المؤلفون: Anneli Vauhkonen, Terhi Saaranen, Kirsi Honkalampi, Susanna Järvelin‐Pasanen, Saana Kupari, Mika P. Tarvainen, Merja Perkiö‐Mäkelä, Kimmo Räsänen, Tuula Oksanen

المصدر: Nursing Open, Vol 8, Iss 6, Pp 3190-3200 (2021)

مصطلحات موضوعية: factors, home care, occupational well‐being, structural equation modelling, work ability, work community, Nursing, RT1-120

الوصف: Abstract Aim To examine how work community factors are related to occupational well‐being and work ability, and how occupational well‐being is related to work ability. Design A cross‐sectional study was conducted among home care workers in one municipality in Finland. Methods A self‐administered survey on work and well‐being was filled out by 167 employees working two shifts in 2019. Structural equation modelling was used to analyse the association between work community factors, occupational well‐being and work ability. Results The only work community factor directly affecting Occupational well‐being was Information and work organization; the effect of the other two factors, Social support and Influence on work shifts, was indirect. All work community factors indirectly affected Work ability. Home care should emphasize information provision and work organization with optimal time use. This requires social support, a well‐functioning work atmosphere and providing employees with opportunities for influence and participation.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2054-1058Test

الوصول الحر: https://doaj.org/article/1e66aac543be4634853e7a138b04f9c2Test

المؤلفون: Jarmo Kuronen, Klas Winell, Juho Kopra, Kimmo Räsänen

المصدر: Scandinavian Journal of Work, Environment & Health, Vol 46, Iss 6, Pp 630-638 (2020)

مصطلحات موضوعية: depression, alcohol, disability, quality improvement, finland, disability retirement, disability pension, occupational healthcare, pension, networking, health check-up, bayesian mixed effects modelling, work ability, retirement, Public aspects of medicine, RA1-1270

الوصف: OBJECTIVES: There is evidence that occupational healthcare (OHC) may improve employees’ work ability. This research was designed to study whether common quality improvement (QI) activities in the OHC quality network (OQN) – a voluntary collaborative forum – can reduce the need for disability pensions. METHODS: The study population comprised employees under the care of 19 OHC units in Finland affiliated with the OQN. The association of 12 QI activities with new disability pensions during the years 2011–2017 was analyzed by Bayesian mixed effects modelling. RESULTS: Patients of OHC units affiliated with the OQN have fewer full permanent disability pensions [odds ratio (OR) 0.77, 95% credible interval (CI) 0.60–0.98] and full provisional disability pensions (OR 0.68, 95% CI 0.53–0.87) than patients of unaffiliated units. Of the studied QI activities, the measurements of intervening in excessive use of alcohol had the strongest association with the incidence of all disability pensions (OR 0.53, 95% CI 0.41–0.68). Participation in the focus of work measurements and quality facilitator training was also associated with the reduced incidence of disability pensions (OR 0.84, 95% CI 0.71–0.98, and OR 0.92, 95 CI 0.84–0.99, respectively). CONCLUSIONS: Affiliation with a quality network seemed to improve outcomes by reducing full disability pensions or replacing them by partial disability pensions. Some QI activities in the OQN were associated with a reduction of disability pensions.

وصف الملف: electronic resource

العلاقة: https://www.sjweh.fi/show_abstract.php?abstract_id=3901Test; https://doaj.org/toc/0355-3140Test; https://doaj.org/toc/1795-990XTest

الوصول الحر: https://doaj.org/article/d86fe53a7aa249cd8802c667e576deffTest

المؤلفون: Riitta Kärkkäinen, Terhi Saaranen, Merja Sallinen, Kimmo Räsänen

المصدر: Työelämän tutkimus, Vol 19, Iss 3 (2021)

مصطلحات موضوعية: Labor. Work. Working class, HD4801-8943, Business, HF5001-6182

الوصف: Biopsykososiaalista eli kokonaisvaltaista lähestymistapaa suositetaan kroonistuneiden terveysongelmien hoidossa, mutta työuupumuksen hoidossa siitä tiedetään vähän. Tässä artikkelissa tarkastellaan biopsykososiaalisen lähestymistavan ilmenemistä työpaikoilla ja työterveyshuolloissa työuupuneiden työkyvyn tuessa painottaen tukea vaikeuttavia tekijöitä. Aineisto koostuu sairauspoissaolojen hallintaan ja työhön paluun tukeen osallistuvien ammatti­laisten haastatteluista ja kirjoitelmista yliopistoissa ja keskussairaaloissa (n = 15) sekä työterveyshuolloissa (n = 25). Aineistot kerättiin vuosina 2014–2017 ja analysoitiin laadullisesti. Työpaikkojen ja työterveyshuoltojen käytännöt työuupuneiden tuessa ulottuivat vaihtelevasti yksilöön, työoloihin ja työuupumukseen ilmiönä. Tukea vaikeuttivat: 1) yksilöön liittyvistä tekijöistä työuupumukselle altistava persoonallisuus, yksityiselämän stressitekijät ja avoimuuden puute työuupumuksesta ja sen syistä, 2) työoloista esimiehen tuen tarve, esimiehen tuen käänteisesti puskuroiva vaikutus, työyhteisön ilmapiiriongelmat, keinojen puute työyhteisön tukemiseen työterveyshuollossa ja moniammatillisen yhteistyön jäsentymättömyys työterveyshuollossa sekä 3) työuupumukseen liittyvistä tekijöistä työuupumuksen määrittelemättömyys, työuupumuksen työperäisyyden kyseenalaistaminen, ominaispiirteet, liitän­näissairaudet ja toipumisen ennakoimattomuus. Johtopäätöksenä on, että biopsykososiaalinen lähestymistapa ei aina toteudu työuupuneiden tuessa.

وصف الملف: electronic resource

العلاقة: https://journal.fi/tyoelamantutkimus/article/view/103362Test; https://doaj.org/toc/0788-091XTest; https://doaj.org/toc/2670-1758Test

الوصول الحر: https://doaj.org/article/a37bb0d1d8b2438d96848878435649a0Test

المؤلفون: Hyocher Kim, Kimmo Räsänen, Hyeseon Chae, Kyungsuk Lee

المصدر: Annals of Agricultural and Environmental Medicine, Vol 25, Iss 3, Pp 494-499 (2018)

مصطلحات موضوعية: checklist, agriculture, safety, management, Agriculture, Environmental sciences, GE1-350

الوصف: Introduction The current health and safety management system under the Occupational Health and Safety Act has avoided agriculture in Korea. It is important to consider the various safety systems used in agricultural health and safety to develop effective regulations. Objective The aims were to classify and review the items from various checklists using safety systems, such as design, training, etc., ultimately aimed at proposing directions for improving the health and safety of farmers. Material and methods Among the retrieved checklists with Google, four were chosen for this study, based on criteria such as the Checklist developed by an international organization, as well as others. Each item on the checklist was categorized using criteria concerning safety systems, developed based on previous studies. Results The total number of analyzed items was 573, which is 36 more than the actual number of checklist items (537). The proportion of items belonging to the training/procedures system was the highest (32.5%); the second-highest was for the mitigation system – 18.2%.; the third-largest proportion of items was maintenance/inspection – with 14.3%. Items related to the design and human factor systems were 8.2% and 5.6%, respectively. The safety system with the lowest proportion was the warning/notification system – 4.2% of the total items. The proportion of items that could not be classified into safety systems was found to be 16.1%. Conclusions A large number of items belonging to the training/procedures system reported as occasionally not effective in prevention of injury were found in the checklists. It appears important to develop checklist items proposing the supplementation of various safety systems, rather than presenting items that are biased towards certain safety systems.

وصف الملف: electronic resource

العلاقة: http://www.journalssystem.com/aaem/Analysis-of-checklists-for-agricultural-safety-management,85177,0,2.htmlTest; https://doaj.org/toc/1232-1966Test; https://doaj.org/toc/1898-2263Test

الوصول الحر: https://doaj.org/article/a4b3c2e683004c4c9d90160a494e74f3Test

المؤلفون: Pirjo Hakkarainen, Reijo Sund, Martti Arffman, Sari Koski, Vilma Hänninen, Leena Moilanen, Kimmo Räsänen

المصدر: BMC Public Health, Vol 17, Iss 1, Pp 1-11 (2017)

مصطلحات موضوعية: Type 1 diabetes, Incidence, Prevalence, Employment, Work, Self-rated health, Public aspects of medicine, RA1-1270

الوصف: Abstract Background The incidence of type 1 diabetes is increasing worldwide. Since so little is known about work life of individuals with type 1 diabetes, we examined incidence and prevalence trends of type 1 diabetes among working-aged Finns. We also investigated the employment rate and how workers with type 1 diabetes perceive their health and work ability, and their intended retirement age. Methods We analyzed changes in the incidence, prevalence, and employment rate using nationwide multi-register-based FinDM data, and estimated a Self-Rated Health, Work Ability Score, and inquired about retirement intentions of 767 working individuals with type 1 diabetes in a cross-sectional survey. All estimates were compared to the corresponding data of the Finnish general population. Results The average annual age-standardized incidence rate of type 1 diabetes among men aged 18–39 was 29 per 100,000/year; the incidence rate has increased by 33% from 1992 to 2007. Among women, the incidence remained at 16 per 100,000/year. Among working-aged (18–64) people, the age-standardized prevalence of type 1 diabetes increased by 39% among women and 33% among men. Two out of every three working aged individuals with type 1 diabetes were in the labor force; this is about 10% lower than in the Finnish population. The average age-standardized employment rate among those individuals with type 1 diabetes belonging to the labor force was 82%, compared to 84% in the general population. Working individuals with type 1 diabetes rated their health and work ability as being slightly lower than the general working population, but nonetheless, there were no significant differences in retirement intentions. Conclusions Between 1992 and 2007, the number of working-aged people and workers with type 1 diabetes increased by 35%. Most workers with type 1 diabetes manage as well at work as the general population. Special attention should be paid to workers with type 1 diabetes when they are diagnosed and/or report moderate or poor work ability.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s12889-017-4723-8Test; https://doaj.org/toc/1471-2458Test

الوصول الحر: https://doaj.org/article/f9adf92717634ea4b4b01d9cc9803452Test

المؤلفون: Pirjo Hakkarainen, Kimmo Räsänen, Leena Moilanen, Jarmo Heikkinen, Erja Huttunen, Vilma Hänninen

المصدر: Työelämän tutkimus, Vol 17, Iss 2 (2019)

مصطلحات موضوعية: Labor. Work. Working class, HD4801-8943, Business, HF5001-6182

الوصف: Suomalaisessa työelämässä on mukana noin 15 000–20 000 tyypin 1 diabeetikkoa. Tyypin 1 diabetes (T1D) on sairaus, joka voi vaatia erityistä huomioon ottamista työelämässä. Tämän toimintatutkimuksen tavoitteena oli kehittää työpaikoille T1D:een liittyviä hyviä käytäntöjä ja selvittää työpajatyöskentelyn soveltuvuutta niiden kehittämiseen. Hyviä käytäntöjä kehitettiin kuudessa työryhmässä, joihin kuului yksi tyypin 1 diabeetikko, hänen lähiesimiehensä sekä työterveyshuollon ja työsuojeluorganisaation edustajat ja tutkija. Kehittäminen tapahtui pääasiassa työpajatyöskentelynä. Työpajoissa kehitettiin kymmenen hyvää käytäntöä. Näistä neljä tähtäsi T1D:ta koskevan tiedon lisäämiseen työpaikoilla, kaksi pyrki parantamaan sairauden käsittelyyn liittyviä käytäntöjä työpaikalla, kaksi tarjosi työn järjestelyihin liittyviä keinoja helpottaa tyypin 1 diabeetikon työelämäosallistumista ja kaksi tähtäsi T1D:een liittyvien riskien parempaan hallintaan. Jaettua asiantuntijuutta hyödyntäen on mahdollista kehittää hyviä käytäntöjä edistämään tyypin 1 diabeetikoiden työhyvinvointia. Työpaikoilla tarvitaan monimuotoisia käytäntöjä, koska työpaikat, työt ja diabeetikot ovat kaikki erilaisia.

وصف الملف: electronic resource

العلاقة: https://journal.fi/tyoelamantutkimus/article/view/87116Test; https://doaj.org/toc/0788-091XTest; https://doaj.org/toc/2670-1758Test

الوصول الحر: https://doaj.org/article/23e2e21fd87f4a5eb2c735547c6c6b5cTest

المؤلفون: Riitta Kärkkäinen, Riitta-Liisa Kinni, Terhi Saaranen, Kimmo Räsänen

المصدر: Cogent Psychology, Vol 5, Iss 1 (2018)

مصطلحات موضوعية: absence management, burnout, finland, membership categorization, occupational stress, return to work, supervisor, Psychology, BF1-990, Neurophysiology and neuropsychology, QP351-495

الوصف: Supervisor support alleviates burnout, but little is known about supervisors’ activities in supporting employees with burnout. This study discerned supervisors’ category-bound activities during the absence management and return-to-work (RTW) process of employees with burnout, and activities where the supervisors need support and guidance, from the perspective of occupational physicians and RTW coordinators in Finland. Data from semi-structured interviews and essays were analyzed with membership categorization analysis (MCA). First, occupational physicians and RTW coordinators saw supervisors as key actors in managing sickness absence and supporting RTW of employees with burnout. The large number of supervisors’ category-bound activities was discerned before the prolonged sickness absence, during the sickness absence, at work resumption, and after recovery from burnout. Second, supervisors were seen by occupational physicians and RTW coordinators as requiring support in implementing organizational absence management and RTW policies and procedures and communicating about burnout-related matters. The results of this study challenge occupational health services and employers to develop education for supervisors to improve their management practices as well as education for supervisors and employees to improve mutual communication to prevent and reduce burnout-related absenteeism and disability pensions. Further research of supervisors’ activities is needed from the perspectives of supervisors and the employees with burnout.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2331-1908Test

الوصول الحر: https://doaj.org/article/8654a2f269ae46eda1db8177d05abf08Test

المؤلفون: Hyocher Kim, Kyungsuk Lee, Kimmo Räsänen

المصدر: Annals of Agricultural and Environmental Medicine, Vol 23, Iss 3, Pp 432-436 (2016)

مصطلحات موضوعية: Korea, agriculture, Injury, system of safety, error, root cause, Agriculture, Environmental sciences, GE1-350

الوصف: Introduction Agriculture is known to be a dangerous industry in Korea, as well as in other countries. According to earlier studies, the root cause of occupational injury can be identified with errors in the various systems of safety, and such identification is helpful for the prevention of occupational injury. Objective The aims of this study were to examine the root causes of cases of agricultural injury in Korea, based on insurance claims and identification of errors in systems of safety. Material and Methods Using the Korean Mutual Aid Insurance’s injury claim database, 277 injury cases were identified, of which 68 were contacted. Root causes were categorized, using the logic tree diagramming method and the systems of safety described in the literature. Results Seventy-five percent of all injuries were attributable to falls, strangulation, amputation and collision from flying and falling objects. 194 root causes were found for all injuries. The percentages of errors in all the systems of safety for each root cause were 24.7% – training/procedure, 20.3% – design, 11.9% – mitigation, 9.3% – human factor, 6.2% – maintenance/inspection, and 1.0% – warning/notification. The percentage of root causes which could not be categorized due to a shortage of information was 18.6%. Conclusions It was found that most agricultural injuries were caused by a complex layer of root causes which were classified as errors in the systems of safety. This result indicates that not only training and personal protective equipment, but also regulation of safety design, mitigation devices, inspection/maintenance of workplaces, and other factors play an important role in preventing agricultural injuries. The identification of errors will help farmers to implement easily an effective prevention programme.

وصف الملف: electronic resource

العلاقة: http://www.journalssystem.com/aaem/Agricultural-injuries-in-Korea-and-errors-in-systems-of-safety,72444,0,2.htmlTest; https://doaj.org/toc/1232-1966Test; https://doaj.org/toc/1898-2263Test

الوصول الحر: https://doaj.org/article/17ba36339d3f4c2eba91500cddcadc8bTest

المؤلفون: Emma Kwegyir-Afful, Sharea Ijaz, Kimmo Räsänen, Jos Verbeek

المصدر: Scandinavian Journal of Work, Environment & Health, Vol 40, Iss 1, Pp 96-99 (2014)

مصطلحات موضوعية: pregnant working women, heavy lifting, premature delivery, pregnancy, preterm birth, prevention, physical activity, randomized controlled trial, health education, evidence gap, prematurity, premature birth, infant morbidity, Public aspects of medicine, RA1-1270

الوصف: Prematurity (5 days per week) in the causal pathway of premature delivery (6). Long working hours and heavy lifting are alleged to be associated with preterm delivery (7). Whilst some studies conclude there is a causal link between heavy lifting and preterm birth, another study concluded that, regardless of the exposure periods and the frequency of lifting, there is no significant association between heavy lifting and preterm birth (8). In a recent National Birth Cohort in Denmark, researchers published in the Scandinavian Journal of Work, Environment and Health concluded that occupational lifting of medium-to-heavy loads can lead to pelvic pain during pregnancy (9) whilst pelvic pain is a common signal of labor initiation. Interventions, such as health education, maternity leave, or reassignment to a less-physical task, are already in place in most Western countries to prevent exposure to heavy lifting at work among pregnant women. However, it is unclear which intervention produces better pregnancy outcomes. A systematic review (10) on the effects of bed rest as a preventive measure of preterm birth compared to no intervention among high-risk singleton pregnant women found no evidence to support this preventive measure. No other reviews on the comparative effectiveness of preventive measures for heavy lifting in preventing preterm birth were found. We therefore performed a systematic review of the published literature to locate evaluation studies of interventions to prevent heavy lifting during pregnancy. We searched for randomized or quasi-randomized controlled trials (RCT/quasi RCT) comprising pregnant employees exposed to lifting tasks, which evaluated an intervention aimed at decreasing lifting exposure and the effects on the incidence of prematurity. Based on these inclusion criteria we developed a search strategy and searched the databases Medline (via PubMed), Scopus, and CINAHL up to 28 June 2012 (see appendix for full search strategy). Two authors independently scrutinized the references for eligible trials but none fulfilled our inclusion criteria. A further search of reference lists of potentially relevant studies also failed to identify any RCT. Thus, the hypothesis that an intervention that decreases heavy lifting exposure among pregnant woman may have a positive impact on pregnancy outcomes could be not proven either right or wrong. We went strictly for RCT because of the quality in terms of study design (11) as rigorous procedures are carried out to establish the cause and effect relationship between an outcome and intervention (12). Nevertheless, our search did yield five observational studies that did not fit the inclusion criteria (RCT, pregnant employees as subjects, exposure to heavy-lifting tasks, and an intervention aiming at decreasing lifting exposure). Three of the studies investigated a causal association between preterm birth and heavy lifting whilst two were intervention studies. The three exposure studies (6, 13, 14) indicated a negative impact of occupational exposure to strenuous physical activities on gestational age. One literature review suggested that exercise could be beneficial and an observational evaluation study concluded that current legislation in Germany sufficiently protects pregnant women against preterm birth (15, 16). However, their lack of validity and greater margins of errors associated with the studies’ designs make it difficult to rely on these observational studies. Existing systematic reviews of exposure are inconclusive on the subject matter. A meta-analysis indicated a statistically significant association between preterm birth and physically demanding work (5). Similarly, a systematic review (17) suggested a possible association between lifting and prematurity. In contradiction to these results, a third systematic review (18) refuted an association between lifting, especially during the first trimester, and premature delivery. This review was recently updated and came to similar conclusions (19). In spite of this, another Scand J Work Environ Health systematic review of the risk of miscarriage due to exposure to lifting during pregnancy cautions against lifting high loads during pregnancy (20). A phenomenon that characterized the identified primary studies was misclassification of exposure. The flaws in the estimation of especially the exposure severely hamper the drawing of strong conclusions in these studies and reviews. In almost all the studies, women self-reported their lifting exposure retrospectively or prospectively. It is unsure if the subjective measurement of exposure leads to non-differential misclassification. It has been argued that differential misclassification usually leads to an underestimation of the relation between exposure and outcome if there is any, but this is surrounded by uncertainty especially when exposure is on a continuous scale (21). It could be that misclassification is differential in case–control studies. Among cases, lifting exposure could be better remembered and reported as a result of recall bias. Therefore, there is a need for a high quality evaluation study in which a group of pregnant women with heavy lifting exposure are subjected to an intervention that decreases the exposure while a second group of unexposed women serves as a control. Such a study would provide reliable evidence for both an effect of the intervention and a causal relation (22). There are several possible explanations for the absence of high quality studies to support practice. To start, financial support is a major factor in every research. A substantial amount of money is required to conduct a high quality study. In low- and middle-income countries, where strenuous physical activity and premature birth are common occurrences (3, 6), access to finance to conduct research is always a challenge as evidenced by the “10/90 gap”, which indicates only 10% of global resources are earmarked for health research addressing 90% of global disease burden (23). Secondly, ethical considerations can also be a limiting factor. Human lives are involved and there may be ethical issues as to who should and should not be advised to avoid heavy lifting given the current uncertainty about the evidence necessitating precautionary measures (5). Thirdly, an RCT requires recruitment of participants from the first trimester to determine the consequences of varied exposure to strenuous work during the three different trimesters, however, the chances of attrition can be high due to the length of the study. Finally, in high income countries where health research is more common, there already exists legislation on maternity leave that protects pregnant women and therefore researchers may not have enough motivation to carry out such studies. Education to decrease physical activity during pregnancy has been shown to be effective for improving patients’ outcome and the prevention of unwanted occurrences such as prematurity (24). However, there is currently no evidence to support or refute its implementation for women who are exposed to lifting during pregnancy. Due to the aforementioned inconclusive nature and the methodological flaws in available studies, an RCT is needed to fill the gap. Such an ideal future RCT would hypothesize a reduction in the incidence of preterm birth among pregnant women who receive an intervention to avoid heavy lifting. The intervention could consist of health education pointing out the possibilities to avoid heavy lifting during pregnancy. The study should be a prospective two-arm RCT that is parallel and pragmatic to ascertain the effectiveness of the intervention. Looking at the global trends of premature birth, the appropriate trial must be centered within Asia or Africa because these continents have the highest proportions of preterm birth of 54% and 31%, respectively, in the world (3). Recruitment of participants could be done with the assistance of staff of antenatal clinics. Eligibility criteria for participants could be: women whose pregnancy has not gone beyond 12 weeks, singleton pregnancy, and women who are exposed to heavy lifting (≥10 kg) either at home or at work ≥10 times per day. Eligible participants would be assigned to either the experimental or control group at different antenatal clinics using an appropriate randomization method. Proper randomization will generate two groups that are equal in known and unknown extraneous variables with the exception of the intervention. To prevent contamination of the control group with the treatment of the intervention group when they are both attending the same clinic, randomization of antenatal clinics with their patients to either the intervention or the control group in a cluster randomized design would be desirable. Again, it will be difficult to realize randomization at the individual level in developing countries as a result of high cost and the complex nature of data collection (25). A sufficiently varied intensity of the health education intervention should be given to the treatment group during antenatal sessions with the content focusing on the meaning of heavy lifting, the possible implications of heavy lifting during pregnancy, encouragement of avoidance of lifting, and means to avoid lifting. The intervention could be elaborated further to ensure that this advice can also be implemented into practice. On the other hand, the control group should receive routine health education during their antenatal sessions. It would be important to monitor the level of exposure to heavy lifting in both groups to be able to show that the intervention had indeed been effective in the intervention group. For the outcome, the future study should measure the length of pregnancy according to the four subgroups of gestational age described by Goldenberg et al (26): births that occur at

وصف الملف: electronic resource

العلاقة: https://www.sjweh.fi/show_abstract.php?abstract_id=3396Test; https://doaj.org/toc/0355-3140Test; https://doaj.org/toc/1795-990XTest

الوصول الحر: https://doaj.org/article/1ce9735c2d81498ea0832af76bd9e9b9Test

المؤلفون: Kimmo RÄSÄNEN, Mari-Anne WALLIUS, Paavo VARTIAINEN, Pasi A. KARJALAINEN, Saara M. RISSANEN, Susanna JÄRVELIN-PASANEN, Timo BRAGGE

المصدر: Industrial Health. 2016, 54(1):58