The Total Worker Health® (TWH) approach: a systematic review of its application in different occupational settings
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Published:2024-07-30
Issue:1
Volume:24
Page:
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ISSN:1471-2458
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Container-title:BMC Public Health
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language:en
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Short-container-title:BMC Public Health
Author:
Leso Veruscka,Carugno Michele,Carrer Paolo,Fusco Fabio,Mendola Marco,Coppola Mariagaia,Zaffina Salvatore,Di Prinzio Reparata Rosa,Iavicoli Ivo
Abstract
Abstract
Background
The National Institute for Occupational Safety and Health (NIOSH), in 2011, developed the “Total Worker Health®” (TWH) as a holistic approach to protect and promote the workers’ safety, health, and well-being. After over ten years from the TWH development, the aim of the present systematic review is to provide a comprehensive overview of the worldwide TWH initiatives.
Methods
PubMed, Scopus and ISI Web of Science were searched for TWH studies published up to the 31st of July 2023, and 43 investigations could be included. The review was registered on the International prospective register of systematic reviews PROSPERO with the reference number CRD42023416972.
Results
Issues that emerged as relevant for the TWH operationalization were the awareness about the TWH approach and fundamentals, the leadership commitment, and a participatory engagement of the workforce: these aspects all contributed to acceptable and effective setting oriented TWH plans, specifically tailored on the peculiarities of the workplace, including small enterprises and multiemployer worksites. Evaluation and continual improvement were reported as fundamental for the successful implementation of TWH initiatives. Limited resources for safety and health initiatives, in terms of time, people, and funds, together with difficulties in the identification of safety and health priorities and a poor participatory culture were recognized as obstacles to the TWH application. Training resulted the core component of the TWH leadership and workforce preparedness, with beneficial results in terms of safety culture and adoption of preventive measures.
Conclusions
Although interesting aspects emerged from our review, future longitudinal investigations should confirm the effectiveness, easy integration, and long-term sustainability of TWH models in different workplaces, in order to effectively support safe and health-enhancing works able to improve innovation and productivity.
Publisher
Springer Science and Business Media LLC
Reference81 articles.
1. Tamers SL, Streit J, Pana-Cryan R, Ray T, Syron L, Flynn MA, Castillo D, Roth G, Geraci C, Guerin R, Schulte P, Henn S, Chang CC, Felknor S, Howard J. Envisioning the future of work to safeguard the safety, health, and well-being of the workforce: A perspective from the CDC’s National Institute for Occupational Safety and Health. Am J Ind Med. 2020;63(12):1065–84. https://doi.org/10.1002/ajim.23183. 2. Schill AL, Chosewood LC. The NIOSH Total Worker Health™ program: an overview. J Occup Environ Med. 2013;55(12 Suppl):S8-11. https://doi.org/10.1097/JOM.0000000000000037. 3. NIOSH. Fundamentals of total worker health approaches: essential elements for advancing worker safety, health, and well-being. By Lee MP, Hudson H, Richards R, Chang CC, Chosewood LC, Schill AL, on behalf of the NIOSH Office for Total Worker Health. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. DHHS (NIOSH) Publication No. 2017–112;2016. 4. Hudson HL, Schill AL, Richards R. An exploratory, qualitative study of how organizations implement the hierarchy of controls applied to Total Worker Health®. Int J Environ Res Public Health. 2021;18(19):10032. https://doi.org/10.3390/ijerph181910032. 5. Lee MP, Hudson H, Richards R, Chang CC, Chosewood LC, Schill AL, NIOSH Office for Total Worker Health. Fundamentals of Total Worker Health approaches: essential elements for advancing worker safety, health, and well-being; DHHS (NIOSH) Publication No. 2017–112. Cincinnati: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 2016.
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