BackgroundHealth workers are at high risk of developing musculoskeletal pain (MSP). This study aimed to evaluate a multi-faceted intervention in two public tertiary hospitals, encompassing three levels of prevention and health promotion to prevent and manage MSP.MethodsA two-armed cluster randomized controlled trial, with a late intervention control group was performed. Clusters were independent hospital units, and participants were the nursing staff. The intervention comprised three components: participatory ergonomics, case management, and health promotion. The control group received usual occupational health care. The intervention lasted one year and data were collected at baseline, 6 and 12 months follow-up. Primary outcomes were self-perceived MSP and its associated sickness absence. The process evaluation included recruitment, context, reach, dose administered and received, fidelity, satisfaction, implementation strategy, and discussion groups of experts and participants.ResultsEight clusters, including 445 participants, were randomized. In the intervention group a 20% statistically significant reduction of neck, shoulders and upper back pain compared to the control group (OR=0.37; 95% CI=0.14–0.96) was observed at 12 months follow-up. We found no significant differences in incidence and duration of sickness absence. Organizational culture (secondary outcome) improved significantly in the intervention group in the domains of ‘formal safety audits’, ‘availability of information for safety at work’, and ‘involvement of workers in decisions that affect their safety and health’ compared to the control group. The intervention was implemented with 96.6% fidelity, and participants’ adherence was 75.5%. Participant’s satisfaction was 9.1/10.ConclusionsThis intervention showed effectiveness to reduce MSP and improve organizational culture, through to an integral management of MSP. Although our results are modest, strategies should focus on multi-faceted interventions, and occupational health services might be excellent opportunity for.
PurposeWe aim to identify the elements and functions that define the case management in the individual approach of workers with musculoskeletal disorders for return to work and to propose an updated definition.MethodsRelevant articles were identified through a computerized search up to 1 December 2017 in the bibliographic databases PubMed, Web of Science, Scopus, Cochrane Library, IBECS, EMBASE, and LILACS. Language filter (English and Spanish) was included in the search. The inclusion criteria were working age population with musculoskeletal disorders, studies that described or evaluated case management interventions, and return to work interventions. Military personnel, and rheumatic and surgical pathologies were excluded. Independent pairs reviewed all cites and articles and extracted data, and narrative synthesis was carried out.ResultsOur searches identified 1950 possible relevant articles, of which 27 were included for data extraction. Of these, 15 papers included definitions of case management, and 14 common elements were identified. Twenty two explained the role of case manager and in 18 a description of tasks was found. In 25 articles referral services were mentioned. The most common defining elements were ‘return to work intervention’, ‘multidisciplinary assessment’ and ‘interdisciplinary intervention’ (53.8%). The 40% of the articles emphasized the ’coordination’, ‘to influence multiple factors’ (33.3%) and ‘individual approach’ (26.7%). The tasks included ’to establish goals and plan the rehabilitation for return to work’ (50%), and ’supervise or coordinate return to work process and to offer/refer the employee to services/adaptations or therapeutic workplaces’ (36.4%) The most common offered services were mental health (64.0%), and rehabilitation (48.0%).ConclusionsDespite the increase in the number of published articles dealing with case management, usually it is not clearly defined. This scoping review emphasizes the need to define case management and its organizational characteristics, and proposes an extended and updated definition.
RESUMENObjetivo. Las elevadas exigencias psicosociales y físicas de los trabajadores de los Centros de Educación Especial (CEE), conllevan una alta implicación y pueden desencadenar situaciones de estrés y discapacidad laboral. El objetivo de este estudio es evaluar la discapacidad laboral auto-percibida y su relación con variables sociodemográficas, laborales y de salud, en una muestra de trabajadores de este colectivo.Métodos. Estudio transversal realizado con trabajadores (n=40) de un CEE de Murcia (España). Se utilizó la versión en castellano del WRFQ para medir la capacidad laboral auto-percibida, y un cuestionario ad hoc para variables sociodemográficas, laborales y de salud. Se realizó un análisis descriptivo de las variables estudiadas. Las diferencias entre grupos se estudiaron mediante las pruebas U de MannWhitney, T de Student y Kruskal-Wallis.Resultados. La edad media de los participantes fue 40,15 ± 10,53 años, el 82,5% fueron mujeres, el 60% usuarios de ordenador y el 92,50% realizaba atención directa a niños. Las subescalas de exigencias de la producción y exigencias físicas obtuvieron los peores resultados. Presentaron puntuaciones inferiores los trabajadores <40 años en las subescalas de gestión del tiempo (p=0,002) y exigencias de producción (p=0,01); los que empleaban ordenador en gestión del tiempo (p<0,001), exigencias de la producción (p<0,001) y exigencias psicológicas (p=0,005); así como la categoría laboral de directivo y sanitario.Conclusiones. El nivel de discapacidad laboral auto-percibida es bajo, siendo las subescalas exigencias de la producción y exigencias físicas las peor valoradas. Las condiciones de trabajo relacionadas con un mayor grado de discapacidad laboral auto-percibida son el uso de ordenador, la categoría laboral y el manejo de cargas.PALABRAS CLAVE: Capacidad de Trabajo, Funcionamiento en el trabajo, Educación especial, Cuestionario auto-reportado, Discapacidad laboral, Demandas del trabajo, Exigencias del trabajo. SELF-PERCEIVED WORK DISABILITY IN A SCHOOL OF CHILDREN WITH SPECIAL NEEDS ABSTRACTAims. Increased psychosocial and physical demands of the Special Education Centers (SEC) workers can also lead to intense involvement, triggering stressful and to trigger stress situations and potentially work disability. The objective of this study was to assess the self-perceived occupational disability and its relation with socio-demographic, occupational and health variables with in a sample of this these workers.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.