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A review of work schedule issues and musculoskeletal disorders with an emphasis on the healthcare sector.

Authors
Caruso-CC; Waters-TR
Source
Ind Health 2008 Nov; 46(6):523-534
NIOSHTIC No.
20034867
Abstract
Musculoskeletal disorders (MSDs) are a significant cause of morbidity in healthcare workers. The influence of shift work and long work hours on risk for MSDs is an area that needs further exploration. The purpose of this report is to assess research progress and gaps across studies that examined the relationship between demanding work schedules and MSD outcomes. A literature search identified 23 peer-reviewed publications in the English language that examined MSDs and long work hours, shift work, extended work shifts, mandatory overtime, or weekend work. Eight studies that examined long work hours and had some controls for physical job demands reported a significant increase in one or more measures of MSDs. Fourteen studies examining shift work had incomparable methods and types of shift work, and therefore, no clear trends in findings were identified. A small number of studies examined mandatory overtime, work on weekends and days off, and less than 10 h off between shifts. Given the complexity of the work schedule research topic, relatively few studies have adequately examined the relationship of work schedules and musculoskeletal outcomes. The review discusses research gaps including methodological issues and suggests research priorities.
Keywords
Musculoskeletal-system-disorders; Health-care-personnel; Shift-work; Shift-workers; Work-practices; Worker-health; Author Keywords: Review; Working hours; Shift work; Long work hours; Work schedule tolerance; Extended work periods; Musculoskeletal disorders
Contact
Claire C. Caruso, U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health (NIOSH), Division of Applied Research and Technology, 4676 Columbia P
CODEN
INHEAO
Publication Date
20081101
Document Type
Journal Article
Fiscal Year
2009
NTIS Accession No.
NTIS Price
Issue of Publication
6
ISSN
0019-8366
NIOSH Division
DART
Source Name
Industrial Health
State
OH
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