Exploring fatigue challenges and contributing factors in the South African aviation industry amidst the COVID-19 pandemic: insights from blunt-end stakeholders
- Authors: Clark, Darryl Malcolm
- Date: 2024-10-11
- Subjects: Fatigue , Aircraft industry South Africa , COVID-19 Pandemic, 2020- Influence , Executives Attitudes , Fatigue in the workplace , Aeronautics Law and legislation South Africa
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/464743 , vital:76541
- Description: Background: Despite the global aviation industry's ongoing commitment to safety, crew fatigue remains a persistent and pressing issue. Within South Africa, fatigue management was primarily governed by regulations, however, there was ongoing debate about whether these regulations adequately reflected the latest scientific evidence and operational demands. This study addressed this gap by investigating perceptions about fatigue and fatigue management from management and decision-makers (blunt-end stakeholders) within the South African aviation sector. This study aimed to investigate the perceptions surrounding fatigue and fatigue management among management and decision-makers (blunt-end stakeholders) within the South African aviation sector. Specifically, it sought to contribute to ongoing research dedicated to developing a better understanding of whether, how, and why regulations pertaining to fatigue management may need to change. By exploring the perspectives of blunt-end stakeholders, the study aimed to uncover insights into the challenges and potential gaps in current regulations, with the ultimate goal of informing potential regulatory adjustments to enhance aviation safety. Methodology: A cross-sectional, qualitative exploratory design investigated perceptions about fatigue and fatigue management among blunt-end stakeholders in the South African aviation industry. Data was collected through online semi-structured interviews and written open-ended questionnaires to capture diverse perspectives. The methodology aimed to comprehensively understand fatigue-related experiences and perceptions among pilots and cabin crew, considering the unique challenges posed by the COVID-19 pandemic. Participants were selected using purposive and snowball sampling, ensuring representation from various regulatory categories and industry sectors. The study employed a thematic analysis approach to analyse data collected through online semi-structured interviews and written open-ended questionnaires. Thematic analysis facilitated the identification of key patterns and themes in the perceptions of blunt-end stakeholders within the South African aviation industry regarding fatigue and fatigue management Results: The thematic analysis of data from thirteen South African aviation industry stakeholders unveiled insights into crew fatigue challenges and regulatory concerns. Participants emphasized crew fatigue as a significant safety risk linked to entrenched crew mentalities, where instances of disregarding fatigue management protocols posed imminent safety risks. Additionally, outdated regulations were cited, hindering optimal crew rest periods and modern fatigue mitigation technologies, with discrepancies in regulatory support exacerbating challenges across operational contexts. Aviation stakeholders expressed apprehensions regarding the efficacy of existing Flight and Duty Regulations, advocating for amendments to enhance fatigue management practices. The COVID-19 pandemic further exacerbated fatigue issues, leading to shifts in crew morale, increased stress levels, and regulatory challenges, necessitating adaptive fatigue management strategies and proposed risk mitigation plans, including regulatory adjustments and enhanced stakeholder engagement. Discussion: The study investigated the intricate landscape of fatigue-related risks within the aviation industry, recognizing the systemic and context-specific nature of these challenges. It is evident from our findings, in line with previous research, that fatigue within the aviation sector is not merely an isolated issue but a multifaceted consequence of systemic factors. Our study highlights the pressing need for revisiting the current Flight and Duty Periods (FDPs) and overall fatigue management strategies to address these underlying systemic issues effectively. Unlike static safety concerns, fatigue-related risks evolve dynamically, influenced by technological advancements, industry practices, and external factors such as the ongoing COVID-19 pandemic. Our analysis elucidated the complex interplay between safety protocols, operational standards, and the well-being of crew members, emphasizing the need for a nuanced approach in mitigating fatigue-related risks. Central to our findings is the recognition of the limitations of existing regulations in adequately addressing emerging challenges associated with crew fatigue. Our study underscores the imperative of regulatory agility in safeguarding both passengers and crew members, advocating for continuous evaluation and refinement of regulatory frameworks. Specifically, there is a critical need to revisit and adapt current FDPs and fatigue management strategies to align with the systemic causes of fatigue identified in our research. Conclusion: This study contributed a comprehensive analysis of crew fatigue in South African aviation, focusing on perspectives of blunt-end stakeholders. It highlighted widespread recognition of fatigue's safety implications, exacerbated by factors like economic stressors and regulatory deficiencies, including those intensified by the COVID-19 pandemic. Participants advocated for regulatory reforms to enhance crew rest provisions and address scheduling challenges. The research underscored the need for a proactive, collaborative approach prioritizing aviation professionals' well-being. Recommendations emphasized tailored regulations, technology integration, and ongoing collaboration among stakeholders to refine fatigue management strategies and ensure industry resilience. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2024
- Full Text:
- Date Issued: 2024-10-11
- Authors: Clark, Darryl Malcolm
- Date: 2024-10-11
- Subjects: Fatigue , Aircraft industry South Africa , COVID-19 Pandemic, 2020- Influence , Executives Attitudes , Fatigue in the workplace , Aeronautics Law and legislation South Africa
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/464743 , vital:76541
- Description: Background: Despite the global aviation industry's ongoing commitment to safety, crew fatigue remains a persistent and pressing issue. Within South Africa, fatigue management was primarily governed by regulations, however, there was ongoing debate about whether these regulations adequately reflected the latest scientific evidence and operational demands. This study addressed this gap by investigating perceptions about fatigue and fatigue management from management and decision-makers (blunt-end stakeholders) within the South African aviation sector. This study aimed to investigate the perceptions surrounding fatigue and fatigue management among management and decision-makers (blunt-end stakeholders) within the South African aviation sector. Specifically, it sought to contribute to ongoing research dedicated to developing a better understanding of whether, how, and why regulations pertaining to fatigue management may need to change. By exploring the perspectives of blunt-end stakeholders, the study aimed to uncover insights into the challenges and potential gaps in current regulations, with the ultimate goal of informing potential regulatory adjustments to enhance aviation safety. Methodology: A cross-sectional, qualitative exploratory design investigated perceptions about fatigue and fatigue management among blunt-end stakeholders in the South African aviation industry. Data was collected through online semi-structured interviews and written open-ended questionnaires to capture diverse perspectives. The methodology aimed to comprehensively understand fatigue-related experiences and perceptions among pilots and cabin crew, considering the unique challenges posed by the COVID-19 pandemic. Participants were selected using purposive and snowball sampling, ensuring representation from various regulatory categories and industry sectors. The study employed a thematic analysis approach to analyse data collected through online semi-structured interviews and written open-ended questionnaires. Thematic analysis facilitated the identification of key patterns and themes in the perceptions of blunt-end stakeholders within the South African aviation industry regarding fatigue and fatigue management Results: The thematic analysis of data from thirteen South African aviation industry stakeholders unveiled insights into crew fatigue challenges and regulatory concerns. Participants emphasized crew fatigue as a significant safety risk linked to entrenched crew mentalities, where instances of disregarding fatigue management protocols posed imminent safety risks. Additionally, outdated regulations were cited, hindering optimal crew rest periods and modern fatigue mitigation technologies, with discrepancies in regulatory support exacerbating challenges across operational contexts. Aviation stakeholders expressed apprehensions regarding the efficacy of existing Flight and Duty Regulations, advocating for amendments to enhance fatigue management practices. The COVID-19 pandemic further exacerbated fatigue issues, leading to shifts in crew morale, increased stress levels, and regulatory challenges, necessitating adaptive fatigue management strategies and proposed risk mitigation plans, including regulatory adjustments and enhanced stakeholder engagement. Discussion: The study investigated the intricate landscape of fatigue-related risks within the aviation industry, recognizing the systemic and context-specific nature of these challenges. It is evident from our findings, in line with previous research, that fatigue within the aviation sector is not merely an isolated issue but a multifaceted consequence of systemic factors. Our study highlights the pressing need for revisiting the current Flight and Duty Periods (FDPs) and overall fatigue management strategies to address these underlying systemic issues effectively. Unlike static safety concerns, fatigue-related risks evolve dynamically, influenced by technological advancements, industry practices, and external factors such as the ongoing COVID-19 pandemic. Our analysis elucidated the complex interplay between safety protocols, operational standards, and the well-being of crew members, emphasizing the need for a nuanced approach in mitigating fatigue-related risks. Central to our findings is the recognition of the limitations of existing regulations in adequately addressing emerging challenges associated with crew fatigue. Our study underscores the imperative of regulatory agility in safeguarding both passengers and crew members, advocating for continuous evaluation and refinement of regulatory frameworks. Specifically, there is a critical need to revisit and adapt current FDPs and fatigue management strategies to align with the systemic causes of fatigue identified in our research. Conclusion: This study contributed a comprehensive analysis of crew fatigue in South African aviation, focusing on perspectives of blunt-end stakeholders. It highlighted widespread recognition of fatigue's safety implications, exacerbated by factors like economic stressors and regulatory deficiencies, including those intensified by the COVID-19 pandemic. Participants advocated for regulatory reforms to enhance crew rest provisions and address scheduling challenges. The research underscored the need for a proactive, collaborative approach prioritizing aviation professionals' well-being. Recommendations emphasized tailored regulations, technology integration, and ongoing collaboration among stakeholders to refine fatigue management strategies and ensure industry resilience. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2024
- Full Text:
- Date Issued: 2024-10-11
A study on visual inspection of citrus sorters in a packhouse in the Eastern Cape of South Africa
- Authors: Maher, Christopher Richard
- Date: 2023-10-13
- Subjects: Citrus fruit industry South Africa Eastern Cape , Packing-house workers , Fatigue in the workplace , Drowsiness , Visual inspection , Employees Workload
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424256 , vital:72137
- Description: Background and Purpose. The South African citrus industry is a major global producer of citrus as well as the second largest exporter of citrus fruit in the world. This industry provides employment to an estimated 112 000 workers in South Africa and is vital in providing economic opportunities to communities such as those in the Sunday’s River Valley in the Eastern Cape province of South Africa due to the low employment and education levels within this province. Citrus sorting is a visual inspection task that requires workers to sustain attention and remain vigilant for the duration of a working shift. Their role in the packhouse is to ensure that no defective products are packed for export or the local market and that the fruit meets the customers’ expectations. Since the demands of sorting citrus are poorly understood, this study attempted to assess the effect that sorting citrus has on vigilance performance as well as attempt to quantify perceived workload while taking into account different contextual factors that affect perceptions of this working task. Methods. This study was conducted within a citrus packhouse in the Eastern Cape province of South Africa. The sample was comprised of individuals employed by the packhouse as citrus sorters. In addition to a recruitment and information session, testing was conducted at three intervals during a working shift on four consecutive days. Each time, indicators of vigilance, such as correct responses, sensitivity, reaction time, false alarms and misses, were collected during a 5-minute computerised version of the Mackworth Clock-test, while perceived workload was assessed with the NASA-TLX scale, and sleepiness was recording using the WITS Sleepiness Scale. Furthermore, an open-ended question was asked to further understand factors affecting the ability of participants to concentrate during their task of sorting. Results. 18 participants consented to participate in this study. 16 of these individuals identified as female with an average age of 30 years (± 7). 83% of participants were of Black African descent and were isiXhosa speakers, while 17% of participants were of Coloured descent and Afrikaans speakers. This study found that performance, as measured by the percentage of correct responses, sensitivity and reaction time on the 5-minute long Mackworth Clock Test was not significantly affected as time-on-task for sorting citrus increased during a working shift, neither did performance on the vigilance test change as days of the week proceeded. However, ‘misses’ during the vigilance test were found to significantly decrease over the course of a working shift, thus contradicting the expected outcomes of this study. Perceived workload of sorting citrus, as well as perceived sleepiness, significantly increased with time-on-task during the course of a working shift. The major contributions for this increase in perceived workload while sorting citrus were derived from the Mental Demand and Physical Demand sub-scale for the NASA-TLX. However, responses from the open-ended question indicated that participants generally enjoyed their work, although there were factors, such as the nature of fruit and social set-up of work, that negatively affected this perception. Discussion. The results from this study contradicted the researcher’s expectations. It was anticipated that measures of correct responses and sensitivity would decrease and misses, and reaction time would increase with time-on-task for sorting citrus, yet vigilance indicators from the Mackworth Clock Test generally indicated no change in vigilance, and, according to “misses” even improved with time-on-task. A likely explanation for this is that the use of a 5-minute Mackworth Clock-test was unsuitable in this context, or rather, the time of this test was not long enough to induce a ‘vigilance decrement’. Furthermore, in order to administer this vigilance test, participants were taken off the production line and led to a testing room which most likely increased their levels of arousal, thus affecting performance on the vigilance test. However, even though perceived sleepiness was found to significantly increase over the course of a working shift, these data correlated poorly with the vigilance results, thus contradicting the expected outcomes of the study. Mental demand significantly increased, possibly due to the demand of attentional informational processing required for sorting, as well as various environmental factors present within the packhouse. Physical demand, too, significantly increased as workers were required to remain standing throughout their working task as well as to make use of their upper extremities to remove defective fruit. Correlation analyses showed significantly weak correlation for Mackworth Clock Test variables and sleepiness ratings to all other variables. NASA-TLX variables, however, generally showed significantly moderate correlations with one another. Conclusion. It remains unclear how vigilance changes and sustained attention while sorting citrus, since the experiment did not show changes in performance. This is largely attributed to the methodological set-up which could have increased arousal and therefore affected vigilance. It is recommended that future studies research vigilance and sustained attention during the sorting itself, rather than attempting to infer vigilance results from a computerised vigilance test. Perceived workload of sorting, however, increased over the course of a working shift due to significant increases in perceptions of the physical and mental demands of sorting. Future studies should address concerns relating to the physical demand of sorting. Furthermore, it would be beneficial to compare responses of day and night shift sorters to further understand how the relationship between these variables may change. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Maher, Christopher Richard
- Date: 2023-10-13
- Subjects: Citrus fruit industry South Africa Eastern Cape , Packing-house workers , Fatigue in the workplace , Drowsiness , Visual inspection , Employees Workload
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424256 , vital:72137
- Description: Background and Purpose. The South African citrus industry is a major global producer of citrus as well as the second largest exporter of citrus fruit in the world. This industry provides employment to an estimated 112 000 workers in South Africa and is vital in providing economic opportunities to communities such as those in the Sunday’s River Valley in the Eastern Cape province of South Africa due to the low employment and education levels within this province. Citrus sorting is a visual inspection task that requires workers to sustain attention and remain vigilant for the duration of a working shift. Their role in the packhouse is to ensure that no defective products are packed for export or the local market and that the fruit meets the customers’ expectations. Since the demands of sorting citrus are poorly understood, this study attempted to assess the effect that sorting citrus has on vigilance performance as well as attempt to quantify perceived workload while taking into account different contextual factors that affect perceptions of this working task. Methods. This study was conducted within a citrus packhouse in the Eastern Cape province of South Africa. The sample was comprised of individuals employed by the packhouse as citrus sorters. In addition to a recruitment and information session, testing was conducted at three intervals during a working shift on four consecutive days. Each time, indicators of vigilance, such as correct responses, sensitivity, reaction time, false alarms and misses, were collected during a 5-minute computerised version of the Mackworth Clock-test, while perceived workload was assessed with the NASA-TLX scale, and sleepiness was recording using the WITS Sleepiness Scale. Furthermore, an open-ended question was asked to further understand factors affecting the ability of participants to concentrate during their task of sorting. Results. 18 participants consented to participate in this study. 16 of these individuals identified as female with an average age of 30 years (± 7). 83% of participants were of Black African descent and were isiXhosa speakers, while 17% of participants were of Coloured descent and Afrikaans speakers. This study found that performance, as measured by the percentage of correct responses, sensitivity and reaction time on the 5-minute long Mackworth Clock Test was not significantly affected as time-on-task for sorting citrus increased during a working shift, neither did performance on the vigilance test change as days of the week proceeded. However, ‘misses’ during the vigilance test were found to significantly decrease over the course of a working shift, thus contradicting the expected outcomes of this study. Perceived workload of sorting citrus, as well as perceived sleepiness, significantly increased with time-on-task during the course of a working shift. The major contributions for this increase in perceived workload while sorting citrus were derived from the Mental Demand and Physical Demand sub-scale for the NASA-TLX. However, responses from the open-ended question indicated that participants generally enjoyed their work, although there were factors, such as the nature of fruit and social set-up of work, that negatively affected this perception. Discussion. The results from this study contradicted the researcher’s expectations. It was anticipated that measures of correct responses and sensitivity would decrease and misses, and reaction time would increase with time-on-task for sorting citrus, yet vigilance indicators from the Mackworth Clock Test generally indicated no change in vigilance, and, according to “misses” even improved with time-on-task. A likely explanation for this is that the use of a 5-minute Mackworth Clock-test was unsuitable in this context, or rather, the time of this test was not long enough to induce a ‘vigilance decrement’. Furthermore, in order to administer this vigilance test, participants were taken off the production line and led to a testing room which most likely increased their levels of arousal, thus affecting performance on the vigilance test. However, even though perceived sleepiness was found to significantly increase over the course of a working shift, these data correlated poorly with the vigilance results, thus contradicting the expected outcomes of the study. Mental demand significantly increased, possibly due to the demand of attentional informational processing required for sorting, as well as various environmental factors present within the packhouse. Physical demand, too, significantly increased as workers were required to remain standing throughout their working task as well as to make use of their upper extremities to remove defective fruit. Correlation analyses showed significantly weak correlation for Mackworth Clock Test variables and sleepiness ratings to all other variables. NASA-TLX variables, however, generally showed significantly moderate correlations with one another. Conclusion. It remains unclear how vigilance changes and sustained attention while sorting citrus, since the experiment did not show changes in performance. This is largely attributed to the methodological set-up which could have increased arousal and therefore affected vigilance. It is recommended that future studies research vigilance and sustained attention during the sorting itself, rather than attempting to infer vigilance results from a computerised vigilance test. Perceived workload of sorting, however, increased over the course of a working shift due to significant increases in perceptions of the physical and mental demands of sorting. Future studies should address concerns relating to the physical demand of sorting. Furthermore, it would be beneficial to compare responses of day and night shift sorters to further understand how the relationship between these variables may change. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Date Issued: 2023-10-13
An investigation into fatigue prevalence amongst citrus packhouse sorters in the Eastern Cape province of South Africa
- Authors: Robinson, Harry Jack
- Date: 2023-10-13
- Subjects: Fatigue in the workplace , Packing-house workers South Africa Eastern Cape , Shift systems , Sleep-wake cycle , Drowsiness
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424312 , vital:72142
- Description: Background: South Africa is the second most influential exporter of citrus fruits internationally and holds a pivotal role in economic revenue for the country. Rural areas, such as the Sundays River Valley in the Eastern Cape province of South Africa, contribute to the country’s citrus production. Many women depend on citrus packhouses for employment as citrus sorters. As humans perceive certain defects in citrus fruits more accurately than machines, these sorters must identify and manually remove any fruit that does not conform with export requirements. Citrus sorters are exposed to numerous physical and cognitive stressors during the task while faced with organizational challenges, such as shift work and long working hours. Therefore, the potential for fatigue development is anticipated. Given the multifactorial nature of fatigue and the negative consequences it may have on workers, it also has the potential to impede the accuracy of the sorting performance. Stringent disciplinary action for the entire South African citrus industry may be of consequence if nonconforming or pest-infested fruit is missed by citrus sorters and exported to foreign countries. This study aimed to investigate the prevalence of fatigue among citrus sorters in a citrus packhouse in the Sundays River Valley of the Eastern Cape throughout a citrus harvesting season and to identify factors that may contribute towards fatigue development. Methods: The research design utilized a crosssectional, two-part approach that applied mixed methods. Part one was administered once-off, incorporating demographic, work-, and non-work-related questions. Part two was a self-developed repeated measures assessment comprising close-ended contextual questions, the Modified Fatigue Impact Scale, and the Karolinska Sleepiness Scale. Environmental and work output data were also recorded. Results: Citrus sorters (n= 35) recorded a mean MFIS score of 39.35 throughout the harvest season, which was above the prescribed fatigue threshold (38). However, there was no significant difference in fatigue ratings over time (p= 0.122). Day shift workers exceeded the fatigue threshold for the entire season compared to night shift workers, who only exceeded it in the last two weeks. The physical, cognitive, and psychosocial subscales found no significant difference in fatigue scores, although physical fatigue recorded the highest scores across all weeks and displayed a significant difference over time. Overall, participants, on average, perceived to be “neither sleepy nor alert” over the season. However, eight participants (22%) recorded sleepiness scores ii exceeding the excessive sleepiness threshold of seven. Educational levels, health status, work-pace, and the number of family dependents significantly contributed to fatigue development, albeit a weak correlation. Discussion: Sorters were perceived to be fatigued from week three till the end of the study; however, there was no variation in fatigue scores over time. An accumulation of physical fatigue over time was revealed where prolonged standing, repetitive work, and irregular working postures may have contributed. Night shift workers did not receive the recommended hours of sleep (7-8 hours); hence, they registered greater sleepiness scores over the season than day shift workers. Environmental and work output recordings did not prove to have a significant influence on fatigue development, and neither did work experience or physical exercise. Conclusion: An amalgamation of numerous contributing factors within the work situation, private situation, and the individual influenced the development of fatigue, where there was no primary causal factor. Future studies should consider recording the accuracy of the sorting performance to acquire rich, objective data. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Robinson, Harry Jack
- Date: 2023-10-13
- Subjects: Fatigue in the workplace , Packing-house workers South Africa Eastern Cape , Shift systems , Sleep-wake cycle , Drowsiness
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424312 , vital:72142
- Description: Background: South Africa is the second most influential exporter of citrus fruits internationally and holds a pivotal role in economic revenue for the country. Rural areas, such as the Sundays River Valley in the Eastern Cape province of South Africa, contribute to the country’s citrus production. Many women depend on citrus packhouses for employment as citrus sorters. As humans perceive certain defects in citrus fruits more accurately than machines, these sorters must identify and manually remove any fruit that does not conform with export requirements. Citrus sorters are exposed to numerous physical and cognitive stressors during the task while faced with organizational challenges, such as shift work and long working hours. Therefore, the potential for fatigue development is anticipated. Given the multifactorial nature of fatigue and the negative consequences it may have on workers, it also has the potential to impede the accuracy of the sorting performance. Stringent disciplinary action for the entire South African citrus industry may be of consequence if nonconforming or pest-infested fruit is missed by citrus sorters and exported to foreign countries. This study aimed to investigate the prevalence of fatigue among citrus sorters in a citrus packhouse in the Sundays River Valley of the Eastern Cape throughout a citrus harvesting season and to identify factors that may contribute towards fatigue development. Methods: The research design utilized a crosssectional, two-part approach that applied mixed methods. Part one was administered once-off, incorporating demographic, work-, and non-work-related questions. Part two was a self-developed repeated measures assessment comprising close-ended contextual questions, the Modified Fatigue Impact Scale, and the Karolinska Sleepiness Scale. Environmental and work output data were also recorded. Results: Citrus sorters (n= 35) recorded a mean MFIS score of 39.35 throughout the harvest season, which was above the prescribed fatigue threshold (38). However, there was no significant difference in fatigue ratings over time (p= 0.122). Day shift workers exceeded the fatigue threshold for the entire season compared to night shift workers, who only exceeded it in the last two weeks. The physical, cognitive, and psychosocial subscales found no significant difference in fatigue scores, although physical fatigue recorded the highest scores across all weeks and displayed a significant difference over time. Overall, participants, on average, perceived to be “neither sleepy nor alert” over the season. However, eight participants (22%) recorded sleepiness scores ii exceeding the excessive sleepiness threshold of seven. Educational levels, health status, work-pace, and the number of family dependents significantly contributed to fatigue development, albeit a weak correlation. Discussion: Sorters were perceived to be fatigued from week three till the end of the study; however, there was no variation in fatigue scores over time. An accumulation of physical fatigue over time was revealed where prolonged standing, repetitive work, and irregular working postures may have contributed. Night shift workers did not receive the recommended hours of sleep (7-8 hours); hence, they registered greater sleepiness scores over the season than day shift workers. Environmental and work output recordings did not prove to have a significant influence on fatigue development, and neither did work experience or physical exercise. Conclusion: An amalgamation of numerous contributing factors within the work situation, private situation, and the individual influenced the development of fatigue, where there was no primary causal factor. Future studies should consider recording the accuracy of the sorting performance to acquire rich, objective data. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Date Issued: 2023-10-13
The effects of different shift patterns on nurses’ sleep-wake behaviours in selected, private healthcare facilities
- Authors: Bell, Emma Catherine
- Date: 2023-10-13
- Subjects: Fatigue , Fatigue in the workplace , Sleep deprivation , Sleep-wake cycle , Shift systems , Nurses , Health facilities, Proprietary
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424219 , vital:72134
- Description: Nurses are required to work shifts to provide 24-hour care, in which they complete physically and mentally demanding tasks. The length and type of shifts, particularly night shifts interfere with the natural sleep-wake behaviours, leading to extended wakefulness and overall reduced sleep, and increase the likelihood of sleepiness during subsequent shifts. This can in turn affected various cognitive processes such attention, vigilance and alertness, which are necessary during the care process. Sleepiness as a result of working shifts has also been associated with an increased risk accidents and error during the delivery of care. Given the unique demands and ways in which workplaces are structured, each context arranges its shifts in unique ways and thus, in order to determine how to manage the effects of shift work, it is important to understand how it affects self-reported fatigue and sleep, of, in this case, nurses. While there has been extensive research on this in the global north, to date, there has been limited research aimed at examining the effects of shift work on nurses’ sleep-wake behaviours and fatigue in the South African context. Therefore, the aim of this study is to characterise shift arrangements in selected private facilities and explore its effects on private healthcare nurses. This study adopted a cross-sectional, survey design using an amended version of Standard Shiftwork Index. The questionnaire included demographic and shift details and explored the impact of the shift systems on nurse sleep-wake behaviours and disturbances and fatigue and workload. It was distributed among shift working nurses registered with the South African Nursing Council across three selected, private, healthcare facilities in the Eastern Cape, over a two-month period. The responses were analysed with descriptive and inferential statistics, with open-ended questions analysed using a thematic analysis. A total of 51 nurses completed the survey. Nurses worked 12-hour shifts which included night shifts and day shifts with fixed start and end times. Over time was commonly reported and generally, nurses reported having very little control over their shift arrangements. Overall, nurses slept less than what they reported they needed on duty days, with nurses working both day and night shifts reporting to sleep less than the globally recommended required sleep. This was compensated for by longer sleep durations during days off. The data collection revealed that three different shift arrangements were in use, including permanent day shifts, permanent night shifts and rotating shift work including nights, with permanent night nurses working significantly more consecutive shifts (seven) than the other two shift types and having significantly more days off (seven) as well. While there were no significant differences in self-reported sleep across the three shift types, permanent night nurses were found to have the shortest sleep. During days off, rotating nurse reported significantly longer sleep times compared to day shift workers which may point to the need to catch up from sleep debt. Rotating nurses experienced the greater total disturbances to their sleep than permanent day and permanent night shift nurses. While not statistically significant, it may point to the fact that rotating shift workers could not obtain regularly timed sleep (due to having to change their schedules) compared to permanent day and night nurses. Workload (physical, emotional, mental and time pressure) did not differ between the shifts (day or night) or the shift types, but did reflect a heavier workload, possibly due to the data collection occurring during the 5th wave of the COVID 19 pandemic. This study highlights that nurses in private healthcare facilities are working extended hours which were associated with reduced total sleep, irrespective of the nature of the shift, with rotating shift nurses experiencing some degree of greater disturbances to their sleep. The number, duration speed and direction of the shifts of rotating nurses needs to be explored further, whilst also exploring the influence of individual factors on sleep-wake behaviours of nurses. It may be beneficial for the healthcare facilities to implement fatigue management strategies to mitigate the negative impacts of shift work, given the impact that this may impact the delivery of care. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Bell, Emma Catherine
- Date: 2023-10-13
- Subjects: Fatigue , Fatigue in the workplace , Sleep deprivation , Sleep-wake cycle , Shift systems , Nurses , Health facilities, Proprietary
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424219 , vital:72134
- Description: Nurses are required to work shifts to provide 24-hour care, in which they complete physically and mentally demanding tasks. The length and type of shifts, particularly night shifts interfere with the natural sleep-wake behaviours, leading to extended wakefulness and overall reduced sleep, and increase the likelihood of sleepiness during subsequent shifts. This can in turn affected various cognitive processes such attention, vigilance and alertness, which are necessary during the care process. Sleepiness as a result of working shifts has also been associated with an increased risk accidents and error during the delivery of care. Given the unique demands and ways in which workplaces are structured, each context arranges its shifts in unique ways and thus, in order to determine how to manage the effects of shift work, it is important to understand how it affects self-reported fatigue and sleep, of, in this case, nurses. While there has been extensive research on this in the global north, to date, there has been limited research aimed at examining the effects of shift work on nurses’ sleep-wake behaviours and fatigue in the South African context. Therefore, the aim of this study is to characterise shift arrangements in selected private facilities and explore its effects on private healthcare nurses. This study adopted a cross-sectional, survey design using an amended version of Standard Shiftwork Index. The questionnaire included demographic and shift details and explored the impact of the shift systems on nurse sleep-wake behaviours and disturbances and fatigue and workload. It was distributed among shift working nurses registered with the South African Nursing Council across three selected, private, healthcare facilities in the Eastern Cape, over a two-month period. The responses were analysed with descriptive and inferential statistics, with open-ended questions analysed using a thematic analysis. A total of 51 nurses completed the survey. Nurses worked 12-hour shifts which included night shifts and day shifts with fixed start and end times. Over time was commonly reported and generally, nurses reported having very little control over their shift arrangements. Overall, nurses slept less than what they reported they needed on duty days, with nurses working both day and night shifts reporting to sleep less than the globally recommended required sleep. This was compensated for by longer sleep durations during days off. The data collection revealed that three different shift arrangements were in use, including permanent day shifts, permanent night shifts and rotating shift work including nights, with permanent night nurses working significantly more consecutive shifts (seven) than the other two shift types and having significantly more days off (seven) as well. While there were no significant differences in self-reported sleep across the three shift types, permanent night nurses were found to have the shortest sleep. During days off, rotating nurse reported significantly longer sleep times compared to day shift workers which may point to the need to catch up from sleep debt. Rotating nurses experienced the greater total disturbances to their sleep than permanent day and permanent night shift nurses. While not statistically significant, it may point to the fact that rotating shift workers could not obtain regularly timed sleep (due to having to change their schedules) compared to permanent day and night nurses. Workload (physical, emotional, mental and time pressure) did not differ between the shifts (day or night) or the shift types, but did reflect a heavier workload, possibly due to the data collection occurring during the 5th wave of the COVID 19 pandemic. This study highlights that nurses in private healthcare facilities are working extended hours which were associated with reduced total sleep, irrespective of the nature of the shift, with rotating shift nurses experiencing some degree of greater disturbances to their sleep. The number, duration speed and direction of the shifts of rotating nurses needs to be explored further, whilst also exploring the influence of individual factors on sleep-wake behaviours of nurses. It may be beneficial for the healthcare facilities to implement fatigue management strategies to mitigate the negative impacts of shift work, given the impact that this may impact the delivery of care. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Date Issued: 2023-10-13
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