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APHA Scientific Session and Event Listing
Session: Social Context of Occupational Health Disparities for Healthcare Workers: Findings of the PHASE in Healthcare Research Project
3230.0: Monday, November 06, 2006: 12:30 PM-2:00 PM
Oral
Social Context of Occupational Health Disparities for Healthcare Workers: Findings of the PHASE in Healthcare Research Project
The healthcare industry is a major sector of the U.S. economy. Its workforce encompasses a wide-range of occupations, educational levels, and incomes. Healthcare worker rates of acute injuries, musculoskeletal disorders, and other work-related adverse health outcomes have rapidly increased over the past two decades. This corresponds with a period of neoliberal restructuring (adjustments to establish market-based strategies, weaken public control of services, and dismantle labor unions and other forms of workers' power) of the healthcare sector resulting in mergers, downsizing, reorganizing of professional patient care delivery, and the resultant impacts on work life quality and patient safety. Our project, Promoting Healthy and Safe Employment (PHASE) in Healthcare, conducted interdisciplinary research in community hospitals and nursing homes, and with nurses. This panel presents findings from mostly qualitative case study research to explore the political, social, and economic contexts for healthcare workplace health and safety and employee diversity support – two aspects of work we proposed would help us to understand the contexts of occupational injury disparities. Panelists will present findings regarding violence and assaults, reporting of injuries and health and safety hazards, experiences with the workers' compensation program, the relationships between potential for adverse occupational health outcomes and direct patient care, and how the restructuring of healthcare has shaped facility decisions that either prevent or promote the potential for disparate workplace health and safety experiences. We will also discuss findings regarding the socioeconomic status (SES) and working conditions of study respondents, indicating that job strain was a strong factor against study participation.
Learning Objectives: At the end of the presentations, the participant will be able to: 1) identify ways in which healthcare has been restructured as a result of neoliberal political and economic policies and ideology, and, identify how this likely set the context for the rapid and sharp rise in occupational injury rates in various sectors of the healthcare industry; 2) understand the contexts for workplace violence and abuse in healthcare settings, as well as dimensions of these events related to gender, race, and ethnicity, and immigrant and professional status of healthcare workers; 3) identify aspects of both the healthcare work environment and external social systems that either support or inhibit workers’ efforts to report workplace injuries; 4) identify ways that study participant oriented research designs can be incorporated to improve the success of researcher-driven occupational health and safety field research; and 5) identify working conditions as a predictor of survey response and the practical implications for surveying working populations.
Organizer(s):Craig Slatin, ScD, MPH
Moderator(s):Craig Slatin, ScD, MPH
12:30 PMSocial context of occupational health disparities for healthcare workers: Findings of the PHASE in Healthcare research project
Craig Slatin, ScD, MPH
12:40 PMViolence and abuse in the healthcare workplace: The context for disparities
Lee Ann Hoff, PhD RN, Kathleen Sperrazza, MS RN, Karen Devereaux Melillo, PhD APRN BC, Ainat Koren, PhD RN, Carole Pearce, PhD RN, Craig Slatin, ScD, MPH, The PHASE in Healthcare Research Team
1:00 PMReporting of occupational injuries in healthcare facilities: Findings from hospital, long term care, and other settings
Ainat Koren, PhD RN, Monica Galizzi, PhD, Craig Slatin, ScD, MPH, Kathleen Sperrazza, MS, RN, Karen Devereaux Melillo, PhD APRN BC, Barbara Mawn, PhD RN, Carole Pearce, PhD RN, The PHASE in Healthcare Research Team
1:20 PMImpact of healthcare restructuring in Massachusetts on the health andsafety of healthcare workers
C. Eduardo Siqueira, MD, ScD, Ainat Koren, PhD RN, Craig Slatin, ScD, MPH, Kathleen Sperrazza, MS RN, Michael J. O'Sullivan, DrPH, The PHASE in Healthcare Research Team
1:40 PMSocioeconomic Status and Working Conditions as Predictors of Survey Response in Healthcare Workers  [ Recorded presentation ]
Manuel Cifuentes, Rebecca Gore, PhD, Jon Boyer, Jamie Tessler, Angelo D'Errico, MD, Patrick Scollin, Laura Punnett, The PHASE in Healthcare Research Team
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Occupational Health and Safety
Endorsed by:Community Health Planning and Policy Development; Labor Caucus; Public Health Education and Health Promotion; Public Health Nursing; Socialist Caucus; Vietnam Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA