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ObjectiveTo explore the impact of overtime work on work-related musculoskeletal disorders in male employees in the automobile manufacturing industry. Methods A total of 1 731 male employees with more than one year of working experience from an automobile manufacturing industry were selected as the research subjects using judgment sampling method. The Musculoskeletal Disorder Questionnaire was used to investigate the prevalence of musculoskeletal disorder. Employees were divided into control group and overtime group, and a 1∶1 matching was performed using propensity score matching method, and 573 pairs were successfully matched. The prevalence of WMSDs in various body parts was compared between the two groups. Results The overtime working rate of the research subjects was 34.2%, and the prevalence of WMSDs was 57.1%. Overtime work increased the risk of WMSDs in the neck, shoulders, upper back, lower back, ankle/feet, and overall body of the workers (all P<0.05), with the odd ratio and 95% confidence interval of 1.43 (1.10-1.85), 1.38 (1.06-1.80), 1.42 (1.07-1.89), 1.28 (1.01-1.62), 1.37 (1.01-1.87), and 1.49 (1.17-1.89), respectively. However, there was no association between overtime work and the risk of WMSDs in the elbows, hands/wrists, hips, and knees of the subjects (all P>0.05). Conclusion Overtime work increases the risk of WMSDs in the neck, shoulders, upper back, lower back, ankles/feet, and overall body of male employees in the automobile manufacturing industry. Enterprises should improve labor organization, reduce overtime work, and protect the health of workers.
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@#Objective To analyze the therapeutic effect of mechanical thrombectomy (MT) in patients with acute anterior circulation ischemic stroke (AACIS) in over-time window.Methods From January 2018 to November 2018,40 patients with AACIS treated with MT were enrolled in our hospital.Patients were divided into in-time-window group (onset-treatment time ≤6 h,n=30) and over-time-window group (onset-treatment time>6 h,n=10) according to the time of onset-treatment.The therapeutic effect was evaluated by modified thrombolysis in cerebral infarction (mTICI).The National Institutes of Health Stroke Scale (NIHSS) scores were compared before and after treatment to evaluate the improvement of neurological deficits.The modified Rankin scale (mRs) score,complication rate,and mortality were compared at 90 days postoperatively to assess prognosis.Results The success rate of patients in the in-time-window group was 83.33%（25/30）,and the success rate of patients in the over-time-window group was 80.00% (16/20).There was no significant difference in the success rate between the two groups (P>0.05).The NIHSS scores at the time of discharge were lower than those at admission (P<0.05).There was no significant difference in NIHSS scores between the two groups (P>0.05).Within 90 days after surgery,no deaths occurred in either group.There was no significant difference in the prognosis rate and complication rate between the two groups (P>0.05).Conclusion MT can effectively improve the recanalization rate of patients in the treatment of patients with AACIS over-time-window,and has similar short-term and long-term treatment effects as patients in the in-time-window.
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Objetivo: avaliar o custo e a viabilidade financeira do regime de sobreaviso e horas extras dos profissionais de enfermagem do setor de Hemodiálise e propor intervenções que favoreçam a racionalização dos recursos financeiros nesta unidade. Método: levantamento da literatura pertinente em bases de dados acadêmicas; identificação da realidade através de análise de documentos como folha de ponto, escala de sobre aviso, descrição de horas extras, comprovantes de pagamento de táxi e reembolso quilometragem; e construção do Diagrama de Ishikawa para evidenciar o problema e suas causas. Resultados: o custo com o regime de sobre aviso e horas extras no setor de hemodiálise em um período de 18 meses foi de R$ 198.996,59 (média mensal R$ 11.005,39), verificou-se que 70% deste valor deve-se ao pagamento de sobre aviso. Foi proposto duas intervenções distintas, as quais economizaram em 18 meses aproximadamente R$ 73.730,99 (média mensal RS 4.096,16) e 82.814,40 (média mensal R$ 4.600,80), tais propostas aguardam avaliação dos gestores responsáveis para possível implantação. Conclusão: a construção deste estudo contribuiu de maneira a aprimorar e desenvolver o conhecimento teórico-prático sobre a gestão financeira e otimização de recursos, podendo servir também como incentivo/modelo para outras unidades iniciarem ações visando a racionalização de recursos financeiros.
Objective: to evaluate the cost and financial viability of the overwarning and overtime regime of nursing professionals in the Hemodialysis sector and to propose interventions that favor the rationalization of financial resources in this unit. Method: survey of the pertinent literature in academic databases; identification of reality through analysis of documents such as timesheet, scale over notice, description of overtime, vouchers of payment of taxi and mileage refund; and construction of the Ishikawa Diagram to highlight the problem and its causes. Results: the cost with the warning and overtime regime in the hemodialysis sector in an 18-month period was R$ 198,996.59 (monthly average R$ 11,005.39), it was found that 70% of this amount is due to the payment of on notice. Two distinct interventions were proposed, which saved approximately R$ 73,730.99 (monthly average RS 4,096.16) and 82,814.40 (monthly average R$ 4,600.80) in 18 months, such proposals await evaluation from managers responsible for possible implementation. Conclusion: the construction of this study contributed in order to improve and develop theoretical and practical knowledge about financial management and resource optimization, and may also serve as an incentive/model for other units to initiate actions aimed at rationalizing financial resources.
Objetivo: evaluar el coste y la viabilidad financiera del régimen de sobrecalentamiento y horas extras de los profesionales de enfermería del sector de la Hemodiálisis y proponer intervenciones que favorezcan la racionalización de los recursos financieros en esta unidad. Método: encuesta de la literatura pertinente en bases de datos académicas; identificación de la realidad a través del análisis de documentos tales como hoja de horas, escala sobre aviso, descripción de horas extras, vales de pago de taxi y reembolso de kilometraje; y la construcción del Diagrama de Ishikawa para resaltar el problema y sus causas. Resultados: el costo con el régimen de advertencia y horas extras en el sector de la hemodiálisis en un período de 18 meses fue de R$ 198,996.59 (promedio mensual R$ 11,005.39), se encontró que el 70% de esta cantidad se debe al pago de previo aviso. Se propusieron dos intervenciones distintas, que ahorraron aproximadamente R$ 73,730.99 (promedio mensual RS 4,096.16) y 82,814.40 (promedio mensual R$ 4,600.80) en 18 meses, tales propuestas esperan la evaluación de los gerentes responsables de una posible implementación. Conclusión: la construcción de este estudio contribuyó con el fin de mejorar y desarrollar conocimientos teóricos y prácticos sobre gestión financiera y optimización de recursos, y también puede servir como incentivo/modelo para que otras unidades inicien acciones destinadas a racionalizar los recursos financieros.
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Humans , Renal Dialysis , Hospital Costs , Workforce , Nurse PractitionersABSTRACT
PURPOSE: The aim of this study was to compare job satisfaction, quality of life (QOL), incident report rate and overtime hours for 12-hour shifts and for 8-hour shifts in a pediatric intensive care unit (PICU). METHODS: A descriptive survey was conducted with a convenience sample of 36 staff nurses from a PICU in a regional hospital in Korea. Data were collected using self-administrated questionnaires regarding job satisfaction and QOL at 6 months before and after the beginning of 12-hour shifts. Incident report rate and overtime hours for both 12-hour and 8-hour shifts were compared. Comparisons were made using chi2-test, paired t-test and Mann-Whitney U test. RESULTS: After 12-hour shifts were initiated, job satisfaction significantly increased (t=3.93, p<.001) and QOL was higher for nurses on 12-hour shifts compared to 8-hour (t=7.83, p<.001). There was no statistically significant change in incident report rate (chi2=0.15, p=.720). The overtimes decreased from 36.3+/-34.7 to 17.3+/-34.9 minutes (Z=-8.91, p<.001). CONCLUSION: These results provide evidence that 12-hour shifts can be an effective ways of scheduling for staff nurses to increase job satisfaction and quality of life without increasing patient safety incidents or prolonged overtime work hours.
Subject(s)
Intensive Care Units , Job Satisfaction , Korea , Patient Safety , Quality of Life , Surveys and Questionnaires , Risk ManagementABSTRACT
Objective: Statistical work overtime hospital surgical performance, understand the overtime rate in all the subjects, facilitating leaders make decisions in time, reasonable allocate resources to plan as a whole. Methods:using the time function and the automatic calculation logic function, and finally use pivot table function. Results:Reflect the medical surgery, overtime data provide a reference for the head nurse in nursing management. Statistical results show that the gynecology and obstetrics, orthopaedics, thoracic surgery, secrete surgery, general surgery frequency more overtime. Facilitate the matron reasonable flexible scheduling, optimize work processes;at the same time make the nurse work enthusiasm by passive status to active status, avoid buck-passing, realize the labor remuneration is closely related to job performance. Conclusion:Inspire staff enthusiasm, to strengthen the medical management has a guiding role.
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Shift work and overtime have been implicated as important work-related risk factors for cardiovascular disease (CVD). Many firefighters who contractually work on a 24-hr work schedule, often do overtime (additional 24-hr shifts) which can result in working multiple, consecutive 24-hr shifts. Very little research has been conducted on firefighters at work that examines the impact of performing consecutive 24-hr shifts on cardiovascular physiology. Also, there have been no standard field methods for assessing in firefighters the cardiovascular changes that result from 24-hr shifts, what we call "cardiovascular strain". The objective of this study, as the first step toward elucidating the role of very long (> 48 hrs) shifts in the development of CVD in firefighters, is to develop and describe a theoretical framework for studying cardiovascular strain in firefighters on very long shifts (i.e., > 2 consecutive 24-hr shifts). The developed theoretical framework was built on an extensive literature review, our recently completed studies with firefighters in Southern California, e-mail and discussions with several firefighters on their experiences of consecutive shifts, and our recently conducted feasibility study in a small group of firefighters of several ambulatory cardiovascular strain biomarkers (heart rate, heart rate variability, blood pressure, salivary cortisol, and salivary C-reactive protein). The theoretical framework developed in this study will facilitate future field studies on consecutive 24-hr shifts and cardiovascular health in firefighters. Also it will increase our understanding of the mechanisms by which shift work or long work hours can affect CVD, particularly through CVD biological risk factors, and thereby inform policy about sustainable work and rest schedules for firefighters.
Subject(s)
Humans , Appointments and Schedules , Biomarkers , Blood Pressure , California , Cardiovascular Diseases , Cardiovascular Physiological Phenomena , Electronic Mail , Feasibility Studies , Firefighters , Heart Rate , Hydrocortisone , Risk FactorsABSTRACT
OBJECTIVES: Karoshi is a word meaning death from work-overload. Work-related diseases due to continuous overwork are primarily cerebro- and cardio-vascular in nature. In Korea, despite an increase in the incidence of Karoshi, it is not easy to recognise by workmen's compensation in Korea. This study intended to establish basic information concerning the incidence of Karoshi. METHODS: 219 cases were collected based on workers' compensation records of three Busan Regional Centers of Labor Welfare Corporation from 1991 to 1999. The size of workplace, occupation, daily working time, type of working schedule, job tenures, characters of work-overload and duration of work-overload were investigated according of subgroups of general characteristics. Both univariate and multiple logistic regression analyses were used to estimate the relationship between risk factors and a recognition of Karoshi. RESULTS: 1. 61.6 % of total cases were recognized as Karoshi. 30.6 % occurred in a small workplace of less than 50 workers, 34.7 % were drivers or guards, and 48.8 % were more than 50 years old. Additionally, 29.6 % worked more than 12 hours, 37.5 % were irregular hours and shift workers and 21.5 % of the total had been on the job less than 6 months. 2. Of the causes of death, 49.8 % was cerebro-vascular diseases and it was more than cardio-vascular ones. And 80.4 % of total cases was belonged to the recognition-category of the Labour Ministry's Law. The previous disease history was found on 49.8 % of all cases. Of them, hypertension was most common as 21.9 %. 3. 53.9 % of patients were exposed to job hazards such as driving, monitoring, guarding, risky jobs and frequent long-term official trips. 64.7 % recorded a increased work-overload of job contents and working hours. Of the several types of work-overload, 42.5 % displayed long-term physical and psychotic work-overload and 22.2 % exhibited job characteristic work-overload. 4. In this study, work-overload was associated with the incidence of Karoshi in 76.3 % of cases. This rate was higher than the recognition of Workmen's compensation recorded by the Korea Labor Welfare Corporation. Of these, 43.6 % belonged to sufficient factors, 10.4 % partial factors, and 22.3 % were due to aggravating factors. 5. Logistic regression demonstrated that death due to cerebro- and cardio-vascular disease, shorttenure within 6 month was significantly associated with a recognition of Karoshi (p=0.034, OR=3.00, C I = 1 . 0 9~8.30/p=0.016, OR=6.76, CI=1.43~32.07 respectively) and that an increase of work-overload was also associated, but its statistical significance was slightly lower(p=0.081, OR=2.02, CI=0.91.~4.46 ) . However, no association was found between this recognition and overtime work, hazardous job, irregular work schedule, low-income, injury-onset place, or small size of workplace. The elderly group(>50years old) and those with a previous disease history were negatively associated with recognition although the statistical association was low. CONCLUSIONS: Karoshi in Busan occurred frequently in a small workplace of less than 50 workers, especially drivers or guards. Additionally, these cases worked more than 12 hours, were irregular hours and shift workers. The death due to cerebro- and cardio-vascular disease, short-tenure within 6 month was significantly associated with a recognition of Karoshi. However Karoshi in this study occurred frequently in overtime work and high risk groups of work-overload. Therefore, for prevention of Karoshi, work-overload and overtime work need improved and controled.