DOI QR코드

DOI QR Code

Influencing Factors on the Nurse's Shiftwork Tolerance

간호사의 교대근무내성 영향요인

  • Received : 2016.09.27
  • Accepted : 2016.11.17
  • Published : 2016.11.30

Abstract

Purpose: The purpose of this study was to identify the factors affecting shiftwork tolerance among nurses and provide basic data, ultimately, in formulating a plan for improving their shiftwork tolerance. Methods: The participants were 317 nurses who were working at three general hospitals in Daejeon and Seoul. Data analyzed t-test, ANOVA, correlation analysis, and regression analysis using SPSS 20.0 program. Results: As for the sub-areas of shiftwork tolerance for the respondents, more than a half of nurses working at shifts suffered from insomnia, felt drowsy, complained of chronic fatigue, and were at the anxious and depressed state. Shiftwork tolerance differed by the daily intake of coffee and exercise. Shiftwork tolerance was significantly positively correlated with sleep-wake habits, hardiness, and flexibility and negatively correlated with a languidity. Regression analysis revealed that shiftwork tolerance was affected by age, sleep-wake habits, languidity, flexibility, and hardiness. Conclusion: To put the results, nurses had shiftwork tolerance affected by sleep-wake habits, languidity, and hardiness. It is therefore necessary to make a scheme for allowing nurses to improve hardiness and flexibility and decrease the languidity with the objective of improving their shiftwork tolerance.

Keywords

References

  1. Bartone, P. T. (1989). Predictors of stress-related illness in city bus drivers. Journal of Occupational and Environmental Medicine, 31 (8), 657-663. https://doi.org/10.1097/00043764-198908000-00008
  2. Berger, A. M., & Hobbs, B. B. (2006). Impact of shift work on the health and safety of nurses and patients. Clinical Journal of Oncology Nursing, 10(4), 465-471. https://doi.org/10.1188/06.CJON.465-471
  3. Byun, Y. S., & Park, M. S. (2001). Chronic fatigue and related factors in adults. Journal of Korean Academy of Fundamentals of Nursing, 8(3), 302-313.
  4. Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., et al. (1993). Development of a fatigue scale. Journal of Psychosomatic Research, 37(2), 147-153. https://doi.org/10.1016/0022-3999(93)90081-P
  5. Choi, J. W. (2013). Development and effect of empowerment program for nursing students. Unpublished master's thesis, Gyeongsang National University, Jinju.
  6. Cho, J. Y., Lee, Y. W., Kim, H. S., & Kim, S. H. (2011). Relationships among response for violence experience, hardiness, and job satisfaction of nurses working in emergency department. Korean Journal of Adult Nursing, 23(5), 494-502.
  7. Choi, M. R. (2012). A study on the relationship among nurses managers' job stress, hardiness, and health perception. Unpublished master's thesis, Ewha Womans University, Seoul.
  8. Choi, S., Jang, I., Park, S., & Lee, H. (2014). Effects of organizational culture, self-leadership and empowerment on job satisfaction and turnover intention in general hospital Nurses. Journal of Korean Academy of Nursing Administration, 20(2), 206-214. https://doi.org/10.11111/jkana.2014.20.2.206
  9. Di, L., Smith, P. A., & Folkard, S. (2005). A validation of the revised circadian type inventory in a working sample. Personality and Individual Differences, 39(7), 1293-1305. https://doi.org/10.1016/j.paid.2005.04.012
  10. Eldevik, M. F., Flo, E., Moen, B. E., Pallesen, S., & Bjorvatn, B. (2013). Insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder in nurses having less than 11 hours in-between shifts. PloS One, 8(8), e70882. https://doi.org/10.1371/journal.pone.0070882
  11. Flo, E., Pallesen, S., Mageroy, N., Moen, B. E., Gronli, J., Nordhus, I. H., et al. (2012). Shift work disorder in nurses-assessment, prevalence and related health problems. PloS One, 7(4), e33981. https://doi.org/10.1371/journal.pone.0033981
  12. Folkard, S., Monk, T. H., & Lobuan, M. C. (1979). Towards a predictive test of adjustment to shift work. Ergonomics, 22(1), 79-91. https://doi.org/10.1080/00140137908924591
  13. Harma, M. (1993). Individual differences in tolerance to shiftwork: a review. Ergonomics, 36, 10-109.
  14. Johns, M. W. (1991). A new method for measuring daytime sleepiness: The epworth sleepiness scale. Sleep, 14(6), 540-545. https://doi.org/10.1093/sleep/14.6.540
  15. Kim, H. K., Lee, T. Y., & Kim, K. H. (2010). The effects of health promotion behavior of shifting nurses' on the health conditions. Journal of the Korea Academia-Industrial Cooperation Society, 11(3), 1126-1132. https://doi.org/10.5762/KAIS.2010.11.3.1126
  16. Kim, M. J. (2010). The study of sleep disorders of patients with headache using sleep questionnaires. Unpublished master's thesis, Gachon University, Incheon.
  17. Kim, Y. G., Yoon, D. Y., Kim, J. I., Chae, C. H., Hong, Y. S., Yang, C. G., et al. (2002). Effects of health on shift-work: General and psychological health, sleep, stress, quality of life. Korean Journal of Occupational and Environmental Medicine, 14(3), 247-256.
  18. Kwak, E. J. (2009). Relationships between sleep disorder, fatigue and job satisfaction in shifting nurses. Unpublished master's thesis, Kyungpook National University, Daegu.
  19. Megdal, S. P., Kroenke, C. H., Laden, F., Pukkala, E., & Schernhammer, E. S. (2005). Night work and breast cancer risk: A systematic review and meta-analysis. European Journal of Cancer, 41(13), 2023-2032. https://doi.org/10.1016/j.ejca.2005.05.010
  20. Ministry of Employment and Labor. (2010). Survey report on labor conditions by employment type. Retrieved June 2011, from http://www.moel.go.kr/view.jsp?cate=3&sec=17&mode=view&pimSeq=1&piSeq=1&bbs_cd=OP0212&state=A&seq=1393132688532
  21. Natvik, S., Bjorvatn, B., Moen, B. E., Mageroy, N., Sivertsen, B., & Pallesen, S. (2011). Personality factors related to shift work tolerance in two-and three-shift workers. Applied Ergonomics, 42 (5), 719-724. https://doi.org/10.1016/j.apergo.2010.11.006
  22. Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association, 38(2), 289-296.
  23. Pallesen, S., Bjorvatn, B., Nordhus, I. H., Sivertsen, B., HjoRnevik, M., & Morin, C. M. (2008). A new scale for measuring insomnia: The bergen insomnia scale 1. Perceptual and Motor Skills, 107(3), 691-706. https://doi.org/10.2466/pms.107.3.691-706
  24. Park, Y. N., Yang, H. K., Kim, Y. H., & Cho, Y. C. (2007). Relationship between shift work, and sleep problems and fatigue symptoms of nurses for general hospitals. Korean Academic Society of Occupational Health Nursing, 16(1), 37-47.
  25. Saksvik, L., Bjorvatn, B., Hetland, H., Sandal, G. M., Moen, B. E., Mageroy, N., et al. (2013). Individual, situational and lifestyle factors related to shift work tolerance among nurses who are new to and experienced in night work. Journal of Advanced Nursing, 69(5), 1136-1146. https://doi.org/10.1111/j.1365-2648.2012.06105.x
  26. Shin, S. W., & Kim, S. H. (2014). Influence of health-promoting behaviors on quality of sleep in rotating-shift nurses. Journal of Korean Academy of Fundamentals of Nursing, 21(2), 123-130. https://doi.org/10.7739/jkafn.2014.21.2.123
  27. Suzuki, K., Ohida, T., Kaneita, Y., Yokoyama, E., Miyake, T., Harano, S., et al. (2004). Mental health status, shift work, and occupational accidents among hospital nurses in Japan. Journal of Occupational Health, 46(6), 448-454. https://doi.org/10.1539/joh.46.448
  28. Takahashi, M., Tanigawa, T., Tachibana, N., MUTOU, K., KAGE, Y., SMITH, L., et al. (2005). Modifying effects of perceived adaptation to shift work on health, wellbeing, and alertness on the job among nuclear power plant operators. Industrial Health, 43(1), 171-178. https://doi.org/10.2486/indhealth.43.171
  29. Torsvall, L., & Akerstedt, T. (1980). A diurnal type scale: construction, consistency and validation in shift work. Scandinavian Journal of Work, Environment & Health, 283-290.
  30. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x