Circadian Rhythm of Heart Rate,Urinary Cortisol Excretion,and Sleep in Civil Air Traffic Controllers

The examination of Air Traffic Controllers (ATCs) from the Warsaw Airport (Poland) included 24-hr ECG monitoring. The participants were 10 civil ATCs, 9 males and 1 woman. The study was carried out on a group of 19 ATCs during their duty periods, 14 of them working 12-hr shifts and 5 performing 24-hr duties. The participants collected urine every 4 hrs, and Cortisol concentration was determined. Further, the survey included the quality and duration of sleep, and subjective fatigue in the 62 participants.

In ATCs, shift work modifies natural rhythms of the circulatory system and decreases the ability for intensified mental work at night. In consequence ATCs experience frequent sleep disorders.     

The Relationship Between Shift Work Schedules and Spillover in a Sample of Nurses

The aim of the present study was to estimate spillover effects between the work and the family sphere in a sample of nurses (N = 2058). Hierarchical regression analyses investigated whether shift work schedules were associated with negative or positive spillover, both from family to work and vice versa, controlling for demographic factors, job demands and decision latitude. With daytime work as a reference group, all types of shift work (day and evening shift, night shift only and rotating 3 shift) were associated with higher negative work-to-family spillover. Night work was associated with significantly less negative family-to-work spillover. None of the different shift work schedules were related to any type of positive spillover. The results indicate that working outside of daytime hours is less compatible with workers’ family lives, compared to working ordinary day shifts. On the other hand, working night shifts only was associated with reduced negative family-to-work spillover.     

On the subjective experience and correlates of downtime at work: A mixed‐method examination

In the current paper, we studied downtime at work. Downtime represents a unique aspect of work time, as employees have low workload and more discretion about their activities but are still paid to be at work. Despite its prevalence and potentially significant implications for productivity and well‐being, the experience of downtime has not been a focus in the literature. To study this phenomenon, we first used a qualitative method involving 15 focus groups. Results from 95 employees showed that downtime is distinct from formal breaks and withdrawal behavior and is generally a negative subjective experience. Categories of antecedents of experience and downtime activities were classified. Next, to further explore the phenomenon, and based on Study 1 and relevant literature, we proposed several hypotheses and tested them using an experience sampling method. Results from 86 employees (across 5 workdays and 689 data points) indicated that the amount of downtime was negatively related to day level job satisfaction, job performance, and subjective health. The duration of relaxation activities during downtime mitigated the negative effects of downtime on fatigue. The effects of enjoyment level of the activities, job autonomy, work engagement, and boredom proneness were also examined. Implications, limitations, and future research are discussed.     

Ergonomics and Work Organization: The Relationship Between Tayloristic Design and Workers’ Health in Banks and Credit Cards Companies

Abstract

The discussion developed in this paper is based on the results of an ergonomic work analysis carried out with attendants at call centers. Some critical issues and difficulties, like working pace, inadequate tools and workstations, and software inadequacies were detected in working situations. Operator-customer interactions are presented, attempting to put in evidence working constraints, working conditions, and their connection with health problems.

The main conclusion is that serving clients, especially when the job is to provide information, is not a simple task, as information is not always available in the computerized system and is completely fragmented. The scope of workers’ actions is very restricted and complicated and recurrent requests are redirected to others. Workers (individually or as groups) have limited possibilities to make adjustments to be able to give more adequate and personalized treatment to clients and, at the same time, to work in a less stressful environment. In periods of increased workload and work intensification, the situation is very much favorable to the incidence of health disorders, such as work related musculoskeletal disorders (WMSD) and others. Some suggestions to improve the work situation are discussed.     

Combined Effects of Physical Demands and Shift Working on Low Back Disorders Among Nursing Personnel

The aim of this study was to investigate the synergistic effects of physical demands and shift working on low back disorders (LBDs) among nursing personnel. The study used 2 questionnaires: a self-administered questionnaire composed of parts of Nordic musculoskeletal questionnaire to assess LBDs and job content questionnaire to assess physical demands. The participants were divided into 4 groups: from group 1 (low physical demands day workers) to group 4 (high physical demands shift workers). In regression analysis, high physical demands were associated with the prevalence of LBDs independently (OR 4.4, 95% CI [2.40, 8.00] and p < .05), but there was no association between shift working and LBDs (p > .05). Odds ratio in high physical demands shift workers was 9.33 compared to the reference group (p < .001). Calculated synergistic index was 7.37. Simultaneous impacts of shift working and high physical demands may increase the prevalence of LBDs among nursing personnel.     

Assessment of Physical Load at Work Sites: A Finnish–German Concept

The aim of this article is to introduce a set of work physiology methods for the assessment of physical load at the work site and to consider (a) their relevance for different types of muscular work, and (b) their feasibility for occupational health and safety practitioners. The results of an ergonomic intervention study for the reduction of workload associated with various manual materials handling tasks were used for the evaluation of the feasibility and sensitivity of the measurements of heart rate, the Edholm and OWAS methods, and the ratings of overall and local perceived exertion. The methods proved feasible, although time consuming, and their sensitivity for the quantification of small changes in physical workload was limited. Despite these shortcomings, these methods can be used by occupational health and safety practitioners when their strategy and data collection techniques are developed further. In conclusion, there are relevant and feasible methods fora reliable work-site assessment of cardiorespiratory and postural load related to the activation of large muscle masses. On the other hand, field methods for the quantification of local static workload and repetitive type of workload with small muscle masses are scarce.     

The relationship between protective and risk characteristics of acting and experienced workload, and musculoskeletal disorder cases among nurses

PROBLEMS: Limited research is available on the acting (work characteristics) and experienced (perceived stress) workload of nurses. The relationship between risk and protective characteristics of work-related factors and the prevalence of musculoskletal symptoms in different body regions is also unclear. METHODS: The study was a cross-sectional design with 97 female registered nurses working in a hospital setting. Two surveys were used to document the workload exposure of the nurses. One survey consisted of 148 items aimed to measure the acting workload variables from the environment; the other survey included 33 items that were aimed to measure the nurses' experienced workload. The musculoskeletal outcomes were documented with a modified version of the Nordic Musculoskeletal Symptom Survey. RESULTS: Factor analyses revealed three factors that accounted for 56% of the total variance. Factor 1 (i.e., integrated experienced energy replenishment/expenditure) represented the psychological effects of work characteristics, effort, perceived risk, and performance. Factor 2 (i.e., acting energy replenishment/expenditure) consisted of non-physical variables of the work characteristics, while Factor 3 (i.e., acting energy expenditure) included both acting and experienced workload. Logistic regression analyses indicated that Factor 3 was significantly associated with the musculoskeletal symptoms of lower and upper back, hands/wrists, and knees/lower legs (odds ratios > 1.0). Factor 2 was significantly associated with the musculoskeletal symptoms of the upper back and knees/lower legs (odds ratios < 1.0). SUMMARY: Both the acting and experienced workloads exhibited associations with musculoskeletal outcomes in the lower back, upper back, hands/wrists, and knees/lower legs in terms of risk and protective effects.     

Internal and External Factors Influencing Time-Related Injury Risk in Continuous Shift Work

Time-related accident risk in shift work may be attributed to internal factors, such as fatigue, level of performance, sleep propensity, and to some external factors, like shift system, physical and social environment. Six hundred and sixty-eight events in the metallurgical industry have been analysed in terms of time of day, time on task, consecutive day of the shift block, day of the week, and season.

The injury rate was similar on all shifts but more severe accidents happened in the nighttime. Somewhat more injuries occurred in the second half of the shift, in the second part of a shift block, and in summer compared with winter. There were fewer injuries at weekends.     

Expert system application for prioritizing preventive actions for shift work: shift expert

Introduction. Shift patterns, work hours, work arrangements and worker motivations have increasingly become key factors for job performance. The main objective of this article is to design an expert system that identifies the negative effects of shift work and prioritizes mitigation efforts according to their importance in preventing these negative effects. The proposed expert system will be referred to as the shift expert. Methods. A thorough literature review is conducted to determine the effects of shift work on workers. Our work indicates that shift work is linked to demographic variables, sleepiness and fatigue, health and well-being, and social and domestic conditions. These parameters constitute the sections of a questionnaire designed to focus on 26 important issues related to shift work. The shift expert is then constructed to provide prevention advice at the individual and organizational levels, and it prioritizes this advice using a fuzzy analytic hierarchy process model, which considers comparison matrices provided by users during the prioritization process. An empirical study of 61 workers working on three rotating shifts is performed. After administering the questionnaires, the collected data are analyzed statistically, and then the shift expert produces individual and organizational recommendations for these workers.     

Indices of ergonomic-psycholsociological workplace quality in the greenhouses of Almería (Spain): Crops of cucumbers,peppers, aubergines and melons

This work uses the Labour Economics and Sociology Laboratory of France (LEST) method to evaluate the ergonomic-psycholsociological quality of work in horticultural greenhouse exploitations in Almería (Spain) with the aim of improving workers’ occupational health. Data on the factors affecting the physical environment, the physical workload, mental workload, psychosocial aspects and the working hours of labourers were collected in 110 greenhouses, 35 of the Almeria parral-plano type and 75 of the raspa y amagado type. The crops raised in these greenhouses were cucumbers (24 greenhouses), peppers (25), aubergines (28), and melons (38). These greenhouses, typical of southeastern Spain, were found not to guarantee workers a comfortable working environment. The type of greenhouse and the crop raised within directly affected the ergonomic-psychosocial conditions of the workers. Suggestions are offered that might improve these conditions.     

Shift schedules on North Sea oil/gas installations: A systematic review of their impact on performance,safety and health

Continuous production processes on North Sea installations necessitate extended work schedules; 2-week offshore tours (alternating with shore breaks), 12 h shifts and rapid day/night shift changes are inherent features of offshore work. These intensive rosters, worked in a demanding physical and psychosocial environment, are potential sources of fatigue and impaired performance among offshore personnel. This article focuses on offshore working time arrangements, and presents a systematic review of studies which examine offshore day/night shift patterns in relation to operational safety and individual health risks. Of the 53 studies retrieved, 24 met the review criteria.Field study findings are generally consistent in showing that sleep, alertness and performance are relatively stable across day-shift tours; initial night shifts are adversely affected by circadian disruption, but full physiological and psychological adaptation occurs within 5–6 days; re-adaptation to day shifts is slower, and varies widely across individuals; the offshore environment is conducive to night-shift adaptation, but interventions to facilitate re-adaptation have proved only modestly effective. Analyses of survey data and accident/sickness records identify offshore night work as a risk factor for impaired sleep, health problems, and injuries, but little is known about the long-term health effects of different offshore shift rotations.In conclusion, research methodology and findings, and working time issues of current concern to the offshore oil/gas industry, are discussed. Aspects of offshore work schedules that have been not been widely studied (e.g. overtime, irregular work patterns) are also highlighted, and research areas that would merit further attention are noted.     

A compressed shift schedule: Dealing with some of the problems of shift-work

This study examines some of the psychological and behavioral effects of a 12-hour compressed shift schedule on coal miners in two organizations in Western Canada. It suggests that young, married compressed shift workers are more satisfied with their family relationship. They spend less of their leisure time with spouses when working shifts, and do not spend any more time with them on their days off. They have less time available for many leisure activities on their workdays. The extra time on days off is not reallocated to the leisure activities they were unable to do on their workdays. Some extra leisure time on days off may be spent on personal hobbies. There is no suggestion that the compressed shift schedule has any negative effect on the individual's health.     

Routinization of job context and job content as related to employees' quality of working life: A study of Canadian nurses

The literature on routinization of work is both ambiguous and equivocal when its impact on quality of working life is considered. The classical management literature suggests that routinization of work has a positive influence on individual performance and by implication on the quality of working life resulting from the overall prosperity generated. However, more recent literature on job characteristics and job design argues that routinization of work has a negative impact on individual performance as it suppresses creative expression on the job. This paper suggests that these mixed findings are due to an inadequate theoretical grasp of the concept of routinization and presents empirical evidence which attempts to clarify the ambiguity. Data were collected from 1148 nurses working in anglophone hospitals in the greater Montreal area in the form of a field survey questionnaire. The results indicated that nurses who worked routine shifts perceived higher levels of quality of working life compared to those on non-routine shifts. The results also indicated that nurses who experienced high routinization in job content perceived lower levels of quality of working life compared to those nurses who experienced low routinization in job content. Implications of these findings for future research are discussed.     

Multiple interactions of hazard exposures, role stressors and situational factors, and burnout among nurses.

This was a cross-sectional study which looked into the interaction between situational factors, role stressors, hazard exposure and personal factors among 135 nurses in the Philippine General Hospital. More than half (58.5%) of the respondents reported being ill due to work in the past year, and 59.3% missed work because of an illness. Regression showed factors associated with burnout were organizational role stress, hazard exposure, self-efficacy, age, number of working years, illness in the past 12 months, migraine, dizziness, sleep disorder, cough and colds, and diarrhea. After multiple regression analysis, organizational role stress (p = .000), migraine (p = .001), age (p = .018) and illness in the past 12 months (p = .000) were found to be significant predictors of burnout. The contribution of the study is in advancing new concepts in the already existing framework of burnout, and thus, assisting nurses and hospital administration in on controlling this problem.     

轮班制度对于地铁司机疲劳的影响

立足于轮班工作模式,阐述轮班制度对司机疲劳产生与积累的影响。介绍疲劳指数方法和池田公式的理论基础及模型构架,基于北京地铁13号线现行轮班表,分别应用上述两种研究方法进行地铁轮班司机疲劳程度的分析。两种方法的评估结果显著相关,均说明13号线现行轮班表的制定会导致司机疲劳的产生,存在安全运营风险。应用上述方法可实现对司机疲劳程度的非接触式测量,避免对司机驾驶作业的干扰,同时为地铁运营公司的安全管理人员制定合理的轮班方案,建立全面、量化的动态管理措施,提高行车安全保障提供了科学依据。     

Occupational and public health and safety in a changing work environment: An integrated approach for risk assessment and prevention

During recent years the work environment has undergone significant changes regarding working time, years of employment, work organization, type of employment contracts and working conditions. In this paper, consequences of these changes on occupational and public health and safety are examined. These include the disruption of human biological rhythms, the increase of workers fatigue due to changes in patterns of working hours and years of employment, job insecurity and occupational stress, which have a serious impact on workers’ health and may result in an increase in occupational accidents. Unsafe work practices related to workload and time pressure, the impact of work changes on public safety and the deterioration of workers’ living conditions with respect to income, social-family life, health and insurance benefits, are also described. In this context, difficulties that occur due to the changing work environment in conducting effective occupational risk assessments and implementing OSH measures are discussed (for example, frequent changes between tasks and workplaces, underreporting of occupational accidents and diseases, lack of methodological tools, etc.). A fundamental criterion used while studying consequences on health and safety and the relative preventive measures is that health and safety must be approached as ‘the promotion and maintenance at the highest degree of the physical, mental and social well-being of workers’ and not only as retention of their work ability. Limits in combining “flexibility” at work and overall protection of occupational and public safety and health in a competitive market are put forward for discussion.     

A survey of forest workers in New Zealand. Do hours of work, rest, and recovery play a role in accidents and injury?

PROBLEM: A number of structural and organizational changes have occurred recently within the New Zealand Forestry Industry, with concerns being raised about the impact of these changes on the forestry worker in terms of fatigue, sleepiness, and compromised safety. This study explored the relationship of fatigue, and some of its key determinants, with accidents and injuries in a group of forestry industry workers in New Zealand. METHOD: A total of 367 forestry workers responded to a self-administered questionnaire. RESULTS: Fatigue was found to be commonly experienced at work in the forest, with 78% of workers reporting that they experienced fatigue at least "sometimes." This study found that certain groups of workers reported long working hours, reduced sleep, compromised recovery time, and intensely paced work. The results of logistic regression analysis showed that recent sleep, number of breaks taken during the workday, and specific job/tasks were independently associated with reporting of high fatigue levels at work. Near-miss injury events were significantly more common among those reporting a high level of fatigue at work. Accidents and lost-time injury were associated with length of time at work, ethnicity, and having had near-miss injury events. DISCUSSION: Together, these results suggest that fatigue and aspects of work organization, which are likely to be fatiguing, may be associated with compromised safety for forest workers. IMPACT ON INDUSTRY: With an already slim margin of error present in forest operations, an impairment due to increased fatigue may constitute a significant risk factor for accidents and injuries in this workforce. The results indicate the need for further examination of shift and workload management among forestry workers, as well as a role for improving industry awareness about the causes and consequences of fatigue.     

Cardiovascular Strain of Sawmill Workers in South-Western Nigeria

This study aimed to assess cardiovascular strain during sawmilling operations in terms of physical workload, based on heart rate changes. We measured resting and working heart rates and calculated cardiovascular load (%CVL), cardiovascular strain (%CVS) and relative heart rate (%RHR) in 35 sawmill workers. Based on heart rate only, the work in sawmills was classified as very heavy and extremely heavy. Similarly, a high-level category was recorded for %CVL and a very high range for %CVS. Thus, the workload in sawmill operations is usually very high and can lead to physiological strain of the workers. There is a need to redesign the work content of this occupation to prevent excessive strain in the workers, as this will increase their productivity and reduce their health risk.     

Identification of ergonomic issues that affect workers in oilrigs in desert environments.

The main objective of this research was to conduct an assessment of ergonomic-related problems in oilrigs in a desert environment. A checklist, physical audit and medical records were used in the investigation. The results showed significant health, environment and work-related problems that could be attributed to ergonomic deficiencies in the work system of the oilrig. Some major ergonomic issues identified were hard physical work, back pain, discomfort, hot environment, long shift, and diverse schedule. Ninety-four percent of the employees perceived the workday as very long, 79% were dissatisfied with the work schedule, while 61% of the employees perceived the summer work environment as extremely hot. Ergonomics should be considered in the work system design so as to reduce or eliminate problems in oilrigs in hot desert environments.     

Macroergonomics and Total Quality Management: How to Improve Quality of Working Life?

Abstract

In this paper, we present a macroergonomic model of work design that is applied and tested to examine Total Quality Management (TQM) in the public sector. According to the model, TQM can influence different aspects of work design and quality of working life (QWL), Questionnaire data collected in 2 public sector organizations in the USA show that TQM can have both positive and negative impact on work design and QWL. The main positive impact of TQM was found on job content, job control and participation, and social relationships. The main negative impact of TQM was on workload, uncertainty, and clarity of job duties. The impact of TQM on QWL was mixed. Our results show that the impact of TQM on work design and QWL varied very much across the 6 participating departments, as well as within the departments. Further research is warranted to assess the human impact of TQM, in particular research on the linkage between various aspects of TQM, on one hand, and work design and QWL, on the other hand.