Meal Breaks and Mental Health: A Total Worker Health ...
Meal Breaks and Mental Health: A Total Worker HealthTM approach
among hospital nurses
David A. Hurtado, ScD, ScM Yerby Postdoctoral Research Fellow Center for Work, Health and Well-being Harvard School of Public Health
Outline Presentation
1. Relevance of breaks for health protection and health promotion
2. Total Worker HealthTM guiding principles 3. Analytic challenges and empirical strategy 4. Results and implications for basic and applied
research
centerforworkhealth.sph.harvard.edu
Nurses are always on the run
centerforworkhealth.sph.harvard.edu
Relevance of Breaks for Health protection and health promotion
? Rest periods are a marker of Decent Work (ILO) ? Consecutive work hours w/o breaks risk of:
? Injury (Tucker, 2003) ? MSD (Punnett & Wegman, 2004) ? CVD (Landsbergis, Cahill, & Schnall, 1999) ? Mental illness (Geiger-brown, Muntaner, Lipscomb, & Trinkoff, 2004)
? Workplace interventions introducing, enforcing or promoting breaks have improved these outcomes (Silverstein
& Clark, 2004)
? Breaks may promote workplace physical activity (Sonnentag, 2001), healthy eating (Faugier, Lancaster, Pickles, & Dobson, 2001), leisure and social engagement (Jett & George, 2003)
centerforworkhealth.sph.harvard.edu
Challenges for Health Research
? Elucidating the pathway and mechanisms
? Psycho-physiological factors ? Types of breaks ? Socioeconomic distribution
? Individual and Interpersonal factors
? Coworkers ? Managers ? Individual needs and preferences
? Environmental factors
centerforworkhealth.sph.harvard.edu
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