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Effectiveness of joint health and safety committees: A realist review
Author(s) -
Yassi Annalee,
Lockhart Karen,
Sykes Mona,
Buck Brad,
Stime Bjorn,
Spiegel Jerry M.
Publication year - 2013
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.22143
Subject(s) - medicine , joint (building) , occupational safety and health , environmental health , pathology , architectural engineering , engineering
Background Joint health and safety committees (JHSCs) are widely acknowledged as important to a healthy and safe work environment. However, it is also generally believed that having a JHSC is necessary but not sufficient; the JHSC must be effective. Methods A systematic review was undertaken to find empirical studies regarding the effectiveness of JHSCs; realist review methodology was applied to determine context‐mechanism‐outcome patterns. Experts from across Canada and from various sectors and perspectives including government, employers, and unions, were brought together to inform the synthesis. Results Thirty‐one studies met inclusion criteria. Mechanisms identified as important determinants of JHSC effectiveness across various jurisdictions include adequate information, education and training; appropriate committee composition; senior management commitment to JHSCs; and especially a clear mandate with a broad scope and corresponding empowerment (through legislation and/or union presence). Conclusions Consistent empowerment mechanisms emerge as determinants of successful JHSCs across contexts despite few evidence‐based details for best practice implementation. Intervention research is warranted. Am. J. Ind. Med. 56:424–438, 2013. © 2012 Wiley Periodicals, Inc.