Occupational Health Practitioners Research Articles

Twitter Analytics to Inform Provisional Guidance for COVID-19 Challenges in the Meatpacking Industry.

The COVID-19 pandemic raised considerable challenges to obtain reliable guidance to help occupational health practitioners, workers, and stakeholders building up efficient prevention strategies at the workplace, between the constant increase of publications in the domain, the time required to run high-quality research and systematic reviews, and the urgent need to identify areas for prevention at the workplace. Social Media and Twitter, in particular, have already been used in research and constitute a useful source of information to identify community needs and topics of interest for prevention in the meatpacking industry. In this commentary, we introduce the methods and tools we used to screen relevant posts on Twitter. Twitter analytics is a way to capture real-time concerns of the community and help ensure compliance with the notion of social accountability. As such research has limitations in terms of exhaustiveness and level of evidence, it should be considered as provisional guidance to direct both actions at the workplace and further conventional research projects.

A traditional Near Field-Far Field approach-based model and a spreadsheet workbook to manage Oxygen Deficiency Hazard

Oxygen Deficiency Hazard (ODH) poses a serious occupational risk, and represents a frequent cause of incidents, accidents, and fatalities, mostly in confined spaces and laboratories. Besides these working environments, there is a large spectrum of industries that need to manage the asphyxiation risk caused by extensive inert gas uses. In such a context, mathematical models represent a valuable tool for characterising exposure profiles under varying conditions and evaluating several exposure scenarios, prospectively or retrospectively, for new processes and/or non-routine events. To this end, the objectives of this paper are to: (1) define a traditional Near Field-Far Field (NF-FF) model to estimate the indoor oxygen (O2) concentration percent by volume and partial pressure, and (2) develop a spreadsheet workbook, called ODHMOD, for supporting occupational hygienists, safety and health practitioners, and risk assessors during ODH assessments. Both the NF-FF model and ODHMOD employ data and information usually available in companies, and predict the O2 levels time trends in working environments where inert gas releases can occur, and forced and natural ventilation can move airflows inside and/or outside. The mathematical model and its implementation in Microsoft® Excel are described, with an example of its application in a possible industrial scenario.

FMA (Noise) 1989 to OSHA (Noise) 2019 – Is it Worth the Wait?

Occupational health practitioners in our country were heartened following the gazettement of the new regulation with regard to occupational noise exposure in alignment with the Occupational Safety and Health Act (OSHA 1994) by the Attorney General’s Chamber in early June this year.

Put you down versus tune you out: Further understanding active and passive e-mail incivility.

Although e-mail incivility is becoming a growing concern in the workplace, it remains an understudied topic. Scholars have paid inadequate attention to its dimensionality (i.e., active and passive e-mail incivility) and its impact on well-being outcomes, thus precluding a more comprehensive understanding of its implications in the workplace. To address these gaps, we conducted two studies to investigate the nature and outcomes of e-mail incivility. In Study 1, we surveyed a sample of working employees about their e-mail incivility experiences at work and collected their appraisals of a discrete e-mail incivility event. Confirmatory factor analysis results provide support for the empirical distinction between the 2 dimensions. Findings from event-level appraisals highlight that active e-mail incivility leads to a greater level of emotionality appraisal, whereas passive e-mail incivility is viewed as more ambiguous. In Study 2, we conducted a diary study to examine the spillover effects of e-mail incivility on well-being. Multilevel modeling results indicate that passive e-mail incivility is positively associated with insomnia, which then leads to heightened negative affect at the beginning of the workday. Overall, this research clarifies the nature of e-mail incivility dimensions, highlights their detrimental effects on employee well-being, and identifies important implications for occupational health scholars and practitioners. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Work functioning impairment in the course of pharmacotherapy treatment for depression

This study investigated the association between the duration of pharmacotherapy treatment for depression, or discontinuation from treatment, and work functioning impairment. This was a retrospective cohort study examining 30,409 workers. Work functioning impairment was assessed using a questionnaire, and treatment status was assessed using medical claims data. Odds ratios (ORs) of workers with severe work functioning impairment compared with healthy workers (control group) were calculated using logistic regression analysis. Continuous medical treatment was associated with severely impaired work functioning regardless of treatment period [continuous medical treatment; 4 months <: OR = 3.2, 4 months ≥, 10 months <: OR = 2.6, 10 months ≥, 14 months <: OR = 2.3, 14 months ≥, 16 months <: OR = 2.3, which are all statistically significant (p < 0.05)]. Workers who initially received pharmacotherapy treatment but discontinued in < 11 months had a significantly higher OR (treatment discontinuation period; 3 months <: OR = 2.3, 3 months ≥, 8 months <; OR = 2.0, 8 months ≥, 11 months <; OR = 3.0), while those who discontinued at ≥ 11 months did not (OR = 1.4, 95% CI 0.6–3.5). The sensitivity analysis excluding participants with at least one psychiatric comorbidity other than depression did not change the final result. It is important for the occupational health practitioners and attending psychiatrists to follow up in cooperation with each other, paying attention to the decrease in work functioning in addition to the symptoms.

The Occupational Depression Inventory: A new tool for clinicians and epidemiologists

BackgroundDepressive symptoms induced by insurmountable job stress and sick leave for mental health reasons have become a focal concern among occupational health specialists. The present study introduces the Occupational Depression Inventory (ODI), a measure designed to quantify the severity of work-attributed depressive symptoms and establish provisional diagnoses of job-ascribed depression. The ODI comprises nine symptom items and a subsidiary question assessing turnover intention. MethodsA total of 2254 employed individuals were recruited in the U.S., New Zealand, and France. We examined the psychometric and structural properties of the ODI as well as the nomological network of work-attributed depressive symptoms. We adopted an approach centered on exploratory structural equation modeling (ESEM) bifactor analysis. We developed a diagnostic algorithm for identifying likely cases of job-ascribed depression (SPSS syntax provided). ResultsThe ODI showed strong reliability and high factorial validity. ESEM bifactor analysis indicated that, as intended, the ODI can be used as a unidimensional measure (Explained Common Variance = 0.891). Work-attributed depressive symptoms correlated in the expected direction with our other variables of interest―e.g., job satisfaction, general health status―and were markedly associated with turnover intention. Of our 2254 participants, 7.6% (n = 172) met the criteria for a provisional diagnosis of job-ascribed depression. ConclusionsThis study suggests that the ODI constitutes a sound measure of work-attributed depressive symptoms. The ODI may help occupational health researchers and practitioners identify, track, and treat job-ascribed depression more effectively. ODI-based research may contribute to informing occupational health policies and regulations in the future.

Testing and Improving an ISO 14119-Inspired Tool to Prevent Bypassing Safeguards on Industrial Machines

Various safety-related standards associated with the machinery design phase, such as ISO 14119:2013, emphasize the appropriate design and selection of protective devices to prevent bypassing. Despite such standards, bypassing safeguards is a common issue at the machinery use phase. ISO 12100:2010 indicates, “experience has shown that even well-designed safeguarding can fail or be violated”. This unsafe practice can cause serious injuries or fatalities. This paper presents an improved version of a bypassing-related assessment tool initially inspired by ISO 14119. The improvement results from testing its performance through industrial case studies to explore how the tool works in reality. Five occupational health and safety (OHS) practitioners apply this tool in four plants in Quebec to 18 machines and 37 activities. Afterwards, the OHS practitioners provide feedback using a questionnaire. The findings reveal that the tool is appropriate for the machine usage phase to prevent bypassing with an overall 82% satisfaction score. The probability levels of bypassing given by the tool enable a safety improvement prioritization method for the machines and safeguards. The tool was improved, redefining some incentives to bypass and its layout. The findings explain how practitioners could influence decision-making to minimize incentives to bypass and the probability of bypassing to prevent accidents.

Accessing Occupational Health Services in the Southern African Development Community Region.

Only 15% of the global population has access to occupational safety and health services. In Africa, only 5% of employees working from major establishments have access to occupational health services (OHS). Access to primary health care (PHC) services is addressed in many settings and inclusion of OHS in these facilities might increase efficiency in preventing occupational diseases. A cross-sectional study was conducted in four Southern African Development Community (SADC) countries aiming at assessing the availability of OHS at PHC facilities and the organization of OHS. We conducted a literature review to assess the provision and organization of OHS services. In addition to the review, a total of 23 doctors from Zambia were interviewed using questionnaires in order to determine the availability of OHS and training. Consultations with heads of ministries were done in four SADC countries. Results showed that in the SADC region, OHS are fragmented and lack a comprehensive approach. In addition, out of 23 PHC facilities, only two (13%) provided occupational health and PHC. However, OHS provided at PHC facilities were limited to TB screening and audiometric testing. Our study showed a huge inadequacy of trained occupational health practitioners. This study supports the World Health Organization’s advocacy to integrate OHS at the PHC level.

A Yoga-Based Program Decreases Physician Burnout in Neonatologists and Obstetricians at an Academic Medical Center.

Nearly half of U.S. pediatricians have symptoms of burnout. This pilot study examined the feasibility of a 6-week yoga-based program (RISE) for neonatologists and obstetricians at Brigham and Women's Hospital and studied the effects on burnout, professional fulfillment, and psychological health. Participants were recruited via email to participate either in both program and research study, or exclusively the program. RISE was delivered 1 hour/week during the workday for 6 consecutive weeks either in-person or remotely; 18 physicians participated, 12 completed post-program, and 11 completed 2-month follow-up. The questionnaires assessed burnout and measures of psychological health, professional fulfillment, work exhaustion, interpersonal disengagement/burnout (PFI), mindfulness (FFMQ), perceived stress (PSS), positive/negative affect (PANAS), resilience (RS), anxiety/depression/sleep disturbances (PROMIS), at baseline, post-program, and 2 months after RISE. Average attendance in-person was 2.8 sessions and remotely 1.4 sessions (4.2/6 sessions). Participants demonstrating total burnout reduced from 50.0% at baseline to 9.1% post-program. Participants demonstrating professional fulfillment were 8.3% at baseline and 27.3% post-program. Paired samples t-tests revealed statistically significant improvements in burnout, professional fulfillment, interpersonal disengagement, stress, resilience, anxiety, and depression at post-program compared with baseline (N = 12, all ps < .05). At 2-month follow-up, statistically significant improvements in interpersonal disengagement, resilience, and mindfulness (N = 11, all ps < .05) compared with baseline were reported. RISE is feasible within a workday and may address burnout and other psychological health measures in physicians with effects potentially sustainable over 2 months. Occupational health practitioners in health care should consider this type of intervention for their workers.

Partnering with Central Sterile Processing Department Experts to Advance Infection Prevention Competency

<h3>Background</h3> The Central Sterile Processing Department (CSPD) manages the cleaning, disinfection, and sterilization of reprocessed devices and instruments. Infection Preventionists (IP) work closely with CSPD to ensure devices and instruments are reprocessed and stored according to the recommendations of manufacturer, regulatory, and expert guidelines. A large healthcare system surveyed their IP and identified opportunities related to the updated Association for Professionals in Infection Control and Epidemiology (APIC) Competency Model (2019) domains. Cleaning, Disinfection and Sterilization falls under the Operations domain and was identified as an area in which IP wanted to enhance their expertise. <h3>Methods</h3> IP partnered with CSPD experts throughout the healthcare system to provide an in-depth education workshop to grow IP competency in CSPD. IP within our system are responsible for CSPD in a range of settings, including adult and pediatric acute care, critical access hospitals, ambulatory surgery centers, and over 120 physician offices or outpatient care areas. The workshop was divided into 4 sessions that consisted of oral presentations, hands-on learning, and discussion of examples and real-life scenarios. Manufacturer instructions for use (MIFU) were addressed, and a review of standard work and best practices due to sterilization failures were discussed. <h3>Results</h3> 32 attendees from 12 settings participated in the workshop, including Infectious Diseases (ID) physicians, IP, Occupational Health (OH) practitioners, and CSPD technicians. Attendees were asked to evaluate the quality of the educational sessions. 20 attendees completed their evaluations. The 4 sessions each received either an Agree (12) or a Strongly Agree (68) approval rating. The overall quality of the program received an Excellent (16) or a Good (4). <h3>Conclusions</h3> By partnering with CSPD subject matter experts (SME) from their healthcare facilities, IP, ID Physicians and OH Specialists increased their knowledge about the cleaning, disinfection, and sterilization of reusable devices and instruments and enhanced their professional relationships with their CSPD team.

Campos Eletromagnéticos: ênfase nas Medidas de Proteção Coletiva e Individual

Introduction / framework / objectives Electromagnetic fields are already very extensively developed in the scientific literature, however, doing so through a generalist approach and/ or highlighting the possible consequences for human health. There are few documents that, under this theme, describe specific protection measures. The authors conducted a research with the objective of elaborating a synthesis what was written about this subtheme. Methodology This is a Scoping Review, initiated at September 2019, in the databases “CINALH plus with full text, Medline with full text, Cochrane Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: Comprehensive, MedicLatina, Academic Search Ultimate, Web of Science, SCOPUS and RCAAP”. Content Many activities create these fields. In most workplaces exposure is discrete and there is no relevant risk. In all other cases, however, the risk dissipates with distance from the source. In addition, as most of these situations originate from an electrical appliance, when it is switched off, the problem no longer exists. Particularly exposed individuals may be pregnant women and individuals with active medical devices (cardiac stimulators, defibrillators, cochlear and brain stem implants, neurostimulators, drug infusion pumps and retinal coders). In terms of collective protection measures, the shielding/ insulation with metal, ceramic, plastic or glass plate or mesh can be highlighted;as well as protection with light curtains; reading apparatus and pressure sensitive mats; restriction of access by guards, barriers, signs, magnetic field signaling/ ionizing radiation, especially to individuals with active or metallic medical implants; prohibition of conductive objects; appoint the person responsible for safety management; training about body position during work and limitation of movements to attenuate induction of electric fields. While it is not difficult to shield electric fields, mitigating the effects of magnetic fields is more complicated. Furthermore, it is generally not possible to use effective Personal Protective Equipment uniformly: if it protects a range of frequencies, it will hardly protect for others. Examples include insulation footwear (thick rubber sole, non-steel); suitable gloves in isolation/ driving, glasses and full suit. Conclusions Given the omnipresence of the electromagnetic fields (although generally at intensities of low concern), it would be relevant for occupational health practitioners to have some notions of how to approach the subtheme. In addition, it would be important for some teams to have the opportunity to investigate in this context, improve customer service and, by publishing their data, contribute to a better understanding of the national reality and somehow evolve scientific knowledge in this area.

Strategies of Advanced Practice Providers to Reduce Stress at Work.

Background: High levels of stress and burnout, documented among healthcare professionals, result in high levels of job turnover. However, little is known about personal strategies employed by advanced practice providers (APPs) to mitigate stress. Methods: 3,939 APPs were invited to complete an online, anonymous, cross-sectional survey to examine work stress and burnout among APPs using quantitative and qualitative analyses. The Maslach Burnout Inventory (MBI) served as the measure for burnout. Work-stress reduction strategies were identified by an open-ended question. Findings: 854 APPs (70% of 1,218 respondents) (nurse practitioners, physician assistants, nurse midwives, anesthetists, and clinical nurse specialists) from four different United States health systems completed the free text portion of the survey. Qualitative analyses revealed that almost all of the APPs (94%) reported at least one stress reduction strategy. Four main themes were derived from the free-text responses: "Self-focused" (67.5%), "relational-focused"(16.1%), "job-focused" (11.5%) and "nothing" (4.9%). Quantitative results from the MBI revealed high levels of burnout among APPs with insignificant differences between those who provided a response to the qualitative question and those who did not: emotional exhaustion (p = .188); depersonalization (p = .265); personal accomplishment (p = .213). Conclusion/Application to Practice: Qualitative results highlighted strategies, many evidence-based, that APPs use to mitigate stress. Further research is needed to determine the frequency and consistency of APPs' enactment of personal strategies. These initial findings provide insights for occupational health practitioners and researchers planning primary prevention and secondary interventions for improving workplace health, enhancing personal wellness, and reducing job-related stressors.

The health of restaurant work: A historical and social context to the occupational health of food service.

The United States currently has over one million restaurants, making food service one of the largest workforces and industry sectors in the nation's economy. Historically, concern for the health of early restaurant workers was tied largely to the hygiene of the food and thus the wellbeing of the customer rather than the individuals preparing the food. The landscape of occupational illness and injury that resulted is fraught with some of the starkest health disparities in wages, discrimination, benefits, injuries, and illness seen among US laborers. These disparities have consistently been associated with social class and economic position. Conditions identified during the early years of restaurant work, before the introduction of occupational safety and health protections, persist today largely due to tipped wages, dependence on customer discretion, and the management structure. Research and intervention efforts to control occupational health hazards should be directed toward the socioeconomic and structural roots of health problems among food service workers in the United States. Such efforts have important implications for enhancing worker protections, improving wages, and restructuring working conditions for restaurant and food service workers. They also suggest opportunities for occupational health practitioners and researchers to contribute to system-level change analysis to address centuries-old occupational health challenges still facing one of the largest sectors of workers in the country.

Occupational noise induced hearing loss in the mining sector in South Africa: Perspectives from occupational health practitioners on how mineworkers are trained.

BackgroundHistorically, occupational health concerns associated with mining, particularly occupational noise-induced hearing loss (ONIHL), were ignored by the mining sector, policy-makers and academic researchers. As such, there is a dearth of literature related to ONIHL, especially in low- and middle-income countries such as South Africa. Consequently, mineworkers were not aware of the latent effects of excessive exposure to hazardous noise and the resultant hearing loss thereof.ObjectivesThe aim of this study was to explore the perspectives of occupational health practitioners (OHPs) regarding education and training of mineworkers on occupational noise-induced hearing loss (ONIHL) and its impact on mineworkers’ health.MethodQualitative, in-depth telephonic and face-to-face interviews were conducted with 16 OHPs. Purposive and snowball sampling methods were utilised to recruit participants. Data were analysed using inductive thematic analysis.ResultsThree themes emerged from the data: ‘seeing is believing’, ‘not my department!’ and ‘barriers and facilitators to raising awareness’ with two subthemes: ‘blame it on the language and level of education’ and ‘compensation pay-outs’. Superficially, OHPs believe that mineworkers are aware of the impact of noise on health; however, the OHPs are not aware on how the mineworkers are educated on ONIHL and its latent consequences. Furthermore, language, low levels of education and literacy, as well as financial constraints, are the factors found to affect education and training of the mineworkers about the risks of ONIHL.ConclusionIf the mining industry is committed in eliminating ONIHL, they should prioritise health literacy, and mines need to have an effective awareness-raising plan in place to eliminate ONIHL from every mine. This plan must consider diversity of workforce, including linguistic, as well as educational level diversity.

Assessing HIV provider knowledge, screening practices, and training needs for HIV-associated neurocognitive disorders. A short report

ABSTRACT Management of HIV-associated neurocognitive disorders (HAND) is becoming increasingly important with HIV-positive people living normal life spans. We aimed to establish the level of HAND awareness among doctor and nurse occupational health practitioners, screening used to detect impairment, factors limiting screening for HAND, and training needs. One-hundred-and-five members of the nursing and physician professional societies for occupational health practitioners in South Africa and Occupational Health Departments at five South African universities responded to an email invitation to complete an online survey addressing demographics, HAND knowledge, screeners being used to screen for HAND and related training needs. While 80% had heard of HAND, few (13.3%) were aware of the Frascati criteria. Only 2% had received training addressing HAND; 11.4% screened for HAND; 45.7% did not know what screening tool to us; 80% preferred spending <15 min on screening. The largest obstacle to screening was lack of expertise (77.1%) but 77.3% thought it important to screen for HAND. 94.3% wanted screening training. Health providers are poorly informed about HAND and lack expertise and tools to screen for HAND in their treatment programs. While few had relevant training, they recognize the importance of screening for HAND in the workplace and desire training.

Putting employees at the centre of sustainable HRM: a review, map and research agenda

PurposeCurrently, sustainable HRM is largely an employer-driven exercise based on raising employee productivity. The purpose of the article is to expand this position by fully mapping out sustainable HRM and placing employees at the centre of such practices. A further purpose is to provide a research agenda suited to a wider take on sustainable HRM.Design/methodology/approachThe article centres on an analytical review of extant sustainable HRM literature, plus an analytical review of wider literature considering further ways to sustain employment.FindingsEmployee-centred sustainable HRM goes far beyond what is accounted for in the extant HRM literature. The new map accounts for wider parties to sustainable HRM, including trade unions and self-organised employees. An extensive research agenda is a further key output from the study.Research limitations/implicationsThe article is based on a literature review. Follow-up empirical research is required to test out aspects of the new map, as well as address research gaps identified by the review.Practical implicationsThe findings have practical implications for HRM and occupational health practitioners, line managers, built environment and ergonomics specialists, governments, trade unions and workplace activists. A key practical implication is the potential to create micro-forms of corporatism, where wider political structures are absent, to foster employee-centred forms of sustainable HRM.Originality/valueThe article is novel in terms of drawing on a wide range of incongruous literature and synthesising the literature into a new map and an extensive research agenda.

The Burden of Respiratory Abnormalities Among Workers at Coffee Roasting and Packaging Facilities.

Introduction: Respiratory hazards in the coffee roasting and packaging industry can include asthmagens such as green coffee bean and other dust and alpha-diketones such as diacetyl and 2,3-pentanedione that can occur naturally from roasting coffee or artificially from addition of flavoring to coffee. We sought to describe the burden of respiratory abnormalities among workers at 17 coffee roasting and packaging facilities.Methods: We completed medical surveys at 17 coffee roasting and packaging facilities that included interviewer-administered questionnaires and pulmonary function testing. We summarized work-related symptoms, diagnoses, and spirometry testing results among all participants. We compared health outcomes between participants who worked near flavoring and who did not.Results: Participants most commonly reported nose and eye symptoms, and wheeze, with a work-related pattern for some. Symptoms and pulmonary function tests were consistent with work-related asthma in some participants. About 5% of workers had abnormal spirometry and most improved after bronchodilator. Health outcomes were similar between employees who worked near flavoring and who did not, except employees who worked near flavoring reported more chronic bronchitis and ever receiving a diagnosis of asthma than those who did not work near flavoring.Conclusion: The symptoms and patterns likely represent overlapping health effects of different respiratory hazards, including green coffee bean and other dust that can contribute to work-related asthma, and diacetyl and 2,3-pentanedione that can contribute to obliterative bronchiolitis. Healthcare providers and occupational health and safety practitioners should be aware that workers at coffee roasting and packaging facilities are potentially at risk for occupational lung diseases.

CERA, An Integrated Tool for Ergonomic Risk Assessment

Despite decades of efforts the rate of work-related musculoskeletal disorders (WMSD) is still very high. In case of WMSD the solution should be prevention that requires both safe machinery/equipment design and risk management at the workplace. To identify WMSD risk factors a wide range of ergonomic methods are available internationally, starting with simple check lists for hazard identification through paper and pencil based or spread sheet implemented software for screening or for risk assessment, ending with the now maturing computer technology with motion capture based imagining techniques. Although various collections exist that contain hundreds of ergonomic risk assessment tools very few of these are generally accepted and widely applied. The difficulty in particular is that a ’universal tool’ cannot be chosen because each method is valid for different situations some are for special activities others for distinct body parts, therefore selecting the appropriate method is an additional issue. At University of Obuda R&D project aims the development of a complex Ergonomics Risk Assessment methodology based on the EN 1005 standard series that allows the composite ergonomic risk assessment of workplaces regarding position, force, manual handling and repetitive motion. The newly invented methodology called CERA is for occupational safety and health practitioners with basic knowledge to apply it several versions according to different application conditions. For basic evaluation a paper and pencil method and for more detailed analysis a spread sheet is provided in which, all assessments of the EN 1005 standard series are included.

Survey of the necessary competencies and proficiency of safety officers in Thailand.

Competency is important for professionals’ effective performance and career development. However, little is known about the necessary competencies and proficiency in these for Thai safety officers. Therefore, this study aimed to identify the necessary competencies for this group and to compare proficiency in each competency between senior and junior safety officers. A descriptive, cross-sectional study was conducted among 73 safety officers using a self-administered questionnaire. Twenty-five competencies were classified as necessary. Mean proficiency scores were higher for senior safety officers than for more junior safety officers for all examined competencies; however, this difference was not statistically significant for ‘first aid’ or for ‘air sampling and analytical methods’. Regulatory compliance was assessed as the most important competency. Gaps between necessity and proficiency were observed in managing safety programs for the junior group. In both groups, proficiency was lowest in the competency of mental health. The results indicate that Thai safety officers’ training needs may be particularly high for regulatory compliance, managing safety programs, and mental health. Lifelong learning is important for enabling occupational safety and health practitioners to fulfill current requirements in Thailand and elsewhere. Multiple training approaches and a specialist qualification program may encourage competency development, especially for junior practitioners.

“I’ve found it extremely draining”

Purpose The purpose of this paper is to address a significant gap in the line manager, HRM and the diversity management literature, that of exploring the role and significance of emotional labour (EL) in relation to the lived experienced of line managing neurodiversity. Design/methodology/approach A qualitative approach was used to explore lived experiences of line managers responsible for managing neurodiverse employees. Interviews were conducted with line managers employed in the UK transport industry. Findings The findings provide rich insights into line managing neurodiversity. A key overall finding is reasonable adjustments deemed essential to support neurodiverse employees require a myriad of hidden, complex, time consuming and often emotionally draining interactions with disabled employees, the employee’s wider team, and HRM and occupational health (OH) practitioners. Research limitations/implications This is an exploratory study and therefore limited by nature of the research design, industry focus, scope of study and sample size. Practical implications The findings have the potential to inform HRM and OH practitioner support for line managers responsible for managing neurodiverse employees. Social implications The study contributes to wider societal attempts to make employment more inclusive to a range of historically disadvantaged groups. Originality/value The study fills an important gap in the HRM literature on line managing neurodiverse employees. The study makes a specific and unique contribution to extensive literatures on line management, disability and EL.