Shiri Rahman, Karhula Kati, Turunen Jarno, Koskinen Aki, Ropponen Annina, Ervasti Jenni, Kivimäki Mika, Härmä Mikko
Finnish Institute of Occupational Health, 00250 Helsinki, Finland.
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden.
Healthcare (Basel). 2021 Oct 16;9(10):1385. doi: 10.3390/healthcare9101385.
Shift workers are at increased risk of health problems. Effective preventive measures are needed to reduce the unfavourable effects of shift work. In this study we explored whether use of digital participatory working time scheduling software improves employee well-being and perceived workability by analysing an observational cohort study as a pseudo-experiment. Participants of the Finnish Public Sector cohort study with payroll records available between 2015 and 2019 were included (N = 2427). After estimating the propensity score of using the participatory working time scheduling software on the baseline characteristics using multilevel mixed-effects logistic regression and assigning inverse probability of treatment weights for each participant, we used generalised linear model to estimate the effect of using the participatory working time scheduling software on employees' control over scheduling of shifts, perceived workability, self-rated health, work-life conflict, psychological distress and short sleep (≤6 h). During a 2-year follow-up, using the participatory working time scheduling software reduced the risk of employees' low control over scheduling of shifts (risk ratio [RR] 0.34; 95% CI 0.25-0.46), short sleep (RR 0.70; 95% CI 0.52-0.95) and poor workability (RR 0.74; 95% CI 0.55-0.99). The use of the software was not associated with changes in psychological distress, self-rated health and work-life conflict. In this observational study, we analysed as a pseudo-experiment, the use of participatory working time scheduling software was associated with increased employees' perceived control over scheduling of shifts and improved sleep and self-rated workability.
轮班工作者面临的健康问题风险更高。需要有效的预防措施来减少轮班工作的不利影响。在本研究中,我们通过将一项观察性队列研究分析为一项准实验,探讨了使用数字参与式工作时间安排软件是否能改善员工的幸福感和工作可接受性。纳入了芬兰公共部门队列研究中在2015年至2019年期间有工资记录的参与者(N = 2427)。在使用多级混合效应逻辑回归根据基线特征估计使用参与式工作时间安排软件的倾向得分,并为每个参与者分配治疗权重的逆概率后,我们使用广义线性模型来估计使用参与式工作时间安排软件对员工轮班安排控制、工作可接受性、自评健康、工作与生活冲突、心理困扰和短睡眠(≤6小时)的影响。在为期2年的随访期间,使用参与式工作时间安排软件降低了员工对轮班安排控制不足的风险(风险比[RR] 0.34;95%置信区间0.25 - 0.46)、短睡眠风险(RR 0.70;95%置信区间0.52 - 0.95)和工作可接受性差的风险(RR 0.74;95%置信区间0.55 - 0.99)。软件的使用与心理困扰、自评健康和工作与生活冲突的变化无关。在这项观察性研究中,我们将其作为准实验进行分析,使用参与式工作时间安排软件与员工对轮班安排的感知控制增加以及睡眠和自评工作可接受性改善有关。