Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
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Working time patterns and health among Korean nurses: a literature review

한국 간호사의 건강연구에서 야간근무 노출 평가에 대한 고찰

  • Yoon, Seohyun (Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Kang, Chung-Won (Department of Occupational and Environmental Medicine, Ewha Womans University Medical Center) ;
  • Kee, Dohyung (Department of Industrial and Management Engineering, Keimyung University) ;
  • Kim, Hyunjoo (Department of Occupational and Environmental Medicine, Ewha Womans University Medical Center)
  • 윤서현 (이화여자대학교 의과학연구소) ;
  • 강충원 (이화여대목동병원 직업환경의학과) ;
  • 기도형 (계명대학교 경영공학과) ;
  • 김현주 (이화여대목동병원 직업환경의학과)
  • Received : 2018.12.05
  • Accepted : 2018.12.14
  • Published : 2018.12.31
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Abstract

Objective: Shift work including night work is known to be harmful to the health of nurses. This study was conducted in order to systematically review the academic literature on the health effects of working time patterns, including shift work or night work, among Korean nurses and propose a research direction for the future. Methods: We searched online academic databases to find relevant papers in domestic and international journals using the keyword terms 'shift work', 'night work', 'night shift', 'work shift', 'nurse', and 'Korea', and reviewed a total of 36 articles. Results: As a result of this literature review, more than half of the articles were found to investigate the health effects between shiftwork and non-shiftwork nurses. A few studies considered the shift type(n=6), frequency of night shift(n=4), and shiftwork duration(n=3) as working time patterns. These studies focused mainly on mental health(n=18) or sleep(n=15). Conclusions: Based on the review results obtained from this study, it is necessary to assess working time patterns of Korean nurses using a variety of variables including night-work-related factors, and various health outcomes should be examined considering the confounder.

Keywords

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Figure 1. Flow chart of the summary of the study selection

Table 1. Summary of researches of the health effect on the working time patterns among Korean nurses(n=36)

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Table 2. The health effect on ‘shift type’ among Korean nurses

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Table 3. The health effect on ‘shiftwork duration’ among Korean nurses

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Table 4. The health effect on ‘Frequency of night shift’ among Korean nurses

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References

  1. Akerstedt T. Shift work and disturbed sleep/wakefulness. Occup Med, 2003;53(2):89-94 https://doi.org/10.1093/occmed/kqg046
  2. Asaoka S, Aritake S, Komada Y, Ozaki A, Odagiri Y, et al. Factors associated with shift work disorder in nurses working with rapid-rotation schedules in Japan: the nurses' sleep health project. Chronobiol Int, 2013;30(4):628-636 https://doi.org/10.3109/07420528.2012.762010
  3. Byeon YS. The Effects of 2 or 3 Shift Rotation on the Fatigue and Sleep. J Korean Biol Nurs Sci, 2005;7(2):5-15
  4. Choi YJ, Moon HJ. A comparative study of health states between shift-duty nurse at night time and fixed day-duty nurses. Korean J Adult Nurs, 1993;5(2):112-126
  5. Costa G. The impact of shift and night work on health. Applied ergonomics, 1996;27(1):9-16 https://doi.org/10.1016/0003-6870(95)00047-X
  6. Frost P, Kolstad HA, Bonde JP. Shift work and the risk of ischemic heart disease-a systematic review of the epidemiologic evidence. Scand J Work Environ Health, 2009;163-179
  7. Gaskins AJ, Rich-Edwards JW, Lawson CC, Schernhammer ES, Missmer SA, et al. Work schedule and physical factors in relation to fecundity in nurses. Occup Environ Med, 2015:oemed-2015-103026
  8. Ha M, Roh SC, Park JS. Shiftwork Duration and Metabolic Risk Factors of Cardiovascular Disease. Korean J Occup Environ Med, 2003;15(2):132-139
  9. Han K, Choi-Kwon S, Kim KS. Poor dietary behaviors among hospital nurses in Seoul, South Korea. Appl Nurs Res, 2016;30:38-44 doi:10.1016/j.apnr.2015.10.009
  10. Harrington JM. Health effects of shift work and extended hours of work. Occup Environl Med, 2001;58(1):68-72 https://doi.org/10.1136/oem.58.1.68
  11. Harma M, Ropponen A, Hakola T, Koskinen A, Vanttola P, et al. Developing register-based measures for assessment of working time patterns for epidemiologic studies. Scand J Work Environ Health, 2015;268-279
  12. Huh YS, Ock MK, Park SE, Kim CH. The Aspects of Skin Disease, Particularly Acne in Nurses on Rotating Shift and Daytime Fixed Work Schedules. J Korean Orient Med Ophthalmol Otolaryngol Dermato, 2006;19(3): 180-188
  13. Hwang EH, Kang JS. A Study on Job Involvement according to Working Pattern and Daytime Sleepiness among Hospital Nurses. J East-West Nurs Res, 2011;17(2): 81-86 https://doi.org/10.14370/JEWNR.2011.17.2.081
  14. Hwang SS, Hong SB, Hwang YW, Hwahng EJ, Hwang JU, et al. Effects of Shiftwork on Sleep Patterns of Nurses. Korean J Occup Environ Med, 1998;10(1):1-8
  15. IARC, IARC Monographs on the evaluation of carcinogenic risks to humans. Preamble. IARC. Lyon, France, 2006;22-3
  16. Im SB, Yu SY, Seo EB, Lee SJ, Yun BR, et al. The Effects of Shift Work on The Nurses' Negative Affectivity and Sleep Disorder. J Korean Acad Psych Mental Health Nurs 2006;15(1):40-47
  17. Jeong SH. Subjective Sleep Characteristics and Depression of Shift Nurses. Korean J Occup Health Nurs, 1998;7(2):155-163
  18. Jung HS, Lee B. Factors associated with the occurrence of functional dyspepsia and insomnia in shift-working nurses. Work, 2016;54(1):93-101 doi:10.3233/wor-162283
  19. Jung YJ, Kang SW. Differences in Sleep, Fatigue, and Neurocognitive Function between Shift Nurses and Non-shift Nurses. Korean J Adult Nurs, 2017;29(2):190-199 https://doi.org/10.7475/kjan.2017.29.2.190
  20. Kang BM, Yang CK. The Psychophysicosocial Distresses in Nurses with Shift Work. Sleep Med Psychophysiol, 1999;6(1):61-67
  21. Kang HG, Ko YK, Jee YG, Kim SJ, Yoon H, et al. The Effect of Shift-Work on Psychological Factors in University Hoptal's Nurses. J Korean Acad Nurs Adm, 2005;11(1):79-88
  22. Kang HT, Kang CW, Kim DS, KIm DH, Kim MB, et al. Performance and improvement task of introducing special medical examination system for night work : a Conference paper. Paper presented at the Korean Occupational and Environmental Medicine, Seoul, 2017
  23. Kim BJ, Choi MR, Kim HW, Kim TH, Eun HJ. Psychosomatic Symptoms of Rotating Shift and Daytime Working Nurses in a General Hospital. Korean J Psychosom Med, 2014a;22(2):79-86
  24. Kim E. Result of the special health examination for night-shift workers. Paper presented at the The 50th Safety & Health Week Seminar, Seoul, Korea, 2017
  25. Kim EJ, Jung HS, Choi EH. Relationship of Shift Work to Gastrointestinal Disorders in Hospital Nurses. Korean J Health Promot, 2014b;14(4):172-179 https://doi.org/10.15384/kjhp.2014.14.4.172
  26. Kim H, Kim SY, Lim SY, Jeon KJ. Management for overloading workers with extended, night, or holiday work, Seoul: Ministry of Employment and Labor (MoEL), 2011
  27. Kim HI, Jung SA, Choi JY, Kim SE, Jung HK, et al. Impact of shiftwork on irritable bowel syndrome and functional dyspepsia. J Korean Med Sci, 2013a;28(3):431-437. doi:10.3346/jkms.2013.28.3.431
  28. Kim HS, Kim YS, Hong MH, Kim JU. Comparison of Physical, Mental Health Status and Work-related Injuries According to the Working Environment of Nurses. J Korea Acad Industr Coop Soc, 2015;16(1):527-535 https://doi.org/10.5762/KAIS.2015.16.1.527
  29. Kim JH, Kim MS, Kim YH. A Comparison of Standard Shiftwork Index between Night Shift Fixed Nurses and Rotating Shift Nurses. J Korean Clin Nurs Res, 2017;23(1):54-63 https://doi.org/10.22650/JKCNR.2017.23.1.54
  30. Kim JM, Kang BH. The relationships between dietary behavior and health related factors according to shift work in nurses. J Nutr Health, 2014c;47(5):416-425 https://doi.org/10.4163/jnh.2014.47.6.416
  31. Kim KT, Kim CH, Kwon B, Han DH, Yoon SJ, et al. Do rotational shifts affect micturition patterns in real practice? A pilot study in healthy, young female nurses. Int Neurourol J, 2014d;18(4):206-212. doi:10.5213/inj.2014.18.4.206
  32. Kim MJ, Son KH, Park HY, Choi DJ, Yoon CH, et al. Association between shift work and obesity among female nurses: Korean Nurses' Survey. BMC Public Health, 2013b;13:1204. doi:10.1186/1471-2458-13-1204
  33. Kim SO. A Study of Health Condition and Shift Service of the Nurse in General hospital. J Korean Acad Nurs Adm, 1997;3(1):119-133
  34. Kim YI. Effect Factors on Health Promotion Lifestyle of Shift Work Nurses. Korean J Occup Health Nurs, 2011;20(3):356-364 https://doi.org/10.5807/kjohn.2011.20.3.356
  35. Knutsson A. Health disorders of shift workers. Occup Med, 2003;53(2):103-108 https://doi.org/10.1093/occmed/kqg048
  36. Knutsson A, Boggild H. Gastrointestinal disorders among shift workers. Scand J Work Environ Health, 2010:85-95
  37. Koh SJ, Kim M, Oh DY, Kim BG, Lee KL, et al. Psychosocial stress in nurses with shift work schedule is associated with functional gastrointestinal disorders. J Neurogastroenterol Motil, 2014;20(4):516-522. doi:10.5056/jnm14034
  38. KOSHA. Health management guide for shift workers(KOSHA guide H-22-2011). In Seoul: Korea Occupational Safety and Health Agency; 2011
  39. KOSHA. Guidelines for Special health examination 2017, 2017
  40. Kwak J, Yoon BH, Jeon BH, Sea YH, Song JH, et al. Comparisons of Subjective and Actigraphic Measurements of Sleep between Shift-working and Daytime Psychiatric Nurses. Korean J Psychosom Med, 2017;25(2):166-175 https://doi.org/10.22722/KJPM.2017.25.2.166
  41. Lee EJ, Shin SW. The Effect of Health Promotion Behavior on Fatigue and Depression among Shift Nurses. J Korea Acad Industr Coop Soc, 2014;15(4):2256-2264 https://doi.org/10.5762/KAIS.2014.15.4.2256
  42. Lee GJ, Kim K, Kim SY, Kim JH, Suh C, et al. Effects of shift work on abdominal obesity among 20-39-year-old female nurses: a 5-year retrospective longitudinal study. Ann Occup Environ Med, 2016;28:69. doi:10.1186/ s40557-016-0148-6
  43. Lee HS. Effect of the Occupational Stress and Self Esteem on Mental Health among Nurses. J Korea Contents Assoc, 2013;13(3):251-259 https://doi.org/10.5392/JKCA.2013.13.03.251
  44. Lee JT, Lee KJ, Park JB, Lee KW, Jang KY. The Relations between Shiftwork and Sleep Disturbance in a University Hospital Nurses. Korean J Occup Environ Med, 2007;19(3):223-230
  45. Lie JAS, Kjuus H, Zienolddiny S, Haugen A, Stevens RG, et al. Night work and breast cancer risk among Norwegian nurses: assessment by different exposure metrics. Am J Epidemiol, 2011;173(11):1272-1279 https://doi.org/10.1093/aje/kwr014
  46. Lin PC, Chen CH, Pan SM, Pan CH, Chen CJ, et al. Atypical work schedules are associated with poor sleep quality and mental health in Taiwan female nurses. Int Arch Occup Environ Health, 2012;85(8):877-884 https://doi.org/10.1007/s00420-011-0730-8
  47. Megdal SP, Kroenke CH, Laden F, Pukkala E, Schernhammer ES. Night work and breast cancer risk: a systematic review and meta-analysis. Eur J Cancer, 2005;41(13):2023-2032 https://doi.org/10.1016/j.ejca.2005.05.010
  48. Oh MJ. The Association between the Degree of Fatigue and the Shift Night Nurses' Circadian Type and Rotating Shift Work Schedules. Bull Basic Sci Res, 1997;7(1):307-321
  49. Park YN, Yang HK, Kim H, Cho YC. Relationship between Shift Work, and Sleep Problems and Fatigue Symptoms of Nurses for General Hospitals. Korean J Occup Health Nurs, 2007;16(1):37-47
  50. Peplonska B, Bukowska A, Gromadzinska J, Sobala W, Reszka E, et al. Night shift work characteristics and 6-sulfatoxymelatonin(MT6s) in rotating night shift nurses and midwives. Occup Environ Med, 2012:oemed-2011-100273
  51. Saulle R, Bernardi M, Chiarini M, Backhaus I, La Torre G. Shift work, overweight and obesity in health professionals: a systematic review and meta-analysis. Clin Ter, 2018;169(4):e189-e197
  52. Schernhammer ES, Kroenke CH, Laden F, Hankinson SE. Night work and risk of breast cancer. Epidemiology, 2006:108-111
  53. Shin YH, Choi EY, Kim EH, Kim YK, Kim KS, et al. Comparison of Work-Life Balance, Fatigue and Work Errors between 8-Hour Shift Nurses and 12-Hour Shift Nurses in Hospital General Wards. J Korean Clin Nurs Res, 2018;24(2):170-177 https://doi.org/10.22650/JKCNR.2018.24.2.170
  54. Son YJ, Park YR. Relationships between Sleep Quality, Fatigue and Depression on Health Promoting Behavior by Shift-Work Patterns in University Hospital Nurses. J Korean Biol Nurs Sci, 2011;13(3):229-237
  55. Suh M. An Exploratory Study on Occupational Stress and Anxiety Through Salivary Cortisol and SelfReport Scale in Korean Nurses on Shift and Regular Work. J Korean Biol Nurs Sci, 2017;19(3):206-213 https://doi.org/10.7586/jkbns.2017.19.3.206
  56. Trinkoff AM, Le R, Geiger-Brown J, Lipscomb J, Lang G. Longitudinal relationship of work hours, mandatory overtime, and on-call to musculoskeletal problems in nurses. Am J Ind Med, 2006;49(11):964-971 https://doi.org/10.1002/ajim.20330
  57. Yoon JS, Kook SH, Lee HY, Shin IS, Kim A-J. Sleep Pattern, Job Satisfaction and Quality of Life in Nurses on Rotating Shift and Daytime Fixed Work Schedules. J Korean Neuropsychiatr Assoc, 1999;38(4):713-722
  58. Yun JY, Ham OK, Cho IS, Young LJ. Effects of Health Promoting Behaviors and Mental Health Status of Shift and Non-Shift Nurses on Quality of Life. J Korean Public Health Nurs, 2012;26(2):268-279 https://doi.org/10.5932/JKPHN.2012.26.2.268
  59. Zhao I, Bogossian F, Turner C. The effects of shift work and interaction between shift work and overweight/obesity on low back pain in nurses: results from a longitudinal study. J Occup Environ Med, 2012;54(7):820-825 https://doi.org/10.1097/JOM.0b013e3182572e6a