D'Ettorre G, Vullo A, Pellicani V, Ceccarelli G
Department of Occupational Medicine, Unit of Occupational Prevention and Protection, Local Health Authority, Brindisi, Italy.
Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Italy.
Ann Ig. 2018 Jul-Aug;30(4):297-306. doi: 10.7416/ai.2018.2221.
The safety and health of healthcare workers employed in twenty-four-hour hospital wards and exposed to rotational shiftwork (RS), including night shift, is an hot topic of international literature; in fact shift workers incur increased rates of burnout, accidents and injuries, absenteeism and, consequently, reduced work efficiency than non-shift workers. The aims of the present study were: 1) to analyze the occupational risk associated with RS in healthcare sector and 2) to detect the consequent interventions effective in minimizing RS risk.
The authors designed a questionnaire entitled Rotating Shiftwork Questionnaire (RSQ) which is made up of two sections: 1) Sentinel Events; 2) Risk Factors. The authors used the RSQ to evaluate the RS-Risk among homogeneous groups employed in a twenty-four-hour hospital department.
Results. The authors found a medium level of risk among all homogeneous groups. The analysis led to suggest organizational interventions for reducing the sources of RS-risk among healthcare workers.
The proposed questionnaire revealed effective in approaching the assessment of RS-risk; the findings were also useful in prioritizing and implementing strategic interventions aimed to moderate the occupational risk related to RS.
在24小时医院病房工作且面临包括夜班在内的轮班工作(RS)的医护人员的安全与健康是国际文献中的一个热门话题;事实上,与非轮班工人相比,轮班工人出现倦怠、事故和伤害、旷工的比率更高,因此工作效率降低。本研究的目的是:1)分析医疗部门与轮班工作相关的职业风险;2)找出能有效降低轮班工作风险的相应干预措施。
作者设计了一份名为《轮班工作调查问卷》(RSQ)的问卷,该问卷由两部分组成:1)哨点事件;2)风险因素。作者使用RSQ评估在一个24小时医院科室工作的同类群体中的轮班工作风险。
作者在所有同类群体中发现了中等程度的风险。该分析结果表明需要采取组织干预措施以减少医护人员中轮班工作风险的来源。
所提出的问卷在评估轮班工作风险方面显示出有效性;研究结果对于确定旨在降低与轮班工作相关的职业风险的战略干预措施的优先级并予以实施也很有用。