Are long nursing shifts on hospital wards associated with sickness absence? A longitudinal retrospective observational study
Are long nursing shifts on hospital wards associated with sickness absence? A longitudinal retrospective observational study
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DOI：
10.1111/jonm.12643
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发表时间：
2019-01-01
影响因子：
5.5
通讯作者：
Griffiths, Peter
中科院分区：
文献类型：
--
作者：
Dall'Ora, Chiara;Ball, Jane;Griffiths, Peter
目的探讨轮班工作12小时是否与注册护士和健康护理助理病假增加有关。背景先前的研究报告了护士12小时轮班的负面影响；然而，这些研究使用横断面技术和主观护士报告的数据。方法采用英国一家急诊医院32个普通病房常规收集的数据进行回顾性纵向研究。我们使用广义线性混合模型来探索轮班模式和随后发生的短期(=7天)病假之间的关联。结果我们分析了601,282个班次和8,090个不同的病假事件。当在过去7天工作超过75%的轮班时间为12小时时，与不工作相比，短期(调整后的优势比=1.28；95%可信指数：1.18-1.39)和长期疾病发作(调整后的优势比=1.22；95%可信指数：1.08-1.37)的几率都增加了。结论在医院病房长时间轮班工作会增加注册护士和护理助理的病假风险。对护理管理的影响：长时间轮班的高病假率可能会导致医院的额外成本或生产力损失。应避免实施常规的长时间轮班。
Objective To investigate whether working 12 hr shifts is associated with increased sickness absence among registered nurses and health care assistants. Background Previous studies reported negative impacts on nurses' 12 hr shifts; however, these studies used cross-sectional techniques and subjective nurse-reported data. Methods A retrospective longitudinal study using routinely collected data across 32 general inpatient wards at an acute hospital in England. We used generalized linear mixed models to explore the association between shift patterns and the subsequent occurrence of short (= 7 days) sickness absence. Results We analysed 601,282 shifts and 8,090 distinct episodes of sickness absence. When more than 75% of shifts worked in the past 7 days were 12 hr in length, the odds of both a short-term (adjusted odds ratio = 1.28; 95% confidence index: 1.18-1.39) and long-term sickness episode (adjusted odds ratio = 1.22; 95% confidence index: 1.08-1.37) were increased compared with working none. Conclusion Working long shifts on hospital wards is associated with a higher risk of sickness absence for registered nurses and health care assistants.Implications for Nursing Management: The higher sickness absence rates associated with long shifts could result in additional costs or loss of productivity for hospitals. The routine implementation of long shifts should be avoided.