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0.780
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15
MNiSW
146.95
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ORIGINAL PAPER
 
 

Strain and health implications of nurses’ shift work

Alessandra Buja 1, 2  ,  
Marco Petean 4,  
Diana Cerne 6,  
 
1
Department of Molecular Medicine, Laboratory of Public Health and Population Studies, Padua University, Padua, Italy
2
Laboratory of Public Health and Population Studies, Department of Molecular Medicine of the University of Padova, Via Loredan, 18, 35128, Padova, Italy
3
School of Pediatrics Nursing, Padua University Hospital, Padua, Italy
4
Home Care Service, Local Health Unit No. 4, Medio Friuli, Udine, Italy
5
School of Specialization in Hygiene and Preventive Medicine, Padua University, Padua, Italy
6
Local Health Unit No. 2, Isontina, Gorizia, Italy
Int J Occup Med Environ Health 2013;26(4):511–521
KEYWORDS:
ABSTRACT:
Objectives: The study investigated whether nurses' different working schedules are associated with different levels of job-relatd 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.
eISSN:1896-494X
ISSN:1232-1087