Validation of the Polish version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population (60–70 years old)

Purpose. To assess the reliability and validity of the Polish version of the 36-point World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population. Method. One thousand randomly selected individuals, aged 60–70 years, living in south-eastern Poland were assessed using the Polish version of the WHODAS 2.0. Results. The analysis confirmed the high reliability and validity of the tool. Cronbach’s α index was 0.89. The tool had high stability, and the correlation between test and retest results was high. The relevance of the domain selection was high or very high. A factor analysis confirmed the relevance of assigning questions to domains. High theoretical relevance was also demonstrated. Statistically significant differences between those who were and were not suffering from health problems were observed. An analysis of the internal structure of the WHODAS 2.0 revealed strong correlations between the components of each domain and the final result. Conclusion. The Polish version of the WHODAS 2.0 showed high reliability and validity; thus, it can be used to assess health, functioning and disability in the elderly population of Poland.     

Validation of the positive health behaviours scale: a nationwide survey of nurses in Poland

Purpose. The aim was to adjust the positive health behaviours scale (PHBS) to make it suitable for use by nurses, and to validate the new version of the tool. Methods. A previously formulated PHBS was modified. The scale comprises 29 statements describing certain positive health behaviours in four subscales: nutrition, physical activity, relaxation and behaviours related to mental health, and preventive behaviours. The scale was enriched with items on avoiding risky behaviours and a question regarding respondents’ own assessment of their care for health. Analyses were conducted of reliability, construct validity, criterion validity and dimensionality of subscales. The questionnaire was completed by 1017 nurses. Results. Cronbach's α reached 0.844 for the entire scale and 0.623–0.761 for specific subscales. Empirical data did not confirm theoretical assumptions regarding the existence of a four-element structure of the PHBS. The scale's diagnostic criteria were validated on the basis of positive results of correlation and trend analysis. Only one of the subscales proved homogeneous and could be considered unidimensional. Conclusions. The results confirmed the high internal consistency of the scale and its subscales. The factor structure of the PHBS was equivocal. The PHBS could be used in workplace-based health promotion programmes designed for nurses.     

Multi‐wave,multi‐variable models of job insecurity: applying different scales in studying the stability of job insecurity

The study had two specific targets: first, to examine the stability of job insecurity by utilizing three‐year longitudinal data (n = 109) collected in Finland and, second, to clarify psychometric properties of four job insecurity scales, i.e., the global scale, the importance scale, the probability scale and the powerlessness scale. The study was carried out by means of questionnaires, which were answered on three occasions. Analyses were conducted using multi‐wave, multi‐variable models which were estimated and tested via the LISREL program. Generally, the results showed that job insecurity remained relatively stable during the follow‐up period, although there were some variations in the stability as well as in the psychometric properties of the four job insecurity scales examined. More specifically, three of the scales studied showed good psychometric properties, whereas the probability scale could not be estimated longitudinally. Furthermore, working organization and time had effects on the level of job insecurity measured via the different scales. Copyright © 2001 John Wiley & Sons, Ltd.     

Validation of a questionnaire about the perception of occupational biohazard in Spanish companies

Objectives. The aim of this work was to develop, validate and test a new questionnaire to assess the biological risk in workers with intentional or unintentional exposure to biological agents. Methods. A questionnaire including 34 questions was developed to study the perception of workers against occupational biohazard. Content Validity Index (CVI) and Content Validity Ratio (CVR) were calculated for the analysis of content validity. A pilot study was carried out with 60 workers from 17 companies performing analysis of Cronbach's α to assess the internal consistency or reliability. Results. A total of 518 workers from 51 Spanish companies in which there is exposure to biological agents participated in the study yielding a response rate of 90%. The final questionnaire obtained a Cronbach's α > 0.759 with a stable test–retest result. The questionnaire validation demonstrates that it could be used to evaluate the biological risks and help the prevention of occupational accidents and diseases. Discussion. This study has validated the need to evaluate worker's perception against occupational risks, as well as the application of prevention methods and protective equipment. It is a first step towards developing an occupational biohazards assessment method including all the requirements set by the European Health and Safety Strategy 2013–2020.     

Reducing subjectivity in the assessment of the job environment: development of the Factual Autonomy Scale (FAS)

Self‐report measures of job stressors have been criticized for being too subjective, rendering relations with other variables inconclusive. The Factual Autonomy Scale (FAS) was developed to reduce subjectivity by careful choice of fact‐based items. Results of two studies showed that when compared to the Job Diagnostic Survey autonomy scale, the FAS demonstrated superior convergent validity with alternate sources (supervisors in Study 1 and coworkers in Study 2), and discriminant validity when correlated with the remaining JDS core characteristics subscales. In addition, the FAS was correlated to a lesser extent than the JDS autonomy scale with job satisfaction. Incumbent FAS scores and not JDS scores correlated significantly with job performance as assessed by supervisors. It is suggested that it is feasible to develop fact‐based items for scales of the work environment that reduce the degree of subjectivity of responses. Copyright © 2003 John Wiley & Sons, Ltd.     

Measuring limitations in activities of daily living: a population-based validation of a short questionnaire

Purpose. A newly developed questionnaire assessing limitations in activity of daily living (LADL–Q) that should improve assessment of LADL is tested in a large population-based validation study. Methods. This survey was paper-based. Overall, 16,634 individuals who were representative of the working population in the German-speaking part of Switzerland participated in the study. Item analysis was used the final version of the LADL–Q to four items per subscale that correspond to potential problems in three body regions (back and neck, upper extremities, lower extremities). Analysis included tests for reliability, internal consistency, dimensionality and convergent validity. Results. Test–retest reliability coefficients after 2 weeks ranged from 0.82 to 0.99 (Mdn?=?0.87), with no item having a coefficient below 0.60. The median item-total coefficients ranged between moderate and good. Correlation coefficients between LADL–Q subscales and three validated clinical instruments (Western Ontario and McMaster Universities osteoarthritis index, shoulder pain disability index, Oswestry) ranged from 0.63 to 0.81. In structural equation modeling the three subscales were significantly related with two important outcomes in occupational rehabilitation: self-reported general health and daily task performance. Conclusion. The new LADL–Q is a brief, reliable and valid tool for assessment of LADL in studies on musculoskeletal health.     

Stress,coping and safety compliance in a multinational gold mining company

The primary objective of this study was to investigate the relationship of work stress, consisting of role stressors and job insecurity, with safety compliance at work. A secondary objective was to test for the possible moderating effect of individual employees’ coping behaviour between experienced work stress and job insecurity, and their safety compliance. A cross-sectional survey design was used (n?=?771). An electronic survey, with a biographical questionnaire and scales on role conflict, role ambiguity, role overload, job insecurity, coping and safety compliance at work, was administered. The results indicated that specific aspects of work stress, notably role conflict, role ambiguity and quantitative job insecurity, and of coping, namely an avoidance style and changing the situation, were important in understanding safety compliance. A moderating effect of avoidance coping was also found.     

Stress and mental strain in hospital work: Exploring the relationship beyond personality

This study focuses on the relationship between job stressors and mental strain in hospital work, adjusting for differences in personality traits. Questionnaires were obtained from 760 full-time employees. Fourteen scales of job stressors were clustered into four factors: professional latitude, clinical demands, workload problems and role difficulties. A mental strain index was derived from the addition of three sub-scales: depression, anxiety and irritation. Two personality traits were measured: Locus of Control (Rotter) and Striver-Achiever (Sales). The four job demand factors were dichotomized into high-low grouping variables. A 2⁴ factorial analysis of covariance was conducted, using the two personality traits as covariates, in order to test and adjust for trait-related strain. Results show that Locus of Control adjusted differences in mental strain appear significantly related to work stressors. A direct relationship was found with role difficulties, professional latitude and workload problems. Moreover, high levels of role difficulties and low levels of professional latitude interact significantly with adjusted levels of mental strain. The Striver-Achiever trait, however, appears most strongly correlated with workload problems but not with mental strain. We believe that this exploratory analysis suggests that the stressor-strain relationship might be best conceived as a combination of direct and complex pathways, relating facets of both job demands and of personality with outcomes, under a cognitive and conditional paradigm.     

Stressful work characteristics,health indicators and work behavior: the case of machine operators

This article shows the results of research on psychosocial risks for a group of machine and plant operators (n?=?1014) from the construction, chemical, energy, mining, metal and food industries in Poland. The Psychosocial Risk Scale designed in Nofer Institute of Occupational Medicine (NIOM) by Moscicka-Teske and Potocka was used to indicate the occurrence of general and specific occupational stressors and the level of their stressfulness. The results revealed that the studied machine and plant operators experience job context stress – related to working environment features concerning work organization – more frequently than job content stressors – related to the type of tasks they perform. Moreover, a correlation analysis between work features and the health and occupational functioning of the respondents revealed significant but weak relationships between the variables (from ?0.08 to ?0.23). Comparative analysis revealed the differences between the studied sectors. Such a comparison makes it possible to set goals for each sector and to attempt to improve the distinctive areas.     

Quantification of risk perception: Development and validation of the construction worker risk perception (CoWoRP) scale

Introduction: The construction sector is leading in the number of accidents and fatalities; risk perception is the key to driving these numbers. Previous construction safety studies on risk perception quantification have not considered affective risk perception of construction workers or conducted comprehensive reliability and validity testing. Thus, this study aims to fill this need by developing a psychometrically sound instrument – the Construction Worker Risk Perception (CoWoRP) Scale – to assess the risk perception of construction workers. Method: Four phases of scale development, namely, item development, factor analysis, reliability assessment, and validity assessment were conducted with the collection and testing of data from a group (n = 469) of voluntary construction workers in Hong Kong. Results: The CoWoRP Scale with 13 items was shown to have acceptable test–retest reliability, internal consistency reliability, as well as content, convergent, discriminant, and criterion-related validity. Also, the CoWoRP Scale was affirmed to have three dimensions of worker risk perception, namely risk perception – probability, risk perception – severity, risk perception – worry and unsafe. These three dimensions of worker risk perception were negatively correlated with their risk-taking behavior. Conclusions: The CoWoRP Scale is a reliable and valid instrument for measuring the risk perception of construction workers and is expected to facilitate the construction safety studies that take risk perception of construction workers into account. Practical applications: The CoWoRP Scale could serve as an aptitude test to identify the characteristics of construction workers most likely to perceive lower risk in risky work situations. In turn, this information could help safety management provide safety training programs to those workers to enhance their risk perception and thereby minimizing their risk-taking behavior, reducing unnecessary training costs, and improving the construction safety performance.     

Multiple dimensions of work-related risk factors and their relationship to work ability among industrial workers in Iran

Objectives. The present study was designed to investigate the simultaneous effects of physical, psychosocial and other work-related risk factors on the work ability index (WAI) score among industrial workers. Methods. This study used a cross-sectional design with a questionnaire survey. A total of 280 workers were included in the study. Data were collected using three questionnaires including the Persian version of the WAI, the Persian version of the job content questionnaire and an author-developed measure (to assess work-related factors, health-related factors and socio-demographic characteristics). Results. The majority of the participants were young, but they had poor WAI scores (mean 37.3?±?6.4) and 44.3% of them had poor or moderate work ability. Occupational accidents and injuries were found to be the strongest predictors of WAI scores. Additionally, there was a strong association between WAI scores and supervisor support, skill discretion, occupational training, sleep quality, work nature and educational level. Conclusions. Intervention programs should focus on improving supervisor support, sleep quality, job skills and knowledge and on decreasing physical and mental work demands. Additionally, implementing a comprehensive occupational health and ergonomics program for controlling and reducing hazardous working environments and occupational injury rates should be considered.     

Self-reported occupational blood exposure among paramedics in Poland: a pilot study

Introduction. Paramedics are at risk of occupational blood exposure, increased by the immediacy of provided treatment. However, the issue has not been acknowledged to date by any research in Europe. Methods. This research aimed at assessing occupational blood exposure among paramedics in Poland. Respondents represented 21 Polish medical institutions. Their participation was voluntary and anonymous. Paramedics were provided with a self-directed job-specific questionnaire adapted to Polish conditions from an original US version. Results. 118 paramedics participated in the study from institutions constituting the National Emergency Medical System in Poland; including ambulance crews, Helicopter Emergency Medical Services and emergency department employees. Occupational exposure was reported by 18.64% of respondents and the main route of exposure was needlestick events. Conclusions. There is a further need to improve education among paramedics concerning the threat of being infected with blood-borne pathogens through all existing routes. Our findings point to the problem as being hidden and considered a shameful issue.     

Memento Mori: The development and validation of the Death Reflection Scale

Despite its potential for advancing organizational behavior (OB) research, the topic of death awareness has been vastly understudied. Moreover, research on death awareness has predominantly focused on the anxiety‐provoking aspect of death‐related cognitions, thus overlooking the positive aspect of death awareness, death reflection. This gap is exacerbated by the lack of a valid research instrument to measure death reflection. To address this issue, we offer a systematic conceptualization of death reflection, develop the Death Reflection Scale, and assess its psychometric properties across four studies. Further, using a sample of 268 firefighters, we examine whether death reflection buffers the detrimental impact of mortality cues at work on employee well‐being and safety performance. Results provide strong support for the psychometric properties of the Death Reflection Scale. Further, moderation analysis indicates death reflection weakens the negative effect of mortality cues on firefighters' safety performance. Overall, these findings suggest the newly developed Death Reflection Scale will prove useful in future research on death‐related cognitions.     

Relationships between certain individual characteristics and occupational accidents

Background. Work accidents and injuries are an occupational health and safety problem. Methods. This cross-sectional study was conducted for 404 frontline workers who were randomly selected from the Arya Sasol Petrochemical Company in Bushehr, Iran, during 2016. A statistical analysis was performed using the χ² test and the logistic regression model with SPSS version 18. Results. The overall occupational accident rate among the participants was found to be 9.2%. Statistically significant differences were observed for body mass index, education, job experience, smoking habit, consumption of sedative pills and presence of sleep disorders. Three factors had significant adjusted odds ratios (ORs): body mass index (OR 2.41, 95% confidence interval [CI] [1.16, 5.04]), education (OR 0.25, 95% CI [0.07, 0.85]) and job experience (OR 0.29, 95% CI [0.15, 0.57]). Conclusions. Preventive programs should be implemented for industrial workers, especially young workers, workers who smoke, overweight workers and workers with psychosomatic disease.     

Validity and reliability of a job factors questionnaire related to the work tasks of physical therapists

Physical therapists engage in work tasks that expose them to occupational risk factors related to musculoskeletal disorders. Due to the gap in the literature on instruments focused on those workers, this study adapted a job factors questionnaire to physical therapists, and assessed its psychometric properties. The questionnaire was adapted and its content validity was established. The psychometric properties were evaluated among 142 physical therapists. Reliability was verified using the temporal-stability design and internal consistency. Construct validity was assessed with the known-groups technique. Test-retest results demonstrated intraclass correlation coefficients between .82 and .90 (p < .001). Cronbach's α of .91 verified the reliability of the questionnaire. The known-groups technique demonstrated a statistically significant difference on the scores of the items when physical therapists were compared to office workers. The results indicated that the adapted questionnaire had acceptable psychometric properties for assessing problematic job factors among physical therapists working in hospitals.     

Predicting burnout with a hassle-based measure of role demands

The paper presents a hassle-based measure of job demands, whose scales of hassles-conflict, hassles-ambiguity and hassles-overload consist of items pertaining to such role episodes. Hierarchical multiple regression is used to test the incremental validity of the new variables. This was done with a statistical model where the role stressor variables (i.e. role conflict, role ambiguity, and role overload) were entered first, followed by the three equivalent hassle variables. The data indicate that the new Role Hassles Index (RHI) shows a substantial R² increment with regard to the MBI's exhaustion and depersonalization scales, but not in regard to self-accomplishment. These data are interpreted as supporting a balance model of burnout, specifying that exhaustion is an outcome of daily demand level on the one hand, and recovery availability on the other. © 1997 by John Wiley & Sons, Ltd.     

Validity and consistency assessment of accident analysis methods in the petroleum industry

Background. Accident analysis is the main aspect of accident investigation. It includes the method of connecting different causes in a procedural way. Therefore, it is important to use valid and reliable methods for the investigation of different causal factors of accidents, especially the noteworthy ones. Objective. This study aimed to prominently assess the accuracy (sensitivity index [SI]) and consistency of the six most commonly used accident analysis methods in the petroleum industry. Methods. In order to evaluate the methods of accident analysis, two real case studies (process safety and personal accident) from the petroleum industry were analyzed by 10 assessors. The accuracy and consistency of these methods were then evaluated. The assessors were trained in the workshop of accident analysis methods. Results. The systematic cause analysis technique and bowtie methods gained the greatest SI scores for both personal and process safety accidents, respectively. The best average results of the consistency in a single method (based on 10 independent assessors) were in the region of 70%. Conclusion. This study confirmed that the application of methods with pre-defined causes and a logic tree could enhance the sensitivity and consistency of accident analysis.