Documents fatigue 37 results

"In Japan around 100,000 working carers leave their jobs each year. While long-term care leave was legislated in 1995 with the aim of ensuring that working carers do not leave their jobs, few workers use such leave. The Japanese government has addressed this problem in 2016 by proposing amendments to the Child Care and Family Care Leave Act to allow workers to take care leave more flexibly. Focusing on another aspect of combining work and care, this paper addresses the possibility that workers who remain in their jobs may suffer from the effects of having to combine work with providing care. Although fatigue among carers has been raised as a problem in the context of issues that arise outside the workplace, such as abuse or murder of care receivers or suicide among carers, the effects that fatigue may have on carers' work is rarely a topic of discussion. The results of our original data analysis show that physical fatigue due to providing care while working full time raises the risk of having an accident while at work and failing to meet work quotas. It is therefore crucial to consider means of ensuring that working carers who come to the office as usual are able to maintain their health and work performance. "

"Background Mobility-related fatigue and low socioeconomic position predicts mobility limitations and disability in old age, but the interplay between these two factors is unknown. To evaluate whether mobility-related fatigue is a stronger risk factor for mobility limitations in certain socioeconomic groups, the aim of this study was to examine the combined effect of mobility-related fatigue and socioeconomic position on mobility limitations in a prospective study among older Danish men and women. Methods Multivariate linear regression models with combined exposure variables using generalised estimating equations were performed using four waves of data on 2874 individuals without mobility limitations at baseline from The Danish Intervention Study on Preventive Home Visits. Results Low socioeconomic position and mobility-related fatigue are risk factors for mobility limitations in old age. The combined exposure to both factors additionally increased the risk, but there was no synergy effect between the two. Notably, fatigue predicted mobility decline at 3-year follow-up among those aged 80?years at baseline with a mean difference in number of mobility limitations from the joint reference category (high socioeconomic position and no fatigue) of ?0.52, p<0.0001 among those in high socioeconomic position and ?0.96, p<0.0001 among those in low socioeconomic position. Conclusions Mobility-related fatigue is not a significantly stronger risk factor for subsequent mobility limitations among those with concomitant exposure to low socioeconomic position, compared with those with high socioeconomic position. Preventive strategies must focus on vulnerable groups of older people with low socioeconomic position as well as on individuals with fatigue."

"Claude Veil (1920-1999), psychiatre, médecin du travail, directeur de recherche à l'École des hautes études, a été l'un des fondateurs de la psychopathologie du travail dès les années 1945. Son oeuvre, trop souvent méconnue, s'inscrit dans le vif de l'actualité sociale et constitue une ressource essentielle pour qui cherche à comprendre et agir sur les processus à l'origine de la souffrance au travail et des processus d'exclusion qui l'accompagnent.

Dans le contexte contemporain d'une intensification des exigences du travail et d'une réduction des moyens permettant de faire face à celles-ci, les analyses de Claude Veil montrent, à partir de sa pratique clinique, comment ceux désignés à son époque comme «désadaptés» et aujourd'hui identifiés comme «vulnérables» représentent en fait de véritables révélateurs de l'inadaptation des normes du travail, de l'étroitesse des marges de régulation, d'invention, de réélaborations individuelles et collectives nécessaires à l'activité humaine.

Claude Veil fut un pionnier et un novateur dans le champ de la lutte contre le ghetto asilaire et s'est mobilisé sans relâche pour la défense de la santé des travailleurs. Il a créé les premières consultations de psychopathologie du travail et a multiplié les actions de prévention de l'exclusion et de réinsertion professionnelle des travailleurs dits, à l'époque, «désadaptés».

L'oeuvre de Claude Veil est présentée par Dominique Lhuilier, professeure émérite de psychologie du travail au Centre de recherche sur le travail et le développement (CRTD) du CNAM. Elle a travaillé avec lui, dans les années 1990, lors de recherches et interventions sur l'exclusion."

The aim of the present study was to investigate whether the direction of shift rotation was related to the need for recovery, fatigue, sleep quality, work-family conflict, and leisure time among three-shift workers. ... A backward rotation schedule was prospectively related to an increased need for recovery [relative risk (RR) 2.88, 95% confidence interval (95% CI) 1.06-7.81] and poor general health (RR 3.21, 95% CI 1.32-7.83), as compared with a forward rotation schedule. Adjustment for demographic and health variables and the characteristics of the work environment did not alter these relations considerably. Furthermore, a forward rotation schedule was prospectively related to less work-family conflict and better sleep quality over the 32 months of follow-up. Finally, high levels of fatigue, need for recovery, poor sleep quality, poor general health, insufficient leisure time, and work-family conflict at first measurement were associated with an increased risk of leaving shiftwork during the follow-up.Optimization of shiftwork schedules, in terms of shift rotation, seems a promising method for decreasing the negative impact accompanying shiftwork. Future studies should investigate whether these findings for three-shift workers are applicable to other shiftwork schedules as well. Furthermore, this study clearly illustrates the existence of secondary selection processes among shiftworkers and thereby emphasizes the complexity of valid shiftwork research."

"This study examined the effects of different worktime arrangements on work-home interference while taking into account other work-related factors, private situation and health status, explored gender differences in this relation, and examined reciprocal effects between workhours and work-home interference. ... Worktime arrangements were related to work-home interference among the men and women, even after control for confounding. As compared with daywork, baseline shiftwork was associated with higher work-home interference over time. Within daywork, full-time work was prospectively related to higher work-home interference than part-time work was. For full-timers, baseline overtime work, hours of overtime work, change in number of workhours, and commuting time were related to higher work-home interference over time, whereas compensation for overtime work, familiarity with work roster, ability to take a day off, and a decrease in workhours at own request were associated with less work-home interference. For the part-timers, baseline overtime work and commuting time were related to higher work-home interference over time, whereas compensation for overtime, flexible workhours, and ability to take a day off were protective against work-home interference. Reciprocal relations between work-home interference and workhours were also found."

"This paper investigates job-related distress and satisfaction with the work--family interface in various combinations of professional work and family responsibilities in Sweden. The study is based on the self-reports of 1,764 male and female university graduates in paid employment and with children at home. For both women and men, conditions at work seem to be most important. However, the division of responsibilities between partners was also found to have an impact, but in different ways for women and men. Only in families where both partners are gainfully employed and share the domestic work and financial responsibilities, was the psychological well-being and the work--family interface satisfactory for both women and men. In other families, negative effects for either women or men are noticed. The conclusion is that multiple roles and shared responsibilities and demands in the private sphere promote health among both women and men."

"This paper summarizes the associations between long workhours and health, special attention being given the physiological recovery and behavioral life-style mechanisms that may explain the relationship. The evidence for these mechanisms has not been systematically reviewed earlier. A total of 27 recent empirical studies met the selection criteria. They showed that long workhours are associated with adverse health as measured by several indicators (cardiovascular disease, diabetes, disability retirement, subjectivel y reported physical health, subjective fatigue). Furthermore, some evidence exists for an association between long workhours and physiological changes (cardiovascular and immunologic parameters) and changes in health-related behavior (reduced sleeping hours). Support for the physiological recovery mechanism seems stronger than support for the behavioral life-style mechanism. However, the evidence is inconclusive because many studies did not control for potential confounders. Due to the gaps in the current evidence and the methodological shortcomings of the studies in the review, further research is needed."

Systematic and quantitative management of work-related fatigue within workplaces has been a challenging task due to a lack of useful tools. A previous paper provided background and development of a work-related fatigue modelling approach. The current paper outlines model evaluations using sleep deprivation experiments and recommendations of work scheduling. Previous studies have reported cumulative effects of sleep restriction (4- 5 h per night) on a number of measures. Model predictions were correlated against psychomotor vigilance task lapses (r= 0.92) and reaction time responses (slowest 10% ,r= 0.91) as well as sleep latency (r=-0.97). Further correlations were performed on four measures from a 64 h continuous sleep deprivation study; that is objective vigilance (r=-0.75) as well as subjective performance (r=-0.75), sleepiness (r= 0.82) and tiredness (r= 0.79). Evaluation against current scheduling recommendations illustrated consistency with the literature with the exception that forward rotation did not provide benefits over backward rotation. The results indicate that model predictions correlate well across a range of objective and subjective measures. This relationship also appears to hold for cumulative and continuous sleep deprivation protocols. Future studies will also focus on field-based evaluation.