OBJECTIVES:The study investigated whether nurses' different working schedules are associated with different levels of job-related strain, health symptoms and behavior. No reports have been accessible in the relevant literature on the possible association between shift work and job-related strain in nurses. MATERIALS AND METHODS:This was a cross-sectional study conducted at a large university hospital in North-East Italy, involving 806 nurses working in selected departments. A multilevel logistic regression was applied to assess the association between work shift conditions and selected outcomes. RESULTS:Night shifts were associated not only with higher odds of having a high Job Demand, but also with lower odds of having a high Decision Authority and consequently with a stronger likelihood of having higher levels of Job Strain (high Job Demand score ≥ 38 and Low Decision Authority). The night shift was associated with various symptoms, particularly exhaustion (p = 0.039) and gastric pain (p = 0.020). Nurses' working schedules did not affect their job satisfaction scores. CONCLUSIONS:It has been confirmed that night shifts are a risk factor for nurses' health perception and working night shifts carries a considerable degree of strain. This is a condition that hospital nursing managements need to consider carefully to avoid burnout in nursing personnel and prevent an excessive turnover in this profession, which is a recurring problem for health care organizations.

译文

目的:该研究调查了护士的不同工作时间表是否与不同水平的工作相关的压力,健康症状和行为有关。在相关文献中,没有关于护士轮班工作与工作相关压力之间可能相关性的报道。
材料与方法:这是在意大利东北部的一家大型大学医院进行的一项横断面研究,涉及选定部门的806名护士。应用多级逻辑回归来评估轮班条件与选定结果之间的关联。
结果:夜班不仅与较高的工作需求机会相关,而且与具有较高决策权限的可能性较低有关,因此与较高的工作压力(较高的工作需求得分≥38并且低决策机构)。夜班与各种症状有关,尤其是精疲力竭(p = 0.039)和胃痛(p = 0.020)。护士的工作时间表不会影响他们的工作满意度得分。
结论:已经证实,夜班是护士健康感知的危险因素,而夜班工作会带来相当大的压力。这是医院护理管理人员需要仔细考虑的一种情况,以避免护理人员的倦怠并防止该行业的人员更替,这是医疗保健组织经常遇到的问题。

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