The Prevention of Occupational Heat Stress in Sugarcane Workers in Nicaragua-An Interpretative Phenomenological Analysis.
The Prevention of Occupational Heat Stress in Sugarcane Workers in Nicaragua-An Interpretative Phenomenological Analysis.
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DOI：
10.3389/fpubh.2021.713711
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发表时间：
2021
影响因子：
5.2
通讯作者：
Gyllensten K
中科院分区：
文献类型：
--
作者：
Pacheco-Zenteno F;Glaser J;Jakobsson K;Weiss I;Arias-Monge E;Gyllensten K
背景：非传统来源的慢性肾脏疾病（CKDnt）是一种持续流行的疾病，在中美洲夺走了数万人的生命，也影响到其他热带地区。随着气候变化的持续，职业性热应激将在全球范围内增加，已被确定为肾损伤和肾功能下降的主要触发因素。在尼加拉瓜最大的甘蔗厂，研究和政策非政府组织La Isla Network （LIN）及其学术合作伙伴与糖厂合作改进其干预系统的设计，经评估，水、休息和树荫（WRS）干预措施已被证明可以有效降低热应激和肾损伤的风险。然而，干预设计和实施之间的差异已经被发现。本研究从负责员工环境和热应激预防实施的岗位角度探讨了WRS干预在公司中的看法。方法：采用定性设计。21名中低管理关键线人、现场助理和LIN的2名成员参加了研究。采用半结构化访谈收集数据。访谈笔录采用解释现象学分析（IPA）进行分析。结果：在数据分析中形成了四个主题：“值得的斗争”、“护理文化”、“传统生产文化Vs.护理文化”和“护理正规化的重要性”。每个主题都包含子主题，这些子主题都是在组织心理学的基础上进一步讨论的。结论和影响：导致中低管理层优先考虑生产而不是健康保护的酌定差异似乎与执行挑战的相当一部分有关，并表明需要作出更多努力来协调业务的生产和健康目标。加强教育可能是必要的，而进一步注重绩效评估的健康指标可能提供一个机会，使人们认识到的奖励和健康与生产的价值持平。
Background: Chronic kidney disease of non-traditional origin (CKDnt) is an ongoing epidemic that has taken the lives of tens of thousands of people in Mesoamerica, also affecting other tropical geographies. Occupational heat stress, which will increase worldwide as climate change persists, has been identified as a primary trigger of kidney injury and reduced renal function. At Nicaragua's largest sugarcane mill, the water, rest, and shade (WRS) intervention has proven to reduce the risk of heat stress and kidney injury effectively as assessed by the research and policy NGO La Isla Network (LIN) and their academic partners, who have worked with the sugar mill to improve the design of their intervention system. However, discrepancies between intervention design and implementation have been found. This study explores the perceptions of the WRS intervention in the company from the perspective of positions responsible for the workers' environment and heat stress prevention implementation. Methods: A qualitative design was used in the study. Twenty-one key informants of low and middle management, field assistants, and two members from LIN took part in the study. Semi-structured interviews were used to collect the data. Interviews' transcriptions were analyzed using interpretative phenomenological analysis (IPA). Results: Four main themes were developed in the analysis of the data: “A worthwhile struggle,” “Culture of care”, “Traditional production culture Vs. Culture of care,” and “The importance of the formalization of care.” Each theme contained sub-themes, all of which were further discussed in the light of organizational psychology. Conclusion and Implications: Discretionary differences resulting in low and middle management prioritizing production over health protection appeared to relate to a fair part of the implementation challenges and indicate that more efforts are needed to align operations' production and health goals. Education enhancement might be necessary, while further focus on health metrics for performance assessment might offer an opportunity to level perceived incentives and value of health and production.
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影响因子：
4.9
作者：
Glaser, Jason;Hansson, Erik;Wegman, David H.
通讯作者：
Wegman, David H.
DOI：
10.1590/s0034-8910.2014048004798
发表时间：
2014-04-01
期刊：
Revista de Saúde Pública
影响因子：
--
作者：
Priuli, Roseana Mara Aredes;Moraes, Maria Silvia de;Chiaravalloti, Rafael Morais
通讯作者：
Chiaravalloti, Rafael Morais
影响因子：
6.1
作者：
Bender, Keith A.;Green, Colin P.;Heywood, John S.
通讯作者：
Heywood, John S.
DOI：
10.5304/jafscd.2016.062.014
发表时间：
2015-12-01
影响因子：
3.2
作者：
Courville, Michael D.;Wadsworth, Gail;Schenker, Marc
通讯作者：
Schenker, Marc
影响因子：
3.2
作者：
Johansson, Bo;Rask, Kjell;Stenberg, Magnus
通讯作者：
Stenberg, Magnus