Browse by Lectorate "Arbeid en Gezondheid"

Now showing items 1-50 of 131

Yes, we should abandon pre-treatment positional testing of the cervical spine
Hutting, N. ; Kerry, R. ; Kranenburg, R.
2020, Article / Letter to editor (Musculoskeletal Science and Practice, vol. 49, iss. Oct., (2020), pp. 1-5)
Working on Activation: Analyses of stories about vocational rehabilitation of people with disabilities in the Netherlands.
Hal, L.B.E. van
2013, Dissertation
Work-Focused Health Care: The Role of Physical Therapists
Hutting, N. ; Boucat, R. ; Gross, D. ; Heerkens, Y.F. ; Johnston, V. ; Skamagki, G. ; Stigmar, K.
2020, Article / Letter to editor (Physical Therapy, vol. 100, iss. 12, (2020), pp. 2231-2236)
Work related risk factors for musculoskeletal complaints in the nursing profession: results of a questionnaire survey.
Engels, J.A. ; Gulden, J.W. van der ; Senden, T.F. ; 't Hof, B. van
1996, Article / Letter to editor (Occupational and Environmental Medicine, vol. 53, iss. 9, (1996), pp. 636-641)OBJECTIVES: To determine the prevalence of musculoskeletal complaints of the back, arms or neck, and legs among nurses, and to investigate the relation between these complaints and various work related and personal variables. METHODS: A questionnaire survey was carried out in four nursing homes in The Netherlands. RESULTS: The response was 95% and resulted in 846 completed questionnaires. It was found that a large proportion of the subjects regularly had back complaints (36%) but also had arm or neck (30%) and leg complaints (16%). Almost all respondents (89%) considered nursing work as physically strenuous. Most of them complained of working under time pressure (69%), increased work pressure (70%), and having no opportunity to take a break from the work (70%). The physical variables which seem to trouble the subjects most were lifting (65%), working in awkward postures (47%), and stooping (34%). Moreover, 53% of the subjects responded that the ergonomic lay out of the ward was disagreeable. Most of the work related variables under study seemed to be associated with musculoskeletal complaints. For all types of complaints the strongest associations were found with having to lift heavy loads. Apart from physical stress various aspects of work pressure showed strong associations with the occurrence of musculoskeletal complaints. The variables on the ergonomy of the ward showed less clear associations with musculoskeletal complaints than were found for physical stress and work pressure. CONCLUSIONS: From these results it may be concluded that future research of health risks of nursing work should have a wider focus than the relation between physical workload and low back pain.
Work related musculoskeletal disorders: Challenges and new perspectives
Hutting, N. ; Wynne-Jones, G. ; Skamagki, G. ; Watson, H.
2019, Article in monograph or in proceedings (Focused Symposium Physiotherapy UK, Birmingham)
Work related external and personal factors and the ICF (International Classification of Functioning, Disability and Health).
Heerkens, Y.F. ; Ravensberg, C.D. van ; Engels, J.A. ; Oostendorp, R.
2007, Article in monograph or in proceedings (15th International WCPT Congress)
Work participation of patients with musculoskeletal disorders: is this addressed in physical therapy practice?
Oswald, W. ; Hutting, N. ; Engels, J.A. ; Staal, J.B. ; Nijhuis-van der Sanden, M.W.G. ; Heerkens, Y.F.
2017, Article / Letter to editor (Journal of Occupational Medicine and Toxicology, vol. 12, (2017), pp. 27)BACKGROUND: Musculoskeletal disorders are the main complaints for visiting a physical therapist (PT) in primary health care; they have a negative effect on an individual's quality of life and result in a major cost to society. Qualitative research has shown that physical therapists (PTs) treating patients with these disorders experience barriers in the integration of occupational factors within their practice, and also revealed a lack of cooperation between PTs and (other) occupational healthcare providers. The aim of this study is to quantitatively investigate how generalist PTs in the Netherlands, who treat patients with musculoskeletal disorders, currently integrate occupational factors within their practice, and to identify their opinions and needs with regard to enhancing the integration of the patient's work within physical therapy practice. METHODS: A cross-sectional survey was conducted among generalist PTs who treat working-age (18-67 years) patients with musculoskeletal disorders. Generalist PTs were contacted for participation via digital news-mails and asked to fill out an online survey which was developed based on the results of a recent qualitative study. The survey consisted of: i) demographics of the participants, ii) questions on how generalist PTs currently integrate occupational factors within their practice, and iii) asked their opinion about the integration of occupational factors within physical therapy. The PTs were also asked about their needs with regard to the integration of occupational factors and with regard to cooperation with other (occupational) health professionals. All answers (using Likert scales) are presented as the number and percentage of the respondents reporting those specific answers, whereas all other answers are presented as means and standard deviations. RESULTS: Of the 142 respondents, 64% indicated that occupational factors should be addressed to a greater extent within physical therapy. To have the possibility to bill for a workplace assessment (60.6%) and more knowledge about laws and regulations (50%) were identified as needs of the respondents. Only 14.8% of the respondents indicated that they communicate with or consult a PT specialized in occupational health. Only 12.7% of the participants who do not have a specialized PT within their practice sometimes/regularly refer patients to a specialized PT. CONCLUSIONS: Although generalist PTs address occupational factors within their practice, there is room for improvement. This study also identified a lack of cooperation between generalist PTs and PTs specialized in occupational health.
Why peer assessment helps to improve clinical performance in undergraduate physical therapy education : A mixed methods design
Maas, M.J.M. ; Nijhuis-van der Sanden, M.W.G. ; Wees, Philip van der ; Sluijsmans, Dominique ; Vleuten, Cees van der ; Heerkens, Y.F.
2014, Article / Letter to editor (BMC Medical Education, vol. 14, iss. 117, (2014))Background: Peer Assessment (PA) in health professions education encourages students to develop a critical attitude towards their own and their peers’ performance. We designed a PA task to assess students' clinical skills (including reasoning, communication, physical examination and treatment skills) in a role-play that simulated physical therapy (PT) practice. Students alternately performed in the role of PT, assessor, and patient. Oral face-to-face feedback was provided as well as written feedback and scores.This study aims to explore the impact of PA on the improvement of clinical performance of undergraduate PT students. Methods: The PA task was analyzed and decomposed into task elements. A qualitative approach was used to explore students' perceptions of the task and the task elements. Semi-structured interviews with second year students were conducted to explore the perceived impact of these task elements on performance improvement. Students were asked to select the elements perceived valuable, to rank them from highest to lowest learning value, and to motivate their choices. Interviews were transcribed verbatim and analyzed, using a phenomenographical approach and following template analysis guidelines. A quantitative approach was used to describe the ranking results. Results: Quantitative analyses showed that the perceived impact on learning varied widely. Performing the clinical task in the PT role, was assigned to the first place (1), followed by receiving expert feedback (2), and observing peer performance (3). Receiving peer feedback was not perceived the most powerful task element. Qualitative analyses resulted in three emerging themes: pre-performance, true-performance, and post-performance triggers for improvement. Each theme contained three categories: learning activities, outcomes, and conditions for learning. Intended learning activities were reported, such as transferring prior learning to a new application context and unintended learning activities, such as modelling a peer’s performance. Outcomes related to increased self-confidence, insight in performance standards and awareness of improvement areas. Conditions for learning referred to the quality of peer feedback. Conclusions: PA may be a powerful tool to improve clinical performance, although peer feedback is not perceived the most powerful element. Peer assessors in undergraduate PT education use idiosyncratic strategies to assess their peers’ performance.
Which resources moderate the effects of demanding work schedules on nurses working in residential elder care? A longitudinal study.
Peters, V. ; Houkes, I. ; Rijk, A.E. de ; Bohle, P.L. ; Engels, J.A. ; Nijhuis, F.J.
2016, Article / Letter to editor (International Journal of Nursing Studies, vol. 58, (2016), pp. 31-46)BACKGROUND: Shiftwork is a major job demand for nurses and has been related to various negative consequences. Research suggests that personal and job resources moderate the impact of work schedules on stress, health and well-being. OBJECTIVES: This longitudinal study examined whether the interactions of personal and job resources with work schedule demands predicted work engagement and emotional exhaustion in nursing. DESIGN: This longitudinal study included two waves of data collection with a one year follow-up using self-report questionnaires among 247 nurses working shifts or irregular working hours in residential care for the elderly in the Netherlands. METHODS: Moderated structural equation modelling was conducted to examine the interactions between personal and job resources and work schedule demands. Two work schedule demands were assessed: type of work schedule (demanding vs. less demanding) and average weekly working hours. Two personal resources, active coping and healthy lifestyle, and two job resources, work schedule control and the work schedule fit with nurses' private life, were assessed. RESULTS: Results showed that the work schedule fit with nurses' private life buffered the relationship between work schedule demands and emotional exhaustion one year later. Furthermore, the work schedule fit with nurses' private life increased work engagement one year later when work schedule demands were high. Work schedule control strengthened the positive relationship between work schedule demands and emotional exhaustion one year later. The personal resources, active coping and healthy lifestyle were no moderators in this model. CONCLUSION: Nurses suffer less from decreasing work engagement and emotional exhaustion due to work schedule demands when their work schedules fit with their private lives. Work schedule control did not buffer, but strengthened the positive relationship between weekly working hours and emotional exhaustion one year later. Job resources appeared to be more important for nurses' well-being than personal resources. These findings highlight the importance of the fit of a work schedule with nurse's private life, if the work schedule is demanding.
What environmental factors influence resumption of valued activities post stroke: a systematic review of qualitative and quantitative findings
Jellema, S. ; Hees, S.G.M. van ; Zajec, J. ; Sande, R van der ; Nijhuis-van der Sanden, M.W.G. ; Steultjens, E.M.J.
2017, Article / Letter to editor (Clinical Rehabilitation, vol. 31, iss. 7, (2017), pp. 936-947)Objective: Identify the environmental factors that influence stroke-survivors' reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types. Data sources: PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms for stroke, activities, disability, and home and community environments. Review methods: An integrated mixed-method systematic review of qualitative, quantitative and mixed-design studies was conducted. Two researchers independently identified relevant studies, assessed their methodological quality and extracted relevant findings. To validly compare and combine the various findings, all findings were classified and grouped by environmental category and level of evidence. Results: The search yielded 4024 records; 69 studies were included. Most findings came from low-evidence-level studies such as single qualitative studies. All findings were consistent in that the following factors facilitated reengagement post-stroke: personal adapted equipment; accessible environments; transport; services; education and information. Barriers were: others' negative attitudes and behaviour; long distances and inconvenient environmental conditions (such as bad weather). Each type of valued activity, such as mobility or work, had its own pattern of environmental influences, social support was a facilitator to all types of activities. Although in many qualitative studies others' attitudes, behaviour and stroke-related knowledge were seen as important for reengagement, these factors were hardly studied quantitatively. Conclusion: A diversity of environmental factors was related to stroke-survivors' reengagement. Most findings came from low-evidence-level studies so that evidence on causal relationships was scarce. In future, more higher-level-evidence studies, for example on the attitudes of significant others, should be conducted.
Werkhervatting en re-integratie.
Miedema, Harald ; Engels, J.A.
2015, Book (monograph)
Werkgeverservaringen met re-integratieverplichtingen, de RIV-toets en loonsancties.
Eekhoudt, H.A.M. ; Oomens, P.C.J. ; Blonk, R.
2020, Article / Letter to editor (AD Visie, iss. 4, (2020), pp. 14-17)
Werken vanuit ‘eigen kracht’ is knap ingewikkeld wat zijn de dilemma’s en hoe ga je ermee om?
Jansen, W. ; Hal, L.B.E. van
2020, Article / Letter to editor (Kind en Adolescent Praktijk, (2020), pp. 22-28)
Werken aan activering: analyses van verhalen over arbeidsre-integratie van mensen met beperkingen in Nederland.
Hal, L.B.E. van
2014, Article / Letter to editor (Wetenschappelijk Tijdschrift voor Ergotherapie, vol. 7, iss. 2, (2014), pp. 28-34)
Welke werkgevers krijgen een loonsanctie? Uitkomsten van het toetsen van re-integratie inspanningen door het UWV.
Eekhoudt, H.A.M. ; Oomens, P.C.J. ; Slebus, F. ; Blonk, R.
2020, Article / Letter to editor (Tijdschrift voor Arbeidsvraagstukken, vol. 36, iss. 4, (2020), pp. 261-274)
We moeten eens om tafel...: samen aan het werk met gezinnen met meervoudige problemen.
Hal, L.B.E. van ; Gilsing, R. ; Hoff, M. van der
2019, Article / Letter to editor (JGZ : Tijdschrift voor Jeugdgezondheidszorg, vol. 51, iss. 6, (2019))
Voting barriers and solutions: the experiences of people with disabilities during the Dutch national election in 2017
Hees, S.G.M. van ; Boeije, HR ; Putter, I de
2019, Article / Letter to editor (DISABILITY & SOCIETY, vol. 34, iss. 5, (2019), pp. 819-836)Exercising the right to vote at elections is frequently denied to people with disabilities. In this study, we examined the voting behaviour of individuals with physical or learning impairments and the barriers they encountered during the national elections in 2017 in the Netherlands. A survey design was chosen to allow large-scale questioning of both target groups. Over 90% of people with physical impairments voted and respondents found that voting was accessible. Voter turnout among people with learning impairments was much lower (46%). They experienced difficulty to prepare themselves and at the polling station. The Netherlands seems well on the way to achieving an inclusive environment for people with physical impairments. Recommendations are given about accessibility for all and for exploring alternative methods of voting such as proxy voting and tailoring information and procedures to the needs of people with learning impairments.
Vitale werknemers, vitale bedrijven (redactioneel)
Gulden, J. van der ; Heerkens, Y.F. ; Engels, J.A.
2007, Article / Letter to editor (Tijdschrift voor Gezondheidswetenschappen, vol. 85, iss. 2, (2007))
Verpleegkundigen snoepen te veel. Onregelmatige diensten beïnvloeden eetgedrag verpleegkundigen niet.
Verschuren, D. ; Naumann, E. ; Heerkens, Y.F. ; Engels, J.A.
2007, Article / Letter to editor (Arbo, iss. 10, (2007), pp. 20-23)
Verpleegkundige én mantelzorger
Detaille, S.I. ; Lange, A.H. de ; Engels, J.A.
2019, Article / Letter to editor (TVZ : verpleegkunde in praktijk en wetenschap, vol. 129, (2019), pp. 25-26)
Using intervention mapping (IM) to develop a self-management program for employees with a chronic disease in the Netherlands
Detaille, S.I. ; Gulden, J. van der ; Engels, J.A. ; Heerkens, Y.F. ; Dijk, F. van
2010, Article / Letter to editor (BMC Public Health, vol. 2010, iss. 10, (2010), pp. 353)Employees with a chronic disease often encounter problems at work because of their chronic disease. The current paper describes the development of a self-management programme based on the Chronic Disease Self-Management programme (CDSMP) of Stanford University to help employees with a chronic somatic disease cope with these problems at work. The objective of this article is to present the systematic development and content of this programme. The method of intervention mapping (Bartholomew 2006) was used to tailor the original CDSMP for employees with a chronic somatic disease. This paper describes the process of adjusting the CDSMP for this target group. A needs assessment has been carried out by a literature review and qualitative focus groups with employees with a chronic disease and involved health professionals. On the basis of the needs assessment, the relevant determinants of self-management behaviour at work have been identified for the target population and the objectives of the training have been formulated. Furthermore, techniques have been chosen to influence self-management and the determinants of behaviour and a programme plan has been developed.
The use of the ICF to describe work related factors influencing the health of employees.
Heerkens, Y.F. ; Engels, J.A. ; Kuiper, C. ; Gulden, J. van der ; Oostendorp, R.
2004, Article / Letter to editor (Disability and Rehabilitation, vol. 26, iss. 17, (2004), pp. 1060-1066)PURPOSE: There are many models describing the responses of the human organism to work. However, the description of the effects on a personal level is rather limited. For this purpose the authors propose to use the concepts and the terminology of the ICF - the International Classification of Functioning, Disability and Health. METHOD: This article starts with a description of a model from occupational medicine, the Van Dijk model. Subsequently an overview of the health state of employees is presented, including the external and personal factors that may influence participation in work. RESULTS: The schematic representation of the external and personal factors presented in this article is an expansion of the ICF-scheme. The scheme can be useful to describe problems of persons related to the working situation, and to identify the points of application of care for different professionals. Although the scheme does not have the intention to be complete, it might be useful in the development, execution and evaluation of programmes designed to prevent absenteeism in general or in specific groups, and to stimulate the return of people with absence due to illness. It is shown that the items of the Van Dijk model can be described using specific terms of the ICF. CONCLUSION: With the elaboration of the ICF scheme and the model of Van Dijk, expanded with ICF terms, the gap between the terminology used by professionals in health care, and the terminology used by professionals in occupational medicine is partly filled.
Update 1 van het Handboek arbeid & gezondheid
Stallinga, Hillegonda ; Heerkens, Y.F.
2020, Part of book or chapter of book (Handboek arbeid & gezondheid)
Understanding work participation among employees with common mental disorders: what works for whom, under what circumstances and how? A systematic realist review protocol.
Hees, S.G.M. van ; Carlier, B.E. ; Blonk, R. ; Oomens, P.C.J.
2021, Article / Letter to editor (Work: A Journal of Prevention, Assessment and Rehabilitation, vol. 69, iss. 3, (2021), pp. 827-838)
Translation, adaptation, validity and reliability of the Dutch version of the 'blue flags' questionnaire
Westerweel, A ; Heerkens, Y.F. ; Oswald, W. ; Sennehed, CP ; Stigmar, K. ; Hees, S.G.M. van ; Lankveld, W.G.J.M. van ; Hutting, N.
2021, Article / Letter to editor (European Journal of Physiotherapy, (2021))Purpose: To translate and culturally adapt the Swedish version of the 'Blue flags' questionnaire into Dutch and to examine the validity and reliability aspects of the Dutch version. Methods: The 'Blue flags' questionnaire was translated and culturally adapted to the Dutch situation. A total of 58 participants filled in the first questionnaire at baseline and 51 participants filled in the second questionnaire sent two weeks later. The data of the participants who filled in the first questionnaire was used to determine internal consistency, structural validity and concurrent validity. The data of the participants who filled in both questionnaires was used to determine test-retest reliability. Results: The internal consistency was good with a Cronbach's alpha of 0.83. The structural validity was satisfactory with a Kaiser-Meyer-Olkin (KMO) test of 0.75 and a significance of p < .001 for the Bartlett's test. Four factors were extracted using principal component analysis (PCA) with varimax rotation with an explained total variance of 70.8%. Spearman's rho for concurrent validity was 0.68 (p < .001). The intraclass correlation coefficient (ICC) for test-retest was 0.80 (p < .001) for the total score. Conclusions: The Dutch version of the 'Blue flags' questionnaire showed good internal consistency, satisfactory structural validity, strong concurrent validity (with mixed item representation results) and strong reliability.
‘Thuiswerkkramp nog te vaak overschat’
Hutting, N.
2020, Contribution for newspaper or weekly magazine (De Telegraaf, 25 mei 2020)
The role of specialized physical therapists in gainful employment of clients
Heerkens, Y.F. ; Roemaat, M. ; Engels, J.A.
2011, Article / Letter to editor (Physiotherapy, vol. 97, iss. S1, (2011), pp. eS468-eS469)In the Netherlands educational programs exist to train physical therapists (PTs) to treat employees with work-related complaints of the movement system. Contrary to occupational physical therapists working in workplaces, these professional work mainly in primary healthcare. WPT2011 Research Report Abstratcs
The effects of integrating work-related factors and improving cooperation in musculoskeletal physical therapy practice: protocol for the 'WORK TO BE DONE' cluster randomised controlled trial.
Hutting, N. ; Oswald, W. ; Nijhuis-van der Sanden, M.W.G. ; Filart, M. ; Raaijmakers, T. ; Bieleman, H.J. ; Staal, J.B. ; Heerkens, Y.F.
2020, Article / Letter to editor (BMC Musculoskeletal Disorders, vol. 21, iss. 1, (2020), pp. 360)BACKGROUND: Musculoskeletal disorders (MSDs) are the primary cause of disability worldwide and a major societal burden. Recent qualitative research found that although a patient's work is considered important, physical therapists take work participation insufficiently into account as a determining factor in the treatment of patients with MSDs. Therefore, the aim of this study is to improve the effectiveness of physical therapy (in primary healthcare) with respect to the work participation of employees with MSDs by increasing the knowledge and skills of generalist physical therapists and by improving the collaboration between generalist physical therapists and physical therapists specialised in occupational health. METHODS/DESIGN: This trial is a two-arm non-blinded cluster randomised controlled trial. Working patients with MSDs visiting a physical therapy practice are the target group. The control group will receive normal physical therapy treatment. The intervention group will receive treatment from a physical therapist with more knowledge about work-related factors and skills in terms of integrating work participation into the patients' care. Data are gathered at baseline (T0), at four months (T1) and eight months (T2) follow-up. Most outcomes will be assessed with validated patient-reported questionnaires. Primary outcomes are the limitations in specific work-related activities and pain during work. Secondary outcomes include limitations in general work-related activities, general pain, quality of life, presenteeism, sick leave (absenteeism), estimated risk for future work disability, work-related psychosocial risk factors, job performance, and work ability. Based on a sample size calculation we need to include 221 patients in each arm (442 in total). During data analysis, each outcome variable will be analysed independently at T1 and at T2 as a dependent variable using the study group as an independent variable. In addition to the quantitative evaluation, a process evaluation will be performed by interviewing physical therapists as well as patients. DISCUSSION: The trial is expected to result in a more effective physical therapy process for working patients with MSDs. This will lead to a substantial reduction of costs: lower costs thanks to a more effective physical therapy process and lower costs due to less or shorter sick leave and decreased presenteeism. TRIAL REGISTRATION: Netherlands Trial Register, registration number: NL8518, date of registration 9 April 2020, URL registration: https://www.trialregister.nl/trial/8518.
The cognitive costs of managing emotions: A systematic review of the impact of emotional requirements on cognitive performance
Hofstee, G. ; Jansen, P.G.W. ; Lange, A.H. de ; Spisak, B.R. ; Swinkels, M.
2020, Article / Letter to editor (Work and Stress, vol. 35, iss. 3, (2020), pp. 301-326)
The ambiguity of the concept of participation in measurement instruments: Operationalization of participation influences research outcomes
Bos, Isaac ; Stallinga, Hillegonda ; Heerkens, Y.F. ; Dijkstra, Pieter ; Roodbol, Petrie
2014, Article / Letter to editor (Clinical Rehabilitation, vol. 28, iss. 12, (2014))This study explores, based on the International Classification of Functioning, Disability and Health, the consequences of different operationalizations of participation in regression models predicting participation in one sample of patients.
Sustainable employability in shiftwork: related to types of work schedule rather than age.
Peters, V. ; Engels, J.A. ; Rijk, A.E. de ; Nijhuis, F.J.
2015, Article / Letter to editor (International Archives of Occupational and Environmental Health, vol. 88, iss. 7, (2015), pp. 881-893)PURPOSE: There is scarce research on age and sustainable employability of nurses working in various types of work schedules. Earlier research showed that nurses working in work schedules differ regarding age. Different operationalisations of age might explain variations in sustainable employability. Therefore, the aim of this study was to investigate how nurses working in various types of work schedule differ regarding sustainable employability, and the role that age plays in these differences. Age was defined as chronological age, organisational age, life-span age, and functional age. METHOD: Questionnaires were distributed to 974 Dutch nurses in residential elder care (response rate 51 %) with questions about the type of work schedule, aspects of sustainable employability, various operationalisations of age, and registered sickness absence data were used. RESULTS: Nurses working in various types of work schedules differed regarding aspects of sustainable employability, also when operationalisations of age were added. The 'life-span age' was directly related to aspects of sustainable employability. Statistically, work ability and job satisfaction were only explained by varying operationalisations of age. CONCLUSIONS: Nurses' sustainable employability appeared to be mainly related to differences between the types of work schedule rather than age. Fixed early shifts are characterised by the most positive aspects of sustainable employability, and three rotating schedules score worst. To improve sustainable employability, organisations should implement a system in which nurses with different types of work schedule are monitored in combination with their life-span perspective.
Supporting Double Duty Caregiving and Good Employment Practices in Health Care Within an Aging Society
Detaille, S.I. ; Lange, A.H. de ; Engels, J.A. ; Pijnappels, M.C.M. ; Hutting, N. ; Osagie, E.R. ; Reig-Botella, A.
2020, Article / Letter to editor (Frontiers in Psychology, vol. 11, (2020))
A study protocol for a cluster randomised controlled trial on mindfulness-based stress reduction: studying effects of mindfulness-based stress reduction and an additional organisational health intervention on mental health and work-related perceptions of teachers in Dutch secondary vocational schools.
Janssen, M.H.M.G. ; Heerkens, Y.F. ; Heijden, Beatrice van der ; Korzilius, Hubert ; Peters, P. ; Engels, J.A.
2020, Article / Letter to editor (Trials, vol. 21, iss. 1, (2020), pp. 376)
Spelers op het veld arbeid en gezondheid : Hoofdstuk 4
Engels, J.A. ; Miedema, Harald ; Nauta, Noks
2011, Part of book or chapter of book (Arbeid & Gezondheid: Een handboek voor paramedici & arboprofessionals, pp. 91-147)Het bevorderen van duurzame arbeidsparticipatie is een kerntaak voor paramedici en arboprofessionals. In sociaal opzicht is arbeidsparticipatie belangrijk omdat het bijdraagt aan zelfstandigheid en zelfrespect. Maar niet iedereen kan een baan vinden of houden. Bovendien zullen door de stijgende pensioenleeftijd meer werknemers te kampen krijgen met arbeidsbeperkingen. Hoe kunt u als paramedicus of arboprofessional uw clienten ondersteunen in het arbeidsparticipatieproces? Het antwoord op deze vraag vindt u in de tweede editie van Arbeid Gezondheid. De geactualiseerde denkmodellen en onderwerpen in dit handboek dienen als handvatten voor professionals om de arbeidsparticipatie van hun clienten te optimaliseren. Daarbij is kennis vanuit verschillende disciplines noodzakelijk. In de eerste editie lag de nadruk op interventie (preventie, behandeling en reïntegratie). Deze uitgebreide herziening bespreekt de rol van professionals in drie praktische contexten: (meer) aan het werk, aan het werk (blijven) en weer aan het werk. Daarvoor wordt in deel 1 het theoretische kader aangeboden. Deel 2 gaat vervolgens in op de praktische kant en geeft onder andere talloze tips, voorbeelden en nuttige adressen.
A sociological perspective on "the unmotivated client": public accountability and professional work methods in vocational rehabilitation
Hal, L.B.E. van ; Meershoek, A ; Nijhuis, F ; Horstman, K
2013, Article / Letter to editor (Disability and Rehabilitation, vol. 35, iss. 10, (2013), pp. 809-818)Purpose: This study aims at a sociological understanding of the concept of (un)motivation in order to provide clues for improving vocational rehabilitation (VR) support. Method: (Un)motivation is understood as the product of the interaction between clients and professionals in an institutional context. To gain better understanding of this construction of (un)motivation, in depth-interviews are held with 14 VR professionals. Based on the stories professionals told about their professional practices, we analysed the ways in which they guide their clients during their VR path within the institutional context of the Dutch welfare state. Results: "The unmotivated client" is a judgment that arises in the interaction between professional and client if the institutional goals of VR are not achieved. Two work methods are distinguished in which this judgment takes shapes in various ways, namely "Professional as a Signpost" and "Professional as a Personal Guide". Conclusions: Professionals work in a dichotomous public accountability framework with a strong focus on labour participation. This causes professionals to look for ways out of VR paths in which labour participation is not achieved. The construction of "the unmotivated client" is such a way out. An alternative way out is to explicitly value clients' (intermediary) achievements.
A simple method to evaluate the reliability of OWAS observations.
Bruijn, I. de ; Engels, J.A. ; Gulden, J.W. van der
1998, Article / Letter to editor (Applied Ergonomics, vol. 29, iss. 4, (1998), pp. 281-283)Slides showing nurses in different working postures were used to determine the reliability of OWAS observations. Each slide could be looked at for 3 seconds, while a new slide was shown every 30 seconds to resemble the normal practice of observation. Two observers twice scored a series of slides, some of them being identical at both viewings. To reduce effects of recall there was a time interval of 4 weeks or more between the two viewings and the slides were in a different order the second time. Different series were used to evaluate inter- and intra-observer reliability. The OWAS scores of corresponding slides were compared. In almost all comparisons percentages of agreement over 85% and kappa's over 0.6 were found, which is considered as good agreement. The procedure described seems to be a useful and simple technique to determine such reliability.
Sickness Absence of Nurses Working in Residential Elder Care: The Essential Role of Psychosocial Job Resources and Home Demands.
Peters, V. ; Rijk, A.E. de ; Engels, J.A. ; Houkes, I. ; Joosten, J. ; Kant, I.
2018, Article / Letter to editor (Journal of Occupational and Environmental Medicine, vol. 60, iss. 9, (2018), pp. e445-e454)OBJECTIVES: To elucidate the role and pathways of psychosocial home demands, psychosocial home resources, and psychosocial job resources in relation to sickness absence among nurses working in residential elder care. METHODS: Longitudinal (SEM) analyses with bootstrapping with a 1 year follow-up among 365 nurses were performed. Survey data and registered sickness absence data were used. RESULTS: A complete mediation model showed the best fit. More psychosocial job resources (β= -1.50) like "work schedule fit with private life" predicted less and more psychosocial home demands (β= 0.62) predicted more psychosomatic health complaints. The job resources and home demands predicted sickness absence duration and episodes 1-year later mediated through nurses' health. CONCLUSIONS: More attention is needed for nurses' work schedule fit with private life and their home demands to potentially reduce health-related sickness absence among nurses working in residential elder care.
Self-management support for people with non-specific low back pain: A qualitative survey among physiotherapists and exercise therapists.
Hutting, N. ; Oswald, W. ; Staal, J.B. ; Heerkens, Y.F.
2020, Article / Letter to editor (Musculoskeletal Science and Practice, vol. 50, (2020), pp. 102269)BACKGROUND: Low back pain (LBP) is a major problem across the globe and is the leading cause worldwide of years lost to disability. Self-management is considered an important component the treatment of people with non-specific LBP. However, it seems that the self-management support for people with non-specific LBP provided by physiotherapists can be improved. Moreover, the way exercise therapists (ET) address self-management in practice is unknown. The aim of this study was to investigate the ideas, opinions and methods used by physiotherapists and ET with regard to self-management and providing self-management support to patients with non-specific LBP. METHODS: This study was a qualitative survey. An online questionnaire with open-ended questions was developed. The survey was conducted among physiotherapists and ET working in the Netherlands. Data was analysed using thematic analysis. RESULTS: Respondents considered self-management support an important topic in physiotherapy and exercise therapy for people with non-specific LBP. In the self-management support provided by the respondents, providing information and advice were frequently mentioned. The topics included in the support given by the respondents covered a broad range of important factors. The topics frequently focused on biomechanical factors. The majority of respondents had a need with regard to self-management or providing self-management support. These needs include having more knowledge, skills and tools aimed at facilitating self-management. CONCLUSION: The way physiotherapists and ET address self-management in people with non-specific LBP is not optimal and should be improved.
A self-management program for employees with complaints of the arm, neck, or shoulder (CANS): study protocol for a randomized controlled trial.
Hutting, N. ; Staal, J.B. ; Heerkens, Y.F. ; Engels, J.A. ; Nijhuis-van der Sanden, M.W.G.
2013, Article / Letter to editor (Trials, vol. 14, (2013), pp. 258)BACKGROUND: Complaints of the arm, neck, or shoulder (CANS) have a multifactorial origin and cause considerable work problems, including decreased work productivity, sickness absence, and, ultimately, job loss. There is a need for intervention programs for people with CANS. Self-management is an approach used in chronic disease care to improve self-efficacy and wellness behaviors to facilitate participants to make informed choices and carry them out. This study will evaluate the effectiveness of a self-management program (including ehealth) and compare it to usual care among employees with chronic CANS (lasting >3 months). METHODS/DESIGN: This is a randomized controlled trial in which 142 participants will be recruited and randomized (with pre-stratification) to either the intervention group (IG) or control group (CG). The IG will participate in a self-management program consisting of six group sessions and an ehealth module. The CG is allowed to use all usual care available. The primary outcome of the study is the self-reported disability of arm, shoulder, and hand, measured with the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH). Secondary outcomes include: absenteeism, pain in the previous week, quality of life, catastrophizing pain, self-efficacy, workstyle, presenteeism, fatigue, the use of usual care, and limitations experienced on the job. Data are collected at baseline and at 3, 6, and 12 months follow-up. DISCUSSION: Following the process of intervention mapping we developed a self-management program to suit and alleviate the problems and needs of employees with CANS. A strength of the study is that our intervention is specifically tailored to match the needs of employees with CANS. The study also has some potential weaknesses (for example, use of co-interventions, combination of group sessions and ehealth, self-reporting of data and possible contamination, Hawthorne effect, and recall or information bias) which are discussed. TRIAL REGISTRATION: The trial is registered with the Dutch Trial Register (http://www.trialregister.nlNTR3816): (January 2013). The first participant was randomized in September 2012.
RSI allesbehalve verdwenen: ’Het is een definitie-dingetje geworden’
Hutting, N.
2020, Contribution for newspaper or weekly magazine (De Telegraaf, 13 maart 2020)
Role of Environmental Factors on Resuming Valued Activities Poststroke: A Systematic Review of Qualitative and Quantitative Findings
Jellema, S. ; Sande, R van der ; Hees, S.G.M. van ; Zajec, J. ; Steultjens, E.M.J. ; Nijhuis-van der Sanden, M.W.G.
2016, Article / Letter to editor (Archives of Physical Medicine and Rehabilitation, vol. 97, iss. 6, (2016), pp. 991-1002)Objective: To investigate how reengagement in valued activities poststroke is influenced by environmental factors. Data Sources: PubMed, CINAHL, and PsycINFO were searched to June 2015 using multiple search terms for stroke, activities, disability, and home and community environments, with the following constraints: English, humans, and adults. Study Selection: Studies were included that contained data on how reengagement in valued activities of community-dwelling stroke survivors was influenced by the environment. Two reviewers independently selected the studies. The search yielded 3726 records; 39 studies were eventually included. Data Extraction: Findings were extracted from qualitative, quantitative, and mixed-design studies. Two reviewers independently assessed study quality using the Oxford Critical Appraisal Skills Programme lists and independently extracted results. Data Synthesis: Thematic analysis was conducted on qualitative data, revealing 9 themes related to the iterative nature of the process of reengagement and the associated environmental factors. During the process of reengagement, environmental factors interact with personal and disease-related factors in a gradual process of shaping or abandoning valued activities. The sociocultural context in this case determines what activities are valued and can be resumed by stroke survivors. Social support; activity opportunities and obligations; familiar and accessible environments; resources and reminders; and a step-by-step return facilitate stroke survivors to explore, adapt, resume, and maintain their activities. Social support is helpful at all stages of the process and particularly is important in case stroke survivors are fearful to explore their activity possibilities. The quantitative data identified largely endorsed these findings. No quantitative data were found in respect to the iterative nature of the process, familiar environments, or accessibility. Conclusions: Reengagement in valued activities is a gradual process. In each stage of the process, several environmental factors play a role. During rehabilitation, professionals should pay attention to the role physical and social environmental factors have in reengagement poststroke and find ways to optimize stroke survivors' environments. (C) 2016 by the American Congress of Rehabilitation Medicine
Remodeling of the ICF: A commentary.
Sykes, C.R. ; Maribo, T. ; Stallinga, Hillegonda ; Heerkens, Y.F.
2020, Article / Letter to editor (Disability and Health Journal, vol. 14, iss. 1, (2020), pp. 1-5)
Regievoering door gezinnen gaat niet vanzelf.
Hal, L.B.E. van ; Gilsing, R. ; Hoff, M. van der
2018, Article / Letter to editor (Vakblad Sociaal Werk, vol. 19, iss. 5, (2018), pp. 27-29)
Promoting the Use of Self-management Strategies for People With Persistent Musculoskeletal Disorders: The Role of Physical Therapists.
Hutting, N. ; Johnston, V. ; Staal, J.B. ; Heerkens, Y.F.
2019, Article / Letter to editor (Journal of Orthopaedic and Sports Physical Therapy, vol. 49, iss. 4, (2019), pp. 212-215)
PHYSIOTHERAPY WORKS: RCT ON THE (COST-)EFFECTIVENESS OF A PHYSICAL THERAPIST-LED, WORK-ORIENTED INTERVENTION IN PEOPLE WITH AXIAL SPONDYLOARTHRITIS AND RHEUMATOID ARTHRITIS
Bakker, NF ; Knoop, J. ; Hutting, N. ; Heerkens, Y.F. ; Engels, J.A. ; Staal, J.B. ; Leeden, M van der ; Boonen, A ; Vlieland, TPMV ; Weely, SFE van
2021, Article / Letter to editor (Clinical and Experimental Rheumatology, vol. 39, iss. 5, (2021), pp. 1240)
Physical work load and its assessment among the nursing staff in nursing homes.
Engels, J.A. ; Gulden, J.W. van der ; Senden, T.F. ; Hertog, C.A. ; Kolk, J.J. ; Binkhorst, R.A.
1994, Article / Letter to editor (Jom. Journal of Occupational Medicine, vol. 36, iss. 3, (1994), pp. 338-345)A study was conducted to investigate the physical work load and the prevalence of musculoskeletal complaints of nurses in nursing homes. Thirty-six female subjects selected from three nursing homes in the Netherlands participated in an observational study. In addition, the total nursing staff (n = 668) was invited to take part in a questionnaire survey (response was 94%). It was noticed that almost 60% of the observed time was spent on nonpatient-related activities. Moreover, activities alternated rapidly and seldom lasted longer than 4 minutes on average. Twenty percent of the observed time was spent in "poor" work postures as defined by the Ovako Working Posture Analyzing System (Action Category 2 to 4). Activities contributing most to these poor work postures were patient care and household and preliminary tasks. Perceived exertion as scored on the Borg-CR10 scale was highest during patient-related activities. This holds also for a relative increase of heart rate. Questionnaire results showed prevalences of 41%, 35%, and 20% respectively, for back, arm/neck, and leg complaints. From this study it can be concluded that not only patient-related activities should be taken into consideration for the improvement of work postures and other potential strenuous aspects of nursing work. Household and preliminary tasks, ergonomic layout of the ward, and work pressure also deserve attention.
Physical therapists and importance of work participation in patients with musculoskeletal disorders: a focus group study.
Hutting, N. ; Oswald, W. ; Staal, J.B. ; Engels, J.A. ; Nouwens, E ; Nijhuis-van der Sanden, M.W.G. ; Heerkens, Y.F.
2017, Article / Letter to editor (BMC Musculoskeletal Disorders, vol. 18, iss. 1, (2017), pp. 196)BACKGROUND: Musculoskeletal disorders are a major health problem resulting in negative effects on wellbeing and substantial costs to society. Work participation is associated with positive benefits for both mental and physical health. Potentially, generalist physical therapists (GPTs) can play an important role in reducing absenteeism, presenteeism and associated costs in patients with musculoskeletal disorders. However, work participation is often insufficiently addressed within generalist physical therapy practice (GPTP). Therefore, this study evaluates whether GPTs take work participation into account as a determining factor in patients with musculoskeletal disorders, and how this might be improved. METHODS: This qualitative study consisted of seven focus groups involving 30 participants: 21 GPTs and 9 occupational physical therapists (OPTs). Based on an interview guide, participants were asked how they integrate work participation within their practice, how they collaborate with other professionals, and how GPTs can improve integration of the patient's work within their practice. RESULTS: Although participants recognized the importance of work participation, they mentioned that the integration of this item in their GPTP could be improved. Generally, GPTs place insufficient priority on work participation. Moreover, there is a lack of cooperation between the generalist physical therapist and (other) occupational healthcare providers (including OPTs), and the borderlines/differences between generalist physcial therapy and occupational health physcial therapy were sometimes unclear. GPTs showed a lack of knowledge and a need for additional information about several important work-related factors (e.g. work content, physical and psychosocial working conditions, terms of employment). CONCLUSIONS: Although a patient's work is important, GPTs take insufficient account of work participation as a determining factor in the treatment of patients with musculoskeletal disorders. GPTs often lack specific knowledge about work-related factors, and there is insufficient cooperation between OPTs and other occupational healthcare providers. The integration of work participation within GPTP, and the cooperation between GPTs and other occupational healthcare providers, show room for improvement.
Patterns of social participation among older adults with disabilities and the relationship with well-being: A latent class analysis
Hees, S.G.M. van ; Borne, BHP van den ; Menting, J ; Sattoe, JNT
2020, Article / Letter to editor (Archives of Gerontology and Geriatrics, vol. 86, (2020))Aim: Living with a chronic condition or a disability at older age impacts social participation. Social connections and social activities seem interrelated leading to heterogeneous patterns in social participation. The aim of this study was to identify a typology in social participation among older adults with disabilities, and to relate this typology to their background characteristics and well-being measures. Methods: A total of 1775 older adults with disabilities or chronic conditions aged 65-97 were sampled from a nationwide panel study in the Netherlands. Social participation was assessed by various measures related to social connections, social informal activities, voluntary work, effort to increase social participation, and online social participation. A latent class analysis was carried out to identify a typology of social participation. Differences between these classes were explored with multinomial regression analyses and pairwise comparisons. Results: Four classes were found: social withdrawers (22.5%, n = 399), proximate social dwellers (14.5%, n = 257), moderately active social dwellers (37.2%, n = 660) and pro-active social dwellers (25.9%, n = 459). Background characteristics, such as living alone and severity of disability, differed significantly among classes. Regarding well-being measures, it appeared that pro-active social dwellers had the most positive scores. Social withdrawers were most prone to reduced life satisfaction and health related quality of life and increased loneliness and experienced participation restrictions. Conclusions: A typology with four patterns based on a wide spectrum of social participation aspects in older adults with disabilities was identified. This typology may help to assess the risk for reduced well-being of older adults with disabilities.
Participation as an outcome measure in psychosocial oncology: Content of cancer-specific health-related quality of life instruments
Dijkers, Marcel ; Heerkens, Y.F. ; Mei, Sijrieke van der
2011, Article / Letter to editor (Quality of Life Research, vol. 4, iss. 20 (10), (2011), pp. 1617-1627)To examine to what extent the concept and the domains of participation as defined in the International Classification of Functioning, Disability and Health (ICF) are represented in general cancer-specific health-related quality of life (HRQOL) instruments. Using the ICF linking rules, two coders independently extracted the meaningful concepts of ten instruments and linked these to ICF codes. The proportion of concepts that could be linked to ICF codes ranged from 68 to 95%. Although all instruments contained concepts linked to Participation (Chapters d7-d9 of the classification of Activities and Participation), the instruments covered only a small part of all available ICF codes. The proportion of ICF codes in the instruments that were participation related ranged from 3 to 35%. Major life areas (d8) was the most frequently used Participation Chapter, with d850 remunerative employment as the most used ICF code. The number of participation-related ICF codes covered in the instruments is limited. General cancer-specific HRQOL instruments only assess social life of cancer patients to a limited degree. This studys information on the content of these instruments may guide researchers in selecting the appropriate instrument for a specific research purpose.
An OWAS-based analysis of nurses' working postures.
Engels, J.A. ; Landeweerd, J.A. ; Kant, Y.
1994, Article / Letter to editor (Ergonomics, vol. 37, iss. 5, (1994), pp. 909-919)The working postures of Dutch nurses (n = 18) in an orthopaedic ward and a urology ward were observed using the Ovako Working posture Analysis System (OWAS). During observation, both working postures and activities were recorded. A specially developed computer program was used for data analysis. By means of this program, it was possible to calculate the working posture load for each activity and the contribution of a specific activity to the total working posture load. This study shows that some activities of the nurses in both wards were performed with poor working postures. In the orthopaedic (resp. urology) ward two (resp. one) out of 19 observed postures of parts of the body were classified as Action Category 2. Moreover, 20% (resp. 16%) of the so-called typical working postures was classified in Action Category 2. This suggests, that in both wards working postures that are slightly harmful to the musculoskeletal system, occur during a substantial part of the working day. Differences between both wards with respect to working posture load and time expenditure were determined. Activities causing the workload to fall into OWAS higher Action Categories were identified. The data show that poor working postures in the nursing profession not only occur during patient handling activities but also during tasks like 'administration'. Focusing on patient-handling (i.e., lifting patients) in order to determine the load on the musculoskeletal system would therefore lead to an underestimation of the total working posture load of nurses.

Now showing items 1-50 of 131

Browse by Lectorate "Arbeid en Gezondheid"

Browse

All of HAN Publications

This Collection