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Presented by:
Engr. Christian P. Enoval
Keypoints
A. Biological and Social Aspects
B. Health Effects of shift work
C. Safety Effects of shift work
D. Personal Issues and Prevention
Psychosocial
• means it relates to one's psychological
development in, and interaction with, a
social environment.
• is an employment practice designed to make
use of, or provide service across, all 24 hours
of the clock each day of the week
(abbreviated as 24/7). The practice typically
sees the day divided into "shifts", set periods
of time during which different groups of
workers take up their posts. The term "shift
work" includes both long-term night shifts and
work schedules in which employees change or
rotate shifts
Shift work
The reasons why shift work and now extended
work has continued into the 21st century are
threefold.
• Society's needs for services and
emergency cover
• Technical need for maintaining
continuous process industries
• Economic need for offsetting plant
obsolescence.
• Although the shift worker of 50 years ago was
likely to be factory based, increasing demand
for services, both business and pleasure, has
extended to those employed in more
traditionally “white collar” occupations. E-
commerce will lead to the need for 24 hour
services for most retail and service
organisations.
A. Biological and Social Aspects
• CIRCADIAN RHYTHMS
• EFFICIENCY OF PERFORMANCE
• FAMILY AND SOCIAL LIFE
• One of the most important physiological problems associated with shift work
and the night shift in particular, is that working, eating, and sleeping phases are
changed.
• Mammals have a natural rhythmicity to many bodily functions and these
circadian rhythms exist in humans, with many operating on a 25 hour cycle. Such
free running cycles, which include body temperature, respiratory rate, urinary
excretion, cell division, and hormone production, can be modulated by
exogenous factors such as light-dark cycle, social climate, and of course, work
schedules.
• For example, under normal living conditions, body temperature peaks in the late
afternoon with its lowest point occurring in the early hours of the morning.
Under experimental conditions, it is possible to reverse this cycle but rotating
shift workers usually only succeed in flattening the curves. Body temperature
records are often used as a surrogate measure of disruption of circadian rhythm,
but it is probably too simplistic to link this measure directly to performance
1. CIRCADIAN RHYTHMS
• Human error is often cited as an important factor in work accidents
and this may depend to some extent on sleep related factors and
circadian rhythm. In general, efficiency of performance seems to
parallel the circadian variation in body temperature. The disruption
of circadian rhythm, combined with sleep deficit and fatigue, can
lead to workplace inefficiency, particularly in the early hours of the
morning. This pattern of cause and effect has been reported for
many groups of shift workers. A dip after lunch has also been
described for lowered efficiency of performance and this is only
partially dependent on the meal itself.
• The shortening of the sleep period caused by an early start at work
has also been shown to be associated with an increase in errors
and accidents in transport workers.
2. EFFICIENCY OF PERFORMANCE
• Workers who engage in shift work or who work long hours can
experience considerable disruption of family and social activities as
many of these rhythms of the general population are oriented
around the day. Saturday and Sunday work, for example, can
preclude involvement in sporting events or religious activities. Shift
work can thus lead to social marginalisation.
• Family and marital responsibilities can be severely disrupted by
shift work or long hours. Childcare, housework, shopping, and
leaving a partner alone at night can all lead to marital strain and
family dysfunction. On the positive side, for those shift workers
who like relatively solitary leisure pursuits or who abhor the crowds
often find that shift scheduling provides them with greater
opportunities to do what they want to do in their non-working
time.
3. FAMILY AND SOCIAL LIFE
B. Health Effects of Shift Work
SLEEP
Reduction in quality
and quantity of sleep
FATIGUE
Widespread
complaints of “fatigue”
MENTAL HEALTH
Anxiety, depression, and
increased neuroticism
CARDIOVASCULAR DISORDERS
Increasing evidence of adverse
cardiovascular effects
GASTROINTESTINAL DISORDERS
Possible increase in
gastrointestinal
disorders
REPRODUCTIVE EFFECTS
Increased risk of
spontaneous
abortion, low birth
weight, and
prematurity.
C. Safety effects
PERFORMANCE
Poorer performance
especially at night
ACCIDENTS
Increased rate of
accidents especially
at night
EXPOSURE TO TOXIC CHEMICALS
• Gender women>men
• Age older>younger
• Personality introversion/extroversion
• Design shift schedules on hysiogroundslogical
• Physical fitness.
Personal Issues
GENDER
AGE
PERSONALITY
• It has been proposed that almost one in five workers leave shift
work because they cannot tolerate it, about 10% positively enjoy
it, and the rest tolerate it to a greater and lesser extent.
Personality may play a part in this as there is an association
between neurotic introversion and intolerance to shift work. It
may be simplistic to view introvert-extrovert personality types in
this way but there is some physiological support for the
importance of personality if people are viewed as morning types
and evening types. People who are at their best in the morning
face more difficulties in adjusting their circadian rhythms to night
work compared with those who feel better in the evening. By
contrast, evening types have greater problems with the early
morning shift. Physical factors may also play a part and are
discussed later.
Prevention
DESIGN OF WORK SCHEDULE
1.8-hour shift rotation
2.Increase number of crews at
night
3.Rapid rotation of shifts (a change
every few days)
4.Clockwise rotation (morning,
afternoon, night)
5.Duration of shift should not
exceed 10-12hrs
6.Workers design their own shift
schedule
PERSONAL ISSUES
• Work involving long hours or abnormal night-day schedules has
been in existence for centuries. There is evidence to suggest that
such schedules are here to stay, for one reason or another, for
one in five workers. The main physiological consequence of such
shift schedules is disruption of circadian rhythm which can have a
deleterious effect on performance, sleep patterns, accident rates,
mental health, and cardiovascular mortality. Reproductive
outcome effects may be linked to disruption of menstrual cycles.
Individual issues such as sex, age, and personality are also
important.
• Coping with these potentially harmful work schedules involves
helping people to cope and by designing workplace environments
and shift scheduling schemes that lead to the least disruption to
mental, physical, and social wellbeing.
Conclusion
• (1992) Shiftwork, health and safety. An overview of the scientific literature
1978 90. (The Stationery Office, London), pp 1–31.
• (1996) Shiftwork: problems and solutions. (Peter Lang, Frankfurt), pp 1–
224.
• (2000) Shiftwork and extended hours of work. in Hunters diseases of
occupation, eds Baxter PJ, Adams PH, Aw TC, et al. (Arnold, London), 9th
ed. pp 581–589.
• Spurgeon A. Working time, occupational health and safety. Geneva: ILO
(in press). NOTES. References 1–4 are the best extant reviews of the
subject..
• (1990) Circadian performance rhythms: some practical and theoretical
implications. Philos Trans R Soc Lond B Biol Sci 327:543–553.
• (1990) Psychological and psychophysiological effects of shiftwork. Scand J
Work Environ Health 16(suppl 1) 67–73.
• (1999) Shift work, risk factors and cardiovascular disease. Scand J Work
Environ Health 25:85–99, NOTES. References 5–10 make a good review of
References
Thank You For
Listening

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Psychosocial Factors Influencing Work Practices of SHIFTWORK

  • 2. Keypoints A. Biological and Social Aspects B. Health Effects of shift work C. Safety Effects of shift work D. Personal Issues and Prevention
  • 3. Psychosocial • means it relates to one's psychological development in, and interaction with, a social environment.
  • 4. • is an employment practice designed to make use of, or provide service across, all 24 hours of the clock each day of the week (abbreviated as 24/7). The practice typically sees the day divided into "shifts", set periods of time during which different groups of workers take up their posts. The term "shift work" includes both long-term night shifts and work schedules in which employees change or rotate shifts Shift work
  • 5. The reasons why shift work and now extended work has continued into the 21st century are threefold. • Society's needs for services and emergency cover • Technical need for maintaining continuous process industries • Economic need for offsetting plant obsolescence.
  • 6. • Although the shift worker of 50 years ago was likely to be factory based, increasing demand for services, both business and pleasure, has extended to those employed in more traditionally “white collar” occupations. E- commerce will lead to the need for 24 hour services for most retail and service organisations.
  • 7. A. Biological and Social Aspects • CIRCADIAN RHYTHMS • EFFICIENCY OF PERFORMANCE • FAMILY AND SOCIAL LIFE
  • 8. • One of the most important physiological problems associated with shift work and the night shift in particular, is that working, eating, and sleeping phases are changed. • Mammals have a natural rhythmicity to many bodily functions and these circadian rhythms exist in humans, with many operating on a 25 hour cycle. Such free running cycles, which include body temperature, respiratory rate, urinary excretion, cell division, and hormone production, can be modulated by exogenous factors such as light-dark cycle, social climate, and of course, work schedules. • For example, under normal living conditions, body temperature peaks in the late afternoon with its lowest point occurring in the early hours of the morning. Under experimental conditions, it is possible to reverse this cycle but rotating shift workers usually only succeed in flattening the curves. Body temperature records are often used as a surrogate measure of disruption of circadian rhythm, but it is probably too simplistic to link this measure directly to performance 1. CIRCADIAN RHYTHMS
  • 9.
  • 10. • Human error is often cited as an important factor in work accidents and this may depend to some extent on sleep related factors and circadian rhythm. In general, efficiency of performance seems to parallel the circadian variation in body temperature. The disruption of circadian rhythm, combined with sleep deficit and fatigue, can lead to workplace inefficiency, particularly in the early hours of the morning. This pattern of cause and effect has been reported for many groups of shift workers. A dip after lunch has also been described for lowered efficiency of performance and this is only partially dependent on the meal itself. • The shortening of the sleep period caused by an early start at work has also been shown to be associated with an increase in errors and accidents in transport workers. 2. EFFICIENCY OF PERFORMANCE
  • 11. • Workers who engage in shift work or who work long hours can experience considerable disruption of family and social activities as many of these rhythms of the general population are oriented around the day. Saturday and Sunday work, for example, can preclude involvement in sporting events or religious activities. Shift work can thus lead to social marginalisation. • Family and marital responsibilities can be severely disrupted by shift work or long hours. Childcare, housework, shopping, and leaving a partner alone at night can all lead to marital strain and family dysfunction. On the positive side, for those shift workers who like relatively solitary leisure pursuits or who abhor the crowds often find that shift scheduling provides them with greater opportunities to do what they want to do in their non-working time. 3. FAMILY AND SOCIAL LIFE
  • 12. B. Health Effects of Shift Work
  • 13. SLEEP Reduction in quality and quantity of sleep
  • 15. MENTAL HEALTH Anxiety, depression, and increased neuroticism
  • 16. CARDIOVASCULAR DISORDERS Increasing evidence of adverse cardiovascular effects
  • 17. GASTROINTESTINAL DISORDERS Possible increase in gastrointestinal disorders
  • 18. REPRODUCTIVE EFFECTS Increased risk of spontaneous abortion, low birth weight, and prematurity.
  • 22. EXPOSURE TO TOXIC CHEMICALS
  • 23. • Gender women>men • Age older>younger • Personality introversion/extroversion • Design shift schedules on hysiogroundslogical • Physical fitness. Personal Issues
  • 25. AGE
  • 26. PERSONALITY • It has been proposed that almost one in five workers leave shift work because they cannot tolerate it, about 10% positively enjoy it, and the rest tolerate it to a greater and lesser extent. Personality may play a part in this as there is an association between neurotic introversion and intolerance to shift work. It may be simplistic to view introvert-extrovert personality types in this way but there is some physiological support for the importance of personality if people are viewed as morning types and evening types. People who are at their best in the morning face more difficulties in adjusting their circadian rhythms to night work compared with those who feel better in the evening. By contrast, evening types have greater problems with the early morning shift. Physical factors may also play a part and are discussed later.
  • 28. DESIGN OF WORK SCHEDULE 1.8-hour shift rotation 2.Increase number of crews at night 3.Rapid rotation of shifts (a change every few days) 4.Clockwise rotation (morning, afternoon, night) 5.Duration of shift should not exceed 10-12hrs 6.Workers design their own shift schedule
  • 30. • Work involving long hours or abnormal night-day schedules has been in existence for centuries. There is evidence to suggest that such schedules are here to stay, for one reason or another, for one in five workers. The main physiological consequence of such shift schedules is disruption of circadian rhythm which can have a deleterious effect on performance, sleep patterns, accident rates, mental health, and cardiovascular mortality. Reproductive outcome effects may be linked to disruption of menstrual cycles. Individual issues such as sex, age, and personality are also important. • Coping with these potentially harmful work schedules involves helping people to cope and by designing workplace environments and shift scheduling schemes that lead to the least disruption to mental, physical, and social wellbeing. Conclusion
  • 31. • (1992) Shiftwork, health and safety. An overview of the scientific literature 1978 90. (The Stationery Office, London), pp 1–31. • (1996) Shiftwork: problems and solutions. (Peter Lang, Frankfurt), pp 1– 224. • (2000) Shiftwork and extended hours of work. in Hunters diseases of occupation, eds Baxter PJ, Adams PH, Aw TC, et al. (Arnold, London), 9th ed. pp 581–589. • Spurgeon A. Working time, occupational health and safety. Geneva: ILO (in press). NOTES. References 1–4 are the best extant reviews of the subject.. • (1990) Circadian performance rhythms: some practical and theoretical implications. Philos Trans R Soc Lond B Biol Sci 327:543–553. • (1990) Psychological and psychophysiological effects of shiftwork. Scand J Work Environ Health 16(suppl 1) 67–73. • (1999) Shift work, risk factors and cardiovascular disease. Scand J Work Environ Health 25:85–99, NOTES. References 5–10 make a good review of References