scholarly journals Associations between shift work characteristics, shift work schedules, sleep and burnout in North American police officers: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e030302 ◽  
Author(s):  
Scott A Peterson ◽  
Alexander P Wolkow ◽  
Steven W Lockley ◽  
Conor S O'Brien ◽  
Salim Qadri ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Shift Work ◽  
Emotional Exhaustion ◽  
Police Officers ◽  
Maslach Burnout Inventory ◽  
Work Hours ◽  
Work Characteristics ◽  
Work Schedules ◽  
Increased Risk ◽  
Night Shifts

ObjectivesTo examine associations between shift work characteristics and schedules on burnout in police and whether sleep duration and sleepiness were associated with burnout.MethodsPolice officers (n=3140) completed the Maslach Burnout Inventory (emotional exhaustion, depersonalisation, personal accomplishment) and self-reported shift schedules (irregular, rotating, fixed), shift characteristics (night, duration, frequency, work hours), sleep duration and sleepiness.ResultsIrregular schedules, long shifts (≥11 hours), mandatory overtime, short sleep and sleepiness were associated with increased risk of overall burnout in police. Police working a greater frequency of long shifts were more likely to have emotional exhaustion (adjusted OR 1.91, 95% CI 1.35 to 2.72) than those not working long shifts. Night shifts were associated with depersonalisation (1.32, 1.05 to 1.66) compared with not working nights. Police working mandatory overtime had increased risk of emotional exhaustion (1.37, 1.14 to 1.65) than those who did not. Compared with fixed schedules, irregular schedules were associated with emotional exhaustion and depersonalisation (1.91, 1.44 to 2.54 and 1.39, 1.02 to 1.89, respectively). Police sleeping <6 hours were more likely to have emotional exhaustion (1.60, 1.33 to 1.93) than those sleeping longer, and excessive sleepiness was associated with emotional exhaustion (1.81, 1.50 to 2.18).ConclusionsIrregular schedules and increased night shifts, sleep disturbances and work hours were related to higher burnout risk in police. Future research should evaluate work schedules in law enforcement that optimise shift duration and frequency, and increase consistency in scheduling and control over work hours to limit burnout in police.

288 Chronotype-dependent impact of napping on sleep behavior in rotating shift workers

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A115-A116
Author(s):  
Laura Kervezee ◽  
Fernando Gonzales-Aste ◽  
Philippe Boudreau ◽  
Diane Boivin
Keyword(s):  
Sleep Duration ◽  
Shift Work ◽  
Police Officers ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Sleep Behavior ◽  
Sleep Period ◽  
Shift Type ◽  
Rotating Shift Work ◽  
Night Shifts

Abstract Introduction Rotating shift work is known to adversely impact sleep. Napping is one of the strategies that workers can use to mitigate the effect of shift work on their sleep. In this study, we investigated the effect of chronotype on napping behavior in police officers involved in rotating shift work. Methods Actigraphy-based sleep measures and chronotype information was available from 74 police officers (20 women and 54 men; age [mean ± SD]: 32 ± 5.4 years) that participated in a 35-day field study during which they worked morning, evening, and night shifts. A generalized linear mixed model was used to assess the effect of shift type, chronotype, and their interaction on the likelihood to take a nap, adjusted for relevant covariates. In addition, linear mixed models were used to determine the effect of shift type, chronotype, and their interaction on sleep duration with and without taking into account napping duration. Results The likelihood to take a nap was influenced by an interaction between shift type and chronotype (χ2(2) = 11.2, p = 0.004). Earlier chronotype was linked to a lower likelihood to take naps during days with morning shifts and a higher likelihood during days with night shifts. Napping modulated the effect of shift type and chronotype on daily sleep duration, most notably during night shifts: while chronotype was associated with the duration of the main sleep period during night shifts, with the main sleep period being 1.7 h [95% C.I.: 0.6 – 2.8] shorter in the earliest chronotypes compared to the latest chronotypes, this effect was attenuated and no longer significant when napping duration was taken into account (difference in total sleep duration in latest chronotypes vs earliest chronotypes during nights shifts: 0.9 [−0.1 to 1.9] h). Conclusion Napping attenuates the chronotype-dependent effect of atypical work schedules on sleep duration in this population of shift-working police officers. These findings highlight the need to take into account chronotype when assessing the effect of shift work on sleep behavior. Support (if any) The Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRRST) and Fonds de Recherche du Québec–Santé (FRQS).

The relationship between chronotype and sleep behavior during rotating shift work: a field study

SLEEP ◽  
2021 ◽  
Author(s):  
Laura Kervezee ◽  
Fernando Gonzales-Aste ◽  
Phillipe Boudreau ◽  
Diane B Boivin
Keyword(s):  
Sleep Duration ◽  
Shift Work ◽  
Police Officers ◽  
Activity Cycle ◽  
Sleep Behavior ◽  
Shift Type ◽  
Work Cycle ◽  
Rotating Shift Work ◽  
The Relationship ◽  
Night Shifts

Abstract Shift work, an essential part of our 24/7 society, inevitably leads to displacement of the habitual sleep period and thereby to misalignment of the internal circadian timing system with the rest–activity cycle and the environment. How interindividual differences in circadian organization affect sleep duration and timing during rotating shift work is not fully understood. The objective of this study was to assess the effect of chronotype, shift type, and their interaction on actigraphy-based sleep behavior in 74 police officers (20 women and 54 men; age [mean ± SD]: 32.1 ± 5.4 years) involved in rotating shift work throughout a 28- to 35-day work cycle consisting of morning, evening, and night shifts. Using linear mixed modeling, we found that chronotype was associated with sleep duration depending on the shift type: increasing morningness was correlated with longer sleep duration during series of consecutive morning shifts, while increasing eveningness was correlated with longer sleep duration during series of evening shifts. During series of night shifts, increasing eveningness was associated with a longer duration of the main sleep episode, but this relationship was attenuated and no longer significant when naps were taken into account due to increased napping in morning chronotypes during series of night shifts. Providing a detailed within-subject characterization of sleep behavior across a complete work cycle consisting of morning, evening, and night shifts, this study advances the understanding of the relationship between chronotype and sleep in rotating shift workers and supports the implementation of work schedules that take into account chronobiological principles.

Shift work and overtime across a career in law enforcement: a 15-year study

2021 ◽  
Vol 44 (2) ◽  
pp. 200-212
Author(s):  
Samantha M. Riedy ◽  
Desta Fekedulegn ◽  
Bryan Vila ◽  
Michael Andrew ◽  
John M. Violanti
Keyword(s):  
New York ◽  
Law Enforcement ◽  
Shift Work ◽  
Police Officers ◽  
Night Shift ◽  
Police Department ◽  
Work Hours ◽  
Negative Effects ◽  
Content Type ◽  
Long Work Hours

PurposeTo characterize changes in work hours across a career in law enforcement.Design/methodology/approachN = 113 police officers enrolled in the BCOPS cohort were studied. The police officers started their careers in law enforcement between 1994 and 2001 at a mid-sized, unionized police department in northwestern New York and continued to work at this police department for at least 15 years. Day-by-day work history records were obtained from the payroll department. Work hours, leave hours and other pay types were summarized for each calendar year across their first 15 years of employment. Linear mixed-effects models with a random intercept over subject were used to determine if there were significant changes in pay types over time.FindingsA total of 1,617 individual-years of data were analyzed. As the police officers gained seniority at the department, they worked fewer hours and fewer night shifts. Total paid hours did not significantly change due to seniority-based increases in vacation time. Night shift work was increasingly in the form of overtime as officers gained seniority. Overtime was more prevalent at the beginning of a career and after a promotion from police officer to detective.Originality/valueShiftwork and long work hours have negative effects on sleep and increase the likelihood of on-duty fatigue and performance impairment. The results suggest that there are different points within a career in law enforcement where issues surrounding shiftwork and long work hours may be more prevalent. This has important implications for predicting fatigue, developing effective countermeasures and measuring fatigue-related costs.

scholarly journals 0409 The Efficacy of Afternoon-Evening Sleep Following Night Shifts on Sleep and Alertness in Nurses with Rotating Shift Work Schedule: Real World Data

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A156-A157
Author(s):  
J Kim ◽  
S Han ◽  
S Kim ◽  
J Duffy
Keyword(s):  
Sleep Duration ◽  
Shift Work ◽  
Total Sleep Time ◽  
Sleep Time ◽  
Hospital Nurses ◽  
Sleep Timing ◽  
Time In Bed ◽  
Shift Schedules ◽  
Sleep Schedule ◽  
Night Shifts

Abstract Introduction The aim of this study was to investigate the efficacy of changing sleep timing to afternoon-evening following nightshifts in hospital nurses with three rapid rotating shift schedules. Methods Hospital nurses with three rotating shift schedules were enrolled for a 1-month pre-intervention and a 1-month intervention study. During the Intervention, sleep timing following nightshifts was directed to afternoon-evening sleep for 8h time-in-bed (TIB) after 1 PM, and ad-lib sleep schedule for other shifts. Baseline and follow-up evaluation included sleep schedule, sleep duration, Epworth sleepiness scale (ESS), insomnia severity index (ISI) for each shift, Beck depression inventory (BDI), and Beck anxiety inventory (BAI). Sleep was assessed by sleep diary and actigraphy. Alertness during the night shift was evaluated using the Karolinska sleepiness scale (KSS) in the beginning and at the end of the shift by texts sent to their cell phones. The participants were asked to give feedback and a willingness to continue this intervention. Results A total of 26 subjects (30.7±8.5years, 25 female) finished the study among 29 nurses who participated in the study. The shift work was 6.5±8.0years. The mean morningness-eveningness scale was 42.1±8.0(31-62). TIB following nightshifts were 379.9±91.2 and 478.4±48.7 min for preintervention and intervention, respectively (p=0.001). Total sleep time (TST) was 328.0±91.0 vs. 361.0±70.4min, respectively following nightshifts (p=0.187, Cohen’s drm = 0.467). BDI, BAI, ESS, and ISI were significantly improved after the intervention. 60.7% and 49% of the participants reported improved alertness, and work efficiency during the nightshift. 17.9% and 42.9% of the participants reported increased sleep duration, and improved sleep quality after nightshift, respectively. Only eight participants were willing to continue the afternoon-evening sleep schedule following night shifts. KSS was not different between pre-intervention and intervention. Conclusion The afternoon-evening sleep schedule modestly increased total sleep time following nightshift. The overall mood, sleepiness and insomnia scale improved after the intervention although the alertness assessed by KSS failed to show the difference. The individual difference should be considered for applying afternoon-evening sleep for rapid rotating shift schedules. Support 2018 Research award grants from the Korean sleep research society and NRF-2019R1A2C1090643 funded by the Korean national research foundation

Burnout among Hungarian physicians. Who are the most jeopardized?

2015 ◽  
Vol 156 (14) ◽  
pp. 564-570 ◽  
Author(s):  
Zsuzsa Győrffy ◽  
Edmond Girasek
Keyword(s):  
Protective Factors ◽  
Shift Work ◽  
21St Century ◽  
Emotional Exhaustion ◽  
Healthcare Systems ◽  
Work Hours ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Important Indicator ◽  
High Level

Introduction: Burnout is one of the most challenging questions of the healthcare systems in the 21st century. Aim: The aim of this study was to analyze the Hungarian physicians’ burnout and its associations with workload factors (work hours, shift work, multiple workplaces). Method: Data of this representative, cross-sectional, online epidemiological study was obtained from online questionnaires completed by 4784 physicians. Results: Medium or high level personal accomplishment was present in 75.9% and emotional exhaustion in 58% among physicians, while medium or high level of depersonalization subscale was 53%. All of the 3 dimensions showed association with young ages (<35 years), work in in-patient care, shift hours and multiple workplaces. The physician partner increased the risk of depersonalization, however, children were protective factors. The work–home interface was associated with higher burnout scores. Conclusions: Physicians’ burnout is an important indicator of the functioning and effectiveness of the healthcare system. The results suggest the importance of prevention and intervention. Orv. Hetil., 2015, 156(14), 564–570.

Prevalence and predictors of burnout among specialty palliative care clinicians in the United States: Results of a national survey.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 87-87 ◽  
Author(s):  
Arif Kamal ◽  
Janet Bull ◽  
Steven Wolf ◽  
Greg Samsa ◽  
Katherine Ast ◽  
...  
Keyword(s):  
Palliative Care ◽  
Logistic Regression ◽  
Emotional Exhaustion ◽  
Cancer Care ◽  
Maslach Burnout Inventory ◽  
The United States ◽  
Biased Sampling ◽  
Stepwise Logistic Regression ◽  
Work Related ◽  
Increased Risk

87 Background: The increasing demand for specialist palliative care (PC) in cancer care requires an available and responsive clinical workforce. But as the volume of work expands, PC providers face an increased risk of burnout, characterized by depersonalization and work-related emotional exhaustion. The prevalence and predictors of burnout among PC providers is poorly understood. Methods: Members of the American Academy of Hospice and Palliative Medicine (e.g. advanced practice provider, registered nurses, chaplains) completed the Maslach Burnout Inventory (MBI) via electronic survey in the second half of 2013; respondents were recruited via e-mail, blog and Facebook posts, and Twitter tweets. The MBI determine burnout severity across two domains, Emotional Exhaustion (EE) and Depersonalization (DP). Severity is reported as “low”, “moderate”, or “high”; “high” is consistent with burnout. Demographic and work-related variables associated with burnout in other studies were determined via stepwise logistic regression. Results: We received surveys from 1,241 clinicians. We estimated a response rate of 30%. 68% of respondents were physicians. Most respondents were over age 50 (57%), female (65%), were married or partnered (82%) and had worked in the field for less than 10 years (67%). 42% took overnight call regularly, 30% reported working 50 hours per week or more, and 57% had at least 4 colleagues. Regarding burnout, 24% reported high DP, 59% reported high EE, and 62% of reported high burnout symptoms on either EE or DP scales. In logistic regression, younger physicians, those working more than 50 hours per work, and those with fewer colleagues within their practice were at greatest risk of burnout (p<0.02). Conclusions: PC clinicians report a burnout rate of 62%. Even with the limitations of our methods and potentially biased sampling, this prevalence is remarkable and higher than data reported in medical oncology (45%). Burnout severity is associated with working in isolation and working longer hours. Further studies on how burnout affects sustainability of the PC workforce are needed, especially since this workforce is so critical to the provision of high quality cancer care.

scholarly journals Shift work and sickness absence at a Norwegian hospital: a longitudinal multilevel study

2020 ◽  
Vol 77 (8) ◽  
pp. 555-563
Author(s):  
Vilde Hoff Bernstrøm ◽  
Inge Houkes
Keyword(s):  
Sickness Absence ◽  
Shift Work ◽  
Parental Status ◽  
Short Term ◽  
Increased Risk ◽  
Shift Schedules ◽  
The Individual ◽  
The Relationship ◽  
Night Shifts

ObjectiveShift work is known to be related to several negative health consequences and sickness absence. Research results regarding the relationship between types of shift schedules and sickness absence and whether and how individual factors moderate this relationship, are mixed though. The present paper aims to provide more insight in these relationships.MethodsWe used registry data from a large Norwegian hospital gathered for the years 2012–2016, for >14 000 employees. With random effects at the individual and unit levels, we analysed the relationship between shift schedule worked and sickness absence in the same year.ResultsThe results showed increased risk of short-term sickness absence for two-shift and three-shift rotations, as well as fixed night shifts compared with fixed-day shifts. We also found an increased number of absence periods for two-shift rotations without nights and three-shift rotations. Results for long-term sickness absence were mixed, with increased odds for two-shift rotations without nights, but reduced odds for three-shift rotations. We found partial support for a moderating influence of age, gender and parental status.ConclusionsThere is a clear relationship between working shifts and increased risk of short-term sickness absence. The relationship persists across gender, age group and parental status. The relationship between shift work and long-term sickness absence appears to be schedule and population specific. These findings may have implications for HR policies and the organisation of shift work in healthcare organisations.

Circadian principles and design of rotating shift work schedules

1986 ◽  
Vol 251 (3) ◽  
pp. R636-R638 ◽  
Author(s):  
F. W. Turek
Keyword(s):  
Circadian Rhythms ◽  
Shift Work ◽  
Sleep Time ◽  
New Work ◽  
Work Schedules ◽  
Work Schedule ◽  
Work Time ◽  
Shift Workers ◽  
Rotating Shift Work ◽  
Night Shifts

Circadian rhythms may be disrupted when shift workers rotate from one work schedule to another. It has been suggested that in order to minimize the time needed to readjust circadian rhythms to a new work schedule the work time of shift workers should be rotated in a delaying rather than an advancing direction. However, delaying or advancing the work time does not imply that the sleep-wake cycle is also shifted in a similar manner. Indeed, after a complete rotation between the day, evening, and night shifts the sleep time will be advanced once, delayed once, and not shifted once, regardless of whether the workers are on a delaying or an advancing work rotation schedule. Thus circadian rhythms are likely to be perturbed in a similar manner whether the work schedule is rotated in a delaying or an advancing direction.

scholarly journals Association of sleep duration and sleep quality with hypertension in oil workers in Xinjiang

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11318
Author(s):  
Fen Yang ◽  
Yuanyue Zhang ◽  
Ruiying Qiu ◽  
Ning Tao
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Shift Work ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Length Of Service ◽  
Insufficient Sleep ◽  
Increased Risk ◽  
Oil Workers ◽  
Stratified Analysis

Objective The aim of this study is to explore sleep status and hypertension among oil workers in Xinjiang, China. It may provide new ideas and basis for the precise prevention and treatment of hypertension in occupational population. Methods Sleep status and hypertension were investigated in 3,040 workers by a multi-stage cluster sampling method in six oil field bases in Karamay City, Xinjiang. The Pittsburgh Sleep Quality Index was used to evaluate the sleep status of workers. Logistic regression was used to analyze the relationship between sleep duration and sleep quality, and hypertension. Stratified analysis was also performed. Results Our results show: 1. Insufficient sleep duration (OR = 1.51, 95% CI [1.19–1.90]) and poor sleep quality (OR = 1.78, 95% CI [1.33–2.38] were positively associated with hypertension. 2. Stratified analysis indicated insufficient sleep duration was associated with increased risk of hypertension in females (OR = 1.54, 95% CI [1.16–2.04]) than males (OR = 1.49, 95% CI [1.00–2.23]), and the risk of hypertension in the group <30 years old (OR = 9.03, 95% CI [2.32–35.15]) was higher than that in the group of 30–45 years old (OR = 1.59, 95% CI [1.14–2.20]). However, in the group > 45 years old, sleeping > 8 h was associated with increased risk of hypertension (OR = 3.36, 95% CI [1.42–7.91]). Oil workers doing shift work had a higher risk of hypertension (OR = 1.55, 95% CI [1.16–2.07]) to no shift work (OR = 1.48, 95% CI [1.02–2.15]). The risk of hypertension in the group with < 10 years of service (OR = 4.08, 95% CI [1.92–8.83]) was higher than that in the group with length of service of 10–20 years (OR = 2.79, 95% CI [1.59–4.86]). Poor sleep quality was associated with risk for hypertension in females (OR = 1.78, 95% CI [1.26–2.49]), those doing shift work (OR = 1.70, 95% CI [1.17–2.47]), those with length of service of > 20 years (OR = 1.64, 95% CI [1.18–2.27]). The risk of hypertension in the group 30–45 years old is higher than that in the group > 45 years old (OR 30–45 years old = 1.71, 95% CI [1.10–2.66]; OR > 45 years old = 1.60, 95% CI [1.09–2.34]). Conclusion Insufficient sleep duration and poor sleep quality are the potential factors affecting hypertension in Xinjiang oil workers.

scholarly journals Maslach Burnout Inventory-Human Services Survey (MBI-HSS) Versi Bahasa Indonesia: Studi Validasi Konstruk pada Anggota Polisi

2020 ◽  
Vol 9 (1) ◽  
pp. 19-29
Author(s):  
Heri Yulianto
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Emotional Exhaustion ◽  
Police Officers ◽  
Human Services ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Measurement Tool ◽  
Confirmatory Factor ◽  
The Impact

AbstractOne of the professions that has a high risk, stress and burnout rate is the police. To find out the extent of police officers against the impact of burnout, we need a valid and reliable measurement tool. This research seeks to test the construct validity of the Maslach Burnout Inventory-Human-Services Survey (MBI-HSS). The data used are data obtained from 504 police officers serving in the Metro Jaya Regional Police (Polda Metro Jaya); age between 21 and 56 years old (M = 33.04, SD = 8.533); male sex (99.8%) and female (0.2%); and length of work from 3–38 years (M = 15.04, SD = 8.533). The analytical method used is Confirmatory Factor Analysis (CFA) using Mplus 7.11. The test results prove that the data fit with the 3-correlated factor model that shows the correlation of emotional exhaustion and depersonalization factors = 0.966, emotional exhaustion and personal accomplishment = -0.590 and personal accomplishment and depersonalization =  -0.701, with RMSEA = 0.048, CFI = 0.943 and TLI = 0.934, indicating good fit.AbstrakSalah satu profesi yang memiliki resiko, stress dan tingkat burnout yang tinggi adalah polisi. Untuk mengetahui sejauh mana anggota polisi terhadap dampak burnout, dibutuhkan alat ukur yang valid dan reliabel. Oleh karena itu penelitian ini bertujuan untuk menguji validitas konstruk dari skala Maslach Burnout Inventory-Human-Services Survey (MBI-HSS). Data yang digunakan adalah data yang diperoleh dari 504 anggota polisi yang bertugas di Polda Metro Jaya; rentang usia 21 hingga 56 tahun (M = 33,04; SD = 8,533); jenis kelamin laki-laki (99,8%) dan wanita (0,2%); masa dinas mulai 3 hingga 38 tahun (M = 15,04; SD = 8,533). Metode analisis yang digunakan adalah Confirmatory Factor Analysis (CFA) dengan menggunakan software Mplus version 7.11. Hasil pengujian membuktikan bahwa data fit dengan model 3-correlated factor yang menunjukkan korelasi faktor emotional exhaustion dan depersonalisation = 0,966, emotional exhaustion dan personal accomplishment = -0,590 dan personal accomplishment dan depersonalisation = -0,701, dengan indeks kesesuaian RSMEA = 0,048; CFI = 0,943; dan TLI = 0,934. 

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