Øystein Vedaa1,2,3, Anette Harris4, Eilin K Erevik4, Siri Waage5,6, Bjørn Bjorvatn5,6, Børge Sivertsen7,8,9, Bente E Moen5, Ståle Pallesen4,6. 1. Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway. oystein.vedaa@ntnu.no. 2. Department of Health Promotion, Norwegian Institute of Public Health, Zander Kaaes gate 7, 5018, Bergen, Norway. oystein.vedaa@ntnu.no. 3. Division of Mental Health Care, Department of Østmarka, St. Olavs University Hospital, Trondheim, Norway. oystein.vedaa@ntnu.no. 4. Department of Psychosocial Science, University of Bergen, Bergen, Norway. 5. Department of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Bergen, Norway. 6. Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway. 7. Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway. 8. Department of Health Promotion, Norwegian Institute of Public Health, Zander Kaaes gate 7, 5018, Bergen, Norway. 9. Department of Research and Innovation, Helse Fonna HF, Haugesund, Norway.
Abstract
PURPOSE: The aim of this study was to examine whether less than 11 h between shifts (i.e., quick returns, QRs) and night shifts is associated with self-reported work-related accidents, near accidents or dozing off at work in a sample of nurses. METHODS: The study was based on cross-sectional data from 1784 nurses (response rate = 60%; mean age = 40.1 years, SD = 8.4; 91% female). Negative binomial regression analyses were conducted to investigate the association between the shift exposures, and eight different self-reported work-related items on accidents, near accidents and dozing off at work, controlling for demographics and work factors. RESULTS: The number of QRs during a year was positively associated with seven of the eight items on work-related accidents, near-accidents and dozing off at work, and number of night shifts was positively associated with five items. Some of the key findings were that QRs were associated with nurses causing harm to themselves (incidence rate ratio [IRR] = 1.009; 95% CI = 1.005-1.013), causing harm to patients/others (IRR = 1.006; 95% CI = 1.002-1.010) and causing harm to equipment (IRR = 1.004; 95% CI = 1.001-1.007); while night shifts were associated with nurses involuntarily dozing off at work (IRR = 1.015; 95% CI = 1.013-1.018), dozing off while driving to/from work (IRR = 1.009; 95% CI = 1.006-1.011), and harming patients/others (IRR = 1.005; 95% CI = 1.001-1.009). CONCLUSION: QRs and night shifts were both associated with the self-reported work-related accidents, near-accidents and dozing off at work. Studies that can establish the causal relationship between QRs and accidents are called for.
PURPOSE: The aim of this study was to examine whether less than 11 h between shifts (i.e., quick returns, QRs) and night shifts is associated with self-reported work-related accidents, near accidents or dozing off at work in a sample of nurses. METHODS: The study was based on cross-sectional data from 1784 nurses (response rate = 60%; mean age = 40.1 years, SD = 8.4; 91% female). Negative binomial regression analyses were conducted to investigate the association between the shift exposures, and eight different self-reported work-related items on accidents, near accidents and dozing off at work, controlling for demographics and work factors. RESULTS: The number of QRs during a year was positively associated with seven of the eight items on work-related accidents, near-accidents and dozing off at work, and number of night shifts was positively associated with five items. Some of the key findings were that QRs were associated with nurses causing harm to themselves (incidence rate ratio [IRR] = 1.009; 95% CI = 1.005-1.013), causing harm to patients/others (IRR = 1.006; 95% CI = 1.002-1.010) and causing harm to equipment (IRR = 1.004; 95% CI = 1.001-1.007); while night shifts were associated with nurses involuntarily dozing off at work (IRR = 1.015; 95% CI = 1.013-1.018), dozing off while driving to/from work (IRR = 1.009; 95% CI = 1.006-1.011), and harming patients/others (IRR = 1.005; 95% CI = 1.001-1.009). CONCLUSION: QRs and night shifts were both associated with the self-reported work-related accidents, near-accidents and dozing off at work. Studies that can establish the causal relationship between QRs and accidents are called for.
Entities:
Keywords:
Accidents; Dozing off; Injury; Near accidents; Night shifts; Quick returns
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