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The Impact of Shift Work and Organizational Work Climate on Health Outcomes in Nurses

机译:轮班工作和组织工作环境对护士健康结果的影响

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Shift workers have a higher rate of negative health outcomes than day shift workers. Few studies however, have examined the role of difference in workplace environment between shifts itself on such health measures. This study investigated variation in organizational climate across different types of shift work and health outcomes in nurses. Participants (n = 142) were nursing staff from a metropolitan Melbourne hospital. Demographic items elicited the type of shift worked, while the Work Environment Scale and the General Health Questionnaire measured organizational climate and health respectively. Analysis supported the hypotheses that different organizational climates occurred across different shifts, and that different organizational climate factors predicted poor health outcomes. Shift work alone was not found to predict health outcomes. Specifically, permanent night shift workers had significantly lower coworker cohesion scores compared with rotating day and evening shift workers and significantly higher managerial control scores compared with day shift workers. Further, coworker cohesion and involvement were found to be significant predictors of somatic problems. These findings suggest that differences in organizational climate between shifts accounts for the variation in health outcomes associated with shift work. Therefore, increased workplace cohesion and involvement, and decreased work pressure, may mitigate the negative health outcomes of shift workers.
机译:轮班工人对健康的负面影响率要高于日班工人。然而,很少有研究检查了在这种健康措施的轮班之间工作场所环境差异的作用。这项研究调查了不同类型的轮班工作和护士健康结局中组织气氛的变化。参与者(n = 142)是来自墨尔本大都会医院的护理人员。人口统计项目确定了轮班的类型,而工作环境量表和综合健康问卷分别衡量了组织的气候和健康状况。分析支持以下假设:不同的组织气候发生在不同的转变中,并且不同的组织气候因素预测了不良的健康结果。没有发现单独的轮班工作可以预测健康结果。具体来说,与轮班的白天和晚上的轮班工人相比,永久性的夜班工人的同事凝聚力得分要低得多,而与轮班的工人相比,永久性夜班工人的管理控制得分要高得多。此外,发现同事的凝聚力和参与是躯体问题的重要预测指标。这些发现表明,轮班之间组织气氛的差异导致轮班工作与健康结果的差异。因此,增加工作场所的凝聚力和参与度,以及降低的工作压力,可以减轻轮班工人对健康的负面影响。

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