Conflict of interest: The authors declare no conflict of interest.
Effectiveness of joint health and safety committees: A realist review†
Article first published online: 28 NOV 2012
Copyright © 2012 Wiley Periodicals, Inc.
American Journal of Industrial Medicine
Volume 56, Issue 4, pages 424–438, April 2013
How to Cite
Yassi, A., Lockhart, K., Sykes, M., Buck, B., Stime, B. and Spiegel, J. M. (2013), Effectiveness of joint health and safety committees: A realist review. Am. J. Ind. Med., 56: 424–438. doi: 10.1002/ajim.22143
- Issue published online: 18 MAR 2013
- Article first published online: 28 NOV 2012
- Manuscript Accepted: 24 OCT 2012
- Dr. Yassi's Canada Research Chair
- occupational health;
- workplace safety;
- joint health and safety committee;
- systematic review
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.
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.
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).
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.