Work - Volume Pre-press, issue Pre-press

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. Pre-press, no. Pre-press, pp. 1-12, 2024

Authors: Eklund, Annika | Sterner, Anders | Nilsson, Maria Skyvell | Larsman, Pernilla

Article Type: Research Article

Abstract: BACKGROUND: Transition programs for newly graduated nurses in hospital settings are reported to provide learning opportunities, strengthening confidence, workplace integration and skills, retention and job satisfaction. Still, our knowledge of long-term effects is scarce and few studies have used control groups. OBJECTIVE: To explore the long-term impact of having attended a transition program on the nurses’ experiences of the first years of practice. More specifically, ideology-infused psychological contract, ethical stress, perceived organizational support, job satisfaction, opportunities for learning, and intention to stay in the nursing profession, were explored as outcome variables. METHODS: …A questionnaire survey was carried out among registered nurses from November 2019 to January 2020, with a 54% response rate. The analysis was based on 149 nurses who had attended a transition program, and 72 who had not attended. The nurses had seniority between one and three years. Independent samples t -test were used to investigate differences between the groups. RESULTS: The two groups showed small and non-significant differences in the outcome variables. However, regarding the frequency of ethical value conflicts induced by insufficient resources, as well as experiences of ethical value conflict distress, the group of nurses who had attended a transition program showed statistically significantly higher mean values, although the effect sizes were small. CONCLUSION: Newly graduated nurses need more than transition programs and skills training to progress in their nursing role and develop competence, increase job satisfaction, and reduce stress. Achieving these goals requires a long-term supportive learning environment that is integrated into everyday work. Show more

Keywords: New graduated nurses, transition, well-being, job satisfaction, moral distress, turnover, hospital work environment

DOI: 10.3233/WOR-230537

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Davenport, Todd E. | Lee, Alan C. | Raja, Bhavana | Stark, Matthew L. | Reed, Christopher | Magnusson, Dawn M.

Article Type: Research Article

Abstract: BACKGROUND: Telehealth is becoming more prevalent in physical therapy, involving a whole host of clinical services. These services are often provided without structured training in telehealth, and no formal curricula currently exist for this purpose. OBJECTIVE: To develop a set of educational competencies (ECs) to guide instruction of telehealth-related skills in entry-level programs (i.e., Doctor of Physical Therapy), existing programs (i.e., residencies and fellowships), and potential future post-graduate programs specific to telehealth physical therapy. METHODS: Physical therapists and physical therapist assistants from diverse geographic locations and practice areas were invited to participate on …an expert panel. A modified Delphi process was then used to evaluate the acceptability of draft ECs gathered from the extant literature by a steering group. Draft ECs were presented to the expert panel on a questionnaire, which asked expert participants to rate each draft EC according to applicability and clarity. Draft ECs were accepted if they met a priori established criteria for acceptability and clarity. Unendorsed ECs were revised by the steering group according to open-ended comments from respondents and presented during a subsequent round. Three rounds of surveys were undertaken. RESULTS: Thirty-eight participants formed the expert panel; 38 participants completed the Round 1 survey, 28 participants completed the Round 2 survey, and 24 participants completed the Round 3 survey. Delphi group members approved 48 ECs in the first round, 23 ECs in the second round, and 2 ECs in the third round. There were 4 ECs that remained unendorsed after the modified Delphi process. Endorsed ECs spanned 7 conceptual areas. Distinct sets of ECs characterized expected end points of first professional degree, existing residency and fellowship, and potential future telehealth physical therapy post-graduate program. CONCLUSIONS: Consensus-based ECs identified in this study may guide instruction in knowledge and skills relevant to physical therapy telehealth. Show more

Keywords: Mobile health, virtual medicine, ehealth, telecare, competency based education, education, delphi study, consensus development

DOI: 10.3233/WOR-230618

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-19, 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. Pre-press, no. Pre-press, pp. 1-9, 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 AnxietyDisorder-7 (GAD-7)

DOI: 10.3233/WOR-230356

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024

Authors: Erol, Özgül | Küçükkaya, Burcu | Yenici, Ecehan

Article Type: Research Article

Abstract: BACKGROUND: Nurses working in the intensive care units (ICU) regarding the work-index-nursing work environment, the effect level ICU environment has on the nurses’ care behaviors and stress levels of the nurses should be determined. OBJECTIVE: The study aimed to investigate the effect of the nurse manpower on care behaviours and stress level of the nurses working in the ICU. METHODS: This was a cross-sectional and correlational study. The sample of the study consisted of 123 nurses working in the ICUs. The data were collected using the survey form, Distress Thermometer (DT), The Practice Work Environment Scale …of the Nursing Work Index (PES-NWI), and Caring Behaviors Scale-24 (CBS-24). RESULTS: The mean age of nurses in the ICU was 30.2±5.6 and the mean of working time in the intensive care unit of nurses in the ICU was 3.7±3.1 years. The mean of the DT was 4.8±3.4, and the mean score of PES-NWI was 2.6±1.0 and the mean score of CBS-24 was 4.7±1.1 in nurses in the ICU. The regression model which was studied to investigate the relationship between caring behaviors and stress and nurse manpower of nurses working in intensive care unit was significant. CONCLUSION: Care behaviors and stress levels of nurses working in intensive care units are negatively affected by insufficient nurse manpower. Show more

Keywords: Intensive care unit, nurse, nurse manpower, caring behaviors, stress

DOI: 10.3233/WOR-220710

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Wu, Kevin A. | Anastasio, Albert T. | Kim, Joshua K. | Choudhury, Ankit | Adams, Samuel B.

Article Type: Research Article

Abstract: BACKGROUND: The COVID-19 pandemic caused notable shifts in healthcare behavior, influenced by remote work policies. This study examines the impact of Work from Home (WFH) policies on public interest in ankle-related orthopaedic surgeries, utilizing Google search trends. Understanding these trends is crucial for healthcare providers, enabling them to adapt services and communication to evolving patient needs during challenging times. OBJECTIVE: To comprehend variations in search volume and trends for ankle-related queries due to WFH policies during the COVID-19 pandemic. METHODS: Ankle-related terms accessible to laypersons were analyzed using Google Trends data from March 2018 to March …2022 in the United States. Data were divided into pre-pandemic (March 2018-March 2020) and post-pandemic (March 2020-March 2022) periods. Weekly search interest data for 20 terms were analyzed using a Mann-Whitney U test. The study aimed to identify significant changes in search interest, providing insights into public information-seeking behavior concerning ankle surgeries. RESULTS: Among the 20 terms analyzed, 11 exhibited significant changes. Ankle arthritis and ankle bursitis showed increased interest, suggesting heightened concern during the pandemic. Conversely, post-pandemic interest decreased for terms 9 terms, including ankle pain and ankle tendonitis, indicating reduced worry. Moderate declines were noted for ankle gout, Achilles tendonitis, and heel bursitis, reflecting shifting patient priorities. Some terms, including ankle fracture and ankle arthroplasty, showed stable information-seeking behavior despite the pandemic. CONCLUSIONS: The study underscores the nuanced impact of WFH policies on public interest in ankle-related orthopaedic surgeries. Varied search trends highlight changing patient concerns. Healthcare providers can use these insights to tailor services effectively, meeting evolving patient needs and enhancing communication strategies. Show more

Keywords: Orthopaedic, ankle surgery, work from home, pandemic, COVID-19, telemedicine

DOI: 10.3233/WOR-230621

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-6, 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. Pre-press, no. Pre-press, pp. 1-07, 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. Pre-press, no. Pre-press, pp. 1-10, 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. Pre-press, no. Pre-press, pp. 1-12, 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. Pre-press, no. Pre-press, pp. 1-16, 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. Pre-press, no. Pre-press, pp. 1-28, 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. Pre-press, no. Pre-press, pp. 1-16, 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. Pre-press, no. Pre-press, pp. 1-11, 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. Pre-press, no. Pre-press, pp. 1-14, 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. Pre-press, no. Pre-press, pp. 1-9, 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. Pre-press, no. Pre-press, pp. 1-11, 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. Pre-press, no. Pre-press, pp. 1-15, 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. Pre-press, no. Pre-press, pp. 1-18, 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. Pre-press, no. Pre-press, pp. 1-12, 2024

Authors: Myles, Louise | Massy-Westropp, Nicola | Barnett, Fiona

Article Type: Research Article

Abstract: BACKGROUND: Handgrip strength (HGS) is a reliable assessment of hand function. Interpretation of HGS is commonly done using normative data. Normative HGS data HGS considers the influence of age and gender without adjustment for anthropometric measurements or functional factors known to influence HGS. OBJECTIVE: To determine the potential relationship of select anthropometric measurements (height, weight, hand length and width, forearm length and circumference) and functional factors (hand dominance, work and lifestyle category) to HGS. METHODS: This study included a sample of 119 males and 96 female workers from North Queensland. HGS and six anthropometric measurements were …obtained using calibrated instruments and reliable measurement protocols. Age and gender along with three functional factors were documented by self-report. RESULTS: Right and left mean HGS was greater for individuals who performed heavy/very heavy work (58.1±10.1 kg and 54.1±10.9 kg respectively) compared to light (38.5±12.3 kg and 35.5±11.8 kg) or medium work (44.1±10.8 kg and 40.0±12.9 kg). Mean HGS was greater for individuals who performed heavy/very heavy activity (right 48.5±13.6 kg and left 44.5±13.7 kg) compared to light activity (right 36.3±11.2 kg and left 33.9±11.3 kg) within their lifestyle. HGS positively correlated with gender (p  = 0.0001), work (p  = 0.001) and anthropometric measurements of forearm circumference (p  = 0.001), hand length (p  = 0.006) and hand width (p  = 0.052). CONCLUSIONS: Easy to measure anthropometric measurements of forearm circumference, hand length and width are the strongest predictors of HGS in addition to an individual’s physical activity at work and in their lifestyle. Consideration of these factors could lead to improved evaluation of HGS scores. Show more

Keywords: Key words: Hand grip strength, JAMAR dynamometer, normative data, hand anthropometry

DOI: 10.3233/WOR-230519

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024

Authors: Bianchi, Renzo | Swingler, Gail | Schonfeld, Irvin Sam

Article Type: Article Commentary

Abstract: For decades, the Maslach Burnout Inventory (MBI) has been regarded as the “gold standard” for the assessment of burnout. The present paper demonstrates that the MBI fails to measure the construct it is purported to measure. On a deeper level, the problems affecting the MBI question the very idea of burnout. These problems may be unsurprising in light of the genesis of the burnout construct. Burnout emerged in the mid-1970s as a largely predefined entity. Burnout’s definition was not predicated on robust empirical investigations or sound theorizing, nor was it anchored in a systematic review of the literature on stress …and health. Interestingly, other measures deemed to assess burnout, such as the Oldenburg Burnout Inventory, similarly fail to measure what they are claimed to measure. Despite far-reaching implications for our ability to study and promote occupational health, the flaws that undermine the conceptualization and measurement of burnout remain widely underappreciated. We hope this paper will help raise awareness of these flaws and correct current practices in research on job-related distress. Alternatives to burnout do exist and may enable us to support our workforce more effectively. Show more

Keywords: Burnout, construct validity, diagnosis, job stress, measurement, occupational health

DOI: 10.3233/WOR-240095

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-3, 2024

Authors: Yaqian, Zhang | Chonggao, Wang | Fan, Zhang

Article Type: Research Article

Abstract: BACKGROUND: COVID-19 poses great challenges for preschool teachers in China, which will increase the level of job stress and job burnout, and have an impact on the relationship between job stress, job burnout, and perceived organizational support (POS). However, few studies have examined trilateral relationships, especially the role of POS concerning job stress and job burnout of preschool teachers. OBJECTIVE: This study aimed to investigate the relationship among the three variables of job burnout, job stress, and POS, as well as explore the moderating effects of POS between job stress and job burnout. METHODS: …A cross-sectional study was conducted among preschool teachers in six provinces of China. A total of 408 preschool teachers completed a self-report questionnaire, including three scales that measured job burnout, job stress, and POS respectively. The Pearson correlation coefficient and regression analysis were used to examine the relationship among variables. RESULTS: The results showed that job burnout among Chinese preschool teachers was at a medium level during the COVID-19 pandemic. Job stress was positively related to job burnout, and the POS was negatively related to job burnout. Additionally, POS moderated the relationship between job stress and job burnout and alleviated the adverse effects of job stress on the job burnout of preschool teachers. CONCLUSION: POS can play a moderating role between job stress and job burnout of Chinese preschool teachers during the COVID-19 pandemic. Show more

Keywords: Job burnout, perceived organizational support (POS), job stress, moderating effect, preschool teachers, the COVID-19 pandemic

DOI: 10.3233/WOR-230151

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-14, 2024

Authors: Kusumoto, Yasuaki | Takahashi, Eri | Endo, Yasuhiro | Asao, Akihiko | Tanaka, Yoshinobu | Okazaki, Kanako | Yokozuka, Mieko | Omata, Junichi | Yabuki, Shoji | Kanzaki, Hideto

Article Type: Research Article

Abstract: BACKGROUND: Backpack syndrome (BS) is a term used to describe symptoms such as shoulder and back pain that are believed to be caused by carrying a backpack. Few studies have investigated the changes in walking and running parameters with and without backpacks. OBJECTIVE: The present study aimed to investigate the differences in walking and running parameters with and without backpacks in primary school children with and without BS. METHODS: This cross-sectional study included 51 children (average age 9.3 years, 6– 12 years). Two questions were asked beforehand: whether the respondents had shoulder or back pain when …going to school and present; those who answered that they had pain in both cases were defined as the BS group, while the others were the control group. Walking and running at comfortable speeds and walking and running with a 6 kg backpack on their backs were measured. RESULTS: During walking, there were main effects for speed, cadence, and strike angle with and without the backpack, but no interactions were identified for any of the parameters. In running, however, there were main effects for speed, stride length, strike angle, and lift-off angle, and an interaction effect was observed for speed and stride length. CONCLUSIONS: During walking, carrying a 6 kg backpack increased cadence and walking speed. During running, carrying a backpack caused a decrease in stride length and running speed in the BS group, whereas there was no change in the control group, suggesting that the control and BS groups may respond differently. Show more

Keywords: Backpack, walking, running, elementary school students, shoulder pain, back pain, backpack syndrome

DOI: 10.3233/WOR-240111

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-8, 2024

Authors: Farnese, Maria Luisa | Scafuri Kovalchuk, Liliya | Cova, Eleonora

Article Type: Research Article

Abstract: BACKGROUND: The literature acknowledges that when there is a failure of expectations in the organization-employee relationship, namely the Psychological Contract Breach, it can potentially contribute to deviant behavior such as Counterproductive Work Behavior (CWB). A justice perspective helps to disentangle this link by suggesting that unethical behaviors may represent the revenge response to perceived organizational unfairness. OBJECTIVE: To gain a more granular understanding of the pathway from Psychological Contract Breach to CWB, this study explores the mediating role of negative emotions in eliciting CWB. It also proposes that the mechanism of moral disengagement helps to deactivate …self-sanctioning processes, allowing individuals to engage in deviant behaviors. METHODS: A cross-sectional design was employed, and conditional process analysis was conducted on a sample of 635 Italian police officer cadets, who were entering the prison system, a context highly susceptible to a failure of expectations and where, at the same time, counteracting unethical behaviors is a key issue. RESULTS: The results supported the tested model, highlighting the mediator role of Job-Related Negative Emotions in the Psychological Contract Breach–CWB relationship and their interaction with Moral Disengagement in shaping CWB. CONCLUSIONS: By examining the interplay between affective and cognitive components, the study provides valuable insights into the underlying processes involved in the relationship between failure in expectancies and deviant behavior. From a managerial perspective, the findings emphasize the importance of prioritizing fairness within organizations through balanced mutual obligations, and raising awareness of moral regulation mechanisms that may shape deviant behaviors. Show more

Keywords: Counterproductive workplace behaviors (CWB), psychological contract breach, job-related negative emotions, moral disengagement, correctional officers, unethical behavior

DOI: 10.3233/WOR-230550

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024

Authors: Segal, Addie | Doyle, Nancy W.

Article Type: Research Article

Abstract: BACKGROUND: Given the evolving digital revolution, technology and digital tools are becoming inseparable from work and daily occupations. Occupational therapy practitioners (OTPs) focus on supporting individuals in their desired and needed activities. Many of these daily activities (i.e., online banking, shopping, social media, smartphone use) require digital skills at a growing rate, and insufficient technological skills may subject individuals to limited engagement and social isolation. OBJECTIVE: To understand OTPs attitudes regarding technology utilization. METHODS: We surveyed 109 OTPs about their attitudes, work practices, and barriers to addressing their clients’ digital technological functioning. …RESULTS: The findings of our study suggest that while OTPs acknowledge the importance and potential benefit of technology for their clients, there is a notable professional gap in the training and skills of OTPs to support their clients’ digital functioning effectively and to integrate technology into their practice. CONCLUSIONS: There is a need to improve and expand OTP’s digital skills and knowledge regarding addressing clients’ digital functioning and technology implementation in occupational therapy practice. Show more

Keywords: Occupational therapy, work, technology, computer literacy, professional competence, competency-based education, professional practice

DOI: 10.3233/WOR-230654

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Boets, Isabelle | Luyten, Steven | Vandenbroeck, Sofie | Godderis, Lode

Article Type: Research Article

Abstract: BACKGROUND: Long term sick leave (SL) is increasing in Europe, several countries have legislative initiatives to reduce long-term absenteeism. OBJECTIVE: We evaluated the impact of a legally defined return-to-work (RTW) trajectory on the RTW of employees on sick leave in Belgium. METHODS: This was a retrospective register-based cohort study of employees (n  = 1416) who followed an RTW trajectory in 2017. We linked workers’ data from a prevention service with social security data. By multinomial logistic regression, we analysed which characteristics predicted the RTW with the same or another employer. RESULTS: One year after their …RTW trajectory, 69.2% of the 1416 employees did not RTW; 10.7% returned to work with the same employer and 20.1% with a new employer. Duration of SL was an important predictor for the RTW with both the same employer and another employer. The odds of RTW were lower when the SL duration was >  6 months compared to <  6 months. Marital status, organization-size, and the occupational physician decision had a significant impact on the RTW with the same employer. Age and who initiated the RTW-trajectory were important predictors on the RTW with another employer. CONCLUSIONS: Overall, 30.8% of employees returned to work after their RTW trajectory. A one-size-fits-all approach is not recommended. A stepped approach with an early, informal start of the RTW process is advised. When employees or employers fail to initiate the RTW on their own, a legally defined RTW trajectory could be useful. In particular, RTW with another employer seemed a positive effect of the RTW-trajectory. Show more

Keywords: Sick leave, return to work, retrospective study, occupational health

DOI: 10.3233/WOR-230412

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2024

Authors: Karaibrahimoglu, Adnan | İnce, Fuat | Hassanzadeh, Gholamreza | Alizadeh, Ali | Bagheri, Kian | Yucel, Irem | Shariat, Ardalan

Article Type: Research Article

Abstract: BACKGROUND: Artificial Intelligence (AI) refers to the simulation of human intelligence in machines that are programmed to perform tasks that typically require human intelligence. The integration of AI and telehealth applications in healthcare raises ethical concerns such as bias, transparency, data privacy, and accountability for errors. Several studies have assessed this topic, particularly with regard to musculoskeletal disorders, which will be the focus of this manuscript. OBJECTIVE: We will examine key ethical concepts including informed consent, data protection, confidentiality, physician malpractice, liability, and telemedicine regulations. METHODS: Ethical issues pertaining to the topic were explored through a …review paper. The primary objective of this scoping review was to map and synthesize the existing literature concerning ethical considerations in telehealth and AI for work-related musculoskeletal disorders. RESULTS: Research demonstrates that medication effectiveness, patient and physician satisfaction, and accessibility costs are higher with telemedicine and AI methods compared to in-person approaches, particularly for work-related musculoskeletal disorders. Therefore, addressing ethical issues, including patient data privacy and security, is crucial in this field. By considering these factors, the adoption of emerging AI and telemedicine applications, especially for work-related musculoskeletal disorders, is likely to increase. CONCLUSION: AI and telemedicine offer significant advantages, particularly in addressing work-related musculoskeletal disorders. However, ethical and legal issues surrounding their practice require standardized rules to ensure equitable access, quality care, sustainable costs, professional liability, patient privacy, data protection, and confidentiality. Further practical research studies are needed to address these considerations more effectively. Show more

Keywords: Ethics, telehealth, digital health, telemedicine, musculoskeletal disease, artificial intelligence, mHealth

DOI: 10.3233/WOR-240187

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 2024

Authors: Aytar, Ayça | Altintas, Atahan | Gercek, Hasan | Sarak, Hazal | Pagé, M. Gabrielle | Aytar, Aydan

Article Type: Research Article

Abstract: BACKGROUND: Measuring treatment expectations using the Treatment Expectations in Chronic Pain (TEC) scale has the potential to help clinicians and researchers better understand the role that treatment expectations play within the framework of multimodal pain management settings. OBJECTIVE: The purpose of this study is to determine the cross-cultural adaptation, construct validity and reliability of the TEC Scale in the Turkish language. METHODS: The study included 191 volunteers aged 22–65 with chronic musculoskeletal diseases. This study composed of a six-stage cross-cultural adaptation process, which included translation, translation synthesis, back-translation, expert committee review, pre-testing and documentation submission. The …Positivity Scale and Illness Cognition Questionnaire were used to measure convergent validity while the Hospital Anxiety and Depression Scale was used to test divergent validity. The psychometric properties of the Turkish version of the TEC scale was examined by confirmatory factor analysis (CFA). Scale’s internal consistency was examined using Cronbach’s alpha. Pearson correlation coefficients were utilized to evaluate both convergent and divergent validity. The significance level was set at p  < .05. RESULTS: The results of the CFA showed that factor structure of predicted subscale fitted well the data (x2/df = 3,07;CFI = 0,91,IFI = 0,91 TLI = 0,87,RMSEA = 0,10). The results of the CFA indicated that factor structure of ideal subscale fitted well with the data (x2/df = 2,38;CFI = 0,92,IFI = 0,93,TLI = 0,90,RMSEA = 0,08). Both subscales of the TEC were strongly correlated. The predicted subscale had moderate relationships to depression, anxiety, and positivity (r  = -0.37 to r  = 0.55) but poor correlations with measures of acceptance, perceived benefits and helplessness (r  = -0.24 to 0.35). The ideal subscale had moderate correlations with measures of positivity (r  = 0.36) and depression (r  = -0.38) but poor correlations with measures of acceptance, perceived benefits helplessness and anxiety (r  = 0.14). CONCLUSIONS: The Turkish version of the TEC scale is acceptable, valid, and reliable for use in Turkish patients with chronic musculoskeletal pain in physiotherapy outpatient practice. Show more

Keywords: Chronic pain, pain management, pain assessments, validity and reliability, expectations, beliefs

DOI: 10.3233/WOR-240134

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Tepe, Serap | Çabuk, Ahmet | Eti, Serkan | Mertoğlu, Bülent

Article Type: Research Article

Abstract: BACKGROUND: In the realm of academia, psychosocial risk factors play a pivotal role, exerting considerable influence on the well-being and performance of scholars. Factors such as excessive workloads, unrelenting performance expectations, time constraints, and competitive atmospheres can detrimentally affect their health and overall quality of life. Moreover, issues like social isolation, work-life imbalance, and academic anxiety further compound these challenges, impeding academic progress and success. OBJECTIVE: Thus, it is imperative to identify, mitigate, and manage psychosocial risk factors effectively to foster a conducive academic environment conducive to productivity and achievement. METHODS: This study employs a novel …approach, integrating expert opinions and utilizing sine trigonometry Pythagorean fuzzy numbers to ascertain the degrees of importance and rank psychosocial risk factors through the DEMATEL method. This methodology presents a unique contribution to existing literature, offering fresh insights into this critical area of study. RESULTS: Evaluation of 25 factors reveals burnout, job dissatisfaction, precarious working conditions, lack of trust, unfair treatment, job insecurity, and limited developmental opportunities as primary concerns, underscoring the multifaceted nature of these challenges. CONCLUSIONS: In the occupational sphere, active participation from all stakeholders in addressing psychosocial risks is paramount for effective problem resolution. It is incumbent upon parties involved to discharge their duties, foster collaboration, enhance working conditions, ensure equity, and facilitate avenues for professional growth. Each identified risk factor addressed and preempted translates into a tangible reduction in workplace accidents and occupational ailments, underscoring the tangible benefits of proactive risk management. Show more

Keywords: Sine trigonometry, DEMATEL, occupational health, occupational safety, decision-making, psychosocial risk factors, academician, fuzzy sets

DOI: 10.3233/WOR-240145

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-16, 2024

Authors: de Mattos, Letícia Anselmo | Rocha, Raoni | de Castro Moura Duarte, F.J.

Article Type: Research Article

Abstract: BACKGROUND: Human error and violation of rules are perceived as deviations from some desired behavior, appearing variably in literature as either similar or opposing concepts. Behavioral deviations may be linked to accidents or considered a protective factor against them. OBJECTIVE: This article aims to explore definitions, characteristics, classifications, and management approaches for behavioral deviations, specifically human error and violation of rules. METHODS: A systematic literature review was conducted. RESULTS: The authors differ in defining and classifying error and violation, associating them with generation of accidents or their prevention. The management proposals for deviations highlighted …by the authors were emphasized. CONCLUSION: The findings of this article reinforce the prominence of authors Jens Rasmussen and James Reason in the field. They assert that deviations are a natural aspect of the work process and even serve as a preventive factor against accidents, although their frequent association with accidents remains common in organizations. This study contributes to theoretical understanding by systematizing prevalent perspectives on deviation, human error, and violation of rules. It proposes a taxonomy and emphasizing the need for managing deviations, rather than combating them, especially in an organizational context. Show more

Keywords: Accidents, behavioral, deviation, procedure, rules, management

DOI: 10.3233/WOR-230186

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-17, 2024

Authors: Kouhnavard, Bahram | Khosravi Danesh, Mojtaba | Shamsipour, Mansour | Mazloumi, Adel

Article Type: Research Article

Abstract: BACKGROUND: Tea harvesting is a common agricultural occupation, usually conducted in mountainous regions with steep slopes and high altitudes. Despite the utilization of modern technology and mechanized equipment in agriculture, a substantial portion of tea harvesting continues to be traditional and physically strenuous. This dependence on manual labor can lead to a higher likelihood of musculoskeletal disorders among tea harvesting farmers. OBJECTIVE: The objective of this research was investigation of prevalence and risk factors of musculoskeletal disorders in tea harvesting farmers. METHODS: In this review study, we analyzed all published articles on the prevalence and factors …influencing musculoskeletal disorders in tea harvesting farmers from March 10, 2010, to November 10, 2023 (last search date). We systematically searched for articles using keywords (risk factor, risk assessment, lower limb, upper limb, musculoskeletal disorders, tea harvesting, posture, manual handling, discomfort, ergonomics, prevalence, farmers) in PubMed, Google Scholar, SID, Web of Science, Scopus, Magiran, Iran Medex, Cochrane Library, and Embase. The quality of the articles was evaluated using the Mixed Methods Appraisal Tool (MMAT), 2018 version. Unrelated articles were excluded following PRISMA statement guidelines, and only articles directly related to the study were reviewed. GraySource and BASE databases were also utilized to identify Gray sources.. RESULTS: Initially, 128 articles were found across different databases, and a total of 17 articles were selected for the final assessment. The primary areas of the body that workers are commonly exposed to musculoskeletal issues are the back, hands, wrists, shoulders, neck, and knees. The research identified four main categories of factors: personal, occupational, environmental, and psychosocial that contribute to musculoskeletal problems. Among these factors are women working in physically demanding environments, lifting heavy bags of harvested tea, time pressures during tea collection, repetitive hand motions from using harvesting tools, the height of the tea plants in the field, working in wet and slippery conditions, uneven ground surfaces, extended working hours, low pay, and lack of support from employers. CONCLUSIONS: Ergonomic interventions such as redesigning tea harvesting tools, enhancing tea plants and workspaces, teaching ergonomic principles of body posture and manual movement, and organizing work with job rotation and adequate rest are recommended to alleviate musculoskeletal disorder symptoms. Show more

Keywords: Farmers, tea harvesting, agriculture, personal, occupational, environmental, psychosocial, risk factors

DOI: 10.3233/WOR-240211

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-14, 2024

Authors: Çelebi, Ismet | Gökkaya, Emrah | Çopur, Adeviye | Balci, Elçin

Article Type: Research Article

Abstract: BACKGROUND: The concept of “Quiet Quitting”, which might be considered new in the literature, is used to describe a passive and silent giving up. OBJECTIVE: The aim of this study is to develop a scale to evaluate both the causes and consequences of “quiet quitting” which is believed to be increasing for various reasons in our country as well as in the world. METHOD: Five-stage scale development method which was presented by Cohen and Swerdik was used in the process of developing the Quiet Quitting Reason and Behavior Scale (QQRBS). First, the conceptual structure of the …scale was determined. In the second stage, the scale was structured. Structuring the scale is deciding on the scale type and scaling technique. The third stage is the first application of the scale. After the scale was applied, factor analysis, internal consistency assessment and validity studies were carried out in the item analysis section, which is the fourth stage. The fifth stage is the second application stage of the scale and at this stage, the scale was reviewed by test-retest and an application guideline was prepared. RESULTS: Cronbach’s alpha value of draft items is 0.87, quiet quitting behavior sub-dimension Cronbach’s Alpha value is 0.76 and reasons for quiet quitting Cronbach’s Alpha value is 0.820. It was decided to keep the remaining 35 items after EFA analysis because the corrected correlation numbers of the items were >0.30. This study explains the design and development process of the QQRBS in Turkish society. CONCLUSION: According to this developed scale, as the scale mean score of the total and sub-dimensions increases, the tendency to quiet quitting increases. Show more

Keywords: Worker, resignation, validity, reliability, unemployment, quiet quitting

DOI: 10.3233/WOR-230699

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-9, 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. Pre-press, no. Pre-press, pp. 1-9, 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. Pre-press, no. Pre-press, pp. 1-11, 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. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Abella, Arving A. | Prasetyo, Yogi Tri | Cahigas, Maela Madel L. | Dela Cruz, Ronnie B. | Nadlifatin, Reny

Article Type: Research Article

Abstract: Background: Aircraft software loading tools evolved as enhanced floppy disks and different types of portable data loaders emerged into the modern world. However, there was a lack of academic research centered on the usability of those tools. Objective: This study analyzed the usability of three aircraft software loading tools: floppy disks, Teledyne PMAT, and MBS mini PDL. Methods: A total of 20 avionics technicians answered 10 System Usability Scale (SUS) indicators and performed the software loading task. These professionals completed three sets of SUS questionnaires, one set for each software tool. Results: Analysis of …Variance (ANOVA) indicated that there were statistical differences in SUS score and completion time. The comparable SUS score and completion time pertained to the following tools: floppy disks & MBS mini PDL and Teledyne PMAT & MBS mini PDL. Pearson correlation analysis noted a significant positive relationship between SUS score & software tool. Moreover, there was a significant negative relationship between SUS score & completion time and software tool & completion time. However, avionics technicians’ years of experience lacked a significant impact on SUS score and completion time. Ultimately, it was recommended to utilize MBS mini PDL. This aircraft loading tool had the most significant impact, highest SUS score, and fastest completion time. Conclusions: The researchers presented managerial implications if MBS mini PDL was utilized, including sales increase and overhead cost savings. Finally, this research was the first study that analyzed the usability of the commonly used aircraft software loading tools. Show more

Keywords: System Usability Scale (SUS), aircraft software, floppy disk, teledyne portable maintenance access terminal (PMAT), MBS mini Portable Data Loader (PDL)

DOI: 10.3233/WOR-230653

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-15, 2024

Authors: Le, Aurora B. | Yuan, Shuhan | Chow, Angela | Mullins-Jaime, Charmaine | Smith, Todd D.

Article Type: Research Article

Abstract: BACKGROUND: Aircraft rescue and firefighting (ARFF) personnel are first responders located at airports in the United States who provide emergency response, mitigation, evacuation, and rescue of passengers and crew of aircraft at airports. The nature of their work puts ARFF personnel in close contact with travelers on a regular basis and at elevated risk for COVID-19 exposure. OBJECTIVE: In this study, we focused on safety behavior, perceived risk, and workplace resources to understand COVID-19 outcomes in the early pandemic among the overlooked worker population of ARFF personnel. The goal of this study was to examine how …a self-reported positive COVID test were associated with safety behavior, perceived risk, and workplace resources. METHODS: Cross-sectional survey data were collected among ARFF personnel a year into the COVID-19 pandemic. RESULTS: Regression results showed that each additional unit increase in perceived susceptibility to COVID-19 was associated with a 133% increase in the odds of testing positive for COVID-19 (OR = 2.33, p  <  0.05), and with each additional unit increase in perceived severity level, the odds of getting COVID-19 decreased by 47% (OR = 0.53, p  <  0.05). CONCLUSIONS: Infection control among first responders may be improved by providing relevant information physical and emotional resources, and support that help shape perceptions of risk and adoption of prevention behaviors. Show more

Keywords: COVID-19, emergency responders, firefighters, occupational exposure, occupational health, safety, workplace

DOI: 10.3233/WOR-230316

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Shokrolahi, Ismail | Mououdi, Mohammad Amin

Article Type: Research Article

Abstract: BACKGROUND: Using a computer may lead to pain in wrists, neck, and back. In addition, adopting various body postures like sitting cross-legged, semi-fowler’s position, and putting the laptop on the leg may lead to the development of persistent and irreversible discomfort. OBJECTIVE: The purpose of this research is to design and build an adjustable ergonomic laptop desk based on the anthropometric characteristics of students in the age range of 20 to 30 years and to evaluate its efficiency using RULA and NERPA methods. METHODS: This cross-sectional study conducted on 108 students, in which …an adjustable and portable ergonomic desk designed and built based on 10 anthropometric dimensions of students and the length and width of 10 different laptop models. Two assessment methods, RULA and NERPA, were used. Wilcoxon statistic test and SPSS version 26 software used for data analysis. RESULTS: The dimensions of the desk were calculated in three positions, and the desk was made with the ability to adjust height, width and tilt, each with two degrees of freedom. The statistical analysis comparing score of RULA and NERPA in two situations without using a desk and using an ergonomic laptop desk had a significant difference (P -value <  0.001). Comparison of RULA and NERPA scores showed that NERPA evaluated the low ergonomic risk level better than RULA method. CONCLUSIONS: Due to the ability to adjust the designed desk, the changes in RULA and NERPA score in all three modes, it indicates the effectiveness of the table in improving the body posture of users when using a laptop. Show more

Keywords: Musculoskeletal disorders, laptop desk, ergonomic design, anthropometry, posture assessment method

DOI: 10.3233/WOR-230528

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 2024

Authors: Liu, Yao-zhong | Li, Chao-fu | Feng, Xiao-lu

Article Type: Research Article

Abstract: BACKGROUND: Employees’ perception of being overqualified is a critical factor in influencing their knowledge sharing behavior. However previous studies have not examined the internal mechanism by which perceived overqualification affects knowledge sharing. OBJECTIVE: Drawing on social exchange theory, the present study aimed to explore the relationship between perceived overqualification and knowledge sharing and to examine the mediating effect of organizational identity and the moderating role of psychological entitlement. METHODS: Participants were 284 full-time employees from different companies in China. They answered self-report questionnaires that assessed perceived overqualification, knowledge sharing, organizational identity, and psychological …entitlement. Path analyses were conducted, and the latent moderated structural equations were used to judge the significance of the mediation and moderation. RESULTS: The results revealed that overqualified employees were less willing to share knowledge, and the mediating role of organizational identity was significant. Further, the presence of high psychological entitlement would diminish the beneficial effect of organizational identity on employee knowledge sharing. CONCLUSIONS: The findings of the study enrich and expand our knowledge on the relationship between overqualification and knowledge sharing and have theoretical and practical implications for promoting constructive behavior among overqualified employees. Show more

Keywords: Perceived overqualification, knowledge sharing, organizational identity, psychological entitlement, moderated mediation effects

DOI: 10.3233/WOR-230722

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-10, 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. Pre-press, no. Pre-press, pp. 1-11, 2024

Authors: Guo, Zenghui | Chen, Zhiyuan | Pai, Junjun | Fang, Bin | Liang, Wenhao | Su, Guosheng | Zheng, Feng

Article Type: Research Article

Abstract: BACKGROUND: Due to the unfavourable neck-shoulder muscle loads caused by poor posture, the people who use the laptop for a long time may face the risk of neck and shoulder injuries. OBJECTIVE: The purpose of this study investigates the impact of the screen height on the muscle activation of head flexion, neck and shoulder, and the cervical spine torque to provide the favorite screen height for laptop user. METHODS: Twelve healthy young participants completed a15-minute task of the reading at the four different screen heights. sEMG signals of the splenius capitis (SC) and upper trapezius (UT) …were measured and calculated the root mean square (RMS) and mean power frequency (MPF) to determine muscle fatigue. The different height of laptop users was simulated and the forces on the spine of users at different screen heights were analyzed by Jack. RESULTS: Adjusting the height of the laptop screen can effectively reduce head flexion and muscle activity of SC and UT, and has a positive effect on reducing fatigue of SC, but has no significant effect on UT. CONCLUSIONS: Adjusting the height of the laptop screen can delay the occurrence of SC muscle fatigue to a certain extent. The joint analysis of sEMG spectrum and amplitude reports that the screen heights of D15 and D45 have the highest and the lowest frequency of fatigue, respectively. At the same time, the moment of spineT1/T2 and spineL4/L5 decrease with the increase of screen height. Show more

Keywords: Posture, occupational health, ergonomics, electromyography, muscle fatigue, neck pain, shoulder pain

DOI: 10.3233/WOR-230719

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-13, 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. Pre-press, no. Pre-press, pp. 1-11, 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. Pre-press, no. Pre-press, pp. 1-12, 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. Pre-press, no. Pre-press, pp. 1-8, 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. Pre-press, no. Pre-press, pp. 1-12, 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. Pre-press, no. Pre-press, pp. 1-7, 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. Pre-press, no. Pre-press, pp. 1-19, 2024

Authors: Entezarizarch, Elham | Zakerian, Seyed Abolfazl | Madreseh, Elham | Abbasinia, Marzieh | Abdi, Hanieh

Article Type: Research Article

Abstract: BACKGROUND: Driving represents a multifaceted cognitive endeavor, demanding heightened vigilance and swift responses. Considering the high statistics of driving accidents and heavy loads, as well as the effect of the driver’s age on the occurrence of accidents, it is important to investigate these factors to reduce accidents. OBJECTIVE: This study investigates the impact of mental workload on the performance of young and older drivers in a dynamic driving scenario to compare cognitive performance, workload perception, and driving outcomes between the two age groups. METHODS: Cognitive tests including the Stroop test, Continuous Performance test, and Focused Attention …test were conducted, alongside the use of the DALI questionnaire to measure workload levels. Participants encompassed twenty male drivers, divided into two age groups: 20 to 35 years and 55 to 70 years, with varying years of driving experience. The study entailed a dynamic driving scenario involving a designated route in Tehran, Iran. RESULTS: Results exhibited differences in workload scores between the age groups, particularly in dimensions such as visual demand, auditory demand, attention, and interference. Older drivers demonstrated heightened cognitive and physical demands during driving, implying a greater need for attention and cognitive effort. CONCLUSION: The findings of this study indicated that navigating through congested roads and dense urban traffic significantly elevates the mental workload for drivers, consequently impacting their cognitive functioning. Given the critical need for attention in driving, this heightened workload can manifest as increased fatigue, increasing stress levels, and diminished concentration, all of which substantially raise the risk of vehicular accidents. Furthermore, the study highlighted a particular concern for older drivers, whose diminished cognitive capacities further raise their vulnerability to accidents under such demanding driving conditions. Show more

Keywords: Workload, performance, stroop test, drivers, cognitive, safety, driving

DOI: 10.3233/WOR-230473

Citation: Work, vol. Pre-press, no. Pre-press, pp. 1-12, 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. Pre-press, no. Pre-press, pp. 1-09, 2024