Effects and implementation of an intervention to improve sleep, fatigue and recovery among healthcare workers with night shifts: A pre- and post-test study

International Journal of Nursing Studies, Год журнала: 2024, Номер 160, С. 104881 - 104881

Опубликована: Авг. 24, 2024

Previous intervention studies among night workers mainly focused on single interventions and found inconclusive evidence for effectiveness. A comprehensive approach that includes individual environmental components has been argued as important. Gaining insight into contributing factors the implementation of effectiveness is important to distinguish between theory programme failure.

Язык: Английский

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Evaluating quick return restrictions on sickness absence in healthcare employees: A difference-in-differences study

International Journal of Nursing Studies, Год журнала: 2025, Номер 163, С. 104996 - 104996

Опубликована: Янв. 10, 2025

Язык: Английский

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Organisational-level risk and health-promoting factors within the healthcare sector—a systematic search and review

Frontiers in Medicine, Год журнала: 2025, Номер 11

Опубликована: Янв. 17, 2025

The healthcare sector is globally experiencing increasing demands and workplace interventions on an organisational level sought to create healthy workplaces. aim of this study was provide overview Nordic research the work environment health professionals, with a focus identifying organisational-level risk health-promoting factors. This systematic search review based analysis studies published in peer-reviewed journals between 1 January 2016 3 2023. selected investigate relationships factors measures well-being among professionals during ordinary operations. To increase applicability, limited countries as they share same context publicly-funded widely accessible system. A total 2,677 articles were initially identified, 95 original meeting criteria for relevance quality. Identified categorised into five categories: schedule distribution, operations design methods, ergonomic conditions, working conditions personnel policies, organisation's ethical environment. In addition, two themes across categories emerged, providing further insight implications practice. first theme emphasises actions that employers take fulfil goals. second connection ability employees do their jobs at quality deem acceptable. Several results indicate health-care goals promote high-quality care are important wellbeing employees.

Язык: Английский

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Comment on Elk et al. (2024) ‘Effects and implementation of an intervention to improve sleep, fatigue and recovery among healthcare workers with night shifts: A pre- and post-test study’

International Journal of Nursing Studies, Год журнала: 2025, Номер 164, С. 105012 - 105012

Опубликована: Янв. 24, 2025

Язык: Английский

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National recommendations for shift scheduling in healthcare: A 5-year prospective cohort study on working hour characteristics

International Journal of Nursing Studies, Год журнала: 2022, Номер 134, С. 104321 - 104321

Опубликована: Июль 3, 2022

National recommendations to decrease the health and safety risks of working hours are often given based on increasing knowledge associations between hour characteristics health. However, utilization recommendations, their potential change actual time patterns in healthcare sector is unclear.We investigated extent which national utilized shift scheduling, when they integrated as a schedule evaluation tool into scheduling software. Second, we examined whether use results changes that line with recommendations.A prospective cohort study 5-year follow-up.A total 36,663 workers objective data daily 10 hospital districts 6 large cities.We annual tool, effects using from 2015 2019 while adjusting for hierarchical structure data, age, sex, work, night work contract days type Utilizing intention-to-treat principle, employees wards were compared non-users by multi-level generalized linear models.Continuous (during at least periods) increased 2% 20% 2018. In fully adjusted model, was associated >6 consecutive workdays (OR 0.73, 95% CI 0.66, 0.81), >4 shifts 0.86, 0.77, 0.95), proportion <11-hour intervals (difference 0.63, 0.43, 0.83). The single off 0.33, 0.15, 0.51), >40-hour weeks 1.16, 1.10, 1.22), well ≥12-hour 1.22, 1.07, 1.38) increased. Realized wishes decreased 0.76, 0.12, 1.41). more frequent towards cities districts, among older age groups ≤30-year-old employees.National embedded used continuously one fifth employees, several, albeit modest recommendations. Changes depended organization indicating differences implementation recommendations.The safer characteristics.

Язык: Английский

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Night work and sick leave during pregnancy: a national register-based within-worker cohort study

Occupational and Environmental Medicine, Год журнала: 2019, Номер 76(3), С. 163 - 168

Опубликована: Янв. 19, 2019

Objective The aim of our study was to investigate the acute effect night work during pregnancy on risk calling in sick following day using register-based information and workers as their own controls. Methods Using payroll-based national Danish Working Hour Database, including all public hospital employees Denmark, we identified 9799 pregnant women with ≥1 shift leave first 32 weeks from January 2007 December 2013. We performed fixed effects logistic regression, that is, within-worker comparisons, any duration starting within 24 hours after shifts different length versus shifts. Results Most participants were nurses (64%) or physicians (16%). found an increased relative compared trimesters. highest for lasting >12 (OR 1.37, 95% CI 1.15 1.63 nurses; OR 1.87, 1.69 2.08 physicians) among aged >35 years 1.42, 1.24 1.63). Conclusion Among pregnancy, especially longer than 12 hours, independent personal factors time-invariant confounders

Язык: Английский

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A case‐crossover study of age group differences in objective working‐hour characteristics and short sickness absence

Journal of Nursing Management, Год журнала: 2020, Номер 28(4), С. 787 - 796

Опубликована: Март 7, 2020

Aim To investigate age group differences in objective working-hour characteristics and their associations with short (1–3 days) sickness absence. Background Irregular working hours, that is shift work non-standard schedule, may influence absence rates hospital workers. Methods We collected daily hours the first incidence of from employers' electronic records 2008 to 2017. A case-crossover study compared 28 days preceding (exposure window) earlier (control across 10-year groups (conditional logistic regression for odds ratios (OR) 95% confidence intervals (95% CI)). Results Younger employees had longer more night consecutive shifts. Extended weekly were associated all groups. Age-related few: extended among oldest (OR: 1.01, CI: 1.00–1.01) youngest middle-age (Ors: 1.14–1.17) increased Conclusions Length shifts differed between age, but similar Implications Nursing Management Among older employees, length should be paid special attention.

Язык: Английский

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How the Intensity of Night Shift Work Affects Breast Cancer Risk

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(9), С. 4570 - 4570

Опубликована: Апрель 26, 2021

Background—In 2019, the IARC concluded that “night shift work is probably carcinogenic to humans (Group 2A), based on limited evidence from human epidemiological studies and sufficient of cancer strong mechanistic in experimental Animals.” The negative health consequences night may depend how shifts are scheduled. aim this study was investigate characteristics affect risk developing breast cancer. Methods—A case–control conducted 2015–2019 Lodz region. case group included 494 women with cancer, while control 515 healthy women. Results—Night found be third most important factor regarding after a high BMI short or no breastfeeding period before factors such as early menstruation, late menopause, pregnancy, smoking. harmful effects were influenced by its intensity, frequency, rotation, number years worked. Night increases 2.34 times, high-intensity 2.66 times. Conclusions—Appropriate ergonomic recommendations for employers should considered.

Язык: Английский

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Association of rotating shift work schedules and the use of prescribed sleep medication: A prospective cohort study

Journal of Sleep Research, Год журнала: 2021, Номер 30(6)

Опубликована: Июнь 14, 2021

Summary We examined whether working rotating shifts, with or without night work, is associated the purchase of prescribed sleep medication, and association dependent on age. Data were obtained from a longitudinal cohort study Finnish public sector employees who responded to questions work schedule background characteristics in 2000, 2004 2008. The data linked national register redeemed prescriptions hypnotic sedative medications, up 11 years follow‐up. Age stratified Cox proportional hazard regression models computed examine incident use medication comparing two groups shift workers (those shifts that included those whose schedules did not include shifts) day worked similar range occupations. Shift was increased all age groups, after adjustments for sex, occupational status, marital alcohol consumption, smoking physical activity levels (hazard ratio [HR], [95% confidence interval, CI] 1.14 [1.01–1.28] group ≤39 years; 1.33 [1.19–1.48] 40–49 1.28 [1.13–1.44] ≥50 years). nights older (HR [1.01–1.29] 1.17 [1.05–1.31] >50 years, respectively). These findings suggest circadian disruption puts workers, especially nights, at risk developing clinically significant problems.

Язык: Английский

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The acute effects of working time patterns on fatigue and sleep quality using daily measurements of 6195 observations among 223 shift workers

Scandinavian Journal of Work Environment & Health, Год журнала: 2021, Номер 47(6), С. 446 - 455

Опубликована: Май 24, 2021

Objectives This study aimed to estimate acute effects of roster characteristics on fatigue and sleep quality investigated whether these differed by individual characteristics. Methods Using an ecological measurement assessment survey, were daily measured among 223 shift workers for up eight weeks. A questionnaire assessed baseline characteristics, data retrieved from the company registers determine parameters. The between each parameter estimated with random- fixed-effects models. Results Compared day shifts, night shifts related [β=0.22; 95% confidence interval (CI) 0.05–0.39] poorer (β=0.64; CI 0.47–0.80), more successive (up β=0.68; 0.49–0.87 ≥2 nights). Fatigue was increased after a quick return (<11 hours) (β=1.94; 1.57–2.31) or 11–16 hours (β=0.43; 0.26–0.61) compared >16 shifts. forward rotation, stable (β=0.22; 0.01–0.43) backward rotation (β=0.49; 0.23–0.74) also associated fatigue. Workers morning intermediate chronotype had shift, while poor health reported as well shift. Conclusions To alleviate work fatigue, schedules should be optimized ensuring time recover rotate forwards.

Язык: Английский

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