Shift work disorder and its related factors among health-care workers in a Tertiary Care Hospital in Bangalore, India

Abstract

Background & Objective:Shift work disorder is the presence of excessive day time sleepiness and insomnia affecting people whose work hours overlap with the typical sleep period. Shift work has pronounced effect on physical and mental health of an individual. Our objective was to estimate the prevalence of symptoms of shift work disorder and the factors associated with it among hospital staff in a tertiary care hospital in Bangalore, India.Methods:This cross-sectional study was conducted at a private teaching tertiary hospital among 318 hospital workers in Bangalore during September to December 2015. Stratified random sampling method was used and the study population was divided into five strata based upon their parent department. Socioeconomic details, work profile and standard tools– Insomnia severity index, The Epworth sleepiness scale and the FACIT fatigue scale were used.Results:Of the 318 workers, 290 (91.2%) were females, between 21-25 years of age. Most had work experience of ≤4 years (77.6%). Insomnia was reported among 39.9%, and fatigue among 4.7% of hospital staff. Around 19.8% staff had excessive daytime sleepiness out of which 2.8% warranted medical attention.Conclusion:Periodic screening during annual medical check-ups and health education on practicing good sleep hygiene will help address this important issue of shift work disorders among workers.

Fatigue and its associated risk factors among shift workers: A systematic review

“…Eight studies (Cotrim et al, 2017; Dorrian et al, 2011; Ferguson et al, 2010; Ferri et al, 2016; Harma et al, 2018; Heath et al, 2016; Korompeli et al, 2014; Verma et al, 2017) measured fatigue between the time of shift where it was revealed that the night shift has more cases and reports of fatigue among shift workers than day shifts or afternoon shifts. Five studies (Barker & Nussbaum, 2011; Choobineh et al, 2018; Dorrian et al, 2011; Matthew et al, 2018; Patterson et al, 2015) concluded that fatigue score was higher when shift duration and working hours were longer. Three studies (Dorrian et al, 2011; Lu et al, 2017; Mehta et al, 2017) found that workers with heavier workload reported more cases of fatigue when compared with workers with a lighter workload.…”

Drowsy and dangerous? Fatigue in paramedics: an overview

“…This support should focus on strategies to mitigate the increased risk of burnout, job dissatisfaction, and absences that are associated with fatigue in healthcare providers. (66) Building positive work cultures leads to an environment that can mitigate fatigue risk in the paramedic work environment. As this trust is built and matured; the system can engage staff in discussion that identifies cultural safety nets that can be formalized and areas identified for improvement, further building towards an environment of self-reporting and self-identification of hazards, risks and proactive prevention through cooperation.…”

Working conditions are associated with the occurrence of sleepiness of nursing professionals: a case-control study

“…A weekly workload equal to or greater than 45 hours increased 2-3 times the chance of sleepiness. An 8-hour/day workday increased the chance of sleepiness both in a study conducted in Thailand 14 and in India 11 . The systematic review by Linton et al (2015) 34 was not able to determine the effect of workload on sleep disorders, as this condition can be evaluated using several methods, which may show distinct outcomes.…”

“…The prevalence of sleepiness in nursing professionals worldwide varies between 2.8% in India 11 and 53% in Nigeria 12 . Excessive somnolence can be the result of a chronic condition of difficulty initiating and maintaining sleep, in addition to a reduction in its duration due to conflicting circadian rhythms, particularly the sleep-wake cycle 13 .…”