Workplace Health & Safety最新文献

Background: Mobile crisis teams (MCTs) are an increasingly popular intervention for mental health emergencies, providing a therapeutic and specialized response. As programs expand, many agencies have identified staffing as a barrier to adequate implementation. This growing workforce's unique experiences have been minimally described in research.

Methods: This qualitative study draws on interviews with 22 frontline MCT workers in San Francisco, CA and Madison, WI. Questions and codes were guided by the Total Worker Health^® framework, incorporating description of the physical work environment, workplace culture, and overall wellbeing at work. Thematic analysis was employed to guide the data analysis.

Findings: Many participants felt called to crisis work, finding satisfaction in building relationships with at-risk clients and recognizing the value of an innovative approach to mental health care delivery. Multiple participants stated that supportive leadership and autonomy contributed to satisfaction. MCT responders' experiences of "Policies and Culture" were prominent in job-related stress; teams often navigate "gray area" patient care situations without extensive policy guidance. Blending diverse skillsets from mental health and emergency services in interdisciplinary teams, particularly while navigating high-risk situations, was an additional challenge that could be mitigated by focused training.

Conclusions/application to practice: MCT members share occupational experiences with other mental health or emergency services responders but also face unique exposures. As MCT programs expand, comprehensive training can facilitate trust and foster effective team collaboration. Occupational health considerations play a key role in MCT implementation. Research describing team members' work experiences can guide policy and training decisions and improve system capacity.

Background: Long-term care (LTC) workers face complex challenges requiring enhanced professional commitment and resilience. Virtual reality (VR) teaching modules provide immersive training, yet their effects on this workforce remain underexplored. This study examined the effectiveness of a VR-based module in enhancing professional commitment, psychological resilience, and coping strategies among LTC workers.

Methods: A randomized waitlist-controlled trial was conducted with 92 LTC workers, divided equally into experimental and control groups. The experimental group received VR-based training, while the control group received the same intervention 4 weeks later. Data were analyzed using generalized estimating equations (GEE) and t-tests.

Results: The VR module significantly improved professional commitment (B = 7.24, p = .021). No statistically significant changes were observed for resilience or coping strategies.Conclusions and Application to Practice:VR-based training modules appear to enhance professional commitment among LTC workers. Integrating VR modules into mandatory training may help enhance job satisfaction, reduce burnout, and potentially improve care outcomes. Tailored VR training with workshops and peer engagement offers a practical approach to strengthening occupational health in LTC.

Background: Operating room nurses play complex roles and are faced with substantial demands, including ensuring patient safety, managing interprofessional collaboration, and adapting to unpredictable challenges. These factors contribute to occupational stress influenced by psychosocial factors, such as workload, interpersonal conflicts, and time pressures. While prior reviews have explored stress in the operating room, none have focused specifically on the psychosocial factors that impact operating room nurses. This scoping review aimed to map existing research on these factors and to identify knowledge gaps and inform future studies.

Methods: This scoping review followed the methodological framework given by Arksey and O'Malley. CINAHL, EMBASE, MEDLINE, PsycINFO, and Web of Science were searched from inception until October 11, 2024. Peer-reviewed studies in English or Scandinavian languages were included if they reported psychosocial factors influencing occupational stress in operating room nurses working environment and employed qualitative, quantitative, multimethod, or mixed-method designs.

Findings: From the 36 papers included, data were organized into three thematic groups: (a) interprofessional factors contributing to occupational stress, (b) work-related factors influencing occupational stress, and (c) stress levels and personal factors influencing occupational stress among operating room nurses.Application to Practice/Conclusions:The primary psychosocial factors contributing to occupational stress among operating room nurses included interprofessional challenges and high workload. Work-related moral distress associated with patient care complexities and safety also played a significant role. These findings highlight a need for strong leadership, improved team dynamics, and supportive interventions to manage stress.

Background: Shift work, particularly rotating schedules, disrupt sleep and cognition, affecting worker health and patient safety. Understanding schedule-chronotype misalignment is essential. We examined whether chronotype was associated with sleep quality, neurocognitive function, and near-miss incidents during consecutive morning shifts in a rotating shift system.

Methods: In this cross-sectional study at a South Korea tertiary hospital, 67 nurses completed the Morningness-Eveningness Questionnaire, wore actigraphy devices, underwent CNS Vital Signs testing, and near-miss incidents were recorded.

Findings: Thirty-one participants (46.3%) had an intermediate chronotype and 36 (53.7%) an evening chronotype. Evening chronotypes reported significantly poorer subjective sleep quality and showed shorter total sleep duration, longer sleep onset latency, and lower sleep efficiency compared with intermediate chronotypes. They also performed worse on composite and visual memory. Near-miss incidents did not differ significantly between groups.

Conclusions/application to practice: These findings suggest that aligning shift schedules with individual chronotypes could enhance sleep quality and workplace performance, potentially improving patient safety. The evidence suggests a need for adjustments in work schedules to align with individual circadian rhythms, which can lead to better patient safety by reducing cognitive errors and improving overall healthcare delivery.