Shift work and work- related stress symptoms in health care workers in a tertiary hospital in Medellin, Colombia: A cross-sectional study
DOI:
https://doi.org/10.21615/cesp.9.2.3Keywords:
Workday Shifts, Work-Related Stress, Occupational Stress, Allied Health Workers, Healthcare, NursesAbstract
Background: Shift work is a very common characteristic in healthcare and has been associated with work-related stress. Objective: This study aimed to research about the relationship between current shift work and work-related stress symptoms presented in healthcare workers in a clinical setting in Medellin, Colombia. Methods: A cross-sectional study was conducted from January to July in 2014. A total of 50.5 % of participants performed their work activities in rotating shifts and 49.5% worked only during the day. Most of the professionals who participated in the survey were nurses and administrative staff. Participants completed demographic, occupational and lifestyle questionnaire, and a self-reported work related stress symptoms instrument. Results: The study sample consisted of 160 (80%) females and 40 (20%) males. The average age was 35.1 ± 9.1. Generally, no significant differences were found in relation to psychological and emotional symptoms of social, intellectual and occupational behavior in shift workers compared to daytime workers. In a stratified analysis, among the nurses and nursing assistants group, those engaging in shift work reported significantly lower/fewer physiological symptoms and higher/more intense psycho emotional symptoms than the daytime workers(p=0.030 and p=0.047 respectively).
Downloads
References
Admi, H., Tzischinsky, O., Epstein, R., Herer, P., & Lavie, P. (2008). Shift work in nursing: is it really a risk factor for nurses' health and patients' safety? Nurs Econ, 26(4), 250-257.
Alterman, T., Luckhaupt, S. E., Dahlhamer, J. M., Ward, B. W., & Calvert, G. M. (2013). Prevalence rates of work organization characteristics among workers in the U.S.: data from the 2010 National Health Interview Survey. Am J Ind Med, 56(6), 647-659. doi:10.1002/ajim.22108
Boggild, H., Burr, H., Tuchsen, F., & Jeppesen, H. J. (2001). Work environment of Danish shift and day workers. Scand J Work Environ Health, 27(2), 97-105.
Boivin, D. B., & Boudreau, P. (2014). Impacts of shift work on sleep and circadian rhythms. Pathol Biol (Paris). doi:10.1016/j.patbio.2014.08.001
Brondel, L., Romer, M. A., Nougues, P. M., Touyarou, P., & Davenne, D. (2010). Acute partial sleep deprivation increases food intake in healthy men. Am J Clin Nutr, 91(6), 1550-1559. doi:10.3945/ajcn.2009.28523
Bushnell, P. T., Colombi, A., Caruso, C. C., & Tak, S. (2010). Work schedules and health behavior outcomes at a large manufacturer. Ind Health, 48(4), 395-405.
Coffey, L. C., Skipper, J. K., Jr., & Jung, F. D. (1988). Nurses and shift work: effects on job performance and job-related stress. J Adv Nurs, 13(2), 245-254.
Crispim, C. A., Waterhouse, J., Damaso, A. R., Zimberg, I. Z., Padilha, H. G., Oyama, L. M., . . . de Mello, M. T. (2011). Hormonal appetite control is altered by shift work: a preliminary study. Metabolism, 60(12), 1726-1735. doi:10.1016/j.metabol.2011.04.014
Dartiguepeyrou, M. (1999). [Comparative study on stress levels in young nurses in "rotating" and fixed job posts in Dix and Bayonne public hospitals]. Sante Publique, 11(2), 137-154.
Demerouti, E., Geurts, S. A., Bakker, A. B., & Euwema, M. (2004). The impact of shiftwork on work--home conflict, job attitudes and health. Ergonomics, 47(9), 987-1002. doi:10.1080/00140130410001670408
Doi, Y. (2005). An epidemiologic review on occupational sleep research among Japanese workers. Ind Health, 43(1), 3-10.
Eurofound. (2012). Fifth European Working Conditions Survey. Retrieved from Luxembourg: http://www.eurofound.europa.eu/es/publications/report/2012/working-conditions/fifth-european-working-conditions-survey-overview-report
Fritschi, L., Glass, D. C., Heyworth, J. S., Aronson, K., Girschik, J., Boyle, T., . . . Erren, T. C. (2011). Hypotheses for mechanisms linking shiftwork and cancer. Med Hypotheses, 77(3), 430-436. doi:10.1016/j.mehy.2011.06.002
Fujino, Y., Iso, H., Tamakoshi, A., Inaba, Y., Koizumi, A., Kubo, T., . . . Japanese Collaborative Cohort Study, G. (2006). A prospective cohort study of shift work and risk of ischemic heart disease in Japanese male workers. Am J Epidemiol, 164(2), 128-135. doi:10.1093/aje/kwj185
Ha, M., & Park, J. (2005). Shiftwork and metabolic risk factors of cardiovascular disease. J Occup Health, 47(2), 89-95.
Hansen, J. (2001). Light at night, shiftwork, and breast cancer risk. J Natl Cancer Inst, 93(20), 1513-1515.
Harada, H., Suwazono, Y., Sakata, K., Okubo, Y., Oishi, M., Uetani, M., . . . Nogawa, K. (2005). Three-shift system increases job-related stress in Japanese workers. J Occup Health, 47(5), 397-404.
Harma, M., Kompier, M. A., & Vahtera, J. (2006). Work-related stress and health--risks, mechanisms and countermeasures. Scand J Work Environ Health, 32(6), 413-419.
Jansen, N. W., Kant, I., Nijhuis, F. J., Swaen, G. M., & Kristensen, T. S. (2004). Impact of worktime arrangements on work-home interference among Dutch employees. Scand J Work Environ Health, 30(2), 139-148.
Knutsson, A. (2003). Health disorders of shift workers. Occup Med (Lond), 53(2), 103-108.
Knutsson, A., & Nilsson, T. (1997). Job Strain in Shift and Daytime Workers. Int J Occup Environ Health, 3(Supplement 2), S78-S81.
Kubo, T., Oyama, I., Nakamura, T., Shirane, K., Otsuka, H., Kunimoto, M., . . . Matsuda, S. (2011). Retrospective cohort study of the risk of obesity among shift workers: findings from the Industry-based Shift Workers' Health study, Japan. Occup Environ Med, 68(5), 327-331. doi:10.1136/oem.2009.054445
Kubo, T., Ozasa, K., Mikami, K., Wakai, K., Fujino, Y., Watanabe, Y., . . . Tamakoshi, A. (2006). Prospective cohort study of the risk of prostate cancer among rotating-shift workers: findings from the Japan collaborative cohort study. Am J Epidemiol, 164(6), 549-555. doi:10.1093/aje/kwj232
Lie, J. A., Roessink, J., & Kjaerheim, K. (2006). Breast cancer and night work among Norwegian nurses. Cancer Causes Control, 17(1), 39-44. doi:10.1007/s10552-005-3639-2
Lin, P. C., Chen, C. H., Pan, S. M., Chen, Y. M., Pan, C. H., Hung, H. C., & Wu, M. T. (2015). The association between rotating shift work and increased occupational stress in nurses. J Occup Health, 57(4), 307-315. doi:10.1539/joh.13-0284-OA
Ministerio de la Protección Social. (2007). Primera Encuesta Nacional de Condiciones de Salud y Trabajo en el Sistema General de Riesgos Profesionales. Retrieved from: https://www.minsalud.gov.co/.../ENCUESTA%20NACIONAL.pdf
Ministerio de la Protección Social. (2010). Bateria de Instrumentos para la evaluacion de factores de riesgo psicosocial. Retrieved from: www.fondoriesgoslaborales.gov.co/documents/.../Estudios/Bateria-riesgo-psicosocial-1.pdf
Mosendane, T., Mosendane, T., & Raal, F. J. (2008). Shift work and its effects on the cardiovascular system. Cardiovasc J Afr, 19(4), 210-215.
Nojkov, B., Rubenstein, J. H., Chey, W. D., & Hoogerwerf, W. A. (2010). The impact of rotating shift work on the prevalence of irritable bowel syndrome in nurses. Am J Gastroenterol, 105(4), 842-847. doi:10.1038/ajg.2010.48
Pan, A., Schernhammer, E. S., Sun, Q., & Hu, F. B. (2011). Rotating night shift work and risk of type 2 diabetes: two prospective cohort studies in women. PLoS Med, 8(12), e1001141. doi:10.1371/journal.pmed.1001141
Parkes, K. R. (1999). Shiftwork, job type, and the work environment as joint predictors of health-related outcomes. J Occup Health Psychol, 4(3), 256-268.
Pimenta, A. M., Kac, G., Souza, R. R., Ferreira, L. M., & Silqueira, S. M. (2012). Night-shift work and cardiovascular risk among employees of a public university. Rev Assoc Med Bras, 58(2), 168-177.
Simon, M., Kummerling, A., Hasselhorn, H. M., & Next-Study, G. (2004). Work-home conflict in the European nursing profession. Int J Occup Environ Health, 10(4), 384-391. doi:10.1179/oeh.2004.10.4.384
Skipper, J. K., Jr., Jung, F. D., & Coffey, L. C. (1990). Nurses and shiftwork: effects on physical health and mental depression. J Adv Nurs, 15(7), 835-842.
Tajvar, A., Saraji, G. N., Ghanbarnejad, A., Omidi, L., Hosseini, S. S., & Abadi, A. S. (2015). Occupational stress and mental health among nurses in a medical intensive care unit of a general hospital in Bandar Abbas in 2013. Electron Physician, 7(3), 1108-1113. doi:10.14661/2015.1108-1113
Tenkanen, L., Sjoblom, T., Kalimo, R., Alikoski, T., & Harma, M. (1997). Shift work, occupation and coronary heart disease over 6 years of follow-up in the Helsinki Heart Study. Scand J Work Environ Health, 23(4), 257-265.
Tripartite Meeting of Experts on Working Time Arrangements ILO, & International Labour Office. (2011). El tiempo de trabajo en el siglo XXI: informe para el debate de la Reunión Tripartita de Expertos sobre la Ordenación del Tiempo de Trabajo. Retrieved from Ginebra: www.ilo.org/global/docs/WCMS_210829/lang--en/index.htm
Wang, X. S., Armstrong, M. E., Cairns, B. J., Key, T. J., & Travis, R. C. (2011). Shift work and chronic disease: the epidemiological evidence. Occup Med (Lond), 61(2), 78-89. doi:10.1093/occmed/kqr001
Yuan, S. C., Chou, M. C., Chen, C. J., Lin, Y. J., Chen, M. C., Liu, H. H., & Kuo, H. W. (2011). Influences of shift work on fatigue among nurses. J Nurs Manag, 19(3), 339-345. doi:10.1111/j.1365-2834.2010.01173.x
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2016 Elsa Maria Vasquez Trespalacios, Verónica Palacio-Jaramillo, Myrna Gómez-Parra, Lydis Romero-Arrieta

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Each manuscript is accompanied by a statement specifyingThat the materials are unpublished, that have not been previously published in printed formatElectronic and that they will not be presented to any other means before knowing the decision of the magazine. ThroughoutIn case, any previous publication, sea in printed or electronic form, must be made known to the editorial staffWriting The authors attach a signed statement stating that, and the manuscript is acceptedFor publication, the rights of reproduction are the exclusive property of the Journal CES Psychology.

