Injury by design: A thematic networks and system dynamics analysis of work-related musculoskeletal disorders in tram drivers

Tram driving is a safety critical task where work-related musculoskeletal disorders (WRMSDs) and injuries are associated with interacting occupational design factors over time. These interactions then carry implications for workforce retention, public safety, workplace relations and supports. To better understand such interactions, this study used thematic networks and system dynamics (causal loop diagrams) analysis with the aim to unearth a global theme underscoring occurrence of WRMSDs, and describe the factors influencing the system dynamics of WRMSD occurrence in tram drivers. Building on earlier work focused on occupational participation, secondary analysis of driver interviews (n = 13) and driving observations (n = 11) produced thematic network and causal loop models of risk factors that highlighted an Injury by Design problem structure as a global theme. Research targeting organisational culture, human factors, and design standards is needed to minimise WRMSDs risk in tram drivers

Out on a limb: Applying the Person-Environment-Occupation-Performance model to examine injury-linked factors among light rail drivers

Bowditch, LM ORCiD: 0000-0002-2783-0595; Naweed, A ORCiD: 0000-0002-5534-4295Work-related injuries and musculoskeletal disorders are a workplace problem within and across organisations, particularly in rail, where they tend to be treated as non-significant and localised health issues. While physical ergonomics and interface-design issues invariably contribute to the incidence of such injuries, contemporary socio-technical systems theories suggest that wider system factors and complex interrelationships between them may also play a role. The Person-Environment-Occupation-Performance (PEOP) model was applied to identify, map and examine injury-linked factors in light rail vehicle (i.e. tram) drivers. Two connected studies were undertaken in a mixed methods research design involving direct (e.g. interviews, observations) and indirect (e.g. cross-sectional surveys) methods of data capture within an Australian light rail organisation. Analysis of data and triangulation of findings revealed that impacts to work-related musculoskeletal disorders are not only local and physical, but psychosocial and distal, such as in driving behaviours engendered by knowledge and levels of interpersonal support received. Application of the PEOP model enabled determination of the complexity around the systems factors contributing to driver injury in the context of rail driving and identification of specific strategies and implications for policy, education and practice. This paper presents the first use of the PEOP model to examine and better understand work-related injuries and musculoskeletal disorders in the rail industry and provides an adaptation of the model as a template for future use in rail and to assist in the understanding of complex injury scenarios within a socio-technical systems approach. © 2020 The Author

Out on a limb: Applying the Person-Environment-Occupation-Performance model to examine injury-linked factors among light rail drivers

Work-related injuries and musculoskeletal disorders are a workplace problem within and across organisations, particularly in rail, where they tend to be treated as non-significant and localised health issues. While physical ergonomics and interface-design issues invariably contribute to the incidence of such injuries, contemporary socio-technical systems theories suggest that wider system factors and complex interrelationships between them may also play a role. The Person-Environment-Occupation-Performance (PEOP) model was applied to identify, map and examine injury-linked factors in light rail vehicle (i.e. tram) drivers. Two connected studies were undertaken in a mixed methods research design involving direct (e.g. interviews, observations) and indirect (e.g. cross-sectional surveys) methods of data capture within an Australian light rail organisation. Analysis of data and triangulation of findings revealed that impacts to work-related musculoskeletal disorders are not only local and physical, but psychosocial and distal, such as in driving behaviours engendered by knowledge and levels of interpersonal support received. Application of the PEOP model enabled determination of the complexity around the systems factors contributing to driver injury in the context of rail driving and identification of specific strategies and implications for policy, education and practice. This paper presents the first use of the PEOP model to examine and better understand work-related injuries and musculoskeletal disorders in the rail industry and provides an adaptation of the model as a template for future use in rail and to assist in the understanding of complex injury scenarios within a socio-technical systems approach. © 2020 The Author

Injury by design: A thematic networks and system dynamics analysis of work-related musculoskeletal disorders in tram drivers

Tram driving is a safety critical task where work-related musculoskeletal disorders (WRMSDs) and injuries are associated with interacting occupational design factors over time. These interactions then carry implications for workforce retention, public safety, workplace relations and supports. To better understand such interactions, this study used thematic networks and system dynamics (causal loop diagrams) analysis with the aim to unearth a global theme underscoring occurrence of WRMSDs, and describe the factors influencing the system dynamics of WRMSD occurrence in tram drivers. Building on earlier work focused on occupational participation, secondary analysis of driver interviews (n = 13) and driving observations (n = 11) produced thematic network and causal loop models of risk factors that highlighted an Injury by Design problem structure as a global theme. Research targeting organisational culture, human factors, and design standards is needed to minimise WRMSDs risk in tram drivers

Developing virtual reality trauma training experiences using 360-Degree video: Tutorial

Historically, medical trainees were educated in the hospital on real patients. Over the last decade, there has been a shift to practicing skills through simulations with mannequins or patient actors. Virtual reality (VR), and in particular, the use of 360-degree video and audio (cineVR), is the next-generation advancement in medical simulation that has novel applications to augment clinical skill practice, empathy building, and team training. In this paper, we describe methods to design and develop a cineVR medical education curriculum for trauma care training using real patient care scenarios at an urban, safety-net hospital and Level 1 trauma center. The purpose of this publication is to detail the process of finding a cineVR production partner; choosing the camera perspectives; maintaining patient, provider, and staff privacy; ensuring data security; executing the cineVR production process; and building the curriculum