Hours Of Work Shift Research Articles

The “Weekday Effect”: A Decrease in Occupational Accidents from Monday to Friday—An Extension of the “Monday Effect”

Objective. Study the variation in the number of accidents across days of the workweek, from Monday to Friday. Data and Method. All occupational accidents of full-time workers in Spain from 2011 to 2018 are analyzed. A total amount of 2,873,872 accidents are representative and not heavily affected by underreporting bias. Chi-squared test (χ2) and z-value determine statistically significant differences in accident percentages from Monday to Friday, controlling personal (sex, age, nationality, and seniority), company (activity, size, and region), temporal (hour of the day and working hour) variables, and consequences (severity, injury type, and injured body part). Results. “Weekday effect” with a decrease in accidents of 29.4% from Monday to Friday, a decrease of 14.3% from Monday to Tuesday (“Monday effect”), 3.9% from Tuesday to Wednesday, 7.9% from Wednesday to Thursday, and 7% from Thursday to Friday. The “weekday effect” and the “Monday effect” occur across industries, for all company sizes, for all types of workers (both genders, different ages and seniority), for different types of injury, and across the day and the shift. “Monday effect” increases with age and seniority, for men, in small companies (10 to 49 workers), in the morning, at the beginning of the work shift hours, and for back injuries. “Weekday effect” decreases with age and increases with seniority, for men, in companies between 20 and 249 workers, in the morning and at the beginning of the work shift hours, and for back injuries.

Perceived Challenges of Working Environment Among Emergency Department Nurses in Saudi Arabia

Background: Emergency room nurses are faced with many challenges related to the nature of complex practices and the environment. Research has approved a number of characteristics of emergency department nurses in order to fulfill the required role. Objectives: To determine the perception of nurses of the Emergency Department to the challenges associated with their working environment. Methods: A cross-sectional design was used in four selected governmental hospitals in Hail. Among one hundred and seventy-five of Emergency registered nurses; One Hundred and Fifty-Eight emergency registered nurses were recruited conveniently based on the inclusion criteria. A closed ended questionnaire sheet was marked out by all the selected nurses to determine their perception towards challenges associated with their working environment. Results: In this study among the total population of Emergency Room staffs, 90 % of staffs were included; ages ranged between 23-29 yrs were 77.8%. Majority of female nurses were 88.6% most of the sample 83.5% hold bachelor’s degree in nursing. Moreover, 48.7% practicing as a nurse about 1-4 yrs. The ER nurses ranged from 1- 4 yrs of experience were 75.9%. Majority of 79.7% were working as a staff Nurse. More than half of the Non-Saudi were working in ER was 54.4%. The variables under the quality of environment for professionals, most of them shows bad perception in working environment so far in comfort zone were 27.8%, nursing assistance and technician, hours of work shift have higher in bad perception overall level of 22.7%. In regards the Cleaning were 29.7%, Quality of materials were 37.9%, Physician were 36.7%, Number of calls per shift were 39.2%. In determining the perception of Emergency Department nurse towards challenges associated with their working environment shows higher perception level with the mean value of 32.03 and standard deviation was 5.6. Conclusion: From this study we concluded that, the healthcare policy makers may have concern about health care providers. The working condition of the Emergency Room nurses Perceived that they have somewhat discouragement in their working environment. Some changes in reimbursement and the practice of health care delivery required hospital to change the way they operate. These results will also propagate the managers to re-define a development plan for the Emergency Department working Environment of the selected Hospitals, in hail. Keywords : Nurse, Perception, Emergency Department, Challenges, Working Environment. DOI: 10.7176/JBAH/10-10-05 Publication date: May 31 st 2020

Analysis of affecting factors on patient safety culture in public and private hospitals in Iran

BackgroundPatient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patient safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran.MethodsThis cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis.ResultsEight hundred sixty-seven (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5 and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value < 0.05). The path analysis results indicate the fitness of the proposed model (RMSEA = 0.024). The results showed a negative impact of a work shift (β = − 0.791), occupational burnout (β = − 0.554) and hospital type (β = − 0.147) on the observance of patient safety culture.ConclusionProviding feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

ТЯЖЕСТЬ И НАПРЯЖЁННОСТЬ ТРУДА ВОДИТЕЛЕЙ ПАССАЖИРСКОГО АВТОТРАНСПОРТА ПРИ РАБОТЕ В УСЛОВИЯХ БОЛЬШОГО ГОРОДА

Objective: To give a hygienic assessment of the severity and tension of the drivers of passenger vehicles while working in conditions of the big city Methods: The study involved 40 drivers of buses «AKIA» (produced by Turkey), «LiAZ» and trolleybuses of the brand «TIU» (produced by Russia), which are a part of the Dushanbe park. Studies were conducted on the magnitude of statistical load before the start of the shift and at the end of the working day, being forced to work postures, the duration of concentrated observation, nervously-emotional tension with the help of corrective tables of Anfimov and Platonov, as well as chronometric observations of the working day in the dynamics of the work shift. Results: The analysis showed that almost all drivers of passenger vehicles performed overtime during the entire working shift. It has been established that the majority of drivers were engaged in basic production operations on average during 13-14 hours of work shift, which is higher than the average standard 10-50%. Conclusion: The conditions and nature of the work of drivers of passenger vehicles are harmful and dangerous due to high nervous and emotional tension and irrational organization of the work and rest regime. Keywords: Passenger vehicle , driver, working conditions, severity and tension of labor, work and rest regime.

BURNOUT SYNDROME AMONG HEALTHCARE PROVIDERS IN DIFFERENT HOSPITALS IN MINIA CITY

stress reaction syndrome caused by chronic exposure to job-related stressors; and characterized by Emotional Exhaustions (EE), Depersonalization (DP), and a low sense of Personal Accomplishment (PA).Health-care providers (HCPs) are particularly vulnerable and prone to burnout syndrome (BOS). Aim of work: To estimate frequency and recognize risk indicators for BOS among HCPs in Minia city. Materials and methods: A total of 280 hospital workers from three different hospitals in Minia city completed a self-administered questionnaire that was used to measure BOS. Data was collected using Maslach Burnout Inventory (MBI). Results: Health care providers reported high levels of EE (61.8%), high levels of DP (52.5%) and low levels of PA (45.7%). Surgical department’s HCPs showed the highest score of burnout in EE level, however those in emergency department recorded the highest level in both (DP) and (PA). The 3 subscales were high among those with longer duration at work. Using logistic regression, the most significant predictors of EE were found to be gender followed by years of working, and smoking status. Factors associated with DP were years of working followed by age, hours of working shift, and with PA were age followed by sleeping time, and gender. Conclusion: Health care providers are highly vulnerable to each of the dimensions of Burnout syndrome – namely emotional exhaustion, depersonalization, and personal accomplishment- in the hospital work. Decreasing BOS by incorporation of mindfulness and teamwork into practice, decrease stress from electronic health records, promote physician control of the work environment, and to find balance in life.

Effects of napping on sleepiness and sleep-related performance deficits in night-shift workers: a systematic review.

Night-shift workers are prone to sleep deprivation, misalignment of circadian rhythms, and subsequent sleepiness and sleep-related performance deficits. The purpose of this narrative systematic review is to critically review and synthesize the scientific literature regarding improvements in sleepiness and sleep-related performance deficits following planned naps taken during work-shift hours by night workers and to recommend directions for future research and practice. We conducted a literature search using the Medline, PsychInfo, CINAHL, Cochrane Library, and Health and Safety Science Abstracts databases and included English-language quasi-experimental and experimental studies that evaluated the effects of a nighttime nap taken during a simulated or actual night-work shift. We identified 13 relevant studies, which consisted primarily of small samples and mixed designs. Most investigators found that, despite short periods of sleep inertia immediately following naps, night-shift napping led to decreased sleepiness and improved sleep-related performance. None of the studies examined the effects of naps on safety outcomes in the workplace. Larger-scale randomized clinical trials of night-shift napping and direct safety outcomes are needed prior to wider implementation.

Assessment of transpulmonary absorption of ethanol from alcohol-based hand rub

Alcohol-based hand rubs (ABHRs) have been associated with a reduction of nosocomial infections. Despite the worldwide introduction of these products in health care settings, the aim of this study was to assess the transpulmonary absorption of ethanol contains in ABHRs used by health care workers (HCWs) in real conditions of work shift. Twenty-six HCWs of Nancy University Hospital were included. Research consisted in monitoring participants during 4 hours of work shift to assess their exposure to ethanol. The measurement of ethanol vapors in exhaled breath was performed using a class B ethylometer (Alco-Sensor FST). Ethanol concentration in inhaled breath was measured using Gilian pump LFS-113. Concentration of ethanol, acetaldehyde, and acetate in blood and urine samples were determined using gas chromatography with flame ionization detector. Participants were 12% male and 88% female. The mean age was 40 ± 8 years. None of the employees included in the study presented any traces of ethanol or its metabolites in the blood or urine. Ethanol (0.08 ± 0.07 mg/L) was detected in the breath of 10 HCWs at 1 to 2 minutes postexposure. The mean concentration of ethanol in the inhaled air was 46.2 mg/m. Absorption of ethanol vapor from ABHRs among HCWs during their care activities was not detected. Quantification of ethanol fumes inhaled during 4 hours of work shift was below the regulatory limitations of exposure to ethanol.