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Analyzing Occupational Safety Managers' and Representatives' Assessments of Collaboration With Occupational Health Care. 职业安全管理者及其代表对职业卫生保健协作的评价分析。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-20 DOI: 10.1177/21650799251392224
Sari Nissinen, Anniina Kainalainen, Erja Sormunen

Background: Collaboration between occupational safety (OS) and occupational health care (OHC) is essential for workplace health and safety, yet the experiences of OS actors have been less studied.

Objective: To examine OS managers' and representatives' experiences of collaboration with OHC and identify related factors.

Methods: This cross-sectional study was conducted in Finland via an online survey in March-April 2025. A total of 222 OS managers and 364 OS representatives responded to a questionnaire. Data were analyzed using non-parametric methods. Group differences were examined with the Mann-Whitney U and Kruskal-Wallis tests. Spearman's rank correlation was used to explore associations between background variables and attitude statements related to perceived seamless collaboration.

Results: OS managers rated the collaboration as more seamless than OS representatives (mean 7.76 vs. 7.17; p < .001), and more often gave it an excellent rating (39% vs. 22%). Seamless collaboration was particularly associated with the OHC agreement's comprehensiveness, OS experience, and digital tools. The strongest associations were found for OHC participation in OS activities (r = .78) and availability of workload data (r = .77).

Conclusions: The availability of information related to workload factors and the participation of OHC in workplace OS activities are particularly important for a positive experience of collaboration. Seamless collaboration with OHC also requires clear, jointly agreed procedures.

Application to practice: OHC should strengthen its collaboration with OS by clearly identifying and communicating workload and resource factors in the work environment, in order to effectively and impactfully target development measures.

背景:职业安全(OS)和职业卫生保健(OHC)之间的协作对于工作场所的健康和安全至关重要,但对OS参与者的经验研究较少。目的:了解工作场所管理者和代表与职业健康中心合作的经历,并找出相关因素。方法:本横断面研究于2025年3 - 4月在芬兰通过在线调查进行。共有222名操作系统经理和364名操作系统代表回答了一份问卷。数据分析采用非参数方法。用Mann-Whitney U和Kruskal-Wallis检验组间差异。采用Spearman等级相关法探讨与感知无缝协作相关的背景变量与态度陈述之间的关系。结果:操作系统管理者比操作系统代表认为协作更加无缝(平均7.76比7.17;pr =。78)和工作负载数据的可用性(r = .77)。结论:与工作量因素和OHC参与工作场所OS活动相关的信息的可用性对于积极的协作体验尤为重要。与OHC的无缝协作还需要明确、共同商定的程序。应用于实践:OHC应加强与OS的协作,明确识别和沟通工作环境中的工作量和资源因素,以便有效和有影响力地制定目标发展措施。
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引用次数: 0
A Global Imperative: Applying Work System Analysis to Curb Nurse Attrition and Migration. 全球迫切需要:应用工作系统分析来遏制护士的流失和迁移。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-18 DOI: 10.1177/21650799251407524
John Patrick C Toledo
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引用次数: 0
Healing the Healers: Musculoskeletal Strain, Burnout, and Nurse Retention: Lessons From the Philippines With Global Implications. 疗愈疗愈者:肌肉骨骼劳损、倦怠和护士保留:来自菲律宾的全球启示。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-18 DOI: 10.1177/21650799251407605
Jose Eric M Lacsa
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引用次数: 0
A Systematic Narrative Review of Stable Staff and Trainers' Occupational Health and Well-Being in Thoroughbred Horse Racing: An International Perspective. 纯种马赛马工作人员和训练师职业健康与福利的系统述评:国际视角。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-16 DOI: 10.1177/21650799251388471
Georgia Tobin, SarahJane Cullen, Arthur Dunne, Giles Warrington, Jennifer Pugh, Adrian McGoldrick, Carol Nolan, Cíara Losty

Background: Stable staff and trainers are essential to racing yards and horse welfare, yet limited research focuses on this vital workforce that the thoroughbred industry heavily relies on. This systematic narrative review synthesizes existing literature on the occupational health and well-being of stable staff and trainers in the thoroughbred horse racing industry.

Methods: A systematic narrative review was conducted across PubMed, Google Scholar, and Scopus using relevant keywords. Manuscripts reporting occupational or mental health data on stable staff and/or trainers and had the full-text available were synthesized narratively in line with PRISMA guidelines.

Findings: Of 2,456 studies screened, 21 met eligibility criteria. In the past year, 43% of staff experienced an injury, with 18% requiring medical attention. Mental health concerns were prevalent, with 65% of injured staff experiencing anxiety, 60% depression, and up to 80% of UK stable staff and trainers reporting stress linked to financial pressures and limited support. Poor sleep contributed to self-reported daytime dysfunction and psychological distress. Substance misuse was notable, with 34% needing treatment for alcohol and 14% for drug misuse. The staffing crisis was influenced by occupational illnesses, poor working conditions, inexperienced staff, and limited career progression.

Conclusions/application to practice: Occupational health challenges highlight the need for interventions to improve mental health support, workplace safety, and working conditions. Industry governing bodies and racing authorities should implement frameworks and standards that ensure safe, supportive, and sustainable work environments. Racing yards should prioritize career progression and educational programs to safeguard the well-being and longevity of this workforce.

背景:稳定的工作人员和驯马师对赛马场和马匹福利至关重要,但对纯种马行业严重依赖的这一重要劳动力的研究有限。这个系统的叙述审查综合现有的文献对职业健康和福利的稳定工作人员和训练师在纯种马赛马行业。方法:使用相关关键词对PubMed、谷歌Scholar和Scopus进行系统的叙述性综述。报告稳定工作人员和(或)培训人员的职业或心理健康数据并提供全文的文稿按照PRISMA准则进行了叙述性综合。结果:在筛选的2456项研究中,21项符合资格标准。去年,43%的工作人员受伤,18%需要就医。心理健康问题普遍存在,65%的受伤员工感到焦虑,60%感到抑郁,高达80%的英国稳定员工和培训师报告与经济压力和有限支持有关的压力。睡眠不足会导致自我报告的白天功能障碍和心理困扰。药物滥用是值得注意的,34%的人需要治疗酒精,14%的人需要治疗药物滥用。人员危机是由职业病、恶劣的工作条件、缺乏经验的工作人员和有限的职业发展造成的。结论/在实践中的应用:职业健康挑战凸显了采取干预措施以改善心理健康支持、工作场所安全和工作条件的必要性。行业管理机构和赛车管理机构应该实施框架和标准,以确保安全、支持性和可持续的工作环境。赛马场应该优先考虑职业发展和教育计划,以保障这些劳动力的福祉和寿命。
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引用次数: 0
Breathing Beyond Dust: Uncovering the Hidden Link Between Diabetes and Pulmonary Health in Mine Workers. 呼吸超越灰尘:揭露糖尿病和矿工肺部健康之间的隐藏联系。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-13 DOI: 10.1177/21650799251407525
Jose Eric M Lacsa
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引用次数: 0
Beyond Walls: Rethinking the Healing Power of Place in Nursing Homes. 超越围墙:重新思考疗养院场所的治愈力量。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-13 DOI: 10.1177/21650799251407582
Jose Eric M Lacsa, Rosemarie V Bautista
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引用次数: 0
Hand Sanitizer Use During the Pandemic: Frequency and Health Effects Among Healthcare and Non-Healthcare Professionals. 大流行期间洗手液的使用:卫生保健和非卫生保健专业人员的频率和健康影响。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-04 DOI: 10.1177/21650799251392217
Burak Kurt, Hazal Ozdemir Koyu

Background: Hand sanitizer use increased dramatically during the COVID-19 pandemic, yet knowledge about its safe use and potential health impacts remains limited, particularly across different occupational groups. There is a need to better understand the frequency and health effects of hand sanitizer use, especially when comparing healthcare professionals and non-healthcare professionals.

Methods: This cross-sectional study included 305 adults from a central district of Türkiye, with 48.5% being healthcare professionals. Data were collected on participants' knowledge of sanitizer contents, frequency of use, and any health problems experienced. Regression analysis was performed to identify factors associated with sanitizer-related health problems.

Results: Only 28.4% of healthcare professionals and 12.1% of non-healthcare professionals reported full knowledge of the contents of the sanitizers they used. Daily use of hand sanitizer 10 or more times was reported by 53.4% of healthcare professionals and 33.8% of non-healthcare professionals. Regression analysis indicated that female gender and being a healthcare professional were significantly associated with sanitizer-related health problems (p < .01). Despite frequent use, both groups demonstrated insufficient knowledge regarding safe sanitizer use, which may contribute to increased health risks such as skin irritation or allergic reactions.

Conclusions: These findings highlight the importance of implementing targeted, evidence-based educational interventions and developing clear guidelines on the safe use of hand sanitizers for both healthcare and non-healthcare professionals. Future studies should focus on the effectiveness of these interventions in reducing healthcare-associated infections and improving hygiene practices.

Application to practice: Occupational health and public health professionals can use these results to design workplace and community-based training programs, promote safer hygiene practices, and minimize sanitizer-related health risks across diverse populations.

背景:在2019冠状病毒病大流行期间,洗手液的使用急剧增加,但对其安全使用和潜在健康影响的了解仍然有限,特别是在不同职业群体中。有必要更好地了解洗手液使用的频率和对健康的影响,特别是在比较医疗保健专业人员和非医疗保健专业人员时。方法:本横断面研究包括来自 rkiye中部地区的305名成年人,其中48.5%为卫生保健专业人员。数据收集了参与者对消毒剂内容、使用频率和所经历的任何健康问题的了解。进行回归分析以确定与洗手液相关的健康问题相关的因素。结果:只有28.4%的卫生保健专业人员和12.1%的非卫生保健专业人员报告完全了解他们使用的洗手液的内容。53.4%的卫生保健专业人员和33.8%的非卫生保健专业人员报告每天使用洗手液10次或10次以上。回归分析表明,女性和卫生保健专业人员与洗手液相关的健康问题显著相关(p结论:这些发现突出了实施有针对性的、基于证据的教育干预措施,并为卫生保健和非卫生保健专业人员制定安全使用洗手液的明确指南的重要性。未来的研究应侧重于这些干预措施在减少卫生保健相关感染和改善卫生习惯方面的有效性。应用于实践:职业卫生和公共卫生专业人员可以利用这些结果设计工作场所和社区培训计划,促进更安全的卫生习惯,并在不同人群中最大限度地减少与消毒剂相关的健康风险。
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引用次数: 0
Effect of Respiratory Protection Devices on Speech Intelligibility Among Healthcare Workers in a Controlled Environment Simulating the Clinical Setting. 在模拟临床环境的受控环境中,呼吸保护装置对医护人员言语清晰度的影响。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-01 Epub Date: 2025-09-09 DOI: 10.1177/21650799251361957
Ruth A Bryant, Ned K Tervola, Justin M Smith, Sandra Castro-Pearson, Rachel Zerby, Barite Dawud, Siobhán Dugan, Catherine A St Hill

Background: Effective communication and collaboration among clinical and nonclinical staff are critical to the health and safety of the staff, for optimal team performance and for safe patient care. While respiratory protective equipment are routine key strategies to protect healthcare workers from exposure to select respiratory pathogens, they have been demonstrated to disrupt speech intelligibility. The COVID-19 pandemic escalated the need for and utilization of respiratory protection in all healthcare settings. The purpose of this study was to evaluate the impact of various respiratory personal protection equipment (PPE) on speech intelligibility.

Methods: Healthcare workers were invited to participate in audiology-based testing in which the audiologist read words from the Modified Rhyme Test (MRT) using two levels of background noise and rotating through six different types of respiratory PPE. Descriptive statistics and ANOVA were used for analysis.

Findings: Modified Rhyme Test (MRT) scores were significantly lower when wearing the CleanSpace Halo (-10.22 points, 95% CI [-11.28, -9.20]) and the elastomeric half mask respirator (EHMR) with or without the exhalation valve filter (-2.28 points, 95% CI [-3.33, -1.20] and -3.22 points, 95% CI [-4.40, -2.18] respectively) after adjusting for noise level, listener respiratory PPE, and correlation within each participant.Conclusions/Applications to practice:Elastomeric half mask respirator (EHMR) decreased speech intelligibility compromising clear communications. Further research on respiratory PPE design is needed to optimize speech intelligibility and communication maximally.

背景:临床和非临床工作人员之间的有效沟通和协作对于工作人员的健康和安全、最佳团队绩效和安全的患者护理至关重要。虽然呼吸防护设备是常规的关键策略,以保护卫生保健工作者免受暴露于选定的呼吸道病原体,他们已被证明破坏语音清晰度。COVID-19大流行加剧了所有卫生保健机构对呼吸防护的需求和利用。本研究的目的是评估各种呼吸个人防护设备(PPE)对语音清晰度的影响。方法:邀请卫生保健工作者参加以听力学为基础的测试,听力学家在两级背景噪音下朗读修改押韵测试(MRT)中的单词,并在六种不同类型的呼吸防护用品中旋转。采用描述性统计和方差分析进行分析。结果:在调整噪声水平、听者呼吸PPE和每个参与者的相关性后,佩戴清洁空间光环(-10.22分,95% CI[-11.28, -9.20])和带或不带呼气阀过滤器的弹性半面罩呼吸器(-2.28分,95% CI[-3.33, -1.20]和-3.22分,95% CI[-4.40, -2.18])时,改良韵律测试(MRT)得分显著降低。结论/实践应用:弹性半面罩呼吸器(EHMR)降低了语音清晰度,影响了清晰的沟通。呼吸防护装备的设计需要进一步的研究,以最大限度地优化语音清晰度和沟通。
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引用次数: 0
Perceptions of Burnout Among Nursing Faculty: A Qualitative Study. 护理教师对职业倦怠的认知:一项定性研究。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-01 Epub Date: 2025-08-12 DOI: 10.1177/21650799251361942
Mayantoinette Watson, LynLee Morgan, Marion Patti, Allan Lovern

Background: Burnout among nursing faculty is a pressing issue, with recent findings by Zangaro et al.reporting moderate to high levels of burnout in 82% of nursing faculty across the United States. Despite this growing concern, there is limited qualitative research exploring the perceptions of contributing factors to burnout among nursing faculty in the U.S.

Method: A qualitative descriptive design was utilized to gain insights into nursing faculty experiences. Semi-structured interviews were conducted with a purposive sample of academic nursing faculty (n = 15) from various institutions across the U.S. Data were analyzed using content analysis and coding to identify key themes.

Results: Key factors contributing to burnout included faculty incivility, student incivility, unrealistic workloads, and insufficient institutional support. Participants identified reduced workloads, increased mental health resources, and enhanced financial stability as critical strategies to mitigate burnout.

Conclusion: Addressing incivility among faculty and students is crucial to fostering a positive and supportive academic environment. Interventions focused on promoting mental well-being and improving work conditions for nursing faculty are essential for preventing burnout, enhancing retention, and sustaining the nursing workforce. Tackling burnout among nursing faculty is vital for strengthening the nursing profession, improving patient care outcomes, and addressing future healthcare challenges.

背景:护理教师的职业倦怠是一个紧迫的问题,Zangaro等人最近的研究结果显示,美国82%的护理教师存在中度到高度的职业倦怠。尽管这一问题日益受到关注,但在美国,关于护理教师职业倦怠的影响因素的定性研究仍然有限。方法:采用定性描述设计来深入了解护理教师的经验。对来自美国各机构的学术护理教师(n = 15)进行了半结构化访谈。使用内容分析和编码来分析数据,以确定关键主题。结果:导致倦怠的主要因素包括教师不文明行为、学生不文明行为、不切实际的工作量和机构支持不足。参与者认为减少工作量、增加心理健康资源和增强财务稳定性是缓解倦怠的关键策略。结论:解决教师和学生之间的不文明行为对于培养积极和支持性的学术环境至关重要。干预措施侧重于促进心理健康和改善护理教师的工作条件是必不可少的,以防止倦怠,提高留任,并维持护理队伍。解决护理人员的职业倦怠问题对于加强护理专业、改善患者护理结果和应对未来医疗保健挑战至关重要。
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引用次数: 0
Strengthening Leadership to Support Employee Recovery: A Pilot Evaluation of the Recovery Friendly Leader Training Program. 加强领导力以支持员工康复:康复友好型领导者培训计划的试点评估。
IF 2.1 4区 医学 Q1 NURSING Pub Date : 2025-12-01 Epub Date: 2025-08-06 DOI: 10.1177/21650799251356304
John Narine, Ryan Lizerbram

Background: The Recovery Friendly Leader (RFL) Training Program (TP) developed an instructor-led, 2-day training: Addressing Substance Use & Demonstrating Inclusion (ASDI), which was piloted virtually under the Zoom platform.

Methods: The pilot evaluation employed pre- and post-training surveys administered online via Qualtrics to registered participants. Quantitative responses were examined using a right-tailed Welch's t-test to determine statistically significant improvements in participants' knowledge and confidence from pre- to post-training. Eleven participants completed the pre-training survey and of those, eight also completed the post-training survey.

Findings: The training program significantly improved participants' knowledge and confidence in addressing workplace substance use (p < .05), with high engagement and strong intent to implement recovery-supportive strategies.

Conclusions/application to practice: Analysis revealed the training was effective in increasing participant knowledge and confidence for identifying and addressing employee substance use and supporting recovery. Workplace policies ought to include structured, stigma-reducing leadership training programs to proactively support employee recovery and foster a recovery-supportive organizational environment.

背景:康复友好型领导者(RFL)培训计划(TP)开发了一个由讲师指导的为期两天的培训:解决物质使用和展示包容(ASDI),该培训在Zoom平台下进行了虚拟试点。方法:试点评估采用培训前和培训后的在线调查,通过qualics对注册参与者进行管理。定量反应采用右尾韦尔奇t检验来确定从训练前到训练后参与者的知识和信心在统计学上的显著改善。11名参与者完成了训练前调查,其中8人也完成了训练后调查。结果:培训项目显著提高了参与者在解决工作场所物质使用问题方面的知识和信心(p结论/应用于实践:分析显示,培训有效地提高了参与者在识别和解决员工物质使用问题和支持康复方面的知识和信心。工作场所的政策应该包括结构化的、减少耻辱的领导力培训项目,积极支持员工康复,营造一个支持康复的组织环境。
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引用次数: 0
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Workplace Health & Safety
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