Ryan Brendan, Dadashi Nastaran, Gibbs Keith
Human Factors Research Group, Faculty of Engineering, University of Nottingham, UK.
Network Rail, UK.
Ind Health. 2025 Apr 1;63(2):108-128. doi: 10.2486/indhealth.2023-0196. Epub 2024 Aug 15.
Societal demands mean that many companies operate throughout the day to provide services. The impact of night work on long-term health is not clear, but there is sufficient evidence for closer monitoring of this as a concern and industry is not sure what more they need to do about this potential problem. There are many health conditions and potential interventions to reduce risks from night working, but there is no clarity on how to design and implement intervention programmes for long-term health issues. This paper reports on a rapid review of 24 articles to examine how interventions can minimise long-term health risk from night work. The analysis has identified eight types of intervention that have been used in relation to seven types of long-term health conditions but has highlighted weaknesses in evaluation, in relation to the current knowledge of the implementation and effectiveness of the interventions for long-term health. Commentary is provided on how researchers and industry practitioners need to think about risk in different ways, improve implementation of interventions through a systemic approach to work design and organisation, and employ more participatory approaches to embed cultural change in organisations.
社会需求意味着许多公司全天运营以提供服务。夜班对长期健康的影响尚不清楚，但有足够的证据表明应密切关注这一问题，而行业并不确定针对这一潜在问题还需要采取哪些更多措施。存在许多健康状况以及降低夜班风险的潜在干预措施，但对于如何设计和实施针对长期健康问题的干预计划尚无明确方法。本文报告了对24篇文章的快速综述，以研究干预措施如何能将夜班带来的长期健康风险降至最低。分析确定了针对七种长期健康状况所采用的八种干预类型，但凸显了评估方面的弱点，涉及当前对长期健康干预措施的实施和有效性的认知。文中就研究人员和行业从业者如何需要以不同方式思考风险、通过系统性的工作设计和组织方法改进干预措施的实施，以及采用更具参与性的方法在组织中植入文化变革提供了评论。
