: Six themes were developed: 1) characteristics of work that made it meaningful; 2) aspects of work that practitioners appreciate; 3) factors of daily work that weigh on a practitioner; 4) factors that contribute to managing work; 5) relationships with different stakeholders that shape daily work; and 6) perceptions of the profession. Meaningfulness was tied to participants’ sense that their values were reflected in their work. Factors outside work shaped participants’ work experiences. Recurrent negative experiences led some to leave their profession. CONCLUSION: Findings underscore a critical need to address contributing factors to attrition and retention which are essential to ensuring the availability of OTs, PTs and SLPs for present and future rehabilitation needs. Show more

Keywords: Occupational therapy, physical therapy, speech-language pathology, career mobility, rehabilitation, qualitative research, health workforce

DOI: 10.3233/WOR-230531

Citation: Work, vol. 79, no. 2, pp. 841-855, 2024

Authors: Kernkraut, Ana Merzel | Diniz Nagem Janot de Matos, Luciana

Article Type: Research Article

Abstract: BACKGROUND: Psychiatric disorders are the conditions that most contribute to incapacity worldwide. While many healthcare professionals adapt in dealing with various demands, others do not. How much of these conditions is associated with affective experience needs to be studied. OBJECTIVE: Assess the prevalence of anxiety, depression, and stress while investigating the relationship between the presence of positive and negative affect in healthcare professionals. METHODS: This study’s convenience sample consisted of 975 providers (including nursing, physicians, and multidisciplinary team) and administrative professionals (service and supervision teams) working at a general private hospital in Brazil. Data were collected …in 2019 through a socio-demographic questionnaire, the Depression Anxiety and Stress Scale (DASS-21), and the Positive and Negative Affect Schedule (PANAS-X). The results are shown through multinomial regression with odds ratio, 95% confidence interval, and P -value. RESULTS: The prevalence of depression, anxiety, and stress was 49.4%, 46.1%, and 49.8%, respectively, showing high prevalence. It was observed that a high presence of negative affect is associated with a greater likelihood of developing anxiety, depression, and stress, while a high presence of positive affect is associated with a lower likelihood of depression and stress prevalence. CONCLUSIONS: The high prevalence of anxiety, depression and stress in healthcare professionals is associated with the presence of negative affects. Mental disorders should be measured, and practices adopted to ensure well-being and job performance. Show more

Keywords: Anxiety, depression, stress, psychological, affect, health personnel, dyssomnia, musculoskeletal pain, headache

DOI: 10.3233/WOR-230257

Citation: Work, vol. 79, no. 2, pp. 857-866, 2024

Authors: Baytak, Sevgi | Dogru-Huzmeli, Esra | Uysal, Halil Hakan

Article Type: Research Article

Abstract: BACKGROUND: Caring for neurological patients poses a serious burden on caregivers, even in normal times. It is likely that this burden has become even more painful post-COVID-19 pandemic. OBJECTIVE: This study evaluates the effect of the COVID-19 pandemic on the care burden of those who care for patients with chronic neurological diseases. METHODS: The study included 50 patients and 50 caregivers. All the tests were conducted twice, it was answered firstly, according to the pre-COVID-19 pandemic, and secondly, during the COVID-19 pandemic period. The depression levels of the patients and caregivers were assessed with the Beck …Depression Scale, their sleep quality with the Pittsburgh Sleep Quality Index, their quality of life was assessed with the RAND 36-Item Health Survey, and caregivers’ burden of care was evaluated with the Zarit Caregiver Burden Scale. RESULTS: It was observed at the end of the study that the depression levels of patients (p  = 0.00), and caregivers (p  = 0.00) increased post-COVID-19 pandemic, the sleep quality of caregivers (p  = 0.00), and patients (p  = 0.02) decreased post-COVID-19 pandemic. On the other hand, it was determined that caregivers’ burden of care increased (p  = 0.00). Sub-parameters of the RAND 36-Item Health Survey, physical functioning (p  = 0.02), role limitations due to physical health (p  = 0.00), and role limitations due to emotional problems (p  = 0.03) decreased for caregivers. CONCLUSION: In summary, we concluded that the well-being and psychological status of both patients and their caregivers were adversely affected by the COVID-19 pandemic. Show more

Keywords: COVID-19, pandemic, burden, neurological disorders, caregiver, quality of life, depression

DOI: 10.3233/WOR-230710

Citation: Work, vol. 79, no. 2, pp. 867-878, 2024

Authors: Júdice, Pedro B. | Silva, Hélio | Teno, Sabrina C. | Hetherington-Rauth, Megan

Article Type: Research Article

Abstract: BACKGROUND: Prolonged periods of sitting have been linked to negative health outcomes. Implementation of sit-stand desks in the workplace has been one strategy to reduce prolonged sitting. OBJECTIVE: To assess the effectiveness of sit-stand workstations on reducing sitting time and improving other health outcomes of office-based workers. METHODS: 39 Portuguese office workers were randomized into a 6-month parallel-group cluster RCT consisting by the implementation of sit-stand desks in the workplace. The primary outcome of sitting time was assessed using ActivPAL. Secondary outcomes included biometric, psychological, and diet-related variables. All outcomes were assessed at …baseline and 6 months for the whole sample and at 3 months for a sub-sample of the intervention group (n  = 11). RESULTS: No significant time*group interaction was found for the primary or secondary outcomes, apart from waist circumference favoring the control group (Δ –1.81 cm, pinteraction  = 0.04). There were significant changes within the intervention group for sitting time (–44.0 min/day), prolonged sitting (>30 min) (–45.3 min/day) and standing time (51.7 min/day) at 3 months in the sub-sample and in prolonged sitting (>30 min) (–26 min/day) in the full intervention group (p  < 0.05). Changes were also observed within the intervention group for percent body fat (Δ –3.7%) and ratings of quality of life (Δ 2.2), musculoskeletal discomfort (Δ –4.9), overall fatigue (Δ –2.2), and the need for recovery after work (Δ –1.7) at 6-month follow-up (p  < 0.05). CONCLUSION: Although not being effective for reducing sitting time, the implementation of sit-stand desks in the Portuguese workspace was shown to be feasible over the long term, received well by users, and may offer other health benefits. TRIAL REGISTRATION: OSF Registration, OSF.IO/JHGPW. Registered 15 November 2022. https://doi.org/10.17605/OSF.IO/JHGPW. Show more

Keywords: Sitting time, sedentary behavior, contextual modification, ActivPAL, standing time

DOI: 10.3233/WOR-230624

Citation: Work, vol. 79, no. 2, pp. 879-890, 2024

Authors: Vitale, Elsa | Mea, Rocco | Chang, Yun-Chen

Article Type: Research Article

Abstract: BACKGROUND: In Italy, cultural and professional nursing improvements are reached thanks to the university-based education which marks the clinical competency and the professional autonomy in nursing decision-making. OBJECTIVE: To highlight how Italian nurses perceived their nursing autonomy level in the main action-points highlighted in the Italian regulation law according to sex, age, work experience, education, shift and ward. METHODS: A cohort explorative study was carried out from September 2022 to January 2023 to highlight how Italian nurses perceived their nursing autonomy levels in the main action-points highlighted in the Italian regulation law for the nursing profession …according to demographic characteristics, like: gender, age, work of experience, education, shift, ward employment. RESULTS: A total of 403 nurses were enrolled. Significant differences were recorded in: decision-making authority in patient care and shift (p ≤0.001) and ward employment (p  = 0.045); ability to initiate nursing interventions and education (p  < 0.001) and ward employment (p  = 0.011); collaboration and communication with healthcare team members and education (p  < 0.001) and ward employment (p  = 0.010); independence in clinical judgment and critical thinking and shift (p  < 0.001); responsibility for the planning and evaluation of nursing care and education (p  = 0.005) and shift (p  = 0.002) and ward employment (p  = 0.013); autonomy in professional development and continuing education and shift (p  < 0.001) and ward employment (p  < 0.001). CONCLUSIONS: The results highlighted the intricate world both of the healthcare surrounding and the abilities to act autonomously within the multiprofessional staff. Future studies will develop qualitative and phenomenological designs in order to better define in which fields nurses will act their professional autonomy. Show more

Keywords: Age, nursing, professional autonomy, sex, shift work schedule, ward, work experience

DOI: 10.3233/WOR-230740

Citation: Work, vol. 79, no. 2, pp. 891-898, 2024

Authors: Hsieh, Yu-Wen | Huang, Charles Lung-Cheng

Article Type: Research Article

Abstract: BACKGROUND: Police work, known for its high stress, exhibits elevated depression rates. OBJECTIVE: This study explores stress and depression in male officers, examining personality traits, coping strategies, family, and social support. Aligned with the diathesis–stress hypothesis and job demands–resources model, it aims to illuminate these factors in policing. METHODS: Two hundred and sixty-four male police officers from Yunlin, Taiwan were enrolled in this study. Structured measurements of stress level, depression symptoms, personality traits, family functioning, and social support were made. We used multiple regression analysis to assess predictors of stress level and depression …and identified coping strategies used by the police officers. RESULTS: Of the 264 male police officers, 36.4% had clinically significant depression. Occupational stress was mostly related to organizational factors. Multivariate regression analyses showed that age, personality traits, officer’s rank, and period of education obtained could predict police officers’ occupational stress. Personality traits, social support, occupational stress, and period of education obtained could predict depression. The most frequently used coping strategies were drinking and smoking. CONCLUSIONS: The results of our study support the diathesis–stress hypothesis and the job demands–resources model. Enhancing male police officers’ mental well-being requires addressing key factors like social support and occupational stress. Strategic measures, such as mental health education, destigmatization, counseling, and community-building, are vital. Policymakers should collaborate with mental health professionals for tailored interventions, fostering a healthier work environment. Show more

Keywords: Occupational stress, depression, police, diathesis–stress hypothesis, coping strategies, personality traits

DOI: 10.3233/WOR-230452

Citation: Work, vol. 79, no. 2, pp. 899-909, 2024

Authors: Akçakese, Andaç | Tükel, Yalçın | Demirel, Mehmet

Article Type: Research Article

Abstract: BACKGROUND: Work-life balance is an increasingly important issue in modern work environments, referring to a healthy harmony between work and personal life. Leisure is a crucial element supporting this balance, yet negative tendencies such as workaholism can challenge it. Over time, this can diminish work performance and lead to health problems. OBJECTIVE: This study aims to understand the role of leisure involvement in workaholism and evaluate this relationship with consideration for gender differences. METHOD: The data of the research were obtained through survey. The survey collected from individuals working in shopping centres in Konya province of …Türkiye by using simple random sampling method. A total of 389 individuals (185 female and 204 male) working in shopping centers participated in the study. RESULTS: The findings indicate significant differences in leisure involvement and workaholism concerning gender. Additionally, a relationship between leisure involvement and workaholism was identified, with gender having a moderating effect on this relationship. CONCLUSION: Consequently, it was determined that women exhibit higher levels of leisure involvement and workaholism tendencies compared to men, highlighting the crucial role of the relationship between leisure involvement and workaholism in ensuring work-life balance. The results of the research are discussed in the relevant section. Based on the findings, theoretical and managerial implications are developed. Show more

Keywords: Work, life, free time, leisure, recreation, gender

DOI: 10.3233/WOR-240012

Citation: Work, vol. 79, no. 2, pp. 911-924, 2024

Authors: Topçu, Sevcan | Emlek Sert, Zuhal

Article Type: Research Article

Abstract: BACKGROUND: Improving acceptance of the COVID-19 vaccine among nursing students is an important strategy for both preventing infection and building public confidence in the vaccine. OBJECTIVE: The aim of this study was to describe the views of intern nursing students on the COVID-19 vaccine and to evaluate their experiences in the COVID-19 vaccination unit. METHODS: This was a phenomenological qualitative study with a descriptive design. The 46 intern nursing students included in this study were all trained in the COVID-19 vaccination unit. The data was collected at focus group interviews conducted during June …2021 and October 2021. RESULTS: The mean age of intern nursing students was 22.78±0.91. From the focus group interviews, two themes were identified regarding the views of intern nursing students on the COVID-19 vaccine and their experiences in the COVID-19 vaccination unit: Theme 1. Positive views; Theme 2. Negative views. Intern nursing students described that they trust the COVID-19 vaccine and believe in its protection. Intern nursing students who performed their clinical practices in COVID-19 vaccination unit stated that they realized their responsibilities toward patients and the community. CONCLUSIONS: From the INSs’ point of view, confidence in the vaccine, responsibility towards patients, their families and the community, and VU practice experience, the health risk associated with COVID-19 positively affected their decision to be vaccinated against COVID-19. The participation of intern nursing students in clinical practice during the pandemic influenced both intern nursing students and population in terms of the uptake of COVID-19 vaccines. Show more

Keywords: COVID-19, clinical experiences, clinical training, nursing students, pandemic, qualitative study, vaccination

DOI: 10.3233/WOR-220655

Citation: Work, vol. 79, no. 2, pp. 925-934, 2024

Authors: Yigitbas, Cagla | Ozcan, Handan | Elkoca, Ayse

Article Type: Research Article

Abstract: BACKGROUND: When faced with a health crisis, most people tend to seek solutions through modern or traditional medicine. However, there is a group of people who tend to take a fatalistic approach to health crises and tend not to do what is necessary. When such approaches are exhibited in disadvantaged groups, there may be a chain reaction resulting in much more important problems. OBJECTIVE: The aim of this study is to determine whether the fatalistic approach is realized during a health crisis period in people 65 years and older, pregnant women, people with chronic diseases, and healthcare workers …who are considered disadvantaged. Researchers also examined whether there were sociodemographic characteristics that made a difference in these attitudes among those who were determined to have a fatalistic approach. METHODS: The research was conducted with a quantitative method. The sample calculation was performed and it was decided to reach 196 people. A self-report scale was used for fatalism. RESULTS: It was determined that the participants had a moderate level of fatalism. It was seen that there was a difference between the groups in terms of fatalistic behavior. It was observed that women, divorced people, people without alcohol and smoking habits, people who live alone, and people who think their health is poor tend to behave more fatalistic. CONCLUSION: The tendency to show fatalistic behavior was found to be higher in the group of 65 years and older. Sociodemographic characteristics are associated with fatalistic behavior. Show more

Keywords: Fatalistic tendency, health crisis, health protection, risk groups

DOI: 10.3233/WOR-230259

Citation: Work, vol. 79, no. 2, pp. 935-945, 2024

Authors: Maupin, Danny | Canetti, Elisa F.D. | Schram, Ben | Dulla, Joseph M. | Lockie, Robert G. | Dawes, J. Jay | Orr, Robin M.

Article Type: Research Article

Abstract: BACKGROUND: Law enforcement is a profession of sedentary physical activity interspersed with physically demanding activity that requires high levels of fitness. It is imperative that agencies training law enforcement recruits maximise their fitness during their time at the academy. OBJECTIVE: The aim of this study was to investigate changes in physical fitness during academy training. METHODS: Retrospective data for 10 academy recruit classes, totalling 715 participants, were collected from a US law enforcement agency. The change in performance on two standardised tests were used as outcome measures. Comparisons were made between percentiles utilising one-way ANOVA and …a linear mixed model (LMM). RESULTS: Overall, higher percentiles were found to have smaller improvements in physical fitness than lower percentiles. The results of the LMM support this supposition, showing that lower physical fitness scores resulted in greater improvements in a generalised fitness assessment (value = –0.45, standard error 0.02, p  < 0.001) and an occupational assessment (value = –0.49, standard error = 0.02, p  < 0.001). CONCLUSION: The results of this study suggest that recruits with lower physical fitness will see greater improvements during academy training. This could be due to a ceiling effect for the more fit but may also be due to recruits of higher physical fitness being under trained during academy. Utilising ability-based training and prescribing an appropriate workload to recruits of higher fitness may improve overall recruit fitness upon graduation. Show more

Keywords: Police, cadet, academy, physical training, tactical

DOI: 10.3233/WOR-230686

Citation: Work, vol. 79, no. 2, pp. 947-963, 2024

Authors: dos Santos, Raquel Marreiro | Minghelli, Beatriz

Article Type: Research Article

Abstract: BACKGROUND: Playing guitar involves several physical demands, most inclusive of which are long hours of practice, which can make musculoskeletal symptoms common. OBJETIVE: To determine the epidemiology of neuromuscular injuries in guitar players residing in Portugal and risk factors. METHODS: The sample consisted of 105 guitar players, being 103 (98.10%) men, aged between 30–75 years (29,83±10,23). The measurement instrument used was a digital survey, shared by email, on social networks and in person. RESULTS: Fifty-six (53.30%) guitar players had injuries throughout their musical practice, totaling 132 injuries, 13 (12.40%) guitar players were injured at …the time of assessment and 31 (29.5%) guitar players had injuries in the last 12 months, totaling 63 injuries. The value of injury proportion was 0.29 (CI 95% : 0.14–0.44) and the injury rate was 0.42 injuries per 1,000 hours of music practice. The most common types of injury were: tendinopathy (22; 34.92%) and low back pain (9; 14.29%). The most affected anatomical sites were: wrist (18; 28.57%) and lumbar spine (10; 15.87%). Repetitive movement was the injury mechanism most mentioned by guitar players (24; 35.29%) followed by maintaining postures for a prolonged period of time (15; 22.06%). Guitar players who did not warm up before practicing were 0.33 (CI: 0.13–0.79; p  = 0.013) more likely to have an injury. CONCLUSIONS: There was a high percentage of injuries in guitar players and failure to warm up was a risk factor for the development of injuries. This type of study can help in creating injury prevention strategies in this type of population. Show more

Keywords: Injuries, guitar players, musicians, epidemiology, cross-section study, prevalence, neuromuscular

DOI: 10.3233/WOR-230701

Citation: Work, vol. 79, no. 2, pp. 965-973, 2024

Authors: Syed, Robayet Ferdous

Article Type: Research Article

Abstract: BACKGROUND: Although the pandemic is nearing its end, the question of whether COVID-19 infection will be considered a work-related or occupational disease remains a legal issue. Therefore, this study aims to provide clarification on this matter. OBJECTIVES: Since the International Labour Organization (ILO) serves as the primary authority on work-related matters, this study is focused on analyzing the ILO’s policies regarding the acknowledgment of COVID-19 infections as occupational diseases. It also investigates how States can recognize COVID-19 as such a disease while delving into the connection between the disease or injury and the occupation itself. METHODOLOGY: …This study utilizes a doctrinal methodology, focusing on legal research. This approach employs an applied (expository) research method and discusses the topic from a professional constituency perspective, as proposed by Arthurs in 1983. RESULT: The findings indicate that the ILO does not explicitly mention the pandemic or COVID-19 infection as an occupational disease in its list. However, it does include “infectious-related diseases” or “work that carries a particular risk of contamination” as occupational or work-related diseases, which can logically be interpreted as encompassing COVID-19 infection as an occupational or work-related disease. RECOMMENDATION: As the ILO sets guiding principles for its member States, this study recommends that the ILO should establish clear and comprehensive guidelines for member States to recognize COVID-19 infections or any future pandemics as occupational diseases. CONCLUSION: This study will serve as a valuable resource for policymakers who intend to enact or amend national legislation to align with the ILO. Furthermore, it will assist relevant stakeholders in taking necessary actions based on the study’s findings. Show more

Keywords: COVID-19, infection, occupational disease, condition to consider occupational disease, course of employment, ILO

DOI: 10.3233/WOR-230287

Citation: Work, vol. 79, no. 2, pp. 975-986, 2024

Authors: Raza, Mohammad | Bhushan, Rajesh Kumar | Khan, Abid Ali

Article Type: Research Article

Abstract: BACKGROUND: Professional driving requires long hours of work, uncomfortable seats, negotiating rough terrain and highways, and possibly minor repairs and other auxiliary transportation duties. Heavy vehicle drivers driving vehicles such as trucks, bulldozers, etc. due to such working structures are more prone to various musculoskeletal disorders (MSDs) and pain, which is of great concern. OBJECTIVES: In the present study, it is planned to investigate possible ergonomic risk factors such as age, weight, driving exposure, seat suspension systems, lifting heavy weights causing MSDs in drivers of various heavy vehicles. The results of the study are expected to …help drivers reduce the risk of MSDs. METHODS: For the present study, the Nordic questionnaire on musculoskeletal disorders was modified and standardized and was administered to the 48 heavy vehicle drivers randomly selected to collect the data. RESULTS: The analysis divulged that over the past 12 months, lower back pain (LBP) emerged as the most dominant pain experienced by 56% of drivers, followed by knee pain (KP) (43%) and neck pain (NP) (39%) respectively. The prevalence of shoulder pain (SP) was observed to be much lower than in previous literature. The logistic regression model further revealed that increasing age, poor suspension system and poor body posture were significantly associated with lower back pain. Additionally, a poor suspension system and lifting heavy weights had significant effect on the drivers’ knee pain. CONCLUSION: The results demonstrated the evident necessity for ergonomic consideration in vehicle designing and ergonomic training for heavy vehicle drivers. Show more

Keywords: Heavy vehicle drivers, musculoskeletal disorders (MSDs), lower back pain (LBP), whole body vibration, knee pain (KP), driver’s discomfort

DOI: 10.3233/WOR-230655

Citation: Work, vol. 79, no. 2, pp. 987-998, 2024

Authors: Liedberg, Gunilla M. | Björk, Mathilda | Coutu, Marie-France | Durand, Marie-José | Turesson, Christina

Article Type: Research Article

Abstract: BACKGROUND: A well-defined and clear procedure is a key factor supporting return-to-work and enhancing collaboration and understanding between employers and employees. The adaptation of the Tool for Support-Gradual Return to Work, TS-GRTW, addresses relevant cultural aspects valuable for wider adoption. OBJECTIVE: develop a Swedish version, the GRTWswe, for implementation and integration into the Swedish labor market’s RTW process. This involved translating, culturally adapting, and assessing the appropriateness and utility. METHODS: In the initial step, a double back translation was performed to create an initial translated version. This version was then utilized in individual consultations, accompanied by …an agreement questionnaire. For the subsequent step, group consultations were held to refine and customize the tool to suit the Swedish context. Ten occupational therapists completed the questionnaires, with mean agreement scores surpassing three on a four-point scale. Out of these, nine participated in group consultations. RESULTS: The findings suggest the requirement for specific modifications to the GRTWswe. These adaptations are essential because of cultural differences in organizational structures and reference frameworks. Moreover, participants unanimously agreed to broaden the scope of target groups, encompassing employees without regard for diagnosis and expanding the range of professions that can utilize this tool. This step aims to enhance the tool’s applicability and usefulness. CONCLUSIONS: The study found strong alignment between questionnaire responses and group consultations outcomes, affirming the adapted tool’s suitability for use in a Swedish context. The tool benefits employers and employees by enhancing communication, encouraging collaboration, and structuring processes, promising lasting improvements to work conditions. Show more

Keywords: Return-to-work, vocational rehabilitation, chronic pain, instrument development, cross cultural comparison, occupational therapist

DOI: 10.3233/WOR-230665

Citation: Work, vol. 79, no. 2, pp. 987-998, 2024

Authors: Medic-Pericevic, Sonja | Mikov, Ivan | Spanovic, Milorad | Maric, Nada | Zvekic-Svorcan, Jelena | Krasnik, Rastislava

Article Type: Case Report

Abstract: BACKGROUND: De Quervain’s tenosynovitis is upper-limb disorder, more frequent in women. It is rarely recognized as an occupational disease. OBJECTIVE: In this paper we reported work related de Quervain’s tenosynovitis in cow milker. METHODS: Ergonomic risk factors were assessed by utilizing assessment of repetitive tasks (ART) of the upper limbs method. Physical examination and imaging exams were used. RESULTS: We presented a 36-year-old female agricultural worker (workplace cow milker) exposed to work factors (forceful hand/wrist exertions, repetition, extreme postures) for 14 years. She was suffering the pain in the right …hand, mainly near the thumb for few years. She was treated conservatively and surgically, however disability was permanent. Clinical examination showed slight edema of the right hand, increased palm’s sweating. Patient had reduced range of movements and grip strength. CONCLUSIONS: Report shows that work-related factors were strongly associated with diagnosed de Quervain’s tenosynovitis. Hand function plays an essential role in carrying out activities of daily living and this disorder pose a relevant burden of disease. Exposure to biomechanical factors should be an important initial target for the prevention of De Quervain’s tenosynovitis in the working population. Show more

Keywords: Work related musculoskeletal disorder, agriculture, workplace, treatment, disability, employee health

DOI: 10.3233/WOR-230135

Citation: Work, vol. 79, no. 2, pp. 999-1005, 2024