Veille documentaire MTPH

Médecine du travail du personnel hospitalier

Strain and health implications of nurses’ shift work

Auteur Alessandra Buja
Auteur Alessandra Zampieron
Auteur Giuseppe Mastrangelo
Auteur Marco Pettean
Auteur Angela Vinelli
Auteur Diana Cerne
Auteur Vincenzo Baldo
Publication International journal of occupational medicine and environmental health
ISSN 1896-494X
Date Sep 21, 2013
Extra PMID: 24057261
Abrév. de revue Int J Occup Med Environ Health
DOI 10.2478/s13382-013-0122-2
Catalogue de bibl. NCBI PubMed
Langue ENG
Résumé OBJECTIVES: The study investigated whether nurses’ different working schedules are associated with different levels of job-related strain, health symptoms and behavior. No reports have been accessible in the relevant literature on the possible association between shift work and job-related strain in nurses. MATERIALS AND METHODS: This was a cross-sectional study conducted at a large university hospital in North-East Italy, involving 806 nurses working in selected departments. A multilevel logistic regression was applied to assess the association between work shift conditions and selected outcomes. RESULTS: Night shifts were associated not only with higher odds of having a high Job Demand, but also with lower odds of having a high Decision Authority and consequently with a stronger likelihood of having higher levels of Job Strain (high Job Demand score ≥ 38 and Low Decision Authority). The night shift was associated with various symptoms, particularly exhaustion (p = 0.039) and gastric pain (p = 0.020). Nurses’ working schedules did not affect their job satisfaction scores. CONCLUSIONS: It has been confirmed that night shifts are a risk factor for nurses’ health perception and working night shifts carries a considerable degree of strain. This is a condition that hospital nursing managements need to consider carefully to avoid burnout in nursing personnel and prevent an excessive turnover in this profession, which is a recurring problem for health care organizations.

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