Documents Carayon, Pascale 6 results

"Human factors systems approaches are critical for improving healthcare quality and patient safety. The SEIPS (Systems Engineering Initiative for Patient Safety) model of work system and patient safety is a human factors systems approach that has been successfully applied in healthcare research and practice. Several research and practical applications of the SEIPS model are described. Important implications of the SEIPS model for healthcare system and process redesign are highlighted. Principles for redesigning healthcare systems using the SEIPS model are described. Balancing the work system and encouraging the active and adaptive role of workers are key principles for improving healthcare quality and patient safety."

"We focus on physical and psychosocial job characteristics as mediators in the relationship between socioeconomic status (SES) and health. From sociological research on the stratification of employment outcomes we expect that people with less education, lower earnings, and lower levels of occupational standing have more physically and psychosocially demanding jobs. From the occupational stress, ergonomics, and job design literatures, we expect that people with more physically and psychosocially demanding jobs have less favorable health outcomes. Consequently, we expect to find that job characteristics play an important mediating role in associations between SES and self-assessed overall health and cardiovascular and musculoskeletal health problems. To address these hypotheses, we use data from the Wisconsin Longitudinal Study (WLS). We find support for our hypotheses, although the extent to which job characteristics mediate SES–health relationships varies across health outcomes and by sex."

"This paper examines the impact of sociotechnical and business trends on work organization and ergonomics.The impact on work organization and the work system of the following sociotechnical and business trends is discussed: re-structuring and re-organizing of companies, new forms of work organization, workforce diversity, and information and communication technology. An expansion of Balance Theory, from the design of work systems to the design of organizations, is discussed. Finally, the issue of change is examined. Several elements and methods are discussed for the design of change processes."

"Recent studies indicate potential links among work organization, job stress, and work-related musculoskeletal disorders (WRMDs). In this paper we propose several pathways for a theoretical relationship between job stress and WRMDs. These pathways highlight the physiological, psychological, and behavioral reactions to stress that can affect WRMDs directly and indirectly. One model stipulates that psychosocial work factors (e.g., work pressure, lack of control), which can cause stress, might also influence or be related to ergonomic factors such as force, repetition, and posture that have been identified as risk factors for WRMDs. In order to fully understand the etiology of WRMDs, it is important to examine both physical ergonomic and psychosocial work factors simultaneously. Smith and Carayon-Sainfort (1989) have proposed a model of the work system for stress management that provides a useful framework for conceptualizing the work-related factors that contribute to WRMDs. Practical applications of this research include practitioners taking into account psychosocial work factors and job stress in their efforts to reduce and control WRMDs."

"To date, few studies have focused on employee reactions to the quality-related aspects of the introduction of New Public Management (NPM). The aim of this study was to investigate the effects on employee strain and satisfaction of the implementation NPM in a public service organization. The study was designed as an empirical examination of the 'context-dependent approach' (Edwards, Collinson, & Rees, 1998). This approach suggests that effects of an organizational change depend on the context of the implementation, i.e. organizational aspects (implementation strategies), job content and job context dimensions. They employed a single-case longitudinal design. The case was a large municipal service unit responsible for the public housing system of a city in Austria. The sample consisted of 217 employees. Measurements were taken before the organizational change, and at two different times during the change process. While the implementation of NPM can be considered to have been an organizational success (increase in customer satisfaction), it was accompanied by increases in job strain, and, at the same time, mixed results in job satisfaction. Less qualified employees mainly responsible for the customer interface experienced the organizational change most negatively. Using structural equation modelling, the context-dependent approach was empirically confirmed. Job control, role clarity and information were found to be the most important job and organizational resources."