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With the significant increase of e-commerce, freight transportation demand has surged significantly over the past decade. Most of the demand has been served by trucks in the United States. One major problem commonly identified across the country is the worsening truck parking availability because the increase of truck parking facilities has lagged behind the growth of trucking activities. The lack of parking spaces and real-time parking availability information greatly exacerbate the uncertainty of trips, and often results in illegal and potentially dangerous parking or overtime driving. This paper elaborates on pilot research on improving truck parking facilities cooperated with the Washington State Department of Transportation (WSDOT), building and testing the advanced Truck Parking Information and Management System (TPIMS) with the real-time user visualization and prediction function empowered by artificial intelligence. Furthermore, by analyzing the activities of truck drivers, the researchers aggregated the regularity of truck parking patterns by a customized sequential similarity methodology. A Truck Parking Occupancy Prediction (TPOP) neural network for time-variant occupancy prediction by deep learning and attributes embedding is proposed and integrated into the TPIMS. The TPOP achieves 5.82%, 5.07%, 4.84%, and 4.19% mean average percentage error (MAPE) for 16, 8, 4, and 2 minutes ahead of occupancy prediction respectively, significantly outperforms other state-of-the-art methods. Clearly, the proposed solutions can benefit both the truck drivers and government agencies by a more efficient and smart TPIMS.

BACKGROUND Although previous research has focused on the association between long working hours and several mental health outcomes, little is known about the association in relation to mental health-related sickness absence, which is a measure of productive loss. We aimed to investigate the association between overtime work and the incidence of long-term sickness absence due to mental disorders. METHODS Data came from the Japan Epidemiology Collaboration on Occupational Health Study (J-ECOH). A total of 47,422 subjects were followed-up in the period between April 2012 and March 2017. Information on long-term sickness absence (LTSA) was obtained via a study-specific registry. Baseline information was obtained at an annual health checkup in 2011; overtime working hours were categorized into

This study compared and contrasted perceived barriers to mental health and substance use treatment among pregnant and non-pregnant women from 2008-2010 to 2011-2014. A trend study was conducted using secondary data from the National Survey on Drug Use and Health 2008-2014 from a propensity score-matched sample of pregnant (n = 5,520) and nonpregnant women (n = 11,040) aged 18 to 44 years. The most frequently perceived barriers to mental health treatment among all women ranked similarly in 2008-2010 compared to 2011-2014: cost (45.2% vs. 50.6%), opposition to treatment (41.9% vs. 41.4%), and stigma (28.2% vs. 24.7%). The rank order of barriers to substance use treatment in 2008-2010 among all women was cost (38.7%), stigma (18.2%), and time/transportation limitations (17%), whereas in 2011-2014, stigma ranked first (35.5%), followed by cost (25.9%) and time/transportation limitations (22.2%). In 2011-2014, the women were significantly more likely than women in 2008-2010 to report not knowing where to go (8.2% vs. .9%, p = .003) and a lack of substance use treatment programs (17.7% vs. 3.0%, p = .014). Perceived barriers to mental health treatment did not change overtime; however, there was a decrease in reported availability of substance use treatment programs between 2008-2010 and 2011-2014.

This study examines the quality of non-financial disclosure in Strategic Reports, focusing on non-financial key performance indicators (NFKPIs). A vital issue for NFKPI disclosure quality deals with overtime comparability. As NFKPI disclosure is mainly based on managers’ discretional choices regarding which indicators to disclose and how, we argue that corporate governance could play a key role in affecting disclosure practices. The analysis of a sample of UK listed companies from different industries reveals that most companies consistently report NFKPIs and that disclosure practices are influenced by the quality of the board of directors. Additional analyses indicate that among board characteristics, experience in financial key roles is the most effective. Further, intangible intensity is found to be positively associated with NFKPI consistency. Finally, more leveraged and less profitable firms seem to pay more attention to disclosure consistency, supporting the argument that they are subject to more severe scrutiny. This study is the first to examine the relationship between governance quality and NFKPI consistency. It enlarges previous evidence on the relation between corporate governance and disclosure by supporting the role of the board of directors in monitoring non-financial reporting.

Human resources are individuals who work as the cogs of a company and can produce ideas that are useful for the company. A company must have a department which in carrying out its duties functions to regulate planning in Human Resources and in carrying out the department concerned will calculate the number of employees who will then be given authority or responsibility for their work. Productivity and work efficiency can be disrupted if there is an employee workload. Employee workload can occur when doing tasks that exceed the ability of employees. At PT Asuransi Central Asia there is an imbalance of work in some divisions and causes delays in completing work. In addition, the distribution of employees in each work unit, there are still those who do not refer to the workload and there are also employees who do not use their productive time as well as possible. The purpose of this study is to analyze the working time of employees by using the Work Sampling method and also to analyze the amount employee needs based on workload measurement with the Full Time Equivalent method. The results of this study indicate that the effective working day for a year is 226 days and the effective working time is 1,360 hours for five working days per week. Through the Work Sampling method, it is known that the total time for productive activities is 78%, unproductive activities are 11% and personal activities are 11% with a 30% allowance. Based on the results of measuring the workload with the Full Time Equivalent method, it can be seen that there are 16 employees with an under load workload, an in load workload of 13 employees and an employee with an overloaded workload of 8 employees. Therefore, the company can take several steps to optimize its employees, namely by transferring tasks from overloaded employees to under loaded employees in the same division, companies can also increase working time with overtime wages without having to add 5 employees to save company costs, companies can also conduct employee transfers, provide training and education to improve employee skills and knowledge, and pay attention to the employee's work system. Keywords: Employee Needs, Workload, Work Sampling, Full Time Equivalent.

Aim To evaluate missed nursing care and patient safety during the first wave of the COVID‐19 pandemic at in‐patient cardiology wards. Design A cross‐sectional design with a comparative approach. Method Registered nurses and nurse assistants at a cardiology department were invited to answer the MISSCARE Survey‐Swedish version, and questions on patient safety and quality of care during the COVID‐19 pandemic. The data were compared with a reference sample. Results A total of 43 registered nurses and nurse assistants in the COVID‐19 sample and 59 in the reference sample participated. The COVID‐19 sample reported significantly more overtime hours and more absence from work due to illness in comparison with the reference sample. The patient safety and quality of care were perceived significantly worse, 76.7% (N = 33) versus 94.7% (N = 54), and 85.7% (N = 36) versus 98.3% (N = 58, respectively. The COVID‐19 sample reported more missed nursing care in wound care and in basic nursing.

Objective: We performed a systematic review to assess potential consequences of extended working hours on accidents, near-accidents, safety incidents and injuries (incidents) by considering the overall certainty of evidence. Methods: We searched five databases systematically (Medline, Embase, PsycINFO, Web of Science, and Proquest Health and safety Science Abstract) and identified 10072 studies published until December 2020. Twenty-two studies met the inclusion criteria. We followed a systematic approach to evaluate risk of bias and synthesize results in a meta-analysis. The certainty of evidence was determined by a modified version of The Grading of Recommendations Assessment, Development and Evaluation (GRADE). Results: Our analyses indicated an association between working >12 hours/day (RR: 1.24, 95%CI: 1.11, 1.40), or working >55 hours/week (RR: 1.24, 95%CI: 0.98, 1.57), and elevated risk of incidents. The certainty of evidence evaluated as low. Weak or no associations were observed for other exposure contrasts: working >8 hours/day (RR: 0.93, 95%CI: 0.72, 1.19), or working overtime (RR: 1.08, 95%CI: 0.75, 1.55), working 41-48 hours/week (RR: 1.02, 95%CI: 0.92, 1.13) or 49-54 hours/week (RR: 1.02, 95%CI: 0.97, 1.07). The certainty of evidence was evaluated as low (very low for 41-48 hours/week). Conclusions: Daily working hours >12 hours and weekly working hours exceeding 55 hours was associated and increased risk of incidents. The level of evidence was low. Hence, further high-quality research is warranted to elucidate these associations.

Creativity is a key influential factor contributing to organizations’ development. The contribution of creativity provides many crucial benefits to organizations and employees: high satisfaction, new ideas, strong teams, increasing innovation. To explore creativity as a hidden development factor, a random sample of 212 individuals in the private and public sectors were used to collect primary data. Logit regressions were specified to reveal the role of creativity in organizational development and job satisfaction for employees. We show that creativity is the only such driving factor able to decrease stress and lead to success and development together with high satisfaction levels. Specifically, job initiatives, workload pressure, creative change and overtime are shown to particularly affect stress levels. Job-creativity and use of skills have a higher impact on satisfaction followed by distance from work, freedom of actions and wages and other benefits. Further, job training and changes in management proved to be statistically insignificant.

In the United States, the nation’s health is not an organic outcome. It is not a coincidence that certain groups of people living in the United States experience higher premature death rates or poorer health outcomes than others. For centuries, racial and ethnic as well as geographic differences in health outcomes have been part of the American landscape, so entrenched in society that many people fail to recognize that health inequities were intentionally derived. A national crisis tends to magnify inequities in our society, but even more alarming is the fact that as the country becomes more racially and ethnically diverse in the coming years, the health inequities are projected to worsen if we do not proactively and immediately address them. As we continue to grapple with the lasting impact of the pandemic, it is of vital importance that we utilize this time to acknowledge, understand, and seriously address the health inequities that have historically plagued the country for over 400 years. As the United States works overtime to stem the tide of the COVID-19 pandemic, it must also work equally hard to move in a more equitable, inclusive, and healthier direction, not only because of the more than 83 000 Americans dying prematurely each year but also because of the economic and national security toll it will have if not effectively addressed.

Background/objective Maintenance interventions inherently require BMI improvement to maintain. This overlooks individuals initially unresponsive to obesity interventions. Staged pediatric clinical treatment guidelines were adapted to the school setting to develop an escalated treatment option for individuals initially unresponsive. This staged randomized controlled trial examined differences between escalated treatment (Take CHARGE!) and a maintenance program (PE Planners). Take CHARGE was hypothesized to have greater improvements in BMI as a percentage of the 95th BMI Percentile (%BMIp95) than PE Planners. Subjects/methods From 2018 to 2020, 171 middle and high schoolers (BMI Percentile ≥ 85) were recruited from a Houston school district to participate in a staged obesity intervention in their physical education (PE) class. After receiving a semester-long intensive lifestyle intervention (ILI) with established efficacy, all participants were randomized to Take CHARGE (n = 85) or PE Planners (n = 86). Take CHARGE escalated the behavioral treatment of obesity received in ILI with more frequent individual sessions, additional opportunities for parental and school staff involvement, and increased mentorship from trained college students. PE Planners allowed participants to decide how they wanted to be active in PE class. Mixed linear modeling examined %BMIp95 overtime between groups. This trial was registered at ClinicalTrials.gov (#NCT04362280). Results Participants were 13.63 ± 1.32 years old; 59% were female, and 85% were Hispanic. Among those initially unresponsive to ILI, Take CHARGE had significantly greater decreases in %BMIp95 than PE Planners (β = −0.01, p

Kjpp Edi Rianto and Partners is a service enterprise engaged in appraisal business services as well as consultants in property appraisal. There was problem identified in term of workers’ excess workload which causes performance to be felt to be less than optimal. Along with the development of the company and requests for appraisal from the assignor, this results in the occurrence of Overtime in the ongoing work process. Workload Analysis is a method that is often used by companies or institutions in measuring and determining the optimal amount of workforce, after observing and determining the level of productivity with the Work Sampling calculation method, from the observations, the workload data received by Surveyor 1 is obtained. (132%), Surveyor 2 (141%), and Surveyor 3 (135%), the suggestion given is to add 3 workforces of surveyors, this can reduce the workload of workers, originally Surveyor 1, whose workload was originally 132%. to 66%, Surveyor 2 whose workload was originally 141% to 70.5%, and Surveyor 3 whose workload was originally 135% to 67.5%.

Background: The April 2019 amendment of the Labor Standards Act in Japan led to a current ongoing work style reform. The amendment set the monthly overtime cap at 100 hours, but physicians are exempt for the next five years. The work style reform for physicians aims to ensure both their health and well-being and to provide appropriate community medicine. From April 2024, the maximum overtime permitted for physicians will be 100 hours a month and 960 hours a year. Community medicine hospitals, however, will have a different time limit and their physicians will be allowed to work up to 100 hours a month and 1,860 hours a year overtime. Junior/senior residents can also apply for exemption by registering for accredited training programs. Exempt physicians are required to comply with additional measures to ensure their good health and well-being. Objectives: This paper proposes promotion strategies for work style reform for physicians in Japan. Method: The Japan Medical Association Physicians’ Work Style Reform Committee developed proposals using the Delphi methods. Results: To manage physicians’ work time, an objective understanding of real work conditions, a review of employment agreements, active use of occupational health teams, task shifting, support for female physicians, and KAIZEN (a Japanese business philosophy) activities are important. The roles fulfilled by occupational health physicians, hospital directors, supervisors, physicians, patients, and community medicine systems are summarized from the perspective of comprehensive management. Conclusions: The Japanese health care system defines the work style of Japanese physicians. However, physicians as highly specialized professionals can more or less choose any workplace. A physician being aware of their characteristics and independently choosing their own work style would give meaning to an appropriate work–life balance. True work style reform should aim for this.

This study aims to identify the risk factors of suicidal ideation (SI) in a large sample of Chinese adults in the labour force. A total of 4136 eligible participants in the labour force were recruited from the routine health check-up cohort. Univariate and multivariate logistic regression were used to identify the factors associated with 12-month and lifetime SI. 175 (4.2%) subjects reported SI in the past twelve months, and 223 (5.4%) reported SI during their lifetime. The results showed that being divorced or widowed, religious belief, personal history of chronic disease and mental illness, family history of mental illness and suicide, and self-assessed childhood happiness were associated with both 12-month and lifetime SI. Additional associations were found between 12-month SI and the following factors: working overtime frequently, low monthly income, and having bachelor's degree. Moreover, being single is a risk factor of lifetime SI while not significant for 12-month SI. The present study identified several risk factors of 12-month and lifetime SI, which could potentially help develop targeted interventions for high-risk suicidal Chinese adults in the labour force.

Aims COVID-19-related patient care delays have resulted in an unprecedented patient care backlog in the field of orthopaedics. The objective of this study is to examine orthopaedic provider preferences regarding the patient care backlog and financial recovery initiatives in response to the COVID-19 pandemic. Methods An orthopaedic research consortium at a multi-hospital tertiary care academic medical system developed a three-part survey examining provider perspectives on strategies to expand orthopaedic patient care and financial recovery. Section 1 asked for preferences regarding extending clinic hours, section 2 assessed surgeon opinions on expanding surgical opportunities, and section 3 questioned preferred strategies for departmental financial recovery. The survey was sent to the institution’s surgical and nonoperative orthopaedic providers. Results In all, 73 of 75 operative (n = 55) and nonoperative (n = 18) providers responded to the survey. A total of 92% of orthopaedic providers (n = 67) were willing to extend clinic hours. Most providers preferred extending clinic schedule until 6pm on weekdays. When asked about extending surgical block hours, 96% of the surgeons (n = 53) were willing to extend operating room (OR) block times. Most surgeons preferred block times to be extended until 7pm (63.6%, n = 35). A majority of surgeons (53%, n = 29) believe that over 50% of their surgical cases could be performed at an ambulatory surgery centre (ASC). Of the strategies to address departmental financial deficits, 85% of providers (n = 72) were willing to work extra hours without a pay cut. Conclusion Most orthopaedic providers are willing to help with patient care backlogs and revenue recovery by working extended hours instead of having their pay reduced. These findings provide insights that can be incorporated into COVID-19 recovery strategies. Level of Evidence: III Cite this article: Bone Jt Open 2021;2(7):562–568.

Background Health systems around the globe are struggling to recruit qualified health professionals. Work-related stress plays an important role in why health professionals leave their profession prematurely. However, little is known about midwives’ working conditions and intentions to leave their profession, although this knowledge is key to work force retention. Therefore, we aimed to investigate work-related stress among midwives working in Swiss maternity hospitals, as well as differences between midwives and other health professionals and the stressors associated with midwives’ intention to leave the profession. Methods We conducted a data analysis of two cross-sectional studies encompassing midwives working in labour, postpartum and/or gynaecology wards of 12 public Swiss maternity hospitals. Data was collected by self-report questionnaire assessing potential stressors and long-term consequences of stress at work. Data were analysed using descriptive statistics, Kruskal Wallis tests and logistic regression modelling. Results A total of 98 midwives took part in the study and one in three midwives reported doing overtime sometimes-always. Also, the score for work-private life conflicts was significantly higher among midwives than among other health professionals, with the exception of physicians (M = 37.0 versus 50.2, p p p p p p p Conclusions The comparison with other health professions and the higher intention to leave the profession of younger midwife generations are important findings for heads of institutions as well as policy makers, and should stimulate them to develop strategies for keeping midwives on their staff. More extensive studies should implement and test interventions for reducing work-related stress and increasing the job and occupational satisfaction of midwives.

This article proposes a data mining framework to predict the significant explanations of employee turn-over problems. Using Support vector machine, decision tree, deep learning, random forest, and other classification algorithms, the authors propose features prediction framework to determine the influencing factors of employee turn-over problem. The proposed framework categorizes a set of historical behavior such as years at company, over time, performance rating, years since last promotion, and total working years. The proposed framework also classifies demographics features such as Age, Monthly Income, and Distance from Home, Marital Status, Education, and Gender. It also uses attitudinal employee characteristics to determine the reasons for employee turnover in the information technology sector. It has been found that the monthly rate, overtime, and employee age are the most significant factors which cause employee turnover.

Gender scholars emphasize that care work can be rewarding and quite taxing. Research suggests that neoliberal cuts to health care result in short staffing, higher patient loads, and increased work hours for nurses. Yet few studies ask nurses themselves about their work environments, including their lived experiences of relational care labor. Three themes emerge from in-depth interviews of 26 mothers in nursing jobs: lack of control over work hours, insufficient time for relational care on the job, and work stress complicating caregiving at home. In this sample, fewer than one-third of RN/LPNs have full control over their work schedules. While all respondents highly value their relational care work with patients, all but three report chronic understaffing in their jobs, which constrains relational care labor with patients. Understaffing, combined with long shifts and required overtime, creates job stress that also impinges on nurses’ relational care labor with their children. Thus, most nurses in this sample—particularly single mothers—experience a double bind of relational care. The paper concludes with the implications of these findings for the gender, care work, and work-family conflict literatures.

The development of information technology has created convenience and accuracy in decision making within government agencies and companies. The problem that often arises in a company is about the payroll system, this is a lot we see in electronic and print media there are employees who do demos to demand an increase in salary and no transparency in payroll. The use of computers in any company is very common and ordinary, because there are already many and even all companies use computers as a medium for storing data and controlling data. But the data storage system is still manual for example with Ms. Excell is still lacking in data storage systems. Where so far the recording of the salary of employees is still using the manual system. Given the payroll in a company is an important thing and requires proper handling so that there are no errors in the calculation of employee work hours or extra hours / overtime hours, so we need a system that can overcome these problems. Using VB.Net 2008 Programming can help in making reports that are fast, accurate, timely and also eliminate the constraints that exist in making salary data reports.

Hearing disorder is a disease caused by noise in the world and in Indonesia. There are many factors that contribute to hearing loss. This study aims to determine the factors associated with hearing loss in PT X Jakarta Timur Bearing Production workers in 2020. This study uses a Case Control design. The study population was 207 workers consisting of 42 cases and convenience sampling 42 controls. The data collection method was carried out by using a questionnaire for the variable length of service (ordinal), age (ordinal) and the use of APT (ordinal), looking at employee attendance data for the length of exposure variable (ordinal) and looking at Medical Check Up data for 42 respondents with a total sampling technique for case respondents and 42 control respondents for the variable hearing loss (ordinal). This study consisted of independent variables, namely noise intensity, length of exposure, age, years of service, and use of ear protection equipment (APT). The results of the research from the Chi-Square statistical test show that the factors that have a relationship are the length of exposure (p = 0.025) and age p = (0.004) in the PT X Jakarta Timur Bearing Production workers 2020. While the factors that have no relationship are noise intensity (p = 1,000), years of service (p = 0.602), and use of APT (0.169). It is recommended for companies to engineer overtime hours to reduce the length of exposure and carry out training for work-related illnesses, especially hearing loss, as a form of prevention of PAK. Companies can start mapping to relocate workers> 40 years old.

Construction projects run the risk of not conforming to the initial expectations of development. It is very difficult to estimate the time of a project because a project is not repetitive, there are different challenges in each development project. Delay in completing a project will cause waste in the form of overtime and overbudget. This research was conducted using judgment sampling to 5 respondents who were expert contractors. The objectives to be achieved through this research are to identify the dominant factors causing delays in a residental project using the Decision Making Trial and Evaluation Laboratory (DEMATEL) method and modeling the relationship between the factors that cause delays in residential construction projects using the Interpretive Structural Modeling (ISM) method. The result of this research is the existence of 8 levels of sub-factor hierarchical structure which becomes the framework for contractors and project owners to reduce the risk of delays in residential construction projects. The dominant causes of delays in project development are design changes during construction, late delivery of materials, late approval of work drawings, late payments, and inappropriate work methods.

Companies in manufacturing often find strategies to increase production efficiency and quality to be competitive in the long run. These strategies make companies remain profitable in a highly competitive market. Nonetheless, attempting to maintain a shorter production lead time is also vital as efficiency becomes a competitive priority. Whenever there are longer lead times, overtime is taken into account to meet the target. Overtime can be the most cost-effective way for companies to achieve their quality needs. Nevertheless, if poorly managed, overtime could quickly outstrip financial gains. This study aimed to establish the manufacturing industry model of non-value-added overtime (NAO) and formulate NAO equations. In this regard, the NAO equations were acquired from the critical factors of NAO. The vital aspects of NAO were then presented through the activities flow in the input/output manufacturing concept. The study results indicated that the highest critical factors contributed to the three processes: pre-process, in-process, and post-process.

Objective: The university medical services vary around the world (even within each university), but there are only a few publications on the utilization of these services by the students. The available on-campus services of public health care might include general health care, women’s centers, mental health care, disability services, wellness resource centers, career counseling, and alcohol and other drug education programs. Evidence Acquisition: This paper reviews the current literature on the overtime and current (due to Covid-19 pandemic) public health needs of college students based on studies that report the commonest specific diagnostic reasons for using the on-campus health care services. Results: Special reference is done on mental health problems among students generally and the students of health professions fields (a specific category themselves). Besides, other issues of interest are the substance-related problems among students and their perceptions about mental health problems and on- campus help- seeking services. Conclusions: It is unanimous that we need further educational and promotional campaigns to enhance the students; help-seeking behaviors, reduce stigmatizing behaviors and create more preventive public health services on campus, but also out-campus due to the Covid-19 pandemic.

Eiman AlAwadhi,1 Dina Zein,2 Fatmah Mallallah,3 Nour Bin Haider,1 Anower Hossain4 1Faculty of Public Health, Department of Epidemiology and Biostatistics, Kuwait University, Kuwait City, Kuwait; 2Faculty of Public Health, Department of Health Policy and Management, Kuwait University, Kuwait City, Kuwait; 3Ministry of Health, Hanoi, Kuwait; 4Institute of Statistical Research and Training, University of Dhaka, Dhaka, BangladeshCorrespondence: Eiman AlAwadhiFaculty of Public Health, Kuwait University, PO Box 24923, Safat, 13110, KuwaitTel +965 246-34380Email eiman.alawadhi@ku.edu.kwBackground: With COVD-19 cases on the rise globally and two approved vaccines, determining vaccine acceptance is imperative to avoid low inoculation rates. The aim of this study was to evaluate the changes and determinants of vaccine acceptance among citizens and non-citizens, over time during the pandemic in Kuwait.Methods: Data were obtained from the COVID-19 Snapshot Monitoring (COSMO Kuwait) study that was implemented according to the WHO tool for behavioral insights on COVID-19. Data was collected online, every two weeks throughout the pandemic. Individuals living in Kuwait during the pandemic were surveyed, representing an independent sample of the population during each data collection wave.Results: A total of 7241 adults living in Kuwait participated. Sixty-seven percent of those participating agreed to take a vaccine if it was available and recommended. However, the proportion of vaccine acceptance drastically dropped overtime as COVID-19 related restrictions were eased, among citizens (73 to 47%) and noncitizens (80 to 60%). Some factors associated with increased odds of agreeing to take the COVID-19 vaccine, among citizens and non-citizens, included increased frequency of informing oneself about the virus (OR, 1.34– 1.83; 95% confidence interval 1.16– 2.55), having high versus low confidence in doctors (OR, 1.79– 2.11; CI 1.17– 3.80), increased agreement with containment policies (OR, 1.11– 1.27; CI 1.05– 1.41), expressing more fears and worries (OR, 1.05– 1.12; 1.01– 1.24), and the increased perceived likelihood of getting infected with influenza (OR, 1.3– 1.4; CI 1.03– 1.84). Decreased odds of agreement were associated with increased age (OR, 0.37– 0.61; CI 0.26– 0.95), being female (OR, 0.56– 0.62; CI 0.43– 0.73), and not taking the influenza vaccine in 2019 (OR, 0.61; CI 0.43– 0.87).Conclusion: Vaccine acceptance was multifactorial, heterogenous among citizens and non-citizens, and changed over time. While acceptance was relatively high, it decreased throughout the pandemic and as restrictions in the country loosened. This increase in vaccine hesitancy reveals a challenge in achieving high inoculation levels, and the need for effective vaccine-promotion campaigns and increased health education in the country.Keywords: vaccine acceptance, coronavirus, Kuwait, COVID-19 vaccine

Prevalence of shift work and occupational stress is one of the highest in nursing compared to other sectors. For years Bulgaria is facing nurses’ shortage, which contributes to their long working hours. The aim of the study was to follow the working time arrangements, stressors and health symptoms in hospital nurses in Sofia. Methods: The study is cross-sectional and comprised 1292 female nurses of average age 50.0 ± 10.2 years from 19 hospitals in Sofia. The anonymous questionnaire was filled, including demographic information, working hours and shift system, with special attention to night work and long working hours, stress and health symptoms. Statistical analysis was carried using SPSS. Results: The shift work, night work, including 5 and more night shifts per month and the extended shifts were common among the studied nurses with the greatest deal of the emergency and intensive care unit nurses, followed by department nurses. The high rates of overtime and second job contributed to long working hours of 51-60 hours per week in 16.9 % of the nurses and > 61 hours in 11.1 %. About 90 % of the nurses felt under strain and experienced emotional dissonance while working with patients. Work-related stress, night work and long working hours were related to self-rated emotional and physical exhaustion and poor health. Discussion: The work-related stress, night work and the long working hours raise health concerns for occupational health of hospital nurses. Urgent preventive measures are needed to control stress and reduce working hours and night work.

Global energy demand increases overtime, especially in emerging market economies, producing potential negative environmental impacts, particularly on the long term, on nature and climate changes. Promoting renewables is a robust policy action in world energy-based economies. This study examines if an increase in renewables production has a positive effect on the Brazilian economy, partially offsetting the SARS-CoV2 outbreak recession. Using data on Brazilian economy, we test the contribution of renewables on the economy via a ML architecture (through a LSTM model). Empirical findings show that an ever-greater use of renewables may sustain the economic growth recovery, generating a better performing GDP acceleration vs. other energy variables., https://link.springer.com/article/10.1007/s11356-021-13337-3

Aims To review the comprehensive characteristics of adverse nurse work schedules and to synthesise the evidence of their relationships with adverse patient outcomes. Background To manage nurse shortages and fluctuations in patient censuses, nurses often work overtime. This increases nurses' work hours and causes them to have fewer breaks. Such extended work schedules, long shift length, long weekly work hours and insufficient beaks can be considered as adverse nurse work schedules. Understanding how these adverse nurse work schedules affect patient outcomes is important to ensure patient safety. Design A systematic review of nursing and healthcare literature was conducted in this study. Methods Eight electronic bibliographic databases (CINAHL, Cochrane Library, DBpia, EBSCO, PubMed, PsycINFO, RISS and Web of Science) were used to search research articles published from 2000 to 2019. The study selection process followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Results From the search, 2,366 articles were identified, 22 of which were included in this review. Working more than 12 hours in a day had an adverse effect on patient outcomes, as was working more than 40 hours per week. There were mixed findings in the relationship between nurse overtime and adverse patient outcomes. Conclusions This study found a conclusive relationship between excessive nurse work hours and adverse patient outcomes. This review highlights the importance of managing adverse nurse schedules such as long daily and weekly work hours to improve patient safety and prevent adverse patient outcomes. Relevance to clinical practice Study findings support the importance of monitoring and regulating nurse work schedules and adverse scheduling practices to improve nurse well-being and health and to prevent adverse patient outcomes.

Purpose This paper aims to examine the coverage of and trends in reporting content elements in the integrated reports of the Sri Lankan companies following the International Integrated Reporting Framework (IIRF). Design/methodology/approach Based on a comprehensive checklist developed on the content elements of the IIRF, 171 corporate integrated reports were content-analyzed over a period of three years. The results were theorized subsequently using the legitimacy theory. Findings The study identifies that the extent of and trend in the coverage of content elements of the IIRF have increased during the period under consideration despite some under-addressed areas. It indicates that Sri Lankan companies are making progress in the preparation of integrated reports in line with the IIRF, which provides evidence in support of both strategic and institutional perspectives of the legitimacy theory because of the proactive actions taken by managers to acquire legitimacy along with the other normative and mimetic pressures available in the IR landscape. Originality/value This is one of the first studies that evaluate the compliance of IR adopters with the IIRF overtime in the entirety of a single country. It also develops a comprehensive index to capture the disclosure requirements of IR and extends the analysis to a voluntary context using both strategic and institutional perspectives of the legitimacy theory.

Purpose We aimed to cross-sectionally investigate how work and sleep conditions could be associated with excessive fatigue symptoms as an early sign of Karoshi (overwork-related cerebrovascular and cardiovascular diseases; CCVDs). Methods We distributed a questionnaire regarding work, sleep, and excessive fatigue symptoms to 5410 truck drivers, as the riskiest occupation for overwork-related CCVDs, and collected 1992 total samples (response rate: 36.8%). The research team collected 1564 investigation reports required for compensation for Karoshi. Of them, 190 reports listed the prodromes of Karoshi, which were used to develop the new excessive fatigue symptoms inventory. Results One-way analyses of variance showed that the excessive fatigue symptoms differed significantly by monthly overtime hours (p p p = 0.025), waiting time on-site (p = 0.049), number of night shifts (p = 0.011), and sleep duration on workdays (p Conclusion The findings suggested that shorter sleep duration was associated more closely with a marked increase in fatigue, as compared with the other work and sleep factors. Hence, ensuring sleep opportunities could be targeted for reducing the potential risks of Karoshi among truck drivers.

The present study evaluates a combination prevention intervention for crack users in San Salvador, El Salvador that included social network HIV testing, community events and small group interventions. We examined the cumulative effects of the social network HIV testing and small group interventions on rates of HIV testing, beyond the increase that we saw with the introduction of the social network HIV testing intervention alone. HIV test data was converted into the number of daily tests and analyzed the immediate and overtime impact of small group interventions during and in the twelve weeks after the small group intervention. The addition of the small group interventions to the baseline of monthly HIV tests resulted in increased rates of testing lasting 7 days after the small group interventions suggesting a reinforcing effect of small group interventions on testing rates.

The media, and more specifically the print journalism, is a powerful source of information for the reconstruction of high impact social events, like the current crisis generated by the coronavirus (SARS-CoV-2) responsible for COVID-19 disease. To evaluate the impact, we analyzed the printed edition of the national journal El Pais, between January-June 2020, identifying the literature related to the virus or the disease. We quantified the different references and analyze the distribution across pages, sections of the journal, the sources of information and the organizations mentioned in the texts, together with the evolution overtime. The higher number of references (1872) was registered in April, with an average of 64.6±9.6 per day. Also in April, the number of pages where a comment was related to the crisis represented the 70% of the total pages of the journal. By journal section, the higher number of references corresponded to Society, Economy, Opinion and Spain, in this particular order. The news related to national interest were continued overtime, whereas the international ones where higher at the beginning of the crisis with a decreasing tendency overtime. The journalism genres vary from mainly interpretative at the beginning, to informative later on, with opinion texts reaching their highest levels in April. The information source more frequently used in each text corresponds to institutional organizations. Noteworthy, even if the number of texts related with health is lower than those related to economy and politics, there have been a notorious number of information related to public safety, health management, health assistance and drugs.

Two primary care clinics in rural and urban settings implemented a 9-hour nursing shift schedule. The purpose of this project was to use a quasiexperimental mixed-methods research design to assess outcomes for a 1-year implementation of nursing staff maintaining 9-hour shifts. Pre- and postdata were collected before and after implementation. The rural clinic demonstrated significant improvements in nurse satisfaction, overtime, compensatory time, and postacute follow-up. The urban facility showed significant decreases in sick leave. Patient satisfaction scores did not show significant changes for either clinic.

This study examines the challenges of private broadcasting in Nigeria with particular reference to African Independent Television (AIT), Yenagoa, as the case study. The wake of private broadcasting in Nigeria came with decree 38 of 1992 under the General Ibrahim Babangida Administration. This overtime leads to the dissolution of the monopoly of the publicly-owned media organizations in Nigeria, which held a monopoly and were on a steady increase in terms of their numbers as each state was created and the governor open a medium for their country. However, this study focused on the challenges the private broadcast media faced in operations and how they strive to keep afloat. The functionalist theory, pluralist, and Marxist theories created a fundamental basis for the research work. Using the survey method and questionnaire instrument, the researcher gathered responses from 60 respondents at AIT, Yenagoa, who occupied different organization positions. Thus, the researcher analyzed the data and came up with the findings that even to date, funding, access to equipment, power supply, government regulations, and the need to fully attain digitalization were some of the challenges confronting the African Independent Television (AIT), Yenagoa and by implication the private broadcast media. Therefore, the government, its agencies, CBN, and other stakeholders have been advised to help create a soft landing for private media. They have contributed a lot to improving programs' quality, faster access to new, objective, balanced reporting, and the likes.

An important challenge confronting healthcare is the effective management of access to primary care. Appointment scheduling policies/templates can help strike an effective balance between the lead-time to an appointment (a.k.a. indirect waiting time, measuring the difference between a patient's desired and actual appointment dates) and waiting times at the clinic on the day of the appointment (a.k.a. direct waiting time). We propose methods for identifying effective appointment scheduling templates using a two-stage stochastic mixed-integer linear program model. The model embeds simulation for accurate evaluation of direct waiting times and uses sample average approximation method for computational efficiency. The model accounts for patients' no-show behaviors, provider availability, overbooking, demand uncertainty, and overtime constraints. The model allows the scheduling templates to be potentially updated at regular intervals while minimizing the patient expected waiting times and balancing provider utilization. Proposed methods are validated using data from the U.S. Department of Veterans Affairs (VA) primary care clinics.

INTRODUCTION: Low back pain is a common symptom among the general population and among manual workers, contributing to high rates of absenteeism and a decrease in overall quality of life. OBJECTIVES: To determine the prevalence of low back pain in Port of Santos workers, its influence on overall quality of life, physical activity level, and associated absenteeism rate. METHODS: This cross-sectional prevalence study was based on prospective data collection. RESULTS: Eighty-two port workers were interviewed, 97.6% were male, and mean age was 42.9 years. Ethnically, 37.8% reported being brown. Most had completed high school. Longshoreman was the most common occupation, followed by foreman, tallyman, and others. A 44-hour workweek was the most frequent (31.3%), and over 85% of workers reported not working overtime. Most of them were not paid on a production basis. Formal employment, according to Brazilian Labor Law, was 70.7%, and union membership was 64.6%. The mean time working at the port was 11.9 years (standard deviation ± 12.5). Occupational low back pain was reported by 17% of respondents, leading to an absenteeism rate of 19.7%. Physical activities helped improve the feeling of vitality for work performance. CONCLUSIONS: The prevalence of low back pain among respondents was 17%, not influencing their quality of life, with an absenteeism rate of 19.7%. Doing physical activities was common among respondents.

We propose that due to the decreased spectrum of available strategies (i.e., social simplicity) and simplified mechanisms of value creation (i.e., causal clarity) associated with a greater reliance on data-driven decisions in highly competitive and specialized industries, the positive effects of social capital for data analytics on firm performance will diminish when firms predominantly adopt data-driven decision-making in deploying human resources. Alternatively, the positive effect associated with social capital in data analytics is more profound when moderated by intuition-based (i.e., idiosyncratic knowledge) decision-making for managing HR selections. To test our hypotheses, we observed 30 major league baseball (MLB) teams over 6 years from 2009 to 2014 as the early phase of the ‘big data era’ that began as a result of PITCHf/x tracking systems in all MLB stadiums being implemented. Our findings suggest that the introduction of the system to all ballparks and resulting dispersion of specialized human capital across this industry facilitates firm specificity of data analytic knowledge to become generic overtime.

Background: Patient safety is the core task of any healthcare business. As medical harm caused by hospitalisation is still on the rise and patient safety culture is a struggle. We aim to determine the nature of patient safety culture in a private hospital and explore some unique human resource problems in Malaysia. Methods: In our case study, we use the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire to measure the 12 dimensions of patient safety culture. The survey received 281 respondents (76% response rate) from all the millennial frontline healthcare providers, including doctors, nurses and allied healthcare providers. The result of the survey was used as the basis to further explore the problems in this hospital. In-depth interviews, observation and document reviews were conducted in relation to human resource problems. This study used IBM SPSS 26 for Windows for statistical analysis and Atlas ti.8 for qualitative analysis of open comments. We used Interpretive Phenomenological Interpretation for analysis of data after triangulation. Results: The overall average positive response rate for the 12 patient safety culture dimensions of the HSOPSC survey was 64%. The result showed that the staff feels positively toward patient safety culture in this hospital. The dimension that received good performance is “Manager expectation”, “Management support for patient safety” and “Organisational learning”. The dimension with the poor performance was “Staffing”, “Frequency of error reporting”, “Teamwork across units”, and “Handoff and transitions”. The open comments indicated inadequate staffing and nursing retention issues. Interviews, observation and document reviews related to staffing reveal high turnover rates among millennial nurses, high overtime and on-call rates, chaotic units with procedures, doctors’ round, admission and discharges mainly in medical and surgical units causing distraction. Poor shared governance is the biggest challenges that need immediate attention post Covid-19 pandemic. Conclusions: The HSOPSC measurement gave valuable insights on patient safety culture in a private hospital in Malaysia. The overall perception of patient safety culture was satisfactory. The poor positive response rate for “Staffing” dimension and the open comments suggests a need for an urgent need for retention and human resource management strategies to prevent brain drain due to high turnover rates, especially among millennial nurses. The key factors causing dissatisfaction and brain drain among nurses are the lack of shared governance.

Purpose Health insurance reduces the cost of using modern maternal and child cares and encourages women to use modern care services. This is because health insurance scheme spread the burden of maternal care usage across people and overtime. In Nigeria, there is a dearth of research evidence on the effect of health insurance enrolment on maternal and childcare use. This study examined the effect of health insurance coverage on maternal and childcare use in Nigeria, drawing upon data from the most recent National Demographic and Health Survey (2018). Methods Three outcome indicators were used: a minimum of four antenatal care (ANC) visits, place of delivery, and complete child immunization. Descriptive and predictive analytical methods were utilized. A representative sample of 33,715 women who reported recent birth within the last five years preceding the Survey was used for the analyses. Analyses were undertaken using STATA version 13.0 for windows. Results The results showed that 57% of the women made a minimum of four ANC visits, 41% delivered in health institutions, and 27% undertook complete child immunization. Enrolment in health insurance was low as only 2.3% of the women were under any form of health insurance coverage. However, enrolment in health insurance significantly improves the odds for a minimum of four ANC visits [aOR: 1.52, p = 0.00] and health facility delivery [aOR: 1.42, p = 0.00]. However, there is no significant difference in complete child immunization between women who were under health insurance and those who were not [aOR: 1.36, p = 0.28]. Also, residing in an urban area, Southern geopolitical zones, and being drawn from wealthy homes confer an advantage on women to use modern maternal and child healthcare. Conclusion Pragmatic interventions should be initiated to encourage women’s enrolment in health insurance in Nigeria. Community-based health insurance scheme should be encouraged among rural women and those of them in the informal sector.

The largest networking security risks in the past year have been a direct result of organisations having to change the way they do business in an incredibly short space of time. According to a McKinsey study, in 2020 alone, digital offerings accelerated by approximately seven years. 1 While IT teams worked overtime to move nearly all operations online, cyber criminals monitored their every move, ready to exploit any issues stemming from the global disruption caused by new technology deployments and dispersed workforces.

BACKGROUND Injury prevention is an important goal for electric utility line workers who are among the top 10 U.S. occupational groups sustaining fatal injuries on the job. METHODS Using narrative text fields, we identified 10 high-risk tasks among electric utility line workers. We performed a case-control study of task-injury associations using data from the Electric Power Research Institute Occupational Health and Safety Database (1995-2013). RESULTS Drawn from 12,323 line worker injuries, cases were individuals with a major injury (5 or more days lost work) matched to controls, individuals with a minor injury (less than 1 day lost work), on company and year of injury. Conditional logistic regression estimated adjusted odds ratios (OR) and 95% confidence intervals (95% CI). Some tasks associated with higher odds for major injuries among line workers included: climbing up/down ladder/stairs/elevator (OR = 4.3; 95% CI = 2.6, 7.4); climbing down poles and transmission towers (OR = 5.5; 95% CI = 3.6, 8.4); entering/stepping out/approaching utility trucks, bucket, or vaults (OR = 5.8; 95% CI = 4.0, 8.4); and performing repetitive work/overtime (OR = 5.5; 95% CI = 3.2, 9.5). CONCLUSIONS Knowledge gained can be used to focus efforts and plan efficient preventive measures that reduce injury rates, time lost from work, and costs within the electric power industry.

BACKGROUND: Nurses represent a significant proportion of the entire healthcare workforce. Unfortunately, the world is plagued with the shortage of qualified nurses to deliver safe, dignified, compassionate care. OBJECTIVE: The objective of the study was to determine the relationships between overtime and floating as short-term solutions and nursing outcomes, nurse-perceived quality of care and patient safety among registered nurses in Saudi Arabia. SETTING/DESIGN: A cross-sectional study was conducted at King Abdullah Medical City (KAMC) located in Makkah, Saudi Arabia. SUBJECTS AND METHODS: The study was conducted for two months (from July 20, 2020 to August 20, 2020), including both inpatient and outpatient registered nurses who had worked for, at least, one year at KAMC either as part-time or full-time. Nurses who had worked for less than one year, nurse educators, nurse managers and clinical nurse specialists were excluded. Measuring Variables included demographic characteristics, job satisfaction, intention to leave, nursing perceived quality of care, perceived patient safety, patient safety, patient acuity and dependency, workload and floating. A pre-designed questionnaire was distributed to willing nurses. Data were non-normally distributed and Scatter plots were also generated. T-test was used to find the relation of floating and overtime with sample characteristics. RESULTS: A total of 337 registered nurses completed the questionnaire. Majority of the participants were from 41-50 years of age group (60.5%), and non-Saudi nationals (90.5%). Statistically significant relation of age groups with development of pressure ulcers (p = 0.030) was found. Nationality showed significant relation with job satisfaction (p = 0.008), quality of care (p = 0.006) and patient safety (p

This paper deals with the need to complexly evaluate maturity, management, stakeholder relationship and resources utilisation of an organisation. It searches for an assessment tool independent on time and industry contexts. The research was conducted in two phases. The literature review on a set of existing performance models did not find any suitable tool. Based on that, a new performance model was created to assess the maturity of an organisation, focusing on soft factors like its leadership, processes and culture. It had been tested using structured interviews with managers in Czech, Slovak, German and Chinese companies. The model is based on a set of 17 non-financial criteria, divided into categories Management, Stakeholders and Resources. The results are given for each criterion, category and as an overall score. This article briefly describes the developed CAT model, methodology of its creation and validation and explains how it can be applied as an assessment tool. Its results can be benchmarked among different organisations/overtime to track development progress. Implications for Central European audience: This model gives both practitioners and researchers a lean, yet powerful tool to evaluate the maturity of an organisation with structured and measurable results. The new possibilities for quantitative research using the CAT model are now available for researchers to assess even larger samples of organisations with reasonable effort. For practitioners, the value is in a quick discovery of own weaknesses/strengths with structured results and recommendations. Model structure and selection of respondents ensures that the results are measurable and cover views of both management and employees.

The present work is considered online operating theatre scheduling for regular patients and also it is involving emergency patients on a day. The emergency patients urge to schedule the earliest as their level of priority is higher than the regular patients and it is the importance of online scheduling problem. The local search (LS) method was tested for scheduling the parallel operating theatre with an objective to minimize the delay and overtime cost of operating theatre. A modification of the local search algorithm was performed to improve the solutions and it is called multi-start local search (MSLS). This research found that, MSLS method performed better than LS method since it has reduced the total cost of the operating theatre significantly.

PurposeThe purpose of this paper is to examine the influence of insurance coverage changes over time for patients with diabetes on expenditures and access to care before and after the Affordable Care Act (ACA).Design/methodology/approachThe Medical Expenditure Panel Survey (MEPS) from 2002–2017 was used. Access included having a usual source of care, having delay in care or having delay in obtaining prescription medicine. Expenditures included inpatient, outpatient, office-based, prescription and emergency costs. Panels were broken into four time categories: 2002–2005 (pre-ACA), 2006–2009 (pre-ACA), 2010–2013 (post-ACA) and 2014–2017 (post-ACA). Logistic models for access and two-part regression models for cost were used to understand differences by insurance type over time.FindingsType of insurance changed significantly over time, with an increase for public insurance from 30.7% in 2002–2005 to 36.5% in 2014–2017 and a decrease in private insurance from 62.4% in 2002–2005 to 58.2% in 2014–2017. Compared to those with private insurance, those who were uninsured had lower inpatient ($2,147 less), outpatient ($431 less), office-based ($1,555 less), prescription ($1,869 less) and emergency cost ($92 less). Uninsured were also more likely to have delay in getting medical care (OR = 2.22; 95% CI 1.86, 3.06) and prescription medicine (OR = 1.85; 95% CI 1.53, 2.24) compared with privately insured groups.Originality/valueThough insurance coverage among patients with diabetes did not increase significantly, the type of insurance changed overtime and fewer individuals reported having a usual source of care. Uninsured individuals spent less across all cost types and were more likely to report delay in care despite the passage of the ACA.

We describe an innovative research protocol to: (a) examine patient-level longitudinal associations between nurse staffing practices and the risk of adverse events in acute care hospitals and; (b) determine possible thresholds for safe nurse staffing.A dynamic cohort of adult medical, surgical and intensive care unit patients admitted to 16 hospitals in Quebec (Canada) between January 2015-December 2019.Patients in the cohort will be followed from admission until 30-day postdischarge to assess exposure to selected nurse staffing practices in relation to the subsequent occurrence of adverse events. Five staffing practices will be measured for each shift of an hospitalization episode, using electronic payroll data, with the following time-varying indicators: (a) nursing worked hours per patient; (b) skill mix; (c) overtime use; (d) education mix and; and (e) experience. Four high-impact adverse events, presumably associated with nurse staffing practices, will be measured from electronic health record data retrieved at the participating sites: (a) failure-to-rescue; (b) in-hospital falls; (c) hospital-acquired pneumonia and; and (d) venous thromboembolism. To examine the associations between the selected nurse staffing exposures and the risk of each adverse event, separate multivariable Cox proportional hazards frailty regression models will be fitted, while adjusting for patient, nursing unit and hospital characteristics, and for clustering. To assess for possible staffing thresholds, flexible non-linear spline functions will be fitted. Funding for the study began in October 2019 and research ethics/institutional approval was granted in February 2020.To our knowledge, this study is the first multisite patient-level longitudinal investigation of the associations between common nurse staffing practices and the risk of adverse events. It is hoped that our results will assist hospital managers in making the most effective use of the scarce nursing resources and in identifying staffing practices that minimize the occurrence of adverse events.目的: 我们描述了一份创新的研究方案: (a) 检查急诊护理医院护士配置方法与不良事件风险之间的患者水平纵向关联; (b) 确定安全护士配置的可能阈值。 设计: 2015年1月至2019年12月期间, 魁北克省 (加拿大) 16家医院收治的成人医疗、外科和重症监护病房患者动态队列研究。 方法: 将从入院到出院后30天里, 对队列研究中的患者进行随访, 以评估与随后发生的不良事件相关的选定护士工作实践的暴露情况。将使用电子工资单数据, 测量住院期间各轮班的五种人员配置方法, 并采用以下时变指标: (a) 各患者的护理工作时间; (b) 技能混合; (c) 加班使用; (d) 教育混合和; 以及 (e) 经验。将从参与站点检索的电子健康记录数据中测量四个可能与护士配置方法相关的高影响不良事件: (a) 抢救失败; (b) 住院量下降; (c) 院内获得性肺炎和; 以及 (d)静脉血栓栓塞。为检测所选护士人员配置暴露与各种不良事件风险之间的关系, 将拟合单独的多变量Cox比例风险脆弱性回归模型, 同时调整患者、护理单位和医院特征, 并进行聚类分析。为评估可能的人员配置阈值, 将拟合灵活的非线性样条函数。我们于2019年10月, 获得该项研究的资助,于2020年2月获得研究伦理/机构的批准。 讨论: 据我们所知, 此项研究是第一次多地点患者水平的纵向调查, 其针对普通护士配置方法与不良事件风险之间的关联。希望我们的研究结果能帮助医院管理者最有效地利用稀缺的护理资源, 并找出减少不良事件发生的人员配置方法。.

This research was conducted at PT. HDD, which is a Japanese PMA and is engaged in manufacturing HDD (Hard Disk Drive) components. On mid of August 2020, customer of PT. HDD revise the order quantity. Customer reduce order quantity from August to December 2020.With the phenomenon of decreasing orders, it is necessary to make efforts to reduce production costs. By reducing production costs, it is expected that the company will get profit. Reduction of production costs is carried out on labor costs and utility costs (water and electricity). To achieve this goal, management established 5 policies so that labor costs and utility costs (electricity and water) were reduced.The policies taken relate to eliminating / controlling overtime hours, stop contract employees and not recruit new employees, moving employees from the excess employee section to the understaffed section, reducing days work for 3 days (done in September 2020) and reduce work days by 2 days (done in October 2020).

Purpose This study aimed to examine the effects of work environments and occupational fatigue on care left undone in rotating shift nurses, and to identify the indirect (mediation) effect of work environments on care left undone through nurses' occupational fatigue in South Korean acute care hospitals. Design This study employed a cross-sectional design using an online survey to collect data from 488 rotating shift nurses of acute care hospitals in Korea between November and December 2018. Methods A mobile schedule management application for shift nurses was used to advertise the study and to send a link to the online survey. The survey included questions on the nurses' work environment characteristics, care left undone activities, and the Korean version of the Occupational Fatigue Exhaustion/Recovery scale. Poisson regression was used to explore the relationships among work environments, occupational fatigue, and care left undone. Hayes' Model 4 and a bootstrapping analysis were used to identify the mediating effect of occupational fatigue on the relationship between work environments and care left undone. Findings The average number of tasks left undone was 3.45 (SD = 2.19). The higher the acute and chronic fatigue levels noted among nurses, the higher were the occurrences of care left undone. Conversely, the higher the intershift recovery level, the lower were the occurrences of care left undone. The results showed a positive relationship between care left undone and overtime hours and the number of patients per nurse. Moreover, nurses' occupational fatigue mediated the relationship between work environments and care left undone. Night shifts per month and the number of consecutive days off had an indirect effect on care left undone through occupational fatigue. Conclusions High levels of occupational fatigue and poor intershift recovery among nurses can lead to care left undone. Nurses' occupational fatigue mediates the effect of work environment on care left undone. Clinical relevance It is crucial for healthcare administrators and leaders to develop policies and mandatory regulations to facilitate better working conditions for nurses, consequently reducing their occupational fatigue and decreasing the occurrence of care left undone in acute care hospitals.

What is the difference between a workaholic and a hard-working worker? This issue becomes especially important in the current situation with the growing role of home office and teleworking. In addition, the labour market is undergoing a transformation due to generational change, where members of Generation Z will begin entering the labour market. With the new generation in the case of flexible and new employment conditions, the concept of working time will change, and this will bring about changes in the concept of overtime. We assume that members of the younger generation, Generations Y and Z (date of birth between 1995-2009; age 20-29) have similar views on workaholism and working hours, regardless of country and settlement type. We conducted a questionnaire survey in Hungary and Romania. Based on the research, it can be stated that concerning the target group of 20-29-year-olds the concept of workaholism is judged differently by Hungarian and Romanian young people. In both countries, respondents would prefer to work with a schedule of partly or fully flexible working hours than in full-time, fixed or non-fixed working hours. Respondents prefer partly flexible working time in Hungary and fully flexible working time in Romania. Young people have the same attitude towards teleworking regardless of their country, but the type of settlement and their field of education affect their opinions on teleworking. Nearly half of the responders think that a work-life balance can be found, it is only a matter of perception.

The beginnings of the Metabolic Syndrome (MetS) as a suspected, not yet recognized entity can be traced back to 1923 when a study concerning a particularly common clustering of metabolic entities observed in diabetic patients was first published. Years of research and endless debate yielded the currently accepted MetS definition and diagnostic criteria, even if some components and their cut-off points are still up for discussion. To date, MetS are defined as a clustering of metabolic risk factors that greatly increase the incidence of cardiovascular disease (CVD) and type 2 diabetes (T2D), while also being closely related to various potentially deadly comorbidities. Furthermore, since early detection and management of MetS have been shown to decrease the risk for CVD and T2D, current research has focused on unifying diagnostic criteria and proposing novel parameters to facilitate MetS identification, while also promoting a healthy lifestyle as a preventive measure. With a deeper understanding of MetS pathophysiology comes the broadening of therapeutic targets open for study, thus expanding and enhancing the treatment methods currently in use. This review aims to summarize the evolution of MetS as a concept, development of the diagnostic criteria, current management, and future directions.

Work-life balance is essential for nurses who are in direct contact with patients in healthcare organizations. This study employs the measurement of nurses’ behaviors rather than the measurement of their perceptions to identify critical demographic variables influencing the work-life balance. A work-life balance dimension measured by a four-point frequency scale from the Chinese version of the Safety Attitudes Questionnaire is used to assess nurses’ behaviors in practice from a longitudinal viewpoint based on a regional teaching hospital in Taiwan. The results show that experience in organization, respondents reporting events in the past 12 months, and experience in position are three critical factors to impact nurses’ work-life balance. Moreover, “work all day without break,” “change the individual or family plan because of the work,” and “work overtime” are the most critical questions in the work-life balance that can be the targets for hospital management to enhance the balance of nurses’ work-life conditions in the hospital.

The process of planning and project control during the execution of the construction project work is an important part of the project. Because time is limited by the project management work schedules are determined so that the leaders involved in the project should be able to anticipate changes in conditions. The failure of a project can be caused by poor planning and control are less effective, so that the project activity is not efficient. Doing so may result in delay time, declining quality, and the rising cost of implementation. Conversely, careful planning and effective control will bring the project to success.Critical path method (CPM) is one option that is right for project management to control the project completion time effective and efficient. In order to reduce the impact of delays and cost overruns of the project budget can be done with three alternative acceleration process control; (I) Addition of labor, (ii) Overtime, (iii) Subcontract. Acceleration duration is done on the works is in the critical path.