Saf Health Work.  2020 Jun;11(2):244-247. 10.1016/

Preventing Shift Work Disorder in Shift Health-care Workers

  • 1Local Health Authority, Brindisi, Health Unit of Occupational Prevention and Protection, Piazza Di Summa, Postal Code 72100, Brindisi, Italy
  • 2Local Health Authority, Department of Mental Health, Lecce, Italy


The occurrence of the shift work disorder (SWD) in health-care workers (HCWs) employed in 24/7 hospital wards is a major concern through the world. In accordance with literature, SWD is the most frequent work-related disturb in HCWs working on shift schedules including night shift. In agreement with the Luxembourg Declaration on workplace health promotion (WHP) in the European Union, a WHP program has been developed in a large Hospital, involving both individual-oriented and organizationaloriented measures, with the aim to prevent the occurrence of SWD in nurses working on shifts including night shift. The objective assessment of rotating shift work risk and the excessive sleepiness were detected before and after the implementation of the WHP program, by using the Rotating Shiftworkquestionnaire and the Epworth Sleepiness Scale. The findings of this study showed the effectiveness of the implemented WHP program in minimizing the impact of shift work on workers' health and in preventing the misalignment between sleep-wake rhythm and shift working.


Epworth Sleepiness Scale; Night work; RSQ-questionnaire; Shift work; Workplace health promotion
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