Work, family and nurses perception about their own health: relationship with breast cancer and shift work
e202106078
Keywords:
Nursing, Shift work, Night work, Breast cancer, Psychosomatic stress, Job satisfaction, Occupational health, Work stress, Family, Self-perception of healthAbstract
Background: Breast cancer is a commonly diagnosed disease in nurses that, from recent years, has been linked to shift work and night work. Also, different components of work stress have such an impact on the nurses’ health and work, family and social conciliation. The objective of this research was to analyze the family and working characteristics of Spanish nurses who perform shift work (including night shifts) in search of possible associations with manifestations of psychosomatic stress and the risk of breast cancer.
Methods: A cross-sectional descriptive study was conducted through a virtual questionnaire in a sample of 966 Registered Nurses in Spain between December 2019 and November 2020. A descriptive analysis of sociodemographic and occupational variables was performed, and statistically significant differences and associations were contrasted by estimating risks and confidence intervals.
Results: The number of night shifts throughout life and the number of years worked were statistically significant for the association with breast cancer. In addition, other psychosomatic manifestations such as insomnia, palpitations or extreme tiredness were highlighted. Among the most appreciated aspects to generate job satisfaction, co-worker’s relationship was underlined.
Conclusions: Rotating shift work can cause multiple clinical alterations that could lead to problems related to family conciliation, self-care or employment wellness. It is important to control the physical, psychological and emotional overload of nurses.
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References
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018. 68(6):394-424. doi: 10.3322/caac.21492. Erratum: CA Cancer J Clin. 2020;70(4):313. doi: 10.3322/caac.21609
Red Española de Registros de Cáncer (REDECAN). Estimaciones de la incidencia del cáncer en España. REDECAN: Madrid; 2020. Disponible en: https://redecan.org/redecan.org [consultada 23/02/2021].
Verdecchia A, Francisci S, Brenner H, Gatta G, Micheli A, Mangone L, Kunkler I, EUROCARE-4 Working Group. Recent cancer survival in Europe: a 2000-02 period analysis of EUROCARE-4 data. Lancet Oncol. 2007;8(9):784–96. doi: 10.1016/S1470-2045(07)70246-2
Galceran J, Ameijide A, Carulla M, Mateos A, Quirós JR, Rojas D, Alemán A, Torrella A, Chico M, Vicente M et al, REDECAN Working Group. Cancer Incidence in Spain, 2015. Clin Transl Oncol. 2017;19(7):799-825. doi: 10.1007/s12094-016-1607-9
Sociedad Española de Oncología Médica (SEOM). Las cifras del cáncer en España. SEOM: Madrid; 2020. Disponible en: https://seom.org/prensa/el-cancer-en-cifras [consultada 20/02/2021].
López-Guillén García A, Vicente Pardo JM. Retorno al trabajo tras cáncer de mama. Med. Segur. Trab. 2017. 63 (246): 51-67. Available at: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0465-546X2017000100051&lng=es&nrm=iso
National Toxicology Program. Draft Report on Carcinogens Monograph on Night Shift Work and Light at Night. U.S. Department of Health and Human Services: WA, USA; 2018.
IARC Working Group on the Identification of Carcinogenic Hazards to Humans. Night shift work. Vol. 124. Lyon (FR): International Agency for Research on Cancer; 2020.
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Painting, firefighting and shiftwork. Vol. 98. Lyon (FR): International Agency for Research on Cancer; 2010.
Descriptores en Ciencias de la Salud: DeCS [Internet]. ed. 2017. Sao Paulo (SP): BIREME/OPS/OMS; 2017. Disponible en: http://decs.bvsalud.org/E/homepagee.htm
Wegrzyn LR, Tamimi RM, Rosner BA, Brown SB, Stevens RG, Eliassen AH et al. Rotating night-shift work and the risk of breast cancer in the Nurses’ Health Studies. Am J Epidemiol. 2017;186(5):532-40. doi: 10.1093/aje/kwx140
Wickwire EM, Geiger-Brown J, Scharf SM, Drake CL. Shift Work and Shift Work Sleep Disorder: Clinical and Organizational Perspectives. Chest. 2017;151(5):1156-72. doi: 10.1016/j.chest.2016.12.007
D’Ettorre G, Pellicani V, Caroli A, Greco M. Shift work sleep disorder and job stress in shift nurses: implications for preventive interventions. Med Lav. 2020;111(3):195-202. doi: 10.23749/mdl.v111i3.9197
Dickerman B, Liu J. Does current scientific evidence support a link between light at night and breast cancer among female night-shift nurses? Review of evidence and implications for occupational and environmental health nurses. Workplace Health Saf. 2012;60(6):273-81:282. doi: 10.1177/216507991206000607
Papantoniou K, Pozo OJ, Espinosa A, Marcos J, Castaño-Vinyals G, Basagaña X et al. Increased and mistimed sex hormone production in night shift workers. Cancer Epidemiol Biomarkers Prev. 2015;24(5):854-63. doi: 10.1158/1055-9965.EPI-14-1271
Lin HH, Farkas ME. Altered Circadian Rhythms and Breast Cancer: From the Human to the Molecular Level. Front. Endocrinol. 2018. 9:219. doi: 10.3389/fendo.2018.00219
Bracci M, Manzella N, Copertaro A, Staffolani S, Barbaresi IM, Strafella E et al. Rotating-shift nurses after a day off: Peripheral clock gene expression, urinary melatonin, and serum 17-β-estradiol levels. Scand J Work Environ Health. 2014;40(3):295-304. doi: 10.5271/sjweh.3414
Ki J, Ryu J, Baek J, Huh I, Choi-Kwon S. Association between Health Problems and Turnover Intention in Shift Work Nurses: Health Problem Clustering. Int J Environ Res Public Health. 2020;17(12):4532. doi: 10.3390/ijerph17124532
Ferreira TS, Moreira CZ, Guo J, Noce F. Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses. Rev Esc Enferm USP.2017;51:e03202. doi: 10.1590/S1980-220X2016033203202
Knutsson A, Bøggild H. Gastrointestinal disorders among shift workers. Scand J Work Environ Health. 2010;36(2):85-95. doi: 10.5271/sjweh.2897
Costa G, Sartori S. Ageing, working hours and work ability. Ergonomics. 2007;50(11):1914-30. doi: 10.1080/00140130701676054
Nielsen NR, Stahlberg C, Strandberg-Larsen K, Kristensen TS, Zhang ZF, Hundrup YA et al. Are work-related stressors associated with diagnosis of more advanced stages of incident breast cancers? Cancer Causes & Control. 2007;19(3):297–303. doi: 10.1007/s10552-007-9092-7
Achat H, Kawachi I, Byrne C, Hankinson S, Colditz G. A prospective study of job strain and risk of breast cancer. Int J Epidemiol. 2000;29(4):622-8. doi: 10.1093/ije/29.4.622
Rosa D, Terzoni S, Dellafiore F, Destrebecq A. Systematic review of shift work and nurses’ health. Occup Med (Lond). 2019;69(4):237-43. doi: 10.1093/occmed/kqz063
Schernhammer ES, Hankinson SE, Rosner B, Kroenke CH, Willett WC, Colditz GA et al. Job Stress and Breast Cancer Risk: The Nurses’ Health Study. American Journal of Epidemiology. 2004;160(11):1079–86. doi: 10.1093/aje/kwh327
Ramin C, Devore EE, Wang W, Pierre-Paul J, Wegrzyn LR, Schernhammer ES. Night shift work at specific age ranges and chronic disease risk factors. Occup Environ Med. 2015;72(2):100-7. doi: 10.1136/oemed-2014-102292
Peplonska B, Bukowska A, Sobala W. Association of Rotating Night Shift Work with BMI and Abdominal Obesity among Nurses and Midwives. PLoS One. 2015;10(7):e0133761. doi: 10.1371/journal.pone.0133761
Bustamante-Montes LP, Flores-Meza B, Hernández-Valero MA, Cardenas-Lopez A, Dolores-Velázquez R, Borja-Bustamante P et al. Night Shift Work and Risk of Breast Cancer in Women. Archives of Medical Research. 2019;50(6):393-9. doi: 10.1016/j.arcmed.2019.10.008
Jørgensen JT, Karlsen S, Stayner L, Andersen J, Andersen ZJ. Shift work and overall and cause-specific mortality in the Danish nurse cohort. Scand J Work Environ Health. 2017;43(2):117-26. doi: 10.5271/sjweh.3612
Gázquez-Linares JJ, Pérez-Fuentes MC, Molero-Jurado MM, Oropesa-Ruiz FN, Simón-Márquez MM, Saracostti M. Sleep Quality and the Mediating Role of Stress Management on Eating by Nursing Personnel. Nutrients. 2019;11(8):1731. doi: 10.3390/nu11081731
Fratissier A, Gauberti P, Morello R, Clin B. Impact of 12-hr shifts in general hospitals: Study conducted in two intensive care units. Nurs Open. 2021;8(2):656-63. doi: 10.1002/nop2.670
Oh HK, Cho SH. Effects of nurses’ shiftwork characteristics and aspects of private life on work-life conflict. PLoS One. 2020;15(12):e0242379. doi: 10.1371/journal.pone.0242379
Khan WAA, Jackson ML, Kennedy GA, Conduit R. A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics. Sci Rep. 2021;11(1):866. doi: 10.1038/s41598-020-79093-5
Chang WP, Chang YP. Relationship between job satisfaction and sleep quality of female shift-working nurses: using shift type as moderator variable. Ind Health. 2019;57(6):732-40. doi: 10.2486/indhealth.2018-0258
Dorrian J, Tolley C, Lamond N, van den Heuvel C, Pincombe J, Rogers AE et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi: 10.1016/j.apergo.2008.01.012
McElvenny DM, Crawford JO, Davis A, Dixon K, Alexander C, Cowie H, Cherrie JW; The Institution of Occupational Safety and Health Board (IOSH). A review of the impact of shift work on occupational cancer. Wigston (UK): IOSH; 2018. Disponible en: https://www.iosh.co.uk/shiftworkreview [consultada 20/02/2021].
Instituto Nacional de Estadística (INE). Profesionales sanitarios en España en 2019. Updated 28/05/2020. Madrid: INE; 2019. Disponible en: https://www.ine.es/uc/EpbTZETN [consultada 20/02/2021].
Hock R. Professional burnout among public school teachers. Public Personnel Management. 1988;17(2):167-89. doi: 10.1177/009102608801700207
García-Izquierdo M, Castellón M, Albadalejo B, García-Izquierdo AL. Relaciones entre el burnout, ambigüedad de rol y satisfacción laboral en el personal de banca. Revista de Psicología del Trabajo y de las Organizaciones. 1993;11(24):17-26.
Meliá JL, Pradilla JF, Martí N, Sancerni MD, Oliver A, Tomás JM. Estructura factorial, fiabilidad y validez del Cuestionario de Satisfacción S21/26: Un instrumento con formato dicotómico orientado al trabajo profesional. Revista de Psicologia Universitas Tarraconensis. 1990; 12 (1/2): 25-39. Disponible en: https://www.uv.es/~meliajl/Research/Art_Satisf/ArtS21_26.PDF
Schernhammer ES, Kroenke CH, Laden F, Hankinson SE. Night work and risk of breast cancer. Epidemiology. 2006;17(1):108–11. doi: 10.1097/01.ede.0000190539.03500.c1
Hansen J, Stevens RG. Case–control study of shiftwork and breast cancer risk in Danish nurses: impact of shift systems. Eur J Cancer. 2012;48(11):1722-9. doi: 10.1016/j.ejca.2011.07.005
Badana ANS, Andel R. Aging in the Philippines. Gerontologist. 2018;58(2):212-8. doi: 10.1093/geront/gnx203
Peña-Rodríguez IA, Nieto-Olarte LP, Sánchez-Preciado DM, Cortés-Lugo RL. Relación entre estrés percibido y calidad de sueño en enfermeras de turnos nocturno y rotativo. Rev. Colomb. Enferm. 2019;18(3):1-17. Doi: 10.18270/rce.v18i3.2640
Conway PM, Campanini P, Sartori S, Dotti R, Costa G. Main and interactive effects of shiftwork, age and work stress on health in an Italian sample of healthcare workers. Appl Ergon. 2008;39(5):630-9. doi: 10.1016/j.apergo.2008.01.007
García-Izquierdo M, Sáez-Navarro MC, Llor-Esteban B. Burnout, satisfacción laboral y bienestar en personal sanitario de salud mental. Rev Psicol Trab Organ. 2000;16:215-28.
Svedberg P, Mather L, Bergström G, Lindfors P, Blom V. Time pressure and sleep problems due to thoughts about work as risk factors for future sickness absence. Int Arch Occup Environ Health. 2018;91(8):1051-9. doi: 10.1007/s00420-018-1349-9
Ferri P, Guadi M, Marcheselli L, Balduzzi S, Magnani D, Di Lorenzo R. The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts. Risk Manag Healthc Policy. 2016;9:203-211. doi: 10.2147/RMHP.S115326
Masuda AD, Sortheix FM, Beham B, Naidoo LJ. Cultural value orientations and work–family conflict: The mediating role of work and family demands. Journal of Vocational Behavior. 2019;112:294-310. doi: 10.1016/j.jvb.2019.04.001
Pinto KA, Menezes GM, Griep RH, Lima KT, Almeida MC, Aquino EM. Work-family conflict and time use: psychometric assessment of an instrument in ELSA-Brazil. Rev Saude Publica. 2016;50:39. doi: 10.1590/S1518-8787.2016050005892
wLjevak I, Vasilj I, Ćurlin M, Šaravanja N, Meštrović T, Šimić J, Neuberg M. The impact of shift work on psychosocial functioning and quality of life among hospital-employed nurses: a cross-sectional comparative study. Psychiatria Danubina. 2020;32(Suppl. 2):262-8. PMID: 32970645.
Vásquez-Trespalacios EM, Palacio-Jaramillo V, Gómez-Parra M, Romero-Arrieta L. Síntomas de estrés laboral y trabajo por turnos en trabajadores de la salud en una institución de tercer nivel en Medellín, Colombia: un estudio transversal. Rev. CES Psicol. 2016;9(2):28-39. doi: 10.21615/cesp.9.2.3
Savard J, Ivers H, Villa J, Caplette-Gingras A, Morin CM. Natural course of insomnia comorbid with cancer: an 18-month longitudinal study. J Clin Oncol. 2011;29(26):3580-6. doi: 10.1200/JCO.2010.33.2247
Moore TA, Berger AM, Dizona P. Sleep aid use during and following breast cancer adjuvant chemotherapy. Psycho-Oncology. 2011;20(3):321-5. doi: 10.1002/pon.1756
Trudel-Fitzgerald C, Zhou ES, Poole EM, Zhang X, Michels KB, Heather Eliassen A et al. Sleep and survival among women with breast cancer: 30 years of follow-up within the Nurses’ Health Study. Br J Cancer. 2017;116(9):1239–46. doi: 10.1038/bjc.2017.85
Maleki M, Mardani A, Ghafourifard M, Vaismoradi M. Qualitative exploration of sexual life among breast cancer survivors at reproductive age. BMC Womens Health. 2021;21(1):56. doi: 10.1186/s12905-021-01212-9
Boquiren VM, Esplen MJ, Wong J, Toner B, Warner E, Malik N. Sexual functioning in breast cancer survivors experiencing body image disturbance. Psycho-Oncology. 2015;25(1):66–76. doi: 10.1002/pon.3819
Tahghighi M, Brown JA, Breen LJ, Kane R, Hegney D, Rees CS. A comparison of nurse shift workers’ and non-shift workers’ psychological functioning and resilience. Journal of Advanced Nursing. 2019 ;75(11):2570-8. doi: 10.1111/jan.14023
Ríos-Risquez MI, Godoy-Fernández C. Association between occupational satisfaction and perceived general health in emergency nurses. Enferm Clin. 2008;18(3):134-41. doi: 10.1016/s1130-8621(08)70715-0
Fernández MI, Moinelo A, Villanueva A, Andrade C, Rivera M, Gómez JM et al. Satisfacción laboral de los profesionales de atención primaria del área 10 del Insalud de Madrid. Rev Esp Salud Pública. 2000;74:139-47.
Theme-Filha MM, Costa MAS, Guilam MCR. Estrés ocupacional y autoevaluación de salud entre profesionales de enfermería. Rev. Latino-Am. Enfermagem. 2013;21(2):1-9. doi: 10.1590/S0104-11692013000200002
López-Soriano F, Bernal L, Canovas A. Satisfacción laboral de los profesionales en un hospital comarcal de Murcia. Rev Calid Asist. 2001;16:243-6.
Batista AAV, Vieira MJ, Cardoso NCS, Carvalho GRP. Fatores de motivação e insatisfação no trabalho do enfermeiro. Rev Esc Enferm USP. 2005;39(1):85-91. doi: 10.1590/S0080-62342005000100011
Shin S, Oh SJ, Kim J, Lee I, Bae SH. Impact of nurse staffing on intent to leave, job satisfaction, and occupational injuries in Korean hospitals: A cross-sectional study. Nurs Health Sci. 2020;22(3):658-66. doi: 10.1111/nhs.12709
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