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688 results on '"HÄRMÄ, Mikko"'

13. Concurrent Trajectories of Objectively Measured Insufficient Recovery and Workload Among a Cohort of Shift Working Hospital Employees: Quantitative Empirical Research.

Author

Ropponen, Annina, Hirvonen, Maria, Kuusi, Tero, and Härmä, Mikko

Subjects
PATIENTS, CLUSTER analysis (Statistics), RESEARCH funding, INDUSTRIAL psychology, EMPIRICAL research, PROBABILITY theory, QUANTITATIVE research, RETROSPECTIVE studies, HOSPITALS, MEMBERSHIP, DESCRIPTIVE statistics, LONGITUDINAL method, CLASSIFICATION, CONVALESCENCE, EMPLOYEE psychology, DATA analysis software, PSYCHOSOCIAL factors, HEALTH facility employees, SHIFT systems
Abstract

Aim: To investigate concurrent changes in short shift intervals (< 11 h) and workload among hospital employees. Design and Data Sources: This cohort study of 1904 employees in one hospital district in Finland utilised data on employees' working hours for short shift intervals and workload based on the patient classifications aggregated to a 3‐week period level across 2 years, 2018–2019. The data was analysed by group‐based trajectory modelling and multinominal regression models. Results: The seven trajectories model had the best fit to the data—Group 1: very few short shift intervals that are decreasing and low workload (15.0%); Group 2: a low amount of short shift intervals that are decreasing and stable low workload (14.2%); Group 3: moderate amount of short shift intervals that are slightly increasing and low workload (25.1%); Group 4: a low amount of short shift intervals that are slightly decreasing and stable low workload that is slightly increasing (12.1%): Group 5: a moderate amount of both short shift intervals and workload (19.8%): Group 6: short shift intervals that are clearly decreasing, with higher than the average workload decreasing (5.6%); Group 7: moderate amount of short shift intervals and very high workload (8.3%). Conclusions: Only a minority of hospital employees were found to have both high workloads and insufficient recovery possibilities, but the time‐related increases in objective workload were not compensated by better recovery possibilities in working hours. For shift scheduling, it is noteworthy that older employees might seek to work at units in which the workload is lower, which could be considered to support workability. Reporting Method: Record. Patient or Public Contribution: No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]

Published
2024
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22. How to schedule night shift work in order to reduce health and safety risks

Author

Garde, Anne Helene, Begtrup, Luise, Bjorvatn, Bjørn, Bonde, Jens Peter, Hansen, Johnni, Hansen, Åse Marie, Härmä, Mikko, Jensen, Marie Aarrebo, Kecklund, Göran, Kolstad, Henrik A, Larsen, Ann Dyreborg, Lie, Jenny Anne, Moreno, Claudia RC, Nabe-Nielsen, Kirsten, and Sallinen, Mikael

Published
2020

28. Validity of self-reported night shift work among women with and without breast cancer

Author

Vestergaard, Jesper Medom, primary, Haug, Jesper Nikolai Dietrich, additional, Dalbøge, Annett, additional, Bonde, Jens Peter Ellekilde, additional, Garde, Anne Helene, additional, Hansen, Johnni, additional, Hansen, Åse Marie, additional, Larsen, Ann Dyreborg, additional, Härmä, Mikko, additional, Costello, Sadie, additional, and Kolstad, Henrik Albert, additional

Published
2024
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35. Nurse Staffing Level, Length of Work Experience, and Risk of Health Care–Associated Infections Among Hospital Patients

Author

Peutere, Laura, Terho, Kirsi, Pentti, Jaana, Ropponen, Annina, Kivimäki, Mika, Härmä, Mikko, Krutova, Oxana, Ervasti, Jenni, Koskinen, Aki, Virtanen, Marianna, Clinicum, and Faculty of Medicine

Subjects
3141 Health care science, Work experience, Health care-associated infection, Hospital staffing, Administrative data, Public Health, Environmental and Occupational Health, Nurses, 3142 Public health care science, environmental and occupational health
Abstract

Background: Nurse understaffing may have several adverse consequences for patients in hospitals, such as health care-associated infections (HAIs), but there is little longitudinal evidence available on staffing levels and HAIs with consideration of incubation times to confirm this. Using daily longitudinal data, we analyzed temporal associations between nurse understaffing and limited work experience, and the risk of HAIs.Methods: The study was based on administrative data of 40 units and 261,067 inpatient periods for a hospital district in Finland in 2013-2019. Survival analyses with moving time windows were used to examine the association of nurse understaffing and limited work experience with the risk of an HAI 2 days after exposure, adjusting for individual risk factors. We reported hazard ratios (HRs) with 95% CIs.Results: Neither nurse understaffing nor limited work experience were associated with the overall risk of HAIs. The results were inconsistent across staffing measures and types of HAIs, and many of the associations were weak. Regarding specific HAI types, 1-day exposure to low proportion of nurses with >3 years of in-hospital experience and low proportion of nurses more than 25 years old were associated with increased risk of bloodstream infections (HR=1.30; 95% CI: 1.04-1.62 and HR=1.40; 95% CI: 1.07-1.83). Two-day exposure to low nursing hours relative to target hours was associated with an increased risk of surgical-site infections (HR=2.64, 95% CI: 1.66-4.20).Conclusions: Data from time-varying analyses suggest that nursing staff shortages and limited work experience do not always increase the risk of HAI among patients.

Published
2023
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41. Predicting long-term sickness absence with employee questionnaires and administrative records: a prospective cohort study of hospital employees

Author

Nyberg, Solja T, primary, Elovainio, Marko, additional, Pentti, Jaana, additional, Frank, Philipp, additional, Ervasti, Jenni, additional, Härmä, Mikko, additional, Koskinen, Aki, additional, Peutere, Laura, additional, Ropponen, Annina, additional, Vahtera, Jussi, additional, Virtanen­, Marianna, additional, Airaksinen, Jaakko, additional, Batty, G David, additional, and Kivimäki, Mika, additional

Published
2023
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48. Night shift work characteristics and risk of incident coronary heart disease among health care workers:national cohort study

Author

Vestergaard, Jesper Medom, Dalbøge, Annett, Bonde, Jens Peter Ellekilde, Garde, Anne Helene, Hansen, Johnni, Hansen, Åse Marie, Larsen, Ann Dyreborg, Härmä, Mikko, Costello, Sadie, Böttcher, Morten, Kolstad, Henrik Albert, Vestergaard, Jesper Medom, Dalbøge, Annett, Bonde, Jens Peter Ellekilde, Garde, Anne Helene, Hansen, Johnni, Hansen, Åse Marie, Larsen, Ann Dyreborg, Härmä, Mikko, Costello, Sadie, Böttcher, Morten, and Kolstad, Henrik Albert

Abstract

BACKGROUND: Night work has been associated with coronary heart disease. The present study examined exposure-response relations between quantitative night work characteristics and coronary heart disease (angina pectoris or myocardial infarction) with the aim to contribute to evidence-based recommendations for low-risk night work schedules.METHODS: We followed 100 149 night workers (80% women) and 153 882 day workers (78% women), all health care workers in Denmark with day by day payroll information on night shifts from 2007 to 2015. We analysed data with Poisson regression stratified by sex and adjusted for age, calendar year, diabetes, family history of cardiovascular disease, educational level, occupation, indicators for obesity, hypercholesterolaemia, and hypertension.RESULTS: Female and male night workers worked on average 1.7 and 1.8 night shifts per month for an average duration of less than 4 years. During follow-up, 1198 night and 2128 day workers were hospitalized with first-time coronary heart disease. When compared with day workers, the overall incidence rate ratios for female and male night workers were 1.06 [95% confidence interval (CI): 0.97, 1.17] and 1.22 (95% CI 1.07, 1.39). Highest risks were observed in top exposure categories for several night work characteristics. However, no consistent exposure-response relations by number of monthly night shifts, cumulative night shifts, years with rotating night shifts, years with any night shift and consecutive night shifts were observed among the night workers of either sex.CONCLUSIONS: This study of a population with low exposure to night work does not indicate that reducing extent of monthly night shifts, cumulative night shifts, years with rotating night shifts, years with any night shift and consecutive night shifts would reduce the risk of coronary heart disease.

Published
2023

49. Night shift work characteristics and risk of incident coronary heart disease among health care workers: national cohort study.

Author

Vestergaard, Jesper Medom, Dalbøge, Annett, Bonde, Jens Peter Ellekilde, Garde, Anne Helene, Hansen, Johnni, Hansen, Åse Marie, Larsen, Ann Dyreborg, Härmä, Mikko, Costello, Sadie, Böttcher, Morten, and Kolstad, Henrik Albert

Subjects
MEDICAL personnel, SHIFT systems, CORONARY disease, NIGHT work, ANGINA pectoris
Abstract

Background Night work has been associated with coronary heart disease. The present study examined exposure-response relations between quantitative night work characteristics and coronary heart disease (angina pectoris or myocardial infarction) with the aim to contribute to evidence-based recommendations for low-risk night work schedules. Methods We followed 100 149 night workers (80% women) and 153 882 day workers (78% women), all health care workers in Denmark with day by day payroll information on night shifts from 2007 to 2015. We analysed data with Poisson regression stratified by sex and adjusted for age, calendar year, diabetes, family history of cardiovascular disease, educational level, occupation, indicators for obesity, hypercholesterolaemia, and hypertension. Results Female and male night workers worked on average 1.7 and 1.8 night shifts per month for an average duration of less than 4 years. During follow-up, 1198 night and 2128 day workers were hospitalized with first-time coronary heart disease. When compared with day workers, the overall incidence rate ratios for female and male night workers were 1.06 [95% confidence interval (CI): 0.97, 1.17] and 1.22 (95% CI 1.07, 1.39). Highest risks were observed in top exposure categories for several night work characteristics. However, no consistent exposure-response relations by number of monthly night shifts, cumulative night shifts, years with rotating night shifts, years with any night shift and consecutive night shifts were observed among the night workers of either sex. Conclusions This study of a population with low exposure to night work does not indicate that reducing extent of monthly night shifts, cumulative night shifts, years with rotating night shifts, years with any night shift and consecutive night shifts would reduce the risk of coronary heart disease. [ABSTRACT FROM AUTHOR]

Published
2023
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