Finnish Institute of Occupational Health (TYÖTERVEYSLAITOS), P.O.Box 40, 00032 Helsinki, Finland; Jyväskylä University School of Business and Economics, Jyväskylä, Finland.
Finnish Institute of Occupational Health (TYÖTERVEYSLAITOS), P.O.Box 40, 00032 Helsinki, Finland.
Int J Nurs Stud. 2020 Dec;112:103716. doi: 10.1016/j.ijnurstu.2020.103716. Epub 2020 Jul 14.
Participatory working time scheduling is a collaborative approach to scheduling shift work. As a potential way of improving work time control, it may provide a means to reducing sickness absence in shift work. So far, experimental and quasi-experimental studies on the effects of increased work time control on sickness absence are lacking.
To investigate the effects of using digital participatory working time scheduling software on ward-level sickness absence among Finnish hospital employees.
This quasi-experimental study compared the amount of sickness absence in hospital wards using a participatory working time scheduling software (n=121 wards) and those continuing with traditional working time scheduling (n=117 wards) between 2014 and 2017. We used continuous panel data from 238 hospital wards with a total number of 9000 hospital employees (89% of women, primarily nursing staff). The ward-level measures consisted of number of employees, working hours, sickness absence spells per employee, and short (1-3) sickness absence days per employee. Two-way fixed effects and event study regressions with clustered standard errors were used to estimate the effect of using participatory scheduling software on sickness absence.
Sickness absence spells and short (1-3) sickness absence days decreased by 6% and 7%, respectively in the wards using participatory scheduling compared to those using traditional scheduling. The effect became stronger as the time measured in quarters of using the participatory working time scheduling software increased.
The effects of using participatory working time scheduling software indicated less ward-level sickness absence measured as spells and days in comparison to continuing with traditional scheduling. The encouraging findings are relevant not only to the health care sector but also to other sectors in which irregular shift work is a necessity. This study was registered with ClinicalTrials.gov (NCT02775331) before starting the intervention phase.
参与式工作时间安排是一种协作式的排班方法。作为一种改善工作时间控制的潜在方法，它可能为减少轮班工作中的缺勤提供一种手段。到目前为止，关于增加工作时间控制对缺勤影响的实验和准实验研究还很缺乏。
调查在芬兰医院员工中使用数字式参与式工作时间安排软件对病房级缺勤的影响。
这项准实验研究比较了 2014 年至 2017 年期间使用参与式工作时间安排软件的医院病房（n=121 个病房）和继续使用传统工作时间安排的病房（n=117 个病房）的缺勤情况。我们使用了来自 238 个病房的连续面板数据，这些病房共有 9000 名医院员工（89%为女性，主要是护理人员）。病房级别的衡量指标包括员工人数、工作时间、每个员工的缺勤天数和每个员工的短（1-3）天缺勤天数。我们使用双向固定效应和事件研究回归，并使用聚类标准误差来估计使用参与式排班软件对缺勤的影响。
与使用传统排班的病房相比，使用参与式排班的病房的缺勤天数和短（1-3）天缺勤天数分别减少了 6%和 7%。随着使用参与式工作时间安排软件的季度数的增加，效果变得更强。
与继续使用传统排班相比，使用参与式工作时间安排软件的效果表明病房级别的缺勤减少，表现在缺勤天数和缺勤天数上。这一令人鼓舞的发现不仅对医疗保健部门具有重要意义，对其他需要轮班工作的部门也具有重要意义。本研究在开始干预阶段之前在 ClinicalTrials.gov（NCT02775331）注册。
