scholarly journals Attitudes and behaviors of chiropractic interns toward occupational history taking

Author(s):  
Dana Madigan ◽  
Erin Quinlan-Ruof ◽  
Jerrilyn A Cambron ◽  
Linda Forst ◽  
Joseph Zanoni ◽  
...  

Objective This study uses a pre- and post-training program evaluation of chiropractic interns to (1) describe changes in their frequency of occupational history taking before and after a 1-hour training and (2) to document the attitudes and beliefs regarding occupational health and history taking. Methods All chiropractic interns at 1 clinic location completed questionnaires assessing their attitudes and perceptions regarding documenting the occupational history of their patients each trimester they were enrolled in the study. Each intern enrolled in the study for 2 or more trimesters participated in a 1-hour-long training session on taking an occupational history. The supervising clinician independently evaluated charting behaviors of interns for the duration of the study. Results The supervising clinician assessed 20 interns' level of documenting occupational history for 202 new patient or reexamination visits. A majority of interns (85% at baseline) were interested in occupational health, and 80% believed that occupational history taking was “very important.” Intern charting behaviors increased after training related to documentation of past occupation (62.9% from 32.4%) and relating the chief complaint to work (59.7% from 30.0%). Detailed occupational history taking remained low throughout the study but demonstrated a doubling in documentation after training (16.1% from 8.6%). Conclusion Chiropractic interns and clinicians should be adequately trained in occupational health history documentation practices as they are likely to care for work-related injuries. Short training modules appear to be effective in demonstrating small changes in documentation related to occupational history taking.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Helena Eri Shimizu ◽  
Josierton Cruz Bezerra ◽  
Luciano José Arantes ◽  
Edgar Merchán-Hamann ◽  
Walter Ramalho

Abstract Background Since 2004, Brazil has had a national policy for occupational health and safety. This policy means companies’ tax burden is altered according to the numbers of work-related accidents and ill-health amongst their workers. In 2010, a multiplication factor was introduced to this policy, called the Accident Prevention Factor. The idea of this new multiplication factor is to encourage individual employers to take initiatives to prevent accidents and ill health in the workplace. This study was designed to investigate the incidence of work-related accidents and ill-health in Brazil according to their causes, their severity, and the economic activity in which they occur, and to compare the data before and after the introduction of the Accident Prevention Factor. Methods An ecological study was conducted by analyzing the time series of work-related accidents/ill-health between 2008 and 2014 from the Brazilian social security system (Previdência Social) statistical yearbooks. Incidences were calculated per cause, economic activity, and severity of the accident/ill-health. Data from before and after the introduction of the Accident Prevention Factor were compared using the Mann-Whitney test per cause and per economic activity. Statistical analyses were made using the SPSS software, with significance set at 5%. Results A reduction in the incidence of work-related accidents/ill-health was found across all the groups of causes analyzed, except for the groups “external causes of morbidity and mortality” and “factors influencing health status and contact with health services.” Greater reductions were found for diseases of the musculoskeletal system and connective tissue and diseases of the nervous system. Reductions in work-related accidents/ill-health were found in the different economic activities and in the different severity groups. The highest reduction after the introduction of the Accident Prevention Factor was in manufacturing and production (p < 0.05). Conclusions Overall, the incidence of accidents/ill-health was found to be on decline, except those with external causes of morbidity and mortality and those involving factors influencing health status and contact with health services. The biggest reduction was found in manufacturing and production. However, generally speaking progress still needs to be made in accident prevention and occupational health across a whole range of work environments.


Author(s):  
Christopher Sellers

The changing ways in which human surroundings interact with human bodies have yielded some of the field's most innovative scholarship. These developments reflect trends in health and medicine from the late twentieth into the early twenty-first centuries. This article concentrates on a few representative areas where this intermeshing of socio-cultural with Hippocratic history has proven especially fruitful. It begins with the changing consideration of industrial health history. It discusses that fuller range of social and political contexts and contingencies have shaped the recognition and control of the industrial hazards and have brought new depth and realism to our understanding of the health history of industrial workplaces. The assertions and conclusions about worker influence on the outcome of struggles over occupational health have helped generate greater interest in just how workers themselves perceived and experienced these ailments.


2000 ◽  
Vol 44 (30) ◽  
pp. 5-614-5-614 ◽  
Author(s):  
Simon S. Yeung ◽  
Ella W. Yeung ◽  
Rachel FM Chan ◽  
CY Chow ◽  
Glory PS Lee ◽  
...  

This study aimed to investigate the muscle fatigue and self-perceived exertion level on violin players before and after a training session. Fourteen professional violin players volunteered in this study. Surface electromyography (EMG) was used to record the fatigue level of the upper trapezius muscles before and after a training session. Medium Frequency (MF) of the EMG signals was used to document the fatigue rate of this muscle. Regression analysis and paired sample t-tests revealed no significant difference in the slopes of MF on both sides of trapezius muscle, before and after the training sessions. However, the Borg Scale ratings of perceived exertion revealed significant increase in fatigue level (p=0.003) after the training session. The disparity in the subjective perception with the objective findings indicated that the violists' self-perceived exertion arises from multiple sources. The high prevalence of playing-related musculoskeletal complaints (79%) in this group of players warrants further ergonomic investigation of possible work-related risk factors.


2021 ◽  
Author(s):  
Helena Eri Shimizu ◽  
Josierton Cruz Bezerra ◽  
Luciano José Arantes ◽  
Edgar Merchán-Hamann ◽  
Walter Massa Ramalho

Abstract Background: Since 2004, Brazil has had a national policy for occupational health and safety. This policy means companies’ tax burden is altered according to the numbers of work-related accidents and ill-health amongst their workers. In 2010, a multiplication factor was introduced to this policy, called the Accident Prevention Factor. The idea of this new multiplication factor is to encourage individual employers to take initiatives to prevent accidents and ill health in the workplace. This study was designed to investigate the incidence of work-related accidents and ill-health in Brazil according to their causes, their severity, and the economic activity in which they occur, and to compare the data before and after the introduction of the Accident Prevention Factor.Methods: An ecological study was conducted by analyzing the time series of work-related accidents/ill-health between 2008 and 2014 from the Brazilian social security system (Previdência Social) statistical yearbooks. Incidences were calculated per cause, economic activity, and severity of the accident/ill-health. Data from before and after the introduction of the Accident Prevention Factor were compared using the Mann-Whitney test per cause and per economic activity. Statistical analyses were made using the SPSS software, with significance set at 5%.Results: A reduction in the incidence of work-related accidents/ill-health was found across all the groups of causes analyzed, except for the groups “external causes of morbidity and mortality” and “factors influencing health status and contact with health services.” Greater reductions were found for diseases of the musculoskeletal system and connective tissue and diseases of the nervous system. Reductions in work-related accidents/ill-health were found in the different economic activities and in the different severity groups. The highest reduction after the introduction of the Accident Prevention Factor was in manufacturing and production (p< 0.05).Conclusions: Overall, the incidence of accidents/ill-health was found to be on decline, except those with external causes of morbidity and mortality and those involving factors influencing health status and contact with health services. The biggest reduction was found in manufacturing and production. However, generally speaking progress still needs to be made in accident prevention and occupational health across a whole range of work environments.


2020 ◽  
Author(s):  
Helena Eri Shimizu ◽  
Josierton Cruz Bezerra ◽  
Luciano José Arantes ◽  
Edgar Merchán-Hamann ◽  
Walter Massa Ramalho

Abstract Background:.Since 2004, Brazil has had a national policy for occupational health and safety. This policy means companies’ tax burden is altered according to the numbers of work-related accidents and ill-health amongst their workers. In 2010, a multiplication factor was introduced to this policy, called the Accident Prevention Factor. The idea of this new multiplication factor is to encourage individual employers to take initiatives to prevent accidents and ill health in the workplace. This study was designed to investigate the incidence of work-related accidents and ill-health in Brazil according to their causes, their severity, and the economic activity in which they occur, and to compare the data before and after the introduction of the Accident Prevention Factor. Methods: An ecological study was conducted by analyzing the time series of work-related accidents/ill-health between 2008 and 2014 from the Brazilian social security system (Previdência Social) statistical yearbooks. Incidences were calculated per cause, economic activity, and severity of the accident/ill-health. Data from before and after the introduction of the Accident Prevention Factor were compared using the Mann-Whitney test per cause and per economic activity. Statistical analyses were made using the SPSS software, with significance set at 5%. Results: A reduction in the incidence of work-related accidents/ill-health was found across all the groups of causes analyzed, except for the groups “external causes of morbidity and mortality” and “factors influencing health status or contact with health services.” Greater reductions were found for diseases of the musculoskeletal system and connective tissue and diseases of the nervous system. Reductions in work-related accidents/ill-health were found in the different economic activities and in the different severity groups. The highest reduction after the introduction of the Accident Prevention Factor was in manufacturing and production (p< 0.05). Conclusions: Overall, the incidence of accidents/ill-health was found to be on decline, except those with external causes of morbidity and mortality and those involving factors influencing health status or contact with health services. The biggest reduction was found in manufacturing and production. However, generally speaking progress still needs to be made in accident prevention and occupational health across a whole range of work environments.


Author(s):  
D Madigan ◽  
E Quinlan-Ruof ◽  
J Cambron ◽  
L Forst ◽  
J Zanoni ◽  
...  

1988 ◽  
Vol 4 (3) ◽  
pp. 287-301 ◽  
Author(s):  
Carl F. Berger ◽  
Elizabeth A. Carlson

The creation of sufficient numbers of trainers prepared to train teachers in the use of computers has been a difficult task. Work by the Training Modules for Trainers Project has been addressing this problem using a trainer of trainers model. A core group of fifty trainers has been created by the project, in addition to a series of fourteen resource modules to be used by the trainer cadre. Cognitive, behavioral, and affective dimensions of these trainers' perceptions of their expertise were measured before and after an intensive training session by having the trainers respond to a self-measure. Changes in the perceptions of expertise were detected, indicating that participation in training seminars appears to be associated with an increase in participants' self-perceptions of their expertise.


2018 ◽  
Vol 34 (5) ◽  
pp. 321-327 ◽  
Author(s):  
Gill Harrison ◽  
Allison Harris ◽  
David Flinton

Ergonomic training is necessary to help reduce work-related upper limb disorders (WRULD) in sonographers. This study provided an ergonomic training session for sonographers, to determine whether a teaching intervention changed the grip force used to hold a transducer. Thirteen practitioners participated and were placed into two groups (intervention group n = 7). Participants were asked to scan the same simulated transabdominal early pregnancy case. An ergometer was used, which enabled all participants to hear the effect of holding the transducer tightly. Their matched grip force was measured before and after the intervention using a dynamometer. The intervention group reviewed videos and photographs taken during the scan to see if this affected the matched grip force further. Study findings showed that the short ergonomic training session with the use of an ergometer significantly reduced the matched grip force applied to a transducer ( P < .05) for all participants. The video/photo review did not result in any further significant changes.


2017 ◽  
Vol 66 (5) ◽  
pp. 233-240 ◽  
Author(s):  
Marie-Anne Rosemberg ◽  
Laura Gultekin ◽  
Michelle Pardee

Individuals with a history of adverse childhood experiences (ACEs) disproportionately have poor mental and physical health outcomes. These experiences affect individuals across the life span extending beyond health with deleterious impact on work-related outcomes. Low-wage workers are particularly at risk. Social service and health organizations are becoming aware of the extent to which the populations they serve have been affected by these experiences. Employment support programs may serve high-ACE individuals but likely are unaware of their histories and the developmental or health deficits that result and can impinge on successful employment. Occupational health nurses may be well-positioned not only to implement trauma-informed care in workplaces but also to influence the ways in which employment services for this vulnerable group are delivered. The purpose of this article is to consider how ACEs could affect vulnerable workers. The need for trauma-informed research and praxis to advance occupational health nursing is discussed.


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