bluuebunny/crossref_metadata_2025 huggingface dataset:
P-042 TRACK CHANGES IN THE RETENTION OF NURSES AND PHYSICIANS IN A HOSPITALS SETTING DUE TO COVID-19
Authors: De Vries Neeltje , Maniscalco Laura , Godderis Lode , Vermeulen Hester , De Winter Peter
Published: July 2024

Introduction

The outbreak of COVID-19 showed the devastating effect of large disease outbreaks. Future pandemics and epidemics can have a significant impact on the healthcare system and, thus, the healthcare workers. Moreover, it is crucial to understand how hospital managers can manage to retain their nurses and physicians during future outbreaks.

Method

A meta-analysis of determinants impacting the intention to leave (ITL) during the COVID-19 pandemic was conducted. Secondly, a systematic review of other potential determinants impacting ITL during the COVID-19 pandemic was carried out.

Results

A comprehensive search was fulfilled within three electronic databases on 17 March 2023. Twenty-nine papers fulfilled the eligibility of criteria for the meta-analysis, and 44 papers were included in the systematic review. Meta-analysis showed a prevalence of ITL the current job of 37% for nurses (I2 >95%, p<0.001) and 33% for physicians (I2 >95%, p<0.001), whereas ITL the profession for nurses 27% (I2>95%, p<0.001) and 24% for physicians (I2>95%, p<0.001). The systematic review showed the determinants impacting ITL into six themes: personal characteristics, job demands, employment services, working conditions, work relationships, and organisational culture.

Discussion/Conclusion

This paper showed that over one-third of the nurses and physicians working during COVID-19 had intentions to leave their job and approximately one-third had intention to leave the profession. Understanding the influence of determinants on retention during COVID-19 offers an opportunity to formulate prospective strategies for retaining nurses and physicians within hospital settings. These insights lay the foundations for effective policies to ensure workforce stability during potential future pandemics or crisis situations.
P-043 MENTAL ILLNESS DISORDERS AND FITNESS FOR WORK: A STUDY OF 174 CASES
Authors: Bechrifa Emna , Hsinet Jihen , Khouja Nihel , Khaireddine Donia , Ismail Saloua , Baraketi Emna , Meskini Cheima , Merghni Syrine , Benzarti Aida
Published: July 2024

Introduction

Mental disorders’ impact on occupational health has become a major concern, affecting professional activities. Objectives: describe the socio-professional characteristics of workers with mental illness disorders and examine their impact on workability.

Methods

Retrospective descriptive study of patients with psychiatric disorders seeking medical assessments at the occupational pathology department between January 2011 and June 2023.

Results

We included 174 patients with an average age of 39.72±8.23years, a sex ratio of0.76 and an average professional seniority of 12.99±7.83years. The professions were drivers (21.8%), call-center agents (20.7%), healthcare workers (20.7%), and hygiene agents (6.3%). The main challenges reported were interpersonal conflicts (81.5%) and lack of autonomy (54%) which was impacting their professional activities (71%). Psychiatric diagnoses included anxiety and depressive syndrome (75.1%), bipolar disorder (8.7%), schizophrenia, burnout (3.5%), and obsessive-compulsive disorders(2.9%). Regarding work outcomes, 59% of patients required long-term sick leave. Job accommodations were made for 37.9% of participants, including exclusion from night work for63.5%, task alleviation for27.9%, and avoiding contact with the public for35.3%. Moreover, 20% of participants underwent job reassignment, 13.2% were considered permanently unfit for work, 13.2% remained in their current roles, 13.8% were deemed fit for work following therapeutic interventions, and1.2% opted for early retirement.

Discussion

The determination of work suitability considers various factors, particularly those specific to each type of psychiatric illness.

Conclusion

Mental illness disorders significantly impact work ability, necessitating tailored job accommodations and interventions for affected individuals.
P-050 PROSPECTIVE ASSESSMENT OF WORK-RELATED DISTRESS, PLEASURE AND HARM IN FRONTLINE HEALTHCARE WORKERS IN COVID-19
Authors: de Brito Edianara Caroline Gonçalves , de Lourenção Daniela Campos Andrade , Baptista Patricia Campos Pavan , Centro João Silvestre Silva-Junior , da Cunha Arthur Arantes , Gallasch Cristiane Helena
Published: July 2024

Objective

to assess the work-related harms of frontline Brazilian healthcare workers against COVID-19 in the first year of pandemics.

Method

prospective observational study, which collected data from April to June 2020 (T1) and from November 2020 to January 2021 (T2) at the Brazilian national territory, using the snowball sampling method. The studied sample consisted of 113 health professionals who answered the questionnaires in the two analyzed periods (T1 and T2).

Results

For this purpose, the EIPST Scale for Pleasure and Suffering at Work and the EADRT Scale for the Assessment of Work-Related Harms were used. Data were organized, tabulated and analyzed using Microsoft Excel 2016 and Statistical Package for the Social Sciences version 25.0 software. The scores of the EIPST and EADRT scales were analyzed in terms of their descriptive statistics (mean - x̅; standard deviation - SD; absolute and relative frequencies), which allowed evaluating and classifying the degrees of risk, referring to each scale, at the sampling level and at the individual level, following the risk interpretation recommendations of the respective scales.
P-052 PROGRESSION OF LONG-TERM CONDITIONS AND EMPLOYMENT IN A UK URBAN POPULATION
Authors: Stagg Anne , Hatch Stephani , Fear Nicola , Dorrington Sarah , Madan Ira , Stevelink Sharon
Published: July 2024

Introduction

The proportion of working-age people with one or more long-term conditions (LTCs) is rising. It is important to understand the risk factors underlying the progression of LTCs and how LTCs impact on employment. This study aimed to determine risk factors predicting the initial development and progression of LTCs in working-age people living in South East London UK, and the associations between LTCs and employment.

Methods

South East London Community Health (SELCoH) data from two timepoints 3 years apart in participants aged 16 to 64, were analysed. The prevalence of LTCs was compared between these 2 timepoints, and how LTCs are distributed across employment categories. Multinomial logistic regression was used to identify associations between socio-demographic, socioeconomic (including employment status), psychosocial and health-related risk factors, and the initial progression from 0 to 1-or-more LTCs, and progression from 1-to-many LTCs. Multinomial logistic regression was also used to investigate the impact of the development and progression of LTCs on employment.

Results

Stressful life events and social isolation were risk factors associated with the progression of LTCs. Part-time employment, unemployment and not working due to disability or early retirement were associated with increased risk of progressing from one-to-many LTCs compared with full-time employment.

Discussion

Interventions to prevent progression of LTCs should include reduction of social isolation and consider the impact of stressful life events. An important finding was that full-time employment is associated with reduced progression from one-to-many LTCs.

Conclusion

Future research should establish what aspects of employment protect against the progression of LTCs.
O-034 FROM SUSPICION TO SUBMISSION - OCCUPATIONAL LUNG DISEASES IN THE SOUTH AFRICAN MINING INDUSTRY: A HANDBOOK FOR OCCUPATIONAL MEDICINE PRACTITIONERS IN SOUTH AFRICA AND BEYOND
Authors: Govender Vanessa
Published: July 2024

Introduction

From suspicion to submission for compensation of occupational lung disease (OLD), Occupational Medicine Practitioners (OMPs) in the South African Mining Industry (SAMI) practice under the Occupational Diseases in Mines and Works Act No. 78 of 1973 (ODMWA) and its Regulations. While science has advanced considerably, laws and guidelines remain outdated and fragmented.

Methods

The objective of this Handbook is to assist OMPs in the SAMI and beyond, with an approach to the assessment of OLDs, that could be applied consistently when examining current and former mineworkers. The methodology involved desktop literature research and international professional networking by a health consultancy, working independently.

Results

The Handbook is arranged in a set of eight chapters with sections on definitions, legislation, policy, principles, key concepts, pulmonary impairment, radiographic classification and postmortem examinations. Quick reference guides on pneumoconiosis, tuberculosis, chronic obstructive airways disease, and “other” OLDs such as occupational asthma and lung cancer, are provided.

Discussion

Within complex policy frameworks, detangling outdated clinical approaches, collating scientific evidence and synthesizing theory into practice, was a rigorous, repetitive process. Commonly used terms were defined simply, and newer concepts were introduced. The manuscript was reviewed extensively by subject matter experts, and edited comprehensively. The Handbook serves as an invaluable desktop tool for OMPs, and their teams. It is a blueprint for how OMPs can translate highly technical terms and apply their knowledge into practical guides.

Conclusion

The authors’ four-year journey from conceptualisation to publication is one of commitment to workers’ health, that should inspire occupational health professionals.
O-035 DEVELOPMENT OF AN ONLINE TRAINING PROGRAM FOR WORK SAFETY PREPARATION AMONG VOCATIONAL STUDENTS
Authors: Jaitrong Pimpilai , Songkham Wanpen , Tantranont Kunlayanee
Published: July 2024

Introduction

Work-related injuries are a major occupational health problem, especially for youth workers. This development research study aimed to develop an online training program on work safety preparation for vocational students.

Methods

The sample was 41 vocational students who graduated from the Industry Vocational Certificate Program in Chiang Mai province and were selected by purposive sampling. The instruments used were the design and development plans of an online training program, and questionnaires, including an opinion questionnaire, a formative and summative test, and a satisfaction questionnaire with a content validity index between 0.87-0.91 and reliability between 0.73-0.82. Data were analyzed with descriptive statistics. The efficiency of the program was assessed by the ratio of the efficiency of the learning process to the efficiency of the learning outcomes (E1: E2), which could not be less than 80:80.

Results

The results of the research were as follows: 1) the 150-minute online training program for work safety preparation for vocational students consisted of an introduction, videos, contents, and infographics 2) the program efficiency was 84.17:83.67, 3) the majority of the respondents were satisfied with the online training program, both in terms of content, design and presentation, benefits, and overall satisfaction at the highest level (4.50, SD = 0.68).

Discussion

The results of this research reflect that the online training program for work safety preparation for vocational students which was developed was effective and was accepted by vocational students.

Conclusion

The online training program should be utilized both in training and research to study the effectiveness of online training programs further.
O-036 DEVELOPMENT OF THE USER-FRIENDLY BASIC OCCUPATIONAL HEALTH TRAINING ONLINE COURSE FOR PRIMARY CARE PROVIDERS IN THAILAND
Authors: Untimanon Orrapan , Chuangchaiya Jurairat , Chaiwongwat Laddawan
Published: July 2024

Introduction

Capacity building and supervision were the main activities for strengthening the health team among primary care units. (PCUs) in Thailand. However, the COVID-19 pandemic has caused disruptions and uncertainty to organizations worldwide. The transition from in-person interaction to virtual and online communication—are everyday part of the work even though the COVID-19 has become endemic. This basic occupational health (OH) online training course was designed for staff of PCUs to access the course conveniently.

Methods

The research and development was conducted during January 2022- November 2023. It is composed of 4 phases including 1) OHS project reviews, 2) course development, 3) creating a storyboard and the learning system, and 4) try out system and improvement.

Results

The course has 12 hours and 8 subjects including OH policy, health hazards and walkthrough survey, risk assessment and control, common occupational diseases (OD), OHS for community workers, OD recording, OH and safety laws and OD control laws. The learning platform was designed and established through the DDC E-learning system of the Department of Disease Control. The learning platform such as the color, the font size, the sequence of the content and the overall of the entire course were improved after we tested the system.

Discussion

The limited knowledge of health personnel on OH issues could be fulfilled with this course before moving to the other advanced courses.

Conclusions

The course is the useful channel to enhance PCUs’ staff competency for effective OHS delivery. However, the feedback from the trainee is crucial to improve the course continually.
O-037 MENTAL HEALTH SKILLS AMONG MEDICAL SPECIALIST PHYSICIAN TRAINEES AND TRAINERS IN OCCUPATIONAL HEALTH IN FINLAND
Authors: Majuri Minna , Malin Maarit , Antila Asta , Reijula Kari
Published: July 2024

Introduction

Mental health problems are increasing in occupational health (OH) service visits, which might result from following transformations: 1) the loosening of the stigma related to mental health problems, 2) the changing character of employees and working life, and 3) decreasing medical dominance and increasing medicalization. We studied self-assessed mental health skills of specialist physician trainees and trainers in OH.

Methods

We conducted an online questionnaire among OH physician trainees and trainers in Finland during June to August 2022. We analyzed how OH physicians in specialist training programs assessed their own skills in mental health practice. We also analyzed the underlying assumptions about OH skills in general using an exploratory factor analysis.

Results

Among respondents (N=104), the trainer physicians replied more actively (N=58) than the trainees (N=42). Respondents’ perception of mental health skills was better among trainers than trainees. Individual mental health skills as work ability evaluation and return to work were more familiar than workplace level proactive processes.

Discussion

Self-assessed mental health skills of both trainees and trainers consisted of individual-based identification of illnesses, assessing risk of diseases and support of employees’ work ability. Based on our results, proactive measures between workplaces and OH services need more attention as a competence in mental health.

Conclusion

Typical OH approach based on the risk assessment of exposure isn’t enough to promote mental wellbeing at the workplace. OH services treats not only individuals, but the entire workplace. OH service must target services toward work life transformation, which requires new educational approaches and courses for OH physician curriculum.
O-039 A REPORT ON THE EFFORTS OF THE “BRIDGING THE GAP BETWEEN OCCUPATIONAL HEALTH PRACTICE AND RESEARCH” GROUP IN SCIENTIFIC COMMITTEE OF JAPAN SOCIETY FOR OCCUPATIONAL HEALTH
Authors: Moriguchi Jiro , Iida Yukiko , Song Youhwi , Hara Kunio , Fukai Kota , Fukuda Masaomi , Yoshikawa Etsuko , Yoshita Katsushi , Watai Izumi , Tsutsumi Akizumi
Published: July 2024

Introduction

A Scientific Committee was established in 2019 at the Japan Society for Occupational Health (JSOH). The purpose of this study was to introduce the activities of the “Bridging the Gap Between Occupational Health Practice and Research ‘‘ subgroup in the Committee.

Methods

In 2021, a web survey for JSOH members was implemented to clarify issues in the research activities of occupational health (OH) practitioners. In 2022, three educational videos were created with the cooperation of the Japanese Occupational Health Research Network. In 2023, the videos were released on the JSOH website with a questionnaire for viewers.

Result

Responses were obtained from 629 members. We compared Young (287 people) in their 20s to 40s and Veteran (342 people) in their 50s and over. Approximately 98% of both groups answered that the research activities of OH practitioners were “meaningful” or “meaningful to some extent.” “Data handling” (Young: 16%, Veteran: 14%), “Statistics’‘ (Young: 14%, Veteran: 12%), and “Methods that make practice into research” (Young: 11%, Veteran: 13%) were among the top support requests to JSOH. Three videos were completed: “Research design from OH activities”, “How to formulate research hypotheses’‘, and “Practice of data utilization”. Thirty five video-viewers evaluated the videos as “easy to understand” (77%) and “helpful” (80%).

Discussion

The positive evaluation of the videos was confirmed. Further publicity of the videos will be considered.

Conclusion

We would like to express our gratitude to Mr. Kanamori, Mr. Watanabe, and Dr. Nishida for their cooperation.
O-044 THE EFFECTIVENESS OF THE NATIONAL HEALTHWISE TRAINING-OF-TRAINER DURING COVID-19 PANDEMIC IN CHINA: EVALUATION OF INTERNATIONAL TOOL BY MIX-METHODS
Authors: Wang Fuyuan , Zhang Min
Published: July 2024

Introduction

HealthWISE was jointly launched by ILO and WHO as a technical tool to improve the occupational health of health workers (HWs) in 2014. The application of HealthWISE in China has been advocated since 2016. During the COVID-19 pandemic, the ninth HealthWISE training-of-trainers (TOT) was organized in 2021. The study aims to evaluate the effectiveness of HealthWISE TOT and the practice in the pilot hospital that hosted the TOT.

Methods

The TOT was evaluated among participants using mixed methods research, combining two-run surveys with a questionnaire between pre-training and six-month post-training, qualitative interviews, and on-site observations on the practice of the pilot hospital.

Results

Among 49 participants, the questionnaire survey showed that the HealthWISE implementation score increased significantly from “111.76±1.61” in pre-training to “124.79±1.66” in post-training (P < 0.01). The benefits of training from 49 interviewees were summarized under four themes of occupational safety and health (OSH): enriching professional knowledge, changing beliefs and attitudes, preparing for action, and providing good training models. The observations suggested both good and poor practices in the pilot hospital, focusing on musculoskeletal disorders, biological hazards, and workplace violence.

Discussion

The ninth national HealthWISE TOT highlighted the participatory characteristics, with learning-by-doing practice, which led to a positive effect among participants. The pilot hospital has improved the occupational health of HWs. Further actions need to focus on workplace violence and the OSH management system.

Conclusion

The TOT is necessary for the sustainable implementation of HealthWISE, which has a positive impact on improving the OSH management system for HWs.
P-058 MODERN REQUIREMENTS FOR THE PROFESSIONAL COMPETENCIES OF OCCUPATIONAL DISEASES PHYSICIANS
Authors: Shigan Evgeny , Bukhtiyarov Igor , Budaragin Valery , Serebryakov Pavel , Fedina Irina , Shpagina Luibov , Poteryaeva Elena , Shpagin Iliya , Kotova Olga
Published: July 2024

Introduction

The system of occupational medicine professional competencies is the primacy of providing qualified medical care and workers` health protection. The COVID-19 pandemic has resulted in the availability of additional knowledge in this work activity.

Methods

The occupational physician labor functions analysis was carried out using the following methods: medico-sociological, questionnaire survey and personalized opinion of occupational health specialists.

Results

The results analysis indicates the different significance of competencies, the need to expand knowledge on the epidemiology of occupational and infectious diseases, the factor hygienic assessment, and disease-occupation relationship. 80% of respondents prioritized the examination of the disease-occupation relationship: the ability to analyze medical records, knowledge of the procedure for conducting an examination based on the submitted documents and examination results. 60% of respondents consider it important: identification of factors exposure early signs and occupational diseases initial forms; knowledge the workers` health protection field legislation; justification of the decision in the examination of professional suitability; formulation of the final diagnosis of an occupational disease in accordance with the legislation, the ICD and the Occupational Diseases List.

Discussion

The COVID-19 pandemic has revealed the need for knowledge of the occupational physician in the expert assessment of the relationship of the disease with the factor. According to experts, the occupational physician competencies significance is approximately equal, highlighting only the priority issues of examination of occupational suitability and disease-occupation relationship.

Conclusion

An occupational physician activity makes up a large number of professional competencies, which will require his theoretical knowledge expansion through changes in education and postgraduate training.
P-061 KNOWLEDGE AND PRACTICE OF FINANCIAL MANAGEMENT AMONGST NURSE MANAGERS IN TWO SELECTED DISTRICTS IN KWA-ZULU NATAL, SOUTH AFRICA
Authors: Zuma Nokukhanya
Published: July 2024

Introduction

Health care financing is one of the six building blocks introduced by the World Health Organisation to strengthen the health care system. Health care financing is critical to improve the health system in order to better people’s lives. However, financing is not merely the generation of funds but it includes holistic operation of the health care system in regard to allocation, utilization as well as management of finances. Which is why financial management knowledge is vital among nurse managers. Moreover, the level of financial management responsibility has increased for nurse managers. As a result, the health care system requires nurse managers who possess the skill in financial management.

Methods

Cross-sectional descriptive quantitative design with analytic components was conducted. Adopted non probability convenient sampling.

Results

Descriptive and analytical data was done. Results were presented in terms of the objectives of the study. It provided the descriptive measurement of financial knowledge and practice of nurse managers reported during this study. Analytical components included bivariate categorical analysis using the Pearson-Chi square statistic and multivariate logistic regression to measure the factors associated with knowledge and practice of financial management amongst nurse managers.

Discussion

The result of the study revealed that providing better financial management training for nurse managers will enable them to better perform in their management role.

Conclusion

Nurse managers play a vital role in financial management of the health care system. However, they have limited knowledge in financial management and this is exacerbated by the lack of attention given to financial management training in the nursing management curriculum.
P-070 EXPLORING A UNIVERSAL SCOPE OF PRACTICE FOR THE OHNP - A SCOPING REVIEW
Authors: Butkovic Angela D , O’Neill Janet
Published: July 2024

Introduction

Occupational Health Nurse Practitioners (OHNP) scope of practice vary between developed and non-developed countries due to qualification updates from relevant nursing councils, and a core curriculum for occupational health and/or safety practitioners proposed. A scoping review would map the opportunities and obstacles for the larger mixed methods study in phase two.

Material and Methods

A data charting form assisted in grouping the extracted data from textbooks and peer reviewed journal articles per google scholar search into scope of practice dimensions and expanded roles of OHNs for the period 2013 -2023. However, predominantly grey literature was relied upon i.e. English written governing documents, competency documents and position statements from relevant nursing councils, and/or occupational health professional societies as limited to the UK, USA, RSA and India. The research was limited by financial and language constraints.

Results

Provisional findings from the 8 governing documents, 3 competency documents, 3 position statements and 6 curriculum outlines as synthesised with the 18 journal articles and 4 textbooks revealed that the developing countries and developed countries continue to experience similar obstacles.

Discussion

The variable opportunities appear to be influenced by public health officials refining their understanding; senior management skewed cost-benefit perceptions with wellness programs; changing models of OH services post Covid to name but a few.

Conclusion

This scoping review informs one of the foundational pillars in the proposed mixed-method study of developing a universal OHNP Scope of Practice for other countries to adopt and towards a core interprofessional education curriculum that could be used globally.
O-048 IMPLEMENTING WORK-RELATED MENTAL-HEALTH GUIDELINES IN GENERAL PRACTICE (IMPROVE): PRIMARY FINDINGS OF A PARALLEL CLUSTER RANDOMIZED CONTROLLED TRIAL
Authors: Mazza Danielle , Camoes-Costa Vera , Nolidin Karen , Chakraborty Samantha , Collie Alex , Kenardy Justin , Brijnath Bianca , Mortimer Duncan , Enticott Joanne , Kidd Michael , Reid Sharon , Trevena Lyndal
Published: July 2024

Introduction

General practitioners (GPs) encounter challenges in managing patients with work-related mental-health conditions. The Implementing work-related Mental-health guidelines in general PRacticE (IMPRovE) trial assessed the effectiveness of a multifaceted intervention in implementing the “Clinical guideline for the diagnosis and management of work-related mental-health conditions in general practice” (the Guideline).

Methods

Using a pragmatic hybrid III parallel cluster randomized controlled trial, GP clinics committed to recruiting employed adults with work-related mental-health conditions were allocated to either control or intervention group. Intervention clinics received academic detailing, enrolment into a virtual community-of-practice, and resources related to the Guideline. Control clinics were waitlisted until trial completion. The sum of GPs’ responses to simulated patient scenarios at baseline and 9-months post-baseline provided a measure of their adherence to the Guideline.

Results

GP recruitment occurred from December 2020 to February 2022. A total of 38 intervention clinics (52 GPs) and 36 control clinics (46 GPs) contributed to the primary outcome data. After adjusting for the stratification variables and clustering, GPs in the intervention arm had significantly higher adherence scores than those in the control arm, by 0·98 points on a 0 to 9 scale 95% confidence interval: 0.38, 1.58) with a Cohen’s d of 0.67; indicating a moderate to large effect.

Discussion

GP adherence to the Guideline improved in those receiving our multifaceted intervention, indicating that one or more components of the intervention was sufficient to change GP behavior.

Conclusion

For guidelines to be useful it is imperative that more attention is given towards strategies that aid implementation.
O-050 IMPROVING OCCUPATIONAL DISEASE DETECTION IN CONSTRUCTION WORKERS’ HEALTH EXAMINATIONS
Authors: Lindblom Heta , Kaukiainen Ari , Furu Heidi
Published: July 2024

Introduction

The construction industry harbors many exposure factors (noise, dusts, chemicals, vibration). Regardless of country, this industry is amongst the top of the occupational disease (OD) statistics. The detection of ODs is a global challenge, even in countries with statutory exposure-based health examinations (EBHE) for workers. In Finland, the national guidelines for the EBHE were newly updated and the role of validated screening questionnaires was emphasized. We aimed to assess how improvements in the EBHE process, with validated screening questionnaires, affected the number of suspected ODs detected in construction workers.

Methods

We retrospectively studied the patient document entries (N=103) of the EBHEs conducted in an occupational health care unit for workers in the construction industry. The effectiveness of the screening was evaluated by comparing the relative number of suspected ODs found in the renewed process to the national OD statistics.

Results

Out of the 103 cases reviewed, the renewed process detected 26 suspected ODs in 20 workers. This is significantly more than the national OD statistics would indicate (p<0.0001).

Discussion

Development of the EBHEs can improve the identification of ODs even in countries that already have statutory medical surveillance for exposed workers. The validated screening questionnaires are an effective and affordable tool for the detection of ODs. However, for this to apply the personnel must be trained to use and interpret the questionnaires. This further highlights the importance of special expertise in diagnosing ODs.

Conclusion

This study showed that statutory occupational health care processes can be developed to be more effective and functional.
O-054 EVALUATION OF AN ICT-BASED WORKPLACE HEALTH PROMOTION PROGRAM TO IMPROVE HEALTH LITERACY
Authors: Fukuda Hiroshi , Kikuchi Keiji , Sakata Keisirou , Kawasaki Akiko
Published: July 2024

Introduction

In Japan, the Ministry of Economy, Trade and Industry has been promoting “health and productivity management” since 2014. This initiative aims to improve the health literacy of employees and organizations, so effective interventions are necessary. This study presents an overview and preliminary evaluation of an ICT-based workplace health promotion program designed to improve health literacy.

Methods

The “Eat, Sleep and Walk” program is an ICT-based health literacy improvement program developed for corporate health insurance associations in 2018. The program has been operational for six years and has had 36,000 participants from 26 companies. It includes six content categories: pre-post questionnaires, daily e-mail newsletters with cartoons, educational videos on healthy lifestyles and infection prevention, company competitive walks, and an incentive cafeteria. The study compared lifestyles, health literacy, and productivity before and after program participation.

Results

The participants had an average age of 39, with a male-to-female ratio of 6:4. On average, 13.4% of employees in each company participated. The walking competition had the highest usage rate at approximately 60%, followed by video distribution at 40%, and opening newsletters at 30%. The pre-post comparison of lifestyle behaviors showed that around 20% of participants improved their diet, sleep time, and physical activity. Health literacy and performance improved by 9.3% and 5.3%, respectively.

Discussion

Despite some limitations, preliminary evaluations have demonstrated the effectiveness of the ICT-based workplace health promotion on lifestyle and health literacy. Digital health literacy through health apps and SNS has been increasingly important in recent years.

Conclusion

Further improvements and evaluations of the program are desirable.
P-084 OCCUPATIONAL HEALTH PROFESSIONALS HELP EMPLOYEE TO SUCCEEDED QUITTING SMOKING
Authors: Malin Maarit , Majuri Minna , Lamminpää Anne , Reijula Kari
Published: July 2024

Introduction

Occupational health (OH) professionals need skills and knowledge, motivation, interprofessional collaboration (IPC), and OH service providers organizational support to contribute to employers and employees smoking cessation treatment and support (SCTS). To improve SCTS, there is a need to develop scientific based digital applications. Hence, we decided to develop an app based on Self-Determination Theory (SDT).

Methods

We evaluated OH professionals’ attitude, knowledge, motivation and the interprofessional collaboration related to SCTS. We collected data through an online survey completed by a cross-sectional sample of OH physicians (n = 182), OH nurses (n = 296), and OH physiotherapists (n = 96). We surveyed Finnish mCessations and recognized the lack of their theoretical background. We focused on co-developing a gamified app based on SDT. The app stimulates autonomous and intrinsic motivation, and it was assessed using co-design methods among multi-professional collaborators.

Results

All OH professionals had a positive attitude towards offering SCTS and they were highly motivated to further training. IPC between OH physicians, nurses, and physiotherapists in SCTS was unorganized. The co-design participants ranked the most important mobile app features as follows: Information about user´s progress in health, gamified rewards and “Stop the craving” games.

Discussion

OHS should organize its SCTS more systematically, strengthen its contributions to smoking cessation programs, and recognize and utilize more actively modern mCessation apps.

Conclusion

An effective collaboration in SCTS between OH and employers requires a structured smoking cessation model in OH, competent OH professionals and proper tools in practice.
P-085 ANALYSIS OF CASES OF RECOMMENDATIONS BY OCCUPATIONAL HEALTH PHYSICIANS UNDER JAPANESE LAW
Authors: Tanaka Hiroyuki , Nagano Chikage , Horie Seichi
Published: July 2024

Introduction

Japan’s Industrial Safety and Health Act establishes “Kankoku (hereinafter called ‘Recommendation’)” by occupational health physicians to employers. In July 2018, the Act and related regulations were revised to establish procedures for such Recommendations. However, the definition and practical implementation of Recommendations remain unclear. This study investigates the current operationalization of “Recommendations by occupational health physicians.”

Methods

An anonymous survey was conducted among 1,407 physicians belonging to the Japan Society for Occupational Health’s Expert Community of Occupational Health Physicians. They were questioned about their opinions on such Recommendations, their own experiences, and professional attributes. This study was approved by the Ethics Committee of the University of Occupational and Environmental Health, Japan.

Results

Out of 477 respondents (36.9%), 125 (26.2% of respondents) reported making Recommendations, resulting in 169 cases. These mainly addressed long working hours (45.0%) and employment actions based on health checkup results (32.5%). Most cited the Recommendations’ serious impact on workers’ lives or health (71.0%) as the reason for issuance.

Discussion

This study reveals previously unknown details about Recommendations made by occupational health physicians to employers, many of which align with legal requirements. Recommendations significantly contribute to employers’ legal compliance and worker health protection.

Conclusion

Occupational health physicians in Japan may issue Recommendations to employers when a serious threat to a worker’s life or health is evident.
P-089 LITERATURE REVIEW ON THE ACTIVITIES OF SELF-EMPLOYED PUBLIC HEALTH NURSES IN OCCUPATIONAL HEALTH SERVICES AT SMALL AND MEDIUM-SIZED ENTERPRISES
Authors: Sato Yuko , Goto Yuki , Shibata Eiji
Published: July 2024

Introduction

This study is intended 1) to review the literature on issues facing self-employed public health nurses in providing occupational health services to small and medium-sized enterprises, and 2) to clarify the need for and difficulties involved in employing public health nurses in private practice to provide occupational health services to small and medium-sized enterprises.

Methods

Using the keywords “Private public health nurse” or “Freelance and public health nurse” or “Self-employed public health nurse” and “Occupational health” or “Occupational health service,” we conducted a search on the database of the NPO Japan Medical Abstracts Society website(ver.5).

Results

We screened the literature and included seven articles in our analysis. The following were identified as difficulties that practicing public health nurses faced in providing occupational health services as small and medium-sized enterprises: “Difficulty obtaining understanding from companies and management,” “Requires many skills,” “Lack of network for learning opportunities,” and “Self-cost of study.”

Discussion and conclusion

Given the above, we believe that the provision of occupational health services to small and medium-sized enterprises by employing self-employed public health nurses and providing a system that offers self-improvement opportunities that anyone can easily participate in.
P-095 FIELD HOSPITAL DURING COVID-19 CRISIS MANAGED BY OCCUPATIONAL HEALTH NURSES
Authors: Velazquez Luis Alberto
Published: July 2024

Introduction

In the context of the COVID-19 pandemic, the local health system response in Comodoro Rivadavia city, Chubut state, Argentina was stressed by the massive arrival of patients requesting medical attention. In response to this need and demand, Brisa Salud & Bienestar together with Pan American Energy, set up a Field Hospital open to the city. Reception and assistance of patients classified as low and medium complexity: as a health team we ensured the comprehensive management of coordination mechanisms, communication, logistical capacity, and the necessary resources for its execution, as well as to give a comprehensive and holistic response to the patient, protecting our own health as an acting team and theirs as beneficiaries of our care. This crisis was seized upon to incorporate and promote healthy habits. Methods: As part of health promotion initiatives, topics such as healthy eating, sleep, breathing, and relaxation were addressed, among others. Diagnostic situation Population in the city of Comodoro Rivadavia, 350,000 inhabitants. Availability of beds, care centers do not exceed 20% of the population. Lack of hospital infrastructure and human resources to mitigate demand.

Results and conclusions

• Education and accompaniment to the patient in his respiratory condition. • Kinesiotherapy (active and passive movements). • Patient-family interlocutor. • Support to other health areas (Laboratory). • Active, affective and supportive listening. • Connectivity for the use of their devices. • Communication techniques (nurse/patient). • A total of 247 hospitalized patients, recovered • Health personnel without contracting the Virus
P-098 INVESTIGATION, DIAGNOSIS AND MANAGEMENT OF ABUSED WOMEN PRESENTING TO THE EMERGENCY DEPARTMENT
Authors: Kiriaki Panagiwta , Michopoulos Alexandros , Igoumenidis Michalis , Kalafati Maria , Tziaferi Styliani
Published: July 2024

Introduction

During the Covid-19 pandemic, there has been a large increase in the percentages of intimate partner violence (IPV), with 90% of violence incidents involve the female gender. Working in an emergency health care setting, such as the Emergency Department (ED), health providers can have a vital contribution to the detection and prevention of abusive cases against women, providing health support and safety in patient’s life. The familiarization of health providers with the management of violence issues will provide a way of protection to their working place and life, too.

Methods

Extensive bibliographic review in International and Greek databases, in electronic journals, articles, lectures and books regarding the treatment of domestic violence by the health system Qualitative & quantitative research

Results

Contribution to the information and to the activation of health professionals at an individual and cooparative level to search for methods to improve the management of abused women, who are presented to the ED of a hospital It is expected to build an effective violence incident management tool that will provide important guidelines

Discussion

The rates of IPV among women show an ever-increasing trend that leads to an imperative need to design programs to raise awareness and educate health professionals to improve and promote early diagnosis and treatment of these incidents.

Conclusion

All health professionals should be able to identify women who have been abused by providing them with supportive care and safety.
O-058 THE EVOLUTION OF 10-YEAR RISK TO FATAL AND NON-FATAL CARDIOVASCULAR EVENTS IN BELGIUM: SECTOR-SPECIFIC EVIDENCE FROM 565.949 OCCUPATIONAL HEALTH EXAMINATIONS (2018 - 2022)
Authors: Van Dyck Lieve , Verbrugghe Mathieu , Schrijvers Gretel , De Clercq Bart
Published: July 2024

Introduction

Metabolic and behavioral risks account for a substantial proportion of cardiovascular diseases in terms of years of life lost due to disability (YLD) and premature mortality (YLL). Time series from the early 1990s to 2019 show that cardiovascular risks decrease until 2016, but then start to rise again. As the latest harmonized data dates from 2019, it is unclear whether cardiovascular risk deteriorated further in recent years.

Methods

Data was collected during 565.949 medical examinations in 15.227 Belgian companies from 2018 to 2022. The WHO cardiovascular risk model was used to determine non-laboratory risk profiles based on 5 biological parameters (age, sex, systolic blood pressure, smoking status and body-mass index). Multilevel modeling with group-mean centering was used to analyze the data.

Results

Occupational sectors in which at least three quarter of employees display a cardiovascular risk below 5% are education, hospitality, and healthcare. The least favorable risk profiles were present in construction, logistics and metal industry. Risk profiles increased (2,1 to 8,6%) from 2018 until 2021, but decreased (-0,5 to -6,2%) in 2022 in all sectors. Only in education and hospitality risk profiles also decreased (-3,6 to -6,6 %) in 2020.

Discussion

Both the generic decrease in risk in 2022 as well as the 2020 decrease in the education and hospitality sector may be linked to different waves during the Covid-19 pandemic. Future research should examine the drivers behind the inverted U-shaped evolution in cardiovascular risk.

Conclusion

In Belgium, cardiovascular risk increased from 2018 to 2021, but decreased in 2022 in all occupational sectors.
O-059 DO DEMOGRAPHIC AND JOB PROFILE CHARACTERISTICS EXPLAIN DIFFERENCES IN EXPOSURE TO TRAUMA AND PSYCHOSOCIAL RISKS FACTORS OF POLICE OFFICERS AND STAFF?
Authors: Basinas Ioannis , Demou Evangelia , Miller Jessica K , Van Tongeren Martie
Published: July 2024

Introduction

The aim of the study was to investigate to what extent job role and rank and demographic variables explained self-reported psychosocial and other risk factors in the UK police force.

Methods

Self-reported data on job profile (rank, role), demographics (age, gender) as well as psychosocial and other risk factors were available for 15,202 UK police officers and staff from the 2018 Job and Life survey. We used random effect models to examine the influence of rank (5 categories), role (10 or 22 categories), gender (3 categories) and age (4 categories) on the variability of reported job quality, traumatic experiences, support, working hours, and handling or contact with potentially infectious materials (e.g. bodily fluids).

Results

Role explained between 10 and 27% of the variance in traumatic experiences, exposure to infectious material and job quality. Gender and age accounted for ≤ 8% of the total variance for all parameters included. Rank was an important determinant for working hours accounting for 49% of its total variance. The combined grouping of role, rank and age accounted for >35% of the total variance of work-life balance.

Discussion

Similar to what is observed for chemical exposures, job profile is an important determinant of exposure to psychosocial and infectious risk factors for police officers and staff.

Conclusion

Role and, in some cases, rank, were important determinants for some work-related psychosocial and other risk factors in the UK police force. These results will be used to develop job exposure matrices that can be used in studies within the UK police force.
O-069 EXPLORING OCCUPATIONAL RISK FACTORS ASSOCIATED WITH TYPE 2 DIABETES IN THE NETHERLANDS USING REGISTRY-BASED DATA
Authors: Ge Calvin , Eekhout Iris , Pronk Anjoeka , Hengel Karen Oude
Published: July 2024

Introduction

Type 2 diabetes mellitus is a common disease with increasing global burden. Although multiple lifestyle risk factors for type 2 diabetes have been reported, little is known regarding occupational risk factors for the disease.

Methods

Respondents of the cross-sectional Netherlands Working Conditions Survey (NWCS) from years 2013 to 2021 were linked to prescription medication registration from Statistics Netherlands using unique national personal identifiers. Type 2 diabetes cases were identified in the population via initiation of diabetes medication at age 30 or above. Occupational risk factors will be assessed using multiple methods, including self-reports from the NWCS, job-exposure matrices (JEMs), and agnostic analyses by occupational group. Important individual characteristics such as sex, age, and education were directly available from the NWCS survey; important lifestyle characteristics such as smoking were modeled based on smoking behaviors in the Dutch population.

Results

A total of 382,946 workers participated in the NEA surveys from 2013 to 2021. Linkage to national prescription medication registry resulted in 2,784 type 2 diabetes cases. Cox proportional hazard models will be used to assess the relationships between type 2 diabetes and various occupational exposures.

Discussion and conclusion

Little is known regarding how type 2 diabetes is related to occupation and work exposures. Insight on occupational factors associated with type 2 diabetes adds to the existing knowledge base around this important metabolic disease, and may enable prevention and intervention strategies for high-risk groups.
P-101 DESCRIPTION OF FALLS FROM A HEIGHT IN OCCUPATIONAL SETTINGS
Authors: Ozguler Anna , Giorgetta Valentine , Baer Michel , Loeb Thomas
Published: July 2024

Introduction

Falls from great heights in the workplace are responsible for death and permanent disability. The aim of this study was to compare falls from great heights in the workplace with falls in other environments.

Methodology: This was a retrospective study based on a permanent register implemented in an emergency medical service (EMS) in the Paris region. All adult patients transported by an advanced life support ambulance from 2003 to 2018 who fell from a great height (≥ 2 meters) were included.

Results

Of the 618 patients, 111 (18%) fell at work. The remaining 507 falls were related to suicide attempts (58%), accidents (26%) or unknown causes (16%). The sex ratio was 54.5 compared with 1.5 for other causes of falls (p < 10-3), with an average age of 39 for workplace falls compared with 44 for the other causes (p=0.01). The mean height of the fall was 6.7 at workplace compared with 11.8 m for other causes (p<10-3). The mean Glasgow Coma Scale was 13 for the workplace, compared with 9 for suicide, 12 for accidents and 5 for unknown causes (p < 10-3). Seven deaths occurred in the workplace (6.3%) compared with 40.1% for suicide, 8.5% for accidents and 68.7% for unknown causes (p < 10-3).

Discussion and conclusion

Falls in the workplace were comparable to accidental falls in terms of on-site fatality rate and severity, probably because they occurred at a lower height. Nevertheless, they should be the subject of reinforced preventive measures, given their high frequency.