International survey on the education of occupational health nurses

In 1990 the Scientific Committee on Occupational Health Nursing (SCOHN) of the International Commission on Occupational Health (ICOH) carried out a survey on the education of occupational health nurses (OHN) in various countries. A questionnaire with 23 questions was mailed to 50 countries.Replies were received form altogether 37 countries (74%). The length of the general nursing education varies from two to five years, being three years in 21 countries. In two European countries it is less than three years.Some special training in occupational health is included in the general nursing education in 14 countries. However, the length of this training varies considerably. The special training is the longest in Denmark, Finland and Norway.According to the answers, special postgraduate courses are organized in 21 countries. Training in occupational health is also included in the public health nursing education of 12 countries.University level programs on occupational health nursing are available in eight countries. Joint education on occupational health at university level has been organized for various professionals in 13 countries. The length of this education varies greatly from some months to several years. In four countries the length of this joint education is one academic year.General nursing education is the basic requirement for occupational health nurses in most of the countries surveyed. However, training in occupational health is not included in this education in most of the countries. Special postgraduate courses in occupational health are organized in 21 countries to OHNs who are employed in Occupational Health Services. There is an urgent need to develop the education of OHNs in most countries surveyed.     

The management of the new and emerging musculoskeletal and psychosocial risks by EU-28 enterprises

Introduction: Although the strategic framework of the European Union in the field of Health and Safety at Work 2014-2020 considers as one of its main challenges to improve the prevention of diseases related to NERs (New and Emerging Risks) (European Commission, 2014) there are still not many studies in the literature related to them. Method: An exploratory study was carried out in order to get a picture of the NERs management in the UE-28 countries. The sample was extracted from the ESENER-2 datasets. ESENER-1 was carried out in 2009 and ESENER- 2 in 2014. This survey explores managers’ and workers representatives’ opinions on health and safety management. It surveyed over 49,000 enterprises in 36 countries. Results: The results obtained confirm that there are significant differences between the EU-28 countries in terms of the identification and the management of NERs. Conclusions NERs are becoming an increasingly studied phenomenon due to the changes that are taking place in the labour market: the percentage of temporary workers is increasing, the demands to the workers due to the globalization of the market are more complex and all this with an aging working force. Pratical A pplications It would be necessary to rethink the management of OHS, so that managers are aware that the combination of musculoskeletal and psychosocial risks should have a global approach in order to reduce accident and disability rates.     

Evaluation and comparison of the Chinese policy context for safety-related psychological health in the workplace: Realities,gaps and challenges

Work-related psychological health problems have become a major challenge for occupational health and safety (OHS) management. Hard and soft policy systems could be employed to guarantee that this issue is taken seriously and solved effectively. However, in China, compared with the European Union (EU) and Australia, few experts have reviewed the policies related to this area. Thus, a comparative analysis was performed to investigate the hard and soft law policies associated with safety-related psychological health in the workplace based on approved criteria. A total of 21 policies (16 hard and 5 soft) were evaluated, and the current realities were discovered. Then, by comparing the actual situation in China with that of countries with well-developed policy systems in this area, extant gaps and future challenges were observed. The results showed that both hard and soft policies addressed the topic, but all of them had rather low scores. The policy system is far from perfect and is still in its infancy in China, and there are great gaps between China and countries with more developed systems related to this topic. Filling these gaps may involve encountering some challenges in the future. Based on the analysis, some specific suggestions are recommended to promote the policy system and improve OHS management from the perspective of psychological health related to work.     

The determinants of employee participation in occupational health and safety management

This article focuses on employee direct participation in occupational health and safety (OHS) management. The article explains what determines employee opportunities to participate in OHS management. The explanatory framework focuses on safety culture and safety management at workplaces. The framework is empirically tested using Estonian cross-sectional, multilevel data of organizations and their employees. The analysis indicates that differences in employee participation in OHS management in the Estonian case could be explained by differences in OHS management practices rather than differences in safety culture. This indicates that throughout the institutional change and shift to the European model of employment relations system, change in management practices has preceded changes in safety culture which according to theoretical argument is supposed to follow culture change.     

A preliminary validation of a new measure of occupational health and safety

INTRODUCTION: This article describes the validation of an instrument designed to conduct an Occupational Health and Safety (OHS) self-diagnosis using workers observations of tangible facts and actions in the workplace. The instrument puts the emphasis on observable factors that make it possible to act proactively before accidents actually occur. METHOD: Three companies were recruited from the printing sector in Québec based on their OHS performance (low, medium, and high), their interest in the project, and their availability. The master sample was composed of 269 people. Partial least squares (PLS) and vanishing tetrad analyses were used to study the behavior of the formative scales developed. RESULTS: The results indicate that partial revision of the instrument will be necessary to reach a fully satisfying level of validity. With regards to the statistical approach adopted, the use of a macro called CTA-SAS 2.0 developed by Bollen and Ting [Bollen, K.A., & Ting, K.-F. (1993). Confirmatory tetrad analysis. In P.V. Marsden (Ed.), Social methodology.Vol.23 (pp.147-176). Cambridge, MA: Blackwell, 23] has proven to be effective in providing a suitable statistical treatment of the latent formative variables on which our instrument's development is based. CONCLUSION: The results suggest that the instrument appears to be relatively robust and appropriate to diagnose OHS leading measures. IMPACT ON INDUSTRY: In the long run, this instrument will make it possible for companies to draw a more refined picture of OHS evolution, even in the absence of occupational injuries.     

A descriptive study of the OHS management auditing methods used by public sector organizations conducting audits of workplaces: Implications for audit reliability and validity

Past research has identified a research gap regarding studies of the reliability and validity of OHS management audit methods. This study describes 17 audit methods used by OHS auditing organizations in the broader public sector in the province of Ontario, emphasizing aspects relevant to audit reliability and validity. Wide variation was found in pertinent characteristics of the audit methods and in their corresponding programs. In addition, some discrepancies were found between actual auditing practices and international standards on management system auditing. Further research is needed to precisely determine the impact of these variations and discrepancies on the measurement properties of audit data and on the performance of audit programs. This study determined that such research is feasible with some, but not all, auditing programs.     

Where intrinsic job satisfaction fails to work: national moderators of intrinsic motivation

This study sought for national characteristics that moderate the individual‐level relationship between job characteristics and job satisfaction. Data from two distinct questionnaire surveys administered to 107,292 employees in 49 countries was analyzed by employing multilevel modeling. Results showed that the link between intrinsic job characteristics and job satisfaction is stronger in richer countries, countries with better governmental social welfare programs, more individualistic countries, and smaller power distance countries. By contrast, extrinsic job characteristics are strongly and positively related to job satisfaction in all countries. In addition, we found that intrinsic job characteristics tend to produce motivating satisfaction in countries with good governmental social welfare programs irrespective of the degree of power distance, while they do not tend to work so in countries with poor governmental social welfare programs as well as a large power distance culture. Socio‐economic and cultural approaches to explaining cross‐national variation in work motivation are discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

Cultural values and random breath tests as moderators of the social influence on drunk driving in 15 countries

IntroductionThe social influence on drunk driving has been previously observed in several countries. It is noteworthy, however, that the prevalence of alcohol in road fatalities is not the same in all countries. The present study aimed to explore whether cultural values and the number of roadside breath tests moderate the link between the perceived drunk driving of one's peers and self-reported behavior.MethodsBased on the European survey SARTRE 4, the responses of 10,023 car drivers from 15 countries were analyzed. Two cultural values, “tradition” and “conformism,” were identified as possibly being linked to social influence. Country scores for these values were taken from the European Social Survey. The number of random roadside breath tests per inhabitant was used as an indicator of drunk-driving enforcement in each country.ResultsA hierarchical multilevel modeling analysis confirmed the link between friends' drunk driving and one's own drunk driving in all countries, but the strength of the link was much stronger in some countries (e.g., Italy, Cyprus, and Israel) than in others (e.g., Finland, Estonia, and Sweden). Both the measured value of “tradition” and the number of alcohol breath tests were found to moderate the link between friends' and one's own drunk driving.Practical ApplicationsEuropean stakeholders should take into account cultural specificities of target countries when designing campaigns against drunk driving.     

Occupational health and safety in the framework of corporate social responsibility

Corporate Social Responsibility (CSR) has been defined as the voluntary integration of social and environmental concerns into the firm’s decision-making. The search for a good Occupational Health and Safety (OHS) environment and the promotion of a culture of risk prevention are two of the firm’s main social responsibilities, and consequently an integral part of CSR. This paper discusses how the growing interest in corporate social responsibility can contribute to improving the implementation of adequate systems of prevention. For this purpose, we study to what extent OHS issues are present in the field of CSR, and consequently determine which aspects have received the most attention, and which are less well developed; we offer some proposals as well. The methodology followed is a content analysis of the main international CSR management tools.     

Inventory of child bicycle education programs reveals need for age,development, and skill-level considerations

Abstract

Objective: There are a plethora of child bicycle safety education programs worldwide. However, the content and durations vary widely from program to program and no gold standard has been established. The main objective of this project was to create an inventory of youth bicycle safety education programs and their content, approaches, and age and developmental considerations.

Methods: Methods used to gather program information included web and online database searches, extraction from personal lists, and a widely distributed online survey. A total of 89 programs met inclusion criteria and were reviewed (78 from the United States and 11 from other countries).

Results: Over half (56.2%) of the included programs were not explicitly age specific, meaning that the content was not appropriately designated by age and developmental cut points. Many programs had target age groups, but these were often very wide age ranges (e.g., all elementary school–age children) resulting in content too advanced for the youngest children. Only 12.4% of included programs had published program evaluations and their scientific rigor varied widely. Main results from this inventory revealed a weak evidence base for program effectiveness due to lack of program evaluations. Results also highlighted a need for age, development, and skill-level considerations in youth bicycle education programs.

Conclusions: This study provides a comprehensive list of program components and approaches that can be used as a foundation upon which child bicycle education standards can be evaluated and built, with the long-term goal of increased childhood safety.     

Ethics and fundamental principles of risk acceptance criteria

Ethics are concerned with distinguishing between what actions are “right” and “wrong” and what values are “good” and “bad”, etc. and there is a long academic tradition in discussing ethics and ethical theories. Risk acceptance criteria, on the other hand, distinguish between levels of risks that are acceptable and levels that are intolerable. In some sense, one may say that risk acceptance criteria distinguishes between “good” and “bad” systems and activities with regards to the risk they expose the society or elements of a society to and there is thus an obvious link between ethics and risk acceptance criteria or to risk management at large. However, there are few references in the literature that explores this link, and in this paper, the ethical foundation of fundamental principles of risk acceptance criteria will be elaborated upon.This paper considers some important principles for establishing risk acceptance criteria for safety critical systems and activities. The various principles and the philosophies behind them might at first sight seem contradictory and exclusive, but it is demonstrated how they may coexist in one and the same regulatory regime; They may complement each other in order to achieve the overall safety objectives of society. Then, some brief considerations of the ethical foundations for the principles will be given and some relevant examples of actual risk acceptance criteria will be given from the maritime industries. However, it is believed that the principles and discussions are of general interest and apply to all areas of technical risk and to safety regulations in a broader perspective.     

An Exploratory Study of Meanings of Risk Control for Long Term and Acute Effect Occupational Health and Safety Risks in Small Business Construction Firms

A qualitative study of employers' and employees' meanings of occupational health and safety (OHS) risk control was conducted among a sample of small businesses engaged in the Australian construction industry. Two OHS risks relevant to the construction industry were selected for study. One risk (falls from height) represented an immediate consequence, whereas the other (occupational skin disease) represented a long-term health effect. Meanings of the sources and control for these risks were explored during in-depth interviews. Participants perceived the immediate effect, falls from height OHS risk, as being more important in their workplaces than the delayed effect, skin disease OHS risk. The risk of falls from height was perceived to be controllable but requiring a great deal of effort to prevent, whereas there was a fatalistic resignation to the risk of occupational skin disease. Meanings of risk control for both occupational skin disease and falls from height focused on individual rather than technological risk controls. Organizational barriers to the adoption of technological OHS risk controls in the construction industry were identified.     

Worker influence on voluntary OHS management systems – A review of its ends and means

Voluntary management systems (MS) might improve occupational health and safety (OHS). MSs, as with any OHS management, requires worker influence (and management commitment) to reduce risks at work. Influence through union backed safety representatives (or similar) achieves the best OHS results. However, a MS guarantees neither effective OHS management nor strong worker influence. Systematic violations of legal requirements have repeatedly caused accidents at workplaces with certified MSs. Why employers introduce MS’s can affect their implementation and outcomes. Internal objectives, of productivity and/or work-related health, require upstream prevention and a genuine influence by workers and their safety representatives. However, managers with external objectives for a MS, such as brand images or low reported accident figures, may pursue such objectives through downstream control of safe behaviour – sometimes suppressing accident reporting – and with little attention to more serious long-term diseases. Worker consultation may then be a limited means of enhancing safety, or to one-way communication on safety rules. Such consultation may even be used for union busting. Many trade unions welcome MSs as possible improvement instruments, but they are also wary of what MSs employers are actually trying to implement. Unions try to support their safety representatives’ influence in a MS by enhancing their rights and their competences. If the motives for MSs are mainly external and the opportunities for influence too limited, it may be better for unions not to cooperate with management in a MS that may lead more to manipulation than to safe and sound work.     

Occupational health and safety issues in the informal economic segment of Pakistan: a survey of construction sites

This research covers the current status of occupational health and safety (OHS)-related practices in the informal construction segment of Pakistan. Data were collected, through interviews, from 316 construction sites employing 3577 workers. The results of the study reveal that both employers and workers lack knowledge of OHS laws/standards and no practices of this nature are enacted at these construction sites. Alarmingly, work-related accidents, whenever they happen, are not given due attention and there is no formal injury-report system. The informal construction industry employs a huge portion of the informal workforce, and lack of OHS happens at tremendous human cost. These research findings may thus play their role in strengthening the case for reforms in the sector. This study, if properly utilized, may also enable employers of the sector by increasing their knowledge about OHS practices and, as a result, trying to offer safer environments for their workers.     

Self-Reported Seat Belt Use in Four Countries: A Telephone Survey

A telephone survey was conducted in four countries in November 1998 to compare drivers in the United States with those in Australia, Canada, and the United Kingdom regarding their attitudes toward seat belts and belt use laws. More than 90 percent of the 2251 respondents said they thought seat belts are effective, but self-reported belt use was significantly lower in the United States than in the other countries. Respondents in Australia and the United Kingdom had similar views about what they thought were important reasons for using seat belts and had the highest self-reported use. Reasons given for using belts by Canadian and US respondents were quite similar to one another, yet US respondents had significantly lower self-reported use rates, a difference thought to be due to vigorous enforcement of the law in Canada. US drivers were less likely than Australian and UK drivers to say they used belts out of habit, to avoid a ticket, or because it is required by law and more likely to say they used belts for situational reasons. US drivers were least likely to be in favor of belt use laws. Canadian drivers reported the most experience being checked by police for belt use and were most likely to think that nonusers would be caught. US drivers in primary enforcement jurisdictions were more likely than those in secondary jurisdictions to think that drivers not using belts would be caught and more likely to say they always used belts. Results of this survey indicate that seat belt use in the United States could be increased by adoption of primary enforcement laws and highly visible enforcement programs of the type used in Canada, and that seat belt use could be increased in all countries by increasing the penalties for nonuse.     

Student and faculty issues in distance education occupational safety and health graduate programs

PROBLEM: There is increasing interest in delivering degree programs without requiring students to attend traditional classroom-based classes. There are many differences between classroom and distance courses that must be addressed to have effective distance programs. METHOD: Occupational safety and health faculty and occupational safety and health professionals were surveyed to determine the need for graduate occupational safety and health programs, delivered by means of distance education, and the best means to deliver the program from the perspective of faculty and working occupational safety and health professionals. RESULTS: Adequate time is the largest problem issue for potential students and the distance student's needs must be considered when developing program policies and procedures. Faculty must be sufficiently trained in pedagogy, technology, and communications so that they have the same comfort level with this method of instruction as they do for the more familiar classroom, and technical and instructional support personnel need to be readily available to work with the faculty and support course development. IMPACT ON INDUSTRY: Findings indicate that there is interest in a distance education-based program and it is believed that industry will be positively impacted as educational opportunities expand for working professionals.     

Identification of OHS-related factors and interactions among those and OHS performance in SMEs

An enterprise can modify several factors that impact on the Occupational Health and Safety (OHS) performance. Within the implementation of the E-merging project (financed by INAIL, the Italian National Institute for Insurance against Occupational Accidents) – to improve safety in Small- and Medium-sized Enterprises (SMEs) – development context, a thorough literature review, supported by later practitioners’ suggestions, has been performed in order to identify the factors which can be related to the OHS issue. Then, the mutual interactions among the identified OHS-related factors and the interactions among the OHS-related factors and the OHS performance have been identified for SMEs and tested on the basis of two existing data sources, i.e. the INAIL most recent dataset and a survey carried out among SMEs in the metalworking industry. This allows to understand the root causes of some evidences, which enables entrepreneurs and managers to plan interventions for the improvement of the OHS performance.     

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.     

The European Working Conditions Survey( EWCS) :a growing instrument: a reflection on the methodology,the reasons for and the use of the survey

The European Working Conditions(the EWCS)Series Eurofound,the European Foundation for the improvement of working and living conditions is a European tripartite agency which contributes to the improvement of working and living conditions.A key instrument to do so is the EWCS.The EWCS aims to comparably measure working conditions across European countries and beyond.This allows for the analysis of relationships between different aspects of working conditions,the identification of groups at risk and issues of concern,as well as areas of progress and the monitoring of trends over time.These analyses contribute to European policy development,in particular on issues with regard to the quality of work and employment.Following earlier editions of the EWCS in1991,1995,2000,2005 and 2010,a sixth wave of the survey will be fielded in 2015.Eurofound develops the questionnaire and outlines the design of the survey as well as a strict quality assurance framework.The actual preparation and implementation of fieldwork is contracted out.The development of the questionnaire is user led.Tripartite users of the survey are key in setting priorities for change.The questionnaire of the 6th EWCS maintain many trend questions which allow mapping changes over time.Yet a number of new questions will be included in the 6th editions which cover recent changes in work,sustainability of work,boundaryless work,work life balance,organisational justice,engagement,sleeping problems,chronic diseases,blurring frontiers in employment status.Changes over time On average there are little changes:this is because work situations and working conditions are becoming more diverse and inequalities in working conditions are increasing.On average,workers work less and less workers work long hours.They also work less"atypical"working hours.Work is taking place in more collective environment(clients,devolution of coordination tasks down to employee level etc.).Yet employment relations are more individualised.Technology use is on the increase but level of reported cognitive demands has remained the same.Exposure to physical risks remains high.Exposure to psychosocial risks is probably on the increase as illustrated by work intensification.Employment status in evolution:frontiers between categories less strict:the employment contract plays a key role in framing working conditions.Over time,there has been slow progress in gender segregation.Women still bear much of the burden of care activities.Sustainable work on the increase:good working conditions are key for sustainability as well as the provision of meaningful work.Less people report a good/very good work life balance.Important differences are lost at the aggregate level.Unfavourable working conditions tend to cluster disproportionally in some groups.Policy conclusions The improvement of working conditions is not automatic and need to be supported.Lifecourse perspective is important to understand trade-offs between job quality features.Social and economic policies are linked together:good work and good working conditions are key in facilitating good performance and wellbeing.Actions to support the improvement of working conditions are not necessarily costly.Many actors contribute to the improvement of working conditions and their efforts need to be supported.