Fatigue in the minerals industry of Western Australia is a greatly under-recognised issue that has serious potential consequences for shift workers at work and at home. A review of fatigue literature demonstrates the elusive nature of fatigue. It is something that most people have probably experienced at some time in their lives. It is a diffuse sensation that is accompanied by feelings of lethargy and a lack of interest in any activity. A general sensation of weariness is a major symptom of fatigue. Fatigue cannot be measured directly and subjective estimates have to be relied upon. Potentially life threatening consequences can result when shift workers perform under the influence of fatigue. Fatigue and sleepiness have the power to kill if not treated with the respect they deserve. A cross-sectional survey of five underground mines was conducted to obtain a better understanding of their fatigue risk management strategies and the views of managers and shift workers on their sleep and shift schedules. Four mines provided information on their fatigue risk management procedures. Ten underground mining crews comprising 147 shift workers provided their views by an anonymous survey questionnaire administered at each mine at the start of shift. Shift worker sleep at the five mines compared well with mines in Tasmania, New South Wales and Queensland. However, it was found that frequently waking earlier than intended was the most widely reported sleep concern for shift workers on day shift, night shift and days off. Falling asleep while on day shift and on night shift demonstrates that fatigue is an issue that can occur on day shift as well as night shift. Fatigue is not an issue that is confined to night shift. Mine fitness for work procedures focused primarily on: shift schedules, hours of work and drug and alcohol issues. The level of detail provided on fatigue risk management was considered to be less than adequate when compared with the three previous issues and fatigue risk management documentation sourced from the minerals industry and the transport industry. The survey data and fitness for work procedures provided by four mines suggests that considerably more work needs to be done to recognise and address sleep quantity and quality, as well as sleepiness and fatigue experienced by shift workers while on shift and at home on rest days. There is a serious need for the Western Australian minerals industry to recognise the vital importance of sleep to shift workers during their shift schedule and rest days. There needs to be a concerted and on-going campaign by the industry to raise and maintain the awareness of sleep as a key element in fitness for duty.

Fatigue in the minerals industry of Western Australia is a greatly under-recognised issue that has serious potential consequences for shift workers at work and at home. A review of fatigue literature demonstrates the elusive nature of fatigue. It is something that most people have probably experienced at some time in their lives. It is a diffuse sensation that is accompanied by feelings of lethargy and a lack of interest in any activity. A general sensation of weariness is a major symptom of fatigue. Fatigue cannot be measured directly and subjective estimates have to be relied upon. Potentially life threatening consequences can result when shift workers perform under the influence of fatigue. Fatigue and sleepiness have the power to kill if not treated with the respect they deserve. A cross-sectional survey of five underground mines was conducted to obtain a better understanding of their fatigue risk management strategies and the views of managers and shift workers on their sleep and shift schedules. Four mines provided information on their fatigue risk management procedures. Ten underground mining crews comprising 147 shift workers provided their views by an anonymous survey questionnaire administered at each mine at the start of shift. Shift worker sleep at the five mines compared well with mines in Tasmania, New South Wales and Queensland. However, it was found that frequently waking earlier than intended was the most widely reported sleep concern for shift workers on day shift, night shift and days off. Falling asleep while on day shift and on night shift demonstrates that fatigue is an issue that can occur on day shift as well as night shift. Fatigue is not an issue that is confined to night shift. Mine fitness for work procedures focused primarily on: shift schedules, hours of work and drug and alcohol issues. The level of detail provided on fatigue risk management was considered to be less than adequate when compared with the three previous issues and fatigue risk management documentation sourced from the minerals industry and the transport industry. The survey data and fitness for work procedures provided by four mines suggests that considerably more work needs to be done to recognise and address sleep quantity and quality, as well as sleepiness and fatigue experienced by shift workers while on shift and at home on rest days. There is a serious need for the Western Australian minerals industry to recognise the vital importance of sleep to shift workers during their shift schedule and rest days. There needs to be a concerted and on-going campaign by the industry to raise and maintain the awareness of sleep as a key element in fitness for duty.

Orientador: Milva Maria Figueiredo De Martino / Dissertação (mestrado) - Universidade Estadual de Campinas. Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-16T03:33:33Z (GMT). No. of bitstreams: 1 Mendes_SandraSoares_M.pdf: 1246517 bytes, checksum: 994aa01498dfe297d7f8ac532ea47703 (MD5) Previous issue date: 2010 / Resumo: Este estudo teve como objetivo identificar os sintomas referentes ao estado geral de saúde associado ao trabalho em turnos de enfermagem e relacioná-los com a qualidade do sono. Trata-se de um estudo de natureza descritiva, quantitativa e transversal. Participaram dessa pesquisa, profissionais de diversas categorias de uma instituição hospitalar da cidade de Poços de Caldas, Minas Gerais. A população foi constituída por (n=136) profissionais de enfermagem com média de idade de 33,1 anos, 82,4% eram do sexo feminino, divididos nas seguintes categorias profissionais: enfermeiro 8,1%, técnico de enfermagem 80,9%, auxiliar de enfermagem 11,0%. Os turnos de trabalho eram os seguintes: turno diurno (7h às 19h) e noturno (19h às 07h). Os sujeitos atuavam em diversas unidades tais como Unidade de Terapia Intensiva Adulto, Unidade de Terapia Intensiva Pediátrica e Neonatal, Centro Cirúrgico, Central de Material e Esterilização, Hemodiálise, Clínica Cirúrgica, Clínica Médica, Maternidade, Pediatria, Berçário, Urgência/Emergência. Foram utilizados três instrumentos para a coleta de dados: Ficha de Características Individuais e Sócio-Demográficas, Inventário de Estado Geral de Saúde, Questionário para Avaliação do Ciclo Vigília-Sono (diário do sono). Os dados foram estatisticamente significativos pelo Teste Qui-Quadrado (p= 0,021) para a presença do sintoma de flatulência ou distensão abdominal no turno noturno. Através da análise de regressão linear múltipla os sujeitos do turno diurno que apresentaram os sintomas de má digestão e irritabilidade, tiveram pior qualidade de sono noturno. Referindo-se a qualidade do sono diurno, os sintomas que se mostraram estatisticamente significativos pelo Teste Kruskal-Wallis foram a insônia (p=0,044) e a dificuldade de concentração (p=0,048). Analisando a qualidade do sono noturno, os sintomas que mostraram dados estatisticamente significativos pelo Teste de Kruskal-Wallis foram, sensação de má digestão (p=0,023), irritabilidade (p=0,002), insônia (p=0,001), dores de cabeça (p=0,005), dificuldade de concentração (p=0,002). Os trabalhadores do turno noturno mostraram uma melhor qualidade de sono noturno em relação ao turno diurno, com diferença estatisticamente significativa pelo Teste Mann-Whitney (p=0,046). Os profissionais de enfermagem demonstraram hábitos saudáveis de vida tais como não tabagismo (91,2%), não consumo de bebida alcoólica (89,7%), não utilizam medicamentos para dormir (91,2%) e realizam atividades físicas regulares (65,4%). Este estudo sugere novas abordagens às reais necessidades de saúde dos trabalhadores de enfermagem nos turnos hospitalares, conduzindo a medidas preventivas que possam melhorar o estilo de vida tais como os hábitos de sono. / Abstract: The objective of this study was to identify the symptoms of general health state associated with shift work in nurses and to relate them to their sleep quality. This is descriptive, qualitative and cross-sectional study. Nursing staff from several categories from a hospital institution from Poços de Caldas, Minas Gerais, participated on this study. The population was compounded by nursing staff (n=136) with an average age of 33.1 years old, 82.4% were females and they were divided into the following categories: registered nurses (RN) 8.1%, technical nurses 80.9%, and assistant nurses 11.0%. Their shift works were the following: day shift (from 07:00 am to 07:00 pm) and night shift (from 07:00 pm to 07:00 am). The subjects worked on several departments such as Adult Intensive Care Units, Pediatric and Neonatal Intensive Care Units, Surgery Rooms, Sterilization Center, Hemodyalisis, Surgical and Medical Clinic, Maternity, Pediatric Department and Emergency Rooms. Three instruments were used for data collection: Socio Demographic Questionnaire, Inventory of General Health State, and Questionnaire for Assessment of Sleep-Awake Cycle (sleep diary). Chi-Square Test showed statistically significative results (p=0.021) for abdominal flatulence or distention symptoms during night shift. Through multiple linear regression analysis the subjects of the day shift who showed symptoms of bad digestion and irritability, had worse quality of nighttime sleep Regarding to diurnal sleep quality, Kruskal-Wallis Test showed statistically significative results for insomnia (p=0.044) and difficulty on concentration (p=0.048). Analyzing the nocturnal sleep quality, Kruskal-Wallis Test showed statistically significative results for feelings of bad digestion (p=0.023), irritability (p=0.002), insomnia (p=0.001) headaches (p=0.005) and difficulty on concentration (p=0.002). Night shift workers showed a better nocturnal sleep quality compared to day shift workers, showing a statistically significative difference using Mann-Whitney Test (p=0.046). Nursing staff showed healthy life habits such as: non smoking (91.2%), non alcoholic consumption (89.7%), non sleep pills (91.2%) and regular physical activities (65.4%). This study suggests new approaches to health needs of nursing staff that work on hospital shifts, leading to preventive measures in order to improve life style such as sleep habits. / Mestrado / Enfermagem e Trabalho / Mestre em Enfermagem

Orientador: Milva Maria Figueiredo De Martino / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-16T17:30:20Z (GMT). No. of bitstreams: 1 Cordeiro_AlineAvila_M.pdf: 1371992 bytes, checksum: 6417905db5a0542406954907c35b1c8a (MD5) Previous issue date: 2010 / Resumo: O objetivo da pesquisa foi avaliar as relações entre os sintomas do estado de saúde dos enfermeiros que exercem suas atividades em diferentes turnos de trabalho e o estresse que estão submetidos nos diferentes setores do hospital (centro cirúrgico, unidades de terapia intensiva, unidades de internação e emergência referenciada). A pesquisa foi realizada em um hospital público, certificado em nível 3 pela Organização Nacional de Acreditação (ONA), situado na cidade de Sumaré. A amostra foi constituída por 40 enfermeiros que foram divididos nos seguintes sistemas de turno: turno da manhã, turno da tarde e turno da noite. Foram utilizados como instrumentos para coleta de dados: Inventário de Sintomas de Estresse de Lipp e Escala do Estado de Saúde de Barton. Foram identificados os níveis de estresse, a existência de associação entre o tempo de trabalho e o local das atividades profissionais e a classificação dos principais sintomas relacionados às patologias apresentadas pelos sujeitos. Verificou - se a associação entre os níveis de estresse, idade, tempo de trabalho e o setor das atividades destes profissionais. Concluiu-se que a associação do estado de saúde e o estresse dos participantes, bem como, as alterações do sistema digestivo foram as que apresentaram diferenças estatisticamente significantes. Notou-se também que no ambiente de trabalho as ações para reduzir os sintomas de estresse devem ser voltadas para a melhoria das condições de trabalho em todos os setores de um hospital. / Abstract: The purpose of this study was to analyze the symptoms on the nursing workers' health condition, their activities in different work shifts and the daily stress in hospital. Our objective in identify the stress levels and to correlate it to time of work and the site of the professional activities, also to classify the main symptoms of pathologies in these subjects. The research was done at State Hospital of Sumaré. The nursing team was divided in the following shift system: morning, afternoon and evening shift. The following instruments for date collection were used: LIPP Scale of Stress, Health conditions questionnaire from Barton et al. It was concluded that the association of health conditions and stress as well as the changes on digestive system were the ones which showed statistically significant differences. / Mestrado / Enfermagem e Trabalho / Mestre em Enfermagem

No description available.

Shift work is commonplace in many fields that require around-the-clock employee coverage. There is ample evidence that two-tier shift work can detrimentally affect health and functioning. The purpose of this study was to understand the impact of three-tier shift schedules on physical and mental health and community functioning, a concept which refers to activities and behaviors performed by individuals or groups within a system. This study used a qualitative phenomenological design, and community functioning and recovery theory were central to the conceptual framework. In-depth interviews were used to explore the perceptions of three-tier shift workers on their functioning, relationships, mental health, physical health, and safety. Special attention was paid to sleep, using restoration theory, which indicates that sufficient sleep is necessary to avoid mental and physical breakdown. The data were organized into themes, and epoché and bracketing were used during the interviews and data analysis. The results of the study add to the literature on how three-tier shift schedules affect employees. Emergent themes included overwhelmingly negative perceptions of three-tier shift workers on their health and safety, difficulty adjusting to the three-tier shift schedule, negative impact on workers' personal lives, negative impact on workers' mental health, negative impact on workers' physical health, and negative impact on workers' performance and safety. These findings could lead to positive social change through policy creation on healthier shift schedules, which could result in healthier employees, stronger family units, and safer roads and worksites.

Background: Shift work is common in today’s society. About 75% of shift workers have problems regarding sleep and recovery. Research has investigated shift worker’s physical and psychological problems connected to poor sleep, sleep disorders and insomnia. However, little research has been made concerning prevention and treatment of negative consequences of working in shifts. Purpose: The aim of the study was to examine if there are health promoting actions that can be offered by nurses to preserve sleep quality and improve recovery in shift workers and if there is evidence if any of the actions is superior. Method: A literature review was conducted through a search for scientific original articles in PubMed and Cinahl. Twelve articles were included in the study. Results: Cognitive behavioral therapy and sleep health program can reduce symptoms of anxiety, reduce depression and increase the feeling of being well rested. Napping during night shift improved reactivity and reduced feelings of fatigue and increased recovery of function. Light therapy and treatment with melatonin had a moderate effect on alertness and a small effect on quality of sleep. Light therapy had effect regarding insomnia, depression and anxiety. Treatment with the drug Armodafinil resulted prolonged sleep, improvement in wakefulness and reduced fatigue. Armodafinil treatment was also associated with improved well-being, memory and attention. Conclusion: Options are available for treatment of physical psychological symptoms related to shift worker, but require interaction between healthcare and employers. More research is needed regarding non-pharmacological treatments suitable for a nurse interventions in primary and occupational care. The result of this study shows that treatment with Armodafinil gave the best effects. / Bakgrund: I dagens samhälle arbetar många skift. Cirka 75% av skiftarbetare lider av störd sömn och har problem med dålig sömnkvalitet och återhämtning. Mycket forskning finns gjord gällande problem som uppkommer i samband med skiftarbete men lite forskning är gjord gällande behandlingsalternativ vid symtom orsakade av skiftarbetet. Syfte: Syftet med studien var att undersöka vilka hälsofrämjande åtgärder sjuksköterskor kan erbjuda skiftarbetare vad det gäller sömnkvalitet och återhämtning samt om någon åtgärd kunde visa sig ha en bättre effekt. Metod: En litteraturstudie med sökning av vetenskapliga originalartiklar utfördes i databaserna PubMed och Cinahl och genom manuell sökning. Tolv artiklar inkluderades i studien. Resultat: Kognitiv beteendeterapi och sömnhälsoprogram kan minska ångest och depression samt öka känslan av att vara utvilad. Återhämtningsvila under nattpass förbättrade reaktionsförmågan och minskade upplevelsen av trötthet samt ökade återhämtningen. Behandling med ljusterapi och melatonin gav en måttlig effekt av vakenhet och måttligt förbättrad sömn. Ljusterapi visade sig ha effekt mot insomningsproblem, depression och ångest. Behandling med läkemedlet Armodafinil uppvisade förlängd sömn, förbättrad vakenhet och minskad trötthet. Ökat välmående, förbättrat och snabbare minne och förbättrad uppmärksamhet var också resultat av läkemedelsbehandlingen. Slutsats: Slutsatsen är att det finns olika behandlingsalternativ men det krävs ett samarbete mellan sjukvård och arbetsgivare. Sjuksköterskan är oftast den första att möte patienten och göra den första bedömningen av vilken hälsofrämjande åtgärd som behövs. Det behövs mer forskning gällande icke-farmakologiska behandlingsalternativ som en sjuksköterska inom primär- eller företagshälsovården kan utföra. Resultatet av den här studien visar att behandling med Armodafinil gav bästa effekten när det gäller sömn, återhämtning och vakenhet vid skiftarbete.

Bakgrund: Skiftarbete är en vanlig arbetsmodell för sjuksköterskor runt om i världen. Skiftarbete är dock förknippat med negativa konsekvenser så som dygnsrytmsstörning och ohälsa. Det är därför viktigt att tydligare belysa hur skiftarbete påverkar sjuksköterskor och den vård som ges. Syfte: Att beskriva skiftarbetes konsekvenser på sjuksköterskor och deras arbete. Metod: En litteraturöversikt baserad på 14 kvantitativa studier hämtade från PubMed. Använda sökord var: shift work, nurse, patient safety och fatigue. Översikten har gjorts enligt Friberg (2012a), där likheter och teman skapats utifrån studiernas resultat. Resultat: Långa och snabbroterande skift kan bidra till utbrändhet, sömnsvårigheter, fatigue och ökad misstagsfrekvens. Långa skift är trots detta uppskattat av många sjuksköterskor då det innebär kortare arbetsvecka. Det är dock av stor vikt att man får möjlighet att återhämta sig ordentligt. Diskussion: Resultatet knyts an till Kims (1987) teori om omvårdnadens domäner och skiftarbetets konsekvenser på sjuksköterskan, interaktionen och miljön diskuteras. Utformandet av hälsosamma arbetsmiljöer där sjuksköterskans och patientens säkerhet prioriteras är av stor vikt för att förebygga skiftarbetets konsekvenser. / Background: Shift work is common among nurses all over the world. It has been related to negative consequences like circadian rhythm disorders and health issues. Hence it is important to illustrate how shift work is affecting nurses and the care they are giving. Aim: To describe the consequences shift work has on nurses and their work. Method: A literature review based on 14 quantitative studies, collected from PubMed. The search terms were: shift work, nurse, patient safety and fatigue. The studies have been investigated and analyzed with influence by Friberg (2012a), where similarities and themes were identified. Results: Extended and quickly rotating shifts contributes to burnout, sleep disturbances, fatigue and elevated frequency of errors. Despite this, many nurses are satisfied with working extended shifts since it shortens their workweek. A central aspect is the opportunity to recover between shifts. Discussions: The authors discuss the results based on Kim’s (1987) theory on nursing domains, and the consequences of shift work on nurses, client-nurse interaction and environmental factors. Forming healthful work environments where the safety of both nurses and patients are prioritized are crucial to prevent negative consequences of shift work.

The life of work has undergone major changes. Globalization and liberalization is contributing to the fact that many companies often require flexibility regarding ability to work around the clock when they are hiring new staff. The fact that the health is poorer among evening and night shift workers compared to daytime workers is widely documented. The conditions for evening and night shift workers to maintain healthy habits are not considered to be good. The aim of the study was to investigate shift workers in the engineering industry’s experiences of what influences their food choices during the work shift. The study was based on a qualitative method with a phenomenological approach. Semi- structured interviews were used for collection of data. The result showed three main themes which affect the shift workers food choice. Within the themes were three factors identified: the conditions of the workplace, the ambition of balance between work and leisure and also physical and mental wellbeing. The result is not transferable to all shift workers, but the experiences that have emerged in the study are valuable to take into consideration in new sociological studies about food choice within the engineering industry. The individual at the workplace have a major responsibility for their food choice even though the design of the workplace has proven to be one of the major factors of influencing the food choice during working hours. Therefore should higher requirements be imposed on employers when it comes to health promotion linked to eating habits and the abilityof workers to make healthy food choices during work hours. / Arbetslivet har genomgått stora förändringar. Globalisering och avreglering bidrar till att företag ofta kräver arbetstidsmässig flexibilitet hos personal när de anställer. Att hälsan är sämre bland de skiftarbetare vilka  arbetar kvälls- eller nattskift jämfört med dagtidsarbetare är vida dokumenterat. Kvälls- och nattskiftsarbetarnas förutsättningar till hälsosamma vanor anses inte vara goda. Syftet med studien har varit att undersöka skiftarbetare inom verkstadsindustrins upplevelser av vad som påverkar deras matval under skiftarbetet. Studien utgick från en kvalitativ metod med fenomenologisk inriktning. Semi- strukturerade intervjuer användes som datainsamlingsmetod. Resultatet visade på tre övergripande teman som berör skiftarbetares matval. Ur dessa teman plockades tre faktorer fram: arbetsplatsens förutsättningar, strävan efter balans mellan arbete och fritid  samt fysiskt och psykiskt välmående. Resultatet är inte överförbart på alla skiftarbetare men upplevelserna vilka framkommit i studien är värdefulla att ta i beaktning i nya sociologiska studier kring matval inom verkstadsindustrin. Individen på arbetsplatsen har ett stort eget ansvar för sina matval trots att en av de största påverkansfaktorerna för matvalet visat sig vara arbetsplatsens utformning. Därför bör högre krav ställas på arbetsgivare när det kommer till hälsofrämjande arbete kopplat till matvanor och möjligheten för arbetstagare att göra hälsosamma matval under arbetstid.

I dagens samhälle är vi aktiva dygnet runt både gällande fritid och arbete. Detta innebär att det måste finnas tillgänglig arbetskraft under dygnets alla timmar, vilket medför stor påfrestning på arbetstagares biologiska dygnsrytm. De oregelbundna arbetstiderna kan inverka negativt på arbetstagarens både fysiska och psykiska hälsa. Företag kan tillsammans med lokala fackföreningar förhandla bort den lagstadgade matrasten och ersatta den med ett måltidsuppehåll vilket innebär att det ingår i arbetstiden och får nyttjas i mån av tid. Syftet med denna studie var att kartlägga de uppfattningar som arbetstagare i roterande 3-skift vid en processindustri har om måltidsuppehållet, var och när deras måltidsuppehåll tar plats och vad de äter och dricker. 15 skiftarbetare har under 6 arbetsskift vardera, fotodokumenterat vad deras födointag under måltidsuppehåll bestod av. Dessa kategoriserades genom Food-based Classification of Eating Episodes. Fotografierna visade att totala antalet ät-tillfällen var lägre under nattskiftet i jämförelse med andra skift. Skiftarbetarna intervjuades och deras utsagor genomgick en fenomenografisk analys där det framkom att deras uppfattningar om måltidsuppehållet är att det är en social tillställning som stärker gruppgemenskapen. När arbetstagarna äter en måltid sitter de oftast vid matbordet och då ”ställer man upp för varandra” så att måltiden skall kunna slutföras. Om det gäller ett mellanmål kan intaget ske vid arbetsplatsen och om något händer får de bryta och arbeta. Vidare studier behövs för att verifiera uppfattningar i andra arbetsgrupper. / In today´s society, we are active day and nights, both in leisure time and at work. This means that employees must be available at work 24-hours a day which inflict high strain on their circadian rhythms. The irregular working hours can affect negatively on the employee’s physical and mental health. Companies can, together with local unions, negotiate away the statutory dinner break and replace it with meal break, which means that it is included in working hours and should be used as time permits. The purpose of this study was to identify the perceptions of workers in rotating 3-shift, in a process industry, when and where their meal breaks take place and what they ate. 15 shift workers have during 6 shifts each, photo-documented what their meal breaks consisted of. Consumption of foods and beverages were categorized by Food-Based Classification of Eating Episodes. The photographs showed that the number of eating occasions was lower during the night shift in comparison to other shifts. Shift workers were interviewed and their statements underwent a phenomenographical analysis which revealed that their perception of the meal break is a social event as well that strengthens the group community. When the workers were having a meal, it is mostly occurred at the dinner table. The shift workers replaced each other so each one had the possibility to take a meal break. Regarding snack intakes, it could occur at their workplace and if something happened in the process, they could immediately return to work. Further studies are needed to verify the perceptions of other working groups.