The Effects of Work-Family Balance and Health on Work Environment and Family Responsibility in Nursing with Shift Work.

本研究旨在探讨管理、制度与组织工作环境的组合对倒班工作家庭平衡的影响。为了解倒班对护士身心健康的影响，对护士进行了问卷调查。调查对象是首都圈的政府医院、再生会医院和红十字会医院。通过工会向候选医院发放问卷，有效回答3416人（有效回答率为26.2%），明确了夜班、加班等工作时间、老板对劳动者的看法、与老板的交涉、工作时的组织氛围等对工作家庭平衡也有很大影响。这些强烈反映了老板的性别观点。在与工作家庭平衡相关的家庭责任感方面，家庭支持（包括夜班托儿制度）的存在与否对家庭责任感有显著影响。考虑到工作环境与家庭责任之间的关系，有人提出，工作场所的性别问题可能导致家庭责任状况的问题。综上所述，虽然我们已经明确了男女保持工作与家庭平衡的紧迫性和重要性，以找到工作环境、家庭环境和社会环境的维护方法，但我们对工作与家庭平衡的婚姻规则知之甚少。我们将阐明轮班工作对婚姻家庭责任的影响。发展有效的支持系统，缓解轮班工作和家庭生活的双重负担，可以解决和改善家庭责任状况的问题。

This study was aimed to clarify the combinations of managerial, institutional and organizational working environment at the shift-work to influence the work-family balance. In order to examine the influence on physical and mental health of shift workers, we conducted the survey targeting nurses. The objects for investigation were the government hospital, the Saiseikai hospital, and Red Cross hospital in the metropolitan area. Question paper was distributed to the candidate hospital through the labor union, and the number of valid response was 3416 persons (the valid response rate : 26.2%).It was clarified that the working hours including night shift frequency and overtime work, the boss's perspective for labor, the negotiation to a boss, the organizational climate at work, etc. had also influenced strongly the work-family balance. These strongly reflected the boss's perspective for gender. About the state of responsibility at family related to the work-family balance, it influenced strongly the degree whether family's supports including the child-care system on night shift existed or not. Considering of the relation between work environment and family responsibility, it was suggested a possibility of the problem of the gender at workplace had caused the problem of the state of the family responsibility at home. From the above, though it was clarified that it is urgent and important to maintain work-family balance with man and woman in order to find out the maintenance method of work environment, family environment, and social environment, we had little understanding of the marital rule about work-family balance. We will clarify the influence of shift work marital family responsibility. Developing an effective support system which eases the dual load of the shift work and the family life, we can solve and improve the problem the state of the family responsibility at home.