Workplace violence: a study of Turkish workers

This research was conducted to address the experience of workplace violence of Turkish workers from different sectors and to investigate the impact of the exposed violence on their psychological well-being. Data were collected anonymously with printed questionnaires from the volunteer participants and depended on self-reporting. The response rate was 79.0% (1708/2161). The prevalence of workplace violence was found to be 44.8%. The most common type was verbal violence together with mobbing (bullying). Victims of physical violence were mostly males, whereas females were found to be victims of verbal, psychological and sexual violence. Most cases did not result in legal action and the victims remained silent. Psychological well-being of exposed workers in terms of depression, anxiety and stress seemed to deteriorate. Workplace violence remains a silent epidemic in Turkey. Preventive measures against workplace violence and social support for violated workers do not exist.     

Violence breeds violence: burnout as a mediator between patient violence and nurse violence

The present study examines whether patient-perpetrated violence triggers anger, hatred and other negative emotions that, under certain circumstances, might motivate nurses to behave violently with patients. In doing so, this study considers burnout as a mediator in the patient violence–nurse violence relationship. To test the causal paths, data were collected from 182 nurses working in two government-sector teaching hospitals of Pakistan's Punjab province. Results confirm that patient violence toward nurses leads to nurse violence toward patients through the mediating effect of burnout. The study advises hospitals to provide wellness and stress management programs to nurses who regularly experience events involving patient violence. Hospitals may consider allowing nurses to take short breaks after an encounter with violently behaving patients. In addition, hospitals should conduct empathy-promoting training, emotional intelligence training and ‘lens of the patient’ training programs to sensitize their nursing staff.     

Frequency and determinants of recommended workplace violence prevention measures

PROBLEM: Limited information exists concerning adoption of workplace violence prevention measures by employers and the factors influencing their adoption. METHODS: A weighted sample of North Carolina workplaces (n=210) in operation January 1994 through March 1998 was used to estimate prevalence of 18 measures and identify community and workplace predictors of having >/=5 recommended measures. RESULTS: Location in a metropolitan area most strongly predicted presence of >/=5 administrative safety measures while a history of workplace violence and being in a high crime area were negatively associated. Belonging to an industry considered to be high-risk for workplace homicide was most strongly associated with having >/=5 environmental safety measures. DISCUSSION: Factors influencing high prevalence of violence prevention measures were related to business type, violence history, and location. Knowledge of factors influencing adoption of recommended workplace violence prevention measures can help tailor interventions to diverse industry settings. IMPACT ON INDUSTRY: An important contribution to the understanding and mitigation of workplace homicide is knowledge of the extent of implementation of recommended workplace violence prevention guidelines and factors influencing their adoption. Identifying factors that influence the prevalence and adoption of workplace violence safety interventions can help to tailor development of interventions to address the issue of workplace homicide across diverse industry settings.     

Environmental evaluation for workplace violence in healthcare and social services

PROBLEM: Federal policy recommends environmental strategies as part of a comprehensive workplace violence program in healthcare and social services. The purpose of this project was to contribute specific, evidence-based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence. METHOD: A retrospective record review was conducted of environmental evaluations that were performed by an architect in two Participatory Action Research (PAR) projects for workplace violence prevention in 2000 and, in the second project in 2005. Ten facility environmental evaluation reports along with staff focus group reports from these facilities were analyzed to categorize environmental risk factors for Type II workplace violence. RESULTS: Findings were grouped according to their impact on access control, the ability to observe patients (natural surveillance), patient and worker safety (territoriality), and activity support. DISCUSSION: The environmental assessment findings reveal design and security issues that, if corrected, would improve safety and security of staff, patients, and visitors and reduce fear and unpredictability. IMPACT ON INDUSTRY: Healthcare and social assistance employers can improve the effectiveness of violence prevention efforts by including an environmental assessment with complementary hazard controls.     

When bathing leads to drowning in older adults

Introduction: Bathing is the most problematic activity of daily living for aging adults, and the ability to perform it is influenced by physical capabilities that decrease with age. Drowning is an under-documented event related to bathing for older adults. This study investigates the circumstances of these tragedies, to prevent them. Methods: Census of 2005–2014 bathtub drownings in the province of Quebec (Canada) involving victims aged 65 +. Coroner's reports were analyzed using a grid based on factors previously associated with bath-related drownings in literature, iteratively modified. Results: Among the 92 bathtub drowning victims inventoried, 42% were aged 65 +. The average age of older victims is 79 (65–97, ± 9 years). Main probable cause of drowning is a cardiac problem, although only 19% of victims had a medical history of heart disease. Most victims were alone in their apartment or residence when drowning occurred. Risky periods appear to be springtime, Sundays, and evenings. Despite expectations, relevant information about the physical environment is very scarce. Conclusions: At least 39 Quebecers, aged 65 +, drowned in their bathtubs over a 10-year period. More older adults than children are victims of bathtub drownings in community-dwellings. It seems that bathing may induce heart distress, leading to an appreciable number of drownings. Practical implications: Since cardiac health problems are present in these deplorable events, promoting access to safety devices in the environment (emergency button, grab bars) and modified personal hygiene habits (bathing chair, showering) might be potential ways to prevent drowning and improve safety in older adults while they perform their personal hygiene, an essential activity for health and human dignity.     

Multicriteria ranking of workplaces regarding working conditions in a mining company

Ranking of workplaces with respect to working conditions is very significant for each company. It indicates the positions where employees are most exposed to adverse effects resulting from the working environment, which endangers their health. This article presents the results obtained for 12 different production workplaces in the copper mining and smelting complex RTB Bor – ‘Veliki Krivelj’ open pit, based on six parameters measured regularly which defined the following working environment conditions: air temperature, light, noise, dustiness, chemical hazards and vibrations. The ranking of workplaces has been performed by PROMETHEE/GAIA. Additional optimization of workplaces is done by PROMETHEE V with the given limits related to maximum permitted values for working environment parameters. The obtained results indicate that the most difficult workplace is on the excavation location (excavator operator). This method can be successfully used for solving similar kinds of problems, in order to improve working conditions.     

Land-traffic crash leading to passenger vehicle submersion,drowning and other fatal injuries: A 44-year study based on records from the Finnish Crash Data Institute

Background: Land motor traffic crash (LMTC) -related drownings are an overlooked and preventable cause of injury death. The aim of this study was to analyze the profile of water-related LMTCs involving passenger cars and leading to drowning and fatal injuries in Finland, 1972 through 2015. Materials and methods: The database of the Finnish Crash Data Institute (FCDI) that gathers detailed information on fatal traffic accidents provided records on all LMTCs leading to drowning during the study period and, from 2002 to 2015, on all water-related LMTCs, regardless of the cause of death. For each crash, we considered variables on circumstances, vehicle, and fatality profiles. Results: During the study period, the FCDI investigated 225 water-related LMTCs resulting in 285 fatalities. The majority of crashes involved passenger cars (124), and the cause of death was mostly drowning (167). Only 61 (36.5%) fatalities suffered some–generally mild–injuries. The crashes frequently occurred during fall or summer (63.7%), in a river or ditch (60.5%), and resulted in complete vehicle’s submersion (53.7 %). Half of the crashes occurred in adverse weather conditions and in over 40% of the cases, the driver had exceeded the speed limit. Among drivers, 77 (68.8%) tested positive for alcohol (mean BAC 1.8%). Conclusion: Multidisciplinary investigations of LMTCs have a much higher potential than do exclusive police and medico-legal investigations. The risk factors of water-related LMTCs are similar to those of other traffic crashes. However, generally the fatal event in water-related LMTC is not the crash itself, but drowning. The paucity of severe physical injuries suggests that victims’ functional capacity is usually preserved during vehicle submersion. Practical Applications: In water-related LMTCs, expansion of safety measures is warranted from general traffic-injury prevention to prevention of drowning, including development of safety features for submerged vehicles and simple self-rescue protocols to escape from a sinking vehicle.     

Organizational practices and workplace health and safety: A cross-sectional study in manufacturing companies

We report the results of a mail questionnaire for 312 manufacturing firms in the province of Ontario (Canada). We conducted a cross-sectional analysis of workplace level health and safety policies, practices and attitudes. Analyses were conducted across firm categories based upon lost-time frequency rate (LTFR) data. Lower LTFRs were associated with paternalistic initiatives, recording of occupational health and safety (OHS) measures, greater involvement of workers in decision-making, and better managerial attitudes concerning the importance of OHS. The composition of the Joint Health and Safety Committee (JHSC), a committee mandated in all workplaces we sampled, differed according to injury rate: the mean number of worker (vs. management) members on the JHSC was higher for lower injury sites, and the mean number of worker members attending JHSC meetings was also higher for lower injury worksites. In addition, workplaces with lower LTFR benefitted by having JHSCs with more executive functions and greater worker involvement. In conclusion, managerial and worker participation in OHS initiatives characterizes safer workplaces. Also, general concern of management towards OHS—illustrated by both attitudes and concrete actions—is also associated with lower injury rates.     

Sex segregation of work in Finland and the quality of women's work

The Finnish labor market is sharply segregated by sex. This is a statistically well-documented fact and holds true for all Western European market economies. The aim of this article was to find out whether women profit (regarding the quality of their work) from performing the same sort of work as men. The qualitative aspects of work were the following: autonomy at work; lack of routinization of work; the compulsory rhythm of work; and the demands for social skills. We also analyzed monthly pay and its variation according to functional segregation of work. The empirical data came from the Finnish Study on Working Conditions (1984) which is a representative sample of the Finnish wage-earning population with 4502 persons of whom 48 per cent were women and 52 per cent men. Our results indicate that women often profit from the fact that they perform the same sort of work as men. This profit was more apparent for white-collar than for blue-collar women. For men the effects of segregation on job characteristics were the opposite. They often profit from sex segregated work. Social status played a major role regarding the qualitative aspects of work.     

CCall--healthy and successful work in call centres.

Call centre workplaces are in many ways a challenge to occupational health and safety. The occupation itself can be described as an IT information technology-supported, communication-intensive form of work with often unusual working hours and a high rate of part-time employment. Data on the employee turnover as well as absenteeism related to occupational disability is quite contradictory. Occupational safety and its proponents still have to find new ways into the corporate structures and cultures of this relatively new and rapidly growing branch of industry. In a 2-year research and development project, using a holistic approach and under consideration of all the relevant disciplines, call centre workplaces were studied, and organisational measures were developed and field tested by putting them into practice. Practical help was developed for a sustainable strategy for successful and healthy work in call centres.     

考虑公众选择偏好的应急避难安置双阶段选址-分配模型*

为使开放避难场所符合公众自行避难的实际情况,借鉴Huff模型量化公众选择行为,构建双阶段选址-分配模型,第1阶段确定开放避难场所位置,第2阶段将溢出容量的灾民二次分配到有剩余容量的避难场所,并利用改进粒子群算法进行求解。研究结果表明:双阶段选址-分配模型能够实现同一需求点灾民前往不同避难场所的过程,管理者干预政策能够使服务人数大幅度增加,避免资源浪费、灾民流离失所且二次分配情况主要依赖于第1阶段的结果。研究结果可为管理部门规划应急避难场所提供参考。     

The NIOSH program for evaluating biomechanical hazards in the workplace

Twenty evaluations of reported biomechanical hazards were performed by the National Institue for Occupational Safety and Health (NIOSH) at the request of industrial workers or management over an 8-year period. The evaluations were part of the Hazard Evaluation and Technical Assistance (HETA) program authorized under the Occupational Safety and Health Act of 1970. A number of these evaluations are described here. Principles drawn from the field of ergonomics were used to evaluate whether a certain work activity has caused an observed incidence of cumulative trauma to the neuro-musculo-skeletal system. Procedures for conducting these ergonomic evaluations are reviewed, and the results are summarized. Recommendations are made for implementing control procedures, and the problem of obtaining reliable follow-up information is discussed. Project results suggest an encouraging degree of success in accomplishing prevention and control of biochemical hazards in the workplaces studied.     

电力建设工程重大危险源动态风险界定及级别划分

针对电力建设工程中对危险源动态风险研究不足和混淆重大危险源概念导致的危险源难于分级管理与控制的问题,通过分析相关法律、规范等界定了电力建设工程施工作业场所重大危险源的概念,引入了危险源动态风险系数的概念,从系统安全的角度确定了动态风险系数的19个影响因素,基于此改进了LEC评价法,并划分了施工作业场所重大危险源级别。最后,结合工程实例说明了工程施工作业场所重大危险源定义和动态风险系数引入的必要性,测算了危险源实际风险度,并根据实际风险的划分结果建立了“3+2+1”危险源控制模式,实现了对作业场所重大危险源的有效控制。     

The characteristics of fatal occupational injuries in Korea’s construction industry, 1997–2004

This study is aimed at exploring the characteristics of fatal occupational injuries in Korea’s construction industry and comparing the causes in various occupations within that industry. There were 10,276 fatal occupational injury victims in Korea over 8 years (1997–2004). The mortality risk due to injuries in construction and non-construction industries was calculated, and their causes were compared. The number of victims of fatal occupational injuries in the construction industry was 4333 (42.2% of the total fatal occupational injuries), and the 1 year mortality risk was higher (23.7/100,000 persons) than in non-construction industries (10.4). Falling was the most frequent (52.7%) cause of fatal injuries. In addition, deaths due to structural collapse and electric shock were significantly higher than in other industries. When the distribution of the causal factors in various occupations within the construction industry was investigated, some factors appeared more frequently in certain occupations than in others. As the construction industry encompasses a large proportion of occupational injuries, a reduction in this field alone will substantially contribute to an overall reduction of occupational injuries in Korea. Further research for effective prevention is needed.     

作业场所职业危害风险综合评价研究

在引入超标倍数、超标率等指标研究粉尘、毒物和噪声作业职业危害风险评价方法的基础上,综合考虑不同类型职业危害因素致病风险的差异,职业危害接触人数以及职业卫生管理情况,建立了多种类型职业危害因素并存作业场所的风险评价方法,进行了实际应用并取得良好效果,对于管理部门实施作业场所职业危害分级监管以及企业自我分级管理等都具有借鉴意义。     

The influence of safety at work on safety at home and during leisure time

It has been argued that the effects of safety programmes extend to safety related behaviour outside the work environment. Data from studies of the behaviour of workers in three industries with a high focus on safety were examined in order to explore this argument. By means of data collected through a questionnaire, safe behaviour and emergency preparedness behaviour at home and during leisure time were measured in a case-control study. The findings indicate that workers in two of the three studies did not transfer safe behaviour from workplaces with a high focus on safety to home and leisure arenas. The safety consciousness acquired by workers at their workplaces in the absence of specially designed home and leisure time intervention projects seems to be insufficiently comprehensive or deep enough to influence safe behaviour in other arenas. While safe behaviour was not transferred, the emergency preparedness behaviour was. This indicates that the contextual and situational aspects of emergency preparedness are shared across risk arenas.     

关于进一步完善我国作业场所职业卫生监管机制的研究

在研究分析我国作业场所职业卫生监管现状,学习和借鉴国外成功经验的基础上,针对我国当前作业场所职业卫生监管工作机制存在的主要不足,提出从4个方面进一步完善我国作业场所职业卫生监管工作机制的建议,即"建立涵盖职业安全卫生内容的三方协商机制;完善职业卫生法律法规与标准体系;确立'国家监察、企业负责、中介服务、群众监督、劳动者遵章守纪'的职业卫生监管工作机制;完善作业场所职业卫生监管相关的若干保障体系"。笔者有针对性地提出4方面建议,以期为政府主管部门学习和借鉴国际通常做法提供参考,进一步提高我国作业场所职业卫生监管的水平,从而实现我国作业场所职业卫生监管工作的有序与高效的发展。     

Protection provided by clothing and textiles against potential hazards in the operating theatre.

The typical hospital and operating theatre present multiple potential hazards to both workers and patients, and protection against some of these is provided through use of various forms of clothing and textiles. While many standards exist for determining the performance of fabrics, most tests are conducted under laboratory conditions and against a single hazard. This paper provides an overview of selected developments in the principal properties of fabrics and garments for use in these workplaces, identifies the key standards, and suggests topics for further investigation.