Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey)
Abstract Background Many risk factors impact the health of hospital night workers, which can lead to physical and mental health disorders. During the recent period, night hospital workers have been particularly stressed. This study therefore aims to: (i) To document the prevalence of depression, anx...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-02-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09101-7 |
| _version_ | 1797865183571345408 |
|---|---|
| author | Lorraine Cousin Cabrolier Vincent Di Beo Fabienne Marcellin Olivia Rousset Torrente Véronique Mahe José Maria Valderas Olivier Chassany Patrizia Maria Carrieri Martin Duracinsky |
| author_facet | Lorraine Cousin Cabrolier Vincent Di Beo Fabienne Marcellin Olivia Rousset Torrente Véronique Mahe José Maria Valderas Olivier Chassany Patrizia Maria Carrieri Martin Duracinsky |
| author_sort | Lorraine Cousin Cabrolier |
| collection | DOAJ |
| description | Abstract Background Many risk factors impact the health of hospital night workers, which can lead to physical and mental health disorders. During the recent period, night hospital workers have been particularly stressed. This study therefore aims to: (i) To document the prevalence of depression, anxiety, sleep disorders, and symptoms suggestive of post-traumatic stress disorder in night shift workers (NSHW) working in Parisian public hospitals after France’s first COVID-19 wave ended; (ii) To estimate the effect of negative representations and perceptions of night shift work on these mental health outcomes. Methods An observational cross-sectional online survey of NSHW (June to September 2020) in 39 public hospitals in Paris, France. Standard scales were used to measure mental health outcomes. Weighted multinomial logistic regression models supported the identification of predictors of depression (score > 10 on the Hospital Anxiety and Depression Scale, HADS, for depression), anxiety (score > 10 on the HADS for anxiety), severe insomnia (score > 21 on the Insomnia Severity Index, ISI) and symptoms suggestive of post-traumatic stress disorder (score > 36 on the Impact of Event Scale-Revised, IES-R). Results The weighted prevalence rates [95% confidence interval] of depression, anxiety, severe insomnia, and symptoms of post-traumatic stress disorder were, respectively, 18.9% [16.5–21.2], 7.6% [6.0–9.1], 8.6% [6.9–10.2] and 11.7% [9.7–13.6]. After multiple adjustment, organizational changes in NSHW professional lives due to the COVID-19 pandemic (such as moving to another hospital department and modified schedules) and NSHW-perceived negative representations of night work were significantly associated with all studied mental health outcomes. Conclusion Our findings confirm the importance of monitoring mental health and sleep quality among NSHW in Parisian public hospitals, even more during health crises. Multilevel interventions aiming at reducing negative representations and improving work organization are urgently needed to improve overall health of this frontline healthcare providers group. |
| first_indexed | 2024-04-09T23:03:54Z |
| format | Article |
| id | doaj.art-3bd78a484cbc4188af6593fae3ac0233 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T23:03:54Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-3bd78a484cbc4188af6593fae3ac02332023-03-22T10:47:25ZengBMCBMC Health Services Research1472-69632023-02-0123111210.1186/s12913-023-09101-7Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey)Lorraine Cousin Cabrolier0Vincent Di Beo1Fabienne Marcellin2Olivia Rousset Torrente3Véronique Mahe4José Maria Valderas5Olivier Chassany6Patrizia Maria Carrieri7Martin Duracinsky8Unité de Recherche Clinique en Economie de La Santé (URC-ECO), AP-HP, Hôpital Hôtel-DieuAix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de La Santé & Traitement de L’Information Médicale, ISSPAMAix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de La Santé & Traitement de L’Information Médicale, ISSPAMUnité de Recherche Clinique en Economie de La Santé (URC-ECO), AP-HP, Hôpital Hôtel-DieuService de Santé Au Travail, Hôpitaux Lariboisière-Fernand WidalDepartment of Medicine, NUS Yong Loo Lin School of Medicine, National University of SingaporeUnité de Recherche Clinique en Economie de La Santé (URC-ECO), AP-HP, Hôpital Hôtel-DieuAix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de La Santé & Traitement de L’Information Médicale, ISSPAMUnité de Recherche Clinique en Economie de La Santé (URC-ECO), AP-HP, Hôpital Hôtel-DieuAbstract Background Many risk factors impact the health of hospital night workers, which can lead to physical and mental health disorders. During the recent period, night hospital workers have been particularly stressed. This study therefore aims to: (i) To document the prevalence of depression, anxiety, sleep disorders, and symptoms suggestive of post-traumatic stress disorder in night shift workers (NSHW) working in Parisian public hospitals after France’s first COVID-19 wave ended; (ii) To estimate the effect of negative representations and perceptions of night shift work on these mental health outcomes. Methods An observational cross-sectional online survey of NSHW (June to September 2020) in 39 public hospitals in Paris, France. Standard scales were used to measure mental health outcomes. Weighted multinomial logistic regression models supported the identification of predictors of depression (score > 10 on the Hospital Anxiety and Depression Scale, HADS, for depression), anxiety (score > 10 on the HADS for anxiety), severe insomnia (score > 21 on the Insomnia Severity Index, ISI) and symptoms suggestive of post-traumatic stress disorder (score > 36 on the Impact of Event Scale-Revised, IES-R). Results The weighted prevalence rates [95% confidence interval] of depression, anxiety, severe insomnia, and symptoms of post-traumatic stress disorder were, respectively, 18.9% [16.5–21.2], 7.6% [6.0–9.1], 8.6% [6.9–10.2] and 11.7% [9.7–13.6]. After multiple adjustment, organizational changes in NSHW professional lives due to the COVID-19 pandemic (such as moving to another hospital department and modified schedules) and NSHW-perceived negative representations of night work were significantly associated with all studied mental health outcomes. Conclusion Our findings confirm the importance of monitoring mental health and sleep quality among NSHW in Parisian public hospitals, even more during health crises. Multilevel interventions aiming at reducing negative representations and improving work organization are urgently needed to improve overall health of this frontline healthcare providers group.https://doi.org/10.1186/s12913-023-09101-7Occupational healthShift workHealth workersMental health |
| spellingShingle | Lorraine Cousin Cabrolier Vincent Di Beo Fabienne Marcellin Olivia Rousset Torrente Véronique Mahe José Maria Valderas Olivier Chassany Patrizia Maria Carrieri Martin Duracinsky Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey) BMC Health Services Research Occupational health Shift work Health workers Mental health |
| title | Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey) |
| title_full | Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey) |
| title_fullStr | Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey) |
| title_full_unstemmed | Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey) |
| title_short | Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey) |
| title_sort | negative representations of night shift work and mental health of public hospital healthcare workers in the covid 19 era aladdin survey |
| topic | Occupational health Shift work Health workers Mental health |
| url | https://doi.org/10.1186/s12913-023-09101-7 |
| work_keys_str_mv | AT lorrainecousincabrolier negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey AT vincentdibeo negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey AT fabiennemarcellin negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey AT oliviaroussettorrente negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey AT veroniquemahe negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey AT josemariavalderas negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey AT olivierchassany negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey AT patriziamariacarrieri negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey AT martinduracinsky negativerepresentationsofnightshiftworkandmentalhealthofpublichospitalhealthcareworkersinthecovid19eraaladdinsurvey |