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      Absenteeism and presenteeism costs from occupational accidents with WRMSDs in a Portuguese hospital Translated title: Costos de accidentes de trabajo con TMOL consecuencia de absentismo y presentismo en un hospital portugués

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          Abstract

          The morbidity associated with WRMSDs leads to productivity losses (absenteeism and presenteeism) in healthcare organizations, which induces a substantive impact (cost).. The present study aimed to evaluate the impact (cost) of WRMSDs for accidents involving nurses and nurses' aides in a small Portuguese hospital. It begins by identifying the workplace accidents (WA) that these occupational groups suffered between 2009 and 2013, which resulted in WRMSDs. Healthcare workers answered a questionnaire with WQL-8 and SPS-6 scales to determine the levels of presenteeism. This study adopted a human capital methodology in order to estimate the indirect costs of lost productivity from WRMSDs. Patient transfers are a major cause of WRMSDs, with most prevalent injuries being in the lumbar region. Between 2009 and 2013 there is a loss of productivity in this institution estimated of €222,015.98 from WA with WRMSDs that lead to absenteeism and presenteeism (€ 189,679.87 absenteeism and € 32,158.86 presenteeism).

          Translated abstract

          La morbilidad por trastornos musculoesqueléticos de origen laboral (TMELs) conduce a una pérdida de productividad (absentismo y presentismo) en sistemas de asistencia sanitaria, con substanciales costos. El objetivo del estudio fue evaluar costos de TMELs consecuencia de accidentes en enfermeras y auxiliares de un hospital portugués. Se inició con la identificación de los accidentes de trabajo (AT) que estos grupos ocupacionales sufrieron entre 2009 y 2013. Estos trabajadores respondieron a un cuestionario con las escalas WQL-8 y SPS-6 para determinar los niveles de presentismo. En este estudio se adoptó una metodología de capital humano con el fin de estimar costos indirectos de pérdida de productividad por TMELs. Los traslados de pacientes fueran una importante causa de TMELs, incidiendo estas en la región lumbar. Entre 2009 y 2013 se produjo una pérdida de productividad estimada en 222.015,98€ por AT con TMELs derivando en pérdidas de 189.679,87€ (absentismo) y 32.158,86€ (presentismo).

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          Stanford presenteeism scale: health status and employee productivity.

          Workforce productivity has become a critical factor in the strength and sustainability of a company's overall business performance. Absenteeism affects productivity; however, even when employees are physically present at their jobs, they may experience decreased productivity and below-normal work quality--a concept known as decreased presenteeism. This article describes the creation and testing of a presenteeism scale evaluating the impact of health problems on individual performance and productivity. A total of 175 county health employees completed the 34-item Stanford Presenteeism Scale (SPS-34). Using these results, we identified six key items to describe presenteeism, resulting in the SPS-6. The SPS-6 has excellent psychometric characteristics, supporting the feasibility of its use in measuring health and productivity. Further validation of the SPS-6 on actual presenteeism (work loss data) or health status (health risk assessment or utilization data) is needed.
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            Musculoskeletal problems of the neck, shoulder, and back and functional consequences in nurses.

            Though musculoskeletal disorders (MSDs) are highly prevalent among registered nurses (RNs), little is known about functional consequences of MSDs in nurses. Data on neck, shoulder, and back MSD problems were analyzed in 1,163 working nurses (response rate = 74%). Cases had relevant symptoms lasting at least 1 week or occurring at least monthly in the past year, with at least moderate pain intensity, on average. MSD problems with a frequency, duration, or pain intensity below the level needed to meet the case definition were defined as MSD symptoms. Those who did not meet symptom or case criteria at any body site were defined as asymptomatic. Odds of consequences (e.g., saw a doctor/provider, missed work, reduced/modified work, non-work activities, or recreation, medication use, inadequate sleep) were estimated for cases versus those with symptoms. We found 45.8, 35.1, and 47.0% of nurses had neck, shoulder, or back MSD problems (either at the case or symptom level), respectively, within the past year. Cases were far more likely to have seen a provider versus those with symptoms (adjusted odds ratio, aOR Neck: 4.33, 95% CI: 2.85-6.56; aOR Shoulder: 4.83, 95% CI: 3.00-7.77; aOR Back: 3.69, 95% CI: 2.47-5.49). Cases also were more likely to experience all other functional consequences. MSD consequences are substantial and suggest opportunities for intervention. Future research will examine the impact of work organization and physical demands on MSDs. Copyright 2002 Wiley-Liss, Inc.
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              The application of two health and productivity instruments at a large employer.

              We applied two productivity instruments (the Work Productivity Short Inventory and the Work Limitations Questionnaire) to the same employees working at a large telecommunications firm. In this work we note differences in productivity metrics obtained from these instruments and offer reasons for those differences that may be related to their design. Within this sample, average at-work productivity (presenteeism) losses were 4.9% as measured by the WLQ and 6.9% as measured by the WPSI. These translated into losses of approximately $2000 to $2800 per employee per year, respectively. Total productivity losses were usually not associated with demographics or job type but were associated with perceived health status and the existence of particular medical conditions. Both instruments may be useful for employers who want to estimate productivity losses and learn where to focus their energy to help stem those losses.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                dyna
                DYNA
                Dyna rev.fac.nac.minas
                Universidad Nacional de Colombia
                0012-7353
                April 2016
                : 83
                : 196
                : 27-30
                Affiliations
                [1 ] Centro de Medicina e Reabilitação de Alcoitão Portugal
                [2 ] Universidade NOVA de Lisboa Portugal
                Article
                S0012-73532016000200004
                10.15446/dyna.v83n196.56605
                8212b2bd-3fa3-4af6-952d-de2592bb1402

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                Product

                SciELO Colombia

                Self URI (journal page): http://www.scielo.org.co/scielo.php?script=sci_serial&pid=0012-7353&lng=en
                Categories
                ENGINEERING, MULTIDISCIPLINARY

                General engineering
                Ergonomía,accidentes de trabajo,Pérdidasde productividad,Hospitales,Enfermeras,Ergonomics,Occupational accidents,Productivity losses,Hospitals,Nurses

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