Now showing 1 - 10 of 13
  • Publication
    Considering Occupational Safety Awareness in Elite Rugby: A Game of Near-Misses
    (Journal of Interdisciplinary Sciences, 2021-05) ; ; ;
    Rugby players often experience risk exposure that has potentially very serious long-term health implications. Safety and risk awareness in rugby has thus become crucial especially considering the COVID-19 pandemic. This study aimed to advance understanding of safety awareness within elite rugby by exploring relationships between players, their behaviors, and the role stakeholders play in support and management. This study explored safety awareness in the context of elite rugby by utilizing document analysis, and an ethnographic approach incorporating observation, and semi-structured interviews. Participants were from rugby teams in Ireland. Observations occurred between August 2017 and May 2018, focusing on training sessions and competitive games. Data gathered were analyzed by thematic analysis using software NVivo. The findings identified three key themes: first, the risk to rugby players long-term health consequences tended to be underestimated; second, risk may be aggregated by players’ risk-taking behavior as a result of social exposure from stakeholders; third, safety practices in rugby, such as injury reporting, need to become more proactive rather than reactive. The dilemma that rugby players who prioritize their performance have to compromise their health-and-wellbeing can be ameliorated by safety culture cultivation, initiating with an encouragement of open communication on safety concerns.
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  • Publication
    Development and validation of a multi-lingual online questionnaire for surveying the COVID-19 prevention and control measures used in global workplaces
    Introduction: There is an ongoing need for targeted disease prevention and control efforts in high-risk occupational settings. This study aimed to develop, pilot, and validate an instrument for surveying occupational COVID-19 infection prevention and control (IPC) measures available to the global workforce. Material and Methods: A 44-item QualtricsXM survey was developed, translated, and validated for face, content, and cross-cultural validity according to literature review, expert consultation, and pre-testing. The survey was piloted with 890 workers from diverse industries and countries. Exploratory factor analysis (EFA) was conducted, and internal consistency reliability verified with Cronbach’s alpha. Hypothesis testing and Pearson correlation coefficients verified construct validity (i.e., known-groups technique, discriminant validity), and criterion validity. Results: EFA revealed nine key IPC domains relating to: environmental adjustments, testing and surveillance, education, costs incurred, restricted movements, physical distancing, masking, isolation strategies, and areas for improvement. Each domain showed sufficient internal consistency reliability (Cronbach’s alpha ≥ 0.60). Hypothesis testing confirmed construct validity (p < 0.001), criterion validity (p ≤ 0.03), and discriminant validity (r = -0.45). Conclusions: The occupational IPC measures survey showed strong validity and reliability. It can be used by decision makers in the distribution of IPC resources, and to guide occupational health and safety (OSH) recommendations for preventing COVID-19 and future infectious disease outbreaks.
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  • Publication
    COVID-19 prevention and control measures in workplace settings: a rapid review and meta-analysis
    Workplaces are high-risk environments for SARS-CoV-2 outbreaks and subsequent community transmission. Identifying, understanding, and implementing effective workplace SARS-CoV-2 infection prevention and control (IPC) measures is critical to protect workers, their families, and communities.
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  • Publication
    Barriers to Uptake of Open-Source Automated Insulin Delivery Systems: Analysis of Socioeconomic Factors and Perceived Challenges of Caregivers of Children and Adolescents With Type 1 Diabetes From the OPEN Survey
    As a treatment option for people living with diabetes, automated insulin delivery (AID) systems are becoming increasingly popular. The #WeAreNotWaiting community plays a crucial role in the provision and distribution of open-source AID technology. However, while a large percentage of children were early adopters of open-source AID, there are regional differences in adoption, which has prompted an investigation into the barriers perceived by caregivers of children with diabetes to creating open-source systems.Methods: This is a retrospective, cross-sectional and multinational study conducted with caregivers of children and adolescents with diabetes, distributed across the online #WeAreNotWaiting online peer-support groups. Participants-specifically caregivers of children not using AID-responded to a web-based questionnaire concerning their perceived barriers to building and maintaining an open-source AID system. Results: 56 caregivers of children with diabetes, who were not using open-source AID at the time of data collection responded to the questionnaire. Respondents indicated that their major perceived barriers to building an open-source AID system were their limited technical skills (50%), a lack of support by medical professionals (39%), and therefore the concern with not being able to maintain an AID system (43%). However, barriers relating to confidence in open-source technologies/unapproved products and fear of digital technology taking control of diabetes were not perceived as significant enough to prevent non-users from initiating the use of an open-source AID system. Conclusions: The results of this study elucidate some of the perceived barriers to uptake of open-source AID experienced by caregivers of children with diabetes. Reducing these barriers may improve the uptake of open-source AID technology for children and adolescents with diabetes. With the continuous development and wider dissemination of educational resources and guidance-for both aspiring users and their healthcare professionals-the adoption of open-source AID systems could be improved.
      76Scopus© Citations 2
  • Publication
    Worker adaptation behaviours and mental health impacts in Irish workplaces arising from COVID-19 – observations of OSH professionals
    Introduction: Workers quickly adapted during the COVID-19 pandemic to comply with updated work arrangements, control measures and policies. Understanding adaptation difficulties/fatigue and mental health issues among workers is crucial for OSH professionals to plan for future emergencies. Materials and Methods: As part of a larger COVID-19 workplace study, 16 two-hour focus groups (4-6 participants each) were conducted with OSH professionals (n=60) in Ireland, covering four predetermined themes (organisational preparedness; organisational impacts; worker adaptation behaviour; and the future of OSH post-pandemic). Thematic analysis was conducted using Nvivo. Results: OSH professionals observed many workers rapidly adapted and became involved in organisational COVID-19 outbreak prevention and long-term adaptation, in contrast to some workers that exhibited mental health problems as they struggled to adapt. Adaptation fatigue was observed when staff were sent home to work due to a range of factors: 1) isolation at home 2) no boundary between work and life; and 3) inability to disconnect from negative media coverage. The situation can be alleviated by 1) increasing informal communication to cope with isolation; 2) Employee Assistance Programmes; and 3) additional consultation regarding their COVID-19 concerns. Conclusion: Most Irish workplaces focused more on employees’ physical safety rather than their mental wellbeing. The experiences shared by OSH professionals in this study illustrate their agility and ability to apply their risk management and control skills to any unanticipated public/occupational health crisis that arises.
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  • Publication
    Protecting the Health and Wellbeing of Rugby Players and Support Staff from an Occupational Safety and Health Perspective during Return to Play in A Global Pandemic
    (Journal of Sports Medicine and Orthopedic Advances, 2021-03-08) ; ;
    Background: The contact nature of rugby with intensive physical interaction often exposes its players to a high risk of injury and illness. Compliance with prescribed safety guidelines when returning to play during the COVID-19 pandemic is important for both rugby players and their support staff ’s health and wellbeing. Methods: This paper explores health and hygiene awareness in a rugby context and provides insights on practical return-to-play (RTP) solutions during the COVID-19 crisis. This study was conducted through interviews with 15 senior rugby support staff employed in elite rugby. A thematic analysis was adopted emphasising the need for a consideration of hygiene and social distancing practices arising from COVID-19. Results: Players are exposed to the risk of trauma resulting in skin abrasions and lacerations etc. which may aggregate the risk of infectious diseases. A level of micromanagement practices that builds on the current situation are essential, considering rugby players in a high level of fitness condition and at a relatively young age can be overly confident with their ability to deal with the risk of illness. Player awareness such as symptom reporting and RTP after unwellness is required for ensuring their health and wellbeing and of their fellow players as well as support staff during the back to field process. Conclusions: Returning to rugby practice and competition will require a level of micromanagement and player safety awareness education to achieve the goal of optimally protecting the players from potential illness and/or spreading it to fellow players and support staff.
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  • Publication
    Barriers to uptake of Open-Source automated insulin delivery Systems: Analysis of socioeconomic factors and perceived challenges of adults with type 1 diabetes from the OPEN survey
    Aims: Social and technical trends are empowering people with diabetes to co-create or self-develop medical devices and treatments to address their unmet healthcare needs, for example, open-source automated insulin delivery (AID) systems. This study aims to investigate the perceived barriers towards adoption and maintaining of open-source AID systems. Methods: This is a multinational study based on a cross-sectional, retrospective web-based survey of non-users of open-source AID. Participants (n = 129) with type 1 diabetes from 31 countries were recruited online to elicit their perceived barriers towards building and maintaining of an open-source AID system. Results: Sourcing the necessary components, lack of confidence in one's own technology knowledge and skills, perceived time and energy required to build a system, and fear of losing healthcare provider support appear to be major barriers towards the uptake of open-source AID. Conclusions: This study identified a range of structural and individual-level barriers to uptake of open-source AID. Some of these individual-level barriers may be overcome over time through the peer support of the DIY online community as well as greater acceptance of open-source innovation among healthcare professionals. The findings have important implications for understanding the possible wider diffusion of open-source diabetes technology solutions in the future.
      51Scopus© Citations 4
  • Publication
    ‘Communication, that is the key’: a qualitative investigation of how essential workers with COVID-19 responded to public health information
    Objectives: To understand how essential workers with confirmed infections responded to information on COVID-19. Design: Qualitative analysis of semistructured interviews conducted in collaboration with the national contact tracing management programme in Ireland. Setting: Semistructured interviews conducted via telephone and Zoom Meetings. Participants: 18 people in Ireland with laboratory confirmed SARS-CoV-2 infections using real-time PCR testing of oropharyngeal and nasopharyngeal swabs. All individuals were identified as part of workplace outbreaks defined as ≥2 individuals with epidemiologically linked infections. Results: A total of four high-order themes were identified: (1) accessing essential information early, (2) responses to emerging ‘infodemic’, (3) barriers to ongoing engagement and (4) communication strategies. Thirteen lower order or subthemes were identified and agreed on by the researchers. Conclusions: Our findings provide insights into how people infected with COVID-19 sought and processed related health information throughout the pandemic. We describe strategies used to navigate excessive and incomplete information and how perceptions of information providers evolve overtime. These results can inform future communication strategies on COVID-19.
      85Scopus© Citations 1
  • Publication
    COVID-19 and its impact on Irish workplaces – OSH professionals experience and observations of preparation and adaptation
    Introduction: An investigation of Irish workplace adaptation to COVID-19 was conducted to assess impact to workers, their organisations and to develop new OSH adaptation mechanisms for future health emergencies. Materials and Methods: As part of the study, OSH professionals (n=60), each representing their workplace, took part in a series of semi-structured online focus groups. Each focus group incorporated twenty quantitative questions (covering four themes: organisational preparedness; organisational impacts; worker impacts; and the future of OSH) that were answered anonymously via a poll function. Results: 59 participants completed the questions. 58% of workplaces began pandemic preparations prior to COVID-19 emerging in Ireland. 66% of workplaces remained open while 27% were partially closed. 34% of workplaces had more than half their workforce working from home (5% pre-pandemic). 37% of workplaces had a working from home policy with 54% of workplaces having risk assessments for infectious diseases in place prior to the pandemic. 41% of workplaces had identified a viral pandemic scenario as part of its emergency planning prior to COVID-19. OSH professionals indicated that the majority (63%) of their colleagues understood the control measures instigated as a response to COVID-19 with a greater majority (90%) more willing to accept future workplace changes if they know it is to keep them safe and healthy. Conclusion: Irish workplaces adapted well to the changing OSH landscape that emerged in response to COVID-19. Irish workplaces are now more likely to be able to adapt and respond well to future public health emergencies.
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  • Publication
    COVID-19 workplace impacts - Irish OSH professionals experience and observations
    COVID-19 has had a significant impact on workers, arising from adaptations to control measures and consequent behaviour changes that minimise disease spread in the workplace. From an occupational safety & health (OSH) perspective, understanding how adaptations and behaviour changes have impacted workers is relevant to how organisations can preserve the health of their workers when adapting to future health emergencies.
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