Shiftwork: Problems & Solutions
Copyright Circadian Technologies Ltd 2014
CIRCADIAN: Introductie Current
Planned
Boston
London
St Petersburg Amsterdam Osaka
Jakarta Santiago
Brisbane
CIRCADIAN: Products & Services Staffing and Scheduling • •
Staffing Level Analysis Shift Schedule Optimization Proces
Education • •
Managing a Shiftwork Lifestyle / Fatigue Training Online Management courses / seminars
Work Environment • •
Nutrition Programs Light Filtering
Research • •
Intervention studies Shiftwork Health and Adaptation Assessment
Software • •
FRMS tools CAS-5 (Aviation)
DE BIOLOGISCHE KLOK...
“Sorry baas, er zit helaas geen alarm op m’n biologische klok!”
...ZIT IN HET HOOFD
GEDRAG IS NIET CONSTANT 20 ZEER ALERT
ALERTHEID
15 ALERT
10 SUF
5
Vermoeidheidsrisico’s
SLAPERIG
0 12
15
18
21
24
03
06
09
12
TIJD VAN DE DAG
15-voudige toename bedrijfsongevallen
SLAAP
Zondagmiddag bij familie de Vries: Vader en zoon nemen de tijd om hun batterijen op te laden
Ploegendienst en slaap
Based on data of 90 shiftworkers, Chemical plant NL, 2013
Ploegendienst en gezondheid: diagram
Knuttson, 2003
ALERTHEID EN VEILIGHEID
“Het is m’n eigen uitvinding. Werkt prima om wakker te blijven”
VERMOEIDHEID IN PERSPECTIEF...
Dawson and Reid, 1997
CONSEQUENTIES
Veiligheid
Productiviteit
RECOGNITION OF SHIFTWORK AS OCCUPATIONAL EXPOSURE RISK
24/7 WORKPLACE / SHIFTWORK EXPOSURE
NOCTURNAL LIGHT
HEALTH IMPAIRMENT
DISRUPTED SLEEP
FATIGUE
EXTENDED WORK HOURS
FAMILY-SOCIAL STRESS
Sustainable Employability
How much of this relates to Sustainable Employability?
DEFINITION: “To be able and motivated to do productive and safe work, to the benefit of yourself, the workforce and the organisation, now and in the future”.
Sustainable Employability: Model Individual circumstances • • • •
(Dis)abilities / Job skills Age / Gender Resources Family
Vitality / Health
Safety / working conditions
OHS / HRM policies Skills/ Competences
Sustainable Employability
Company strategy / skills: monitoring and evaluation
CASE STUDY: Shiftworker education and survey “Managing a Shiftwork Lifestyle” training Delivering coping strategies: Sleep Nutrition Exercise Work-life balance + Surveys Sleep Chronotype Fatigue Recovery
Skills/ Competences
1a: De training in zijn geheel
1c: De bruikbaarheid voor de praktijk
Cijfer
Resultaten MSL-vragenlijsten: leeftijd
Resultaten MSL-vragenlijsten: man/vrouw
Resultaten MSL-vragenlijsten: roostertype
Resultaten MSL-vragenlijsten: roostertype
Rooster Design: Top down approach GENERIC SHIFT SCHEDULES
exceptions
Staffing levels
adjustments
?
Individual circumstances
Rooster Design: Bottom up approach
Schedules More: - Control - Overview - Tailor-made - Efficiency
Sustainable Employability - Risk informed (HRM + OHS) - Employee engagement - Recovery/Health
EXCEPTIONS / ADJUSTMENTS / STAFFING / INDIVIDUAL CIRCUMSTANCES
DESIGN CONSIDERATIONS: Site Specific Criteria
Operating Parameters A C
Employee Parameters Criteria B
Health and Safety Parameters
Regulation, Collective Labour Agreements
NUTRITION
REDUCTION OF FATIGUE DURING NIGHT SHIFT Samn-Perelli scale 1. Fully alert, wide awake 2. Very lively, responsive, but not at peak 3. OK, somewhat fresh
Nutrition protocol: • •
Three-meal structure Protein/Carbs Ratio
•
19:00 – low carb / high protein
•
01:30 – low carb / high protein
•
05:30 – high carb / low protein
4. A little tired, less than fresh 5. Moderately tired, let down 6. Extremely tired, difficult to concentrate 7. Completely exhausted, unable to function effectively
Midnight 02:00 am 04:00 am 06:00 am
RESULTS
Safety / working conditions Vitality / Health
SURVEY: Shiftwork Health and Adaptation Assessment
Measures distribution of shiftwork tolerance Benchmarking: database contains feedback from 40.000 shiftworkers
HEALTH ISSUES
Company strategy / skills: monitoring and evaluation
SAFETY ISSUES
Company strategy / skills: monitoring and evaluation
RISK INFORMED
NEW INGREDIENTS
Employee Engagement Expectations Flexibility Tailor-made, Individual based Risk informed
BUILDING BRIDGES
HRM
Operations
HRM
OHS