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Demography or respect?: work group demography versus organizational dynamics as determinants of meaning and satisfaction at work.

This article tests two competing models of meaning and satisfaction at work. First, meaning and satisfaction at work can be influenced by the demographic composition of work groups, especially their racial and gender compositions. Second, meaning and satisfaction can be influenced by management behaviour, especially by leadership in maintaining a productive environment and by respect for workers' rights. We evaluate these determinants, along with more traditional determinants that focus on socio-technical characteristics, using a unique data set derived from content analysing the reports provided by book-length organizational ethnographies (N = 108). Work group composition is found to have only a minor and selective influence on meaning at work. In contrast, management leadership and respect for workers' rights are found to have much stronger and more widespread effects. The well established role of socio-technical factors such as job autonomy as foundations for meaning and satisfaction in work is also replicated in the analysis. When contrasted with both work group demography and traditional job and organizational characteristics, a well run organization is found to be the single most important underpinning for a meaningful and satisfying work life. In the concluding section we develop the implication of these findings for organizational analysis.

Demography↗

Word length and phonological similarity effects in simple, complex, and delayed serial recall tasks: implications for working memory.

Some current models of working memory argue that a passive short-term store is not involved in more dynamic working memory tasks. Other models argue that standard short-term memory and working memory tasks rely on common storage facilities. We examine these issues by exploring two signature effects of passive short-term storage in simple span, complex span, and Brown-Peterson tasks. The finding that all three tasks show word length and phonological similarity effects suggests that common processes or storage mechanisms are involved in all tasks. The implications for models of working memory are discussed.

Humans↗

Does it matter whether ambulatory blood pressure is recorded during a work day or a non-work day?

OBJECTIVE: To compare ambulatory blood pressure recorded during a work day with that recorded during a non-work day. DESIGN: A cross-over randomized study in middle-aged treated hypertensives and normotensives. SETTING: Primary health care. SUBJECTS: Forty treated hypertensives (20 men) and 40 normotensives (20 men). MAIN OUTCOME MEASURE: Individual difference between ambulatory blood pressures recorded during a work day and during a non-work day. RESULTS: The systolic/diastolic blood pressure of the hypertensives was 2/3 (7/5) [mean (SD)] mmHg higher and that of the normotensives 3/3 (5/4) mmHg higher during the work day 24 h monitoring. The blood pressure of the normotensives showed a statistically significant difference between the two monitoring periods both for systolic and for diastolic blood pressure during 24 h and daytime. The corresponding comparison in the hypertensives showed a significant difference only for diastolic blood pressure. During night-time there was no statistically significant difference between the two monitoring periods, neither in the hypertensives nor in the normotensives. Individual comparisons revealed large variations between the two monitoring periods in many subjects. Among the hypertensives the percentage of subjects with a systolic blood pressure difference > 10 mmHg (higher or lower during their work day monitoring period) was 20% during 24 h, 32.5% during daytime and 15% during night-time. The corresponding values for a diastolic blood pressure difference > 5 mmHg were 40% during 24 h, 32.5% during daytime and 40% during night-time. Among the normotensives the corresponding values for systolic/diastolic blood pressure differences between the two monitoring periods were 5/27.5% during 24 h, 5/27.5% during daytime and 2.5/27.5% during night-time. CONCLUSION: Ambulatory blood pressure recorded during a work day might differ from that recorded during a non-work day. It is important to be aware of this fact when evaluating individual blood pressure graphs, although the importance of this for the development of organ damage is not known. To perform more than a single 24 h blood pressure monitoring can be of value to obtain a better idea of the blood pressure variability of a patient.

Adult↗

The relationship of low-back pain, work history, work environment, and stress. A retrospective cross-sectional study of 38- to 64-year-old women.

The association between low-back pain (LBP) and different work factors was investigated in a retrospective cross-sectional study of a random sample of 1,760 38- to 64-year-old women. The life-time incidence of LBP was 66% and the prevalence was 35%. In a univariate analysis, eight work variables correlated to LBP viz. more forward bending, more lifting, more standing, more monotonous work, dissatisfaction with the work tasks, dissatisfaction with the work environment, a higher degree of worry, and fatigue at the end of the work day. In a covariate analysis, however, only the three psychological variables remained directly associated to LBP viz. dissatisfaction with the work environment, a higher degree of worry, and fatigue at the end of the work day.

Adult↗

Work-related upper-extremity disorders and work disability: clinical and psychosocial presentation.

Work-related upper-extremity disorders (WRUEDs) are an increasingly common cause of work-related symptoms and disability. Although most upper-extremity disorders are acute and self-limited, a small percentage of workers with symptoms go on to permanent disability and account for the majority of costs associated with these conditions. Little is known, however, about this progression from symptoms to disability and how it might be prevented. In this study, we evaluate the demographic, vocational, medical, and psychosocial characteristics of patients with WRUEDs and examine several hypotheses regarding the differences between working and work-disabled patients. One hundred twenty-four consecutive patients were evaluated in a clinic specializing in occupational upper-extremity disorders. Patients currently working (n = 55) and work-disabled patients (n = 59) were similar with regard to age, gender, and reported job demands. The work-disabled group reported less time on the job, more surgeries, a higher frequency of acute antecedent trauma, and more commonly had "indeterminate" musculoskeletal diagnoses. They also reported higher pain levels, more anger with their employer, and a greater psychological response or reactivity to pain. These findings, though cross-sectional in nature, suggest that, in addition to medical management, more aggressive approaches to pain control, prevention of unnecessary surgery, directed efforts to improve patients' abilities to manage residual pain and distress, and attention to employer-employee conflicts may be important in preventing the development of prolonged work disability in this population.

Adult↗

Predictors of work disability in work-related upper-extremity disorders.

The aim of this study was to compare symptoms, signs, grip strength, passive wrist flexion angle, and self-rated disability in work-related upper extremity disorders (WRUEDs) to determine predictors of work disability in 106 consecutive patients. Age, gender, and duration of symptoms were unrelated to current work status. The best predictors of current work hours were, in descending order, the Fibromyalgia Impact Questionnaire (FIQ), Modified Stanford Health Assessment Questionnaire (SHAQ), weeks of work absence, passive wrist flexion angle of the affected arm, neck pain or stiffness on movement, and grip in affected arm. FIQ and SHAQ scores were significantly correlated with objective measures of upper-extremity function. FIQ and SHAQ scores are valid measures of work disability in WRUEDs, which are more closely related to current work hours than to time off work, symptoms, or physical signs.

Adult↗

Returning to work following cancer: a qualitative exploratory study into the experience of returning to work following cancer.

The experience of returning to work following cancer is a largely unknown area of cancer research. This preliminary study aimed to explore the factors that influence decisions about return to work either during or after cancer treatment and to identify the important aspects of returning to work. Qualitative data were collected using individual interviews (n = 19) and two focus groups (n = 4, n = 6), predominantly with breast cancer survivors. Patterns of returning to work were diverse and a variety of reasons influenced work decisions, including financial concerns and regaining normality. Participants also discussed their ability to work, health professionals' advice, side effects, support and adjustments, and attitudes towards work. Although the majority adapted well, a few encountered difficulties on their return. It is evident that more advice is required from health professionals about returning to work, along with reasonable support and adjustments from employers to ensure that cancer survivors are able to successfully reintegrate back into the workforce.

Adaptation, Psychological↗

Working conditions, psychosocial resources and work stress in nurses and physicians in chief managers' positions.

The study investigated whether psychosocial work conditions, professional network, job support, social network and support, sick leave and salary were associated with work stress in nurses in chief manager' positions above ward level and physicians in clinical director positions. A sample consisting of 205 nurses and 274 physicians in chief managers' positions at higher structural level answered a questionnaire. Odds ratios were used for estimating the bivariate association between work stress and psychosocial resources. The result showed that both nurse managers (OR 6.8; 95% CI: 3.5-13.5) and clinical directors (OR 6.7; 95% CI: 3.6-12.5) exposed to high job demands had a significantly higher probability of high level of work stress. The results also indicated that the available psychosocial resources taken together inside and outside work did not balance the experienced work stress in nurse managers and the clinical directors who were exposed to high work demands. No relation was found between work stress and sick leave and salary.

Absenteeism↗

Employment, work disability, and work days lost in patients with ankylosing spondylitis: a cross sectional study of Dutch patients.

OBJECTIVE: To evaluate employment status, work disability, and work days lost in patients with ankylosing spondylitis (AS). METHODS: A questionnaire was sent to 709 patients with AS aged 16-60. The results of 658 of the patients could be analysed. RESULTS: After adjustment for age, labour force participation was decreased by 15.4% in male patients and 5.2% in female patients compared with the general Dutch population. Work disability (all causes) was 15.7% and 16.9% higher than expected in the general population for male and female patients respectively. In particular, the proportion of those with a partial work disability pension was increased. Patients with a paid job lost 5.0% of work days as the result of having AS, accounting for a mean of 10.1 days of sick leave due to AS per patient per year in addition to the national average of 12.3 unspecified days of sick leave. CONCLUSION: This study on work status in AS provides data adjusted for age and sex, and the differences from the reference population were significant. The impact of AS on employment and work disability is considerable. Work status in patients with AS needs more attention as an outcome measure in future research.

Absenteeism↗

Understanding work related musculoskeletal pain: does repetitive work cause stress symptoms?

BACKGROUND: Pain in the neck and upper extremity is reported with high frequency in repetitive work. Mechanical overload of soft tissues seems a plausible mechanism, but psychological factors have received considerable attention during the past decade. If psychological factors are important for development of regional pain in repetitive work, stress symptoms would likely be on the causal path. AIMS: To examine whether objective measures of repetitive monotonous work are related to occurrence and development of stress symptoms. METHODS: In 1994-95, 2033 unskilled workers with continuous repetitive work and 813 workers with varied work were enrolled. Measures of repetitiveness and force requirements were quantified using video observations to obtain individual exposure estimates. Stress symptoms were recorded at baseline and after approximately one, two, and three years by the Setterlind Stress Profile Inventory. RESULTS: Repetitive work, task cycle time, and quantified measures of repetitive upper extremity movements including force requirements were not related to occurrence of stress symptoms at baseline or development of stress symptoms during three years of follow up. CONCLUSIONS: The findings do not indicate that repetitive work is associated with stress symptoms, but small effects cannot be ruled out. Thus the results question the importance of mental stress mechanisms in the causation of regional pain related to repetitive work. However, the findings should be interpreted with caution because the stress inventory has not been validated against a gold standard.

Adult↗

Health problems and psychosocial work environment as predictors of long term sickness absence in employees who visited the occupational physician and/or general practitioner in relation to work: a prospective study.

AIMS: To determine whether psychosocial work environment and indicators of health problems are prospectively related to incident long term sickness absence in employees who visited the occupational physician (OP) and/or general practitioner (GP) in relation to work. METHODS: The baseline measurement (May 1998) of the Maastricht Cohort Study, a prospective cohort study among 45 companies and organisations, was used to select employees at work who indicated having visited the OP and/or GP in relation to work. Self report questionnaires were used to measure indicators of health problems (presence of at least one long term disease, likeliness of having a mental illness, fatigue) and psychosocial work environment (job demands, decision latitude, social support, job satisfaction) as predictors of subsequent sickness absence. Sickness absence data regarding total numbers of sickness absence days were obtained from the companies and occupational health services during an 18 month period (between 1 July 1998 and 31 December 1999). Complete data were available from 1271 employees. RESULTS: After adjustment for demographics and the other predictors, presence of at least one long term disease (OR 2.36; 95% CI 1.29 to 4.29) and lower level of decision latitude (OR 1.69; 95% CI 1.22 to 2.38) were the strongest predictors for sickness absence of at least one month. A higher likelihood of having a mental illness, a higher level of fatigue, a lower level of social support at work, and low job satisfaction were also significant predictors for long term sickness absence, but their effect was less strong. CONCLUSION: In detecting employees at work but at risk for long term sickness absence, OPs and GPs should take into account not only influence of the psychosocial work environment in general and level of decision latitude in particular, but also influence of indicators of health problems, especially in the form of long term diseases.

Adult↗

Return to work after a myocardial infarction: the influence of background factors, work characteristics and illness severity.

The relationship between return to work (RTW) within 6 months after a myocardial infarction (MI) and selected demographic factors, characteristics of prior work situation, pre-MI health status, and clinical severity of the MI has been studied in 249 patients below 67 years of age living in urban and rural areas of Western Norway. At the follow-up 8 out of 10 urban patients and 6 out of 10 rural patients were back at work. The RTW rate for the total sample was 73%. Age below 51 years, high educational and income level, working in tertiary industries, and in a job characterized by low physical activity and little psychosocial stress were all factors associated with a favourable work resumption. Multivariate analyses showed that socioeconomic or work-related factors could not fully explain the urban-rural differences in RTW. Stepwise discriminant analysis identified the following factors as important and independent predictors for RTW: Place of residence, age, education, perceived job stress, and clinical complications during hospitalization. Failure to return to work after a MI can be explained by a number of individual and social factors and only to a limited degree by the medical status of the patient. More knowledge is needed concerning the socio-cultural differences among both patients and attending physicians in attitudes towards work resumption after a MI.

Aged↗

Health status of working and non-working school children in Ibadan, Nigeria.

Child labour continues to pose a challenge to national and international agencies. This study compares the health status of working and non-working school children in Ibadan, Nigeria. Altogether, 223 working and 230 non-working children were interviewed. Their ages ranged between 8 and 15 years. Fifty-nine (13%) reported fever, 36 (8%) visual problems, 28 (6%) skin lesions, 17 (4%) muscular and joint pains and 5 (1%) diarrhoea. Schistosoma ova were observed in 25 (6%) children. There was no difference in the occurrence of diseases between working and non-working children. Twenty-seven per cent of the children were underweight and 30% were stunted. Malnutrition was more prevalent among working children as 74 (33%) were underweight (p =0.001) and 76 (34%) were stunted. Public enlightenment about the effect of child labour might discourage parents from engaging their school-age children in work. Governments should address the socio-economic factors that promote child labour.

Adolescent↗

Work organization, job stress, and work-related musculoskeletal disorders.

Recent studies indicate potential links among work organization, job stress, and work-related musculoskeletal disorders (WRMDs). In this paper we propose several pathways for a theoretical relationship between job stress and WRMDs. These pathways highlight the physiological, psychological, and behavioral reactions to stress that can affect WRMDs directly and indirectly. One model stipulates that psychosocial work factors (e.g., work pressure, lack of control), which can cause stress, might also influence or be related to ergonomic factors such as force, repetition, and posture that have been identified as risk factors for WRMDs. In order to fully understand the etiology of WRMDs, it is important to examine both physical ergonomic and psychosocial work factors simultaneously. Smith and Carayon-Sainfort (1989) have proposed a model of the work system for stress management that provides a useful framework for conceptualizing the work-related factors that contribute to WRMDs. Practical applications of this research include practitioners taking into account psychosocial work factors and job stress in their efforts to reduce and control WRMDs.

Arm↗

[Theoretical review of the work process in health care used to analyze work in the Family Health Program in Brazil].

This literature review focused on the work process in health care, particularly issues linked to the Family Health Program. Since 1994, the Program has rapidly expanded health coverage for the Brazilian population, and as a result the Program's work force has also increased. The Program thus requires attention, allocation of responsibilities, and contributions of various types by stakeholders and institutions. The work occurs in the services sector, within a neoliberal scenario. Work in health care shares some characteristics with other occupations in the services sector, such as bureaucratization, the influence of capitalist division of labor, and difficulties in teamwork, in addition to little regard for the subjectivity of health system clients and workers. The study particularly focuses on work conditions of family health teams in Brazil, including strategies for revitalizing health care work and coping with alienating conditions in the work process. Finally, the study reiterates the dialectic condition of the work process in health care under the Family Health Program, with its possibilities for success, conceived and functioning in the midst of contradictions and difficulties.

Brazil↗

The future of work environment reforms: does the concept of work environment apply within the new economy?

"Work environment," as a conceptual framework for reforming working life, may not be readily transferable from the tangible conditions of the industrial context in which it was conceived to the more flexible conditions of modern labor. Since the flexible conditions of work generally presuppose an increased responsibility and some sort of personal commitment on the part of the worker, isolating the environmental conditions from the personal abilities of the worker is becoming more difficult. As a consequence, only to a limited extent can the problems of modern labor be interpreted as work environment issues and subjected to work environment measures. With the propagation of flexible working conditions, work environment institutions and their reform ambitions will be passed by. And work environment reforms, rather than being a practical task of coordinating different protective measures at workplaces, will be reduced to an argument within the ideologically motivated rejection of an increasingly polarized labor market.

Economics↗

[Study on the working noise in BYPC and the effects caused by working noise on the workers' vestibular and auditory function].

OBJECTIVE: In order to observe the kinds and intensity of the working noise of Yansan Petrochemical Co. and the effects caused by the working noise on the workers' vestibular and auditory function. METHOD: The intensity and frequency of the working noise were recorded by exactolnoisemeter in the workshop. One hundred and seventeen workers were tested in routine pure-tone tested method. The SPVN and ABR were tested within fifty-one workers of all. RESULT: The working noise of Yansan Petrochemical Co. belongs to the broad band and steady noise. The intensity of the working noise were during 85.7-104.0 dB(A) and the main frequency were during 1-8 kHz. About 59 percent workers who exposed to the working noise had hearing loss. The most hearing-loss were in the high frequency. The hearing-loss of speech frequency were slight. Workers who have more six years standing have obviously increased hearing-loss than the workers who have less five years standing. There were significant differences the ABR thresholds and wave-interval between the tested and controlled groups. The SPVN and CP were abnormal in more than 17.4 percent workers with hearing loss. CONCLUSION: The working noise of Yansan Petrochemical Co. belongs to the broad band and steady noise. Working noise can lead to workers' hearing loss of certain degrees who exposed in the noise for a long time. Obvious correlation was not defined between the hearing-loss and the abnormal vestibular response group.

Adult↗

Nurses' inclination to report work-related injuries: organizational, work-group, and individual factors associated with reporting.

Work-related injuries such as back strain are common among health care workers. Work-related injury data are a primary data source with which managers can assess workplace safety, yet many work-related injuries go unreported. This study examined organizational, work-group, and individual factors, and nurses' inclination to report a work-related injury. Using a cross-sectional mailed survey, a probability sample of currently employed nurses (N = 1,163) indicated their inclination to report a workplace injury. Inclination to report injuries was higher in organizations with onsite health programs and when health and safety committees included non-management nurses and occupational health representatives. Reporting was reduced when nurses felt a lack of concern for staff welfare from supervisors and a climate of blame for worker injuries were present. Nurses were also less inclined to report work-related injuries when working in jobs with non-standard work arrangements. Improvements in the reporting climate may influence the completeness and, thus, the value of injury data for identifying hazards in the workplace. These data could provide valuable information for targeting preventive initiatives.

Accidents, Occupational↗