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Regulations as Prevention Strategies for Shiftwork Problems

Jeppesen1, Bøggild, Larsen

  • 1Department of Occupational Medicine, P.O. Box 561, DK-9100 Aalborg, Denmark.

International Journal of Occupational and Environmental Health
|July 1, 1997
PubMed
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Danish hospital shiftwork often involves part-time employees on fixed night shifts. Participatory structures failed to address health and safety concerns related to these work arrangements.

Area of Science:

  • Occupational Health
  • Workplace Regulations
  • Sociology of Work

Background:

  • The Danish system integrates collective agreements and legislation for workplace management.
  • Participatory structures like Co-operation Committees and Health and Safety Committees are established.
  • Shiftwork and its health implications are significant concerns in healthcare settings.

Purpose of the Study:

  • To analyze the operation of Danish regulatory and participatory structures at the local level concerning shiftwork and health/safety.
  • To investigate how collective agreements and legislation influenced shiftwork practices in a regional hospital system (1980-1994).

Main Methods:

  • Analysis of ward reports detailing employee employment and working hours.
  • Review of local agreements on working time deviations from legislation.

Related Experiment Videos

  • Examination of meeting minutes from Co-operation Committees and Health and Safety Committees.
  • Main Results:

    • Part-time employment on fixed evening and night shifts was prevalent.
    • Many wards utilized mixed shift arrangements (rotating and fixed).
    • Local agreements often extended workdays and minimized rest periods, with Health and Safety Committees not addressing shiftwork.
    • Co-operation Committees discussed shiftwork without integrating health and safety aspects.

    Conclusions:

    • Participatory structures did not effectively address health and safety issues in shiftwork.
    • Lack of clarity in regulatory principles for work organization impacts prevention strategies.
    • Clearer responsibilities and cooperation between committees are crucial for developing effective shiftwork prevention strategies.