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1.
J Occup Health ; 63(1): e12208, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33682989

RESUMO

OBJECTIVES: Work-related musculoskeletal disorders (WMSDs) are common occupational injuries for nurses. Furthermore, rotating and irregular shift work may exacerbate muscle tension and pain in nurses. The objective of this study was to examine the differences between fixed day shift (FDS) nurses and rotating and irregular shift (RS + IS) nurses in WMSDs using a systematic literature review and meta-analysis. METHODS: Databases including PubMed, CINAHL, Cochrane Library, EBSCOhost, and Google Scholar were searched for relevant studies published between 2010 and 2020 using the target keywords. RESULTS: This study obtained data on a total of 18 199 nurses, among which 12 786 comprised the RS + IS group and 5413 constituted the FDS group. The result of the heterogeneity test was Q = 79.27 (P < .001) and I squared = 57.11%, indicating that heterogeneity existed among the studies. Subgroup analyses were also conducted with four groups: neck pain (n = 1818), shoulder and upper limb pain (n = 2525), back pain (n = 11 962), and hip and lower limb pain (n = 1894). Significant differences were found between the RS + IS group and the FDS group with regard to back pain, with the forest plot presenting an odds ratio equaling 1.40 (95% CI: 1.19-1.64, P < .001). CONCLUSIONS: This meta-analysis indicated that RS + IS nurses are more likely to experience back pain associated with WMSD than are FDS nurses. The results can serve as a reference to the clinical management for work improvement and thereby reduce or prevent the adverse effects of rotating and irregular shift work on back pain experienced by nurses.


Assuntos
Doenças Musculoesqueléticas/epidemiologia , Enfermagem , Doenças Profissionais/epidemiologia , Jornada de Trabalho em Turnos , Dor nas Costas/epidemiologia , Humanos , Extremidade Inferior , Cervicalgia/epidemiologia , Dor de Ombro/epidemiologia
2.
Rev Infirm ; 70(269): 33-36, 2021 Mar.
Artigo em Francês | MEDLINE | ID: mdl-33742591

RESUMO

The Nouvelle-Aquitaine Regional Health Agency is experimenting with a night nurse position shared between several accommodation facilities for dependent elderly.


Assuntos
Instituição de Longa Permanência para Idosos , Casas de Saúde , Recursos Humanos de Enfermagem , Jornada de Trabalho em Turnos , Idoso , França , Humanos , Recursos Humanos de Enfermagem/organização & administração
3.
J Prev Med Public Health ; 54(1): 46-54, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33618499

RESUMO

OBJECTIVES: This study explored the relationship between shift intensity and insomnia among hospital nurses. METHODS: The participants were 386 female hospital nurses who underwent a special health examination for night workers in 2015. The Korean Insomnia Severity Index (ISI), indices of shift work intensity, and other covariates such as amount of exercise, level of alcohol consumption, employment duration, and hours worked were extracted from the health examination data. The indices for shift intensity were (1) number of 3 consecutive night shifts and (2) number of short recovery periods after a previous shift, both assessed over the prior 3 months. Multiple logistic regression analysis adjusted for the aforementioned covariates was performed to evaluate the association of shift intensity with insomnia, defined as an ISI score of ≥8. RESULTS: The nurses with insomnia tended to be younger (p=0.029), to have worked 3 consecutive night shifts more frequently (p<0.001), to have experienced a greater number of short recovery periods after the previous shift (p=0.021), and to have worked for more hours (p=0.006) than the nurses without insomnia. Among the other variables, no statistically significant differences between groups were observed. Experiences of 3 or more consecutive night shifts (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.29 to 4.20) and 3 or more short recovery periods (OR, 2.01; 95% CI, 1.08 to 3.73) were associated with increased odds of insomnia. CONCLUSIONS: The results suggest that decreasing the shift intensity may reduce insomnia among hospital nurses working rotating shifts.


Assuntos
Recursos Humanos de Enfermagem no Hospital/psicologia , Jornada de Trabalho em Turnos/psicologia , Distúrbios do Início e da Manutenção do Sono/diagnóstico , Carga de Trabalho/normas , Adulto , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Razão de Chances , República da Coreia , Índice de Gravidade de Doença , Jornada de Trabalho em Turnos/normas , Jornada de Trabalho em Turnos/estatística & dados numéricos , Distúrbios do Início e da Manutenção do Sono/psicologia , Inquéritos e Questionários , Carga de Trabalho/psicologia
4.
Artigo em Inglês | MEDLINE | ID: mdl-33535523

RESUMO

Shift work disorder (SWD), which is characterized by insomnia and excessive sleepiness related with shift work, is one of the most common health problems in shift workers. Shift work disorder causes insomnia, fatigue, worse work performance, an increased likelihood of accidents, and a poor quality of life. In addition, SWD is associated with decreased productivity and increased economic costs. The correct management of SWD is important to prevent sleep disturbances and maintain work performance in shift workers. To diagnose and evaluate SWD, it is necessary to take detailed medical histories, assess the severity of sleep disturbances, and evaluate shift workers' sleep using a sleep diary and actigraphy. The work-fitness evaluation should include recommendations on how shift workers can reduce their sleep disturbances and increase work performance, as well as the assessment of work performance. This paper reviews previous research on the evaluation, diagnosis, and management of SWD and summarizes the work-fitness evaluation of SWD.


Assuntos
Jornada de Trabalho em Turnos , Transtornos do Sono do Ritmo Circadiano , Distúrbios do Início e da Manutenção do Sono , Humanos , Qualidade de Vida , Sono , Transtornos do Sono do Ritmo Circadiano/diagnóstico , Transtornos do Sono do Ritmo Circadiano/epidemiologia , Tolerância ao Trabalho Programado
5.
Nursing (Säo Paulo) ; 24(272): 5172-5197, jan.2021.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1148464

RESUMO

Objetivo: analisar os fatores intervenientes na qualidade de vida de trabalhadores de enfermagem em jornada noturna. Método: estudo analítico, transversal, quantitativo, realizado com 105 profissionais de enfermagem de um hospital com jornada noturna. Utilizaram-se questionários para avaliação socioeconômica e demográfica e da qualidade de vida. Os dados foram discutidos por meio de análise bivariada e análise comparativa, com nível de significância de 5% (p≤0,05). Resultados: verificou-se associação estatisticamente significante entre a qualidade de vida geral e as variáveis: renda familiar de até quatro salários mínimos (p=0,02), inatividade física (p=0,01), tempo de trabalho na instituição (p=0,02) e de atuação no período noturno (p=0,01) superiores a 11 anos. Os domínios psicológico, físico e meio ambiente interferiram negativamente na qualidade de vida dos sujeitos, apesar destes terem classificado-a como boa. Conclusão: portanto, os serviços de saúde devem adotar medidas para proteger a saúde de seus trabalhadores da influência de fatores profissionais.(AU)


Objective: to analyze the intervening factors in the quality of life of nursing workers working at night. Method: analytical, cross-sectional, quantitative study carried out with 105 nursing professionals from a hospital with a night shift. Questionnaires were used for socioeconomic and demographic and quality of life assessments. The data were discussed using bivariate analysis and comparative analysis, with a significance level of 5% (p≤0.05). Results: there was a statistically significant association between the general quality of life and the variables: family income of up to four minimum wages (p=0.02), physical inactivity (p=0.01), working time at the institution (p=0.02) and working at night (p=0.01) over 11 years. The psychological, physical and environmental domains negatively interfered with the subjects' quality of life, despite the fact that they classified it as good. Conclusion: therefore, health services must adopt measures to protect the health of their workers from the influence of professional factors.(AU)


Objetivo: analizar los factores que intervienen en la calidad de vida de trabajadores de enfermería que laboran de noche. Método: estudio analítico, transversal y cuantitativo realizado con 105 profesionales de enfermería nocturnos de un hospital. Se utilizaron cuestionarios para evaluaciones socioeconómicas, demográficas y de calidad de vida. Los datos se discutieron mediante análisis bivariada y análisis comparativo, con un nivel de significancia del 5% (p≤0.05). Resultados: hubo asociación estadísticamente significativa entre la calidad de vida general y las variables: ingreso familiar de hasta cuatro salarios mínimos (p=0,02), inactividad física (p=0.01), tiempo de trabajo en la institución (p=0,02) y trabajo nocturno (p=0,01) durante 11 años. Los dominios psicológico, físico y ambiental interfirieron negativamente en la calidad de vida de los sujetos, a pesar de clasificársela como buena. Conclusión: por tanto, los servicios de salud deben adoptar medidas para proteger la salud de sus trabajadores de la influencia de factores profesionales.(AU)


Assuntos
Humanos , Qualidade de Vida , Saúde do Trabalhador , Jornada de Trabalho em Turnos , Profissionais de Enfermagem , Condições de Trabalho , Gestão da Qualidade
6.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi ; 38(10): 753-756, 2020 Oct 20.
Artigo em Chinês | MEDLINE | ID: mdl-33142379

RESUMO

Objective: To understand the mental health status of female workers in different industries in China, and to explore the influence of age, family per capita income, working hours and other factors on the mental health of female employees. Methods: From May to July 2016, a cluster sampling survey was conducted among female workers from 15 Provinces (autonomous regions and municipalities directly under the Central Government) in different industries. A total of 60230 questionnaires were distributed and 57777 valid questionnaires were recovered, with an effective rate of 95.9%. The survey included the basic information and Symptom Self-assessment Scale, etc. The measured data were in accordance with the normal distribution by normality test and were expressed as x±s. The rates of counting data were compared using the χ(2) test. And unconditioned logistic regression was used to analyze the influencing factors. Results: There were significant differences in the detection rates of mental health problems among female employees of different ages, marital status, education level, family per capita income, industry classification, working hours, and frequent night shifts (P<0.01) . The top 3 factors of positive mental health problems were obsessive-compulsive symptoms (23.7%) , depression (16.0%) and interpersonal sensitivity (15.4%) . The factors such as age, education level, family per capita income, industry classification, working hours and frequent night shifts had statistical significances on the risk of female employees' mental health problems (P<0.05) . Female employees aged 30-39, aged 40-49, with high school education to junior college, bachelor degree or above, engaged in tertiary industry, working time of 8-9 h/d, working time of 9-11 h/d, working time of more than 11 h/d and regular night shifts had higher risk of mental health problems (OR=1.199, 1.187, 1.296, 1.539, 1.236, 1.674, 1.601, 1.358, 1.393, P<0.05) . Conclusion: The mental health problems of female workers are still serious, we should pay attention to the illegal long-term work and night-shift work, and take effective health promotion measures to effectively improve the mental health level of female workers.


Assuntos
Saúde Mental , Jornada de Trabalho em Turnos , Adulto , China/epidemiologia , Feminino , Nível de Saúde , Humanos , Inquéritos e Questionários
7.
Zhonghua Yu Fang Yi Xue Za Zhi ; 54(11): 1213-1219, 2020 Nov 06.
Artigo em Chinês | MEDLINE | ID: mdl-33147919

RESUMO

Objective: To explore the interaction between shift work and psychological capital on abnormal glucose and lipid metabolism. Methods: A convenient sampling survey of demographics characteristics, shift work and psychological capital was conducted on 1 415 natural gas field workers by questionnaire in October 2018,and their physiological and biochemical indexes were measured according to standard norms. Multivariate logistic regression model was used to analyze the interaction between shift work and psychological capital on abnormal glucose and lipid metabolism. Results: For 1 415 subjectsthe prevalence of abnormal blood glucose was 21.2%, the prevalence of diabetes was 8.3%.The prevalence of abnormal total cholesterol was 40.4%, the prevalence of hypercholesterolemia was 11.3%.The prevalence of abnormal triglyceride was 41.6%, the prevalence of hypertriglyceridemia was 24.7%.The detection rate of Low-density Lipoprotein was 17.3%, the detection rate of Low-density Lipoprotein was 4.0%, and the detection rate of high-density Lipoprotein was 1.3%. Multiple logistic regression model analysis showed that shift work, the low level of self-efficacy and the low level of optimism was positively associated with abnormal blood glucose, respectively (P<0.05). Shift work was positively associated with abnormal triglyceride (P<0.05). However, there was no interaction between shift work, low self-efficacy, low hope, low resilience, and low optimism on abnormal glucose and lipid metabolism. Conclusion: Shift work was a risk factor of abnormal blood glucose and triglyceride, self-efficacy and optimism were protective factors of abnormal blood glucose. There was no multiplicative interaction between shift work and psychological capital on abnormal glucose and lipid metabolism in the study population.


Assuntos
Hipertrigliceridemia , Jornada de Trabalho em Turnos , Glicemia , Glucose , Humanos , Metabolismo dos Lipídeos , Gás Natural
10.
Artigo em Inglês | MEDLINE | ID: mdl-32872503

RESUMO

To analyze the association between prostate cancer (PCa) risk and night shift work, chronotype, and sleep duration in the context of a population-based case-control study of incident prostate cancer in Spain, a total of 465 PCa cases and 410 controls were analyzed. Selection criteria were: (i) age 40-80 years, and (ii) residence in the coverage area of the reference hospitals for ≥6 months before recruitment. Exposure variables were: (i) night shift work (permanent or rotating); (ii) chronotype: morning, neither, or evening (Munich ChronoType Questionnaire) and (iii) sleep duration according to the recommendations of the American National Sleep Foundation. PCa aggressiveness was determined according to the International Society of Urology Pathology classification. Adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) were estimated using logistic regression models. Night shift work was associated with PCa, aOR = 1.47 (95% CI 1.02-2.11), especially for rotating night shifts, aOR = 1.73 (95% CI 1.09-2.75). The magnitude of the association between ever night work and PCa was higher in evening subjects with aOR = 3.14 (95% CI 0.91-10.76) than in morning chronotypes with an aOR = 1.25 (95% CI 0.78-2.00). Working night shifts, especially rotating night shifts, could increase PCa risk. This risk may be higher in people with an evening chronotype.


Assuntos
Neoplasias da Próstata , Jornada de Trabalho em Turnos , Sono , Tolerância ao Trabalho Programado , Idoso , Estudos de Casos e Controles , Ritmo Circadiano , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias da Próstata/epidemiologia , Neoplasias da Próstata/etiologia , Jornada de Trabalho em Turnos/efeitos adversos , Espanha/epidemiologia , Inquéritos e Questionários
11.
Psychiatr Danub ; 32(Suppl 2): 262-268, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32970645

RESUMO

BACKGROUND: Approximately 20% of the European labour force is involved in some type of shift work, with nurses being on the forefront. In Bosnia and Herzegovina, a specific work scheme is pervasive in the health care arena, where all nurses involved in shift work are committed to eight night shifts per month - unlike other European countries that restrict the number of night shifts. Accordingly, we aimed to investigate whether such shift work significantly affects psychosocial functioning and the quality of life of hospital nursing personnel in this country. SUBJECTS AND METHODS: A comparative cross-sectional study design was applied on a total of 157 hospital nursing professionals at the University Clinical Hospital Mostar during 2019. Subjects were divided into two groups: a total of 51% study subjects worked in specific shifts (12-hour day shift / 24 hours off / 12-hour night shift / 48 hours off), while 49% subjects worked in accordance with the regular 7-hour daily schedule. Standard Shiftwork Index (SSI) questionnaire was used, alongside comprehensive socio-demographic and quality of life appraisal. Descriptive and inferential statistical methods were applied, and statistical significance was set at p<0.05. RESULTS: This study demonstrated increased amounts of stress, reduced coping abilities and reduced levels of life enjoyment in shift work nurses in comparison to day work nurses. Furthermore, increased anxiety, stress, psychoorganic symptoms and sleep disturbances were significantly more common in shift work hospital nursing staff. In our study, nurses that worked in shifts have experienced negative externalities such as decreased social functioning, as well as reduced family and leisure time. Conversely, significantly higher satisfaction rates with shift work were only shown in regards to compensation. CONCLUSIONS: Our results reveal many detrimental effects of shift work and contribute to the field of research that is still laden with gaps in understanding its exact impact on the overall health of nursing personnel. Going forward, prospective (and even interventional) studies will be needed to disentangle the exact interplay between work-related factors in various health care systems and subsequent psychosocial disorders in health personnel.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Qualidade de Vida , Jornada de Trabalho em Turnos/psicologia , Tolerância ao Trabalho Programado/fisiologia , Tolerância ao Trabalho Programado/psicologia , Adulto , Bósnia e Herzegóvina/epidemiologia , Estudos Transversais , Emprego/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Transtornos do Sono-Vigília/epidemiologia , Inquéritos e Questionários , Adulto Jovem
13.
PLoS One ; 15(8): e0236952, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32780751

RESUMO

Rotation schedules for residents must balance individual preferences, compliance with Accreditation Council for Graduate Medical Education guidelines, and institutional staffing requirements. Automation has the potential to improve the consistency and quality of schedules. We designed a novel rotation scheduling tool, the Automated Internal Medicine Scheduler (AIMS), and evaluated schedule quality and resident satisfaction and perceptions of fairness after implementation. We compared schedule uniformity, fulfillment of resident preferences, and conflicting shift assignments for the hand-made 2017-2018 schedule, and the AIMS-generated 2018-2019 schedule. Residents were surveyed in September 2018 to assess perception of schedule quality and fairness. With AIMS, 71/74 (96.0%) interns and 66/82 (80.5%) residents were assigned to their first-choice rotation, a significant increase from the 50/72 (69.4%) interns and 25/82 (30.5%) residents assigned their first-choice in the 2017-2018 academic year. AIMS also yielded significant improvements in the number of night shift/day shift conflicts at the time of rotation switches for interns, with a significant decrease to 0.3 conflicts per intern compared to 0.7 with the prior manual schedule. Twenty-two of 82 residents (27%) completed the survey, and average satisfaction and perception of fairness were 0.7 and 0.9 points higher on a 5-point Likert scale for the AIMS-generated schedule when compared to the non-AIMS schedule. There was no significant difference in the preference for assigned vacation blocks, or in variance for night or ICU rotations. Automated scheduling improved several metrics of schedule quality, as well as resident satisfaction. Future directions include evaluation of the tool in other residency programs and comparison with alternative scheduling algorithms.


Assuntos
Medicina Interna/educação , Internato e Residência , Admissão e Escalonamento de Pessoal , Automação , Connecticut , Feminino , Humanos , Satisfação no Emprego , Masculino , Admissão e Escalonamento de Pessoal/normas , Admissão e Escalonamento de Pessoal/estatística & dados numéricos , Jornada de Trabalho em Turnos/normas , Jornada de Trabalho em Turnos/estatística & dados numéricos , Software , Inquéritos e Questionários , Estados Unidos , Tolerância ao Trabalho Programado
14.
Artigo em Inglês | MEDLINE | ID: mdl-32796648

RESUMO

BACKGROUND: In order to explore the possible association between chronotype and risk of medication errors and chronotype in Italian midwives, we conducted a web-based survey. The questionnaire comprised three main components: (1) demographic information, previous working experience, actual working schedule; (2) individual chronotype, either calculated by Morningness-Eveningness Questionnaire (MEQ); (3) self-perception of risk of medication error. RESULTS: Midwives (n = 401) responded "yes, at least once" to the question dealing with self-perception of risk of medication error in 48.1% of cases. Cluster analysis showed that perception of risk of medication errors was associated with class of age 31-35 years, shift work schedule, working experience 6-10 years, and Intermediate-type MEQ score. CONCLUSIONS: Perception of the risk of medication errors is present in near one out of two midwives in Italy. In particular, younger midwives with lower working experience, engaged in shift work, and belonging to an Intermediate chronotype, seem to be at higher risk of potential medication error. Since early morning hours seem to represent highest risk frame for female healthcare workers, shift work is not always aligned with individual circadian preference. Assessment of chronotype could represent a method to identify healthcare personnel at higher risk of circadian disruption.


Assuntos
Ritmo Circadiano , Erros de Medicação/estatística & dados numéricos , Tocologia , Preferência do Paciente , Jornada de Trabalho em Turnos/efeitos adversos , Sono/fisiologia , Estudos Transversais , Feminino , Humanos , Internet , Itália , Gravidez , Inquéritos e Questionários
15.
Medicine (Baltimore) ; 99(32): e20273, 2020 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-32769860

RESUMO

As surgeries are performed around the clock, the time of surgery might have an impact on outcomes. Our aim is to investigate the impact of daytime and nighttime shifts on surgeons and their performance. We believe that such studies are important to enhance the quality of surgeries and their outcomes and help understand the effects of time of the day on surgeons and the surgeries they perform.A retrospective cohort study was conducted using the database from the King Abdulaziz Medical City trauma center. We selected 330 cases of patients between 2015 and 2018, who underwent a trauma intervention surgery within 24 hours after admission. Patients were aged 15 years and above who underwent 1 or more of the following trauma interventions: neurosurgery, general surgery, plastic surgery, vascular surgery, orthopedics, ophthalmology, and/or otolaryngology. We divided the work hours into 3 shifts: 8 AM to 3:59 PM, 4 PM to 11:59 PM, and midnight to 7:59 AM.Participants' mean age was 31.4 (standard deviation ±â€Š13) years. Most surgeries occurred on weekdays (68.4%). Complications were one and a half times more on weekends, with 5 complicated cases on weekends (1.55%) and 3 (0.9%) on weekdays. Half of all surgeries were performed in the morning (152 cases, 53.15%); 73 surgeries (25.5%) were performed in the evening and 61 (21.3%) were performed late at night. Surgeries performed during late-night shifts were marginally better. Complications occurred in 4 out of 152 morning surgeries (2.6%), 2 out of 73 evening surgeries (2.7%), and only 1 out of 61 late-night surgeries (1.6%). The earlier comparison scored a P-value of >.99, suggesting that patients in morning and evening surgeries were twice more likely to experience complications than late-night surgeries.This study may support previous research that there is little difference in outcomes between daytime and nighttime surgeries. The popular belief that rested physicians are better physicians requires further assessment and research.


Assuntos
Complicações Pós-Operatórias/epidemiologia , Qualidade da Assistência à Saúde , Jornada de Trabalho em Turnos , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos , Centros de Traumatologia , Adulto , Feminino , Humanos , Masculino , Duração da Cirurgia , Estudos Retrospectivos , Arábia Saudita , Procedimentos Cirúrgicos Operatórios/efeitos adversos , Fatores de Tempo , Tempo para o Tratamento , Adulto Jovem
16.
Med Klin Intensivmed Notfmed ; 115(6): 449-457, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32840636

RESUMO

Human resource development is a key factor for a successful management of Intensive Care Units (ICU) and Emergency Departments (ED). It comprises the processes of recruiting and retaining employees. The present article offers strategies how the optimal manning level in ICUs and EDs can be determined and highlights the importance of active management of well being in acute care units. The manning level can be determined by using the work place method which is the common method for ICUs. For the EDs a method based on the specific times which are needed for patient care in relation to the intensity of care is more appropriate. This method needs to integrate the patient number per hour, the time needed per patient, and the defined service level particularly with respect to the time to be seen by a physician. For detailed staff calculation, complex mathematical models are needed (e.g. Erlang formula). The resulting manning level needs then to be distributed on the various shifts. Additional resources are needed for observation units and additional tasks like management tasks etc. Retainment of employees is only possible when the working field remains attractive over many years. While a structured and competence based education is of utmost importance in the beginning of a carrier, attractive rooster plans and the compatibility between work and private life, becomes more important when the specialisation has been achieved.


Assuntos
Jornada de Trabalho em Turnos , Animais , Galinhas , Cuidados Críticos , Serviço Hospitalar de Emergência , Humanos , Unidades de Terapia Intensiva , Masculino , Admissão e Escalonamento de Pessoal , Recursos Humanos
17.
Rev. psicol. trab. organ. (1999) ; 36(2): 147-156, ago. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-194184

RESUMO

Work-related extended availability (WREA) describes a state of being available for work matters while physically being in a different life domain. There is ample evidence for the negative effects of WREA, but moderator effects of personal attributes have largely been neglected. The current study examined the impact of neuroticism and segmentation preferences on the relationship between WREA and psychological detachment, sleep problems, and emotional exhaustion. We assumed that WREA would be associated with all three criterion constructs and that these relationships would be moderated by neuroticism and segmentation preferences. These hypotheses were tested with multiple regression and moderated hierarchical regression analysis in a sample of 276 employees. While there was a significant association between WREA and detachment, WREA did not directly predict sleep problems or exhaustion. However, we found an indirect effect of WREA on sleep problems via detachment. Neuroticism and segmentation preferences moderated the association between WREA and exhaustion. While the association between WREA and detachment was robust, WREA predicted emotional exhaustion only for people high in neuroticism or with high segmentation preferences. We suggest that employees who prefer segmenting work and private life should be taken seriously and not be contacted in their leisure time


La disponibilidad laboral prolongada (DLP) se refiere a estar disponible para trabajar durante el tiempo libre. Si bien se conocen los efectos negativos de la DLP, se han descuidado los atributos personales como moderadores. Examinamos el impacto del neuroticismo y las preferencias de segmentación sobre la relación entre la DLP y la desconexión, los problemas del sueño y el agotamiento emocional. Asumimos que la DLP estaría asociada con los tres constructos criterio y que estas relaciones estarían moderadas por el neuroticismo y las preferencias de segmentación. Pusimos a prueba las hipótesis con análisis de regresión múltiple y análisis de regresión jerárquica moderada en una muestra de 276 empleados. Si bien encontramos una asociación entre la DLP y la desconexión psicológica, la DLP no predijo directamente los problemas de sueño o de agotamiento aunque si encontramos un efecto indirecto de la DLP en los problemas de sueño a través del distanciamiento. Las preferencias de segmentación y neuroticismo moderaron la relación entre la DLP y el agotamiento. Si bien la asociación entre la DLP y la desconexión era robusta, la DLP predijo el agotamiento solo en personas con neuroticismo elevado o con preferencias de segmentación elevadas. Sugerimos que se tome en serio a los empleados que prefieran segmentar el trabajo y la vida privada y no ponerse en contacto con ellos en su tiempo libre


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Jornada de Trabalho em Turnos/psicologia , Transtornos do Sono do Ritmo Circadiano/epidemiologia , Tolerância ao Trabalho Programado/psicologia , Condições de Trabalho , Esgotamento Psicológico/epidemiologia
18.
An. sist. sanit. Navar ; 43(2): 189-202, mayo-ago. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-199150

RESUMO

FUNDAMENTO: Explorar la calidad del sueño y la adaptación a la turnicidad del personal de ambulancias de urgencias y su relación con factores sociodemográficos, circadianos y laborales. MATERIAL Y MÉTODOS: Estudio transversal sobre 180 técnicos y enfermeros (18-60 años) de la Red de Transporte Sanitario Urgente del País Vasco realizado mediante encuestas. Se emplearon el Pittsburgh Sleep Quality Index (PSQI) para evaluar la calidad del sueño, la Escala de Adaptación al Turno de Trabajo (ATT), el Circadian Type Questionnaire (CTQ) de hábitos de sueño, y la Composite Scale of Morningness (CSM) para valorar el cronotipo. RESULTADOS: El 52% presentó una adaptación intermedia y el 30% buena. El progresivo deterioro de la calidad del sueño a lo largo de la turnicidad (pobre calidad durante los días libres en el 52% de trabajadores, 63% tras turnos de día y 90% tras turnos de noche) se relacionó con una peor adaptación. Se obtuvo un modelo predictivo de la adaptabilidad partiendo del nivel basal de calidad del sueño durante los días libres y la vigorosidad para vencer la somnolencia. El factor rigidez de hábitos de sueño moderó positiva o negativamente esta interacción en función de la buena o mala calidad del sueño. CONCLUSIONES: Las alteraciones del sueño son frecuentes entre el personal de ambulancias de urgencias, como principal síntoma de desadaptación a los turnos inherentes a su actividad. Los hábitos de sueño parecen amortiguar el impacto de las dificultades del descanso y favorecer la adaptación a los turnos, aportando factores claves a nivel de formación, prevención e intervención


BACKGROUND: To explore the extent to which the shift-workers of emergency ambulances maintain an adequate sleep quality and adaptation to shift-work, and its relationship to personal, circadian rhythm, and work-related factors. METHODS: A cross-sectional study was performed on a sample of 180 technicians and nurses from the Emergency Medical Service of the Basque Country (18-60 years old) who were surveyed. The Pittsburgh Sleep Quality Index (PSQI), the Adaptation to Shift-Work Scale (ASW), the Circadian Type Questionnaire (CTQ) and the Composite Scale of Morningness (CSM) for evaluating chronotype, were administered. RESULTS: Fifty-two percent of the staff presented an intermediate adaptation and 30% reported a good adaptation. A progressive deterioration of sleep quality across the shifts (52% were bad sleepers during days-off, 63% after day-shifts and 90% after night-shifts) was related to a poorer level of adaptation to shift-work. A predictive model of adaptability was obtained based on the baseline level of sleep quality during the days-off and the V factor. The R factor moderated this interaction positively or negatively depending on sleep quality. CONCLUSIONS: There is a high presence of sleep disorders among the technicians and nurses of emergency ambulances as the main symptom of maladjustment to shift-work. Sleeping habits can cushion the impact of difficulties in resting and favor a better adaptation to shifts, introducing key-factors at the level of formation, prevention and intervention


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono do Ritmo Circadiano/epidemiologia , Jornada de Trabalho em Turnos/estatística & dados numéricos , Assistência Pré-Hospitalar/estatística & dados numéricos , Ambulâncias/estatística & dados numéricos , Espanha/epidemiologia , Estudos Transversais , Distúrbios do Sono por Sonolência Excessiva/epidemiologia
19.
Nutr Metab Cardiovasc Dis ; 30(10): 1826-1832, 2020 09 24.
Artigo em Inglês | MEDLINE | ID: mdl-32665209

RESUMO

BACKGROUND AND AIMS: Sleep disturbances may promote glucose abnormalities and inflammatory burden among shift workers. Therefore, precocious subclinical atherosclerotic process might develop in healthy shift workers even without known metabolic and cardiovascular risk factors. METHODS AND RESULTS: We measured anthropometric parameters, glucose, lipids, inflammation and common carotid Intimal Medial Thickness (cIMT) in rotating-night shift workers (r-NSW, n = 88, age = 40.3 ± 7.8 y) in comparison with former-night shift workers (f-NSW, n = 35, age = 44.2 ± 6.4 y) and with day-only workers (DW, n = 64, age = 44.1 ± 8.9 y). R-NSW and f-NSW showed significantly higher cIMT and high sensitivity C-Reactive Protein (hs-CRP) respect to DW (p = 0.043 and p = 0.025, respectively). IL-1ß levels were higher in r-NSW than in DW and f-NSW (p = 0.043) and significantly correlated with IL6 (r = 0.365, p < 0.001). In addition, r-NSW and f-NSW had higher HbA1c levels in comparison with DW (p = 0.047). Carotid-IMT was significantly related to night shift work (p = 0.023), with age (p < 0.001), with HOMA IR (p = 0.009), with insulin (p = 0.006) with HbA1c (p = 0.002), with LDL cholesterol (p < 0.001), with diastolic BP (p < 0.001), with WBC (p = 0.002) and with IL6 (p = 0.004). After performing a multivariate analysis night shift work remained statistically related to cIMT (B = 2.633, 95%CI = 0.489-4.776, p = 0.016). CONCLUSIONS: Our result described a possible link bridging night shift work, inflammation and carotid Intimal Medial Thickness. Future studies are warranted to understand if carotid atherosclerosis process should be mainly driven by the IL1ß/IL6 citokine axis connected to sleep disturbances.


Assuntos
Doenças das Artérias Carótidas/etiologia , Artéria Carótida Primitiva/diagnóstico por imagem , Espessura Intima-Media Carotídea , Mediadores da Inflamação/sangue , Inflamação/etiologia , Interleucina-1beta/sangue , Interleucina-6/sangue , Jornada de Trabalho em Turnos , Transtornos do Sono do Ritmo Circadiano/complicações , Adulto , Biomarcadores/sangue , Doenças das Artérias Carótidas/diagnóstico por imagem , Estudos Transversais , Feminino , Humanos , Inflamação/sangue , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Fatores de Risco , Sono , Transtornos do Sono do Ritmo Circadiano/diagnóstico , Transtornos do Sono do Ritmo Circadiano/fisiopatologia , Fatores de Tempo
20.
Obstet Gynecol ; 136(2): 377-385, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32649496

RESUMO

OBJECTIVE: To assess whether there is a relationship between evening, night, and weekend births and severe unexpected neonatal morbidity in low-risk term singleton births. METHODS: We conducted a population-based, cross-sectional analysis. Severe unexpected neonatal morbidity as defined by the National Quality Forum specification 0716 was derived from linked birth certificate and hospital discharge summaries for 1,048,957 low-risk singleton term Californian births during 2011 through 2013. The association between the nursing shift (7 am-3 pm vs 3-11 pm and 11 pm -7 am) and weekday compared with weekend birth and the risk of severe unexpected neonatal morbidity was estimated using mixed effects logistic regression models. RESULTS: Severe unexpected neonatal morbidity was higher among births during the 3-11 pm evening shift (2.1%) and the 11 pm-7 am night shift (2.1%), compared with those during the 7 am-3 pm day shift (1.8%). The adjusted odds ratios (ORs) were 1.10 (95% CI 1.06-1.13) for the evening shift and 1.15 (1.11-1.19) for the night shift. The adjusted ORs of severe unexpected neonatal morbidity were increased only on Sunday, as compared with other days (adjusted OR 1.08, 95% CI 1.02-1.14). When our analysis was by perinatal region, the increase was seen in four of the nine perinatal regions. CONCLUSION: After risk adjustment, the risk of severe unexpected morbidity in the low-risk singleton California birth cohort was significantly increased on Sundays and births during evening and night shifts. These elevations were detected in only four of California's nine perinatal regions. Further analysis at the individual hospital level is warranted.


Assuntos
Plantão Médico/estatística & dados numéricos , Parto Obstétrico/estatística & dados numéricos , Mortalidade Infantil , Adolescente , Adulto , California/epidemiologia , Estudos Transversais , Feminino , Hospitais , Humanos , Lactente , Recém-Nascido , Modelos Logísticos , Complicações do Trabalho de Parto/epidemiologia , Parto , Gravidez , Resultado da Gravidez , Fatores de Risco , Jornada de Trabalho em Turnos/estatística & dados numéricos , Fatores de Tempo , Adulto Jovem
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