Buja Alessandra, Zampieron Alessandra, Mastrangelo Giuseppe, Petean Marco, Vinelli Angela, Cerne Diana, Baldo Vincenzo
Department of Molecular Medicine, Laboratory of Public Health and Population Studies, Padua University, Padua, Italy,
Int J Occup Med Environ Health. 2013 Aug;26(4):511-21. doi: 10.2478/s13382-013-0122-2. Epub 2014 Jan 25.
The study investigated whether nurses' different working schedules are associated with different levels of job-related 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.
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.
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.
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.
本研究调查护士不同的工作时间表是否与不同程度的工作相关压力、健康症状及行为有关。在相关文献中，尚未有关于轮班工作与护士工作相关压力之间可能存在关联的报道。
这是一项在意大利东北部一家大型大学医院进行的横断面研究，涉及选定科室的806名护士。采用多水平逻辑回归分析来评估轮班条件与选定结果之间的关联。
夜班不仅与高工作需求的较高几率相关，还与高决策自主权的较低几率相关，因此与更高水平的工作压力（高工作需求得分≥38且低决策自主权）的更强可能性相关。夜班与各种症状相关，尤其是疲惫（p = 0.039）和胃痛（p = 0.020）。护士的工作时间表并未影响他们的工作满意度得分。
已证实夜班是影响护士健康认知的一个风险因素，并且值夜班带来相当程度的压力。这是医院护理管理层需要仔细考虑的一种情况，以避免护理人员倦怠，并防止该行业出现过高的人员流动率，而人员流动率过高是医疗机构反复出现的一个问题。
