Various tools for safety performance measurement have been introduced in order to fulfil the need for safety monitoring in organisations, which is tightly related to their overall performance and achievement of their business goals. Such tools include accident rates, benchmarking, safety culture and climate assessments, cost-effectiveness studies, etc. The current work reviews the most representative methods for safety performance evaluation that have been suggested and applied by a variety of organisations, safety authorities and agencies. This paper discusses several viewpoints of the applicability, feasibility and appropriateness of such tools, based on the viewpoints of managers and safety experts involved in a relevant research that was conducted in a large aviation organisation. The extensive literature cited, the discussion topics, along with the conclusions and recommendations derived, might be considered by any organisation that seeks a realistic safety performance assessment and establishment of effective measurement tools.
BACKGROUND: The performance of activities of daily living (ADL) at home is important for the recovery of older individuals after hip fracture. However, 20-90% of these individuals lose ADL function and never fully recover. It is currently unknown to what extent occupational therapy (OT) with coaching based on cognitive behavioral treatment (CBT) improves recovery. The same holds for sensor monitoring-based coaching in addition to OT. Here, we describe the design of a study investigating the effect of sensor monitoring embedded in an OT rehabilitation program on the recovery of ADL among older individuals after hip fracture.METHODS/ DESIGN: Six nursing homes will be randomized in a three-arm stepped wedge cluster randomized trial. All nursing homes will initially provide standard care. At designated time points, nursing homes, successively and in random order, will cross over to the provision of OT and at the next time point, to sensor monitoring-enhanced OT. A total of 288 older individuals, previously living alone in the community, who after a hip fracture were admitted to a geriatric rehabilitation ward for a short-term rehabilitation, will be enrolled. Individuals in the first intervention group (OTc) will participate in an OT rehabilitation program with coaching based on cognitive behavioral therapy (CBT) principles. In the sensor monitoring group, sensor monitoring is added to the OT intervention (OTcsm). Participants will receive a sensor monitoring system consisting of (i) an activity monitor during nursing home stay, (ii) a sensor monitoring system at home and a (iii) a web-based feedback application. These components will be embedded in the OT. The OT consists of a weekly session with an occupational therapist during the nursing home stay followed by four home visits and four telephone consultations. The primary outcome is patient-perceived daily functioning at 6 months, assessed using the Canadian Occupational Performance Measure (COPM).DISCUSSION: As far as we know, this study is the first large-scale stepped wedge trial, studying the effect of sensor monitoring embedded in an OT coaching program. The study will provide new knowledge on the combined intervention of sensor monitoring and coaching in OT as a part of a rehabilitation program to enable older individuals to perform everyday activities and to remain living independently after hip fracture.TRIAL REGISTRATION NUMBER: Netherlands National Trial Register, NTR 5716 Date registered: April 1 2016.
Global issues, including the current pandemic and ongoing climate change, shape voluntary and forced international migration flows in inequitable ways. Anti-immigrant discourses in the Global North seek to capitalize on public concerns about border control. Meanwhile, the greatest immigration challenges are borne by countries in the Global South. The majority of refugees who are forcibly displaced by war, political violence, poverty, and environmental disasters seek refuge in neighbouring regions where many states lack the capacity to adequately support them. Given these challenges, it is imperative for occupational scientists to work collaboratively to support equitable occupational possibilities for immigrants, refugees, and internally displaced persons. During this dialogic session we will 1) outline useful theoretical approaches for understanding how migration shapes engagement in occupations; 2) discuss specific ethical considerations and methods for studying migration and its occupational implications; and 3) share promising practices for working with people from migration backgrounds. Each topic will be introduced through a brief presentation from one of the co-authors sharing vignettes from their own research and professional experiences to ignite discussions. Following each of the three presentations, participants will be grouped strategically to build networks among those with similar interests. This may include grouping participants who share a language.>What are the gaps in occupation-based research on global migration, and how can these be collaboratively addressed?>How can occupational science contribute to discussions within migration studies?>What occupational concepts are most useful for studying different migrant populations?
MULTIFILE
