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At least 19 recordsLinked to original sources
PubMed2002

Organization, work and work reactions: a study of the relationship between organizational aspects of nursing and nurses' work characteristics and work reactions.

This article describes a quantitative, correlational study of the relationship between organizational aspects (such as the predictability of the care), work characteristics (autonomy and workload) and work reactions (work satisfaction and health complaints) in nursing work. The variables have been measured by questionnaires. Subjects were 155 nurses from nine units in two general hospitals in the Netherlands. Several organizational aspects seem to be correlated with work characteristics and work reactions. Organizational aspects particularly influence work characteristics and play, therefore, a mediating role in the relationship between organizational aspects and work reactions. Job satisfaction is not only correlated with the autonomy, but also with workload. Health complaints appeared to be mainly correlated with the workload. It is concluded that for an improvement of job satisfaction and reduction of health complaints, it is not only necessary to improve autonomy and reduce workload, but also to pay attention to organizational aspects because these may influence the work characteristics.

Cooperative Behavior↗
PubMed1975

[Dependence of mean duration of heart period and of arrhythmia during dynamic muscular work on the greatness and differences of work load and during static muscular work on the greatness of work load (author's transl)].

Mean duration of heart period (DHP chi) and its standard deviation (SD), indicating heart arrhythmia and significantly correlating with DHP chi, decreased with stepwise increase of dynamic muscular work on a bicycle ergometer and static muscular work of the right upper arm flexor beyond the limit of permanent performance. This correlation, however, can be understood globally only, since the decrease of DHP chi and SD was not always continuous, but frequently changing, with alterations of increase and decrease from step to step of dynamic work load and from minute to minute of static muscular strain. This concerned particularly SD. A continuous decrease of DHP chi in dynamic muscular work was obtained only by load differences of 40 W, not by differences of 10 or 20 W. A more continuous decrease of SD was also noted during greater load-differences. The significant correlation of DHP chi and SD was lost at a load-difference of 10 W on the 60 W-step and at a load-difference of 40 W on the 180 W-step. Great loads caused at the same load-step less frequent variations of DHP chi, not of SD, than little loads. If no preceding work took place, a contary reaction of DHP chi and SD was noted often at the first load-step. Static work with greater holding force caused a more continuous decrease of DHP chi, in a lower degree of SD, than static work with lower holding force. DHP chi decreased mainly in the first minute of strain. The adjustment of mean heart rate and heart arrhythmia on a level corresponding to increase of load is influenced essentially by the difference of muscular strain appearing between two periods of work load or periods of holding. The regulation of the mean duration of heart period and of heart arrhythmia does not necessarily depend on each other.

Adult↗
PubMed1988

Decision No. 5 on work appropriate for women, work that is prohibited for women, and work that is specifically women's work, 30 April 1987.

This Order is issued under the Bulgarian Labour Code and provides that work "appropriate" for women is work that they may in general accomplish on an equal footing with men, work listed in an appendix (List No. 1), and any other nonspecified work. The Order also sets forth types of work that "can be assigned only to women" (List No. 2) and work that is prohibited for women (List No. 3).

Bulgaria↗
PubMed1993

A comparison of ambulatory blood pressure and heart rate at home and work on work and non-work days.

OBJECTIVES: First, to test whether there was a change in the blood pressure and heart rate on work days relative to non-work days; secondly, to assess whether there were work-home differences on these days; and, thirdly, to assess whether these changes were similar in both normotensives and hypertensives. DESIGN AND SUBJECTS: Twenty-four working men (17 mild hypertensives and seven normotensives) wore an ambulatory blood pressure monitor for two 24-h periods (at work and home), on a work day ('on day') and on a non-work day ('off day'). METHODS: Means were calculated for each day for each home and work period. On the off day, the 'work' mean was defined using the readings during the usual working hours. To control for the effect of position on the means, statistical procedures that control for position were employed. These means were then analyzed by repeated-measures analysis of variance with two within-person factors. Period (home-work) and Day (on-off), and one between-person factor, Hypertensive Status (mild hypertensive-normotensive). RESULTS: When hypertensives and normotensives were combined, diastolic blood pressure (DBP) was significantly greater at work than at home. However, for both systolic blood pressure (SBP) and DBP this work-home difference was dependent on whether it was the on or the off day, the work-home difference being greater on the work day. Furthermore, the noted work-non-work day changes between work and home were significantly different for DBP for normotensives and mild hypertensives. Normotensives experienced a 6-mmHg decrease in blood pressure on the off day, whereas mild hypertensives had a 3-mmHg average increase on the off day. No significant differences were found in the pattern of work-home differences between on and off days for mild hypertensives and normotensives, although the effect approached significance for SBP, providing an indication that the work-home differences may depend on both hypertensive status and work-non-work day. Heart rate was significantly higher during work than at home. Although normotensives had higher heart rates, the work-home difference was constant across on and off days. Among 10 subjects who agreed to wear the monitor a third time on a second work day, the average work blood pressures during the two work periods were nearly equivalent, arguing against an habituation effect to the monitor. CONCLUSIONS: These data support the notion that, for blood pressure, activity is an important determinant of level. A circadian basis to blood pressure was not supported. We found differences between work and non-work days for normotensives, and a trend towards differences by work-home period and work-non-work day for hypertensives. For heart rate the opposite result was found. Heart rate was affected only by time of day (as denoted by work and home periods) and was stable across on and off days. These results suggest that experimental or statistical control of activity and position may be necessary if ambulatory blood pressure monitoring is to be used as either a diagnostic or research tool.

Activities of Daily Living↗
PubMed1996

Physiological comparison of three interventions in light assembly work: reduced work pace, increased break allowance and shortened working days.

An industrial assembly task known to imply a high risk for shoulder-neck disorders was simulated in the laboratory. Eight females (aged 22-32 years) were trained to manage industrial work pace (120 according to the methods-time measurement system, MTM). They carried out seven work protocols at different days with different combinations of work pace (120 or 100 MTM), break allowance (20 min of active or passive breaks added every 2 h), and duration of the working day (2, 4 or 6 h). During 6 h of work at 120 MTM the electromyographic (EMG) amplitude from the upper trapezius muscle increased by about 11%, the EMG zero crossing rate decreased by about 2.5%, and perceived fatigue increased by about 4 CR10 scale units. When work pace was reduced to 100 MTM, the upper trapezius EMG amplitude decreased by 20% and became less variable. Heart rate decreased by about 10 bpm, perceived fatigue decreased by about 1 CR10 scale units, and shoulder tenderness was reduced by about 5%. However, the work task could still not be performed in a physiological steady state. Added breaks, whether active or passive, had no apparent effects on upper trapezius load during work or on physiological responses. Recovery of EMG, maximal strength, heart rate and blood pressure sensitivity, and tenderness was complete 4 h after work, independent of the preceding work conditions. These findings suggest that a limitation of the daily duration of assembly work may be more effective in limiting acute fatigue than reduced work pace or increased break allowance.

Adult↗
PubMed2002

Women's work and health in Iran: a comparison of working and non-working mothers.

This paper analyses research on the impact of work on mothers' health in Tehran (Iran) within a role analytic framework. A survey was conducted of a representative sample of working and non-working mothers in Tehran in 1998 (N = 1065, 710 working mothers, and 355 non-working mothers). Three main explanatory factors were examined (socio-demographic, work and work-related, and social-life context variables) alongside a range of mental and physical health outcome variables. Unlike in the West, where women's paid work is generally associated with better health, statistically significant differences between working and non-working women were not found in Tehran. It is argued that this is a result of the counter-balance of the positive and negative factors associated with paid work, such as increased stress on one hand and self-esteem on the other. Iranian society's particular socio-cultural climate has contributed to this finding, with its dominant gender-role ideology; the priority and extra weight placed on women's traditional roles as wives and mothers, and the remarkably influential impact of husbands' attitudes on women's health.

Adult↗
PubMed2001

Mortality among women and men relative to unemployment, part time work, overtime work, and extra work: a study based on data from the Swedish twin registry.

OBJECTIVE: To examine mortality before 70 years of age among women and men relative to unemployment, part time work, overtime work, and extra work. Age, marital status, children, smoking and alcohol habits, use of sleeping pills and tranquilisers, stress, shift work, personality factors, and long lasting or serious illness were taken into account as potential confounding factors. METHODS: The study group comprised a subcohort of the Swedish twin registry, people born in 1926-58. Data were based on a postal questionnaire of 1973 and on information from the Swedish Causes of Death Registry. All subjects reporting a main occupation were selected, 9500 women and 11 132 men, and mortality from all causes during 1973-96 was analysed. The subjects were treated as a sample from the general population regardless of the twinning. RESULTS: Unemployment in 1973 among both women and men showed an association with increased mortality. The adjusted relative risk (RR) (95% confidence interval (95% CI)) was 1.98 (1.16 to 3.38), for women and 1.43 (0.91 to 2.25) for men. For the first 5 years of follow up, a threefold increase in risk was found for men (RR (95% CI) 3.29 (1.33 to 8.17)). The RR declined by time, but remained increased throughout the 24 year study period. In women overtime work of more than 5 hours a week was followed by an increased mortality rate (RR (95% CI) 1.92 (1.13 to 3.25)). A protective effect of moderate overtime work of a maximum 5 hours a week was shown for men (RR (95% CI) 0.58 (0.43 to 0.80)), whereas an increased mortality was indicated for part time work (RR (95% CI) 1.58 (0.91 to 2.77)) and extra work (work outside employment) of more than 5 hours a week (RR (95% CI) 1.29 (0.99 to 1.69)). CONCLUSION: Unemployment and some time aspects of work were associated with subsequent mortality, even when controlling for social, behavioural, work, and health related factors. The idea that losing a job may have less importance for women than for men is not supported by this study.

Cohort Studies↗
PubMed1998

Work control, work demands, and work social support in relation to alcoholism among young men.

OBJECTIVES: The aim of the study was to estimate the impact of psychosocial work-environment factors, such as low work control, on alcoholism among young men. METHODS: Data on circumstances during childhood and adolescence, such as on risk use of alcohol, were collected for 49,323 young men, born 1949 to 1951 at time of enlistment for compulsory military training in 1969/1970. On the basis of census data on occupation in 1975, all individuals were classified into groups with regard to psychosocial work-environment factors in accordance with a job-exposure matrix. Follow-up for alcoholism diagnoses from inpatient care registers (1976 to 1983) was undertaken for each of the groups. A number of potential confounding factors were taken into account RESULTS: Low work control and also low job demands and low workplace social support were found to be related to later alcoholism. On separate analysis, the pattern among blue-collar workers was found to be similar to that of the entire population. When the analyses were extended to include indicators of risk use of alcohol and other relevant background factors, the relative risks decreased, but were still significantly high in the cases of low work control and low work social support. A combination of low demands and low control, what might be called a "passive" work environment, was related to an increased relative risk of psychiatric alcoholism diagnosis after controlling for relevant background factors. CONCLUSIONS: Low work control, in particular in combination with low work demands, and low work social support are related to later alcoholism even after controlling for previously known risk factors (including risk use of alcohol). The results suggest that young men may respond to an undemanding occupational environment by increasing their alcohol consumption.

Adolescent↗
PubMed1995

[The study of the relation between the working conditions and the prevalences of obesity, liver disorder and hyperlipidemia: evaluation of physiological examination data during the terms of car manufacturing work and car sales work].

To evaluate the relation between the working conditions and the workers' health, particularly the prevalences of obesity, liver disorder and hyperlipidemia, we analyzed physiological examination data and the questionnaire survey about life behaviors and working conditions during the terms of car manufacturing work and car sales work among 61 male subjects. In the physiological examination data, compared with the term of car manufacturing work, the values of body weight, body mass index (BMI), GOT, GPT, gamma-GTP, TG and T-CHO elevated and the prevalences of obesity and liver disorder increased during the term of car sales work. During the term of car sales work, the prevalences of alcohol drinkers and cigarette smokers increased and the changes of food intake behaviors were noted. It was estimated that the changes of food intake behaviors associated with the differences of working conditions contributed increasing number of obesity and liver disorder that was based on fatty liver caused by hyperlipidemia. These results of this study suggested that working conditions associated with the prevalences of obesity, liver disorder and hyperlipidemia were important to conduct the effective health education in the present occupational health administration.

Adult↗
PubMed1994

Work hardening: past, present, and future--the work programs special interest section national work-hardening outcome study.

OBJECTIVES: A review of outcome research conducted between 1982 and 1992 revealed return-to-work rates for industrial rehabilitation programs that ranged from 50% to 88%. Variations in outcome statistics appeared to reflect discrepancies in factors such as type of research design, initial characteristics of the client sample, and clients excluded from the study group. METHOD: A work-hardening outcome study involving 36 programs was conducted by the Work Programs Special Interest Section to address questions left unanswered by existing studies regarding (a) rates of program nonacceptance or noncompletion, (b) basic client characteristics and outcome, (c) length of disability and outcome, (d) breakdown of client disposition after program completion, and (e) program characteristics and return to work. RESULTS: Findings included the following: (a) 11.5% of clients were not accepted into work hardening and 24.6% did not complete the program; (b) outcome was not related to client age, gender, area of injury, or physical demand level of job before injury; (c) as duration of disability increased, return to work decreased significantly; (d) at discharge, 48.2% of clients returned to the usual and customary job and 30.5% to alternate or modified work, whereas 13.6% were referred to a vocational counselor; and (e) there was no relationship between number of visits or number of professionals seen and return to work. CONCLUSION: The authors suggest a need for uniform standards in collection of outcome data to establish a basis for comparison of efficacy among programs. Recommendations include tracking comparison or control groups, grouping clients in terms of length of disability, computing success rate on the basis of number of clients who completed their program, using relevant subcategories when reporting return to work, and consistency of the postdischarge interval for follow-up.

Accidents, Occupational↗
PubMed1976

Effect of heart work and insulin on the incorporation of [14C]glucose into hexose phosphates, uridine diphosphate glucose and glycogen in the normal and insulin-deficient perfused rat heart under working and non-working conditions.

1. The specific radioactivities of glucose 1-phosphate, glucose 6-phosphate, fructose 6-phosphate, UDP-glucose and glycogen, derived from [14C]gluocose, were determined in the normal and insulin-deficient (streptozotocin-diabetic and anti-insulin-serum-treated) perfused non-working and working rat heart. 2. The specific radioactivities of all glucose metabolities reached a plateau after about 10 min, except that for glycogen, which increased slightly but steadily over the whole observation period of 30min. 3. The specific radio-activities of fructose 6-phosphate, UDP-glucose and glycogen were slignificantly lower in the streptozotocin-diabetic heart than in the normal heart. 4. Mechanical work in the normal rat heart increased the specific radioactivities of glucose 1-phosphate, UDP-glucose and glycogen, but had little or no effect on those of gluose 6-phosphate and fructose 6-phosphate. 5. In the normal heart insulin strongly increased the specific radioactivities of all gluocse metabolites under all conditions tested. The maximum values achieved in the normal working heart in the presence of insulin were only about 15-20% above those in the normal non-working heart in the presence of insulin for the phosphorylated intermediates and about 40% above for glycogen. 6. In the streptozotocin-diabetic heart, work restored the specific radioactivities of all glucose metabolities to about normal values. 7. In the streptozotocin-diabetic heart insulin strongly increased the specific radioactivities of the direct glycogen precursors glucose 1-phosphate and UDP-glucose; the effect of insulin on glucose 6-phosphate and fructose 6-phosphate was less marked. These results confirm previous findings that the primary metabolic lesion in diabetic heart muscle is a defect of glycogen synthesis. The specific radioactivity of glycogen itself was increased sixfold. 8. Under all conditions tested the specific radioactivity of glucose 1-phosphate was always found to be higher than that of glucose 6-phosphate. This indicated either compartmentation of a small but metabolically very active pool of glucose 6-phosphate, or the existence of a hitherto unknown pathway of metabolism in which glucose 1-phosphate is the primary reaction product. For a number of reasons the authors prefer the first explanation, which could also account for the observation that in the perfused normal working and non-working heart the specific radioactivity of fructose 6-phosphate was always found to be higher than that of glucose 6-phosphate. This difference disappeared or was reversed in the rat hearts rendered insulin-insufficent by either streptozotocin or anti-insulin treatment.

Animals↗
PubMed1988

Ergonomic analysis of the working post of gutter in the fish processing plant and the dependency between subjective evaluation of the work fatigue and the body posture assumed while working.

The main goal of the present paper was an ergonomic analysis of the working post of the gutters employed in the Fish Processing Plant in Gdańsk and to find the relation between the ailments manifest in the musculo-skeletal system, the degree of the weariness with the work and the body posture assumed during the operations after the first and the sixth hour of the work. The material investigated comprised 20 gutters aged 30-49 years, their employment period on given working post ranging from 11 to 16 years. On the basis of the observation and time analysis of each operation an ergonomic analysis of their working posts was accomplished. Apart from this the subjects were submitted to a questionaire concerning subjective evaluation of the factors affecting fatigue as well as the degree of several body parts load. Shutter method was employed in the cinematographic analysis of the simple flat images. When the contours of a woman were drawn in schemes the following angles could be plotted: angles of the forward inclination of the trunk and the head, angle of the left hand. The pictures were taken in two series: after the first and the sixth hour of the work. On the basis of these investigations no statistically significant differences in the angle of the forward inclination of the trunk and the head after the first and the sixth hour of work were revealed. It indicate the other reasons than a body posture as decisive in the origin of the fatigue with work.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1990

Work satisfaction among community-based mental health service providers: the association between work environment and work satisfaction.

This is a study of work environment and work satisfaction among 601 community mental health service providers in the central United States. Aspects of the work environment may limit resources and strategies available to minimize staff burnout and maximize effective service delivery. Three human resource issues related to work satisfaction are reviewed: (a) unique constraints in rural mental health service delivery, (b) the role of paraprofessionals in service delivery, and (c) community-based services for seriously mentally ill individuals. This study demonstrates hypothesized associations between work environment and work satisfaction variables. The results suggest that staff members working with seriously mentally ill individuals are vulnerable to dissatisfaction and stress, and may require special skill and mastery enhancement.

Community Mental Health Services↗
PubMed1992

[Workload in software development work. A consideration based on work-characteristics and analysis on workload factors of each working group].

To clarify workload factors in software developing work, we designed questionnaires composed of questions of work-content based on the interview survey. For the analysis of workload, Cumulative Fatigue Symptom Index (CFSI) and the stress-rating-method by 7-likert-scale were used. With the cooperation of the Japanese Software Engineers' Association (SEA) responses were obtained from 270 out of 1,100 members and from 553 non-member software engineers in 18 companies in Japan. The CFSI score obtained was higher than those of other groups of other industries obtained in our previous studies. The stress-rating showed that "time-pressure," "too much amount of work, and "ambiguity in job specification" were the highest stressors. The work groups were categorized by the results of CFSI profile into 4 types. The results of stress-ratings were significantly different between the 4 type groups. Based on the multiple comparison analysis, the workload factors of each group could be specified. Out of the foregoing 4 types, the work groups which showed the deviation in F1B (depression) in CFSI and the work groups which showed high scores in every category in CFSI were higher in "ambiguity of specification" in stress-ratings. This result indicates that "ambiguity in specification" is a significant stressor in software engineers. This stressor is caused by the complicated communication process between users and engineers and by the shortage of tools or rules in this process. This stressor is considered to be the most typical workload which characterizes the software developing work.

Adult↗
PubMed1986

[Morbidity status, causes for work disability and social factors influencing work disability in pregnancy. 2. Causes for work disability].

The higher level of patients of pregnant woman in comparison with non-pregnant ones results from a higher unfitness for work which nearly corresponds to the increase of sicknesses depending on gestation. From all causes of unfitness for work more than 60% were depending on gestation. Causes for the half of the release from work depending on gestation were the three diagnoses threatening abortion, threatening premature birth and bleedings. On the total level of patients of 11.66% they had a share of 5.70% points. Infections of the ureter, the diagnosis' 'Other complications in pregnancy', hyperemesis and gestoses followed. Infections of the upper respiratory tract and influenza were the causes of all releases from work which were not depending on gestation. Their share on the level of patients amounted to 0.9% points. Releases from work because of sicknesses of circulation and of the digestive tract followed in their frequency. A number of further causes of unfitness for work had only a small share on the happenings of unfitness for work.

Abortion, Spontaneous↗
PubMed1998

Carpal tunnel syndrome and work organisation in repetitive work: a cross sectional study in France. Study Group on Repetitive Work.

OBJECTIVES: To study the determinants of signs of carpal tunnel syndrome (CTS) in repetitive industrial work, with special attention to occupational constraints at group level and management practices of the companies. METHOD: A cross sectional study was conducted in three sectors: assembly line; clothing and shoe industry; food industry. A total of 1210 workers in repetitive work, from 53 different companies, was compared with a control group of 337 workers. Constraints at the workplace were partly self declared, and partly assessed by the occupational physicians in charge of the employees of the company. The definition of CTS was based on a standardised clinical examination. RESULTS: CTS was associated with repetitive work, especially packaging. It was more frequent among subjects who declared psychological and psychosomatic problems and those with a body mass index > or = 27. Dissatisfaction with work, lack of job control, short cycle time, and having to press repeatedly with the hand were associated with the syndrome. An odds ratio (OR) of 2.24 was found for "just in time" production. CONCLUSION: The results emphasise the complexity of the determinants of CTS, the role of psychosocial factors at work and the potentially negative effects of some practices of the companies aimed at enhancing their competitiveness.

Adult↗
PubMed1955

Physical working capacity of old workers and physiological background for work tests and work evaluations.

The worker's fitness for different jobs will be determined by a number of functions of which many are influenced by age. The physical working capacity has undoubtedly a maximum between 20 and 35 years of age. The decline after 35 years will be different in every individual, but certain average figures can be given. The reduction is mainly due to a decrease in the maximal values for circulation and respiration rate, that is, in the oxygen-transport system. Also the muscular strength will be reduced in the higher age-groups. The problem in work rationalization is to determine the maximum rate of work that man can carry on continuously and still retain vigour to an advanced age.The result of several work-analyses shows that actually in manual labour the workmen often utilize up to 50% of their aerobic capacity but avoid exceeding this percentage. As the aerobic capacity decreases with age it is important to know the upper limits and the safety margin for the different age-groups. For that reason one has to determine the working capacity of the man and the physiological stress of the job. It is also important to determine to what degree skill and experience can compensate for age-changes. A superior individual will, even in old age, exceed the average of the young. Age differences may often be of less importance than individual differences.It is still not known what physiological qualifications the different jobs demand, or what age-changes in the physiological functions are of importance for these jobs. The gradual increase in the average age of the population makes investigations in this field important.

Aged↗
PubMed2001

Mastery of postprostatectomy incontinence and impotence: his work, her work, our work.

PURPOSE/OBJECTIVES: To describe couples' experiences of postprostatectomy incontinence and impotence. DESIGN: Descriptive, qualitative. SETTING: Northeastern U.S. metropolitan area. SAMPLE: Subsample of 20 (10 control and 10 intervention) couples from a large quantitative clinical trial of a Standardized Nursing Intervention Protocol (SNIP) postprostatectomy. METHODS: Interviews were conducted using a semistructured guide. Data were analyzed using grounded theory techniques. MAIN RESEARCH VARIABLE: Couples' experiences of coping with postprostatectomy incontinence and impotence. FINDINGS: Managing postprostatectomy incontinence and impotence required work. Men's work focused on regaining mastery and encompassed understanding incontinence as healing, mastering incontinence, networking, confronting impotence and putting it into perspective, and prioritizing. Wives were supportive by managing anxiety, encouraging mastery, putting impotence into perspective, and reassuring their spouses. Established routines brought couples through the experience together while strengthening intimacy. SNIP couples found the nurses to be sources of information, support, and affirmation. CONCLUSIONS: Couples worked to deal with postprostatectomy incontinence and impotence within the context of surviving cancer and maintaining a loving relationship. This gave unique meaning to their symptoms and led the couples to value the fact that the men were alive and work toward regaining mastery. Mastery emerged as a key concept from the findings. IMPLICATIONS FOR NURSING PRACTICE: Nurses can gain from an enhanced understanding of postprostatectomy incontinence and impotence as meaningful within the greater context of patients having had cancer. Nurses can hasten couples' abilities to regain a sense of mastery by providing information, supporting couples' work, providing positive affirmation, and being available.

Adaptation, Psychological↗