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Associations between work schedule characteristics and occupational injury and illness.

Authors
de Castro-A; Fujishiro-K; Rue-T; Tagalog-E; Samaco-Paquiz-L; Gee-G
Source
Int Nurs Rev 2010 May; 57(2):188-194
NIOSHTIC No.
20036991
Abstract
Background: Nurses often endure working irregular day, night and evening shifts as well as mandatory overtime (i.e. employer-imposed work time in excess of one's assigned schedule). While these work characteristics are examined as potential risks for nurses' safety and health, it is not clear whether negative health impacts occur simply because of working long hours or in combination with other mechanisms. Aim: This study investigates how these work characteristics are associated with nurses' work-related injury and illness over and above long work hours. Methods: In this cross-sectional study, questionnaire data were collected from a sample of 655 registered nurses in the Philippines. Multiple logistic regression was used to assess associations of shift work and mandatory overtime with four work-related health outcomes. Results: After weekly work hours, shift length and demographic variables were accounted for, non-day shifts were associated with work-related injury [odds ratio (OR) = 1.54; 95% confidence interval (CI): 1.07, 2.24] and work-related illness (OR = 1.48; 95% CI: 1.02, 2.16). Also, frequency of working mandatory overtime was associated with work-related injury (OR = 1.22; 95% CI: 1.06, 1.41), work-related illness (OR = 1.19; 95% CI: 1.04, 1.37) and missing more than 2 days of work because of a work-related injury or illness (OR = 1.25; 95% CI: 1.08, 1.44). Conclusions: These findings suggest that non-day shifts and mandatory overtime may negatively impact nurses' health independent of working long hours. Mechanisms through which these work characteristics affect health, such as circadian rhythm disturbance, nurse-to-patient ratios and work/family conflict, should be examined in future studies.
Keywords
Work-intervals; Work-environment; Worker-health; Health-care-facilities; Health-care-personnel; Medical-personnel; Medical-facilities; Nurses; Nursing; Shift-work; Safety-monitoring; Safety-research; Occupational-hazards; Occupational-health; Occupational-safety-programs; Humans; Author Keywords: Health and Safety; International Issues; Occupational Health Nursing; The Philippines; Quantitative Methods; Research; Workforce Organization
Contact
Dr. A.B. de Castro, University of Washington School of Nursing, Department of Psychosocial and Community Health, Box 357263, Seattle, WA 98195-7263, USA
Publication Date
20100517
Document Type
Journal Article
Email Address
butchdec@u.washington.edu
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Issue of Publication
2
ISSN
0020-8132
NIOSH Division
DSHEFS
Priority Area
Manufacturing
Source Name
International Nursing Review
State
OH; WA; CA
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