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Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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Increasing work-time influence: consequences for flexibility, variability, regularity and predictability.

Kirsten Nabe-Nielsen1, Anne Helene Garde, Birgit Aust

  • 1Section of Social Medicine, Department of Public Health, University of Copenhagen, Øster Farimagsgade 105, 1014 Copenhagen K, Denmark. nabe@sund.ku.dk

Ergonomics
|March 20, 2012
PubMed
Summary
This summary is machine-generated.

Giving eldercare workers more control over their work hours through computerized self-scheduling increased flexibility but decreased regularity and predictability. This impacted client care continuity and colleague cooperation.

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Area of Science:

  • Healthcare Management
  • Occupational Health
  • Sociology of Work

Background:

  • Shift work in eldercare presents challenges to employee well-being and care continuity.
  • Employee work-time influence is theorized to mitigate adverse effects of shift work.
  • Previous interventions have not fully explored the multifaceted impact of increased work-time control.

Purpose of the Study:

  • To investigate the effects of an intervention designed to increase eldercare workers' influence over their working hours.
  • To assess changes in flexibility, variability, regularity, and predictability of work schedules.
  • To examine the impact on client care and colleague cooperation.

Main Methods:

  • A quasi-experimental study design utilizing baseline and follow-up questionnaire data (n=296, n=274).
  • Interviews were conducted with intervention group participants (n=32).
  • Intervention groups implemented computerized self-scheduling, preference questionnaires, or work hour discussions.

Main Results:

  • Computerized self-scheduling significantly altered work hours, increasing flexibility but reducing regularity and predictability.
  • Participants reported less continuity in client care and colleague cooperation.
  • Work-time preference questionnaires and discussions did not lead to implemented changes.

Conclusions:

  • While computerized self-scheduling enhances work-time flexibility for eldercare staff, it can negatively impact schedule regularity and continuity of care.
  • Increased individual flexibility in work hours may not translate to improved overall operational stability or team cohesion.
  • Further research is needed to balance employee autonomy with the demands of consistent eldercare provision.