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影响工作回归和工作保留的组织和关系因素:活动工效学的贡献。

Organisational and relational factors that influence return to work and job retention: The contribution of activity ergonomics.

机构信息

Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brasil.

Departamento de Engenharia de Producao, Escola Politecnica, Universidade de São Paulo. Sao Paulo, Brasil.

出版信息

Work. 2021;70(1):311-319. doi: 10.3233/WOR-213575.

DOI:10.3233/WOR-213575
PMID:34511474
Abstract

BACKGROUND

Work is a determinant of employee health, and the same conditions that contribute to an illness do not favour return to work; consequently, they hinder job retention, other employees can become ill and new leaves are generated.

OBJECTIVE

To analyse the nursing technicians work in intensive and semi-intensive care units (ICUs and SICUs) and discuss the influence of organisational and relational factors on return to work and job retention. This study also discusses the contributions of activity ergonomics to these processes.

METHOD

Qualitative case study based on ergonomic work analysis (EWA). Data were collected using documentary analyses, and global, systematic, and participant observations involving nursing technicians working in ICUs and SICUs.

RESULTS

Task planning and the staff size adjustment to respond to the work demands of these units were ineffective in real-world situations and were aggravated by cases of absenteeism, medical leave, and employees returning to work.

CONCLUSIONS

Work structure limits return to work and job retention. An EWA based on the activities developed by professionals is a valid tool for understanding working processes by applying transforming actions to real-world work situations.

摘要

背景

工作是员工健康的决定因素,导致疾病的相同条件不利于重返工作岗位;因此,它们阻碍了工作保留,其他员工可能会生病并产生新的缺勤。

目的

分析重症监护病房(ICU 和 SICU)护理技术人员的工作,并讨论组织和关系因素对重返工作和工作保留的影响。本研究还讨论了活动工效学对这些过程的贡献。

方法

基于工效学工作分析(EWA)的定性案例研究。使用文件分析、全球、系统和参与式观察收集数据,涉及在 ICU 和 SICU 工作的护理技术人员。

结果

任务规划和人员规模调整以应对这些单位的工作需求在实际情况下效果不佳,并因旷工、病假和员工重返工作岗位而加剧。

结论

工作结构限制了重返工作和工作保留。基于专业人员开展的活动的 EWA 是一种有效的工具,可通过对现实工作情况应用转化行动来理解工作过程。

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