Medical Jurisprudence Commons^™

Association Between Work-Family Conflict And Musculoskeletal Pain Among Hospital Patient Care Workers, Seung-Sup Kim, Cassandra Okechukwu, Orfeu Buxton, Jack Dennerlein, Leslie Boden, Dean Hashimoto, Glorian Sorenson

Dean M. Hashimoto

Background

A growing body of evidence suggests that work–family conflict is an important risk factor for workers' health and well-being. The goal of this study is to examine association between work–family conflict and musculoskeletal pain among hospital patient care workers.

Methods

We analyzed a cross-sectional survey of 1,119 hospital patient care workers in 105 units in two urban, academic hospitals. Work–family conflict was measured by 5-item Work–Family Conflict Scale questionnaire. Multilevel logistic regression was applied to examine associations between work–family conflict and self-reported musculoskeletal pain in the past 3 months, adjusting for covariates including work-related psychosocial factors and physical work …

Barriers To Use Of Workers' Compensation For Patient Care At Massachusetts Community Health Centers, Lenore Azaroff, Letitia Davis, Robert Naparstek, Dean Hashimoto, James Laing, David Wegman

Dean M. Hashimoto

Objectives

To examine barriers community health centers (CHCs) face in using workers' compensation insurance (WC). Data Sources/Study Setting

Leadership of CHCs in Massachusetts. Study Design

We used purposeful snowball sampling of CHC leaders for in-depth exploration of reimbursement policies and practices, experiences with WC, and decisions about using WC. We quantified the prevalence of perceived barriers to using WC through a mail survey of all CHCs in Massachusetts. Data Collection/Extraction Methods

Emergent coding was used to elaborate themes and processes related to use of WC. Numbers and percentages of survey responses were calculated. Principal Findings

Few CHCs formally discourage use …

William B. Patterson Memorial Lecture: As Health Care Reform Evolves, What Is Our Role?, Dean Hashimoto

Dean M. Hashimoto

Honorary lecture awarded in recognition of national expertise in occupational health

Chronic Pain Treatment: Massachusetts As A Case Study, Dean Hashimoto

Dean M. Hashimoto

A lecture given as part of a session entitled Dealing with Chronic Pain Under the New Guidelines.

Longer-Term Use Of Opioids, Dongchung Wang, Dean Hashimoto, Kathryn Mueller

Dean M. Hashimoto

With opioid misuse a top public health problem in the United States, this study examined longer-term use of narcotics in 21 states and how often recommended treatment guidelines for monitoring injured workers with longer-term use were followed by physicians. The information provided will help public officials identify means to strengthen the design or implementation of public policies related to narcotic use, and help payors target efforts to better manage the use of narcotics while providing appropriate care to injured workers and reducing unnecessary risks to patients and unnecessary costs to employers. The study is based on nearly 300,000 workers' compensation …

Occupational Injuries For Consecutive And Cumulative Shifts Among Hospital Registered Nurses And Patient Care Asscoiates: A Case-Control Study, Karen Hopcia, Jack Dennerlein, Dean Hashimoto, Terry Orechia, Glorian Sorensen

Dean M. Hashimoto

Nontraditional work shifts for hospital registered nurses and patient care associates and associated injuries were examined through a case-control study. Inpatient care requires that many staff work nontraditional shifts, including nights and 12-hour shifts, but some characteristics remain unexplored, especially consecutive shifts. A total of 502 cases (injured workers) were matched to single controls based on their hospital, unit type, job type, gender, and age (± 5 years). Conditional logistic regression was used for the analysis, controlling for weekly hours scheduled. For both, consecutive shifts of 2 or more days and some various cumulative shifts over a week and month …

Putting Guidelines Into Practice: The Case Of Partners Healthcare, Dean Hashimoto

Dean M. Hashimoto

A lecture given at the Harvard School of Public Health on the role of health promotion and wellness programs in workplaces.

Massachusetts Chronic Pain Guideline, Dean Hashimoto

Dean M. Hashimoto

A presentation on the new clinical pain treatment guideline in workers' compensation.

Clinical Management Of Chronic Pain And Narcotics, Dean Hashimoto

Dean M. Hashimoto

A lecture given at a conference on absence management in workplaces.

Chronic Pain Guidelines In Workers' Compensation, Dean Hashimoto

Dean M. Hashimoto

A lecture given on new chronic pain clinical guidelines in workers' compensation at the Workers' Compensation National Conference.

The Role Of Employer-Based Health Insurance In Health Care Reform, Dean Hashimoto

Dean M. Hashimoto

A BC Law Brown Bag presentation on employer health insurance.

Relationship Of Sleep Deficiency To Perceived Pain And Functional Limitations In Hospital Patient Care Workers, Orfeu Buxton, Karen Hopcia, Grace Sembajwe, James Porter, Jack Dennerlein, Christopher Kenwood, Anne Stoddard, Dean Hashimoto, Glorian Sorensen

Dean M. Hashimoto

Objective: Health care workers are at high risk of developing musculoskeletal symptoms and pain. This study tested the hypothesis that sleep deficiency is associated with pain, functional limitations, and physical limitations that interfere with work. Methods: Hospital patient care workers completed a survey (79% response rate) including measures of health, sociodemographic, and workplace factors. Associations of sleep deficiency with pain, work interference due to this pain, and functional limitations were determined. Results: Of 1572 respondents (90% women; mean age, 41 years), 57% reported sleep deficiency, 73% pain in last 3 months, 33% work interference, and 18% functional limitation. Sleep deficiency …

Issues Of Chronic Pain Treatment And Narcotics: What Is The Massachusetts' Experience?, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Employment Law Issues And Biological Exposures, Dean Hashimoto

Dean M. Hashimoto

A lecture given on employment law issues related to biological laboratory exposures at the 3rd annual occupational health colloquium Preventing and Treating Biological Exposures.

Musculoskeletal Pain And Psychological Distress In Hospital Patient Care Workers, Sijn Reme, Jack Dennerlein, Dean Hashimoto, Glorian Sorenson

Dean M. Hashimoto

Purpose

The aim of the study was to assess the association of psychological distress and musculoskeletal pain, how it is related to pain interference with work and multiple pain areas, and potential differences between the different pain areas in hospital patient care workers.

Methods

Data were collected from a cross-sectional survey of patient care workers (n = 1,572) from two large hospitals.

Results

Patient care workers with musculoskeletal pain reported significantly more psychological distress than those without pain. Psychological distress was significantly related to pain interference with work, even after adjusting for pain and demographics (OR = 1.05; CI = …

Occupational Injuries Among Nurses And Aides In A Hospital Setting, Leslie Boden, Grace Sembajwe, Torill Tveito, Dean Hashimoto, Karen Hopcia, Christopher Kenwood, Anne Stoddard, Glorian Sorenson

Dean M. Hashimoto

Background

Patient care workers in acute care hospitals are at high risk of injury. Recent studies have quantified risks and demonstrated a higher risk for aides than for nurses. However, no detailed studies to date have used OSHA injury definitions to allow for better comparability across studies.

Methods

We linked records from human resources and occupational health services databases at two large academic hospitals for nurses (n = 5,991) and aides (n = 1,543) in patient care units. Crude rates, rate ratios, and confidence intervals were calculated for injuries involving no days away and those involving at least 1 day …

The Role Of The Work Context In Multiple Wellness Outcomes For Hospital Patient Care Workers, Dean Hashimoto, Glorian Sorensen, Anne Stoddard, Sonia Stoffel, Orfeu Buxton, Grace Sembajwe, Jack Dennerlien, Karen Hopcia

Dean M. Hashimoto

Objective: To examine the relationships among low back pain (LBP), inadequate physical activity, and sleep deficiency among patient care workers, and of these outcomes to work context.

Methods: A cross-sectional survey of patient care workers (N = 1572, response rate = 79%).

Results: A total of 53% reported LBP, 46%, inadequate physical activity, and 59%, sleep deficiency. Inadequate physical activity and sleep deficiency were associated (P = 0.02), but LBP was not significantly related to either. Increased risk of LBP was significantly related to job demands, harassment at work, decreased supervisor support, and job title. Inadequate physical activity was significantly …

Flu Shot Immunizations Of Health Care Workers: Data From The Past 10 Years, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

The Potential Impact Of Health Care Reform On Workers' Compensation, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Integrated Approaches To Improving The Health And Safety Of Health Care Workers, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Interstate Variation In Use Of Narcotics, Dean M. Hashimoto, Dongchun Wang, Kathryn Mueller

Dean M. Hashimoto

No abstract provided.

Panelist, Use Of Evidence-Based Treatment Guidelines In Workers' Compensation, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Use Of Evidence-Based Treatment Guidelines In Workers' Compensation, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Panelist, Justice Brennan: Liberal Champion, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Panelist, National Standards Of Care For Medical Malpractice Suits, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Public Service And Consultant Work: Chair Of The Workforce Subcommittee, Alternative Standards Of Care During Public Disasters, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Interstate Variations In Medical Practice Patterns For Low Back Conditions, Dean Hashimoto, Dongchun Wang, Kathryn Mueller, Sharon Belton, Xiaoping Zho

Dean M. Hashimoto

No abstract provided.

Extended Work Duration And The Risk Of Self-Reported Percutaneous Injuries In Interns, Dean M. Hashimoto, Najib T. Ayas, Laura K. Barger, Brian E. Cade, Bernard Rosner, John W. Cronin, Frank E. Speizer, Charles A. Czeisler

Dean M. Hashimoto

Context: In their first year of postgraduate training, interns commonly work shifts that are longer than 24 hours. Extended-duration work shifts are associated with increased risks of automobile crash, particularly during a commute from work. Interns may be at risk for other occupation-related injuries.

Objective: To assess the relationship between extended work duration and rates of percutaneous injuries in a diverse population of interns in the United States.

Design, Setting, and Participants: National prospective cohort study of 2737 of the estimated 18 447 interns in US postgraduate residency programs from July 2002 through May 2003. Each month, comprehensive Web-based surveys …

Appointed Member Of The Advisory Board On Science And Technology Of The Flaschner Judicial Institute, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.

Judging Scientific Evidence At The Cutting Edge, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.