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