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1.
Health Care Manage Rev ; 48(1): 61-69, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36066549

RESUMO

BACKGROUND: Existing studies that seek to understand nurses' experiences of burnout are dominated by cross-sectional, quantitative survey designs employing predetermined measures, often overlooking important job-related stressors that can be highly dependent on industry and professional contexts. Cancer nurses are a group of professionals who warrant special attention, as burnout in this profession is often attributed to high job demands and the challenge of caring for a vulnerable cohort of patients. A deeper understanding of the job demands associated with cancer nursing is required to provide insights about the work experiences of cancer nurses and identify aspects that mitigate burnout and stress. PURPOSE: This study describes the antecedents of burnout among Australian cancer nurses by focusing on the demands and resources inherent in their work. We aim to build on the existing literature by identifying job resources that may serve to mitigate the antecedents of burnout. METHODOLOGY/APPROACH: An in-depth interview study of cancer nurses across a spectrum of age and experience in Australian metropolitan public health care services was conducted over a 2-year period that coincided with the COVID-19 pandemic. The job demands and resources model framed this study of job-related factors associated with burnout and conversely job resources that may foster work engagement. RESULTS: Patient aggression, workload, emotional demands, and abusive peers and managers were reported as distinct job demands, whereas job significance and supportive peers who demonstrated leadership, along with task variety, were identified as job resources. CONCLUSION: Australian cancer nurses work in an environment where job demands are increasingly disproportionate to job resources, leading to significant risk of burnout. PRACTICE IMPLICATIONS: Our study identifies modifiable strategies for improving work conditions for this group who play a critical role in the health care system.


Assuntos
Esgotamento Profissional , COVID-19 , Neoplasias , Enfermeiras e Enfermeiros , Humanos , Satisfação no Emprego , Estudos Transversais , Pandemias , Austrália , Esgotamento Profissional/psicologia , Carga de Trabalho/psicologia , Inquéritos e Questionários
2.
Curr Probl Diagn Radiol ; 52(1): 14-19, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36058777

RESUMO

Decreasing radiology reimbursement is a major challenge faced by academic radiology practices in the United States. The consequent increased workload from reading more radiological studies can lead to job dissatisfaction, burnout and adverse impact on research, innovation, and education. Thriving successfully in an academic practice despite low reimbursement requires modification of radiology business models and culture of the practice. In this article, we review the financial and operational strategies to mitigate low reimbursement and strategies for thriving in academic radiology without burnout.


Assuntos
Esgotamento Profissional , Radiologia , Estados Unidos , Humanos , Radiologia/educação , Carga de Trabalho
3.
Appl Ergon ; 106: 103885, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36084577

RESUMO

This research examined three specific gaps in the workload transition literature: (1) the impact of workload transition rate, (2) the applicability of current theoretical explanations, and (3) the variability of performance overall and over time. Sixty Naval flight students multitasked in an unmanned aerial vehicle control testbed and workload transitioned at three rates: slow, medium, or fast. Response time and accuracy were analyzed via growth curve modeling. Slow transitions had the largest decline in performance over time. Medium transitions had some of the slowest, but most accurate and consistent performance. Fast transitions had some of the fastest, but least accurate performance. However, all performance trends significantly varied, suggesting multiple theoretical explanations may apply and performance may also depend on the individual. Design guidance on how to maximize performance goals with transition rate is provided, but future research needs to study the theoretical explanations and impact of individual differences further.


Assuntos
Carga de Trabalho , Humanos
4.
Appl Ergon ; 106: 103886, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36162273

RESUMO

Hotel room cleaners are a vulnerable population at risk for cardiovascular disease. To evaluate their workload heart rate (HR), % heart rate reserve (%HRR), blood pressure (BP), metabolic equivalent (MET), and energy expenditure (EE) were measured over two workdays and two off-workdays. The mean age was 45.5 (SD 8.2) years with a mean 10.4 (SD 7.8) years of work experience. Mean average and peak HR, %HRR, MET, and EE were significantly higher during a workday than an off-workday for the entire work shift, first and last hour of work. Mean average HR and %HRR saw the largest increase between the lunch and post-lunch interim. One-fourth of subjects exceeded the recommended 30% HRR threshold for 8-hour shifts. Some workers experienced a substantial increase in HR and DBP over a workday indicating physiologic fatigue and thus may be at increased risk for cardiovascular disease and premature death due to excessive physical work demands.


Assuntos
Doenças Cardiovasculares , Humanos , Pessoa de Meia-Idade , Doenças Cardiovasculares/etiologia , Pressão Sanguínea/fisiologia , Carga de Trabalho , Frequência Cardíaca/fisiologia , Metabolismo Energético
5.
Int Arch Occup Environ Health ; 95(3): 559-571, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35220487

RESUMO

OBJECTIVE: Estimate the effort-reward imbalance prevalence (ERI) among physicians. METHODS: A systematic review was conducted from 2005 to 2019 using PRISMA guidelines on the PubMed and EBSCOhost search engines. Data were classified according to the ERI definition used by the authors. A meta-analysis was performed on effort and reward scores and on ERI prevalence rates. RESULTS: Out of 3787 results, we selected 41 studies. The physicians' ERI prevalence rate ranged from 3.50 to 96.9%. The standardized pooled effort mean score was 58.5 for effort and 48.9 for a reward out of 100, respectively. The overall combined ERI rate (when the ratio between effort and reward scores was above 1) was 40.2% among 21,939 practitioners (31.7% in the working European population). ERI rate was 70.2% using a four-point Likert scale and 21.1% using a five-point Likert scale. The highest rate (96.9%) was observed among German rural general practitioners and the lowest rate (3.50%) among Swiss hospital practitioners. The low percentage of variability (I2 = 27%) attributed to effort scores heterogeneity between studies suggested that this dimension is not discriminant in the physician ERI assessment. The high heterogeneity in reward scores (I2 = 83%) indicated that this dimension is sensible in ERI assessment among physicians. The number of items used did not appear as a significant source of heterogeneity. CONCLUSION: Physician job ERI appeared to be higher than in the working population. Studying each dimension and item indicators could help improve psychosocial risk prevention.


Assuntos
Satisfação no Emprego , Médicos , Humanos , Médicos/psicologia , Prevalência , Recompensa , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários , Carga de Trabalho/psicologia
6.
Rev. urug. enferm ; 17(2): 1-20, dic. 2022.
Artigo em Espanhol | LILACS, BDENF - Enfermagem, BNUY, BNUY-Enf | ID: biblio-1392412

RESUMO

El contexto epidemiológico que se vive a nivel mundial desde el comienzo de la pandemia por COVID-19, puso de manifiesto factores de sobrecarga laboral en el personal de la salud, relacionados con la exposición diaria a situaciones que ponen en riesgo su integridad física y mental. Tomando en cuenta el valor social, la validez científica y el beneficio que se genera con la investigación en el campo de la salud, nos propusimos explorar y analizar en qué medida y en qué aspectos la situación de pandemia ha afectado las cargas en enfermería partiendo de la hipótesis de un aumento en la percepción de cargas desde el inicio de la pandemia por COVID-19. En función de los resultados obtenidos, elaboramos recomendaciones y una propuesta que contribuya al desarrollo de un entorno de trabajo saludable para el personal de enfermería, estableciendo medidas de prevención e intervención destinadas a minimizar los riesgos e incrementar la satisfacción laboral. Para el relevamiento de los datos se aplicó una encuesta online, anónima, auto administrada dirigida al personal de enfermería de Uruguay que trabaja en los tres niveles de atención, la cual nos permitió un acercamiento a los principales indicadores de carga física y mental. En términos absolutos se encuestaron 304 licenciados en enfermería y 677 auxiliares. Si se comparan los encuestados con el Registro de Habilitación del MSP (2017), la participación alcanzó el 3,29 % de la población total en enfermería. Se logró la cobertura de los 19 departamentos de Uruguay. Los resultados obtenidos, evidenciaron un incremento en la carga física y mental, a partir del contexto generado por COVID-19, relacionado principalmente con aspectos institucionales, alteraciones fisiológicas, psicoafectivas y sociofamiliares.


The epidemiological context that has been experienced worldwide since the beginning of the COVID-19 pandemic has revealed factors of work overload in health personnel, related to daily exposure to situations that put their physical and mental integrity at risk. Considering the social value, the scientific validity and the benefit generated by research in the field of health, we set out to explore and analyze to what extent and in what aspects the pandemic situation has affected nursing work load based on the hypothesis of an increase in the perception of burdens since the start of the COVID-19 pandemic. Based on the results obtained, we developed recommendations and a proposal that contributes to the development of a healthy work environment for nursing staff, establishing prevention and intervention measures aimed at minimizing risks and increasing job satisfaction. To collect the data, an online, anonymous, self-administered survey was applied to nursing staff in Uruguay who work at the three levels of care, which allowed us to approach the main indicators of physical and mental load. In absolute terms, 304 nursing graduates and 677 auxiliaries were surveyed. When we compare the respondents with the MSP Qualification Registry (2017), participation reached 3.29% of the total nursing population. Coverage of the 19 departments of Uruguay was achieved. The results showed an increase in the physical and mental load, based on the context generated by COVID-19, mainly related to institutional aspects, physiological, psycho-affective and socio-family alterations.


O contexto epidemiológico que se vive mundialmente desde o início da pandemia do COVID-19 tem revelado fatores de sobrecarga de trabalho nos profi ssionais de saúde, relacionados à exposição diária a situações que colocam em risco sua integridade física e mental. Levando em conta o valor social, a validade científica e o benefício gerado pela pesquisa na área da saúde, propusemo-nos a explorar e analisar em que medida e em que aspectos a situação pandêmica afetou as cargas de trabalho de enfermagem com base na hipótese de aumento na percepção de ônus desde o início da pandemia de COVID-19. Com base nos resultados obtidos, desenvolvemos recomendações e uma proposta que contribui para o desenvolvimento de um ambiente de trabalho saudável para a equipe de enfermagem, estabelecendo medidas de prevenção e intervenção paravive minimizar riscos e aumentar a satisfação no trabalho. Para coletar os dados, foi aplicada uma pesquisa online, anônima e autoadministrada aos profissionais de enfermagem do Uruguai que atuam nos três níveis de atenção, o que permitiu abordar os principais indicadores de carga física e mental. Em termos absolutos, foram pesquisados 304 egressos de enfermagem e 677 auxiliares. Se compararmos os respondentes com o Registro de Qualificação MSP (2017), a participação atingiu 3,29% do total da população de enfermagem. A cobertura dos 19 departamentos do Uruguai foi alcançada. Os resultados obtidos mostraram um aumento da carga física e mental, com base no contexto gerado pela COVID-19, principalmente relacionado a aspectos institucionais, alterações fisiológicas, psicoafetivas e sociofamiliares.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Riscos Ocupacionais , Carga de Trabalho , Estresse Ocupacional , COVID-19 , Recursos Humanos de Enfermagem , Uruguai , Condições de Trabalho , Esgotamento Profissional , Estudos Transversais , Inquéritos e Questionários , COVID-19/psicologia
7.
J Occup Environ Med ; 64(11): 970-975, 2022 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-36331994

RESUMO

OBJECTIVE: In this study, we aimed to describe the effect of working from home on work conditions and private life by analyzing reported changes in different work-related factors. METHODS: We used descriptive analyses on cross-sectional data of 4985 people aged 20 to 67 years from Stockholm, Sweden collected in 2021. The prevalence of reported changes for factors related to work and private life was analyzed by degree of work from home and stratified by age, sex, and educational level. RESULTS: Participants who worked from home reported increased opportunities to structure the workday and combine work and private life, while at the same time experiencing increased isolation from the workplace. More females reported increased workload, whereas younger adults reported more changes overall. CONCLUSIONS: Working from home was related to experiencing both positive and negative changes in work conditions and private life.


Assuntos
Carga de Trabalho , Local de Trabalho , Adulto , Feminino , Humanos , Estudos Transversais , Suécia/epidemiologia
8.
BMJ Open ; 12(11): e061925, 2022 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-36385035

RESUMO

OBJECTIVES: Work-related stress is a common risk factor among healthcare workers (HCWs). In Iran, the healthcare system has undergone extensive changes to develop services. Organisational change has led to the creation of new working conditions for HCWs. The purpose of this study is to identify job demands that health workers perceive as stressors. DESIGN: As a qualitative study, semistructured interviews, a focus group, and related data were analysed both inductively and deductively with reference to the job demand component based on the job demands-resources model and MAXQDA. SETTING: This investigation was conducted in 18 primary healthcare centres in Qazvin, Iran. PARTICIPANT: Twenty-one female HCWs with at least 6 months of work experience and an average age of 34.4 years. RESULTS: The participants identified six key elements as the stressful job demands including organisation's supervisory function, role characteristics, workload, job insecurity, client service challenges and perceived job content. CONCLUSIONS: After organisational changes and development, HCWs were faced with role changes and increased workload. In addition, organisational supervision in terms of quantity and quality and lack of job security intensified the pressures. These factors led to the high level of stress among employees who dealt with people and those who perceived their job content as unfavourable. Perhaps teaching stress control skills and organisational support interventions can be useful to reduce and control stress among HCWs.


Assuntos
Estresse Ocupacional , Humanos , Feminino , Adulto , Irã (Geográfico) , Pesquisa Qualitativa , Pessoal de Saúde , Carga de Trabalho
9.
Artigo em Inglês | MEDLINE | ID: mdl-36360758

RESUMO

Burnout is at all-time highs across modern professions. As a typical labor-intensive industry, the high-pressure and task-driven nature of the construction industry makes construction workers more prone to burnout. It is still unclear whether increasing the professionalization level can lessen the many harmful consequences of job burnout on construction workers' employment. Therefore, this study examined the influencing mechanism of professionalization on job burnout in the construction industry. First, a theoretical model based on the conservation of resources (COR) theory was developed with workload, job insecurity, and work-family conflict as moderating variables. A reliable sample of 441 Chinese construction workers were then recruited in the investigation. The data analysis was supported by confirmatory factor analysis (CFA) and structural equation modeling (SEM). The results indicated that: (i) an increase in the professionalization level could be directly effective in alleviating job burnout among construction workers; (ii) workload and work-family conflict could play an independent and continuous mediating role between professionalization and job burnout; and (iii) while job insecurity caused by a low professionalization did not have a direct impact on job burnout, it could have an indirect impact on job burnout through workload and work-family conflict, respectively. This study enriches the literature on job burnout among construction workers, as well as provides a theoretical basis and practical management guidance for Chinese construction companies to alleviate job burnout in workers from a professionalization standpoint.


Assuntos
Esgotamento Profissional , Indústria da Construção , Humanos , Satisfação no Emprego , Carga de Trabalho , Conflito Familiar , Inquéritos e Questionários
10.
BMC Med Educ ; 22(1): 769, 2022 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-36352419

RESUMO

BACKGROUND: Workload of healthcare providers may affect the quality of healthcare. Practical evidences have indicated that healthcare providers are differentially associated with workload due to their different education and training background. Clinical pharmacists are an indispensable part of medical teams. Under the precondition that clinical pharmacists in China generally undertake uneven clinical pharmacy workload, the relationship of workload and clinical pharmacists' different education backgrounds remains unclear. This study aimed to assess the association between the education background of clinical pharmacists and their clinical pharmacy workload in China. METHODS: A field questionnaire survey using a stratified sampling was conducted to gather data on education background and clinical pharmacy workload through a self-developed instrument. Ordinary least squares regression was used to evaluate the association of the participants' education background with their clinical pharmacy workload. RESULTS: A total of 625 clinical pharmacists from 311 tertiary hospitals in China participated. Two levels of education: less than bachelor's degree in general pharmacy, or doctoral degree in clinical pharmacy was associated significantly with clinical pharmacy workload of the participants. Participants who had credentials of national level and provincial-level specialized training for clinical pharmacists had undertaken more work than those without. Moreover, the participants' specialized field, such as respiratory medicine and nephrology, was associated with their clinical pharmacy workload. CONCLUSION: Enhancing several aspects of education or training among clinical pharmacists in tertiary hospitals in China may help improve their capability to provide clinical pharmacy services. Efforts are needed to improve the education and training system of clinical pharmacists in China.


Assuntos
Serviço de Farmácia Hospitalar , Farmácia , Humanos , Farmacêuticos , Carga de Trabalho , Centros de Atenção Terciária , China , Papel Profissional
11.
Artigo em Inglês | MEDLINE | ID: mdl-36361128

RESUMO

This article examines older physical education (PE) teachers' wellbeing over the course of their career in Finland. The study highlights challenges to physical and mental functioning as well as how teachers respond to these challenges. The six interviewees were over 55-year-old PE teachers, whose career had lasted for more than 30 years. Qualitative methods were used in the collection, transcription and analysis of the research data. The qualitative analysis consisted of a series of interpretations that visualised the world described by the interviewees. All the research participants had physical problems that affected their teaching and make teachers consider a potential career change. To be able to teach, teachers adapted their ways of working according to the challenges brought by age and injuries. The research participants found that the challenges caused by musculoskeletal problems and ageing were an inevitable part of the profession. They emphasised the positive sides of the work: the profession permits varied workdays. In addition, the teachers noted that their work provides them with opportunities to remain physically fit. Teaching health education is a means to lighten the workload of older teachers. PE teachers enjoy their profession and are dedicated to it, despite all the challenges. The interviewed participants clearly experienced work engagement. Our development proposal for teacher education is that future PE teachers be informed about the risks involved in the profession. Such activity helps young teachers reflect proactively on the measures taken to maintain their functioning during their career and on perspectives related to the ways of working.


Assuntos
Educação Física e Treinamento , Capacitação de Professores , Humanos , Pessoa de Meia-Idade , Carga de Trabalho , Finlândia , Professores Escolares
12.
Artigo em Inglês | MEDLINE | ID: mdl-36361455

RESUMO

In a social environment, various types of stress can be overwhelming. Humans frequently encounter these stressful situations in social life. Stress is divided into physical stress and mental stress; the latter is induced by heavy mental workloads and has become a huge social problem, leading to mental disorders and possibly suicide in the worst scenario. Investigations into monitoring mental stress and reducing stressful conditions are, therefore, important for its prevention. In the present study, we focused on autonomous sensory meridian response (ASMR) sound, which is known to improve the human mental condition through its comforting and relaxing effects. We investigated the effect of ASMR on the mental workload induced by mental tasks by the evaluation of EEG activation patterns in normal subjects. Our results showed a significant decrease in alpha-band activity and a significant increase in gamma (high beta)-band activity under the induction of mental workload by mental tasks compared to the resting condition. When applying ASMR sound, alpha- and gamma-band activity under the induction of mental workload by mental tasks was restored to the level of the resting condition. In conclusion, these results indicate that ASMR sound reduces the mental stress induced by mental workload.


Assuntos
Meridianos , Humanos , Descanso , Carga de Trabalho , Eletroencefalografia
13.
Rev Esc Enferm USP ; 56: e20210599, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-36383085

RESUMO

OBJECTIVE: Compare the nursing workload according to the condition of frailty in elderly people in an intensive care unit (ICU). METHOD: A cross-sectional study whose sample included patients aged ≥60 years who were hospitalized for ≥24 hours in the ICU of a university hospital in São Paulo, Brazil. The Tilburg Frailty Indicator (TFI) was used to identify frailty in elderly people and the Nursing Activities Score (NAS) was used to measure the nursing workload. RESULTS: In a sample of 204 elderly people, frailty was found in 156 (76.5%). The elderly people contributed to high nursing workload (mean NAS 75.9) on the first day in the ICU, but frailty did not significantly change the NAS (p = 0.606) (frail 75.7 versus non-frail 76.5), either based on the mean value or the proportion of patients in each category. CONCLUSION: The condition of frailty in elderly people did not increase the nursing workload in the ICU.


Assuntos
Fragilidade , Carga de Trabalho , Idoso , Humanos , Estudos Transversais , Idoso Fragilizado , Fragilidade/epidemiologia , Brasil , Unidades de Terapia Intensiva
16.
Sensors (Basel) ; 22(22)2022 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-36433603

RESUMO

Estimating external workload in baseball pitchers is important for training and rehabilitation. Since current methods of estimating workload through pitch counts and rest days have only been marginally successful, clubs are looking for more sophisticated methods to quantify the mechanical loads experienced by pitchers. Among these are the use of wearable systems. While wearables offer a promising solution, there remains a lack of standards or guidelines for how best to employ these devices. As a result, sensor location and workload calculation methods vary from system to system. This can influence workload estimates and blur their interpretation and utility when making decisions about training or returning to sport. The primary purpose of this study was to determine the extent to which sensor location influences workload estimate. A secondary purpose was to compare estimates using different workload calculations. Acceleration data from three sensor locations-trunk, throwing upper arm, and throwing forearm-were collected from ten collegiate pitchers as they threw a series of pitches during a single bullpen session. The effect of sensor location and pitch type was assessed in relation to four different workload estimates. Sensor location significantly influenced workload estimates. Workload estimates calculated from the forearm sensor were significantly different across pitch types. Whole-body workload measured from a trunk-mounted sensor may not adequately reflect the mechanical loads experienced at throwing arm segments. A sensor on the forearm was the most sensitive to differences in workloads across pitch types, regardless of the calculation method.


Assuntos
Beisebol , Carga de Trabalho , Fenômenos Biomecânicos , Extremidade Superior , Braço
17.
Artigo em Inglês | MEDLINE | ID: mdl-36429906

RESUMO

Distractors faced by drivers grow continuously, and concentration on driving becomes increasingly difficult, which has detrimental influences on road traffic safety. The present study aims to investigate changes in driving workload and driving performance caused by distracting tasks. The recruited subjects were requested to drive along a city route in a real vehicle and perform three secondary tasks sequentially. Electrocardiography and driving performance were measured. Heart rate variability (HRV) was adopted to quantitatively analyze the driving workload. Findings show that: (i) increments are noticed in the root mean square differences of successive heartbeat intervals (RMSSD), the standard deviation of normal-to-normal peak (SDNN), the heart rate growth rate (HRGR), and the ratio of low-frequency to high-frequency powers (LF/HF) compared to undistracted driving; (ii) the hands-free phone conversation task has the most negative impacts on driving workload; (iii) vehicle speed reduces due to secondary tasks while changes in longitudinal acceleration exhibit inconsistency; (iv) the experienced drivers markedly decelerate during hands-free phone conversation, and HRGR shows significant differences in both driving experience and gender under distracted driving conditions; (v) correlations exist between HRV and driving performance, and LF/HF correlates positively with SDNN/RMSSD in the hands-free phone conversation and chatting conditions while driving.


Assuntos
Telefone Celular , Carga de Trabalho , Humanos , Atenção , Aceleração , Comunicação
18.
BMJ Open ; 12(11): e064579, 2022 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-36424101

RESUMO

OBJECTIVES: To describe the inpatient population, establish patterns in admission and mortality over a 4-year period in different cohorts and assess the prognostic ability and workload implications of introducing the National Early Warning Score 2 (NEWS2) and associated escalation protocol. DESIGN: Retrospective cohort analyses of medical and surgical inpatient admissions. SETTING: Large teaching hospital with tertiary inpatient care and a major trauma centre employing an electronic observations platform, initially with a local early warning score, followed by NEWS2 introduction in June 2019. PARTICIPANTS: 332 682 adult patients were admitted between 1 January 2016 and 31 December 2019. OUTCOME MEASURES: Mortality, workload and ability of early warning score to predict death within 24 hours. RESULTS: Admissions rose by 19% from 76 055 in 2016 to 90 587 in 2019. Total bed days rose by 10% from 433 382 to 477 485. Mortality fell from 3.7% to 3.1% and was significantly lower in patients discharged from a surgical specialty, 1.0%-1.2% (p<0.001). Total observations recorded increased by 14% from 1 976 872 in 2016 to 2 249 118 in 2019. 65% of observations were attributable to patients under medical specialties, 34% to patients under surgical specialties. Recorded escalations to the registrar were stable from January 2016 to May 2019 but trebled following the introduction of NEWS2 in June 2019. CONCLUSIONS: There was an increase in hospital inpatient activity between 2016 and 2019, associated with a reduction in mortality and percentage of observations calculated as reaching threshold NEWS2 score of 7 for escalation to the registrar. The introduction of the NEWS2, with a higher sensitivity and lower specificity, when allied to its escalation protocol, was associated with a significant increase in actual recorded escalations to the registrar. This was more marked in the surgical population and would support refining threshold scores based on admission characteristics when developing the next iteration of NEWS.


Assuntos
Escore de Alerta Precoce , Carga de Trabalho , Adulto , Humanos , Estudos Retrospectivos , Medicina Estatal , Hospitais de Ensino
19.
BMC Public Health ; 22(1): 2138, 2022 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-36414949

RESUMO

BACKGROUND: In-depth investigation of the factors that exacerbate sleep disturbance among night-shift workers is essential to develop a successful implementation strategy to improve sleep. Although some characteristics of work associated with sleep disturbances have been investigated, there are inconsistencies in the findings. This study aimed to assess the influence of working time and work characteristics on sleep disturbance among night-shift workers. METHODS: This study was a secondary data analysis of a nationally representative sample of data from the fifth Korean Working Condition Survey in 2017. A total of 1,790 wage workers aged between 19 and 64 years with night shift schedules were selected and analyzed. A multiple logistic regression analysis was conducted to analyze the influences of working time characteristics, including shift type, frequency of night shift, and extended work; as well as work characteristics, including physical work demands, workload, emotional work demands, social support, and communication, on sleep disturbance among night-shift workers. RESULTS: Of those analyzed, 8.4% of night-shift workers experienced sleep disturbances. Night-shift workers with extended work, higher workloads, and emotional work demands were more likely to experience sleep disturbances (OR = 1.53, 95% CI = 1.05 to 2.23; OR = 1.01, 95% CI = 1.01 to 1.03; OR = 1.03, 95% CI = 1.02 to 1.05; respectively). CONCLUSION: Extended work, higher workload, and emotional work demands were significant factors for sleep disturbance among night-shift workers. These findings highlight the importance of adjusting work demands and mitigating extended work to reduce sleep disturbance in night-shift workers.


Assuntos
Transtornos do Sono-Vigília , Carga de Trabalho , Humanos , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtornos do Sono-Vigília/epidemiologia , Sono , Emoções , Inquéritos e Questionários
20.
Artigo em Inglês | MEDLINE | ID: mdl-36360868

RESUMO

Psychosocial job stressors increase the risk of mental health problems for the workers in health and social services (HSS). Although previous studies suggest that the accumulation of two or more stressors is detrimental to mental health, few studies have examined the synergistic interaction of accumulating job stressors. We examined survey responses from 9855 Finnish HSS workers in a cross-sectional study design from 2021. We conducted an interaction analysis of high job demands, low rewards and low workplace social capital on psychological distress, focusing on the relative excess risk due to interaction (RERI). Additionally, we analysed the interaction of job demands, low rewards and COVID-19 burden (extra workload and emotional load). Our analysis showed that the total RERI for the job stressors on psychological distress was considerable (6.27, 95% CI 3.14, 9.39). The total excess risk was caused by two-way interactions, especially between high demands and low rewards and by the three-way interaction of all stressors. The total RERI for job demands, low reward and COVID-19 burden (3.93, 95% CI 1.15, 6.72), however, was caused entirely by two-way interaction between high demands and low rewards. Mental health interventions tackling high demands, low rewards and low social capital are jointly needed.


Assuntos
COVID-19 , Angústia Psicológica , Humanos , Estudos Transversais , COVID-19/epidemiologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Pandemias , Local de Trabalho/psicologia , Carga de Trabalho/psicologia , Inquéritos e Questionários , Satisfação no Emprego
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