Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort study
OBJECTIVES: Short time between consecutive work shifts (quick returns, ie, ≤11 hours between shifts) is associated with sleepiness and fatigue, both of which have been linked to risk of injury. This paper aims to study quick returns between work shifts and risk of injury among Danish hospital worker...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nordic Association of Occupational Safety and Health (NOROSH)
2019-03-01
|
| Series: | Scandinavian Journal of Work, Environment & Health |
| Subjects: | |
| Online Access: |
https://www.sjweh.fi/show_abstract.php?abstract_id=3770
|
| _version_ | 1818454519564992512 |
|---|---|
| author | Helena B Nielsen Åse Marie Hansen Sadie H Conway Johnny Dyreborg Johnni Hansen Henrik A Kolstad Ann Dyreborg Larsen Kirsten Nabe-Nielsen Lisa A Pompeii Anne Helene Garde |
| author_facet | Helena B Nielsen Åse Marie Hansen Sadie H Conway Johnny Dyreborg Johnni Hansen Henrik A Kolstad Ann Dyreborg Larsen Kirsten Nabe-Nielsen Lisa A Pompeii Anne Helene Garde |
| author_sort | Helena B Nielsen |
| collection | DOAJ |
| description | OBJECTIVES: Short time between consecutive work shifts (quick returns, ie, ≤11 hours between shifts) is associated with sleepiness and fatigue, both of which have been linked to risk of injury. This paper aims to study quick returns between work shifts and risk of injury among Danish hospital workers. METHOD: The study population included 69 200 employees, primarily working at hospitals, corresponding to 167 726 person years at risk between 2008–2015. Information on working hours was obtained from payroll data in the Danish Working Hour Database and linked, at an individual level, with data on 11 834 injury records identified in the National Patient Register and the Danish Register of Causes of Death. Multivariate Poisson regression models were used to calculate incidence rate ratios (IRR) with 95% confidence intervals (CI). RESULTS: Results showed the shorter the time between shifts, the higher the risk of injury. Thus, an elevated risk of injury was observed after quick returns compared with the standard 15–17 hours between shifts (IRR 1.39, 95% CI 1.23–1.58). Furthermore, when assessing the number of days since a quick return, the risk of injury was especially high within the first two days (day 1: IRR 1.39, 95% CI 1.23–1.58; day 2: IRR 1.39, 95% CI 1.21–1.58) following a quick return. CONCLUSIONS: Our results suggest that quick returns increased the risk of injury, in particular within the first two days following a quick return. These findings point towards avoiding or reducing the number of quick returns in order to lower employees’ risk of injury. |
| first_indexed | 2024-12-14T21:56:10Z |
| format | Article |
| id | doaj.art-d51dc7926b634217b11497c255c7f0e3 |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-12-14T21:56:10Z |
| publishDate | 2019-03-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-d51dc7926b634217b11497c255c7f0e32022-12-21T22:46:07ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2019-03-0145216617310.5271/sjweh.37703770Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort studyHelena B Nielsen0Åse Marie HansenSadie H ConwayJohnny DyreborgJohnni HansenHenrik A KolstadAnn Dyreborg LarsenKirsten Nabe-NielsenLisa A PompeiiAnne Helene GardeNational Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen Ø, Denmark.OBJECTIVES: Short time between consecutive work shifts (quick returns, ie, ≤11 hours between shifts) is associated with sleepiness and fatigue, both of which have been linked to risk of injury. This paper aims to study quick returns between work shifts and risk of injury among Danish hospital workers. METHOD: The study population included 69 200 employees, primarily working at hospitals, corresponding to 167 726 person years at risk between 2008–2015. Information on working hours was obtained from payroll data in the Danish Working Hour Database and linked, at an individual level, with data on 11 834 injury records identified in the National Patient Register and the Danish Register of Causes of Death. Multivariate Poisson regression models were used to calculate incidence rate ratios (IRR) with 95% confidence intervals (CI). RESULTS: Results showed the shorter the time between shifts, the higher the risk of injury. Thus, an elevated risk of injury was observed after quick returns compared with the standard 15–17 hours between shifts (IRR 1.39, 95% CI 1.23–1.58). Furthermore, when assessing the number of days since a quick return, the risk of injury was especially high within the first two days (day 1: IRR 1.39, 95% CI 1.23–1.58; day 2: IRR 1.39, 95% CI 1.21–1.58) following a quick return. CONCLUSIONS: Our results suggest that quick returns increased the risk of injury, in particular within the first two days following a quick return. These findings point towards avoiding or reducing the number of quick returns in order to lower employees’ risk of injury. https://www.sjweh.fi/show_abstract.php?abstract_id=3770 compressed work weekchange-overbreakcohort studyshift workdenmarkshift workerhospital workershiftrestpayroll dataregister-based cohort studyshort work shift intervalshort intervalquick return |
| spellingShingle | Helena B Nielsen Åse Marie Hansen Sadie H Conway Johnny Dyreborg Johnni Hansen Henrik A Kolstad Ann Dyreborg Larsen Kirsten Nabe-Nielsen Lisa A Pompeii Anne Helene Garde Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort study Scandinavian Journal of Work, Environment & Health compressed work week change-over break cohort study shift work denmark shift worker hospital worker shift rest payroll data register-based cohort study short work shift interval short interval quick return |
| title | Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort study |
| title_full | Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort study |
| title_fullStr | Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort study |
| title_full_unstemmed | Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort study |
| title_short | Short time between shifts and risk of injury among Danish hospital workers: a register-based cohort study |
| title_sort | short time between shifts and risk of injury among danish hospital workers a register based cohort study |
| topic | compressed work week change-over break cohort study shift work denmark shift worker hospital worker shift rest payroll data register-based cohort study short work shift interval short interval quick return |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3770
|
| work_keys_str_mv | AT helenabnielsen shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT asemariehansen shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT sadiehconway shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT johnnydyreborg shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT johnnihansen shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT henrikakolstad shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT anndyreborglarsen shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT kirstennabenielsen shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT lisaapompeii shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy AT annehelenegarde shorttimebetweenshiftsandriskofinjuryamongdanishhospitalworkersaregisterbasedcohortstudy |