Development and Validation of an Interdisciplinary Worker’s Health Approach Instrument (IWHAI)

Abstract

The present study aimed to develop and validate an Interdisciplinary Worker’s Health Approach Instrument (IWHAI). The development stage comprised a group of 10 professionals, including physicians, nurses, nutritionists, dentists and physical educators, as well as a judges’ committee, composed by 19 recognized experts in the area of worker’s health (WH). For the validation of the IWHAI, the Spearman’s correlation coefficient (rs) was calculated, the factor analysis to the instrument was applied, and the Cronbach’s alpha (α) and the Intraclass correlation coefficient (ICC) were calculated. The IWHAI was structured in five dimensions, integrating 43 health indicators, on a scale of 0–4, totalling 215 sub-indices with closed response coding. The instrument was validated with a Kappa coefficient (KAPPA) (k), with excellent agreement for all attributes, i.e., k = 0.88 for applicability, k = 0.80 for clarity and k = 0.82 for relevance. p > 0.05 results reveal moderate to strong positive correlations between some variables, i.e., pests, vectors and air quality/drinking water quality (rs = 0.69). A total of 14 components of the factor analysis, explaining 62.6% of the data variance, were extracted. α value is considered moderate to high, α = 0.61, the ICC value also being considered moderate to high, with ICC = 0.61. The IWHAI is considered validated, constituting a technological innovation for an interdisciplinary approach in the field of WH, enabling the prevention and integral promotion of health.

Prevalence of nursing diagnostics in oil industry workers in Bahia, Brazil

“…The scores means were then calculated. The grouping of variables followed the guidelines identified in the existing literature 3,19,21 . No comparisons were made by sex as previous studies, such as those by Dickey et al 9 and Burke et al 22 reveal no sex differences in job satisfaction levels of oil industry workers.…”

“…Workers attended the occupational health service to perform the annual periodic examination, which in addition to the medical assessments provided by law had the participation of occupational nurses to carry out consultations, with a focus on preventing injuries and promoting health. For standardization of healthcare, the 6 nurses of the service prepared a semi-structured interview script, based on the Interdisciplinary Worker's Health Approach Instrument (IWHAI) 19 , already published, which addresses the social characteristics of workers, socioenvironmental components, personal characteristics, level of self-care, environmental components, exposure to risk agents, health surveillance, family relationships and relationships in the workplace Table 1 shows the IWHAI indicator which varies on a scale from 0 to 4, with 0 meaning non-existent or inadequate and 4 an optimal index.…”

Workers’ Healthcare Assistance Model (WHAM): Development, Validation, and Assessment of Sustainable Return on Investment (S-ROI)

“…To compose the WHAM, the Interdisciplinary Workers' Health Approach Instrument (IWHAI) [49], a tool that had already been published, was used as a data collection instrument, aiming to collect data from 43 health indicators. To map the diagnoses, the health taxonomies were used, while the WHRI [48] was used to prioritize the health risks of the workers.…”

“…The data collection stage aimed to identify health problems, as well as the efficient and targeted recording of the workers' needs in its broadest sense. For this, the IWHAI [49] was chosen. It allows structured data collection, covering the disciplines of medicine, dentistry, nursing, nutrition, and physical education, as well as environmental, occupational, behavioural, personal, and metabolic factors.…”

“…This consists of a discussion amongst the interdisciplinary health team to validate the perceptions [55] raised by professionals in each area during the attendance of workers, sharing the diagnoses and interventions proposed by each discipline. The IWHAI [49] was used as a guiding instrument for data collection. For support of the team decisions regarding the hierarchy of priority interventions, the WHRI [48] was used, allowing multidisciplinary (by dimension) and interdisciplinary (association of all dimensions) risk classifications.…”