Monday, 14 March 2011 19:23

Work Organization

Design of Production Systems

Many companies invest millions in computer-supported production systems and at the same time do not make full use of their human resources, whose value can be significantly increased through investments in training. In fact, the use of qualified employee potential instead of highly complex automation can not only, in certain circumstances, significantly reduce investment costs, it can also greatly increase flexibility and system capability.

Causes of Inefficient Use of Technology

The improvements which investments in modern technology are intended to make are frequently not even approximately achieved (Strohm, Kuark and Schilling 1993; Ulich 1994). The most important reasons for this are due to problems in the areas of technology, organization and employee qualifications.

Three main causes can be identified for problems with technology:

    1. Insufficient technology. Because of the rapidity of technological changes, new technology reaching the market has sometimes undergone inadequate continuous usability tests, and unplanned downtime can result.
    2. Unsuitable technology. Technology developed for large companies is often not suitable for smaller companies. When a small firm introduces a production planning and control system developed for a large company, it may deprive itself of the flexibility necessary for its success or even survival.
    3. Excessively complex technology. When designers and developers use their entire planning knowledge to realize what is technically feasible without taking into account the experience of those involved in production, the result can be complex automated systems which are no longer easy to master.

         

        Problems with organization are primarily attributable to continuous attempts at implementing the latest technology in unsuitable organizational structures. For instance, it makes little sense to introduce third, fourth and fifth generation computers into second generation organizations. But this is exactly what many companies do (Savage and Appleton 1988). In many companies, a radical restructuring of the organization is a precondition for the successful use of new technology. This particularly includes an examination of the concepts of production planning and control. Ultimately, local self-control by qualified operators can in certain circumstances be significantly more efficient and economical than a technically highly developed production planning and control system.

        Problems with the qualifications of employees primarily arise because a large number of companies do not recognize the need for qualification measures in conjunction with the introduction of computer-supported production systems. In addition, training is too frequently regarded as a cost factor to be controlled and minimized, rather than as a strategic investment. In fact, system downtime and the resulting costs can often be effectively reduced by allowing faults to be diagnosed and remedied on the basis of operators’ competence and system-specific knowledge and experience. This is particularly the case in tightly coupled production facilities (Köhler et al. 1989). The same applies to introducing new products or product variants. Many examples of inefficient excessive technology use testify to such relationships.

        The consequence of the analysis briefly presented here is that the introduction of computer-supported production systems only promises success if it is integrated into an overall concept which seeks to jointly optimize the use of technology, the structure of the organization and the enhancement of staff qualifications.

        From the Task to the Design of Socio-Technical Systems

        Work-related psychological concepts of production design are based on the primacy of
        the task
        . On the one hand, the task forms the interface between individual and organization (Volpert 1987). On the other hand, the task links the social subsystem with the technical subsystem. “The task must be the point of articulation between the social and technical system—linking the job in the technical system with its correlated role behaviour, in the social system” (Blumberg 1988).

        This means that a socio-technical system, for example, a production island, is primarily defined by the task which it has to perform. The distribution of work between human and machine plays a central role, because it decides whether the person “functions” as the long arm of the machine with a function leftover in an automation “gap” or whether the machine functions as the long arm of the person, with a tool function supporting human capabilities and competence. We refer to these opposing positions as “technology-oriented” and “work-oriented” (Ulich 1994).

        The Concept of Complete Task

        The principle of complete activity (Hacker 1986) or complete task plays a central role in work-related psychological concepts for defining work tasks and for dividing up tasks between human and machine. Complete tasks are those “over which the individual has considerable personal control” and that “induce strong forces within the individual to complete or to continue them”. Complete tasks contribute to the “development of what has been described ... as ‘task orientation’—that is, a state of affairs in which the individual’s interest is aroused, engaged and directed by the character of the task” (Emery 1959). Figure 1 summarizes characteristics of completeness which must be taken into account for measures geared towards work-oriented design of production systems.

        Figure 1. Characteristics of complete tasks

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        Illustrations of concrete consequences for production design arising from the principle of the complete task are the following:
         
          1. The independent setting of objectives, which can be incorporated into higher-order goals, requires turning away from central planning and control in favour of decentralized shop-floor control, which provides the possibility of making self-determined decisions within defined periods of time.
          2. Self-determined preparation for action, in the sense of carrying out planning functions, requires the integration of work preparation tasks on the shop-floor.
          3. Selecting methods means, for example, allowing a designer to decide whether he or she wishes to use the drawing board instead of an automated system (such as a CAD application) to perform certain subtasks, provided that it is ensured that data required for other parts of the process are entered in the system.
          4. Performance functions with process feedback for correcting actions where appropriate require in the case of encapsulated work processes “windows to the process” which help to minimize process distance.
          5. Action control with feedback of results means that shop-floor workers take on the function of quality inspection and control.

                   

                  These indications of the consequences arising from realizing the principle of the complete task make two things clear: (1) in many cases—probably even the majority of cases—complete tasks in the sense described in figure 1 can only be structured as group tasks on account of the resulting complexity and the associated scope; (2) restructuring of work tasks—particularly when it is linked to introducing group work—requires their integration into a comprehensive restructuring concept which covers all levels of the company.

                  The structural principles which apply to the various levels are summarized in table 1.

                  Table 1. Work-oriented principles for production structuring

                  Organizational level

                  Structural principle

                  Company

                  Decentralization

                  Organizational unit

                  Functional integration

                  Group

                  Self-regulation1

                  Individual

                  Skilled production work1

                  1 Taking into account the principle of differential work design.

                  Source: Ulich 1994.

                  Possibilities for realizing the principles for production structuring outlined in table 1 are illustrated by the proposal for restructuring a production company shown in figure 2. This proposal, which was unanimously approved both by those responsible for production and by the project group formed for the purpose of restructuring, also demonstrates a fundamental turning away from Tayloristic concepts of labour and authority divisions. The examples of many companies show that the restructuring of work and organization structures on the basis of such models is able to meet both work psychological criteria of promoting health and personality development and the demand for long-term economic efficiency (see Ulich 1994).

                  Figure 2. Proposal for restructuring a production company

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                  The line of argument favoured here—only very briefly outlined for reasons of space—seeks to make three things clear:

                    1. Concepts like the ones mentioned here represent an alternative to “lean production” in the sense described by Womack, Jones and Roos (1990). While in the latter approach “every free space is removed” and extreme breaking down of work activities in the Tayloristic sense is maintained, in the approach being advanced in these pages, complete tasks in groups with wide-ranging self-regulation play a central role.
                    2. Classical career paths for skilled workers are modified and in some cases precluded by the necessary realization of the functional integration principle, that is, with the reintegration on the shop-floor of what are known as indirectly productive functions, such as shop-floor work preparation, maintenance, quality control and so forth. This requires a fundamental reorientation in the sense of replacing the traditional career culture with a competence culture.
                    3. Concepts such as those mentioned here mean a fundamental change to corporate power structures which must find their counterpart in the development of corresponding possibilities for participation.

                         

                        Workers’ Participation

                        In the previous sections types of work organization were described that have as one basic characteristic the democratization at lower levels of an organization’s hierarchy through increased autonomy and decision latitude regarding work content as well as working conditions on the shop-floor. In this section, democratization is approached from a different angle by looking at participative decision-making in general. First, a definitional framework for participation is presented, followed by a discussion of research on the effects of participation. Finally, participative systems design is looked at in some detail.

                        Definitional framework for participation

                        Organizational development, leadership, systems design, and labour relations are examples of the variety of tasks and contexts where participation is considered relevant. A common denominator which can be regarded as the core of participation is the opportunity for individuals and groups to promote their interests through influencing the choice between alternative actions in a given situation (Wilpert 1989). In order to describe participation in more detail, a number of dimensions are necessary, however. Frequently suggested dimensions are (a) formal-informal, (b) direct-indirect, (c) degree of influence and (d) content of decision (e.g., Dachler and Wilpert 1978; Locke and Schweiger 1979). Formal participation refers to participation within legally or otherwise prescribed rules (e.g., bargaining procedures, guidelines for project management), while informal participation is based on non-prescribed exchanges, for example, between supervisor and subordinate. Direct participation allows for direct influence by the individuals concerned, whereas indirect participation functions through a system of representation. Degree of influence is usually described by means of a scale ranging from “no information to employees about a decision”, through “advance information to employees” and “consultation with employees” to “common decision of all parties involved”. As regards the giving of advance information without any consultation or common decision-making, some authors argue that this is not a low level of participation at all, but merely a form of “pseudo-participation” (Wall and Lischeron 1977). Finally, the content area for participative decision-making can be specified, for example, technological or organizational change, labour relations, or day-to-day operational decisions.

                        A classification scheme quite different from those derived from the dimensions presented so far was developed by Hornby and Clegg (1992). Based on work by Wall and Lischeron (1977), they distinguish three aspects of participative processes:

                          1. the types and levels of interactions between the parties involved in a decision
                          2. the flow of information between the participants
                          3. the nature and degree of influence the parties exert on each other.

                               

                              They then used these aspects to complement a framework suggested by Gowler and Legge (1978), which describes participation as a function of two organizational variables, namely, type of structure (mechanistic versus organic) and type of process (stable versus unstable). As this model includes a number of assumptions about participation and its relationship to organization, it cannot be used to classify general types of participation. It is presented here as one attempt to define participation in a broader context (see table 2). (In the last section of this article, Hornby and Clegg’s study (1992) will be discussed, which also aimed at testing the model’s assumptions.)

                              Table 2. Participation in organizational context

                               

                              Organizational structure

                               

                              Mechanistic

                              Organic

                              Organizational  processes

                                 

                              Stable

                              Regulated
                              Interaction: vertical/command
                              Information flow: non-reciprocal
                              Influence: asymmetrical

                              Open
                              Interaction: lateral/consultative
                              Information flow: reciprocal
                              Influence: asymmetrical

                              Unstable

                              Arbitrary
                              Interaction: ritualistic/random
                              Information flow:
                              non-reciprocal/sporadic
                              Influence: authoritarian

                              Regulated
                              Interaction: intensive/random
                              Information flow:
                              reciprocal/interrogative
                              Influence: paternalistic

                              Source: Adapted from Hornby and Clegg 1992.

                              An important dimension usually not included in classifications for participation is the organizational goal behind choosing a participative strategy (Dachler and Wilpert 1978). Most fundamentally, participation can take place in order to comply with a democratic norm, irrespective of its influence on the effectiveness of the decision-making process and the quality of the decision outcome and implementation. On the other hand, a participative procedure can be chosen to benefit from the knowledge and experience of the individuals involved or to ensure acceptance of a decision. Often it is difficult to identify the objectives behind choosing a participative approach to a decision and often several objectives will be found at the same time, so that this dimension cannot be easily used to classify participation. However, for understanding participative processes it is an important dimension to keep in mind.

                              Research on the effects of participation

                              A widely shared assumption holds that satisfaction as well as productivity gains can be achieved by providing the opportunity for direct participation in decision-making. Overall, research has supported this assumption, but the evidence is not unequivocal and many of the studies have been criticized on theoretical and methodological grounds (Cotton et al. 1988; Locke and Schweiger 1979; Wall and Lischeron 1977). Cotton et al. (1988) argued that inconsistent findings are due to differences in the form of participation studied; for instance, informal participation and employee ownership are associated with high productivity and satisfaction whereas short-term participation is ineffective in both respects. Although their conclusions were strongly criticized (Leana, Locke and Schweiger 1990), there is agreement that participation research is generally characterized by a number of deficiencies, ranging from conceptual problems like those mentioned by Cotton et al. (1988) to methodological issues like variations in results based on different operationalizations of the dependent variables (e.g., Wagner and Gooding 1987).

                              To exemplify the difficulties of participation research, the classic study by Coch and French (1948) is briefly described, followed by the critique of Bartlem and Locke (1981). The focus of the former study was overcoming resistance to change by means of participation. Operators in a textile plant where frequent transfers between work tasks occurred were given the opportunity to participate in the design of their new jobs to varying degrees. One group of operators participated in the decisions (detailed working procedures for new jobs and piece rates) through chosen representatives, that is, several operators of their group. In two smaller groups, all operators participated in those decisions and a fourth group served as control with no participation allowed. Previously it had been found in the plant that most operators resented being transferred and were slower in relearning their new jobs as compared with learning their first job in the plant and that absenteeism and turnover among transferred operators was higher than among operators not recently transferred.

                              This occurred despite the fact that a transfer bonus was given to compensate for the initial loss in piece-rate earnings after a transfer to a new job. Comparing the three experimental conditions it was found that the group with no participation remained at a low level of production—which had been set as the group standard—for the first month after the transfer, while the groups with full participation recovered to their former productivity within a few days and even exceeded it at the end of the month. The third group that participated through chosen representatives did not recover as fast, but showed their old productivity after a month. (They also had insufficient material to work on for the first week, however.) No turnover occurred in the groups with participation and little aggression towards management was observed. The turnover in the participation group without participation was 17% and the attitude towards management was generally hostile. The group with no participation was broken up after one month and brought together again after another two and one-half months to work on a new job, and this time they were given the opportunity to participate in the design of their job. They then showed the same pattern of recovery and increased productivity as the groups with participation in the first experiment. The results were explained by Coch and French on the basis of a general model of resistance to change derived from work by Lewin (1951, see below).

                              Bartlem and Locke (1981) argued that these findings could not be interpreted as support for the positive effects of participation because there were important differences between the groups as regards the explanation of the need for changes in the introductory meetings with management, the amount of training received, the way the time studies were carried out to set the piece rate, the amount of work available and group size. They assumed that perceived fairness of pay rates and general trust in management contributed to the better performance of the participation groups, not participation per se.

                              In addition to the problems associated with research on the effects of participation, very little is known about the processes that lead to these effects (e.g., Wilpert 1989). In a longitudinal study on the effects of participative job design, Baitsch (1985) described in detail processes of competence development in a number of shop-floor employees. His study can be linked to Deci’s (1975) theory of intrinsic motivation based on the need for being competent and self-determining. A theoretical framework focusing on the effects of participation on the resistance to change was suggested by Lewin (1951) who argued that social systems gain a quasi-stationary equilibrium which is disturbed by any attempt at change. For the change to be successfully carried through, forces in favour of the change must be stronger than the resisting forces. Participation helps in reducing the resisting forces as well as in increasing the driving forces because reasons for resistance can be openly discussed and dealt with, and individual concerns and needs can be integrated into the proposed change. Additionally, Lewin assumed that common decisions resulting from participatory change processes provide the link between the motivation for change and the actual changes in behaviour.

                              Participation in systems design

                              Given the—albeit not completely consistent—empirical support for the effectiveness of participation, as well as its ethical underpinnings in industrial democracy, there is widespread agreement that for the purposes of systems design a participative strategy should be followed (Greenbaum and Kyng 1991; Majchrzak 1988; Scarbrough and Corbett 1992). Additionally, a number of case studies on participative design processes have demonstrated the specific advantages of participation in systems design, for example, regarding the quality of the resulting design, user satisfaction, and acceptance (i.e., actual use) of the new system (Mumford and Henshall 1979; Spinas 1989; Ulich et al. 1991).

                              The important question then is not the if, but the how of participation. Scarbrough and Corbett (1992) provided an overview of various types of participation in the various stages of the design process (see table 3). As they point out, user involvement in the actual design of technology is rather rare and often does not extend beyond information distribution. Participation mostly occurs in the latter stages of implementation and optimization of the technical system and during the development of socio-technical design options, that is, options of organizational and job design in combination with options for the use of the technical system.

                              Table 3. User participation in the technology process

                               

                              Type of participation

                              Phases of technology process

                              Formal

                              Informal

                              Design

                              Trade union consultation
                              Prototyping

                              User redesign

                              Implementation

                              New technology agreements
                              Collective bargaining

                              Skills bargaining
                              Negotiation
                              User cooperation

                              Use

                              Job design

                              Quality circles

                              Informal job redesign
                              and work practices

                              Adapted from Scarbrough and Corbett 1992.

                              Besides resistance in managers and engineers to the involvement of users in the design of technical systems and potential restrictions embedded in the formal participation structure of a company, an important difficulty concerns the need for methods that allow the discussion and evaluation of systems that do not yet exist (Grote 1994). In software development, usability labs can help to overcome this difficulty as they provide an opportunity for early testing by future users.

                              In looking at the process of systems design, including participative processes, Hirschheim and Klein (1989) have stressed the effects of implicit and explicit assumptions of system developers and managers about basic topics such as the nature of social organization, the nature of technology and their own role in the development process. Whether system designers see themselves as experts, catalysts or emancipators will greatly influence the design and implementation process. Also, as mentioned before, the broader organizational context in which participative design takes place has to be taken into account. Hornby and Clegg (1992) provided some evidence for the relationship between general organizational characteristics and the form of participation chosen (or, more precisely, the form evolving in the course of system design and implementation). They studied the introduction of an information system which was carried out within a participative project structure and with explicit commitment to user participation. However, users reported that they had had little information about the changes supposed to take place and low levels of influence over system design and related questions like job design and job security. This finding was interpreted in terms of the mechanistic structure and unstable processes of the organization that fostered “arbitrary” participation instead of the desired open participation (see table 2).

                              In conclusion, there is sufficient evidence demonstrating the benefits of participative change strategies. However, much still needs to be learned about the underlying processes and influencing factors that bring about, moderate or prevent these positive effects.

                               

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                              Monday, 14 March 2011 19:35

                              Sleep Deprivation

                              Healthy individuals regularly sleep for several hours every day. Normally they sleep during the night hours. They find it most difficult to remain awake during the hours between midnight and early morning, when they normally sleep. If an individual has to remain awake during these hours either totally or partially, the individual comes to a state of forced sleep loss, or sleep deprivation, that is usually perceived as tiredness. A need for sleep, with fluctuating degrees of sleepiness, is felt which continues until sufficient sleep is taken. This is the reason why periods of sleep deprivation are often said to cause a person to incur sleep deficit or sleep debt.

                              Sleep deprivation presents a particular problem for workers who cannot take sufficient sleep periods because of work schedules (e.g., working at night) or, for that matter, prolonged free-time activities. A worker on a night shift remains sleep-deprived until the opportunity for a sleep period becomes available at the end of the shift. Since sleep taken during daytime hours is usually shorter than needed, the worker cannot recover from the condition of sleep loss sufficiently until a long sleep period, most likely a night sleep, is taken. Until then, the person accumulates a sleep deficit. (A similar condition—jet lag—arises after travelling between time zones that differ by a few hours or more. The traveller tends to be sleep-deprived as the activity periods in the new time zone correspond more clearly to the normal sleep period in the originating place.) During the periods of sleep loss, workers feel tired and their performance is affected in various ways. Thus various degrees of sleep deprivation are incorporated into the daily life of workers having to work irregular hours and it is important to take measures to cope with unfavourable effects of such sleep deficit. The main conditions of irregular working hours that contribute to sleep deprivation are shown in table 1.

                              Table 1. Main conditions of irregular working hours which contribute to sleep deprivation of various degrees

                              Irregular working hours

                              Conditions leading to sleep deprivation

                              Night duty

                              No or shortened night-time sleep

                              Early morning or late evening duty

                              Shortened sleep, disrupted sleep

                              Long hours of work or working  two shifts together

                              Phase displacement of sleep

                              Straight night or early morning shifts

                              Consecutive phase displacement of sleep

                              Short between-shift period

                              Short and disrupted sleep

                              Long interval between days off

                              Accumulation of sleep shortages

                              Work in a different time zone

                              No or shortened sleep during the “night” hours in the originating place (jet lag)

                              Unbalanced free time periods

                              Phase displacement of sleep, short sleep

                               

                              In extreme conditions, sleep deprivation may last for more than a day. Then sleepiness and performance changes increase as the period of sleep deprivation is prolonged. Workers, however, normally take some form of sleep before sleep deprivation becomes too protracted. If the sleep thus taken is not sufficient, the effects of sleep shortage still continue. Thus, it is important to know not only the effects of sleep deprivation in various forms but also the ways in which workers can recover from it.

                              Figure 1.  Perfomance, sleep ratings and physiological variables of a group of subjects exposed to two nights of sleep deprivation

                              ERG185F1

                              The complex nature of sleep deprivation is shown by figure 1, which depicts data from laboratory studies on the effects of two days of sleep deprivation (Fröberg 1985). The data show three basic changes resulting from prolonged sleep deprivation:

                                1. There is a general decreasing trend in both objective performance and subjective ratings of performance efficiency.
                                2. The decline in performance is influenced by the time of day. This cycling decline is correlated with those physiological variables which have a circadian cycling period. Performance is better in the normal activity phase when, for example, adrenaline excretion and body temperature are higher than those in the period originally assigned to a normal night’s sleep, when the physiological measures are low.
                                3. Self-ratings of sleepiness increase with time of continuous sleep deprivation, with a clear cyclic component associated with time of day.

                                     

                                    The fact that the effects of sleep deprivation are correlated with physiological circadian rhythms helps us to understand its complex nature (Folkard and Akerstedt 1992). These effects should be viewed as a result of a phase shift of the sleep-wakefulness cycle in one’s daily life.

                                    The effects of continuous work or sleep deprivation thus include not only a reduction in alertness but decreased performance capabilities, increased probability of falling asleep, lowered well-being and morale and impaired safety. When such periods of sleep deprivation are repeated, as in the case of shift workers, their health may be affected (Rutenfranz 1982; Koller 1983; Costa et al. 1990). An important aim of research is thus to determine to what extent sleep deprivation damages the well-being of individuals and how we can best use the recovery function of sleep in reducing such effects.

                                    Effects of Sleep Deprivation

                                    During and after a night of sleep deprivation, the physiological circadian rhythms of the human body seem to remain sustained. For example, the body temperature curve during the first day’s work among night-shift workers tends to keep its basic circadian pattern. During the night hours, the temperature declines towards early morning hours, rebounds to rise during the subsequent daytime and falls again after an afternoon peak. The physiological rhythms are known to get “adjusted” to the reversed sleep-wakefulness cycles of night-shift workers only gradually in the course of several days of repeated night shifts. This means that the effects on performance and sleepiness are more significant during night hours than in the daytime. The effects of sleep deprivation are therefore variably associated with the original circadian rhythms seen in physiological and psychological functions.

                                    The effects of sleep deprivation on performance depend on the type of the task to be performed. Different characteristics of the task influence the effects (Fröberg 1985; Folkard and Monk 1985; Folkard and Akerstedt 1992). Generally, a complex task is more vulnerable than a simpler task. Performance of a task involving an increasing number of digits or a more complex coding deteriorates more during three days of sleep loss (Fröberg 1985; Wilkinson 1964). Paced tasks that need to be responded to within a certain interval deteriorate more than self-paced tasks. Practical examples of vulnerable tasks include serial reactions to defined stimulations, simple sorting operations, the recording of coded messages, copy typing, display monitoring and continuous inspection. Effects of sleep deprivation on strenuous physical performance are also known. Typical effects of prolonged sleep deprivation on performance (on a visual task) is shown in figure 2 (Dinges 1992). The effects are more pronounced after two nights of sleep loss (40-56 hours) than after one night of sleep loss (16-40 hours).

                                    Figure 2. Regression lines fit to response speed (the reciprocal of response times) on a 10-minute simple, unprepared visual task administered repeatedly to healthy young adults during no sleep loss (5-16 hours), one night of sleep loss (16-40 hours) and two nights of sleep loss (40-56 hours)

                                    ERG185F2

                                    The degree to which the performance of tasks is affected also appears to depend on how it is influenced by the “masking” components of the circadian rhythms. For example, some measures of performance, such as five-target memory search tasks, are found to adjust to night work considerably more quickly than serial reaction time tasks, and hence they may be relatively unimpaired on rapidly rotating shift systems (Folkard et al. 1993). Such differences in the effects of endogenous physiological body clock rhythms and their masking components must be taken into account in considering the safety and accuracy of performance under the influence of sleep deprivation.

                                    One particular effect of sleep deprivation on performance efficiency is the appearance of frequent “lapses” or periods of no response (Wilkinson 1964; Empson 1993). These performance lapses are short periods of lowered alertness or light sleep. This can be traced in records of videotaped performance, eye movements or electroencephalograms (EEGs). A prolonged task (one-half hour or more), especially when the task is replicated, can more easily lead to such lapses. Monotonous tasks such as repetitions of simple reactions or monitoring of infrequent signals are very sensitive in this regard. On the other hand, a novel task is less affected. Performance in changing work situations is also resistant.

                                    While there is evidence of a gradual arousal decrease in sleep deprivation, one would expect less affected performance levels between lapses. This explains why results of some performance tests show little influence of sleep loss when the tests are done in a short period of time. In a simple reaction time task, lapses would lead to very long response times whereas the rest of the measured times would remain unchanged. Caution is thus needed in interpreting test results concerning sleep loss effects in actual situations.

                                    Changes in sleepiness during sleep deprivation obviously relate to physiological circadian rhythms as well as to such lapse periods. Sleepiness sharply increases with time of the first period of night-shift work, but decreases during subsequent daytime hours. If sleep deprivation continues to the second night sleepiness becomes very advanced during the night hours (Costa et al. 1990; Matsumoto and Harada 1994). There are moments when the need for sleep is felt to be almost irresistible; these moments correspond to the appearance of lapses, as well as to the appearance of interruptions in the cerebral functions as evidenced by EEG records. After a while, sleepiness is felt to be reduced, but there follows another period of lapse effects. If workers are questioned about various fatigue feelings, however, they usually mention increasing levels of fatigue and general tiredness persisting throughout the sleep deprivation period and between-lapse periods. A slight recovery of subjective fatigue levels is seen during the daytime following a night of sleep deprivation, but fatigue feelings are remarkably advanced in the second and subsequent nights of continued sleep deprivation.

                                    During sleep deprivation, sleep pressure from the interaction of prior wakefulness and circadian phase may always be present to some degree, but the lability of state in sleepy subjects is also modulated by context effects (Dinges 1992). Sleepiness is influenced by the amount and type of stimulation, the interest afforded by the environment and the meaning of the stimulation to the subject. Monotonous stimulation or that requiring sustained attention can more easily lead to vigilance decrement and lapses. The greater the physiological sleepiness due to sleep loss, the more the subject is vulnerable to environmental monotony. Motivation and incentive can help override this environmental effect, but only for a limited period.

                                    Effects of Partial Sleep Deprivation and Accumulated Sleep Shortages

                                    If a subject works continuously for a whole night without sleep, many performance functions will have definitely deteriorated. If the subject goes to the second night shift without getting any sleep, the performance decline is far advanced. After the third or fourth night of total sleep deprivation, very few people can stay awake and perform tasks even if highly motivated. In actual life, however, such conditions of total sleep loss rarely occur. Usually people take some sleep during subsequent night shifts. But reports from various countries show that sleep taken during daytime is almost always insufficient to recover from the sleep debt incurred by night work (Knauth and Rutenfranz 1981; Kogi 1981; ILO 1990). As a result, sleep shortages accumulate as shift workers repeat night shifts. Similar sleep shortages also result when sleep periods are reduced on account of the need to follow shift schedules. Even if night sleep can be taken, sleep restriction of as little as two hours each night is known to lead to an insufficient amount of sleep for most persons. Such sleep reduction can lead to impaired performance and alertness (Monk 1991).

                                    Examples of conditions in shift systems which contribute to accumulation of sleep shortages, or partial sleep deprivation, are given in table 1. In addition to continued night work for two or more days, short between-shift periods, repetition of an early start of morning shifts, frequent night shifts and inappropriate holiday allotment accelerate the accumulation of sleep shortages.

                                    The poor quality of daytime sleep or shortened sleep is important, too. Daytime sleep is accompanied by an increased frequency of awakenings, less deep and slow-wave sleep and a distribution of REM sleep different from that of normal night-time sleep (Torsvall, Akerstedt and Gillberg 1981; Folkard and Monk 1985; Empson 1993). Thus a daytime sleep may not be as sound as a night sleep even in a favourable environment.

                                    This difficulty of taking good quality sleep due to different timing of sleep in a shift system is illustrated by figure 3 which shows the duration of sleep as a function of the time of sleep onset for German and Japanese workers based on diary records (Knauth and Rutenfranz 1981; Kogi 1985). Due to circadian influence, daytime sleep is forced to be short. Many workers may have split sleep during the daytime and often add some sleep in the evening where possible.

                                    Figure 3. Mean sleep length as a function of the time of sleep onset. Comparison of data from German and Japanese shift workers.

                                    ERG185F3

                                    In real-life settings, shift workers take a variety of measures to cope with such accumulation of sleep shortages (Wedderburn 1991). For example, many of them try to sleep in advance before a night shift or have a long sleep after it. Although such efforts are by no means entirely effective to offset the effects of sleep deficit, they are made quite deliberately. Social and cultural activities may be restricted as part of coping measures. Outgoing free-time activities, for example, are undertaken less frequently between two night shifts. Sleep timing and duration as well as the actual accumulation of sleep deficit thus depend on both job-related and social circumstances.

                                     

                                     

                                     

                                     

                                    Recovery from Sleep Deprivation and Health Measures

                                    The only effective means of recovering from sleep deprivation is to sleep. This restorative effect of sleep is well known (Kogi 1982). As recovery by sleep may differ according to its timing and duration (Costa et al. 1990), it is essential to know when and for how long people should sleep. In normal daily life, it is always the best to take a full night’s sleep to accelerate the recovery from sleep deficit but efforts are usually made to minimize sleep deficit by taking sleep at different occasions as replacements of normal night sleeps of which one has been deprived. Aspects of such replacement sleeps are shown in table 2.

                                    Table 2. Aspects of advance, anchor & retard sleeps taken as replacement of normal night sleep

                                    Aspect

                                    Advance sleep

                                    Anchor sleep

                                    Retard sleep

                                    Occasion

                                    Before a night shift
                                    Between night shifts
                                    Before early
                                    morning work
                                    Late evening naps

                                    Intermittent night
                                    work
                                    During a night shift
                                    Alternate-day work
                                    Prolonged freetime
                                    Naps taken
                                    informally

                                    After a night shift
                                    Between night shifts
                                    After prolonged
                                    evening work
                                    Daytime naps

                                    Duration

                                    Usually short

                                    Short by definition

                                    Usually short but
                                    longer after late
                                    evening work

                                    Quality

                                    Longer latency of
                                    falling asleep
                                    Poor mood on rising
                                    Reduced REM sleep
                                    Slow-wave sleep
                                    dependent on
                                    prior wakefulness

                                    Short latency
                                    Poor mood on rising
                                    Sleep stages similar
                                    to initial part of a
                                    normal night sleep

                                    Shorter latency for
                                    REM sleep
                                    Increased
                                    awakenings
                                    Increased REM sleep
                                    Increased slow-wave
                                    sleep after long
                                    wakefulness

                                    Interaction with
                                    circadian
                                    rhythms

                                    Disrupted rhythms;
                                    relatively faster
                                    adjustment

                                    Conducive to
                                    stabilizing
                                    original rhythms

                                    Disrupted rhythms;
                                    slow adjustment

                                     

                                    To offset night sleep deficit, the usual effort made is to take daytime sleep in “advance” and “retard” phases (i.e., before and after night-shift work). Such a sleep coincides with the circadian activity phase. Thus the sleep is characterized by longer latency, shortened slow-wave sleep, disrupted REM sleep and disturbances of one’s social life. Social and environmental factors are important in determining the recuperative effect of a sleep. That a complete conversion of circadian rhythms is impossible for a shift worker in a real-life situation should be borne in mind in considering the effectiveness of the recovery functions of sleep.

                                    In this respect, interesting features of a short “anchor sleep” have been reported (Minors and Waterhouse 1981; Kogi 1982; Matsumoto and Harada 1994). When part of the customary daily sleep is taken during the normal night sleep period and the rest at irregular times, the circadian rhythms of rectal temperature and urinary secretion of several electrolytes can retain a 24-hour period. This means that a short night-time sleep taken during the night sleep period can help preserve the original circadian rhythms in subsequent periods.

                                    We may assume that sleeps taken at different periods of the day could have certain complementary effects in view of the different recovery functions of these sleeps. An interesting approach for night-shift workers is the use of a night-time nap which usually lasts up to a few hours. Surveys show this short sleep taken during a night shift is common among some groups of workers. This anchor-sleep type sleep is effective in reducing night work fatigue (Kogi 1982) and may reduce the need of recovery sleep. Figure 4 compares the subjective feelings of fatigue during two consecutive night shifts and the off-duty recovery period between the nap-taking group and the non-nap group (Matsumoto and Harada 1994). The positive effects of a night-time nap in reducing fatigue was obvious. These effects continued for a large part of the recovery period following night work. Between these two groups, no significant difference was found upon comparing the length of the day sleep of the non-nap group with the total sleeping time (night-time nap plus subsequent day sleep) of the nap group. Therefore a night-time nap enables part of the essential sleep to be taken in advance of the day sleep following night work. It can therefore be suggested that naps taken during night work can to a certain extent aid recovery from the fatigue caused by that work and accompanying sleep deprivation (Sakai et al. 1984; Saito and Matsumoto 1988).

                                    Figure 4. Mean scores for subjective feelings of  fatigue during two consecutive night shifts and the off-duty recovery period for nap and no-nap groups

                                    ERG185F4

                                    It must be admitted, however, that it is not possible to work out optimal strategies that each worker suffering from sleep deficit can apply. This is demonstrated in the development of international labour standards for night work that recommend a set of measures for workers doing frequent night work (Kogi and Thurman 1993). The varied nature of these measures and the trend towards increasing flexibility in shift systems clearly reflect an effort to develop flexible sleep strategies (Kogi 1991). Age, physical fitness, sleep habits and other individual differences in tolerance may play important roles (Folkard and Monk 1985; Costa et al. 1990; Härmä 1993). Increasing flexibility in work schedules in combination with better job design is useful in this regard (Kogi 1991).

                                    Sleep strategies against sleep deprivation should be dependent on type of working life and be flexible enough to meet individual situations (Knauth, Rohmert and Rutenfranz 1979; Rutenfranz, Knauth and Angersbach 1981; Wedderburn 1991; Monk 1991). A general conclusion is that we should minimize night sleep deprivation by selecting appropriate work schedules and facilitate recovery by encouraging individually suitable sleeps, including replacement sleeps and a sound night-time sleep in the early periods after sleep deprivation. It is important to prevent the accumulation of sleep deficit. The period of night work which deprives workers of sleep in the normal night sleep period should be as short as possible. Between-shift intervals should be long enough to allow a sleep of sufficient length. A better sleep environment and measures to cope with social needs are also useful. Thus, social support is essential in designing working time arrangements, job design and individual coping strategies in promoting the health of workers faced with frequent sleep deficit.

                                     

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