Shift work--problems and its impact on female nurses in Udaipur, Rajasthan India

Abstract : There is good evidence that shift work has negative effects on workers health, safety and performance. It is quite appropriate that attention is paid to this very important feature of socio-technical systems, which may adversely affect mental and physical health, social life and safety of shift workers. Research into the impact of shift work on professionals has consistently identified a range of negative outcomes in physical, psychological, and social domains (Akerstedt, 1988; Costa, Lievore, Casaletti, Gaffuri, & Folkard, 1989; Kogi, 2005; Paley & Tepas, 1994). Hospitals, the biggest employer in the health care field, employ more night shift workers than any other industry. It can therefore be inferred that in medical domain high percentage of workforce may be affected by problems related to shift work. Thus the present study will provide knowledge base for the problems faced by the female nurses. The present study was undertaken with an objective of getting an insight into the problems faced by female nurses in shift work. . It was found that the female nurses in India worked on roaster pattern of change in shift every seven days. They did not have a say in the change of duties, it could only be done on mutual grounds. Partners of younger group did not much adjust to their shift pattern this created stress among the nurses.The results showed that the female nurses in both the age groups i.e. 30-45 years and 45-60 years faced many problems related to health and well being, fatigue, social and domestic situations. They could not give much time to their children in particular. Travelling in nights was risky for them. Common problem was the insufficient sleep during night shifts. The nurses had to cater to the needs of the family, children in particular along with the adjustments to be made due to shift work. They had to sometimes do the night duties and attend social functions as a part of their duty. Children and husband in some cases did not cooperate this lead to frustration. When asked as to whether they would could shift job if they get regular one more than 50 % said yes this means that there need to be come training and intervention for the shift workers and their family so that the problems faced and their impact on personal health of the female nurses could be reduced.     

Administrative rationality and coping strategies in shift work

Shift work (SW) can affect worker health and productivity. Working at night, workers often accumulate fatigue and are less productive. In Brazil, laws have been drafted aiming to reduce night work and rotating shift hours. In order to slash costs, companies have been looking for new arrangements to improve productivity under these conditions. The purpose of this study was to examine management changes and their outcomes in a large glass factory located in an industrial region of Brazil. The results show that the management, seeking equal productivity among shifts, focused its efforts mainly on distributing employee expertise. The arrangement resulted in 12 different groups that combine to serve three fixed shifts. A same shift can be served by more than one group, and the members of a same group share days off on different days. There was no statistically significant productivity difference among the three shifts. The on-site examination showed that part of the production was held by the workers and transferred to the next shift in order for them to be able to meet the management's performance rate requirements. The finding shows how a Brazilian cultural trait (resistance without conflict) is used to drive coping in SW.     

Preparing,Working, Recovering: Gendered Experiences of Night Work among Women and their Families

The negative physiological consequences of night work are well evidenced, but there has been limited research on the gendered consequences of night work for partnered women with children. This paper examines women's experiences of night work by drawing on qualitative interview and audio sleep diary data with 20 UK female nurses working non‐regular rotating shifts, together with interview and diary data from their male partners and children. The analysis shows how the lived experience of women's night work is characterized by three phases, which we discuss within a timescape perspective. Alongside changes to paid work and sleep during the period of night shifts, the ‘preparation’ and ‘recovery’ phases of women's night work involve intense periods of considerable additional unpaid and unrecognized work and anxiety. Gendered expectations for household management and family wellbeing mean that women night workers undertake considerable responsibility for complex planning before night shifts begin, and re‐enter established domestic routines within hours after night shifts end. Women maintain continuity for their families by actively managing the impacts of night work. This enables the fulfilment and ‘display’ of successful and normative gendered patterns of domestic responsibility, which appears to be central to women's own coping with night shifts.     

Evaluation of the impact of shiftwork and chronotype on the workers of the imprint and cutting/welding sectors of a flexible packaging manufacturer

This article presents a study on the impact of shiftwork and chronotype on the perception of the work conditions, workload and adjustment to shiftwork by the workers of two sectors of a flexible packaging manufacturer, which operates in three fixed shifts. The workers are allocated in one of the shifts (morning, evening and night shifts) without evaluation of their chronotype and/or social needs. The workers' evaluation of the shift system and their work show that they prefer a fixed shift and to work in a shift compatible with their chronotype. The workers with chonotype uncompatible with the shift time tend to be less satisfied with the work conditions and content and feel more discomfort/pain.     

Shift work,father engagement,and the cognitive development of young children

The present study investigates whether the effect of fathers’ positive engagement on young children’s cognitive development is accentuated when one or both dual-earner parents is employed during nonstandard hours. Longitudinal regression models are fitted to three waves of nationally representative data from the Early Child Longitudinal Study-Birth Cohort. Father engagement when children are nine months old has an especially positive effect on children’s cognitive ability at age two when the father works during the day and the mother has a fixed evening or night shift. There are no interactions between shift work and engagement at age two in the whole sample, but subgroup analyses show that engagement has an especially strong effect on children who have a non-parent caregiver if both parents are shift workers. The results highlight the important role fathers play in couples with a shift worker, and provide a rationale for efforts to encourage and support their involvement.     

Shift Work,Role Overload,and the Transition to Parenthood

This article examines how the work hours, work schedules, and role overload of working‐class couples are related to depressive symptoms and relationship conflict across the transition to parenthood. Data are from 132 dual‐earner couples interviewed 5 times across the transition. Multilevel modeling analyses revealed that working evening or night shifts, as opposed to day shifts, was related to higher levels of depressive symptoms. For mothers only, working rotating shifts predicted relationship conflict. Increases in role overload were positively related to both depression and conflict; working a nonday shift explained variance in depression and conflict above and beyond role overload. Results suggest that for new parents, working nonday shifts may be a risk factor for depressive symptoms and relationship conflict.     

Parental Work Schedules and Children's Cognitive Trajectories

Previous work has shown an association between mothers' nonstandard work schedules and children's well-being. We built on this research by examining the relationship between parental shift work and children's reading and math trajectories from age 5/6 to 13/14. Using data (N=7,105) from the National Longitudinal Survey of Youth and growth curve modeling, we found that children's math and reading trajectories were related to parents' type of nonstandard shifts (i.e., evening, night, or variable). We found that having a mother who worked more years at a night shift was associated with lower reading scores, having a mother work more years at evening or night shifts was associated with reduced math trajectories, and having a father work more years at an evening shift was associated with reduced math scores. Mediation tests suggest that eating meals together, parental knowledge about children's whereabouts, and certain after-school activities might help explain these results.     

Constructing motherhood on the night shift: “Working mothers” as “stay-at-home moms”

Based on in-depth interviews with hospital nurses, this article examines the way in which employed women with children use the night shift to support a construction of motherhood which closely resembles that of mothers who are not in the labor force. Interview data reveal that a salient function of night shift work is the reconciliation of some of the structural and conceptual incompatibilities of being “working mothers.” Night-shift nurses construct themselves as “stay-at-home moms” by limiting the public visibility of their labor force participation, by involving their children and themselves in symbolically-invested activities, and by positioning themselves in the culturally-appropriate place and time: at home, during the day. All of these strategies work to highlight their visibility as mothers. An earlier version of this article was presented at the American Sociological Association Annual Meeting, August 13–17, 1993, Miami Beach, Florida. Funds for this research were provided in part by the University of California and by the National Institute of Child Health and Human Development.     

Effects of government policies on the work of home care personnel and their occupational health and safety

The health sector in Québec (Canada) is dealing with profound macro-economic and macro-organizational changes. This article is interested in the impact of these changes on the work of home health aides (HHAs) and home care nurses and their occupational health and safety (OHS). The study was carried out in the home care services (HCS) of four local community service centres (CLSC) with different organizational characteristics. It is based on an analysis by triangulation of 66 individual and group interviews, 22 observed workdays and 35 observed multidisciplinary or professional meetings, as well as on administrative documents. HHAs are experiencing an erosion of their job because the relational and affective aspects of their work are disappearing. This may be due to an increase in their physical workload, leading to an increase in musculoskeletal problems and, to a lesser extent, in psychological health problems. Nurses are seeing an increase in the volume of invisible work that they have to do, which also has the effect of decreasing the relational aspects of their activity. The increasingly numerous psychological health problems are the consequence of this change in their profession. This study also shows that managers' decisions at the local level can reduce or increase the work constraints of HHAs and nurses. Examples of good practices for HHAs are the stabilization of clienteles and the possibility of organizing their itinerary, while for nurses, it is in how clientele follow-up tools are implemented. This article discusses the effects of government policies and decisions on the work and OHS of home care personnel. To address this subject, we use a specific analysis of the workload of home health aides (HHAs) and nurses. We will show the relationships between managers' organizational choices to respond to governmental constraints and the resulting work changes. We will also look at their consequences on occupational health and safety (OHS) and on the work of different personnel.     

Evening and night work schedules and children's social and emotional well-being

ABSTRACT

An emerging body of evidence shows that parents’ non-standard work schedules have a detrimental effect on children's well-being. However, only a limited number of studies have investigated mediating factors that underpin this association. Likewise, only a few studies have examined the impact of fathers’ non-standard work schedules on children's well-being. Based on data from the Families in Germany Study (FiD), this study aimed to address these research gaps. The sample consists of parents and their children at ages 7–8 and 9–10 (n?=?838 child observations in dual-earner families). The data were collected in the years 2010–2013. Non-standard work hours were defined as working in evenings and or at night (every day, several times a week, or changing as shifts). Children's social and emotional well-being was measured with the Strengths and Difficulties Questionnaire (SDQ). The findings show that both mothers’ and fathers’ evening and night work schedules are linked to an increase in children's externalizing and internalizing behavior and that this association is partially mediated by mothers’ and fathers’ harsh and strict parenting, with a stronger mediation effect for fathers parenting.     

Analysis of the workload imposed on the workers of the imprint and cutting/welding sectors of a flexible packaging manufacturer

This article presents a study on the evaluation of the workload imposed to workers of two sectors of a flexible packaging manufacturer that operates in three shifts. The workers are allocated in one of the shifts (morning, evening and night shifts) without evaluation of their chronotype and/or social needs. The Imprint sector has a more dynamic work, which is done only by man due to the effort demanded by handling loads. The work in the Cutting/Welding sector is static, done mainly by women. The results showed that the overall workload was the same in the Imprint and Cutting/Welding sectors, because physical effort for load handling is higher in the former but the latter involves high static load. The levels of urinary catecholamines and salivary cortisol were consistent with the workers biological clock showing that none of the workers changed his/her biological cycle to accommodate to the time of the shift schedule.     

The relationship of maternal work characteristics to childcare type and quality in rural communities

Drawing on data from the Family Life Project collected in North Carolina and Pennsylvania, this paper examines the relationship between maternal work characteristics and childcare type and quality in rural communities. Research is limited on the childcare experiences of rural families. Rural areas have less access to formal childcare and families often commute long distances for work, restricting childcare options. Employed mothers using childcare were selected (n=441). Logistic and OLS regression was used to examine which characteristics, including workplace support, objective occupational measures, hours, wage, and shift, predicted care type and quality. Results indicated that most families were using informal care. Those with more hazardous work conditions and working night shifts were less likely to use centers. Higher quality care was related to more workplace support, center use, and higher wages. Implications for social policy and practice are discussed.     

The fourth shift: exploring the gendered nature of sleep disruption among couples with children

The study of sleep has been neglected within sociology, yet may provide insights into fundamental aspects of the nature of gender inequalities. This article examines how, for couples with children, sleep is influenced by the gendered nature of caring. A key concern is not only who gets up to care for children's physical needs at night, but whether this changes with women's increased role in the labour market. Of concern also is how changes in the nature of caring for older children, as opposed to young children, may impact on parents' sleep. This article analyses qualitative data from an ESRC funded multi-disciplinary project on couples' sleep based on in-depth audio-tape recorded interviews with 26 couples (aged 20-59) with younger and older children. Additionally, one week's audio sleep diaries were completed and follow up in-depth interviews were undertaken with each partner on an individual basis. Physical and emotional care for young children at night was largely provided by women, with a lack of explicit negotiation between partners about who provides this care, even when women return to employment. Thus, considerably more women than men continued their daytime and evening shifts, as well as undertaking an ongoing third shift of sentient activity for their family, into the night. This resulted in a fourth night-time shift where physical caring, and sentient activities continued. As a consequence, women were more likely to subjugate their own sleep needs to those of their family. Fathers did not, in general, undertake this fourth night-time shift. Those that did were more likely to be the fathers of young adult children who were staying out late at night, with the focus of their concerns being the safety of their children.     

TEENAGE RISKY BEHAVIOR AND PARENTAL SUPERVISION: THE UNINTENDED CONSEQUENCES OF MULTIPLE SHIFTS SCHOOL SYSTEMS

We study the relationship between attending high school at night and the probability of engaging in risky behavior, such as having unsafe sex or consuming substances. To address potential endogeneity concerns we take advantage of a random assignment of high school students to daytime and night shifts in the city of Buenos Aires. Using an original survey on students attending their last year of high school, we find that girls attending high school in the evening start having sex at an earlier age and present a higher probability of getting an abortion. We find no significant differences for substance use. Our experimental approach suggests that the link between high school shift and risky behavior is causal. Results hold when we use an alternative sample of alumni. Finally, we report evidence that the lack of parental supervision is the mechanism underlying our results. (JEL I12, I25, J13)     

Lifestyle, harassment at work and self-assessed health of female flight attendants, nurses and teachers

Health-related lifestyle, harassment at work, and self-assessed health of female flight attendants in comparison to that of female nurses and female primary school teachers were surveyed. A higher proportion of flight attendants than nurses or teachers were smokers, 26% vs. 15% and 17% respectively; and consumed alcohol at least once a week, 40% vs. 21% and 16%. Repeated sexual harassment at work was more common among the flight attendants, 31% vs. 8% and 4%; whereas bullying, physical violence and threats were less prevalent among the flight attendants (12%) than among nurses (19%). Flight attendants were on average somewhat taller, but weighed on average less, 63.8 kg vs. 72.4 kg and 72.7 kg respectively. Repeated exposure to sexual harassment, bullying, violence and threats was related to less physical and psychological well-being in all the groups. Teachers scored on average significantly lower than did the flight attendants on general health and physical well-being, while nurses did not.     

Promoting work ability and well-being in hospital nursing: the interplay of age, job control, and successful ageing strategies

Previous research shows that work ability of nurses decreases with age. In our study we therefore addressed the following questions: Do successful ageing strategies at work in terms of selection, optimization, and compensation (SOC) support the work ability of nurses? Does SOC mediate the relationship between job control (i.e., decision opportunities at work) and work ability? Does the mediation differ between age-groups? 438 nurses (Age Range 21-63 years) completed a questionnaire in the course of an employee survey. Results show that SOC is positively related with work ability. The positive effect of job control on work ability is significantly mediated by SOC. There are stronger mediating effects for elder nurses than for younger nurses. Results indicate that the interplay of job control and SOC at work helps to maintain the work ability of nurses in nursing care.     

Metabolic impact of shift work

In developing countries, shift work represents a considerable contingent workforce. Recently, studies have shown that overweight and obesity are more prevalent in shift workers than day workers. In addition, shift work has been associated with a higher propensity for the development of many metabolic disorders, such as insulin resistance, diabetes, dislipidemias and metabolic syndrome. Recent data have pointed that decrease of the sleep time, desynchronization of circadian rhythm and alteration of environmental aspects are the main factors related to such problems. Shortened or disturbed sleep is among the most common health-related effects of shift work. The plausible physiological and biological mechanisms are related to the activation of the autonomic nervous system, inflammation, changes in lipid and glucose metabolism, and related changes in the risk for atherosclerosis, metabolic syndrome, and type II diabetes. The present review will discuss the impact of shift work on obesity and metabolic disorders and how disruption of sleep and circadian misalignment may contribute to these metabolic dysfunctions.     

A social work re-reading of students as consumers

The concept of student as consumer highlights significant shifts in what Canadian students pay for their education and how this transition has shaped their relationship with learning as well as their overall expectations for, and participation in, the project of higher learning. Consumerism in social work education reflects broader trends towards academic capitalism in Canadian universities and is a result of neoliberal ideology reshaping higher education. In this paper, we explore student and faculty participants’ reflections on the impact of consumerism on progressive social work education, exploring how participants use the term to make sense of their experiences and how doing so reshapes progressive social work education itself.     

Gender, Nonstandard Work Schedules, and Marital Quality

Relatively few studies have focused on the effects of working late and rotating shifts on marital dynamics. This study addressed the limitations of prior studies by sampling from a sector of the economy (i.e., grocery and drug store workers) where shift work and rotating schedules were common, and by controlling for numerous accompanying disruptive effects of shift work on marital quality. Results show that working late shifts reduces marital quality among men, whereas among women, job-family spillover explained away marital quality effects of working rotating schedules. These results suggest that more than men, women remain largely responsible for family life irrespective of work schedules, yet further research on how family lives are affected by work schedules is needed.     

Women's working conditions in hospital cleaning: a case study

Hospital cleaning work, as health care work, is mainly performed by women all over Europe. Hospital cleaning activities represent a poorly studied sector although very important also for patient's health. We applied the Method of Organizational Congruencies to study cleaning work in three typical hospital units (Emergency Room, Haematology, General Medicine) of a roman University hospital where 198 women cleaners work. We analyzed the 731 technical actions performed in the three shifts and the related Organizational Constraints (OC). Working outsourcing, no occupational risks training, washing personal equipment at home, standing, long walking, early morning and night shift in emergency room, high monotony (>10 actions per hour) contact with biological and chemicals materials, risk conditions of accidents, artificial lights, hot microclimate and working in a cure setting represent the main Organizational Constraints. Differences among the three Units are discussed together with the importance of considering cleaning hospital as a preventive action towards hospital clinical risk.