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Systematic review of qualitative literature on occupational health and safety legislation and regulatory enforcement planning and implementation
University of Waterloo, Canada; University of Toronto, Canada; Institute Work and Heatlh, Canada.
University of Toronto, Canada; Institute Work and Heatlh, Canada; Monash University, Australia.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-3310-0895
Trent University, Canada.
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2016 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 42, no 1Article, review/survey (Refereed) PublishedText
Abstract [en]

Objective The ability of occupational health and safety (OHS) legislation and regulatory enforcement to prevent workplace injuries and illnesses is contingent on political, economic, and organizational conditions. This systematic review of qualitative research articles considers how OHS legislation and regulatory enforcement are planned and implemented. Methods A comprehensive search of peer-reviewed, English-language articles published between 1990 and 2013 yielded 11 947 articles. We identified 34 qualitative articles as relevant, 18 of which passed our quality assessment and proceeded to meta-ethnographic synthesis. Results The synthesis yielded four main themes: OHS regulation formation, regulation challenges, inspector organization, and worker representation in OHS. It illuminates how OHS legislation can be based on normative suppositions about worker and employer behavior and shaped by economic and political resources of parties. It also shows how implementation of OHS legislation is affected by "general duty" law, agency coordination, resourcing of inspectorates, and ability of workers to participate in the system. Conclusions The review identifies methodological gaps and promising areas for further research in "grey" zones of legislation implementation.

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Keyword [en]
inspector; meta-ethnography; OHS; OHS policy; OHS politics; policy; policy implementation; qualitative methodology; regulation; Robens report; worker representation
National Category
Basic Medicine
URN: urn:nbn:se:liu:diva-125160DOI: 10.5271/sjweh.3529ISI: 000368554500002PubMedID: 26460511OAI: diva2:903405
Available from: 2016-02-15 Created: 2016-02-15 Last updated: 2016-03-08

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Ståhl, Christian
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