Permanent night workers´ sleep and psychosocial factors in hospital work. A comparison to day and shift work

Karhula, Kati; Hakola, Tarja; Koskinen, Aki; Ojajärvi, Anneli; Kivimäki, Mika; Härmä, Mikko

doi:10.1080/07420528.2018.1466792

Cited by 25 publications

(12 citation statements)

References 35 publications

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“…However, studies from the Finnish Public Sector database demonstrated that permanent night workers manifest inconsistent differences in sleep quality compared to day and shift workers. Since a slightly longer average length of sleep, fewer problems in maintaining sleep, and more difficulties in falling asleep were observed in night workers, the authors concluded that the type of shift alone cannot explain the association between WV and SPs (Karhula et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis

et al. 2019

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Background: This systematic review with meta-analysis was carried out to study the relationship between workplace violence and sleep problems.Methods: The PRISMA statement was used to conduct a systematic search of the literature on PubMed/MEDLINE, Scopus, Sociological abstract, DOAJ, Web of Science, and Google Scholar databases. Of the original number of 749 studies, 34 were included in the systematic review, and 7 in the meta-analysis.Results: A total of 119,361 participants from 15 different countries took part in these studies which were published between 1999 and 2019. Significant heterogeneity was observed among the studies (I2 = 96%). In a random-effects meta-analysis model, pooled odds ratio (OR) analysis revealed that there was a direct relationship between occupational exposure to violence and sleep problems (OR = 2.55; 95% CI = 1.77–3.66). According to the GRADE guidelines, the quality of evidence of the association was low.Conclusions: The findings of this study demonstrate that occupational exposure to physical, verbal, or sexual violence is associated with sleep problems. Further research on the relationship between violence and sleep is needed so that appropriate measures can be taken to prevent violence and improve sleep hygiene in the workplace.Trial Registration Number: PROSPERO International prospective register of systematic reviews (CRD42019124903) February 9, 2019.

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Section: Resultsmentioning

confidence: 99%

Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis

et al. 2019

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“…Because the ICSD‐3 specifies the reduction of total sleep time as an SWD symptom, only those ICSD‐2‐based SWD cases who answered the question ‘Do you sleep sufficiently?’ with ‘rarely or almost never’ on a four‐point scale (from ‘yes, almost always’ to ‘rarely or almost never’; Karhula et al., ) were assigned as ICSD‐3‐based SWD cases.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of shift work disorder among hospital personnel: A cross‐sectional study using objective working hour data

Vanttola

Puttonen

Karhula

et al. 2019

Journal of Sleep Research

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The prevalence of shift work disorder (SWD) has been studied using self‐reported data and the International Classification of Sleep Disorders, Second Edition (ICSD‐2) criteria. We examined the prevalence in relation to ICSD‐2 and ICSD‐3 criteria, work schedules and the number of non‐day shifts (work outside 06:00–18:00 hours) using objective working‐hours data. Secondly, we explored a minimum cut‐off for the occurrence of SWD symptoms. Hospital shift workers without (n = 1,813) and with night shifts (n = 2,917) and permanent night workers (n = 84) answered a survey (response rate 69%) on SWD and fatigue on days off. The prevalence of SWD was calculated for groups with ≥1, ≥3, ≥5 and ≥7 monthly non‐day shifts utilizing the working hours registry. ICSD‐3‐based SWD prevalence was 2.5%–3.7% (shift workers without nights), 2.6%–9.5% (shift workers with nights) and 6.0% (permanent night workers), depending on the cut‐off of non‐day shifts (≥7–1/month, respectively). The ICSD‐2‐based prevalence was higher: 7.1%–9.2%, 5.6%–33.5% and 16.7%, respectively. The prevalence was significantly higher among shift workers with than those without nights (p‐values <.001) when using the cut‐offs of ≥1–3 non‐day shifts. Shift workers with nights who had ≥3 days with ICSD‐3‐based SWD symptoms/month more commonly had fatigue on days off (49.3%) than those below the cut‐off (35.8%, p < .05). The ICSD‐3 criteria provided lower estimates for SWD prevalence than ISCD‐2 criteria, similarly to exclusion of employees with the fewest non‐day shifts. The results suggest that a plausible cut‐off for days with ICSD‐3‐based SWD symptoms is ≥3/month, resulting in 3%–6% prevalence of SWD.

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“…Such an arrangement would help avoid disruptive 'day-at-a-time' evening assignments. 39 To incentivise such an arrangement, professionals who choose steady off-hours work could be given fewer weekend or holiday assignments, for example. Admittedly, this creativity in scheduling depends on the willingness of existing and recruited faculty to adopt atypical schedules.…”

Section: Supporting Women In Anaesthesiology: Leadership Perspectivesmentioning

confidence: 99%

Fostering belonging in academic anaesthesiology: faculty and department chair perspectives on supporting women anaesthesiologists

Lane‐Fall

Gordon²,

Valentine³

et al. 2020

British Journal of Anaesthesia

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An increasing number of global initiatives aim to address the disconnection between the increasing number of women entering medicine and the persistence of gender imbalance in the physician anaesthesiologist workforce. This commentary complements the global movement's efforts to increase women's representation in academic anaesthesiology by presenting considerations for fostering inclusion for women in academic anaesthesiology from both the faculty and departmental leadership perspectives in a US academic anaesthesiology department.The past several decades have witnessed a growing appreciation for gender diversity in medicine, 1,2 with an increasing number of women becoming physicians. 3 Despite this change, there is a persistence of specialties in which men are overrepresented, including anaesthesiology. 4,5 Global efforts to foster the inclusion of women in anaesthesiology include the British Journal of Anaesthesia symposium on Women in Anaesthesia Research (https://www.periopmedicine.org.au/index. php/2019prato), the Australian and New Zealand College of Anaesthetists Gender Equity Position Statement and Action Plan, 6 and the US Women in Anesthesiology initiative. 7 The goal of this commentary was to augment these global efforts by presenting a framework that may be useful in planning and evaluating efforts to retain and support women faculty anaesthesiologists. Using Maslow's 8 hierarchy of needs to structure the discussion, we present considerations for fostering inclusion for women in academic anaesthesiology from both faculty and departmental leadership perspectives from the University of Pennsylvania Department of Anesthesiology and Critical Care. We used the terms 'women' and 'men' to indicate gender identity, recognising that there are individuals with non-binary gender identity whose experience is not well captured by these terms.

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Permanent night workers´ sleep and psychosocial factors in hospital work. A comparison to day and shift work

Cited by 25 publications

References 35 publications

Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis

Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis

Prevalence of shift work disorder among hospital personnel: A cross‐sectional study using objective working hour data

Fostering belonging in academic anaesthesiology: faculty and department chair perspectives on supporting women anaesthesiologists

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