Duty hours and incidents in flight among commercial airline pilots

Introduction. Working long duty hours has often been associated with increased risk of incidents and accidents in transport industries. Despite this, information regarding the intermediate relationship between duty hours and incident risk is limited. This study aimed to test a work hours/incident model to identify the interplay of factors contributing to incidents within the aviation industry. Methods. Nine hundred and fifty-four European-registered commercial airline pilots completed a 30-item survey investigating self-report attitudes and experiences of fatigue. Path analysis was used to test the proposed model. Results. The fit indices indicated this to be a good fit model (χ²?=?11.066, df?=?5, p?=?0.05; Comparative Fit Index?=?0.991; Normed Fit Index?=?0.984; Tucker–Lewis Index?=?0.962; Root Mean Square of Approximation?=?0.036). Highly significant relationships were identified between duty hours and sleep disturbance (r?=?0.18, p?r?=?0.40, p?r?=?0.43, p?Discussion. A critical pathway from duty hours through to self-reported incidents in flight was identified. Further investigation employing both objective and subjective measures of sleep and fatigue is needed.     

Work–family conflict and neck and back pain in surgical nurses

Objective. Surgical nurses’ work is physically and mentally demanding, possibly leading to work–family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Methods. Forty-eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the Work–Family Conflict Scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument. Results. Multiple linear regression analyses confirmed WFC as a significant predictor of cervical pain (β?=?0.45, p?β?=?0.33, p?=?0.012). Job influence and social support did not turn out to be significant predictors and were not found to buffer the impact of WFC in moderator analyses. Conclusion. WFC is likely to affect neck and back pain in surgery nurses. Work–life interventions may have the potential to reduce WFC in surgery nurses.     

Application of mindfulness-based stress reduction to a stress management intervention in a study of a mining sector company

Purpose. The aim of this article was to check whether mindfulness-based stress reduction (MBSR) is an effective intervention in reducing work-related stress in the case of workers in a copper mine. Methods. Sixty six employees were randomized to the experimental group (32 participants) or to the control group (34 participants). Work-related stress was measured using the job content questionnaire (JCQ) and mental health was measured using the general health questionnaire (GHQ-28) Experimental manipulation was 40-h MBSR training. Results. Multivariate repeated-measures analysis of variance revealed a significant increase of JCQ decision latitude (F?=?17.36, p?<?0.001) and social support (supervisor F?=?9.00, p?<?0.004; coworker F?=?5.61, p?<?0.020), and a significant decrease in GHQ-28 anxiety (F?=?5.28, p?<?0.079) and depression (F?=?3.95, p?<?0.048) due to the intervention. Conclusions. The study confirms that MBSR can be effective in reducing stress resulting from the external risk (and/or imagined fear) of losing one’s health or life. The use of MBSR could be recommended in health and safety activities in difficult and dangerous work conditions, such as mining, to promote workers’ well-being.     

Measures of health,fitness, and functional movement among firefighter recruits

Aim. The purpose of this study was to examine the associations between various health and fitness measures and Functional Movement Screen? (FMS?) scores among 78 firefighter recruits. Methods. Relationships between FMS? scores and age, body mass index (BMI), sit and reach (S&R) distance, estimated maximal aerobic capacity (V˙_O2max), estimated one-repetition maximum squat (1RM-Squat_max), and plank endurance (%Plank_max) were examined. Results. Total FMS? scores were significantly correlated with BMI (r?=??0.231, p?=?0.042), estimated 1RM-Squat_max (r?=?0.302, p?=?0.007), and %Plank_max (r?=?0.320, p?=?0.004). Multiple regression analyses indicated that this combination of predictors significantly predicted (F(3, 74)?=?5.043, p?=?0.003) Total FMS? score outcomes and accounted for 17% of the total variance (R²?=?0.170). In addition, logistic regression analyses indicated that estimated 1RM-Squat_max also significantly predicted (χ²?=?6.662, df?=?1, p?=?0.010) FMS? group membership (≤14 or ≥15). Conclusion. These results suggest that the health and fitness measures of obesity (BMI), bilateral lower extremity strength (estimated 1RM-Squat_max), and core muscular endurance (%Plank_max) are significantly associated with functional movement patterns among firefighter recruits. Consequently, injury prevention programs implemented among firefighter recruits should target these aspects of health and fitness.     

Effects of customized foot orthoses on manufacturing workers in the metal industry

This 8-week study evaluates the effects of customized foot orthoses on work-related musculoskeletal disorders (WMSDs) of metal industry workers. These WMSDs were evaluated applying the Nordic musculoskeletal questionnaire (NMQ) at three different times (start, 4th week and 8th week) and additional questions were also formulated to obtain information about adaptation, fatigue, comfort and possible improvements. According to the NMQ results, statistical significance was found in the improvements after 4?weeks (p?<?0.05 in two areas, p?<?0.01 in three areas, p?<?0.001 in two areas and no significance in the other two) and after 8?weeks (p?<?0.01 in three areas, p?<?0.001 in four areas and no significance in the other two). The additional questions indicated fatigue reduction (both in general and in lower extremity), comfort level increase (after the adaptation period) and good acceptance, according to workers’ answers, suggesting customized orthoses can be effective in reducing and preventing WMSDs in several body regions.     

Assessment of cervical range of motion,cervical core strength and scapular dyskinesia in violin players

Background. Playing the violin can lead to asymmetric postures which can affect the cervical range of motion, cervical core strength and scapular stability. Objective. The objective of the study was to assess the cervical range of motion, cervical core strength and scapular dyskinesia in violin players and non-players of the same age group. Methods. An inclinometer was used to assess the cervical range of motion, pressure biofeedback was used to assess cervical core strength and scapular dyskinesia was also assessed in 30 professional violin players (18–40 years) compared with 30 age-matched non-players. Analysis was done using an unpaired t test. Results. Significant change was seen with respect to extension (p?=?0.051), cervical core strength (p?=?0.005), right (Rt) superior angle 0° (p?=?0.004), Rt superior angle 45° (p?=?0.015) and Rt inferior angle 90° (p?=?0.013). Conclusion. This study shows a significant difference in extension range of motion and cervical core strength of violin players. Also, there was scapular dyskinesia seen at 0° and 45° right-side superior angle of the scapula and 90° right-side inferior angle of the scapula.     

Crossover of stress,strain and resources from one spouse to another

The main focus of the study was the crossover of burnout and of coping resources from husbands to wives and vice versa. The study was carried out on 101 couples, male military officers and their wives, who were randomly selected by the Israel Defense Force computer. They filled out questionnaires that measured their level of burnout, job stress, work support, family support concerning work problems, and their sense of control. Findings reveal that the husbands' sense of control and burnout were positively related to the corresponding variables measured for their wives. To establish the crossover effect, the theoretical model was tested by structural equation analysis (LISREL), which showed a positive effect of wives' burnout on husbands' burnout, after controlling for the husbands' own job stress and coping resources. The husbands' burnout likewise affected their wives' burnout. Thus, a crossover of burnout was exhibited from husbands to wives and vice versa. Furthermore, for both sexes, sense of control had the highest impact on their own burnout and on their spouse's burnout, after controlling for their own job stress and resources. Thus, the spouse's sense of control was found to be an additional resistance resource working to the benefit of the other partner. The relevance of these findings to burnout prevention is discussed.     

School Principal Burnout: The concept and its components

This study attempted to identify the unique components of burnout among school principals using Facet Theory as a theory construction tool. A total of 571 elementary and secondary school principals in Israel completed a questionnaire containing items relating to their feelings about themselves, their environment and work. Data were analyzed employing Small Space Analysis (SSA). Results indicated that burnout among school principals may be presented in a two-dimensional space, incorporating: experiences (weariness or discontent), and the focus (internal or external) of those experiences. Four components of the burnout phenomenon in principals emerged in this two-dimensional space: exhaustion, self-discontent, aloofness, and deprecation.     

Occupational back pain among schoolteachers in Jordan: estimated prevalence and factors associated with self-reported pain and work limitations

Purpose. To investigate the point prevalence of upper back pain and lower back pain in Jordanian schoolteachers and to estimate the work-related reported disability. Method. A cross-sectional survey was used to assess back pain in a convenience sample of teachers in Jordan. Crude and weighted prevalence estimates of self-reported spinal pain and limited productivity were described. Demographic and occupational factors associated with self-reported pain and limited productivity were identified by multinomial/logistic regression. Results. Crude rates differed by gender, geographic location, school funding and grade levels of teaching. Weighted estimates for self-reported pain were 46% for females and 36% for males. Pain with limitation was 55% for males and 49% for females. Pain without limitation was associated with female gender (odds ratio [OR]?=?5.26). Pain with limitations was associated with female gender (OR?=?2.92), teaching in public school (OR?=?2.06) and body mass index (OR?=?1.1). Among subjects with pain, limitations were associated with male gender (OR?=?2.34), teaching in public school (OR?=?3.18) and pain in both upper and lower back (OR?=?4.64). Conclusions. Pain and occupational limitations are highly prevalent in schoolteachers in Jordan.     

Anthropometric evaluation of cockpit designs

The objective of this research is to evaluate all the critical reaches in a cockpit and determine the visual sufficiency of a cockpit to accommodate 90% of potential pilots. While mismatches of measurements with cockpit dimensions are revealed, proposals are made to improve cockpit ergonomics. Regression models were generated to predict and assure adequate exterior vision. Mean, lower and upper control limits of all measurements were found acceptable except eye level. There are very strong positive relationships between stature and eye level (R²?=?0.972, p?R²?=?0.994, p?SD smaller than the eye level mean or seating adjustment limits in height may be changed. In general, cockpit design is acceptable in terms of fit/reach accommodation for pilots, except eye level and visual variables that could be solved by better seat adjustments.     

Impact of error self-perception of aerobic capacity in the safety and efficacy of the lifeguards

Introduction. The strong physical demands that are required of lifeguards during rescues also require an accurate self-perception of one's fitness level to be able to regulate the intensity of effort. Objectives. The aim of this study was to determine the real aerobic capacity (RAC) and to compare it with two self-reported measurements: subjective appraisal of aerobic capacity (SAAC) and appraisal of physical exercise (APE). Methods. Fifty-two professional lifeguards were included in the study. For an objective assessment of RAC, the lifeguards’ maximum oxygen uptake (V_O2max) values were measured during treadmill stress tests. A fitness assessment questionnaire was used to obtain the SAAC and APE values. Results. We found a statistically significant association between the APE and RAC variables in the contingency analysis (p?V_O2max value below 43 ml kg^?1?min^?1 considered their aerobic capacity to be high or very high. Conclusion. This self-perception error of true aerobic capacity could lead to premature fatigue during a rescue, endangering both the lifeguard's life and the life of the victim. These data may help lifeguards and beach managers to become aware of the need to know lifeguards’ true physical conditions through testing and structured training programs.     

Effectiveness of a physical activity program on weight,physical fitness,occupational stress,job satisfaction and quality of life of overweight employees in high-tech industries: a randomized controlled study

Introduction. This study aimed to examine the effectiveness of a physical activity (PA) program on weight control, physical fitness, occupational stress, job satisfaction and quality of life of overweight and sedentary employees in high-tech industries. Methods. Participants in the intervention group (n?=?37) were instructed to carry out a PA program at moderate intensity for 60?min/session, 3 sessions/week for 12 weeks. Those in the control group (n?=?38) received no PA program and were asked to continue their routine lifestyle. Evaluations were performed at baseline and at the end of the intervention. Results of structured questionnaires and blood biochemistry tests and evaluations of physical fitness were analyzed. Results. The PA program effectively reduced the number of risk factors for metabolic syndrome and body fat percentage, and improved physical fitness such as flexibility, muscular strength and endurance and cardiorespiratory endurance. The intervention also significantly decreased levels of serum triglyceride, total cholesterol and low-density lipoprotein cholesterol. Significant positive effects on work control, interpersonal relationships at work, global job satisfaction and quality of life were also demonstrated. Conclusion. This study showed that a PA program can be helpful in improving physical, physiological and psychological outcomes for overweight and sedentary employees in high-tech industries.     

A pre/post evaluation of fatigue,stress and vigilance amongst commercially licensed truck drivers performing a prolonged driving task

Purpose. The main purpose of this research study was to evaluate changes in fatigue, stress and vigilance amongst commercially licensed truck drivers involved in a prolonged driving task. The secondary purpose was to determine whether a new ergonomic seat could help reduce both physical and cognitive fatigue during a prolonged driving task. Two different truck seats were evaluated: an industrial standard seat and a new truck seat prototype. Methods. Twenty male truck drivers were recruited to attend two testing sessions, on two separate days, with each session randomized for seat design. During each session, participants performed two 10-min simulated driving tasks. Between simulated sessions, participants drove a long-haul truck for 90 min. Fatigue and stress were quantified using a series of questionnaires whereas vigilance was measured using a standardized computer test. Results. Seat interactions had a significant effect on fatigue patterns. Conclusion. The new ergonomic seat design holds potential in improving road safety and vehicle accidents due to fatigue-related accidents.     

Is humor the best medicine? The buffering effect of coping humor on traumatic stressors in firefighters

Although our understanding of workplace stressors has grown across the past 30 years, this research has generally ignored traumatic workplace stressors. This is a serious omission, given that many occupations (e.g., firefighters, emergency medical technicians, and police) are frequently exposed to traumatic stressors. As such, the first purpose of the current study was to examine the impact of exposure to traumatic stressors in firefighters. Post‐traumatic stress disorder (PTSD), burnout, and absenteeism were investigated as cognitive, affective, and behavioral outcomes. Additionally, we sought to investigate coping humor as a mechanism for dealing with traumatic stressors. We frame these expectations by discussing humor from a transactional theory of emotion/coping perspective, as well as through humor's social bonding feature and its ability to combat the physiological impact of stressors. We surveyed 179 firefighters at two time points on relevant variables, with dependent variables collected at Time 2. The results indicated that traumatic events significantly predicted burnout, PTSD, and absenteeism and that coping humor buffered this relationship for burnout and PTSD. We discuss the implications of these findings and call for more research investigating occupations in which traumatic stressors are a concern, as well as for more integration of humor into the workplace literature. Copyright © 2013 John Wiley & Sons, Ltd.     

Assessment of the effect of welding fumes on welders’ cognitive failure and health-related quality of life

Introduction. This study examined whether cognitive symptoms and health-related quality of life can be affected by welding fume exposure. Method. Participants consisted of welders (n?=?40) and welder assistants (n?=?25) from welding units as the exposed group, and office workers (n?=?44) as the non-exposed group. All participants were studied using ambient air monitoring and two types of questionnaires: the Cognitive Failures Questionnaire (CFQ) and the 36-item Short Form Health Survey (SF-36). Results. Welders and welder assistants were exposed to higher concentrations of all airborne metals than office employees, except for aluminum and chromium (p?p?M (SD)?=?54.84 (17.88)). The relationships between total CFQ score and the measured concentration of nickel at peak work rate was significant for welders. Conclusion. Cognitive symptoms and health-related quality of life were not related to the measures of welding fume exposure and further research should be performed to find other influencing factors.     

Occupational noise exposure and hearing defects among sawmill workers in the south of Thailand

The aim of this study was to investigate occupational noise exposure and hearing defects among sawmill workers in the south of Thailand. Seven hundred sawmill workers participated, of which 335 (47.9%) were male. The mean age of the sawmill workers was 33.5 years (SD 10.2), and more than 60% were <35 years old; 75.1% of the workers had less than 5 years of work experience. Only about one in four workers (25%) had been trained in use of personal protective equipment (PPE), and half of the participants never or rarely wore PPE while working. The prevalence rate of noise-induced hearing loss (NIHL) was 22.8% (N?=?42). Male workers had significantly higher risk than female workers (odds ratio [OR]?=?2.21). Workers aged older than 25 years had significantly higher risks for NIHL (OR?=?3.51–12.42) than workers younger than 25 years. Sawing workers had higher risk for NIHL than office workers (OR?=?3.07).     

Effects of physical exercise on musculoskeletal disorders,stress and quality of life in workers

Background. The effect of physical exercise in the workplace (PEW) on health promotion of workers is contradictory. Objective. To evaluate the effects of the PEW in musculoskeletal disorders (MSDs), perception of stress and quality of life in workers. Methods. The participants were divided into two groups: control group (n?=?46) including non-participant workers of the PEW program, and PEW group (n?=?50) including workers who regularly participate in the exercise program. All workers answered the Nordic general questionnaire, the perceived stress scale and the quality-of-life questionnaire. Results. The PEW group reported a lower prevalence of MSDs for the trunk in the last 7 days and 12 months (p?=?0.021 and p?=?0.001, respectively), and for the upper limbs in the last 12 months (p?=?0.001) compared with the control group. The results for the perception of stress and quality of life showed no significant differences between the groups. Conclusion. PEW is a potential method to reduce MSDs in workers, but it was not efficient in reducing stress levels or improving the quality of life of the workers.     

Evaluation of interventions to make top tether hardware more visible during child restraint system (CRS) installations

Objectives: The objective of the study is to determine whether specific child restraint system (CRS) or vehicle conditions improve top tether attachment rates during volunteer installations.

Methods: A factorial randomized controlled trial was designed to evaluate 4 different experimental categories: (1) Color of tether adjuster casing (black or red), (2) labeling on tether adjuster casing (labeled with “Tether: Use for forward-facing” or unlabeled), (3) storage location of tether (bundled in a rubber band on the back of CRS or Velcroed over the forward-facing belt path), and (4) labeling in vehicle (labeled under head restraint and below anchor or unlabeled). Ninety-six volunteers were randomly assigned to one combination of conditions. One installation per volunteer was completed. The primary outcome measure was acceptable attachment of the top tether to the tether anchor. The secondary outcome measure was overall secureness of the installation. Pearson’s chi-square tests were used to identify significant predictors of acceptable outcomes and logistic regression was used to investigate interaction effects.

Results: A total of 66/96 subjects (68.8%) attached the top tether in an acceptable manner, with either zero errors (n?=?50) or minor errors (n?=?16). A total of 30/96 subjects (31.2%) had unacceptable tether outcomes, with either major errors (n?=?10) or nonuse the tether at all (n?=?20). None of the 4 experimental categories significantly affected tether outcomes. Subjects who opted to install the CRS with the lower anchors (LAs) had higher rates of acceptable tether attachment compared to subjects who installed using the seat belt or those who used both LA and seat belt together (χ² = 6.792, P = .034). Tether outcomes were not correlated with previous CRS experience, use of instruction manual(s), age, or sex. Only 15.6% of subjects produced overall correct and tight installations. Of those who used the seat belt in some manner, 70.2% neglected to switch the retractor into locking mode.

Conclusions: Conditions in this study including tether color, tether labeling, storage location, and vehicle labeling did not significantly affect tether attachment rates. High rates of tether misuse and nonuse warrant further exploration to find effective solutions to this usability problem.     

Using a pattern‐oriented approach to study leaders: Implications for burnout and perceived role demand

Using a pattern‐oriented approach, we identified clusters of leaders who shared theoretically meaningful combinations of transformational, contingent reward, management by exception active, management by exception passive, and laissez‐faire leadership styles. Drawing upon conservation of resources theory, we examined whether leaders who shared a similar pattern of leadership styles differed from leaders who belonged to other profile groups, with respect to felt burnout and perceived role demands. Hypotheses were tested using a time‐lagged field study involving 183 leaders. Using latent profile analyses, we found four theoretically interpretable patterns. Leaders who belonged to the comprehensive cluster (elevated scores on the transformational, contingent reward, and the passive styles; 14.2%) experienced the highest levels of burnout and role demands, whereas those who were disengaged (low scores on all styles; 33.3%) reported the lowest levels. Leaders who exhibited a passive behavioral pattern (elevated scores on management by exception active, management by exception passive, and laissez‐faire relative to the other styles; 27.3%) experienced more burnout and role demands than did leaders who exhibited an optimal pattern (elevated scores on transformational and contingent reward styles relative to the passive styles; 25.1%). The theoretical and practical implications of a pattern‐oriented approach to leadership research were discussed. Copyright © 2017 John Wiley & Sons, Ltd.