Workplace Health & Safety最新文献

Background: Workplace bullying in healthcare undermines employee well-being and patient care. Although bystanders can play a pivotal role in addressing bullying, their perspectives are often overlooked. This review aimed to synthesize the emotional experiences, behavioral responses, and influencing factors among healthcare professionals who witness workplace bullying.

Methods: Guided by the Joanna Briggs Institute methodology for mixed-methods systematic reviews, this study used a convergent integrated approach to synthesize findings. A comprehensive search of seven international and three Chinese databases was conducted from inception to June 30, 2025, to identify relevant studies. Supplementary searches included Google Scholar and manual screening of reference lists. Eight studies (six qualitative and two quantitative) met inclusion criteria.

Results: Four interrelated themes were identified: (1) Emotional and Psychological Impact-including moral distress, fear, and empathy; (2) Bystander Behavior-ranging from passive avoidance to active intervention; (3) Influencing Factors-such as organizational culture, peer dynamics, and individual moral reasoning; and (4) Intervention Dynamics-highlighting the perceived efficacy and barriers of anti-bullying programs.Conclusions/Implications for Occupational Health Practice:Bystander behavior is shaped by complex emotional, relational, and organizational dynamics. Understanding these dimensions is critical for advancing targeted interventions in occupational health. Occupational health professionals are well-positioned to implement multi-level strategies that empower bystanders. Interventions such as cognitive rehearsal, scenario-based simulations, and peer-led workshops can strengthen moral resilience and facilitate constructive responses. Fostering a culture of psychological safety and ethical leadership is essential to reducing bullying and supporting bystander engagement.

Background: A supportive physical environment in nursing homes can lead to positive outcomes, yet it is rarely examined. The purpose of this study was to address this gap and examine the levels and the relationship between the suitability of the physical environment in nursing homes and the psychological adaptation of healthcare providers.

Methods: We employed a descriptive cross-sectional design using convenience sampling to recruit 140 healthcare providers working in nursing homes in Palestine. A self-reported questionnaire was used to collect data which consisted of the Staff Perception of Residential Care Environments (SPORE) instrument, the Psychological Adaptation Scale (PAS), and select demographic variables. Data collection took place from November to December 2024. Pearson's coefficient was used to examine the correlation between the suitability of the physical environment and the psychological adaptation, and multiple linear regression was used to identify the predictors of psychological adaptation.

Findings: We observed that a minimally favorable physical environment was associated with moderate psychological adaptation among workers. A positive correlation was found between the suitability of the physical environment and workers' psychological adaptation (r = .742, p < .001). The scores of two subscales of physical environment (Resident/Public Facilities [β = .366, p = .002] and General Care Environment [β = .628, p < .001]) were positive predictors of psychological adaptation.

Conclusions/application to practice: Improved physical environments in nursing homes appear to positively influence healthcare providers' psychological adaptation. Policymakers are encouraged to establish and enforce regulations that enhance the physical environments in nursing homes, which could ultimately promote the well-being of both healthcare providers and residents.

Background: Musculoskeletal symptoms, stress, and burnout contribute to nurse attrition. This study builds on previous research about physical strain in nurses by exploring the relationship between musculoskeletal symptoms and two occupational psychological factors: job-related stress and burnout.

Methods: This cross-sectional, observational study utilized an online survey to assess musculoskeletal symptoms (Nordic Musculoskeletal Questionnaire), job-related stress (Job Content Questionnaire), and burnout (Oldenburg Burnout Inventory). The survey also included questions about sociodemographics, work information, COVID-19-related stress level, and likelihood of leaving current position. A logistic regression model assessed musculoskeletal symptoms for associations with Job Content Questionnaire and Oldenburg Burnout Inventory scores while controlling for personal and work-related factors.

Findings: Fifty-three percent of nurses in the sample (N = 173) indicated limited functional activity due to musculoskeletal symptoms. High overall burnout approached a significant association with limited function (OR = 1.13, 95% CI [0.995, 1.28], p = .06). The odds of having limited function were 15.32 times higher (OR = 15.32, 95% CI [3.10, 75.82], p = .01) in nurses who were very likely to leave their job in the next year.Conclusions/Applications to Practice:Limited function due to musculoskeletal symptoms was significantly associated with nurse attrition and approached a significant association with high burnout. Nurse attrition is costly to healthcare organizations and compromises patient safety. Future interventions aimed at musculoskeletal health and attrition in nurses should reduce job-related stress and burnout, in addition to reducing physical strain.

Background: The agricultural industry exposes individuals to diverse respiratory hazards, yet historically, respirator use has been low. Ensuring proper protection remains challenging due to complex agricultural hazards (e.g., pesticides, dust, zoonotic diseases, wildfire smoke) and limited rural access to health care services. This professional practice publication outlines the development and initial impact of Community-Based Respirator Fit Testing Programs, highlighting the vital roles of nurses and community collaboration.

Methods: This publication draws upon over 40 years of combined experience from a multidisciplinary team in conducting Community-Based Respirator Fit Testing workshops. It synthesizes insights from eight workshops over 5 years, engaging 175 participants across five states. These workshops trained diverse agricultural safety stakeholders on requirements for the Occupational Safety and Health Administration (OSHA), respiratory exposures, qualitative fit testing principles, and fit tester responsibilities, informed by two comprehensive Respirator Fit Test Guides developed in collaboration with National Institute for Occupational Safety and Health (NIOSH)-funded Agricultural Health and Safety Centers.

Findings: Community-Based Respirator Fit Testing Programs require multiple steps, including on-farm hazard identification, appropriate respirator selection (considering cost challenges), medical evaluation, annual fit testing, training, and documentation.

Discussion: Major challenges to fit test programs in rural agricultural areas include the cost of equipment and limited healthcare provider engagement. The most significant barriers identified during workshops were community awareness about respiratory protection and distance to services. These are compounded by agriculture's time-sensitive nature which favors task-based guidance.

Conclusion: Respiratory protection is vital for agricultural health. While self-reported use has increased in recent years, proper implementation through Community-Based Respirator Fit Testing Programs is crucial.

Background: The operating room involves many physical, chemical, and biological risk factors. Operating room nurses may have to work in long, tense operations and with different teams. Such challenging working environments can cause operating room nurses to experience stress, anxiety and depression. Our aim was to analyze operating room nurses' perceived stress, anxiety, and depression levels according to their experience in the operating room, and to identify associated factors.

Methods: This cross-sectional, descriptive study was conducted with 173 operating room nurses in Turkiye between June and December 2024. The sample was formed by the snowball method of convenience sampling. The data were analyzed using correlation analysis, independent-samples t-test, and linear regression analysis.

Results: Perceived stress and anxiety scores were significantly higher among nurses with 0 to 1 year of experience in the operating room compared to those more than 1 year of experience (p < .05). In the linear regression model, HADS anxiety score, being female, and being single were found to be significant predictors of perceived stress. In addition, being female and having 0 to 1 year of operating room experience were found to be significant predictors of HADS anxiety score. Being female and not working with a fixed team were significant predictors of HADS depression score.

Conclusion/application to practice: Perceived stress and anxiety were higher among nurses working in the operating room for year or less. A comprehensive mental health support system should be established, and nurses' stress, anxiety, and depression levels should be assessed regularly.

Background: Musculoskeletal symptoms (MSS) are among the most common work-related health problems and are highly prevalent in heavy industry. This study aimed to determine the prevalence of MSS and examine associated sociodemographic, occupational, and psychosocial factors, including job stress, among iron foundry workers.

Methods: A cross-sectional study was conducted in 2023 among 396 workers in an iron foundry facility in Eskişehir, Türkiye. Data were collected using a structured questionnaire covering sociodemographic and work-related characteristics, the Nordic Musculoskeletal Questionnaire, and the Job Stress Scale. Multivariate logistic regression was conducted to identify independent predictors of MSS.

Findings: Of the 396 workers, 75.8% were male, with a mean age (SD) of 37.6 (8.8) years. Almost three out of four workers reported having pain or discomfort in at least one body part in the last 12 months, and 55.7% reported having pain that interfered with their work. It was found that those aged ≥30, who had low income, did not exercise regularly, work ≥55 hours/week, worked overtime or in shifts, perform mechanically strenuous tasks, have a moderate to heavy physical workload, and experienced high job stress were at higher risk of MSS.

Conclusions/application to practice: MSS are highly prevalent among iron foundry workers, and are linked to both physical and psychosocial workplace factors. Preventive strategies should combine ergonomic interventions, workload management, and job stress reduction measures. Implementation of participatory ergonomics programs, engineering controls, and administrative policies could help reduce the burden of MSS in this occupational group.

Background: During the Coronavirus Disease 2019 (COVID-19) that began in March 2020, nurses encountered unprecedented challenges, leading to significant physical and psychological distress. This study investigated the factors contributing to posttraumatic growth (PTG) among nurses following the pandemic, focusing on personal, social, and organizational predictors.

Methods: This cross-sectional correlational study used survey data from 307 nurses who provided direct care to COVID-19 patients. Participants completed an online survey that included items on demographic information, trauma experiences, social support from personal and work relationships, occupational factors (e.g., resource availability, job conditions, job satisfaction), and PTG. Multiple regression analyses were conducted to identify the significant predictors of PTG.

Findings: Coworker support was the strongest predictor of PTG, followed by job conditions, job satisfaction, and personal interactions. Resource availability, specifically that of mechanical ventilators, also significantly predicted PTG. However, supervisor support and PPE availability of personal protective equipment did not significantly influence PTG.

Conclusion: This study contributes to the literature on PTG at work by examining the effects of occupational enablers and proposing practical interventions for healthcare organizations.

Application to practice: Our findings suggest that occupational health practices should focus on enhancing peer support, improving working conditions, ensuring adequate resources, and providing comprehensive mental health support. These measures can help promote nurses' PTG and ensure their well-being following a traumatic event.