Gauthier Bellagamba

Organizational factors impacting job strain and mental quality of life in emergency and critical care units

OBJECTIVES This study measures the association between hospital staffs job strain (JS), mental quality of life (MQL) and how they are influenced by the organization models within emergency and critical care units. MATERIAL AND METHODS This study describes workers employed in emergency departments and intensive care units of a French public hospital. A selfadministered questionnaire was used to survey the demographic and organizational characteristics of their work, as well as work-related mental stress, psychosocial and organizational constraints, and their MQL. RESULTS Among 145 workers participating in the study, 59.3% of them report job strain and 54.5% of them have low MQL scores. The majority of staff with job strain has reported working more than 2 weekends per month, were regularly on-call, worked in dysfunctional environments and did not participate in regular meetings. The staff with low MQL worked more frequently in dysfunctional environments, had significant complaints regarding employers efforts to promote communications or provide adequate staffing levels than the workers with a high MQL score. CONCLUSIONS If stress reduction and improved MQL in emergency and intensive care units is to be achieved, hospital management needs to design work schedules that provide a better balance between working and non-working hours. Additionally, ergonomic design, functional environments and improved communications needs to be implemented.

The relocation of a health care department's. Impact on staff: a Cross-Sectional Survey.

Objective: This survey compares certain quality of work-life factors between a relocated work group and a control group. Methods: A self-administered, cross-sectional survey was conducted 12 months after five departments (304 workers) had been relocated between two public health sites. The survey explored the workers’ psychosocial job characteristics, their perceived health, and psycho-organizational constraints. The results compared both the relocated and control groups by using univariate and then multivariate statistical analyzes. Results: When compared with the control group (n = 272), the relocated group (n = 180) showed a higher prevalence of psychosocial job characteristic “isostrain.” The relocated group showed greater psycho-organizational constraints regarding the organizations favoring communication and team relationships. Conclusions: It seems that staff relocation can provoke a sense of uncertainty and isolation. Perhaps better communication might have reduced this and deter possible negative health outcomes.

Exposition aux pesticides et sous-groupes de lymphomes non hodgkiniens

RésuméCette étude a évalué l’existence d’un lien entre l’exposition à des pesticides et un sous-groupe de lymphome non hodgkinien (LNH) : lymphomes diffus à grandes cellules B (LDGCB), lymphomes folliculaires (LF), lymphomes indolents non folliculaires et lymphomes T. Cette étude descriptive analytique rétrospective monocentrique conduite durant un an a recueilli par questionnaire les données sur l’exposition à des pesticides de patients traités pour un LNH dans un centre régional de lutte contre le cancer. Sur les 261 patients ayant répondu, 31,4 % ont déclaré être exposés à des pesticides. En conclusion, aucun lien n’est mis en évidence entre une exposition à des pesticides et un sousgroupe de LNH. L’exposition à des herbicides pourrait avoir une influence sur les LDGCB. Des études de plus grande échelle sont nécessaires pour confirmer ces résultats.AbstractThis study evaluated the existence of a link between pesticides exposure and a subgroup of non-Hodgkin lymphoma (NHL) : diffuse large B-cell lymphoma (DLBCL), follicular lymphoma, indolent non-follicular lymphomas and T-cell lymphomas. This descriptive analytic retrospective monocentric study led during one year consisted to collect, by a questionnaire, the data of the pesticides exposure of patients treated for NHL in a regional center of fight against the cancer. Among the 261 patients who responded, 31,4% reported being exposed to pesticides. In conclusion, no link was found between pesticides exposure and a subgroup of NHL. Exposure at herbicides could affect the DLBCL (p=0,07). Larger studies are needed to confirm these results.

Exposition aux animaux et lymphomes non hodgkiniens : analyse pilote de 261 casExposure to animals and non-Hodgkin lymphomas: pilot analysis about 261 cases

This study investigated a possible link between the occupational or domestic exposure to animals and a histological subgroup of non-Hodgkin lymphomas (LNH) (diffuse large B-cell lymphomas [LDGCB], follicular lymphomas [LF], indolent non-follicular LNH [LNHINF] and T-cell LNH). This retrospective, descriptive study was carried out over one year in a regional cancer research center. Data on occupational and domestic exposures to animals, from patients treated for a LNH, was collected via a questionnaire. Among the 261 participants, 73.9% reported they had been exposed to animals, 5% were exposed at work, whereas 72.4% were exposed in a domestic setting. The occupational exposure tended to be more frequent in the subgroup of patients with a LF (P = 0.06). The domestic exposure was less frequent (P = 0.04) in patients with LDGCB (63.0%) than in patients with a small cell LNH B (LF and LNHINF) (76.0%). Although there was no obvious link between occupational or domestic exposure to animals and one of the four histological subgroups of LNH, domestic exposure seemed less common among LDGCB patients. These results need to be confirmed by further studies.

Exposition aux animaux et lymphomes non hodgkiniens : analyse pilote de 261 cas

This study investigated a possible link between the occupational or domestic exposure to animals and a histological subgroup of non-Hodgkin lymphomas (LNH) (diffuse large B-cell lymphomas [LDGCB], follicular lymphomas [LF], indolent non-follicular LNH [LNHINF] and T-cell LNH). This retrospective, descriptive study was carried out over one year in a regional cancer research center. Data on occupational and domestic exposures to animals, from patients treated for a LNH, was collected via a questionnaire. Among the 261 participants, 73.9% reported they had been exposed to animals, 5% were exposed at work, whereas 72.4% were exposed in a domestic setting. The occupational exposure tended to be more frequent in the subgroup of patients with a LF (P = 0.06). The domestic exposure was less frequent (P = 0.04) in patients with LDGCB (63.0%) than in patients with a small cell LNH B (LF and LNHINF) (76.0%). Although there was no obvious link between occupational or domestic exposure to animals and one of the four histological subgroups of LNH, domestic exposure seemed less common among LDGCB patients. These results need to be confirmed by further studies.