Is burnout a mediating factor between sharps injury and workrelated factors or musculoskeletal pain?

BACKGROUND Burnout,musculoskeletal pain,and sharps injuries(SIs)affect medical workers.AIM To establish a model between SIs,burnout,and the risk factors to assess the extent to which burnout affects SIs.METHODS This questionnaire was used for an observational and cross-sectional study,which was based on members at a hospital affiliated with a medical university in Taichung,Taiwan,in 2020.The valid responses constituted 68.5%(1734 of 2531).The items were drawn from the Nordic Musculoskeletal Questionnaire and Copenhagen burnout inventory and concerned work experience,occupational category,presence of chronic diseases,sleep duration,overtime work,and work schedule.Factor analysis,chi-square test,Fisher exact test,Multiple linear,logistic regression and Sobel test were conducted.The present analyses were performed using SAS Enterprise Guide 6.1 software(SAS Institute Inc.,Cary,NC,United States),and significance was set at P<0.05.RESULTS Personal and work-related burnout ranks, sex, work experience ranks, occupationalgroups, drinking in the past month, sleep duration per day, presence ofchronic diseases, overtime work ranks, and work schedule were associated withSIs. Frequent upper limb and lower limb pain (pain occurring every day or once aweek) determined to be related to SIs. High personal burnout (> Q3) and highwork-related burnout (> Q3) mediated the relationship between SIs and frequentlower limb pain. Similarly, frequent lower limb pain mediated the relationship ofSIs with high personal and high work-related burnout. High personal and highwork-related burnout mediated the relationships of SIs with overtime work andirregular shift work. The mediating model provides strong evidence of anassociation between mental health and SIs.CONCLUSIONBurnout was determined to contribute to SIs occurrence;specifically, it mediatedthe relationships of SIs with frequent musculoskeletal pain, overtime work, andirregular shift work.

Rights Basis and System Building of Occupational Injury Protection for Employers in New Business Forms

Employees in new business forms face higher occupational injury risks and the plight of“falling in the gap in the protection network”of work-related injury insurance.The existing three types of occupational injury protection models are based on the reflection and reform of traditional occupational injury insurance.The readjustment path of occupational injury insurance is the most desirable among them.Occupational injury protection for employees in new forms of business is based on the concept of human rights protection,with the right to equality,social insurance and occupational safety and health as the direct basis.The top-level design of the system should be based on the appropriate“decoupling”of work-related injury insurance and labor relations,and rely on the technological empowerment of the digital age to explore the establishment of a work-related injury insurance system that is both mandatory and flexible.For the specific system building,in the dimension of mandate,the commercialization of benefits payment should be realized while expanding the statutory coverage of work-related injury insurance;while in the dimension of flexibility,it should be based on the characteristics of employees.Corresponding rules and regulations should be adjusted in terms of management model,work-related injury identification,and treatment calculation and payment.

日本工伤的认定与启示

经过半个多世纪的发展,日本形成了完备的工伤保险体系,其工伤保险覆盖面宽,工伤认定范围广,具有人性化与科学化的工伤认定标准,对我国工伤保险制度的完善具有较强的借鉴意义。文章围绕日本工伤保险制度的基本框架,重点介绍了日本工伤认定中对于“劳动者”的认定、工伤认定的范围、特别加入制度、工伤认定基准、“过劳死”的认定标准等内容,分析其立法理念、技术手段与特色措施,进而提出健全我国工伤认定制度的相关建议,以期解决我国新业态从业人员工伤保障的难题。

新冠肺炎工伤认定问题探究

工伤认定关系到劳动者的切身利益,当前有关新冠肺炎工伤的认定也日益成为社会关注的焦点。本文通过系统梳理新冠肺炎工伤认定的法律依据,探讨了确定新冠肺炎工伤的适用范围,针对新冠肺炎工伤认定实践中出现的新问题,提出了精准做好新冠肺炎工伤认定工作、维护劳动者职业安全、保障其合法权益的措施。

浅析职工上下班途中的工伤认定

随着2011年1月1日新《工伤保险条例》的正式实施,新条例进一步明确和扩大了职工上下班途中工伤认定范围,却也引发了一系列新的思考,诸如上下班途中如何界定、非本人主要责任范围的确定、非交通事故能否认定为工伤等问题,都值得我们认真去探讨和研究。本文将结合具体案例探讨职工上下班途中工伤认定条文的理解和适用问题。

院内压疮会诊护士资质认证培训的实践

目的提高全院压疮联络员压疮护理知识,加强院内压疮会诊力量。方法由压疮小组成员对符合参加培训条件的60名压疮联络员,以压疮指南及院内压疮护理手册为蓝本,进行为期8周的理论与实践培训,选取考核成绩优异者20人发放院内压疮会诊资质证书,之后参与院内压疮会诊。4个月后评价效果。结果压疮上报率显著增加,院内压疮发生率显著降低(均P<0.01);获得院内压疮会诊资质护士参与会诊248例次,会诊合格率达90.73%,本病区护士认为其在病区指导与防治压疮中发挥的作用较培训前显著增加(P<0.01)。结论院内压疮会诊资质认证培训与考核,提升了压疮联络护士压疮护理水平;对成绩优异者发放院内压疮会诊资质证书,有效加强了院内压疮会诊力量,从而提高了院内压疮防护水平。

法院裁判工伤事故的生理需求尺度

生理需求是自然人的新陈代谢过程,劳动者在劳动过程中满足其生理需求的行为是合理的、必要的,这是劳动权的一部分。工伤认定案件的裁判中,适用生理需求,是保护劳动权的要求,是工伤认定符合人权发展的需求,更是现代法院实现正义的追求。以工伤认定的基本要素的角度来分析,生理需求适用的前提是其必须合理、必要,且必须与工作时间、工作场所、工作原因等工伤认定要素相关联。

换个角度看《交通事故责任认定书》——仅就交通事故损害赔偿案件分析

随着机动车保有量的增加,因交通肇事而产生损害赔偿的纠纷越来越多,目前人民法院在处理这类案件的时候最关注的证据就是由交警部门做出的《交通事实责任认定书》。文章对书中的责任认定问题与一般人身损害中的责任认定问题做出较详细的比较分析。

眼部损伤程度鉴定意见一致性的影响因素分析

目的分析眼部损伤程度重新鉴定意见不一致的原因,为此类鉴定提供借鉴。方法选取法大法庭科学技术鉴定研究所2016~2019年受理的108例眼部损伤程度重新鉴定案例进行回顾性分析。结果鉴定时机的选择、鉴定材料的利用、检验方法的采用、损伤的论证、标准条款的理解等问题是重新鉴定与原鉴定意见不一致的常见原因。结论针对上述原因,应从科学把握鉴定时机、充分利用送检材料、提高鉴定人的专业技能以及建立统一判定标准等方面来实现眼部损伤程度鉴定的规范化、准确性。

工伤认定案件中的优势证据标准研究

南通龙洋金属制品有限公司诉南通市通州区人力资源和社会保障局行政确认案判决中表明,工伤认定案件中的优势证据标准是行政诉讼案件中优势证据标准的具体化类型之一,所谓优势证据标准,就是法官经过庭审、质证等方式综合分析比对原被告所提出的证据,判断优势程度的基础上,选择可信度高的、盖然性、说服力占优势的一方当事人的诉求得以支持的一种证明标准。工伤认定案件中优势证据标准的适用仅限两个特殊要件:一是特殊身份要件,二是特殊待证事实要件。特殊身份要件指向受伤职工,在适用优势证据标准的证明过程中,受伤职工为初步举证方,此要件是为了在保证证据证明力的条件下,最大限度降低受伤职工的证明标准而设立。特殊待证事实要件指向受伤职工就其在工作时间、工作场所内遭受到事故伤害的事项进行证明。针对受伤职工就工作时间、工作地点提出的证据,只要客观真实且盖然性高于不在工作时间、工作地点的盖然性,就应当认定职工完成了举证责任,若双方都无直接证据证明自己的主张,受伤职工应当具有证据优势。该类型判决书对法律的理解,使相关条文更加具体化,同时也为工伤认定类案件提供了具有一定判例属性的方向。