Bringing a structural perspective to work: Framing occupational safety and health disparities for nursing assistants with work-related musculoskeletal disorders.
BACKGROUND: Certified Nursing Assistants (CNAs) experience a high risk of work-related musculoskeletal disorders (WMSDs) and are further made vulnerable by their situation in low levels of workplace and societal hierarchies of power and privilege. OBJECTIVE: This study applies structural vulnerabili...
| Publicado en: | Work Vol. 59; no. 2; pp. 211 - 230 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128962874&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128962874 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10519815 3RC jtl: Work issn: 10519815 maglogo: N pubinfo: dt: 2018 vid: 59 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 128962874 128962874 128962874 10.3233/WOR-172676 128962874 ppf: 211 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Bringing a structural perspective to work: Framing occupational safety and health disparities for nursing assistants with work-related musculoskeletal disorders. aug: au: Haas, Alysa D. Hunter, Daniel A. Howard, Ninica L. affil: Safety and Health Assessment and Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia, WA, USA sug: subj: Occupational Safety Healthcare Disparities Certified Nursing Assistants Occupational-Related Injuries Musculoskeletal Diseases Human Thematic Analysis Male Female Adult Middle Age Funding Source Descriptive Statistics Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: BACKGROUND: Certified Nursing Assistants (CNAs) experience a high risk of work-related musculoskeletal disorders (WMSDs) and are further made vulnerable by their situation in low levels of workplace and societal hierarchies of power and privilege. OBJECTIVE: This study applies structural vulnerability theory to CNA WMSD experiences in order to identify structural factors that may influence such injuries. METHODS: A sample of CNAs (<italic>n</italic> = 26) working in Nursing and Residential Care Facilities (NRCFs) was selected from workers who filed a claim during 2011–2014 for a WMSD of the back, shoulder, knee, or hand/wrist in the Washington State Department of Labor & Industries workers' compensation system. Interviews included questions about workers' injury experiences and work contexts. Qualitative data was analyzed for themes related to structural vulnerability theory and occupational safety and health (OSH) models. RESULTS: Themes illustrate a work environment in NRCFs with major organizational deficiencies for CNA safety and a broader structural environment that appears to mediate them. CNAs described policies and practices that result from management priorities being diverted away from worker safety. These difficulties are compounded by several aspects of CNAs' socio-economic vulnerability. CONCLUSIONS: This study demonstrates the utility of a structural perspective for OSH disparities research and points to the need for occupational health intervention on a structural level. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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