Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of the Shift Work by Types on Sociopsychological Stress in the University Hospital Nurses

대학병원 간호사의 교대근무 형태에 따른 사회심리적 스트레스

  • Jiwoo Kim (Industrial Health and Work Environment Research Institute, Korean Industrial Health Association) ;
  • Chi-Nyon Kim (The Institute for Occupational Health, Yonsei University college of Medicine) ;
  • Jin-Ha Yoon (The Institute for Occupational Health, Yonsei University college of Medicine) ;
  • Jong-Uk Won (The Institute for Occupational Health, Yonsei University college of Medicine) ;
  • Sangjun Choi (Graduate School of Public Health and Healthcare Management, The Catholic University of Korea)
  • 김지우 (대한산업보건협회 산업보건환경연구원) ;
  • 김치년 (연세대학교 의과대학 산업보건연구소) ;
  • 윤진하 (연세대학교 의과대학 산업보건연구소) ;
  • 원종욱 (연세대학교 의과대학 산업보건연구소) ;
  • 최상준 (가톨릭대학교 보건의료경영대학원)
  • Received : 2023.04.11
  • Accepted : 2023.06.26
  • Published : 2023.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: To determine the effect of the various type and number of shift work on sociopsychological stress in the university hospital nurses in Seoul, South Korea. Methods: Data was collected through a self-administered questionnaire that included general characteristics, the type and number of shift work in the past 4 weeks and the an sociopsychological stress based on PWI-SF. Logistic regression analysis was conducted to analyze the effect of shift work by types on sociopsychological stress of university hospital nurses using SAS 9.4 and it adjusted general characteristics by the additional models. Results: When the number of night shift work 3 or 4 compared to 0, sociopsychological stress was significantly high(OR=2.16, 95% CI=1.29-3.65). When 5 or more, it was higher(OR=2.39, 95% CI=1.55-3.72). Two continuous night shift work compared to 0 increased sociopsychological stress(OR=2.37, 95% CI=1.49-3.81) and 3 or more even more(OR=2.70, 95% CI=1.72-4.27). If the shift work type changes 14 or 15 times compare to below 11, sociopsychological stress is increased and even higher when 15 or more times but it's not significant after adjusting for covariates. Conclusions: It suggests that workplace with nurse expose to shift work should be on lookout for more than three night shift work, more than two continuous night shift work and more than 14 shift work change which can lead to burnout, absenteeism, depression and decreased productivity.

Keywords

References

  1. Bagheri Hosseinabadi M, Ebrahimi MH, Khanjani N, Biganeh J, Mohammadi S et al. The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses. J Clin Nurs. 2019 May;28(9-10):1868-1878 (DOI:10.1111/jocn.14778)
  2. Baker FC, Driver HS. Circadian rhythms, sleep, and the menstrual cycle. Sleep Med. 2007;8(6);613-622 (DOI:10.1016/j.sleep.2006.09.011)
  3. Boggild H, Knutsson A. Shift work, risk factors and cardiovascular disease. Scand J Work Environ Health 1999;25(2);85-99(DOI:10.5271/sjweh.410)
  4. Cheng WJ, Cheng Y. Night shift and rotating shift in association with sleep problems, burnout and minor mental disorder in male and female employees. Occup and Environ Med 2017;74(7);483-488 https://doi.org/10.1136/oemed-2016-103898
  5. Cho SS, Lee DW, Kang MY. The association between shift work and health-related productivity loss due to either sickness absence or reduced performance at work: A cross-sectional study of Korea. Int J Environ Res Public Health 2020;17(22);8493
  6. Costa G, Anelli MM, Castellini G, Fustinoni S, Neri L. Stress and sleep in nurses employed in "3 × 8" and "2 × 12" fast rotating shift schedules. Chronobiol Int 2014;31(10); 1169-1178(DOI:10.3109/07420528.2014.957309)
  7. Di Muzio M, Diella G, Di Simone E, Pazzaglia M, Alfonsi V et al. Comparison of sleep and attention metrics among nurses working shifts on a forward- vs backward-rotating schedule. JAMA Netw Open 2021;4(10);e2129906(DOI:10.1001/jamanetworkopen.2021.29906)
  8. Du HB, Bin KY, Liu WH, Yang FS. Shift work, night work, and the risk of prostate cancer: A meta-analysis based on 9 cohort studies. Medicine 2017;96(46);e8537.(DOI:10.1097/MD.0000000000008537)
  9. Folkard S, Tucker P. Shift work, safety and productivity. Occup Med 2003;53(2);95-101(DOI:10.1093/occmed/kqg047)
  10. Goldberg D. Manual of the general health questionnaire. NFER Publishing Company 1978
  11. Hakola T, Harma M. Evaluation of a fast forward rotating shift schedule in the steel industry with a special focus on ageing and sleep. J Hum Ergol 2001;30(1-2);315-319(DOI: 10.11183/jhe1972.30.315)
  12. Hansen J. Night shift work and risk of breast cancer. Curr Environ Health Rep. 2017;4(3);325-339(DOI:10.1007/s40572-017-0155-y)
  13. Huang LB, Tsai MC, Chen CY, Hsu SC. 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(7);641-646(DOI:10.5664/jcsm.2824)
  14. Jang SJ. Evaluation and development of a stress measurement instrument - Development of a questionnaire for measuring stress in the general population(PWI). Yonsei Sociology 1994;14;71-114
  15. Jang SJ. Standardization of health statistics data collection and measurement Chapter 4. Korean Soc of Prev Med 2000;92-143
  16. Karlson B, Eek F, Orbaek P, Osterberg K. Effects on sleep-related problems and self-reported health after a change of shift schedule. J Occup Health Psychol 2009;14(2);97-109(DOI:10.1037/a0014116)
  17. Kaydani N, Zarea K, Soltanzadeh A. Gastrointestinal and cardiovascular effects of shiftwork in nurses. J Health Sci Surveillance Sys 2023;11(1);48-54(DOI:10.30476/jhsss.2021.91916.1255)
  18. Ki J, Ryu J, Baek J, Huh I, Choi-Kwon S. Association between health problems and turnover intention in shift work nurses: health problem clustering. Int J Environ Res Public Health 2020;17(12);4532(DOI:10.3390/ijerph17124532)
  19. Kim YG, Yoon DY, Kim JI, Chae CH, Hong YS et al. Effects of health on shift-work: general and psychological health, sleep, stress, quality of life. Korean J Occup Environ Med 2002;14(3);247-256 https://doi.org/10.35371/kjoem.2002.14.3.247
  20. Lin X, Chen W, Wei F, Ying M, Wei W et al. Night-shift work increases morbidity of breast cancer and all-cause mortality: a meta-analysis of 16 prospective cohort studies. Sleep Med 2015;16(11);1381-1387(DOI:10.1016/j.sleep.2015.02.543)
  21. Ma CC, Andrew ME, Fekedulegn D, Gu JK, Hartley TA et al. Shift work and occupational stress in police officers. Saf Health Work 2015;6(1);25-29(DOI:10.1016/j.shaw.2014.10.001)
  22. Peplonska B, Bukowska A, Sobala W. Association of rotating night shift work with BMI and abdominal obesity among nurses and midwives. PLoS One 2015;10(7);e0133761(DOI: 10.1371/journal.pone.0133761)
  23. Ward EM, Germolec D, Kogevinas M, Mccormick D, Vermeulen R et al. Carcinogenicity of night shift work. Lancet Oncol 2019;20(8);1058-1059(DOI: 10.1016/S1470-2045(19)30455-3)
  24. Xiao Z, Xu C, Liu Q, Yan Q, Liang J et al. Night shift work, genetic risk, and hypertension. Mayo Clin Proc 2022;97(11);2016-2027 https://doi.org/10.1016/j.mayocp.2022.04.007
  25. Yildirim D, Aycan Z. Nurses' work demands and work-family conflict: A questionnaire survey. Int j Nurs Stud 2008;45(9);1366-1378 https://doi.org/10.1016/j.ijnurstu.2007.10.010
  26. Yuan SC, Chou MC, Chen CJ, Lin YJ, Chen MC et al. Influences of shift work on fatigue among nurses. J Nurs Manag 2011;19(3);339-345 https://doi.org/10.1111/j.1365-2834.2010.01173.x