职业外照射个人累积剂量管理现状及对策——以四川省为例

职业外照射个人剂量检测是实现辐射防护目的的重要环节之一,为保障广大放射工作人员的健康权益与安全,严防职业性放射性疾病的发生,本文以四川省为例,通过电离辐射防护与辐射源安全标准及职业性外照射个人监测规范方法,提出了在职业外照射工作人员剂量管理工作存在的问题及相应的对策。     

农民工大规模外出的经济增长效应研究

农民工大规模外出的影响和作用十分复杂.利用反设事实法,并运用Cobb-Douglas生产函数,分析了湖南省2001-2011年经济增长过程中资本投入、劳动投入和技术进步的贡献,并对于湖南省2001-2011年潜在经济增长进行了进一步推断.研究结果:如果不存在出省打工的数百万农民工,同期湖南将实现净增长428％,年均经济增长率18.10％,比现实经济增长率高出0.5个百分点.这表明农民工大规模外出尽管带来了可观的劳务收入,但也使得流出地区实际经济总量低于其可能的潜在总量,导致其实际经济增长率低于其潜在经济增长率,从而也间接证明了农民工大规模出省打工对于农民工流出地区的经济增长具有一定抑制作用.地方政府在将发展“劳务经济”作为发展战略的同时,还应认识到,“劳务经济”发展战略在带来较多劳务收入的同时,也会在一定程度上削弱地方社会经济的发展潜力.当前不宜将农村剩余劳动力转移作为对各级地方政府目标责任考核内容.     

煤工尘肺患者生存质量与家庭功能和社会支持的关系研究

为了解煤工尘肺患者的生存质量的现状及其与家庭功能和社会支持之间的关系,采用SF-36量表、家庭功能评定量表和社会支持评定量表对212名煤工尘肺患者进行问卷调查。单因素分析显示,煤工尘肺患者在SF-36量表的躯体疼痛、总体健康、活力、情感职能、精神健康5个维度的得分与对照组的差异有统计学意义（p〈0.05）。生存质量得分与家庭功能得分呈负相关,生存质量得分与社会支持得分呈正相关。以生存质量得分为因变量,以家庭功能和社会支持的分量表得分为自变量进行多元逐步回归分析显示,生存质量的影响因素为社会支持利用度、家庭功能的总的功能、情感介入、社会支持的客观支持和问题解决。研究结果表明,煤工尘肺患者生存质量较低,与其家庭功能和社会支持有密切关系,需要从家庭功能和社会支持采取综合措施,提高煤工尘肺患者的生存质量。     

农民工职业危害防护需求意愿调查分析

为了调查农民工职业危害防护的具体需求意愿及他们对企业职业危害管理现状的认知,分析农民工职业危害防护需求意愿与农民工职业危害防护行为之间的关系。采用问卷调查的定量调查方法进行调查。调查对象中男性农民工409人,女性农民工157人。参与问卷调查的农民工,均接触一种及以上的职业性有害因素。调查内容包括了解公司预防和控制职业病的政策,参与公司的职业危害管理决策,实施的职业性健康安全培训、健康监护、个人防护用品的使用等预防和控制职业病的管理措施等方面,本次调查显示,农民工对于预防职业危害表现出强烈的需求愿望,且对企业的职业危害防护现况表示了不满,倾向于采取极端的行为维护自身的健康权益。但另一方面,农民工实际参与企业职业危害防护的行为率较低,与他们的需求意愿相比有明显的差距。     

Evaluating repeated patient handling injuries following the implementation of a multi-factor ergonomic intervention program among health care workers

Objective

The objective of this study was to evaluate repeated patient handling injuries following a multi-factor ergonomic intervention program among health care workers.

Methods

This was a quasi-experimental study which had an intervention group and a non-randomized control group. Data were collected from six hospitals in Saskatchewan, Canada from September 1, 2001 to December 1, 2006.

Results

A total of 1,480 individuals who had a previous injury were eligible for the study. Medium and small size hospitals in the intervention group had significantly fewer repeated injuries than in the control group. Multivariate analysis showed that the intervention group had 38.1% lower odds of having repeated injury compared to the control group, after adjusting for hospital size.

Conclusions

The work-related repeated injury after a multi-factor intervention program was reduced. The synergistic relationships between components of multi-factor intervention and applicability of injury prevention programs to different settings need to be further explored.

Impact on Industry

Implementing a multi-factor program with the right equipment and training can lower the risk of injury among health care workers.     

Antecedents and outcomes of contingent workers' attitudes toward their temporary help services firm: A unit level longitudinal investigation

This study explored the unit‐level antecedents and outcomes of contingent workers' attitudes toward their temporary help services (THS) firm. It was proposed that (a) client‐orientation levels of the THS firm's full‐time staff would influence the level of support received by contingent workers, (b) staff supportiveness would be reciprocated by these workers in the form of favorable firm‐directed attitudes, and (c) contingent workers' attitudes toward the THS firm would influence two unit‐level outcomes—client reported service failure, and voluntary turnover rates of THS staff. Support was found for all the hypothesized relationships in a longitudinal study utilizing survey data gathered from 1324 full‐time employees, 570 contingent workers, and 1951 clients; and archival data on staff turnover from 46 strategic business units (SBUs) of a THS firm. These results are discussed within the context of employee–organization relationship (EOR), contingent workforce, and service management literatures. Copyright © 2010 John Wiley & Sons, Ltd.     

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.     

Occupational Safety and Health Status of Sanitation Workers in Urban Areas: A Pilot Study From Wuhan,China

Sanitation workers ‘ workload increases quickly with rapid urbanization, but there is almost no evidence or policy recommendations for their management in developing countries. This study describes the health status and occupational protection of sanitation workers; it also explores risk factors related to their health status in Wuhan City, China. Three hundred and eighty-five sanitation workers from 54 streets of Wuhan were surveyed. Their prevalence of 2-week illness and arthritis was relatively higher than in the general population in China. Findings related to occupational protection showed that both sanitation workers (users) and their managers (providers) neglected the role of low-cost protection measures, especially masks, soap/hand sani-tizer and prejob training (use rate of 7.27%, 26.75% and 43.64%, respectively). High-intensity workload was an important risk factor for 2-week illness, and prejob training was an important protective factor against arthritis.     

The impact of career customization on work outcomes: Boundary conditions of manager support and employee age

The current paper investigated the longitudinal effects of mass career customization (MCC) on job attitudes and objective career outcomes of employees in a professional service firm in the Netherlands. On the basis of theory on individualization of career trajectories, it was expected that the possibility for employees to customize their careers would be positively related to their job attitudes and subsequent objective career success, as indicated by their levels of affective commitment, work engagement, and received salary and bonuses. However, these effects were expected to occur primarily under the combination of high manager support for implementation of career customization and, on the basis of lifespan theory, older workers, as customization fulfills their increased heterogeneous career preferences. A three‐wave longitudinal study largely showed support for the study hypotheses; the relation between MCC use and work engagement and subsequent career success was stronger for older workers who received support for MCC, whereas the relation between MCC use and commitment was negative for older workers who received low support. The study shows the benefits of career customization in organizations by showing the conditions under which these benefits will manifest. Copyright © 2015 John Wiley & Sons, Ltd.     

隧道工人的PM10职业暴露特征调查分析及其健康风险评价

针对隧道工人职业健康风险缺乏定量评价方法的现状,借鉴公共环境健康领域暴露评价模型对隧道施工PM10职业暴露的健康风险进行定量评价.设计职业暴露问卷对湖北麻竹高速公路某标段施工中的250名隧道工人进行了调查,并对现场PM10浓度水平进行了监测.结果表明,隧道工人的PM10暴露浓度水平相当高,开挖工、爆破工、支护工、出渣工、二衬工的PM10暴露浓度分别为限值的83倍、18倍、8倍、9倍和9倍;5个工种比较,二衬工日均暴露时间最长,达11.48 h·d-1,能量代谢率最高,达1 067.43 k J·(m2·h)-1,呼吸速率的计算结果显示除二衬工属于重度活动以外,其他4个工种均为中度活动;评价结果显示5个工种均存在健康风险,其中,PM10暴露浓度高是开挖工和爆破工危险系数高的主要原因,而二衬工危险系数高的原因则在于高劳动强度所致的较高的呼吸速率以及较高的日均暴露时间.降低隧道工人PM10健康风险可行的途径是通过配备合适劳动作业的呼吸防护用品从而降低PM10暴露浓度,另外可通过制定相应的职业规范设置合理的劳动年限从而减少持续暴露时间.