bluuebunny/crossref_metadata_2025_split huggingface dataset:
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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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 &lt; 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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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&lt;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.