Frontiers in Occupational Health and Safety Management.

This Special Issue of the International Journal of Environmental Research and Public Health is devoted to the "Frontiers in Occupational Health and Safety Management" [...].

Occupational Safety and Health Staging Framework for Decent Work.

The 2030 United Nations Goal 8 for sustainable development focuses on decent work. There is utility in identifying the occupational safety and health aspects of Goal 8, as they pertain to the four pillars of decent work: job creation, social protection, rights of workers, and social dialogue. A workgroup of the International Commission on Occupational Health and collaborators addressed the issue of decent work and occupational safety and health (OSH) with the objective of elaborating a framework for guidance for practitioners, researchers, employers, workers, and authorities. This article presents that framework, which is based on an examination of the literature and the perspectives of the workgroup. The framework encompasses the intersection of the pillars of decent (employment creation, social protection, rights of workers, and social dialogue) work with new and emerging hazards and risks related to various selected determinants: new technologies and new forms of work; demographics (aging and gender); globalization; informal work; migration; pandemics; and OSH policies and climate change. The OSH field will need an expanded focus to address the future of decent work. This focus should incorporate the needs of workers and workforces in terms of their well-being. The framework identifies a starting point for the OSH community to begin to promote decent work.

The Portuguese Third Version of the Copenhagen Psychosocial Questionnaire: Preliminary Validation Studies of the Middle Version among Municipal and Healthcare Workers.

A third version of the Copenhagen Psychosocial Questionnaire (COPSOQ III) was developed internationally aiming to respond to new trends in working conditions, theoretical concepts, and international experience. This article aims to present the preliminary validation studies for the Portuguese middle version of COPSOQ III. This is an exploratory cross-sectional study viewing the cross-cultural adaption of COPSOQ III to Portugal, ensuring the contents and face validity and performing field-testing in order to reduce the number of items and to obtain insight into the data structure, through classic test theory and item response theory approaches. The qualitative study encompassed 29 participants and the quantitative one 659 participants from municipalities and healthcare settings. Content analysis suggested that minor re-wording could improve the face validity of items, while a reduced version, with 85 items, shows psychometric stability, achieving good internal consistency in all subscales. The COPSOQ III Portuguese middle version proved to be a valid preliminary version for future validation studies with various populations, able to be used in correlational studies with other dimensions.

Aging and the Future of Decent Work.

The United Nations identified decent work and economic growth as a sustainable development goal for 2030. Decent work is a term that sums up aspirations for people in their working lives. One of the factors that influences the achievement of decent work is aging. This article examines how aspects of aging and organizational factors affect work ability across the lifespan and throughout one's work career. Additionally, the critical issue of worker physical mobility was also addressed as a practical limitation to functional aging. Through our investigation, we identified gaps in the literature where research and interventions should be promoted. These include early disability studies; population dashboards of workers' health metrics; intervention and cost effectiveness in health promotion and prevention of early functional aging at work; policies for tailoring demands to individual needs and abilities; and inequities of social protection for aging workers.

Measuring psychosocial factors and predicting work ability among cemetery workers.

BACKGROUND: The work of cemetery workers presents high physical demands and significant psychosocial stressors, but there are no studies about the influence of these risk factors on their work ability. OBJECTIVES: The present study aims to analyse how socio-demographic and psychosocial factors are related to work ability among cemetery workers. METHODS: A cross-sectional survey was applied at seven cemeteries of Lisbon, between November and December of 2015. The response rate was 88.9% (n = 168). The survey involved socio-demographic data, the Work Ability Index, and COPSOQII. Multiple linear regression analysis, using the backward elimination stepwise method, was done to identify the significant predictors of work ability. RESULTS: Results indicated a high prevalence of unsatisfactory WAI scores (39.5%), which, together with a mean age of 51 years showed these participants may have a high probability of being declared unfit for their current jobs. The main predictors of work ability were: general health, burnout, temporary work impairment, job satisfaction, age, and quality of leadership. CONCLUSIONS: The study highlights the relationship between age, health perception, work impairment, psychosocial variables, and work ability. This knowledge is crucial for the organization of occupational health programmes fitting the needs of cemetery workers and aiming at retaining these workers until the legal retirement age.

Monitoring Work Ability Index During a Two-Year Period Among Portuguese Municipality Workers.

In Portugal, little is known about the work ability profiles of municipal workers and their changes during working life. In order to characterize and understand the changes in work ability among municipal workers, a prospective study was designed to begin in 2015 in the municipality of Sintra, in the surroundings of Lisbon, and to collect data every two years. The present paper aims at characterizing the changes in the work ability of those workers between 2015 and 2017 and to identify the main predictors. Data collection was based on a questionnaire that encompassed socio-demographic data, the Copenhagen Psychosocial Questionnaire II (COPSOQ II), the Nordic questionnaire adapted, and the Work Ability Index (WAI). In this two-year period, the work ability of municipal workers decreased and the main predictive factors were age, lower-back pain, negative health perception, the presence of burnout, and making manual efforts. Still, there were factors that act as positive predictors of an excellent work ability, such as having training in the previous two years, a good sense of community at work, and a favorable meaning of work. In summary, the intervention strategies in the work field should take into consideration the main predictors of work ability that are relevant for each organization.

Psychometric properties of a medium version of the Copenhagen Psychosocial Questionnaire (COPSOQ II) for southern Brazil.

BACKGROUND: The emerging frequency of Behavioural Mental Health Disorders among Brazilian workers and the recent legal demand for analysis of psychosocial risks in the workplace highlight the importance of standardizing measures to assess these risks as a way to allow identification and proper comparison among different populations. OBJECTIVE: To assess the psychometric properties of the COPSOQ II questionnaire medium version for southern Brazil, based on the Spanish medium-length version of COPSOQ-ISTAS21 II. METHODS: A sample of 426 workers from a university in southern Brazil answered the model under study online. Content validity and internal consistency were analyzed through Confirmatory Factor Analysis (AFC) and Exploratory Factor Analysis (AFE) and Cronbach's α coefficient. RESULTS: The study model presented a response rate of 48.46%. The analyses indicated the possibility of the instrument to present reliability and validity of content. From the AFE, the final model consisted of 13 dimensions and 70 items, and presented a Cronbach's alpha of 0.82, which is considered a good internal consistency. CONCLUSIONS: The results showed that the final model of this study presents acceptable levels of reliability and internal validity for the application in Brazil, along with the groups of workers that resemble the participants of the research, to assess psychosocial risks in the workplace.

Determinants of sleepiness at work among railway control workers.

In the last two decades the control of the Portuguese railway network has become much more centralized in three centres, there integrating the functions of route flow management, electrical control and signalling. This study aimed to investigate the influence of work and individual determinants in sleepiness among railway control workers, namely socio-demographic factors, work ability, psychosocial factors, shiftwork characteristics, fatigue perception, and sleep. Sleepiness by shift was associated with quality of sleep, job satisfaction, fatigue perception, quantitative demands, and age. The results indicate a high prevalence of sleepiness during the night shift and show the relevance of the quality of sleep as a predictor in the three models of sleepiness for morning, afternoon and night shifts. This study, done at the major Portuguese railway control centre, alerted managers to the importance of schedule planning as well as sleepiness prevention plans and makes these results a reference for future research.

Nurses' working tasks and MSDs back symptoms: results from a national survey.

Healthcare workers, namely registered nurses (RN), are frequently exposed to work-related musculoskeletal disorders (WRMSDs) risk factors. Identifying the symptoms of these disorders is one of the first epidemiological steps to managing them. This study aims to identify WRMSDs prevalence symptoms in Portuguese RN. During 8 months (2010-2011) the National Public Health School and the Portuguese Registered Nurses Board made a call to all RN to answer an online WRMSDs questionnaire. Respondents (n=2140) are mostly females (77.4%) and work mainly in hospitals (n=1396) and in primary healthcare centers (n=421). Results show high symptoms prevalence (last 12 months) in the lower back (60.6%), the upper back (44.5%), and the neck (48.6%). Nurses' activity, especially patient hygiene in bed, is a strong contributor (p>0.05) to pain in the upper back (OR=1.39 [1.09-1.80]) and lower back (OR=1.4 [1.08-1.84]). Patient holdup without mechanical support has the highest relationship (p>0.05) between work tasks and symptoms in the last 12 months in the upper back (OR=1.50 [1.19-1.90]). Prevalence rates of WRMSDs symptoms in Portuguese nurses are no different from other studies with Swedish, Italian and Greek nurses. Maybe changes in healthcare systems didn't change the way care is delivered and we must rethink how to prevent nurses WRMSDs.