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Are changes in objective working hour characteristics associated with changes in work-life conflict among hospital employees working shifts? A 7-year follow-up.

https://arctichealth.org/en/permalink/ahliterature302200
Source
Occup Environ Med. 2018 06; 75(6):407-411
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
06-2018
Author
Kati Karhula
Aki Koskinen
Anneli Ojajärvi
Annina Ropponen
Sampsa Puttonen
Mika Kivimäki
Mikko Härmä
Author Affiliation
Finnish Institute of Occupational Health, Helsinki, Finland.
Source
Occup Environ Med. 2018 06; 75(6):407-411
Date
06-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adaptation, Psychological
Adult
Conflict (Psychology)
Female
Finland - epidemiology
Follow-Up Studies
Humans
Logistic Models
Male
Middle Aged
Occupational Stress - epidemiology - psychology
Personnel, Hospital
Public Sector
Shift Work Schedule - psychology
Surveys and Questionnaires
Time Factors
Work Schedule Tolerance - psychology
Work-Life Balance
Workforce
Workload - psychology
Abstract
To investigate whether changes in objective working hour characteristics are associated with parallel changes in work-life conflict (WLC) among hospital employees.
Survey responses from three waves of the Finnish Public Sector study (2008, 2012 and 2015) were combined with payroll data from 91 days preceding the surveys (n=2 482, 93% women). Time-dependent fixed effects regression models adjusted for marital status, number of children and stressfulness of the life situation were used to investigate whether changes in working hour characteristics were associated with parallel change in WLC. The working hour characteristics were dichotomised with cut-points in less than or greater than 10%?or less than or greater than25%?occurrence) and WLC to frequent versus seldom/none.
Change in proportion of evening and night shifts and weekend work was significantly associated with parallel change in WLC (adjusted OR 2.19, 95%?CI 1.62 to 2.96; OR 1.71, 95%?CI 1.21 to 2.44; OR 1.63, 95%?CI 1.194 to 2.22, respectively). Similarly, increase or decrease in proportion of quick returns (adjusted OR 1.45, 95%?CI 1.10 to 1.89) and long work weeks (adjusted OR 1.26, 95%?CI 1.04 to 1.52) was associated with parallel increase or decrease in WLC. Single days off and very long work weeks showed no association with WLC.
Changes in unsocial working hour characteristics, especially in connection with evening shifts, are consistently associated with parallel changes in WLC.
PubMed ID
29367350 View in PubMed
Less detail

Association between exposure to work stressors and cognitive performance.

https://arctichealth.org/en/permalink/ahliterature258897
Source
J Occup Environ Med. 2014 Apr;56(4):354-60
Publication Type
Article
Date
Apr-2014
Author
Marko Vuori
Ritva Akila
Virpi Kalakoski
Jaana Pentti
Mika Kivimäki
Jussi Vahtera
Mikko Härmä
Sampsa Puttonen
Source
J Occup Environ Med. 2014 Apr;56(4):354-60
Date
Apr-2014
Language
English
Publication Type
Article
Keywords
Adult
Cognition Disorders - epidemiology - psychology
Female
Finland - epidemiology
Hospitals
Humans
Middle Aged
Personnel, Hospital - psychology
Questionnaires
Stress, Psychological - psychology
Abstract
To examine the association between work stress and cognitive performance.
Cognitive performance of a total of 99 women (mean age = 47.3 years) working in hospital wards at either the top or bottom quartiles of job strain was assessed using validated tests that measured learning, short-term memory, and speed of memory retrieval.
The high job strain group (n = 43) had lower performance than the low job strain group (n = 56) in learning (P = 0.025), short-term memory (P = 0.027), and speed of memory retrieval (P = 0.003). After controlling for education level, only the difference in speed of memory retrieval remained statistically significant (P = 0.010).
The association found between job strain and speed of memory retrieval might be one important factor explaining the effect of stress on work performance.
PubMed ID
24709760 View in PubMed
Less detail

Association of job strain with working hours, shift-dependent perceived workload, sleepiness and recovery.

https://arctichealth.org/en/permalink/ahliterature106967
Source
Ergonomics. 2013;56(11):1640-51
Publication Type
Article
Date
2013
Author
Kati Karhula
Mikko Härmä
Mikael Sallinen
Christer Hublin
Jussi Virkkala
Mika Kivimäki
Jussi Vahtera
Sampsa Puttonen
Author Affiliation
a Finnish Institute of Occupational Health , Helsinki , Finland.
Source
Ergonomics. 2013;56(11):1640-51
Date
2013
Language
English
Publication Type
Article
Keywords
Adult
Disorders of Excessive Somnolence - psychology
Female
Finland
Humans
Middle Aged
Nursing Staff, Hospital - psychology
Occupational Health
Questionnaires
Stress, Psychological - psychology
Work Schedule Tolerance - psychology
Workload - psychology
Abstract
We explored the relationship of job strain with working hours, shift-dependent perceived workload, sleepiness and recovery. Nurses/nursing assistants (n = 95) were recruited from wards that belonged to either the top (high-strain group, HJS) or the bottom (low-strain group, LJS) job strain quartiles of a Job Content Questionnaire survey of employees in five health care districts and four cities in Finland. Three-week field measurements during naturally occurring shift schedules and a subset of pre-selected shift arrangements consisted of the Karolinska Sleepiness Scale, perceived workload and recovery. The HJS group (n = 42) had more single days off and quick returns than the LJS group (n = 53, p 
PubMed ID
24079918 View in PubMed
Less detail

The association of social support at work and in private life with sleeping problems in the Finnish health 2000 study.

https://arctichealth.org/en/permalink/ahliterature146346
Source
J Occup Environ Med. 2010 Jan;52(1):54-61
Publication Type
Article
Date
Jan-2010
Author
Marjo Sinokki
Kirsi Ahola
Katariina Hinkka
Mikael Sallinen
Mikko Härmä
Pauli Puukka
Timo Klaukka
Jouko Lönnqvist
Marianna Virtanen
Author Affiliation
Turku Centre for Occupational Health, Turku, Finland. marjo.sinokki@utu.fi
Source
J Occup Environ Med. 2010 Jan;52(1):54-61
Date
Jan-2010
Language
English
Publication Type
Article
Keywords
Adult
Dyssomnias - drug therapy - etiology
Female
Finland
Health Surveys
Humans
Hypnotics and Sedatives - therapeutic use
Male
Middle Aged
Organizational Culture
Social Support
Stress, Psychological - complications - etiology
Workplace - psychology
Abstract
To investigate the associations of social support at work and in private life with sleeping problems and use of sleep medication.
In the nationwide Health 2000 Study, with a cohort of 3430 employees, social support at work and in private life, and sleep-related issues were assessed with self-assessment scales. Purchases of sleep medication over a 3-year period were collected from the nationwide pharmaceutical register of the Social Insurance Institution.
Low social support from supervisor was associated with tiredness (odds ratio [OR] 1.68, 95% confidence interval [CI] = 1.26 to 2.23) and sleeping difficulties within the previous month (OR 1.74, 95% CI = 1.41 to 1.92). Low support from coworkers was associated with tiredness (OR 1.55, 95% CI = 1.41 to 1.92), sleeping difficulties within the previous month (OR 1.77, 95% CI = 1.32 to 2.36), and only among women, with short sleep duration (OR 2.06, 95% CI = 1.22 to 3.47). Low private life support was associated with short sleep duration (OR 1.49, 95% CI = 1.13 to 1.98) and among women, with sleeping difficulties (OR 1.46, 95% CI = 1.08 to 1.33).
Low social support, especially at work, is associated with sleeping-related problems.
PubMed ID
20042884 View in PubMed
Less detail

Combined effects of shiftwork and individual working time control on long-term sickness absence: a prospective study of Finnish employees.

https://arctichealth.org/en/permalink/ahliterature261349
Source
J Occup Environ Med. 2014 Jul;56(7):732-8
Publication Type
Article
Date
Jul-2014
Author
Jouko Nätti
Tomi Oinas
Mikko Härmä
Timo Anttila
Irja Kandolin
Source
J Occup Environ Med. 2014 Jul;56(7):732-8
Date
Jul-2014
Language
English
Publication Type
Article
Keywords
Absenteeism
Adolescent
Adult
Female
Finland
Follow-Up Studies
Humans
Male
Middle Aged
Prospective Studies
Questionnaires
Risk factors
Sick Leave
Work - statistics & numerical data
Work Schedule Tolerance - psychology
Young Adult
Abstract
To investigate whether the effects of shiftwork on long-term sickness absence vary according to the level of individual working time control (WTC).
A representative sample of Finnish employees (1447 men and 1624 women) was combined with a register-based follow-up. A negative binomial model was used in the analysis of long-term sickness absence days. The results were adjusted for various background and work-related factors.
Individual WTC decreased long-term sickness absence. The higher rate of sickness absences in shiftwork was mainly due to the lower level of WTC. Working time control decreased sickness absence equally in day work and shiftwork.
The negative health effects of shiftwork may be decreased by offering sufficient WTC. Establishments that use WTC as a human resource instrument may benefit from reduced absenteeism.
PubMed ID
24988101 View in PubMed
Less detail

Developing register-based measures for assessment of working time patterns for epidemiologic studies.

https://arctichealth.org/en/permalink/ahliterature269586
Source
Scand J Work Environ Health. 2015 May 1;41(3):268-79
Publication Type
Article
Date
May-1-2015
Author
Mikko Härmä
Annina Ropponen
Tarja Hakola
Aki Koskinen
Päivi Vanttola
Sampsa Puttonen
Mikael Sallinen
Paula Salo
Tuula Oksanen
Jaana Pentti
Jussi Vahtera
Mika Kivimäki
Source
Scand J Work Environ Health. 2015 May 1;41(3):268-79
Date
May-1-2015
Language
English
Publication Type
Article
Keywords
Adult
Female
Finland - epidemiology
Humans
Male
Middle Aged
Nursing Staff
Physicians
Registries
Workload
Abstract
Epidemiological studies suggest that long working hours and shift work may increase the risk of chronic diseases, but the "toxic" elements remain unclear due to crude assessment of working time patterns based on self-reports. In this methodological paper, we present and evaluate objective register-based algorithms for assessment of working time patterns and validate a method to retrieve standard payroll data on working hours from the employer electronic records.
Detailed working hour records from employers' registers were obtained for 12 391 nurses and physicians, a total 14.5 million separate work shifts from 2008-2013. We examined the quality and validity of the obtained register data and designed 29 algorithms characterizing four potentially health-relevant working time patterns: (i) length of the working hours; (ii) time of the day; (iii) shift intensity; and (iv) social aspects of the working hours.
The collection of the company-based register data was feasible and the retrieved data matched with the originally published shift plans. The transferred working time records included
PubMed ID
25788103 View in PubMed
Less detail
Source
Scand J Work Environ Health. 2007 Oct;33(5):321-3
Publication Type
Article
Date
Oct-2007
Author
Eero Pukkala
Mikko Härmä
Source
Scand J Work Environ Health. 2007 Oct;33(5):321-3
Date
Oct-2007
Language
English
Publication Type
Article
Keywords
Female
Humans
Male
Neoplasms - etiology
Risk factors
Scandinavia
Work Schedule Tolerance - physiology
PubMed ID
17973057 View in PubMed
Less detail

Effects of modifications to the health and social sector's collective agreement on the objective characteristics of working hours.

https://arctichealth.org/en/permalink/ahliterature291007
Source
Ind Health. 2017 Aug 08; 55(4):354-361
Publication Type
Comparative Study
Journal Article
Date
Aug-08-2017
Author
Annina Ropponen
Päivi Vanttola
Aki Koskinen
Tarja Hakola
Sampsa Puttonen
Mikko Härmä
Author Affiliation
Finnish Institute of Occupational Health, Finland.
Source
Ind Health. 2017 Aug 08; 55(4):354-361
Date
Aug-08-2017
Language
English
Publication Type
Comparative Study
Journal Article
Keywords
Adult
Collective Bargaining
Female
Finland
Health Personnel - statistics & numerical data
Humans
Male
Middle Aged
Shift Work Schedule
Sick Leave - statistics & numerical data
Social Workers - statistics & numerical data
Abstract
This study aimed to evaluate the effects of an intervention on objective working-hour characteristics. The intervention involved making modifications to the collective agreement that would limit employees' entitlement to time off as compensation. The intervention group consisted of 493 and the control group of 2,303 health and social care shift workers, respectively. We analysed the objective pay roll-based working-hour data for 2012-2013, which we obtained from employers' records, using the repeated measures mixed model. The changes in objective working-hour characteristics were small, but systematic. The intervention had some positive effects: the amount of short recovery periods (
Notes
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PubMed ID
28420807 View in PubMed
Less detail

Job strain and vagal recovery during sleep in shift working health care professionals.

https://arctichealth.org/en/permalink/ahliterature265067
Source
Chronobiol Int. 2014 Dec;31(10):1179-89
Publication Type
Article
Date
Dec-2014
Author
Kati Karhula
Andreas Henelius
Mikko Härmä
Mikael Sallinen
Harri Lindholm
Mika Kivimäki
Jussi Vahtera
Sampsa Puttonen
Source
Chronobiol Int. 2014 Dec;31(10):1179-89
Date
Dec-2014
Language
English
Publication Type
Article
Keywords
Adult
Circadian Rhythm
Female
Finland
Heart rate
Humans
Job Description
Middle Aged
Nurses
Nursing Staff, Hospital
Sleep - physiology
Stress, Physiological
Vagus Nerve - physiology
Work Schedule Tolerance - physiology
Abstract
Within sample female nurses/nurse assistants in three shift work, we explored the association of job strain with heart rate variability before and during sleep. The participants (n?=?95) were recruited from the Finnish Public Sector Study, from hospital wards that belonged either to the top (high job strain [HJS], n?=?42) or bottom quartiles on job strain (low job strain [LJS], n?=?53) as rated by Job Content Questionnaire responses. A further inclusion criterion was that participants' own job strain was at least as high (HJS group) or low (LJS group) as their ward's average estimation. Three-week field measurements included sleep diary and actigraphy to study the participants' sleep patterns and sleep-wake rhythm. A subset of three pre-selected, circadian rhythm and recovery controlled measurement days, one morning shift, one night shift and a day off, included 24-h heart rate variability (HRV) measurements. The bootstrapped HRV parameters (HR, HF, LF, LF-to-HF-ratio and RMSSD) 30?min before and during 30?min of sleep with lowest average heart rate showed no statistically significant job strain group differences. No association of exposure to stressful work environment and HRV before and during sleep was found.
PubMed ID
25216071 View in PubMed
Less detail
Source
Duodecim. 2004;120(18):2153-5
Publication Type
Article
Date
2004
Author
Mikael Fogelholm
Mikko Härmä
Author Affiliation
UKK-instituutti, Tampere. mikael.fogelholm@uta.fi
Source
Duodecim. 2004;120(18):2153-5
Date
2004
Language
Finnish
Publication Type
Article
Keywords
Comorbidity
Female
Finland - epidemiology
Humans
Incidence
Male
Obesity - diagnosis - epidemiology
Severity of Illness Index
Sleep Apnea Syndromes - diagnosis - epidemiology
PubMed ID
15560448 View in PubMed
Less detail

25 records – page 1 of 3.