The impact of shift patterns on healthcare professionals

Wilson, Janet

doi:10.1046/j.1365-2834.2002.00308.x

Cited by 85 publications

(56 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is also recommended in the literature to have a maximum of three consecutive night shifts, few early morning shifts, a limited number of consecutive workdays and quick returns, and to limit weekend work (22,23,30). Implementation of self-rostering did not compromise these recommendations.…”

Section: Garde Et Almentioning

confidence: 99%

Implementation of self-rostering (the PRIO-project): effects on working hours, recovery, and health

Garde

Albertsen

Nabe‐Nielsen

et al. 2012

Scand J Work Environ Health

View full text Add to dashboard Cite

In this large, longitudinal intervention study on self-rostering, employees changed shift length and timing, but did not compromise most recommendations for acceptable shift work schedules. Positive consequences for recovery and health were observed. The effect could not be statistically explained by changes in actual working hours. Original article Scand J Work Environ Health. 2012;38(4): 314-326. doi:10.5271/sjweh.3306 Implementation of self-rostering (the PRIO project): effects on working hours, recovery, and health by Anne Helene Garde, PhD, 1 Karen Albertsen, PhD,2,3 Kirsten PhD, 2 Isabella Gomes Carneiro, Phd, 1 Jørgen Skotte, MSc Eng, 1 Sofie Mandrup Hansen, MSc, 1 Henrik Lund, Phd, 4 Helge Hvid, Phd,4 Åse Marie Hansen, PhD 1,2 Garde AH, Albertsen K, Nabe-Nielsen K, Carneiro IG, Skotte J, Hansen SM, Lund H, Hvid H, Hansen ÅM. Implementation of self-rostering (the PRIO project): effects on working hours, recovery, and health. Scand J Work Environ Health. 2012;38(4):314-326. doi:10.5271/sjweh.3306 Objectives The aim of this study was to (i) investigate the consequences of self-rostering for working hours, recovery, and health, and (ii) elucidate the mechanisms through which recovery and health are affected. AffiliationMethods Twenty eight workplaces were allocated to either an intervention or reference group. Intervention A encompassed the possibility to specify preferences for starting time and length of shift down to 15 minutes intervals. Interventions B and C included the opportunity to choose between a number of predefined duties. Questionnaires (N=840) on recovery and health and objective workplace reports of working hours (N=718) were obtained at baseline and 12 months later. The interaction term between intervention and time was tested in mixed models and multinomial logistic regression models. ResultsThe odds ratio (OR) of having short [OR 4.8, 95 % confidence interval (95% CI) 1.9-12.3] and long (OR 4.8, 95% CI 2.9-8.0) shifts increased in intervention A. Somatic symptoms (β= -0.10, 95% CI -0.19--0.02) and mental distress (β= -0.13, 95% CI -0.23--0.03) decreased, and sleep (β= 1.7, 95% CI 0.04-0.30) improved in intervention B, and need for recovery was reduced in interventions A (β= -0.17, 95% CI -0.29--0.04) and B (β= -0.17, 95% CI -0.27--0.07). There were no effects on recovery and health in intervention C, and overall, there were no detrimental effects on recovery or health. The benefits of the intervention were not related to changes in working hours and did not differ by gender, age, family type, degree of employment, or working hour arrangements. ConclusionsAfter implementation of self-rostering, employees changed shift length and timing but did not compromise most recommendations for acceptable shift work schedules. Positive consequences of self-rostering for recovery and health were observed, particularly in intervention B where worktime control increased but less extensively than intervention A. The effect could not be statistically explained by changes in actual working hours.Ke...

show abstract

Section: Garde Et Almentioning

confidence: 99%

Implementation of self-rostering (the PRIO-project): effects on working hours, recovery, and health

Garde

Albertsen

Nabe‐Nielsen

et al. 2012

Scand J Work Environ Health

View full text Add to dashboard Cite

show abstract

“…Diminished alertness may be ascribed to the reduction in cardiac sympathetic modulation that occurs when people work at night 3) . In addition, shift workers are known to suffer from relatively higher rates of cardiac, gastrointestinal, and reproductive disorders, which may also be attributable to autonomic imbalance [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Recovery after Three-shift Work: Relation to Sleep-related Cardiac Neuronal Regulation in Nurses

Chung

Kuo²,

Hsu

et al. 2012

Ind Health

View full text Add to dashboard Cite

This study was to evaluate whether sleep-related autonomic function in nurses recovers during their days off following a rapidly rotating, clockwise shift schedule. Ten rotating-shift nurses and ten regular morning-shift nurses were included. Nurses slept at home and were allowed to sleep and wake spontaneously. For the rotating-shift workers, ambulatory polysomnographic recordings were taken during nighttime sleep (after the second morning shift, afternoon shift, and on days off) and during daytime sleep (after the second night shift). No significant differences were found between regular-shift nurses and rotating-shift nurses in terms of sleep patterns and cardiac autonomic functions during day shift. When comparing sleep patterns within shift groups, the total sleep time of night shift was lower than their other shifts. Controlling for the variable of total sleep time allowed us to compare cardiac autonomic functions following different shifts (for the rotating shift nurses). During the non-rapid eye movement and rapid eye movement periods, the high frequency (HF) value on rotating shift nurses' days off was found to be significantly higher than their other shifts. However, the low to high frequency ratio (LF/HF) on days off was found to be obviously lower than that during shift work. Two consecutive days off may be sufficient for nurses to recover sleep-related autonomic functions after a rapidly rotating, clockwise three-shift schedule. Sleeprelated autonomic functions may be improved during days off to minimize health risks.

show abstract

“…Various studies have found that chronic insomniacs have an increased risk of coronary artery disease and hypertension (7)(8)(9). Shift workers are prone to higher rates of cardiac, gastrointestinal and reproductive disorders (10,11). Furthermore, shift working nurses have greater difficulty falling or staying asleep; they also frequently suffer from severe autonomic disturbances (6,12).…”

mentioning

confidence: 99%

Sleep and autonomic nervous system changes – enhanced cardiac sympathetic modulations during sleep in permanent night shift nurses

Chung¹,

Kuo²,

Hsu³

et al. 2009

Scand J Work Environ Health

View full text Add to dashboard Cite

The impact of shift patterns on healthcare professionals

Cited by 85 publications

References 31 publications

Implementation of self-rostering (the PRIO-project): effects on working hours, recovery, and health

Implementation of self-rostering (the PRIO-project): effects on working hours, recovery, and health

Recovery after Three-shift Work: Relation to Sleep-related Cardiac Neuronal Regulation in Nurses

Sleep and autonomic nervous system changes – enhanced cardiac sympathetic modulations during sleep in permanent night shift nurses

Contact Info

Product

Resources

About