Work situation operative model MOST: linking diagnosis and intervention to improve work conditions

This paper presents the model "Work Situation Operative Model" - MOST (after its Spanish acronym). It offers a comprehensive, systemic approach to analysing work stations and/or work processes, serving also as a framework for pursuing various ergonomic and occupational health and safety goals. Originally produced for a food sector company, the model has been extended and successfully applied in several industries in Colombia and Ecuador, including cement, oil, and paper industries. Based on a systemic understanding of work systems and tasks, the model not only allows different, commonly-used methods and tools for evaluating or assessing the risk of muscular-sketetal disorders to be included, but also supports occupational risk management strategies. Hence, one of its more important contributions relies on providing meaningful information that is useful for improving the work station and/or work process through design and re-design, by focusing on the interactions between all system elements.     

An investigation of a workplace-based return-to-work program for shoulder injuries

The purpose of this study was to investigate and evaluate the current workplace management of rotator cuff injuries in a manufacturing plant. The secondary aims were to examine the impact of the company's return-to-work processes, compare outcomes to current industry standards for work (re)entry and to identify the components that characterized this workplace-based return-to-work (RTW) program. This investigation involved a case study approach comprised of an examination of the program context using interviews, onsite visits, a document review and a retrospective analysis of the RTW experiences of 184 workers with shoulder injuries. Findings revealed that the workplace-based RTW program was consistent with and shaped by the organizational culture of problem solving, knowledge exchange and equitable participation of workers, supervisors and health professionals. These components contributed to the program in achieving the following outcomes for workers with shoulder injuries. One-third of workers were placed on modified duties within three days, 56% of workers who engaged in an early RTW program returned to work within one month. Overall, 87.8% of workers with rotator cuff injuries successfully returned to pre-injury work. The implications of developing capacity for workplace-based programs to manage injuries at work are discussed.     

Evaluation design for a community prevention trial. An environmental approach to reduce alcohol-involved trauma

The Community Prevention Trial was 5-year effort to reduce alcohol-involved injuries and death through a comprehensive program of community awareness and policy activities. The three experimental communities were of approximately 100,000 population each (one in Northern California, one in Southern California, and one in South Carolina). Matched comparison communities were used for each experimental community. This article describes the evaluation approach used in a program that sought to change environmental factors not a specific population or target group. This approach demanded unique evaluation approaches for determining overall community aggregate effects, that is, distal outcomes, as well as changes in key mediating variables, that is, process effects. The problem of trending and lagged effects of community prevention programs are discussed.     

ASSESSING THE NEEDS OF TRAUMATIZED CHILDREN TO IMPROVE OUTCOMES

This paper is about the development of an outcomes‐based treatment approach in work with traumatized children and of an assessment model to measure progress. In particular, it shows how a spider diagram is used to give a powerful, visual representation of a child's progress. The work described has been carried out by SACCS — an independent UK organization providing treatment based in residential and family settings for children who are severely traumatized by abuse and neglect. This trauma has had a massive impact on their development socially, physically, emotionally, academically and spiritually. The children have complex needs which are extremely difficult to work with. However, the potential for recovery from their injuries remains. I will use a single case study of a child to illustrate the process of assessment and measurement of recovery. The treatment approach used is broadly psychodynamic. The concept of an outcomes‐based approach and the measurement tool described also has widespread relevance in social care.     

An on-site ergonomic program: A model for industry

Work related conditions caused by overexertion or repeated trauma affect millions of American workers. These conditions can result in time off from work, decreased productivity, and high financial costs, not to mention impairment of the worker. According to the Occupational Safety and Health Act (OSHAct) of 1970 [26], employers are required to provide hazard free workplaces for their employees. Fortunately resources exist to help employers set up on-site ergonomic programs to reduce the hazards that contribute to cumulative trauma disorders (CTDs) or other injuries. Companies that have implemented comprehensive ergonomic programs have reported benefits, most significantly, decreased injuries, and cost savings. A model is described for industry on starting and managing a successful on-site ergonomic program.     

Acceptance and Commitment Therapy,Functional Contextualism,and Clinical Social Work

The practice of clinical social work requires interventions that are consistent with social work values, applicable across a range of presenting problems, capable of being applied in multiple contexts, supported by extensive research, and consonant with social work’s person-in-environment perspective. This article discusses the fit between social work and acceptance and commitment therapy (ACT), a mindfulness-based cognitive behavioral therapy that meets all of these criteria. ACT is based on a philosophy of science, functional contextualism, that focuses on the behavior of individuals within their historical and situational contexts. ACT draws on a comprehensive theory of language, relational frame theory (RFT), which accounts for the influence of culturally shaped language processes on learning and human behavior. ACT and RFT are supported by a growing body of research that supports ACT’s efficacy with a wide variety of problems and suggests that ACT works by its theorized mechanism of change. ACT can be delivered in an array of formats and is easily accessible for those seeking training, and ACT offers a nonstigmatizing, universalizing approach to alleviating suffering that positions social workers and clients as subject to the same, normally occurring processes of human behavior.     

Work injury rehabilitation and the tendency to return to work of workers with injuries in Mainland China

This paper aims to describe the current situation of the work injury rehabilitation system in China with its drawbacks, especially relating to the employment services for workers with injuries and bringing up the topic of the need for more work to attempt to construct a modern work injury occupational rehabilitation system: perfecting the administration mechanism of policy, establishing an occupational rehabilitation pattern with Chinese characteristics, establishing the socialization service network as the core of occupational rehabilitation and establishing a practical professional team and academic communication platform. These creative thoughts may shed light on the development of the work injury rehabilitation system as well as the return to work for workers with injuries in China.     

Office ergonomics education: a comparison of traditional and participatory methods

Health and safety literature stresses the value of programs aimed at preventing musculoskeletal injuries. The concepts of empowerment learning are often recommended as guidelines for worker education yet these approaches are largely untested. The present study compares the traditional approach involving lecture and discussion with a participatory method. A sample of 102 participants employed at a centralized reservation facility was used. Participants were randomly assigned to either the traditional education group or the participatory education group. Data collection utilized surveys completed by study participants and observational checklists completed by a trained observer. Data were collected prior to intervention and at approximately 3, 6, and 12 months post intervention. Results of data analysis provide no evidence that participatory methods are more effective than traditional methods in encouraging workers to position their work equipment correctly or to maintain good working postures to prevent musculoskeletal injuries.     

Role of physical activity in the prevention of falls and their consequences in the elderly

This work aims to provide an inventory of the risk factors and consequences of falling in the elderly, namely fractures, and to identify strategies to prevent falls and minimise their effects. Falls in elderly people are a major cause of injuries, leading to a general fear of falling, poorer quality of life and even death. The increase in life expectancy brought by developments in the medical and health sciences has not always brought enhanced quality of life. More elderly people live with reduced functional capacities resulting in a higher prevalence of falls and associated problems for themselves and for society. Risk factors for falling, commonly resulting from normal aging processes, have already been identified through multiple studies. Exercise may play an important role in fall prevention and their consequences. Although, effective strategies are usually multi-disciplinary and focus simultaneously on several risk factors. However, only large-scale prevention programmes can have significant effective social impact. To minimise occurrence and consequences of falls, policies to systematically implement prevention programmes should be established.     

Barriers to returning to work for people with spinal cord injuries: a focus group study

The rate of employment for people with spinal cord injuries is relatively low, especially among Asians. To help individuals with spinal cord injuries return to work or retain employment, rehabilitation professionals must understand the barriers to employment and intervene to reduce or remove them. Hence, a focus group study was administered to 16 people with spinal cord injuries to explore return to work barriers. Various ideas, beliefs, responses, and values at different stages of work resettlement were elicited from both employed and unemployed participants, and then summarized. According to the results, several modifications of existing forms of rehabilitation intervention are necessary, as are further research directions.     

Physical, social and emotional function after work accidents: a medicolegal perspective

The aim of this study was to analyse social and functional consequences of work accidents in a group of workers' compensation claimants who had been referred from the National Insurance Administration for a medicolegal assessment. The injured workers were evaluated on average 3 years after their accidents. Their medical records were analysed, and each injury was scored according to the Abbreviated Injury Scale (AIS). Participants completed the Short Form Questionnaire (SF-36). Factors relating to outcome on SF-36 were analysed using univariate and multivariate methods. 191 claimants returned the SF-36 (62%), 83% of the respondents had an AIS score of less than two, 33% reported working full time. Compared to population-based norms, the respondents reported significantly reduced health on all eight scales of SF-36. Better health and function was mainly associated with a higher level of education and more serious injuries. The extent of social support in the workplace after the accident was only partly related to outcome. The importance of psychosocial factors when making injury assessments in a medicolegal setting is highlighted.     

Preventing work-related musculoskeletal disorders in VDT users: a comprehensive health promotion program

As we enter the 21st century, technology has revolutionized the workplace, as nearly half of the working population in the United States currently uses a computer at work. Although computers continue to effectively improve productivity in the workplace, the adverse effects of prolonged computer use on the musculoskeletal system cannot go unnoticed. The astounding rise in computer use in the last decade has been paralleled by a rise in work-related musculoskeletal disorders due to repetitive typing or key entry. Because national ergonomic standards aimed at reducing these injuries have not yet been enforced, the prevention of this national health problem lies in the hands of health care professionals. The following will outline a comprehensive health promotion program, based on Green and Kreuter's PRECEDE-PROCEED model, to serve as an example of how health professionals across the nation can begin to effectively prevent this astronomical problem.     

Return to work with chronic low back pain: using an evidence-based approach along with the occupational therapy framework

This paper will attempt to apply the occupational therapy framework [1] along with an evidence-based approach and an occupation-based intervention with a population of workers with chronic low back pain (CLBP) to help them return to work and maintain their work status. This paper will focus primarily on those clients with CLBP who still have a link to their employment but who do not perceive themselves as being capable to go back to their job despite conflicting opinions from other stakeholders (primary health care professionals, employer or insurer). They are being evaluated in occupational therapy shortly before return to work and followed until their optimal functional capacities are reached. This means that either all functional goals related to the actual physical demands of their job have been reached or that further treatment does not result in functional improvement.     

A Temporal Multifaceted Adaptation Approach to the Experiences of Employed Mothers

Scholars have been examining multiple facets of the experiences of employed mothers for decades. However, much of this scholarship has focused on the examination of specific variables that may have an influence on their lives. In this article I seek to review much of this research and explore it through the framework of a temporal multifaceted adaptation approach. This framework addresses the specific phases that comprise the professional or semiprofessional employed mother's adaptation to her home and work environments. Thus, this approach organizes employed mothers’ experiences in terms of the antecedent, process, and outcome phases of their adaptation to their lives as employed mothers. Organizing and examining the research in this way enables a more comprehensive understanding of how the experience of employed mothers evolves over time, as well as the factors that both hinder and help them as they adjust to challenges associated with their role.     

“Embodying” dirty work: A review of the literature

This article reviews the growing literature on dirty work, i.e., work that is seen as disgusting or degrading and argues for a more “embodied” understanding of such work. It points to a tendency in the literature to focus on the nature of the task or role and on social and moral dimensions of the work at the expense of its material and embodied aspects. The latter are discussed through three, interrelated themes: “embodied suitability” whereby forms of dirty work are seen as suitable for some “working bodies” and not for others; “staining” which is presented as both a material and a symbolic process; and the role of work practices in both supporting and undermining ideological constructions around the work. The article concludes by arguing for a more comprehensive approach which includes both the material and the symbolic into accounts of such work.     

Assigning volunteer tasks: The relation between task preferences and functional motives of youth volunteers

In this paper we aim to explore the relationship between volunteer motives and task preferences in order to provide volunteer managers with better insight in how tasks can be assigned to keep youth volunteers satisfied. Earlier seminal contributions have either taken a pure functional approach – where various types of motives are supposed to be at the base of any type of volunteer work – or a differentiated approach, where particular motives relate to specific task preferences. However, empirical results reported in the literature do not justify the preference of one approach above the other. To investigate whether one of the approaches is superior, or whether a combination of both is more appropriate, we perform a canonical correlation analysis for a set of functional motives and a set of task preferences (N = 2158). Five distinct relationships (canonical variate pairs) of motives and preferences are found. Results show that a ‘functional basis’ exists where all motives relate to a basic set of tasks. Additionally, a more differentiated approach towards volunteer motives and task preferences has to be taken, as we find four other relationships where specific motives are satisfied by assigning particular sets of tasks.     

Volunteers in feminist Organizations

The use of women volunteers, a hotly debated issue among feminists in the 1970s, currently receives little attention, even in the literature. What few studies are available are often contradictory. These studies approach the issue of women volunteering from three main perspectives: (1) as a substitute for work, especially for married women, (2) as a stepping stone for reentry into the work force, or (3) as a form of exploitation. Two main groups of women volunteers are identified in the literature: middle- to upper-class civic leaders and lower- to middle-class service providers. In this article, we examine whether the use and management of women volunteers in feminist organizations is consistent with feminist ideology that opposes unpaid work by women. Our findings, based on a comprehensive study of fifteen feminist organizations, indicate that the use of volunteers is often contrary to feminist ideology. We conclude with a discussion of ways in which volunteer management in feminist organizations can be made more compatible with feminist ideology.     

Effectiveness of problem solving skills in case management on return to work for workers with injuries

The present study aims to explore the case management model by using problem solving skills in assisting workers with injuries in returning to work. A total of five workers with injuries were enrolled and there were four stages during the whole case management process including a medical rehabilitation stage (stage I), a compensation stage (stage II), a return to work stage (stage III) and a follow-up stage (stage IV) respectively. Case managers provided services by using problem solving skills to tackle the problems which workers with injuries may encounter during all four stages. Outcome measurement showed one case return to the same company same job, two returns to different companies and different jobs, the others have self employed work. This study suggested that case management using the problem solving skills of occupational rehabilitation was beneficial to workers with injuries on return to work.     

Social work students’ reflections on a solution-focused approach to child protection assessment: a qualitative study

This exploratory study examines how Estonian graduate social work students’ reflections of the solution-focused approach in the context of child protection assessment can change as a result of coursework in this model. Students’ responses indicate some changes in the nature of responses after the solution-focused training course, including the adoption of techniques that help to focus on solutions (e.g. miracle question and scaling questions). Following the training, students underscored the importance of changing problem-focused ‘traditional thinking’. The findings highlight a challenge in social work education, suggesting a need to target goal-directed talk throughout the social work curriculum to support competence in conducting comprehensive, strength-based assessments.     

The reform of the welfare services in Norway: one office – one way of thinking?

This paper discusses the professional role of social workers in the new Norwegian Nav system. The Nav reform merged the state social insurance office, the state employment office and components of municipal social services. The aim is to include clients in the work force by making the services more holistic and efficient. The paper presents a discussion of the introduction of the ‘Nav reform’, drawing on a qualitative multi-method study. The material sheds light on a social worker's role under pressure to work in a more standardised and ‘simplified’ way. Social workers at the Nav offices must adjust to expectations that require a general, basic and common competence for all employees, as one type of comprehensive, but simplified and non-specialised, approach. The study describes the dilemma of how to combine one-stop service and specialist principles. The paper attempts to criticise ‘the flexible system’ related to Whole of Government perspectives and one-stop service principles as a generalist ‘light’ approach, as opposed to the generalist approach in social work. The findings provide a basis for raising questions about the development of the social worker's role in light of the post-New Public Management (NPM) reforms and the potential threat to the professional basis of social work.