New Solutions-A Journal of Environmental and Occupational Health Policy最新文献

Telework has significantly increased in the aftermath of COVID-19 lockdowns. However, it is unclear how working conditions for the same job differ when work is conducted in-person versus remotely and online, and whether occupational health risks can be considered as equal across formats. Our study examined schoolteachers to understand online versus in-person teaching work and health conditions. Focus groups and interviews about online teaching took place in 2023 to 2024 with 47 Canadian teachers and tutors who teach from kindergarten to Grade 12. We identified 5 key areas where synchronous online teaching conditions diverted from traditional classroom teaching and posed particular occupational health challenges for teachers. These are digital surveillance, technostress, loss of control over the teaching environment, difficult student engagement work, and moral discomfort. We recommend that teachers' job contracts and collective agreements should distinguish between in-person and online teaching and take into account the different related risks.

Although the stresses associated with academia and graduate studies are well recognized, there remains a gap in our understanding of how best to support the mental health of investigators and trainees in research teams. As part of the Healthy Professional Worker Partnership, we collected insights from trainees, co-investigators, the project director and the co-leads of a trainee support network. Their research involved conducting interviews that sometimes addressed sensitive or traumatic subjects. Using a public health theoretical framework with inductive thematic analysis of exit interviews and written feedback, we developed guidance for safeguarding the mental health of researchers. Key responsive interventions to address mental health challenges included regular training and check-ins, reducing the frequency of the interviews conducted by trainees and applying strategies to handle the mental health impacts of their content, and proactive workload management. Promising practices emerged, such as establishing a trainee support network and a compendium of resources, integrating debrief time, ensuring clear communication, and adapting expectations and timelines. Recommendations emphasize the importance of responsiveness, collaboration and flexibility, alongside a formalized onboarding process. Research teams, especially those that are large, geographically distributed, or undertaking research on challenging issues, need a systematic approach to promotion of mental health, prevention of mental ill-health, and remediation of mental illness. This study offers practical guidance for fostering healthier and more supportive research environments.

During the COVID-19 pandemic, workplaces served as an important nexus of disease transmission, increasing the need for evidence-based guidance in occupational safety and health. The National Institute for Occupational Safety and Health (NIOSH), part of the Centers for Disease Control and Prevention in the U.S. Department of Health and Human Services, is responsible for developing such evidence, and funds extramural centers for education, training and research. Using the results of a survey and key informant interviews, we document the impact of research and outreach collaborations by the centers during the pandemic. From 26 surveys and 9 interviews, several themes emerged. Through established partnerships, experts from the NIOSH-funded Centers translated and operationalized information from agencies for local businesses and workers; provided timely technical assistance and outreach; and engaged in research to study health impacts of COVID-19 on diverse worker populations. Overall, the NIOSH-funded centers and programs played an important role in providing critically needed occupational health and safety services to regional stakeholders during the pandemic. Continuing to develop intramural-extramural partnerships to be responsive during a public health emergency will allow these Centers to serve as local or regional subject matter experts, gather real-time data during an emergency event, and aid in the overall response for subsequent public health emergencies.

This qualitative study aimed to explore the perceptions and experiences of physiotherapists related to their working situations amidst the COVID-19 pandemic in Spain. Between April and June 2020, we conducted 16 semi-structured personal interviews with physiotherapists from the public, private, and insurance sectors. Using thematic analysis, we identified three themes: legislative and regulatory policies, working conditions, and employment conditions. Physiotherapists raised concerns about COVID-19 policies, confusion, and inconsistency between regional and national guidelines. Private-sector physiotherapists faced uncertainty, and public-sector physiotherapists adapted their roles to meet increased demand. Employment conditions, especially in the private sector, were precarious due to financial strain and uncertainty. Participants cited inadequate training for pandemic management. The challenges faced by physiotherapists during the COVID-19 pandemic underscore the need for improved legislative clarity, enhanced support mechanisms, and infectious outbreak training. Future preparedness requires policies responding to professionals' needs to ensure resilience and efficacy in physiotherapy practice amid potential crises.

In response to the COVID-19 pandemic, the Cook County Department of Public Health (CCDPH) developed the Worker Protection Program (WPP) in partnership with the Raise the Floor Alliance of Worker Centers (RTF). We present a multi-method qualitative process evaluation of the program with reports from participating worker centers over an 8-month period. Our findings showcase the creation of a program to 1) identify and elevate workplace COVID-19-related complaints to CCDPH, with the potential for long-term co-production of enforcement of health and safety laws; and 2) further COVID-19-related prevention and mitigation activities by providing trainings to 4,700 + participants, conducting outreach to 800 + employers, distributing PPE at 2,500 + worksites, and providing individual referrals for unemployment, food and housing insecurity, legal, and healthcare services. This evaluation highlights the collaborative strategy of the WPP to reach worksites and workers at highest risk of COVID-19, while also identifying persistent barriers to COVID-19 prevention and mitigation.

Work-related injuries and illnesses among all Massachusetts healthcare workers in 2020 were analyzed using the US Bureau of Labor Statistics (BLS) Survey of Occupational Injuries and Illnesses (SOII) and using employer-recorded data extracted from Occupational Safety and Health Administration (OSHA) required injury logs at 29 hospitals where the Massachusetts Nurses Association represented registered nurses. BLS SOII data showed large increases in injury or illness among healthcare practitioners in 2020 compared to the three preceding years, along with substantial increases in lost workdays. Hospital OSHA logs demonstrated an increase in incidents specifically due to exposure to harmful substances (including pathogens), with variation in impact across professional categories, over time, and by geography and hospital size. COVID-19 had a notable impact on recorded incidents affecting healthcare workers in Massachusetts in 2020. Further research is needed to examine whether the lack of protective supplies and personal protective equipment contributed to these increases.

This paper examines the pervasive issues of stress and burnout among healthcare specialists in Jordan, which are intensified by the current system allowing patients unrestricted access to specialized clinics. Our comprehensive analysis includes an examination of systemic, technological, and cultural barriers that currently hinder effective healthcare delivery. This was done with a mixed-methods approach: gathering quantitative data reported by the World Health Organization and World Bank, and qualitative insights from stakeholder interviews. Based on our findings, we propose a restructured care pathway where general practitioners (GPs) serve as the primary contact point for patients. This model aims to distribute healthcare demands more evenly, thereby alleviating the pressure on specialists. We also explore the integration of health information systems to improve processes. The implementation of this GP-centric model demonstrates potential benefits in our pilot studies, including reduced wait times, improved patient satisfaction, and decreased burnout rates among specialists. The paper concludes with strategic recommendations for nationwide policy adjustments to foster a more sustainable and equitable healthcare system in Jordan.