scholarly journals The effect of shift work on the diet of accident and emergency nurses at a general hospital in Malta

2017 ◽  
Vol 47 (2) ◽  
pp. 165-174 ◽  
Author(s):  
Jesmond Seychell ◽  
Sue Reeves

Purpose The purpose of this paper was to investigate the effect of shift work on diet and lifestyle in nurses working in the accident and emergency department in a general hospital in Malta. Design/methodology/approach This study was a cross-sectional, quantitative survey, whereby data were collected by the use of anonymous questionnaires consisting of a demographic and anthropometric questionnaire, a lifestyle questionnaire and a food frequency questionnaire to assess dietary intakes. In total, 110 nurses completed the study and were divided into three groups: day nurses, rotating-shift nurses and night-shift nurses. Findings Shift working nurses consumed significantly more energy compared to day nurses (night-shift nurses 1,963 ± 506 kcal; rotating-shift nurses 2,065 ± 655 kcal; day nurses 1,722 ± 486 kcal; p = 0.04). Shift working nurses also consumed more protein (p = 0.04), fat (p = 0.047) and fibre (p = 0.005) compared to day nurses; however, day nurses were the most likely to smoke (p = 0.009). Practical implications Shift work does influence the diet of nurses in Malta. It is recommended that access to healthy food, and time and facilities for physical activity are made available across all working hours and that nurses aim to exercise regularly, eat healthily, quit smoking if necessary and get good-quality sleep where possible. Originality/value In total, 22 per cent of workers in Malta work shifts, and Malta currently has one of the highest rates of obesity in Europe. This study considers the impact of shift work on diet.

2019 ◽  
Vol 39 (5) ◽  
pp. 513-531 ◽  
Author(s):  
Mareike Reimann ◽  
Charlotte Katharina Marx ◽  
Martin Diewald

Purpose The purpose of this paper is to examine whether and how employed single-parents differ from parents in two-parent families in their experience of work-to-family conflict (WFC) and family-to-work conflict (FWC). Looking at job-related as well as family-related demands and resources, this research investigated to what degree these demands and resources contribute to differences in WFC and FWC, how their relevance in predicting conflicts varies between single parents and other parents and the role of compositional differences in work and family demands and resources. Design/methodology/approach Cross-sectional linear regression analyses were applied to analyze a random sample of employees in large work organizations in Germany. The sample included 3,581 parents with children up to the age of 25, of whom 346 were single parents. Findings The results indicated that single parents face more FWC, but not more WFC, than other parents. For all parents, job demands such as overtime, supervising responsibilities and availability expectations were associated with higher levels of WFC, whereas job resources such as job autonomy, support from supervisors and flexible working hours were associated with lower levels of WFC. In predicting FWC, family demands and resources played only a minor role. However, results provide only scant evidence of differences between single parents and other parents in terms of the effects of job and family demands and resources. Originality/value This study offers interesting insights into the diversity of WFC and FWC experiences in Germany. It provides first evidence of the impact of job and family demands and resources on both directions of work–family conflicts among employed single parents as a specific social group.


BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e033000
Author(s):  
Yukihiro Tanikawa ◽  
Miho Kimachi ◽  
Minoru Ishikawa ◽  
Tomoichiro Hisada ◽  
Shunichi Fukuhara ◽  
...  

ObjectiveTo investigate the association between work schedules and motivation for behavioural change of lifestyle, based on the transtheoretical model (TTM) in workers with overweight or obesity.DesignA cross-sectional observational study.SettingA healthcare examination centre in Japan.ParticipantsBetween April 2014 and March 2016, we recruited 9243 participants who underwent healthcare examination and met the inclusion criteria, namely, age 20–65 years, body mass index (BMI) ≥25 kg/m2and full-time workers.ExposureNight and shift (night/shift) workers were compared with daytime workers in terms of motivation for behavioural change.Primary and secondary outcome measuresThe primary outcome was action and maintenance stages of change (SOC) for lifestyle in TTM. In a subgroup analysis, we investigated interactions between characteristics, including age, sex, BMI, current smoking, alcohol habits, hours of sleep and working hours.ResultsOverall, 1390 participants (15.0%) were night/shift workers; night/shift workers were younger (median age (IQR): 46 (40–54) vs 43 (37–52) years) and the proportion of men was lesser (75.4 vs 60.9%) compared with daytime workers. The numbers of daytime and night/shift workers in the action and maintenance SOC were 2113 (26.9%) and 309 (22.2%), respectively. Compared with daytime workers, night/shift workers were less likely to demonstrate action and maintenance SOC (adjusted OR (AOR): 0.85, 95% CI: 0.74 to 0.98). In a subgroup analysis that included only those with long working hours (≥10 hours/day), results revealed a strong inverse association between night/shift work and action and maintenance SOC (AOR: 0.65, 95% CI: 0.48 to 0.86). A significant interaction was observed between long working hours and night/shift work (P for interaction=0.04).ConclusionsIn workers with overweight or obesity, a night/shift work schedule was associated with a lower motivation for behavioural change in lifestyle, and the association was strengthened in those with long working hours.


2018 ◽  
Vol 31 (7) ◽  
pp. 1461-1470 ◽  
Author(s):  
Isabel Soares Silva ◽  
Renata Bastos

Purpose The purpose of this paper is to understand workers’ resistance toward change from a semi-continuous (SCW) to a continuous shift work system (CW), especially focusing the perspective of change and its impact on workers’ personal lives. Design/methodology/approach A case study was conducted at a Portuguese steel plant. A questionnaire was administered to 98 shift workers of the two systems, three focus groups (FG) each with ten CW workers, and three interviews with their managers. Findings The results of the FG and the interviews indicate the loss of days off during weekends as the main drawback of this change, leading to work schedule dissatisfaction. The consequences of the change focused on social and family life. For the CW workers, the conciliation between working hours and life outside the company were the only predictors of satisfaction with work schedule. Research limitations/implications The cross-sectional design is one of the main limitations, as well the use of only one organization in the study suggests future replication. Organizations need to consider the aspects of family and social life in the management of working hours. Originality/value Globally, this case study highlights the importance of family and social aspects in the adjustment process to working hours, especially when these involve performing work on the weekends, such as shift work.


Author(s):  
Deepalakshmi Kaliyaperumal ◽  
Yaal Elango ◽  
Iswarya Santhanakrishnan

Background: Shift work has become a social and economic necessity, as most sectors like the healthcare require round the clock operation. Extended and variable working hours leads to desynchronization of the body’s circadian rhythm. Thus, shift work is commonly associated with various physical and mental disorders like insomnia, fatigue, depression, anxiety, cognitive impairment, etc. The aim of the study was to assess the prevalence of sleep deprivation and hence, the levels of fatigue, depression and anxiety among shift working nurses.Methods: This cross-sectional study was conducted among shift working nurses. Sleep deprivation among 97 female and 3 male healthy nurses of age 20-50 years was assessed by Epworth Sleepiness Scale (ESS). Fatigue Severity Scale, Patient Health Questionnaire (PHQ-9) and Hamilton Anxiety Rating Scale (HAM-A) were used for assessing fatigue, depression and anxiety respectively. Level of Sleep deprivation, Depression and Anxiety were expressed in Proportion. Difference in fatigue levels during day and night shift was analyzed using Wilcoxon Signed-Ranks Test.Results: Analysis of ESS, showed, 69% of shift working nurses had poorer sleep quality. The level of fatigue experienced following a night shift work was significantly higher than that following day shift work (Z= 3.34, p = 0.0008). Moderate to severe depression and anxiety was observed in 15% and 16% of the nurses working in shift.Conclusions: Thus, shift work is inevitably associated with sleep deprivation. There exists an increased prevalence of fatigue, depression and anxiety among shift working nurses.


Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 607
Author(s):  
Noelia Miguez-Torres ◽  
Alejandro Martínez-Rodríguez ◽  
María Martínez-Olcina ◽  
Laura Miralles-Amorós ◽  
Cristina Reche-García

Nurses have long working hours with high psychological burdens. In addition, in the emergency department, nurses are required to quickly adapt emotionally. The aim of this study was to describe and relate emotional intelligence (EI) skills of emergency nurses, their body mass index (BMI) and sleep quality. For this purpose, a cross-sectional was carried out in which the perceived emotional intelligence test and the Pittsburgh sleep quality index were applied. Sixty-two emergency nurses (48 women and 14 men) participated. The results indicated that the majority of them present adequate levels of EI, with no differences by gender. Younger nurses showed a better ability to feel, express and understand emotional states than the older ones, while the ability to regulate emotional states occurred in the opposite way. Nurses who have been working for several years showed a better ability to regulate emotions than those with less experience. Those who were overweight grade II and obese type I expressed their feelings better, also the regulation of emotional states decreased as weight increased. Finally, it has been observed that the quality of sleep of emergency nurses is significantly altered, and that this lack of sleep may affect their ability to process emotions.


2021 ◽  
Vol 10 ◽  
Author(s):  
Fahimeh Haghighatdoost ◽  
Awat Feizi ◽  
Ahmad Esmaillzadeh ◽  
Ammar Hassanzadeh Keshteli ◽  
Hamid Afshar ◽  
...  

Abstract The authors investigate the association of breakfast skipping and its interaction with a dietary inflammatory index (DII) with the severity of psychological disorders. A total of 2876 Iranian general adults were enrolled in this cross-sectional study. Psychological problems profile score was calculated using the regression method in the framework of factor analysis based on depression, anxiety and psychological distress. The higher scores indicate more severity of mental problem. The frequency of breakfast eating in a week was assessed. Dietary intakes were assessed using a food-frequency questionnaire and twenty-seven items were included in the calculation of DII. In the crude model, individuals who ate breakfast seldom had the highest odds for having worse psychological problems profile (OR 3⋅59; 95 % CI 2⋅52, 5⋅11). Adjustment for various confounders did not change the associations (OR 3⋅35; 95 % CI 2⋅11, 5⋅32). In the adjusted multinomial logistic regression model, participants with high DII (>median) who skipped breakfast had highest risk of being in the higher tertiles of psychological problems profile compared with those who had low DII (<median) and ate breakfast (OR 6⋅67; 95 % CI 3⋅45, 12⋅90). Similar results were observed in women and men regarding the impact of breakfast skipping alone and interaction with DII on scores of psychological problems profile. Breakfast skipping is associated with higher risk of psychological problems. Similar findings were obtained in the stratified analysis by sex. Our findings confirmed that the DII and breakfast skipping are associated with mental health, interactionally. Further longitudinal studies are needed to confirm the true link between breakfast skipping and psychological problems.


2020 ◽  
pp. 204748732090692 ◽  
Author(s):  
Masoud Khosravipour ◽  
Mostafa Shah Mohammadi ◽  
Hossein Valadi Athar ◽  
Iraj Jamebozorgi ◽  
Payam Khanlari ◽  
...  

2015 ◽  
Vol 33 (4) ◽  
pp. 367-385 ◽  
Author(s):  
Chukwuma C. Nwuba ◽  
Uche S. Egwuatu ◽  
Babatunde M. Salawu

Purpose – The purpose of this paper is to investigate client influence on mortgage valuation in Nigeria to establish and rank the means of influence clients employ, and the impact of firm characteristics on client influence. Design/methodology/approach – A combination of cross-sectional survey and focus groups research designs was adopted. Questionnaire structured on five-point Likert format was used to collect data from a sample of valuation firms in five Nigerian cities. Descriptive statistics, χ2, and moderated hierarchical linear model were used for data analysis. Findings – Clients’ means of influence on valuation are more of subtle approach than threat or coercion. The most prevalent means are respectively, plea for assistance, promise of continued retainership on banks’ valuer panels, and disclosing the loan amount. Client influence differs across cities; firm characteristics have no influence on client pressure. Practical implications – The research provides basis for valuation bodies to review practice rules and standards and seek for legislation for valuer independence. It can serve as material for teaching and training in professional ethics. Social implications – Biased valuations jeopardises credit risk mitigation process with potential for destabilising banks, finance sector, and consequences for the economy. Originality/value – The study provides empirical evidence of the nature of client influence across several major Nigerian cities. In contrast to existing Nigerian studies that focus on single cities, the study covers several cities. It therefore provides a broad basis for problem-solving and decision-making.


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