Extended workdays, compressed work periods, fatigue and cardiovascular strain: A study of health care workers and airline crew
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Sammendrag
The aim was to examine if extended workdays and compressed work periods were risk factors for fatigue-related errors as measured by neurobehavioral tests and cardiovascular strain as indicated by heart rate variability (HRV), among health care workers and airline crew. Test-results among airline crew revealed significantly prolonged reaction time with increasing number of flight sectors during the work period. HRV in health care workers indicated higher cardiovascular strain the first compared to the fourth shift. In airline crew indications of increasing cardiovascular strain was seen during the work period. Among pilots, an association between reported high workload and cardiovascular strain was observed. Among cabin crewmembers, increased sleep duration before workdays, and longer breaks were associated with reduced cardiovascular strain. Nocturnal HRV and diaries indicated sufficient recovery in the participating groups. Mixed findings between the occupational groups indicate that workhours and shift schemes only explain some of the response patterns in the study, as factors related to work tasks seemed to influence development of fatigue and cardiovascular strain.Artikkelliste
Paper I: Elisabeth M. Goffeng, Karl-Christian Nordby, Mika P. Tarvainen, Susanna Järvelin-Pasanen, Anthony Wagstaff, Lars Ole Goffeng, Merete Bugge, Øivind Skare, Jenny-Anne S. Lie. Fluctuations in heart rate variability of health care workers during four consecutive extended work shifts and recovery during rest and sleep. Industrial Health 2018, 56, 122-131. The article is included in the thesis. |
Paper II: Elisabeth M. Goffeng, Anthony Wagstaff, Karl-Christian Nordby, Anders Meland, Lars Ole Goffeng, Øivind Skare, Didrik Lilja, Jenny-Anne S. Lie. Risk of fatigue among airline crew during four consecutive days of flight duty. Aerospace Medicine and Human Performance Vol. 90, No. 5 May 2019, pp 466-474. DOI:10.3357/AMHP.5236.2019. The article is not available in DUO. The published version is available at: https://doi.org/10.3357/AMHP.5236.2019 |
Paper III: Elisabeth M. Goffeng, Karl-Christian Nordby, Anthony Wagstaff, Mika Tarvainen, Susanna Järvelin-Pasanen, Øivind Skare, Jenny-Anne S. Lie. Cardiac autonomic activity in commercial airline crew during an actual flight duty period. Aerospace Medicine and Human Performance, 90(11), Nov 2019, pp 945-952. DOI:10.3357/AMHP.5389.2019. The manuscript is included in the thesis. Also available at https://doi.org/10.3357/AMHP.5389.2019 |