Working time dimensions and well-being : a cross-national study of Finnish and German health care employees

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http://hdl.handle.net/10138/325646

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Karhula , K , Woehrmann , A M , Brauner , C , Härmä , M , Kivimäki , M , Michel , A & Oksanen , T 2020 , ' Working time dimensions and well-being : a cross-national study of Finnish and German health care employees ' , Chronobiology International , vol. 37 , no. 9-10 , pp. 1312-1324 . https://doi.org/10.1080/07420528.2020.1778716

Title: Working time dimensions and well-being : a cross-national study of Finnish and German health care employees
Author: Karhula, Kati; Woehrmann, Anne Marit; Brauner, Corinna; Härmä, Mikko; Kivimäki, Mika; Michel, Alexandra; Oksanen, Tuula
Contributor: University of Helsinki, University of Helsinki
Date: 2020-10-02
Language: eng
Number of pages: 13
Belongs to series: Chronobiology International
ISSN: 0742-0528
URI: http://hdl.handle.net/10138/325646
Abstract: Health care professionals often face irregular working hours and high work pace. We studied associations of the five working time dimensions duration (weekly working hours), timing (shift work and weekend work), on-call work, working time autonomy, and work tempo (deadline and performance pressure) with well-being among health care employees in Finland and Germany. We used data on working time dimensions and indicators of well-being (work-life conflict, poor perceived health, sleep difficulties, and fatigue) from a cohort of 5050 hospital employees (Working Hours in the Finnish Public Sector Study 2015, WHFPS) and 1450 employees in the health care sector in Germany responding to the German BAuA-Working Time Survey in 2015 (BAuA-WTS). Findings from logistic regression analyses showed that high work tempo was associated with increased work-life conflict (WHFPS: odds ratio [OR] = 3.64, 95%CI 3.04-4.36 and BAuA-WTS: OR = 2.29, 95%CI 1.60-3.27), sleep difficulties (OR = 1.75, 95%CI 1.43-2.15 and OR = 1.33, 95%CI 1.03-1.71) and fatigue (OR = 2.13, 95%CI 1.77-2.57 and OR = 1.64, 95%CI 1.29-2.10) in both datasets. Weekend work was associated with increased work-life conflict (OR = 1.48, 95%CI 1.27-1.72 and OR = 1.61, 95%CI 1.12-2.32); and high working time autonomy with decreased work-life conflict (control over the timing of breaks: OR = 0.65, 95%CI 0.55-0.78 and OR = 0.52, 95%CI 0.33-0.81). The associations between other working time dimensions and well-being were less consistent. These results suggest that tight deadlines, performance pressure, weekend work and lack of working time autonomy are linked to impaired well-being among health care employees.
Subject: Working hours
shift work
work tempo
working time autonomy
work-time control
on-call work
perceived health
work-life conflict
sleep
fatigue
ON-CALL WORK
HEART-DISEASE
NURSES
SLEEP
ASSOCIATION
BALANCE
RHYTHM
RISK
3142 Public health care science, environmental and occupational health
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