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Smoking prohibition in the workplace and smoking cessation in the Federal Republic of Germany.

BACKGROUND: The relationship between prohibition of smoking at the workplace and smoking cessation was assessed in a national sample survey conducted in the Federal Republic of Germany in 1987. METHODS: Four hundred thirty-nine men and women ages 21 to 65, who were actively engaged in the workforce for at least 20 hr per week and were either current or former smokers, were included in the study. RESULTS: Quit ratios were substantially higher among women who worked at worksites designated as smokefree compared with women who were allowed to smoke at their workplace. Among men, there were only minor differences between both types of worksites. After simultaneously controlling for age, marital status, and level of education by multiple logistic regression, the odds ratio of being a current smoker (vs former smoker) was 0.80 (95% confidence interval, 0.44-1.45) for men and 0.22 (95% confidence interval, 0.09-0.50) for women working at places where smoking was prohibited (compared with men and women who were allowed to smoke at the workplace). CONCLUSION: These results suggest that prohibition of smoking at the workplace may help a substantial proportion of smokers, particularly female smokers, to quit. Prohibition of smoking at the workplace might therefore be a particularly cost-effective public health measure.

Adult↗

Comparisons of levels of polychlorinated dibenzo-p-dioxins/dibenzofurans in the surrounding environment and workplace of two municipal solid waste incinerators.

Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in the surrounding environment (outdoor) and workplace air of two municipal solid waste incinerators (MSWIs, T and M) were characterized and compared. T and M represented two typical municipal solid waste incinerators in the north of Taiwan, which have different processes for controlling the PCDD/F emissions. The results of this study are summarized as follows. (1) The total PCDD/F and the total PCDD/F WHO-TEQ concentrations in the workplace air were 5-13 and 5-15 times higher than those in the outdoor air, respectively. Obviously, it is worthwhile to explore more on health risk assessment for exposure of PCDD/Fs emitted from MSWIs, particularly in the workplace air. (2) Mean total PCDD/F I-TEQ concentrations in the outdoor air ranged between 0.0216 and 0.155 pg I-TEQ/Nm(3) and averaged 0.0783 pg I-TEQ/Nm(3) (0.0828 pg WHO-TEQ/Nm(3)) during two seasons for two MSWIs, which were 6.5-fold higher than that of a remote site (0.0119 pg I-TEQ/Nm(3) or 0.0132 pg WHO-TEQ/Nm(3)) in Taiwan. However, the above outdoor air concentration levels in the MSWIs were still much lower than the air quality limitation of PCDD/Fs (0.6 pg I-TEQ/Nm(3)) in Japan []. (3) PCDFs were the primary toxicity distributors for PCDD/Fs in the outdoor air, since the ratios of PCDDs/PCDFs (I-TEQ) at all sampling sites ranged from 0.180 to 0.492 and were less than unity. (4) The OCDD, OCDF, 1,2,3,4,6,7,8-HpCDD and 1,2,3,4,6,7,8-HpCDF were the four dominant species in both workplace and outdoor air near MSWIs. (5) By spraying water on and wetting both the fly and bottom ashes, the mean total PCDD/F I-TEQ concentration in the workplace air was reduced 86.9% in the T MSWI. The above results indicate an appropriate improving action did inhibit the fugitive emission of PCDD/Fs and reduce the health risk of workers during work handling ashes in MSWIs.

Air Pollutants↗

A labor perspective of workplace violence prevention. Identifying research needs.

BACKGROUND: During the past decade, labor unions have contributed to efforts to increase awareness of the importance of workplace violence as an occupational hazard. Research by the National Institute for Occupational Safety and Health and the U.S. Department of Justice have bolstered these efforts. This research revealed that workplace violence is the second leading cause of traumatic-injury death on the job for men, the leading cause of traumatic-injury death on the job for women, and accounts for some 2 million nonfatal injuries each year in the United States. LABOR PERSPECTIVE: Ten years ago, the debate focused on whether workplace violence is an occupational hazard or strictly a police and criminal justice issue. Labor unions have joined with occupational safety and health professionals in recognizing that workplace violence is a serious occupational hazard that is often predictable and preventable. They have advocated that employers establish multidimensional violence-prevention programs. CONCLUSION: Although the nature of workplace violence varies from industry to industry, implementation of the federal Occupational Safety and Health Administration (OSHA) Violence Prevention Guidelines for Health Care and Social Service Workers and for Late-Night Retail Establishments is a high priority to unions in the affected industries. Labor wants employers to invest in protecting workers from violence through voluntary programs and state legislation, and it supports the promulgation of a mandatory federal OSHA standard. To that end, intervention research can play a key role in demonstrating effective, technically and economically feasible prevention strategies

Homicide↗

Impact of sumatriptan on workplace productivity, nonwork activities, and health-related quality of life among hospital employees with migraine.

This prospective, open-label study evaluated the effects of subcutaneous sumatriptan versus usual therapy on workplace productivity, activity time outside of work, and health-related quality of life in 43 men or women who were hospital employees diagnosed with migraine according to international Headache Society criteria. Patients treated migraines with their usual therapy for 12 to 18 weeks followed by subcutaneous sumatriptan for 6 months. Health-related quality of life measurements obtained at baseline, after usual therapy, and after sumatriptan therapy included the Short Form-36 Health Survey and the Migraine-Specific Quality of Life Questionnaire. Patient daily diaries were used to capture data on migraine symptoms and on Lost Workplace Productivity and Non-workplace Activity Time. Traditional clinical efficacy measures were obtained to support the pharmacoeconomic data. Clinical data showed that the percentage of treated migraine days per patient on which the patient experienced relief (moderate or severe pain reduced to mild or none) was 75% with sumatriptan and 25% with usual therapy. The mean time to meaningful relief was 1.1 hours during the sumatriptan phase and 4.2 hours during the usual therapy phase. Lost Workplace Productivity and Nonworkplace Activity Time was 35% lower with sumatriptan therapy (1.5 hours) compared with usual therapy (2.3 hours). Time missed from work due to symptoms, time worked with symptoms, and time normal activities were carried on with symptoms were each lower during sumatriptan therapy compared with usual therapy. Scores on each of the three Migraine-Specific Quality of Life Questionnaire dimensions and on the Role-Emotional dimension of the Short Form-36 were significantly more favorable after sumatriptan than after usual therapy (P < 0.05). These data demonstrate that treatment of migraines with sumatriptan for 6 months following usual therapy for 12 to 18 weeks was associated with improvement in clinical efficacy, reduction in lost workplace productivity and nonworkplace activity time, and enhancement of key dimensions of health-related quality of life among employees of a large university hospital.

Activities of Daily Living↗

Hospital safety climate and its relationship with safe work practices and workplace exposure incidents.

BACKGROUND: In the industrial setting, employee perceptions regarding their organization's commitment to safety (i.e., safety climate) have been shown to be important correlates to both the adoption and maintenance of safe work practices and to workplace injury rates. However, safety climate measures specific to the hospital setting have rarely been evaluated. This study was designed to develop a short and effective tool to measure hospital safety climate with respect to institutional commitment to bloodborne pathogen risk management programs and to assess the relationship between hospital safety climate and (1) employee compliance with safe work practices and (2) incidents of workplace exposure to blood and other body fluids. METHODS: A questionnaire, which included 46 safety climate items, was developed and tested on a sample of 789 hospital-based health care workers at risk for bloodborne pathogen exposure incidents. RESULTS: A 20-item hospital safety climate scale that measures hospitals' commitment to bloodborne pathogen risk management programs was extracted through factor analysis from the 46 safety climate items. This new hospital safety climate scale subfactored into 6 different organizational dimensions: (1) senior management support for safety programs, (2) absence of workplace barriers to safe work practices, (3) cleanliness and orderliness of the work site, (4) minimal conflict and good communication among staff members, (5) frequent safety-related feedback/training by supervisors, and (6) availability of personal protective equipment and engineering controls. Of these, senior management support for safety programs, absence of workplace barriers to safe work practices, and cleanliness/orderliness of the work site were significantly related to compliance (P<.05). In addition, both senior management support for safety programs and frequent safety-related feedback/training were significantly related to workplace exposure incidents (P<.05). Thus the most significant finding in terms of enhancing compliance and reducing exposure incidents was the importance of the perception that senior management was supportive of the bloodborne pathogen safety program. CONCLUSIONS: Hospital safety climate with regards to bloodborne pathogens can be measured by using a short, 20-question scale that measures 6 separate dimensions. Whereas all 6 dimensions are essential elements of overall safety climate, 3 dimensions are significantly correlated with compliance, and 1 dimension (senior management support) is especially significant with regard to both compliance and exposure incidents. This short safety climate scale can be a useful tool for evaluating hospital employees' perceptions regarding their organization's bloodborne pathogens management program. In addition, because this scale measures specific dimensions of the safety climate, it can be used to target problem areas and guide the development of intervention strategies to reduce occupational exposure incidents to blood and other body fluids.

Adult↗

Breast cancer screening education in the workplace.

This study examined the use of breast cancer screening education programs in 102 of the major workplaces in Forsyth County, North Carolina. Characteristics of workplaces that had sponsored such programs within the preceding three years were identified. Eighteen percent of the workplaces surveyed had offered breast cancer screening education programs. Factors that were directly related to having sponsored a program included the size of the workforce, the number of female employees, and the proportion of female employees over 40 years old. Characteristics related to health service activities in the workplace were also predictive. Neither the type of industry nor the insurance status of the workplace was significantly related to having sponsored a program.

Adult↗

Workplace protection factor measurements on powered air-purifying respirators at a secondary lead smelter: results and discussion.

A study was conducted at a secondary lead smelter to evaluate the workplace performance of the 3M W-344 and Racal AH3 powered air-purifying respirators equipped with helmets and high efficiency filters. The research protocol developed for the study has been described in a companion paper. The results of the study indicate that the mean lead concentrations, measured inside the facepiece of both PAPRs, were significantly less than the OSHA lead exposure limit of 50 micrograms/m3. The means of the workplace protection factor measurements on both PAPRs were significantly less than the PAPR selection guide protection factor classification of 1000. Correlation analysis of preshift quantitative fit factors and corresponding workplace protection factors indicated no linear association between these two measures of performance. This finding suggests that for PAPRs equipped with helmets and high efficiency filters quantitative fit factors as presently determined are not indicative of the workplace protection which the respirators provide. Since the PAPR protection factor classification of 1000 was originally based on quantitative fit factors, the lack of a demonstrated association between quantitative fit factors and workplace protection as found in this study may explain why their performance was significantly less than expected.

Air Pollutants, Occupational↗

Inflammatory effects of respirable quartz collected in workplaces versus standard DQ12 quartz: particle surface correlates.

In 1997, the IARC (International Agency for Research on Cancer) reevaluated its quartz classification from a class 2 carcinogen, to that of a class 1, stating sufficient evidence for carcinogenicity in both humans and experimental animals. However, tumor development did not occur across all occupational settings. It is probable that this is due to the considerable differences in toxicity between workplace quartz in comparison to quartz used in experimental studies. We therefore hypothesized that workplace quartz samples differ in toxicity from standard experimental quartz samples at equal mass. To test this hypothesis we compared 2 workplace quartz samples (RH1 and OM) with standard experimental quartz (DQ12) in several assays commonly used in particle toxicology. The sizes of the quartz samples were as closely matched as possible. The endpoints of this study were inflammation in the rat lung following intratracheal instillation (1000 microg or 250 microg for 3 or 14 days), release of soluble iron, cytotoxicity to cells in culture, and surface reactivity as assessed by hemolysis and ESR. The workplace samples did not cause inflammation at any dose or time point. DQ12 quartz caused marked inflammatory responses, as measured by an increased number of neutrophils in the lungs of instilled animals for both time points and doses. Protein in the bronchoalveolar lavage also increased in animals exposed to DQ12 but not the workplace samples. In vitro, DQ12 had the greatest hemolytic activity but only RH1 released substantial amounts of soluble iron. The increased inflammogenicity of DQ12 was not wholly explained by a greater surface area, by diameter, or by releasable iron. The hemolytic activity of DQ12, while not being informative in terms of understanding the mechanism of carcinogenicity, was the best in vitro predictor for in vivo activity. Therefore the surface reactivity of DQ12 appears to drive its inflammogenicity.

Air Pollutants, Occupational↗

The prediction of return to the workplace after Multidisciplinary Pain Center treatment.

The prediction of return to the workplace after Multidisciplinary Pain Center (MPC) treatment has become a major research area. To delineate the variables that predict this outcome, the authors reviewed 164 multidisciplinary variables studies. Of these, 79 addressed work as an outcome variable. Twenty-six studies attempted to identify patient variables predicting return to the workplace. These latter studies were critically inspected for eight methodological criteria: pain location, follow-up time interval, response percentage and follow-up method, return to work subcategorization, vocational movement, univariate vs. multivariate statistics, multi-colinearity and variance, and statistical treatment of dropouts. In addition, other disability studies besides those in the chronic pain area were reviewed for return to the workplace predictor variables. Of these 26 studies, only a few appeared to satisfy the criteria examined. In addition, many studies were in conflict with one another on whether a variable was predictive. The review of the nonchronic pain/disability prediction literature yielded a large number of potential predictors that related to the work area. It is unclear which variables or set of variables predict return to the workplace after MPC treatment. Chronic pain studies may be neglecting the work area as an important source of return to the workplace predictor variables.

Combined Modality Therapy↗

The health-promoting workplace: an integrative perspective.

The workplace is an important setting, affecting the physical, mental, economic and social wellbeing of workers, and, in turn, their families. Health of workers has many determinants, and a multidisciplinary, integrated approach is important. An overview of trends in workplace health promotion shows that current thinking has changed from a narrowly based risk-factors approach aimed at individual behaviour changes, to an integrative approach aimed at creating health-promoting workplaces. The health-promoting workplace has 'an all-encompassing approach that empowers workers and employers to improve all facets of their health'. There are gaps in knowledge, at the state and national levels, relevant to the planning and assessment of workplace health. A national information network is needed to facilitate better links between public health practitioners and researchers in advancing the health of working Australians.

Adult↗

An enforceable indoor air quality standard for environmental tobacco smoke in the workplace.

Environmental tobacco smoke (ETS) has recently been determined by U.S. environmental and occupational health authorities to be a human carcinogen. We develop a model which permits using atmospheric nicotine measurements to estimate nonsmokers' ETS lung cancer risks in individual workplaces for the first time. We estimate that during the 1980s, the U.S. nonsmoking adult population's median nicotine lung exposure (homes and workplaces combined) was 143 micrograms (micrograms) of nicotine daily, and that most-exposed adult nonsmokers inhaled 1430 micrograms/day. These exposure estimates are validated by pharmacokinetic modeling which yields the corresponding steady-state dose of the nicotine metabolite, cotinine. For U.S. adult nonsmokers of working age, we estimate median cotinine values of about 1.0 nanogram per milliliter (ng/ml) in plasma, and 6.2 ng/ml in urine; for most-exposed nonsmokers, we estimate cotinine concentrations of about 10 ng/ml in plasma and 62 ng/ml in urine. These values are consistent to within 15% of the cotinine values observed in contemporaneous clinical epidemiological studies. Corresponding median risk from ETS exposure in U.S. nonsmokers during the 1980s is estimated at about two lung cancer deaths (LCDs) per 1000 at risk, and for most-exposed nonsmokers, about two LCDs per 100. Risks abroad appear similar. Modeling of the lung cancer mortality risk from passive smoking suggests that de minimis [i.e., "acceptable" (10(-6))], risk occurs at an 8-hr time-weighted-average exposure concentration of 7.5 nanograms of ETS nicotine per cubic meter of workplace air for a working lifetime of 40 years. This model is based upon a linear exposure-response relationship validated by physical, clinical, and epidemiological data. From available data, it appears that workplaces without effective smoking policies considerably exceed this de minimis risk standard. For a substantial fraction of the 59 million nonsmoking workers in the U.S., current workplace exposure to ETS also appears to pose risks exceeding the de manifestis risk level above which carcinogens are strictly regulated by the federal government.

Adult↗

The influence of self-efficacy and outcome expectations on the relationship between perceived environment and physical activity in the workplace.

BACKGROUND: Recent research and commentary contends that ecological approaches may be particularly useful for understanding and promoting physical activity participation in various settings including the workplace. Yet within the physical activity domain there is a lack of understanding of how ecological environment factors influence behaviour. Thus, the purpose of this study was to examine the relationships between perceived environment, social-cognitive variables, and physical activity behaviour. METHODS: Participants (N = 897) were employees from three large worksites who completed self-report inventories containing measures of self-efficacy, outcome expectations, perceptions of the workplace environment (PWES), and physical activity behaviour during both leisure-time and incorporated throughout the workday. RESULTS: Results of both bivariate and multiple regression analyses indicated the global PWES scores had a limited association with leisure-time physical activity (R2adj =.01). Sequential regression analyses supported a weak association between physical activity incorporated in the workplace and PWES (R2adj =.04) and the partial mediation of self-efficacy on the relationship between PWES and workplace physical activity (variance accounted for reduced to R2adj =.02 when self-efficacy was controlled). CONCLUSION: Overall, the results of the present investigation indicate that self-efficacy acted as a partial mediator of the relationship between perceived environment and workplace physical activity participation. Implications of the findings for physical activity promotion using ecological-based approaches, and future directions for research from this perspective in worksite settings are discussed.

Journal Article↗

The influence of workplace environment on lung function of flour mill workers in Jalgaon urban center.

The workplace environment affects the health of workers. Unhygienic conditions are observed in the workplace environment of flour mills as fine organic flour dust gets airborne in the indoor environment of the flour mills. The present work was undertaken to study the health problems related to the workplace environment of flour mill workers. The results show that flour mill workers are receiving a heavy dose (average exposure concentration, 624 microg/m3) of flour dust. To determine the impact of flour dust on the lung function of the workers spirometric analysis was conducted. Significant declines in forced vital capacity (FVC), peak expiratory flow rate (PEFR) and forced expiratory volume in one second (FEV1) were observed in the flour mill workers as compared to expected values. This study reveals reduced lung efficiency of flour mill workers due to excessive exposure to fine organic dust prevalent in the workplace environment. The impairment in lung efficiency was increased with duration of exposure in the flour mill workers. The analysis of questionnaires used to generate information on self-reported problems reveals that most of the workers were suffering from asthma and respiratory problems. Furthermore, the data shows that 42% of the flour mill workers were having shortness of breath problems, 34% of workers were having frequent coughing, and 19% workers were having respiratory tract irritation. We recommend the compulsory use of personal protective equipment (nose mask) by flour mill workers during working hours. This would help to protect the workers health from the flour dust prevalent in the workplace environment. A regular periodic examination is necessary to measure the impact of particulate matter on the health of the flour mill workers.

Adult↗

Relationship between exposure and environmental concentrations in organic solvent workplaces.

The correlation between the exposure concentration (ExpC) of workers and the environmental concentration (EnvC) in their workplaces were examined in 143 printing, painting, gluing, degreasing and other solvent workplaces manned by 535 workers of both sexes. ExpC was measured with carbon felt dosimeters, and EnvC was with grab sampling of air into poly-tetrafluoroethylene bags; both were followed by GC analyses. When ExpC and EnvC were compared on both group and individual basis, the correlation was found to be positive but rather weak, and individual difference in ExpC within the workers of the same workplace was not negligible. Workplaces were classified after regulatory practice into three categories, and attempts were made to find out the conditions so that none among the 174 workers in the 43 Category 1 (i.e., "clean" from regulatory view point) workplaces would be exposed to solvent vapors over the current occupational exposure limit (OEL). Accordingly, it was found that the requirement will be met in case half the OEL is taken as the E value (the EnvC limit set by the regulation). Thus, the same conclusion was reached through the analyses of two separate batches of experiences, i.e., one in the present study and the other in the previous report (Ikeda and Ohtsuki 1985).

Environmental Exposure↗

The impact of smoke-free workplaces on declining cigarette consumption in Australia and the United States.

OBJECTIVES: This study estimates the contribution of smoke-free workplaces to the recent national declines in cigarette consumption in Australia and the United States. METHODS: Nineteen studies of the impact of smoke-free workplaces on workday cigarette consumption were reviewed. The number and cost of cigarettes forgone were calculated and extrapolated to a scenario in which all indoor work areas were smoke-free. RESULTS: Of the 19 studies, 18 reported declines in daily smoking rates, and 17 reported declines in smoking prevalence. Smoke-free workplaces are currently responsible for an annual reduction of some 602 million cigarettes, or 1.8% of all cigarettes that might otherwise be consumed, in Australia, and an annual reduction of 9.7 billion cigarettes (2%) in the United States. Approximately 22.3% of the 2.7 billion decrease in cigarette consumption in Australia between 1988 and 1995 can be attributed to smoke-free workplaces, as can 12.7% of the 76.5 billion decrease in the United States between 1988 and 1994. CONCLUSIONS: If workplaces were universally smoke-free, the number of cigarettes forgone annually would increase to 1.14 billion (3.4%) in Australia and 20.9 billion (4.1%) in the United States.

Australia↗

Preparing health educators for the workplace: a university-health insurance company alliance.

The workplace is a relatively recent and an increasingly recognized setting for health education. In this article, philosophical and economic reasons for this movement of health education in the workplace are cited. Currently the workplace is one of the fastest growing markets for health education. In most institutions, preparing health educators for the workplace has not been adequately addressed. Consequently, an experimental course entitled "Health Promotion and Educational Strategies for the Workplace" was developed and taught at The Ohio State University in the summer of 1981. Besides an extensive reading list and lively class discussions, the course was team-taught primarily by a health education faculty member and a health insurance program manager/health educator.

Health Education↗

[Validity of urinary glucose test for diabetes screening in workplace regular medical checkups].

It has been acknowledged that urinary glucose level varies depending on the time after meal which may hence affect validity of urinary glucose test as a screening test for diabetes. However, sample collection time has not been standardized for urinary glucose test in workplace regular medical checkups. In this study, we investigated the effect of timing of urine sampling on results of urinary glucose screening tests, and using data obtained from the 75 g oral glucose tolerance tests (OGTT) evaluated the validity of urinary glucose test in workplace medical checkups. Also, we made a survey among industrial physicians about the timing of sample collection. Between 1991 and 1996, 455 males and 116 females who participated in a 2-day health examination including the OGTT in a hospital in Chiba were used as study subjects. These did not include an additional 22 subjects who had already been diagnosed as having diabetes but received the OGTT. The examinees observed a strict fast after supper the previous evening and urine and blood samples were collected before and 2 hours after glucose intake for the OGTT. Diagnosis of diabetes was made following the criteria of WHO (1985) and screening test results were defined positive when urinary glucose level was equal to or more than 40 mg/dl. Sensitivity and specificity were calculated for diabetes and impaired glucose tolerance separately for male and female. Industrial physicians who participated in a lecture course for qualification were surveyed about the timing of urine sample collection for urinary glucose test in workplace regular medical checkups. For the urine samples collected 2 hours after glucose intake, sensitivity was very high (male 84%, female 100%), in addition to a relatively high specificity (male 71%, female 92%). However the samples collected before glucose intake showed extremely poor sensitivity (male 11%, female 0%). Similar results were obtained when screening was made for impaired glucose tolerance and both diabetes and impaired glucose tolerance combined. The survey among the industrial physician revealed that in the majority (58%) of workplace medical checkups, the urine sample had been collected when examinees were fasting. The largest reason for this was that the urinary glucose test was performed together with upper gastro-intestinal examination or measurement of serum triglyceride both of which require fasting of examinees. The results of the present study showed that urinary glucose tests have been frequently performed at a timing that produces low validity. The procedures of workplace regular medical checkups should be evaluated with the concept of Evidence Based Medicine. The standard of the timing of urine sample collection for urinary glucose test should be carefully examined.

Adult↗

Workplace assessments and functional capacity evaluations: current practices of therapists in Australia.

UNLABELLED: The literature has focused predominantly on functional capacity evaluations and related clinic-based assessments, however, there is little that examines workplace-based assessment approaches. In Australia, rehabilitation of injured workers occurs in the workplace wherever possible, and it is expected that workplace-based services will increase elsewhere in the future. There is a lack of knowledge, however, of therapists' current practices regarding workplace- and clinic-based work-related assessments. OBJECTIVES: The purpose of this study was to understand the current practice of therapists in Australia who are directly involved in conducting work-related assessments. STUDY DESIGN: A naturalistic inquiry approach was utilised for this study. In-depth semi-structured interviews were conducted with 26 occupational therapists and physiotherapists representing a spread of geographical locations, organisations, and experience. FINDINGS: Participants described three major types of work-related assessments - workplace assessments, functional capacity evaluations (job) and functional capacity evaluations (no job). The types, purposes, and characteristics of work-related assessments were described and influences and constraints identified. Participants described using processes, data sources, methods of data collection and analysis consistent with qualitative methods, although some quantitative methods were also employed. CONCLUSION: The findings suggest that the further a work-related assessment moves away from the actual work environment and requirements of a specific job, the greater its level of standardisation and generalisability. Conversely, when work-related assessments occur in the actual work environment, qualitative processes are used, and results are specific and non-generalisable.

Accidents, Occupational↗