Impact du travail en 12 heures en milieu hospitalier : étude dans deux services de réanimation du CHU de Caen

Abstract : Introduction: 12-hour shifts are spreading and raise concerns about workers’ health and safety. Caen University hospital moved towards 12-hour shifts for intensive care staff in April 2017. Our study aims at evaluating the impacts of this pattern of work on working conditions, subjective health and satisfaction. Methods: we used the EVREST survey for a longitudinal design with data collected from 116 nurses over two periods, before and after eight months on 12-hour shifts. Results: venous disorders of lower limbs increase. Nurses become dissatisfied with staff handovers, mostly those working night shifts. Positive effects were found for day nurses, in favor of 12-hour shifts, with less pressure time at work and reduced home/work conflicts. Conversely, night nurses become dissatisfied, because of deterioration of working conditions and home/work balance, and are unfavorable to 12-hour shifts. Discussion: improvement measures must be implemented, especially for night staff (protecting rest days, team of replacement workers, rest breaks during the night, improvements in handovers). We found few significant effects on health, but some workers left the intensive care units before the change, and this may have led to a healthy worker effect. Further health evaluations will be necessary.
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Master Thesis
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Anne Fratissier. Impact du travail en 12 heures en milieu hospitalier : étude dans deux services de réanimation du CHU de Caen. Médecine humaine et pathologie. 2018. ⟨dumas-02081248⟩

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