Factors influencing ergonomists’ use of observation-based risk-assessment tools

BACKGROUND: Several observation-based risk-assessment tools have been developed in recent decades. Studies reporting their use often focus only on the user, the ergonomist. The influence of context and the attributes of the tools may also affect the use but are factors that are seldom considered. OBJECTIVE: The aim of the present study was to explore the process of risk-assessment assignments and to identify factors influencing the use of research-based observation-based risk-assessment tools among Swedish ergonomists, with a background as reg. physiotherapists, employed in Occupational Health Services (OHS). METHODS: A web-based questionnaire (n = 70) was combined with semi-structured interviews (n = 12). RESULTS: There was limited use of several observation-based risk-assessment tools. Furthermore, the results showed that ergonomics risk-assessment assignments are most commonly initiated reactively and that interventions were seldom evaluated. Factors that influence use are related both to the ergonomist and to the attributes of the tools as well as to contextual factors assigned to authorities, and internal organisations both within occupational health service companies and client companies. CONCLUSION: There was a lack of systematic approaches in ergonomics risks assessment and low use and knowledge of risk-assessment tools. This indicates that there is a need to support OHS companies in implementing systematic tools in their practice.

[1]  Daniel Imbeau,et al.  Influence of musculoskeletal pain on workers' ergonomic risk-factor assessments. , 2015, Applied ergonomics.

[2]  Peter Buckle,et al.  The development of the Quick Exposure Check (QEC) for assessing exposure to risk factors for work-related musculoskeletal disorders. , 2008, Applied ergonomics.

[3]  W Karwowski,et al.  LUBA: an assessment technique for postural loading on the upper body based on joint motion discomfort and maximum holding time. , 2001, Applied ergonomics.

[4]  S. Straus,et al.  Lost in knowledge translation: Time for a map? , 2006, The Journal of continuing education in the health professions.

[5]  Patrick G Dempsey,et al.  A survey of tools and methods used by certified professional ergonomists. , 2005, Applied ergonomics.

[6]  O Karhu,et al.  Correcting working postures in industry: A practical method for analysis. , 1977, Applied ergonomics.

[7]  José Pérez-Alonso,et al.  Use of the method Ovako Working Posture Assessment System (OWAS) , 2016 .

[8]  T. Bucknall,et al.  Models and Frameworks for Implementing Evidence-Based Practice: Linking Evidence to Action , 2010 .

[9]  L McAtamney,et al.  RULA: a survey method for the investigation of work-related upper limb disorders. , 1993, Applied ergonomics.

[10]  Thomas J. Armstrong.  ACGIH TLV for hand activity level , 2007 .

[11]  Lisa Schmidt,et al.  How can occupational health services in Sweden contribute to work ability? , 2012, Work.

[12]  Rocio Poveda-Bautista,et al.  Influences on the use of observational methods by practitioners when identifying risk factors in physical work , 2015, Ergonomics.

[13]  P Paul F M Kuijer,et al.  Does KIM what she promises to do? , 2012, Work.

[14]  R A Haslam,et al.  Processes, barriers, and outcomes described by ergonomics consultants in preventing work-related musculoskeletal disorders. , 2004, Applied ergonomics.

[15]  P. Hasle,et al.  A review of the literature on preventive occupational health and safety activities in small enterprises. , 2006, Industrial health.

[16]  I. Graham,et al.  Toward a Comprehensive Interdisciplinary Model of Health Care Research Use , 1998 .

[17]  Carl Lind,et al.  Shifting to proactive risk management : Risk communication using the RAMP tool , 2016 .

[18]  Silvia A. Pascual,et al.  An Investigation of Ergonomics Analysis Tools Used in Industry in the Identification of Work-Related Musculoskeletal Disorders , 2008, International journal of occupational safety and ergonomics : JOSE.

[19]  G. David.  Ergonomic methods for assessing exposure to risk factors for work-related musculoskeletal disorders. , 2005, Occupational medicine.

[20]  A. Garg,et al.  The Strain Index: a proposed method to analyze jobs for risk of distal upper extremity disorders. , 1995, American Industrial Hygiene Association journal.

[21]  A Garg,et al.  Revised NIOSH equation for the design and evaluation of manual lifting tasks. , 1993, Ergonomics.

[22]  Ing-Marie Andersson,et al.  Arbetsmiljöfrågans väg : Samverkan mellan kundföretag och företagshälsovård , 2006 .

[23]  Lydia Kwak,et al.  Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators , 2017, International Archives of Occupational and Environmental Health.

[24]  Jo Logan,et al.  Using the Ottawa Model of Research Use to Implement a Skin Care Program , 2004, Journal of nursing care quality.

[25]  Svend Erik Mathiassen,et al.  Systematic evaluation of observational methods assessing biomechanical exposures at work. , 2010, Scandinavian journal of work, environment & health.

[26]  Carl Lind,et al.  Facilitators for the implementation of ergonomic interventions , 2015 .

[27]  Patrick Neumann,et al.  HUMAN FACTORS TOOL USE AMONG SWEDISH ERGONOMISTS , 2007 .

[28]  B. Lundman,et al.  Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. , 2004, Nurse education today.

[29]  Hsiu-Fang Hsieh,et al.  Three Approaches to Qualitative Content Analysis , 2005, Qualitative health research.

[30]  S Hignett,et al.  Rapid entire body assessment (REBA). , 2000, Applied ergonomics.

[31]  K. Kemmlert,et al.  A method assigned for the identification of ergonomic hazards - PLIBEL. , 1995, Applied ergonomics.

[32]  Mikael Forsman,et al.  Inter- and intra- observer reliability of risk assessment of repetitive work without an explicit method. , 2017, Applied ergonomics.

[33]  Waldemar Karwowski,et al.  Fundamentals and Assessment Tools for Occupational Ergonomics , 2006 .

[34]  W. Patrick Neumann,et al.  Solution Building Versus Problem Convincing: Ergonomists Report on Conducting Workplace Assessments , 2013 .

[35]  E. Occhipinti.  OCRA: a concise index for the assessment of exposure to repetitive movements of the upper limbs. , 1998, Ergonomics.

[36]  Pedro M Arezes,et al.  Manual materials handling: knowledge and practices among Portuguese health and safety practitioners. , 2011, Work.

[37]  Helena Franzon,et al.  DEVELOPMENT, IMPLEMENTATION AND DISSEMINATION OF RAMP : RISK MANAGEMENT ASSESSMENT TOOL FOR MANUAL HANDLING PROACTIVELY , 2011 .

[38]  R. Wachter,et al.  [Figure], Figure 3. Examples of theories that could begin to populate the Ottawa Model of Research Use , 2004 .

[39]  Carl Mikael Lind,et al.  Pushing and pulling: an assessment tool for occupational health and safety practitioners , 2018, International journal of occupational safety and ergonomics : JOSE.

[40]  Roland Kadefors,et al.  Ergonomic evaluation of complex work: a participative approach employing video–computer interaction, exemplified in a study of order picking , 2000 .

[41]  Ulf Steinberg.  New tools in Germany: development and appliance of the first two KIM ("lifting, holding and carrying" and "pulling and pushing") and practical use of these methods. , 2012, Work.

[42]  Lars Hanson,et al.  Corporate-internal vs. national standard – A comparison study of two ergonomics evaluation procedures used in automotive manufacturing , 2009 .

[43]  Roland Örtengren,et al.  ‘Power base’ tactics for workplace change – an interview study with industrial engineers and ergonomists , 2017, Ergonomics.