Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
권호 표지
DOI QR코드

DOI QR Code

Preventing Shift Work Disorder in Shift Health-care Workers

  • Received : 2019.10.11
  • Accepted : 2020.03.30
  • Published : 2020.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The occurrence of the shift work disorder (SWD) in health-care workers (HCWs) employed in 24/7 hospital wards is a major concern through the world. In accordance with literature, SWD is the most frequent work-related disturb in HCWs working on shift schedules including night shift. In agreement with the Luxembourg Declaration on workplace health promotion (WHP) in the European Union, a WHP program has been developed in a large Hospital, involving both individual-oriented and organizational-oriented measures, with the aim to prevent the occurrence of SWD in nurses working on shifts including night shift. The objective assessment of rotating shift work risk and the excessive sleepiness were detected before and after the implementation of the WHP program, by using the Rotating Shiftwork-questionnaire and the Epworth Sleepiness Scale. The findings of this study showed the effectiveness of the implemented WHP program in minimizing the impact of shift work on workers' health and in preventing the misalignment between sleep-wake rhythm and shift working.

Keywords

References

  1. Caruso CC. Negative impacts of shiftwork and long work hours. Rehabil Nurs 2014;39:16-25. https://doi.org/10.1002/rnj.107
  2. Fathi A, Hajizadeh M, Moradi K, et al. Medication errors among nurses in teaching hospitals in the west of Iran: what we need to know about prevalence, types, and barriers to reporting. Epidemiol Health 2017;39:e2017022. https://doi.org/10.4178/epih.e2017022
  3. Ferri P, Guadi M, Marcheselli L, et al. The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts. Risk Manag Health Policy 2016;9:203-11. https://doi.org/10.2147/RMHP.S115326
  4. American Pyschiatric Association. Sleep-wake disorders. Available online at: http://www.dsm5.org/proposedrevision/Pages/Sleep-WakeDisorders.aspx (last accessed 04-27-2020).
  5. Huang Li-Bi, Tsai MC, Chen CY, et al. The effectiveness of light/dark exposure to treat insomnia in female nurses undertaking shift work during the evening/night shift. J Clin Sleep Med 2013;9:641-6. https://doi.org/10.5664/jcsm.2824
  6. d'Ettorre G, Pellicani V, Greco M, Mazzotta M, Vullo A. Assessing and managing the shift work disorder in healthcare workers. Med Lav 2018;109(2):144-50.
  7. Flo E, Pallesen S, Moen BE, et al. Short rest periods between work shifts predict sleep and health problems in nurses at 1-year follow-up. Occup Environ Med 2014;71:555-61. https://doi.org/10.1136/oemed-2013-102007
  8. Dijk DJ, Groeger JA, Stanley N, Deacon S. Age-related reduction in daytime sleep propensity and nocturnal slow wave sleep. Sleep 2010;33:211-23. https://doi.org/10.1093/sleep/33.2.211
  9. Chang YS, Wu YH, Chen HL, Hsu CY. Is one day off sufficient for re-adaptation to a daytime routine after two consecutive nights of work? Ergonomics 2017;31:1-7. https://doi.org/10.1080/00140138808966644
  10. Waage S, Pallesen S, Moen BE, et al. Predictors of shift work disorder among nurses: a longitudinal study. Sleep Med 2014;15:1449-55. https://doi.org/10.1016/j.sleep.2014.07.014
  11. Oyane N, Pallesen S, Moen BE, et al. Associations between night work and anxiety, depression, insomnia, sleepiness and fatigue in a sample of Norwegian nurses. PloS One 2013;8:e70228. https://doi.org/10.1371/journal.pone.0070228
  12. European Network Workplace Health Promotion. Luxembourg declaration on workplace health promotion in the European Union. Bundesanstalt fur Arbeitschutz und Arbeitsmedizin; 1997.
  13. d'Ettorre G, Vullo A, Pellicani V, Ceccarelli G. Preliminary assessment of rotating shiftwork risk in a twenty-four hours hospital department. Annali di Igiene 2018;30:297-306.
  14. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991;14:540-5 [PubMed: 1798888]. https://doi.org/10.1093/sleep/14.6.540
  15. McKenna H, Wilkes M. Optimising sleep for night shifts. BMJ 2018;360:j5637. https://doi.org/10.1136/bmj.j5637
  16. Health, Executive Safety. Managing shiftwork: health and safety guidance. London: HSE. 2006. Available on: www.hse.gov.uk/pubns/books/hsg256.htm. [Accessed 29 September 2019].
  17. Gomez-Garcia T, Ruzafa-Martinez M, Fuentelsaz-Gallego C, et al. Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts. BMJ Open 2016;6:e012073. https://doi.org/10.1136/bmjopen-2016-012073

Cited by

  1. Association between night shift and sleep quality and health among Chinese nurses: A cross‐sectional study vol.29, pp.7, 2020, https://doi.org/10.1111/jonm.13351