title: [Concept analysis of a participatory approach to occupational safety and health].
abstract: OBJECTIVE
  The purpose of this study was to analyze a participatory approach to occupational safety and health, and to examine the possibility of applying the concept to the practice and research of occupational safety and health.
  
  
  METHODS
  According to Rodger's method, descriptive data concerning antecedents, attributes and consequences were qualitatively analyzed. A total of 39 articles were selected for analysis.
  
  
  RESULTS
  Attributes with a participatory approach were: "active involvement of both workers and employers", "focusing on action-oriented low-cost and multiple area improvements based on good practices", "the process of emphasis on consensus building", and "utilization of a local network". Antecedents of the participatory approach were classified as: "existing risks at the workplace", "difficulty of occupational safety and health activities", "characteristics of the workplace and workers", and "needs for the workplace". The derived consequences were: "promoting occupational safety and health activities", "emphasis of self-management", "creation of safety and healthy workplace", and "contributing to promotion of quality of life and productivity".
  
  
  CONCLUSIONS
  A participatory approach in occupational safety and health is defined as, the process of emphasis on consensus building to promote occupational safety and health activities with emphasis on self-management, which focuses on action-oriented low-cost and multiple area improvements based on good practices with active involvement of both workers and employers through utilization of local networks. We recommend that the role of the occupational health professional be clarified and an evaluation framework be established for the participatory approach to promote occupational safety and health activities by involving both workers and employers.
authors.affiliation: Department of Nursing, Faculty of Nursing, Tokyo Ariake University of Medical and Health Sciences, Tokyo 135-0063, Japan. yoshikawae@tau.ac.jp
authors.forename: Etsuko
authors.initials: E
authors.lastname: Yoshikawa
mesh_terms: D006801:Humans; D016272:Occupational Health; D009787:Occupational Medicine / Q000379:methods*; D011788:Quality of Life; D013315:Stress, Psychological / Q000517:prevention & control; D017132:Workplace / Q000523:psychology*