The association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries: A 4-year prospective cohort study among healthcare workers

OBJECTIVE: This study aimed to find out whether utilizing a shift schedule evaluation tool with ergonomics recommendations for working hours has favorable effects on the incidence of occupational injuries. METHODS: This 4-year prospective cohort study (2015–2018) consisted of a dynamic cohort of hea...

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Main Authors: Rahman Shiri, Jarno Turunen, Kati Karhula, Aki Koskinen, Mikael Sallinen, Annina Ropponen, Jenni Ervasti, Mikko Härmä
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2023-03-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=4068
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author Rahman Shiri
Jarno Turunen
Kati Karhula
Aki Koskinen
Mikael Sallinen
Annina Ropponen
Jenni Ervasti
Mikko Härmä
author_facet Rahman Shiri
Jarno Turunen
Kati Karhula
Aki Koskinen
Mikael Sallinen
Annina Ropponen
Jenni Ervasti
Mikko Härmä
author_sort Rahman Shiri
collection DOAJ
description OBJECTIVE: This study aimed to find out whether utilizing a shift schedule evaluation tool with ergonomics recommendations for working hours has favorable effects on the incidence of occupational injuries. METHODS: This 4-year prospective cohort study (2015–2018) consisted of a dynamic cohort of healthcare shift workers (N=29 237) from ten hospital districts and six cities in Finland. Working hour characteristics and occupational injuries were measured with daily registry data. Multilevel generalized linear model was used for the analyses, and the estimates were controlled for hierarchical structure of the data and confounders. RESULTS: Ward heads of the cities used the shift schedule evaluation tool 3.2 times more often than ward heads of the hospital districts. Overall incidence of workplace and commuting injuries did not differ between users and non-users of the evaluation tool. The incidence of dislocations, sprains, and strains was lower in the users than non-users [adjusted odds ratio (OR) 0.88, 95% confidence interval (CI) 0.78–0.99]. Approximately 13% of this association was mediated by increase in realized shift wishes and 10% by increase in single days off. In subgroup analyses, the incidence of workplace injury (OR 0.83, 95% CI 0.69–0.99), and among types of injuries, the incidence of dislocations, sprains, and strains (OR 0.69, 95% CI 0.55–0.85) and falling, slipping, tripping, or overturning (OR 0.75, 95% CI 0.58–0.99) were lower in users than non-users among employees of the cities, but no association was found among employees of the hospital districts. CONCLUSION: The use of ergonomics recommendations for working hours is associated with a reduced risk of occupational injuries.
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spelling doaj.art-24e24dc5902c4a6dab29d9d5c04463912023-02-27T22:14:16ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2023-03-0149210811610.5271/sjweh.40684068The association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries: A 4-year prospective cohort study among healthcare workersRahman Shiri0Jarno TurunenKati KarhulaAki KoskinenMikael SallinenAnnina RopponenJenni ErvastiMikko HärmäFinnish Institute of Occupational Health, P.O. Box 18, FI-00032 Työterveyslaitos, Helsinki.OBJECTIVE: This study aimed to find out whether utilizing a shift schedule evaluation tool with ergonomics recommendations for working hours has favorable effects on the incidence of occupational injuries. METHODS: This 4-year prospective cohort study (2015–2018) consisted of a dynamic cohort of healthcare shift workers (N=29 237) from ten hospital districts and six cities in Finland. Working hour characteristics and occupational injuries were measured with daily registry data. Multilevel generalized linear model was used for the analyses, and the estimates were controlled for hierarchical structure of the data and confounders. RESULTS: Ward heads of the cities used the shift schedule evaluation tool 3.2 times more often than ward heads of the hospital districts. Overall incidence of workplace and commuting injuries did not differ between users and non-users of the evaluation tool. The incidence of dislocations, sprains, and strains was lower in the users than non-users [adjusted odds ratio (OR) 0.88, 95% confidence interval (CI) 0.78–0.99]. Approximately 13% of this association was mediated by increase in realized shift wishes and 10% by increase in single days off. In subgroup analyses, the incidence of workplace injury (OR 0.83, 95% CI 0.69–0.99), and among types of injuries, the incidence of dislocations, sprains, and strains (OR 0.69, 95% CI 0.55–0.85) and falling, slipping, tripping, or overturning (OR 0.75, 95% CI 0.58–0.99) were lower in users than non-users among employees of the cities, but no association was found among employees of the hospital districts. CONCLUSION: The use of ergonomics recommendations for working hours is associated with a reduced risk of occupational injuries. https://www.sjweh.fi/show_abstract.php?abstract_id=4068 woundergonomicsspraincohort studyevaluation tooloccupational injuryoccupational safetyshift workshift scheduleaccidentshift workerworkplaceinjuryprospective cohortstrainshift work schedulehealthcare workeraccidental fall
spellingShingle Rahman Shiri
Jarno Turunen
Kati Karhula
Aki Koskinen
Mikael Sallinen
Annina Ropponen
Jenni Ervasti
Mikko Härmä
The association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries: A 4-year prospective cohort study among healthcare workers
Scandinavian Journal of Work, Environment & Health
wound
ergonomics
sprain
cohort study
evaluation tool
occupational injury
occupational safety
shift work
shift schedule
accident
shift worker
workplace
injury
prospective cohort
strain
shift work schedule
healthcare worker
accidental fall
title The association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries: A 4-year prospective cohort study among healthcare workers
title_full The association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries: A 4-year prospective cohort study among healthcare workers
title_fullStr The association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries: A 4-year prospective cohort study among healthcare workers
title_full_unstemmed The association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries: A 4-year prospective cohort study among healthcare workers
title_short The association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries: A 4-year prospective cohort study among healthcare workers
title_sort association between the use of shift schedule evaluation tool with ergonomics recommendations and occupational injuries a 4 year prospective cohort study among healthcare workers
topic wound
ergonomics
sprain
cohort study
evaluation tool
occupational injury
occupational safety
shift work
shift schedule
accident
shift worker
workplace
injury
prospective cohort
strain
shift work schedule
healthcare worker
accidental fall
url https://www.sjweh.fi/show_abstract.php?abstract_id=4068
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