Associations Between Work Schedule Characteristics and Occupational Injury and Illness

Details

• Personal Author:
  de Castro A ; Fujishiro K ; Gee G ; Rue T ; Samaco-Paquiz L ; Tagalog E
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Health Personnel Occupational Exposure Occupational Health Safety Safety Management Shift Work Schedule Workplace
• Keywords:
  Author Keywords: Health And Safety Health-care-facilities Health-care-personnel Humans International Issues Medical-facilities Medical-personnel Nurses Nursing Occupational-hazards Occupational-health Occupational-safety-programs Occupational Health Nursing Quantitative Methods Research Safety-monitoring Safety-research Shift-work The Philippines Work-environment Work-intervals Worker-health Workforce Organization

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• ISSN:
  0020-8132
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  California ; Ohio ; OSHA Region 10 ; OSHA Region 5 ; OSHA Region 9 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  188-194
• Volume:
  57
• Issue:
  2
• NIOSHTIC Number:
  nn:20036991
• Citation:
  Int Nurs Rev 2010 May; 57(2):188-194
• Contact Point Address:
  Dr. A.B. de Castro, University of Washington School of Nursing, Department of Psychosocial and Community Health, Box 357263, Seattle, WA 98195-7263, USA
• Email:
  butchdec@u.washington.edu
• Federal Fiscal Year:
  2010
• NORA Priority Area:
  Manufacturing
• Peer Reviewed:
  True
• Source Full Name:
  International Nursing Review
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:cb5fe213359b69a1b8cb6413589dde08d5dc0535a295650600c539cc69d9ab94e0e46d373c5a955ea469318af95a3ee821aba7a9a641768867cc4966a4b60562
• Download URL:
  https://stacks.cdc.gov/view/cdc/188177/cdc_188177_DS1.pdf
• File Type:
  [PDF - 138.31 KB ]