Relationship between sleep quality and blood pressure level in nurses performing shift work

Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)and quality of sleep.Methods:A total of 20 nurses of the therapeutic depar tments and 20 nurses of the surgical depar tments were enrolled in the study.Sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI).BP was measured according to the standard protocol using the Korotkoff method;a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m.and 10:30 a.m.The average value for the 2 indicators was calculated.The diagnosis of essential ar terial hyper tension(AH)was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension(2018).Results:The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality;this was true in respondents of both the surgical and therapeutic profiles.However,it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments.Moreover,poor sleep quality was associated with AH,which was diagnosed in 65%of the nurses of the therapeutic departments and 45%of the nurses of the surgical departments,that is,in almost all of the subjects.Herewith,in the nurses of the therapeutic departments,the level of systolic BP exceeded that of the nurses of the surgical departments.Conclusions:Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work.Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.

The Effect of Stress, Fatigue, and Sleep Quality on Shift-Work Nurses in Japan

Purpose: To investigate the relationship between stress, fatigue and sleep quality among shift work nurses in Japan. Design: A descriptive correlation design using self-administered surveys. Methods: Questionnaires on stress, fatigue and sleep quality (the Pittsburgh Sleep Quality Index;PSQI-J) among shift work nurses were distributed to 653 nurses in Japan from January 2015 to February 2015. Results: Participants who reported higher levels of fatigue reported higher levels of stress (r = 0.774, p = 0.000), lower levels of sleep satisfaction (r = −0.411, p = 0.000) and overall lower levels of health (r = −0.323, p = 0.000).PSQI scores were also significantly correlated with reported levels of stress (r = 0.294, p = 0.000), fatigue (r = 0.291, p = 0.000) and levels of health (r = −0.370, p = 0.000). Nurses who have stress-relieving recourses were younger (t = −2.842, p = 0.005), reported higher levels of overall health (t = 2.727, p = 0.007), had higher levels of sleep quality measured by the PSQI (t = −2.560, p = 0.011), and required less time to fall asleep (t = −3.207, p = 0.001). Conclusions: This study showed an association between stress and sleep satisfaction among shift work nurses in Japan. In addition, nurses that engage in activities to manage stress might achieve higher levels of health and high sleep quality.

Work-related quality of life and performance appraisal among nurses at a tertiary hospital in Philippines

Objective:The objective of the study is to describe the work-related quality of life(WRQOL)among nurses and explore its association with performance evaluation ratings.Methods:A cross-sectional design was utilized measuring the WRQOL scale and the previous performance appraisal rating.Multistage sampling approach was utilized with nurses stratified based on their position and then systematically random sampled based on their unit assignment.Results:One hundred and eighty-two nurses were included.About half reported a high quality of work life(101;55.5%).Low scores were noted on the subscale working conditions(100;54.9%),low to average responses for home-work interface(109;59.9%),control at work(100;54.9%),and stress at work(90;49.5%).A higher proportion of nurses reported positive responses toward the areas of general well-being(113;62.1%)and job-career satisfaction(112;61.5%),than in the other subscales.There were notable differences between WRQOL ratings:(1)Head nurses had the highest perceived quality of work life,followed by nurse supervisors and charge nurses(F=6.1,P<0.01)and(2)Nurses in the pay-patient services reported lower quality of working life,while those in office and outpatient services had more positive scores(F=4.6,P<0.01).Conclusion:Only more than half of the nurses reported a high quality of work life,some of its dimensions,particularly job and career satisfaction and working conditions,appeared to vary in the perceived degree across years in service,work hours,and position.The assessment of the quality of work life may serve as an important tool to address staff burnout,absenteeism and other issues that affect job performance among health-care professionals.

Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia

Objectives:This study aimed to develop an empowerment model for burnout syndrome and quality of nursing work life(QNWL).Methods:This study adopted a mixed-method cross-sectional approach.The variables included structural empowerment,psychological empowerment,burnout syndrome and QNWL.The population consisted of nurses who have civil servant status in one of the regional hospitals in Indonesia.The participants were recruited using multi-stage sampling measures with 134 respondents.Data were collected using questionnaires,which were then analysed using partial least squares.A focus group discussion was conducted with nurses,chief nurses and the hospital management to identify strategic issues and compile recommendations.Results:Structural empowerment influenced psychological empowerment(path coefficient=0.440;t=6.222)and QNWL(path coefficient=0.345;t=4.789).Psychological empowerment influenced burnout syndrome(path coefficient=-0.371;t=4.303),and burnout syndrome influenced QNWL(path coefficient=-0.320;t=5.102).Structural empowerment increased QNWL by 39.7%.Conclusion:The development of a structural empowerment model by using the indicators of resources,support and information directly influenced the psychological empowerment of the sample of nurses.As an indicator of meaning,psychological empowerment decreased burnout syndrome.In turn,burnout syndrome,as the indicator of personal achievement,could affect the QNWL.Structural empowerment directly influenced the QNWL,particularly within the workplace context.Further studies must be conducted to analyse the effects of empowerment,leadership styles and customer satisfaction.

Sound Quality Prediction of Vehicle Interior Noise under Multiple Working Conditions Using Back-Propagation Neural Network Model

This paper presents a back-propagation neural network model for sound quality prediction (BPNN-SQP) of multiple working conditions’ vehicle interior noise. According to the standards and regulations, four kinds of vehicle interior noises under operating conditions, including idle, constant speed, accelerating and braking, are acquired. The objective psychoacoustic parameters and subjective annoyance results are respectively used as the input and output of the BPNN-SQP model. With correlation analysis and significance test, some psychoacoustic parameters, such as loudness, A-weighted sound pressure level, roughness, articulation index and sharpness, are selected for modeling. The annoyance values of unknown noise samples estimated by the BPNN-SQP model are highly correlated with the subjective annoyances. Conclusion can be drawn that the proposed BPNN-SQP model has good generalization ability and can be applied in sound quality prediction of vehicle interior noise under multiple working conditions.

Current Status and Influencing Factors of the Quality of Work Life of Nurses in Intensive Care Unit

Objective: To investigate the current status and influencing factors of the quality of work life of nurses in Intensive Care Unit (ICU). Methods: A total of 243 ICU nurses from 6 general hospitals in Jingzhou were selected by convenient sampling method. Questionnaires were conducted with the general information questionnaire, Connor-Davidson Resilience Scale (CD-RISC) and Work-Related Quality of Life Scale-2 (WRQoL-2). Results: The total average score of the quality of work life of ICU nurses was (3.35 ± 0.44), which was at a medium level. Department, professional title, frequency of night shift, experience of workplace violence and psychological resilience were the influencing factors of the quality of work life of nurses in ICU, accounting for 39.4% of the variance. Conclusion: The quality of work life of ICU nurses needs to be improved. Nursing managers should pay attention to the work environment of ICU nurses, rationally allocate manpower, and improve the status of psychological resilience of nurses, so as to improve their quality of work life.

A Blockchain-Based Life-Cycle Environmental Management Framework for Hospitals in the COVID-19 Context

During the coronavirus disease 2019 (COVID-19) emergency, many hospitals were built or renovated around the world to meet the challenges posed by the rising number of infected cases. Environmental management in the hospital life cycle is vital in preventing nosocomial infection and includes many infection control procedures. In certain urgent situations, a hospital must be completed quickly, and work process approval and supervision must therefore be accelerated. Thus, many works cannot be checked in detail. This results in a lack of work liability control and increases the difficulty of ensuring the fulfillment of key infection prevention measures. This study investigates how blockchain technology can transform the work quality inspection workflow to assist in nosocomial infection control under a fast delivery requirement. A blockchain-based life-cycle environmental management framework is proposed to track the fulfillment of crucial infection control measures in the design, construction, and operation stages of hospitals. The proposed framework allows for work quality checking after the work is completed, when some work cannot be checked on time. Illustrative use cases are selected to demonstrate the capabilities of the developed solution. This study provides new insights into applying blockchain technology to address the challenge of environmental management brought by rapid delivery requirements.

Evaluation of Farmers' Working Quality in Jilin Province on the Basis of AHP

In terms of the working quality of agricultural production and the working quality of non-agricultural production, the evaluation index system of the working quality of farmers is established. By using integrated fuzzy method based on AHP, we determine the weight of each index, and establish membership matrix of this evaluation index system. Taking Jilin Province as an example, we select developed regions, underdeveloped regions and comparatively developed regions respectively to conduct survey. By using the data from survey, according to the established evaluation index system, we conduct empirical analysis of the working quality of farmers. The results show that the working quality of farmers in the developed regions is relatively high, the working quality of farmers in the comparatively developed regions is ordinary, and the working quality of farmers in the underdeveloped regions is relatively low; the physical quality, educational quality and technological quality of farmers in the developed regions are high; the operation quality of agricultural production of farmers in the underdeveloped regions is high; the operation quality of non-agricultural production of farmers in the comparatively developed regions is high; the working quality of agricultural production of farmers in the comparatively developed regions and underdeveloped regions is higher than the working quality of non-agricultural production of farmers in the comparatively developed regions and underdeveloped regions; the working quality of non-agricultural industries of farmers in the developed regions is higher than the working quality of agricultural production. The urgent priority of constructing new village is to coordinate urban-rural development, and to offer preferential policies and capital for the villages with backward economic development level.

An Exploratory Factor Analysis of Quality of Work Life of Pilots

This study aims to explore dimensions of quality of work life (QWL) of pilots by using an exploratory factor analysis (EFA). The sample was 400 pilots who are currently working for an airline based in Thailand. The items using in this study were generated using input from three sources. First, using input from commercial pilots who had a minimum of total 5,000 flying hour and currently working for either premium or low cost airlines in Thailand. Second, translated quality of work life items from a published research on Quality of Work Life of Personnel at Dhurakij Pundit University by Chatthai (2016). After the content analysis, the left items for the EFA analysis were 30 items. The Kaiser-Meyer-Olkin (KMO) demonstrated at 0.93. The exploratory factor analysis was to examine the loading patterns of QWL items. A principal component and orthogonal rotation (Verimax method) were chosen. It showed there were five structural factor patterns. The five factors were labored as “Human Resource Management”;“Social Relation”;“Safe Working Environment”;“Work-Life Balance”;and “Fairness and Respect”. Discussion and future research are also discussed.

Influencing Factors and Improvement Strategy to the Quality of Nursing Work Life: A Review

This review introduces the definition, influencing factors and improvement strategy to the quality of nursing work life, which can provide references for nursing managers to understand the factors affecting the quality of nursing work life and choose effective measures to improve the quality of nursing work life.

Shift Work: Impact on Nurses’ Health and Quality Life in Pointe-Noire (Congo)

Introduction: The consequences of shift work on health, psychological balance and socio-family life are multiple and universally known. Objective: The aim of this survey was to describe the impact of shift work on nurses’ health and quality life. Methodology: This was a cross-sectional descriptive study of the exposed and non-exposed type from May 2013 to July 2013, i.e. for a period of 3 months. We had included and divided into two groups the nurses working in the various departments of the Loandjili General Hospital (LGH). A questionnaire derived from the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale had been used to collect the data. Results: Of the 91 nurses considered, including 59 in shift work (group I) and 32 in daytime work (group II), significant associations were found between shift work on the one hand and sleep problems on the other hand in all these aspects, stress and appetite disturbances. However, no significant association was found between shift work on the one hand and the use of sleeping pills on the other hand. Fatigue, mood disorders and the notion of free time (at home and for leisure), although the frequencies are relatively high in the group of nurses on shift work. Conclusion: Our results show that nurses’ health, social and family life at Loandjili General Hospital are negatively impacted by shift work. There is a need to put in place means of prevention.

AQSIQ Sends Working Groups to Implement the Spirit of National Quality Working Conference

On August 1st, the General Administration of Quality Supervision, Inspection and Quarantine (AQSIQ) convened a conference to transmit the spirit of national quality work and study an important speech regarding standards from Wen Jiabao,Premier of the State Council.……

The Work of JTCA in Standardizing and Improving the Quality of Operating Information in Japan

Main Activities of JTCA JTCA activities cover the following five areas: ……

Using sequential analysis procedures to rank the influencing factors of public work’s quality

In order to improve the efficiency in management of public work projects, screening and controlling influencing factors affecting the quality of a public work project is essential. This study synthesized 9 influential categories including 91 factors related to quality management of public works in Taiwan using a sequential analysis procedure. According to the Borda-values of influencing factors obtained from a first stage questionnaire, the number of primary factors selected by the re-sponsible entities and the design-supervisory entities were 44 and 45 respectively. A Fuzzy Analytic Hierarchy Process (FAHP) was used to prioritize and rank these factors. The top five factors ranked by the responsible entities were (1) introduction of the earned value analysis, (2) working efficiency, (3) environmental laws and regulations, (4) price-index fluctuation, and (5) on-site safety management. The top five factors ranked by the design-supervisory entities were (1) man power, (2) laws and regulations, (3) price-index fluctuation, (4) traffic conditions, and (5) faulty design.

Analysis of the Factors Affecting the Employment Quality of College Graduates:A Case Study of China

The employment quality of college graduates in China is a topic of widespread concern.This paper uses authoritative data sources,including the China Labor Statistics Yearbook,China Statistical Yearbook,and data from provincial statistical bureaus,to examine the employment quality of college graduates in different regions of China.Specifically,the paper explores three aspects:salary level,job intensity,and job stability.The research results indicate that undergraduate graduates experience lower job intensity than college counterparts.However,while North,East,and South China show high salary levels and job stability,issues such as high work intensity,high cost of living,and small living space exist.Therefore,this paper offers policy development recommendations to promote job market reform and improve employment quality.These recommendations aim to address the challenges faced by college graduates in various regions of China and to promote the stability of the country’s social and economic development.By examining the employment quality of college graduates in different regions of China,this paper provides valuable insights for scholars,policymakers,and practitioners.

中日友好医院党建引领高质量发展实践与思考

公立医院党建工作是实现高质量发展的重要保障。本文以中日友好医院为例,介绍把党的政治建设、思想建设、组织建设、作风建设、纪律建设、制度建设与医院高质量发展紧密结合的实践探索,逐步形成以高质量党建引领高质量发展的“六提升”工作法,为公立医院党建引领高质量发展提供参考。