What Could Total Worker Health® Look Like in Small Enterprises?

What Could Total Worker Health® Look Like in Small Enterprises?
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小型企业中的 Total Worker Health® 会是什么样子?

DOI:
10.1093/annweh/wxy008
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发表时间:
2018
影响因子:
2.6
通讯作者:
Kelly,KevinM
Kelly,KevinM
中科院分区:
医学4区
文献类型:
--
作者:
Rohlman,DianeS;Campo,Shelly;Hall,Jennifer;Robinson,ErinL;Kelly,KevinM

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与大企业相比,小企业资源更少,财务状况更不稳定,工伤和职业病发生率更高。除了传统的职业安全和健康危害之外,促进健康和福祉的干预措施,即全面工人健康®(TWH)方法,可能有效地减少伤害和预防疾病。然而,很少有研究考察TWH干预对小企业的影响。本研究的目的是从TWH的角度探讨和描述中西部小型企业的健康和安全实践、政策和计划。利用案例研究的方法,从2014年到2016年,对10到250名员工的小型企业进行了实地考察,包括工作场所审计和对每个组织中不同角色的多名员工的采访。开放编码和封闭编码都用于确定特定的主题。实地考察产生了八个主题:投资的价值和回报、组织因素、项目设计、员工参与、低成本战略、评估和整合。这些主题与美国国家职业安全与健康研究所(NIOSH)的《TWH基本要素》和《NIOSH基础》重叠。行业部门和企业规模也会影响资源和这些资源的整合。随着TWH扩展到各种规模的组织,有必要解决小型企业的独特需求。
Small enterprises have fewer resources, are more financially precarious, and have higher rates of occupational injury and illness compared with larger enterprises. Interventions that address the promotion of health and well-being in addition to traditional occupational safety and health hazards, a Total Worker Health®(TWH) approach, may be effective in reducing injuries and preventing illness. However, little research has examined the impact of TWH interventions in small enterprises. The aim of this research was to explore and characterize health and safety practices, policies, and programs in small Midwestern enterprises from a TWH perspective. Utilizing a case studies approach, site visits were conducted with small business, between 10 and 250 employees, from 2014 through 2016 and included workplace audits and interviews with multiple employees in varying roles within each organization. Both open and closed coding were used to identify specific themes. Eight themes emerged from the site visits: value and return on investment, organizational factors, program design, engaging employees, low-cost strategies, evaluation, and integration. These themes overlapped with both the National Institute for Occupational Safety and Health’s (NIOSH) Essential Elements of TWH and the NIOSH Fundamentals. Industry sector and enterprise size also affect resources and integration of these resources. As TWH expands to organizations of all sizes, it is necessary to address the unique needs of smaller enterprises.
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