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    Below is a list of research reports and publications that serves as an excellent reference and background on Presenteeism and its cost to employers. These articles were used as part of our basis for the development of our system.

    Below this list are facts & figures sorted into categories that concern corporations and employers. Beside these facts and figures are their reference numbers.

    Recently released research (2010) has shown that Military Families with deployed spouses have similar elevated rates of  stress, anxiety depression etc.

    Dr. Nancy Doetzel's Review of The CI EDGE

    I have had the honor of reviewing an extraordinary program, initiated and led by Donnalee Kelly, who intends to help others to add quality to their personal and professional lives. From her own versatile scholarly and experiential background, she applies psychology, sociology and common sense to construct strategies to help others add quality to their lives. Her belief, as she leads the program, is that a person does not require a vacation to unwind; there are tools available to understand, respond appropriately, and thereby improve life's situations and relationships with others, here and in the now. Exercises to release stress can be applied wherever a person is. Donnalee helps people to develop bridges over troubled waters, so they can reduce stress and achieve healthy sleep patterns. She has referred to her program as a "rest and relaxation tune-up" that can make life easier for those who apply their freedom of choice, to use her suggested tools. After having reviewed her program and interviewed Donnalee, I feel confident that her program can bring a fresh attitude and enthusiasm into one's personal and professional life.

    Sincerely,

    Dr. Nancy Doetzel ( PhD, MA, HBA, HBSW, BA, ICADC)

Research Rerences

1. Industrial Engineer magazine:  Outliers Column -Beyond the Norm, "Marrieds Better at Shift #1

2.  Industrial Engineer magazine:  Outliers Column -Beyond the Norm, "Marrieds Better at Shift #2

3.  Occupational Health and Safety Magazine, March 200 5, Vol. 74 Issue 3, p12-12 1/3p, "More OT, Higher Absenteeism Marked Work Practices in 2004" by Circadian Technologies Inc. Geographic Terms: Lexington Massachusetts #3

4a)Work life Report, "Women Shift workers Have More Problems", IR Research Publications Report # 083429X, 1996, Vol. 10 Issue14a

4 b) Work life Report, "Shift worker and Health: Canadian Evidence", IR Research Publications Report # 083429X, 2002, Vol. 14 No.3 #4b

5.  Professional Safety; "Shift work Training Improves Bottom Line" Study Finds Oct 2005 Vol. 50 Issue 10 Pg 62, Published in Industrial Health Journal      back to top    return to references     go to research details below

6.  Johnson, Gail, May 2004, Vol. 41 Issue 5, p18-18 8, "The Night Shift" by Circadian Technologies Inc. Geographic Terms: Lexington Massachusetts Survey of 13,0000 full time shift-workers and 28,000 part time shift-workers in Kennecott Energy. #6

7.  Johnson, Gail, May 2004, Vol.41 Issue 5, p18-18 8, "The Night Shift" by Circadian Technologies Inc. Geographic Terms: Lexington Massachusetts Survey of 13,0000 full time shift-workers and 28,000 part time shift-workers in Kennecott Energy. Johnson Quotes Sam Sirois, senior consultant at Circadian Technologies Inc #7

8.  Professional Safety Magazine. Article: "Human Resources Must Take Bigger Roll in 24/7 Operations" by Circadian Technologies Inc. Aug 2004, Vol.49 Issue 8, p20-21 #8

9.  Mistlberger, Ralph Simon Fraser University "Shift work Practice in British Columbia", Study 1: Survey of Shift work practice in B.C. #9

10. British Medical Association The Professional Association For Doctors  "Implications For Health and Safety of Junior Doctors' Working Arrangements"(1999)" #10   

11. British Medical Association The Professional Association For Doctors  "Implications For Health and Safety of Junior Doctors' Working Arrangements"(1999)" #11

12. Kohler, Brian. National Representative -Health Safety and Environment Communications, Energy and Paperworkers Union of Canada and Jon Shearer, director of the Canadian Institute for Shiftwork Studies; Paperworkers Union of Canada Web Site #12; "Shift work" http://www.cep.ca/health_safety/files/shiftwork_e.html 

13. O'Rourke, Morgan. Risk Management March 2004, Vol.51 Issue 3 p 44-45 "The Costs of Overtime" quotes Circadian Technologies-13

14. Scott, Allene, M.D. "Shift work Hazards" Kittaning, Pa. Jacksonville Medical Park Online Journals April 2001 www.jaxmed.com #14

15. Bourdouxhe, Madeleine A.; Granger, Denise; Baril, Raymond H; Massicotte, Paur R.; Levy, Micheline; Lemay, Francois all of Occupational Health and Safety Research Institute Montreal, Quebec, Canada and Queinnec, Yvon Of Work and Cognition Laboratory University of Toulouse, France. "Ageing and Shiftwork: The Effects of 20 Years of Rotating 12 hour Shifts Among Petroleum Refinery Operators" # 15

16. Demerouti, Evangelia, Geurts, Sabie A. E; Bakker, (Univ. Of Nijmegen, Department of Work and Organizational Psychology, The Netherlands) Armold B; Euwema, Martin; Demerouti, Evangelia (Univ. of Utrecht, Department of Social and Organizational Psychology, The Netherlands; "The Impact Of Shiftwork On Work- Home conflict, Job Attitudes And Health" Ergonomics, 15 July 2004, Vol.47, No.9. 987-1002: Study of military police.-16

17. Shift Work International Newsletter "News from the Scientific Committee on Shiftwork" (22  coun-tries reported the latest research XVI at the International Symposium on Night and Shift-Work.) #17

18. Sirois, William, Vice president and COO of Circadian Technologies Inc. "Manage Shift-workers for Top Performance; Leadership For The Front Lines", 1 July 2000 Issue No 381; A Bureau of Business Practice Newsletter; bbppnews.com #18     

19. British Medical Association The Professional Association For Doctors  "Health and Safety Problems Associated with Doctors' Working Patterns" (June 1999)"        back to top    return to references     go to research details below

20. Boivin, Diane B,MD. PhD, Centre for Study and Treatment of Circadian Rhythms. "Influence of Sleep-wake and Circadian Rhythm Disturbances In Psychiatric Disorders" Department of Psychiatry, Douglas Hospital, McGill University, Montreal. Quebec. Journal of Psychiatry and Neuroscience 11804882, Nov2000, Vol.25 Issue 5 p446 #20

21. Parkes, Katharine R. University of Oxford, "Shiftwork and Environment as Interactive Predictor of Work Perception", Journal of Occupational Health Psychology 2003 Vol.8 No 4 p. 261 -281 #21

22. "Update On Job Stress Overwork in America", Health and Stress -The Newsletter of The American Institute of Stress 2005 June  #22

23. "Sleep In America Poll 2005" #23 

24. "Working Long or Late Hours Takes Its toll on Workers and Workplace" Circadian Technologies reported in Business Week. #24

25. "Insomnia" by Michael Tjepkema Component of Statistics Canada Catalogue no. 82-003-XPE2005001 -Health Reports Volume 17, Number 1 based on Community Health Survey (CCHS): Mental Health and Well-being, beginning May 2002 ISSN: 0840-65293rd floor, R.H. Coats Building, Ottawa, K1A 0T65

26. "Best Of The Best Know How To Invest In Staff" by Peter Evans National Post Saturday Oct 22 2005 writes of Dan Ondrack of the Rotman School of Management 2004 #26

27. Frickle-Oerkkmann, Leonie, Oct 3 2007, American Academy of Sleep Medicine;   "Prevalence And Course Of Sleep Problems In Childhood" #27

28. Alcoholics Anonymous. (1952) Twelve Steps and Twelve Traditions. New York, New York: Alcoholics Anonymous World Services #28

29. Mroczek et al. "Do health behaviors explain the effect of neuroticism on mortality? Longitudinal findings from the BA Normative Aging Study" Journal of Research in Personality, 2009; 43 (4):653 DOI: 10.1016/J.JPR/2009.03.016 (Purdu University  Personality traits associated with stress and worry can be hazardous to your health.)  #29

30 McGinn, "Is Your Health Too Much Information" The Globe and Mail; July 20, 2009  #30

31 Cousins, Jennifer C PhD. "Better Sleep Is Associated With Improved Academic Success" Post doctoral fellow at the Univ. of Pittsburgh Medical Center, presented to the 23rd Annual Meeting of Associated Professional Sleep Societies on June 10 2009.   #31

32 Berka, Chris from Advanced Brain Monitoring, Inc in Carlsbad, California; evaluated 17 USMC battalion/platoon leaders with continuous actigraphy during 28-days training exercises ("Sleep Deprivation Is Common Among Members Of The US Marine Corps" www.sciencedaily.com 2007/06/070613071121.htm  #32

33 Paabonen, Juulia MD PhD. "Inadequate Sleep Leads To Behavior Problems", University of Helsinki and National Institute of Health and welfare, Finland April 28 2009 www.sciencedaily.com 2009/04/090427131313.htm   #33

34 Partridge, John; "It's Really Gloomy Out There"; The Globe and Mail; June 15 2009 Canadian Survey conducted for Everest College of Toronto by Harris/Decima.        back to top    return to references     go to research details below

35 Marcora, Samuele M.; Stainano, Walter; Manning, Victoria; "Mental Fatigue Can Affect Physical Endurance In Humans" Bangor University, Wales, UK; Journal of Applied Physiology, 2009, DOI 10.1152/JAPPLPHYSIOL.91324.2008  #35

36 National Sleep Foundation; 1/3 of Americans Lose Sleep Over The Economy; 2009 Sleep in America TM poll conducted by WB &A Market research; March 2009  #36

37 Tobin, Anne-Marie' the CANADIAN PRESS "Insomnia costs 6.5B per year (2009) in Quebec."  Reports on researcher Meagan Daley, Professor of psychology at CEGEP Champlain-St. Lawrence 37

38 Grant, Tavia GLOBE AND MAIL Feb 13, 2009 A happier worker is a cheaper worker. Report on Hewitt Associates' annual survey of 115,00 Canadian employees. 2009 #38

39 Adler, A. (1956). The individual psychology of Alfred Adler: A systematic presentation in selections from his writings. New York, New York: H.L. Harper and Row. #39

40 Goldstein, Rosenbaum. (1982). Agress-less: How to Turn Anger and Aggression into Positive Action. Prentice-Hall.  #40

41 Johnson, S, M.D. (1984). "The Precious Present." Garden City, New York: Doubleday and Co. Inc. 

42 Mayberry R. (1993). Whatever Happened to Justice? Placerville, California: Bluestocking Press.  42

43 Pursel, J. (1992). Sustaining and Expanding Success. Orlando, Florida: NPN Publishing Inc.   #43

44 Rengert, L. (1992). Dealing with Anger. La Verne California: University of La Verne.   #44

45 Scott, G. (1990). Resolving Conflict with Others and Within Yourself. Oakland, California: New Harbinger Publications, Inc.  #45

46 Moses, Barbara, GLOBE AND MAIL "When Someone You Work For Just Doesn' t Get It" ; Aug 19 2009 #46   

47. "Many Commercial Drivers Have Impaired Performance Due To Lack Of Sleep" by Alan Pack University of Pennsylvania School of Medicine, American Journal of Respiratory & Critical Care Medicine, August 15,2006 #47

48. "Poor Sleep Is Associated With Lower Relationship Satisfaction In Both Women and Men"  American Academy of Sleep Medicine Annual General Meeting of Professional Sleep Societies; June 10 2009

49. "The Resolution of Workplace Presenteeism" (pending CIPO and WIPO patents) a solution to workers coming to work unable to pay full attention to or put in a full day's work. Donnalee Kelly; David A Kelly 

    General Reference

50."Deployment and the Use of Mental Health Services among U.S. Army Wives"; Alyssa J. Mansfield, Ph.D., M.P.H., Jay S. Kaufman, Ph.D., Stephen W. Marshall, Ph.D., Bradley N. Gaynes, M.D., M.P.H., Joseph P. Morrissey, Ph.D., and Charles C. Engel, M.D., M.P.H.;New England Journal of Medicine 2010 Volume 362:101-109  January 14, 2010

 

DETAILED RESOURCE FACTS AND FIGURES

Corporations Have To Be About Profits

    The present invention relates to the fine tuning of the inflow and out flow of money into a corporation to maximize profits through the use of constraints and productivity tools. The tools consist of individual interlocking products specifically designed to unlock those aspects of employee's and management's lives that affect the degree of absenteeism, productivity and profitability within a corporation. # 49

Workforce Statistics Extended Hours and Shift-Work

    "It can cost up to $50,000 to train and bring an employee up to snuff Top 10 Companies to work for in Canada have a 4% turnover compared to 8% of others. They take care of employees." Little perks can add up to big returns. The better employer gets better value from the same size workforce. They work smarter and better and means more bang for your buck It is not about what you lose but what you fail to gain. 2005 #26

    North America employer averages $3490 per shift-worker per year for replacements and added management and overtime. #13             back to top    return to references    

    Stress causes 13 M sick days per year and costs 1$ per every 10$ earned, increased employee turnover and medical costs #22

    Canada $13 billion in lost time in sick days as well as in disability claims for Stress-related illness and stress CMHA 2004

    4.5 million full-time employees work on shifts outside the times of 7 a.m. to 6 p.m.   US Bureau of Labor Statistics #1 Employees working extended hours from 7a.m. to 7 p.m. have significantly higher rates of absenteeism and turnover #7

    Intense pressure over a recent short period increased the risk of heart attack. 2020 clinical depression will outrank cancer and follow only heart disease as the 2nd leading cause of death and disability in the world. #22

Absenteeism: Extended Hours Shift and Worker Replacement 

    North America absenteeism rates 5.3% in 2003 #13

    Employees working extended hours from 7a.m. to 7 p.m. have significantly higher rates of absenteeism and turnover #7  

    Stress is leading cause of absenteeism in Great Britain #21

    Absenteeism rate increases when overtime rises in 2003, overtime was 12.6% and absenteeism was 5.8% in 2004 overtime went up to 16.23% causing absenteeism to go up to 12.4 % a total of up to 6.6% #3 

    Fatigue caused by added over time when companies relied on overtime from their existing workforce rather than hiring extra workers #3

    26% asked to work overtime in 2005 #22

    44% workers are highly overworked and 36% of them are highly stressed #22

    The high overworked group were more likely to make mistakes at work, feel angry at their employers for expecting them to do so much, resent coworkers who didn't work as hard as they did, have higher stress levels, be depressed or have health problems, be neglectful with respect to caring for themselves #22

Sleep

    Increased drug and alcohol abuse to wake up and go to sleep #12

    32 % of sleepers who drink had insomnia symptoms. #37 

    Even if we slept 6-8 hours after drinking alcohol we don't feel as if we have because it is not restorative. (Less energy to work) #37 back to top    return to references    go to research above

    The annual cost per person were $5,010 for those with insomnia syndrome compared to $1431 for those with symptoms and $421 for good sleepers. People wait 10 to 12 years before consulting (sleep problems) and they've been suffering for years and years and years. #37

    Transport companies are advised to put a sleep plan/training in place for employees. #47

    Most common physical complaint is chronic fatigue due to loss of quantity and quality of Sleep #12

    80% shift-workers experienced sleep disorders in a Swedish Study #13

    People sleeping too few hours reported being too tired to work efficiently and 90% of them reported insomnia a few nights a week in the past month. #36

    Insomnia costs 6.5B per year (2009) in Quebec from indirect costs of absences and reduced productivity.  #37

    A reliance on alcohol as a sleep aid ended up costing 340 Million. (The portion of the night after drinking spent on deep sleep where we recuperate that physical energy and in dreaming is reduced. #37

    Increased sleep disorders in extended hours workers. #7

    80% shift-workers experienced sleep disorders in a Swedish Study #13

    Sleep deprivation can result in chronic anxiety or depression and lead to genuine sleep disorders hyposomnia #10

    13.4% of the household population aged 15 or older that is, 3.3 million Canadians-had insomnia #25

    Shift workers constant need to readapt sleep cycle causes stress and creates health problems #12

    USA 17% says work causes them to lose sleep #22

    North America rise in fatigue workers from 6% to 10% in 2003 #13

    Sleep deprivation has progressive deterioration effect ability to complete routine tasks, task performance and psychical ability and well-being #10

    Sleep deprived people have progressive deterioration of mood, accompanied by tiredness and irritability resulting in chronic fatigue and psychoneurotic syndromes such as chronic anxiety or depression #19

    Depression symptoms in the workplace: difficulty in making decisions; Decreased productivity; Inability to concentrate; Decline in dependability; Unusual increase in errors in work; Being prone to accidents; Frequent tardiness, increased "sick" days; Lack of enthusiasm for work Canadian Mental Health Association for Leger Marketing in December 2002 and January 2003

    More reported mood swings, cases of depression, sexual and psychological problems #12

    Shift-workers average 2 hours less per day than non-shiftworkers (quantity) #12

    Shift workers sleep 5.5 average hours a day #7 back to top    go to research above

    Shift-workers have an inability to stabilize the different stages of sleep (quality) #12

    Sleep deprivation has progressive deterioration effect on mood (irritability accompanied by tiredness); motivation; alertness, short term memory, ability to complete routine tasks, task performance and psychical ability and well-being #10

    Premature aging caused by loss of REM sleep #12  

Stress   

    A happier worker is a cheaper worker and tends to be more productive, takes fewer sick days and costs employers less in disability expenses. # 38

    An unhappy worker can cost a 1000 employee company about 1 M in disability and lost productivity. # 38

    Lower job stress and manageable workload translate into tangible benefits for employers in terms of lower absenteeism.  # 38

    Stress increases behavioral reactions of increased smoking, consumption of alcohol and taking unnecessary risks #19 

    Stress from the constant need to readapt sleep cycle creates health problems #12

    Stress of dealing with chronic anxiety or depression caused by sleep deprivation that can lead to genuine sleep disorders hyposomnia #10

    The relationship between long hours and ill health is largely mediated by stress #19

    Stress of dealing with the progressive deterioration of mood (irritability accompanied by tiredness); motivation; alertness, short term memory, ability to complete routine tasks, task performance and psychical ability and well-being caused by sleep deprivation #10

    1/3 of Americans Lose Sleep Over The Economy,. People reporting sleep problems since 2001 has increased 13%; Americans who sleep less than 6 hours jumped from 13 to 28%

    Stress caused when long term shift-workers loss of being able to adapt #12

    Stress of certain health problems that are difficult to reverse after 5 years of working even among workers in their thirties #15 back to top    return to references    go to research above

    Stress caused by added over time when companies relied on overtime from their existing workforce rather than hiring extra workers #3

    In extended working hours, fatigue lowers one ability to learn on the job due to depressed moods and motivation #19

    Anxiety and depression have a severe impact on quality of life -78 per cent responded that it strongly impacts a person's success at performing their job. CMHA Leger Marketing in December 2002 and January 2003

    High level of anxious and depressive symptoms has been reported amongst shiftworkers #20
    Rotating shifts more negative attitudes towards their jobs than employees who worked fixed shifts #16

Accidents & Performance In Extended Hours & Shift-Work

    Accident rate of late night hours had 3 times as many accidents despite lower traffic density #17

    20% more mistakes happen and it took 14% longer to complete tasks on shift-work due to fatigue #10, #19

    North America rise in fatigue workers from 6% to 10% in 2003 #13 

    Extended wakefulness resulted in a decline of cognitive psychomotor performance equivalent to a blood alcohol concentration of 10. (Over the legal limit) #19

    20% of overworked employees make a lot of mistakes # 22

    26% asked to work overtime in 2005 # 22

    Trucker accident rate of late night hours had 3 times as many accidents despite lower traffic density #17  

    Major fatigue time is between 3 and 4 a.m. #18 (accidents)

    More serious accidents happen between 0200 and 0600 hours #12.   

    Extended hours produce 20% more mistakes. Night shift sleepiness is in early morning hours: Chernobyl, Three Mile Island and Exxon Valdez accidents occurred during this time #19

    Shift-work is similar to a repetitive strain injury of the mind and the body #12 back to top    return to references    go to research above

    Businesses in New Zealand are now being fined for not doing something to alleviate on the job stress  #22

Training Programs and Extended Hours and Shift-Work 

    Shift-workers Increase sleep hours 18% when Families Given Training Program #5

    Life Style Training programs 54% employees made conscious changes #6  

    82% Of Organizations Provided No Shift-work Education #9  

    1.9% of companies consulted experts when designing shifts #9    

Risk Taking Employees

    A sleep-deprived employee is as dangerous on the job site as one who is legally intoxicated! #23    

    Employees are coming to work with fatigue (caused by extended wakefulness) that produces a functioning level equal to above legal intoxication #10,11

    Shift-workers increase their drug and alcohol abuse, to wake up and go to sleep #12

How many regular DAY employees suffer from inadequate sleep and stress?

    For a regular day employee 1 in 7 may have serious sleep problem #25

    Canada $13 billion in lost time in sick days as well as in disability claims for stress-related illness and stress. Canadian Mental Health Association 2004

    Stress causes 13 M sick days per year and costs 1$ per every 10$ earned, increased employee turnover and medical costs #22 

Employer Concerns About Shift-workers!  

    Average employer cost is $3,490 per shift-worker per year for replacements, added management and overtime.  - North America 2003 Circadian Technologies #13

    80% of shift-workers experience sleep-deprivation #12 and average 2-3 hours LESS SLEEP per day than non-shift-workers. (5.5 hours average) #12 back to top    return to references     go to research above

    Stress comes from dealing with the chronic anxiety / depression caused by sleep deprivation #10 and the constant need to readapt the sleep cycle that also creates health problems. #12 

    Shiftworkers have higher rates of absenteeism and turnover. #7 

    Stress is leading cause of absenteeism. #21 

    Stress increases behavioral reactions of increased smoking, consumption of alcohol and taking unnecessary risks. #19 C

    33% make mistakes at or missed work because of lack of sleep. #23  

    20% of overworked employees make a lot of mistakes  #22

    Training programs for shift-workers increase sleep by 18% per night #5 

    54% who take training programs will make conscious sleeping habits change #6 -they will use the CD, ensuring operational savings.

What is the cost of sleep deprivation and stress related illness to your bottom line? 

    " The better employer gets better value from the same size workforce. They work smarter and better and that means more bang for your buck. It is not about what you lose but what you fail to gain. " #26

Behavior

    Personality traits Associated with Stress And Worry Can Be Hazardous To Your Health They lead to bad behaviors (smoking and drinking) needing intervention and prevention programs. #29

    Recommendation that addicts disclose to qualify as disabilities under the Canadian Rights Act to force employers to make it harder for them to be fired by employers. # 30

    Better Sleep Is Associated With improved Academic Success. # 31

    Decision-making and vigilance is affected by sleep deprivation and fatigues despite self-evaluation of stress, fatigue and mood levels that were self-assessed as normal. Evaluated 17 USMC battalion/platoon leaders with continuous actigraphy during 28-days training exercises.  #32 back to top    return to references     go to research above

    Shortened sleep duration and sleeping difficulties are related to behavior problems and showed that short sleep, per se, increases behavioral symptoms, regardless of the presence of sleeping difficulties. Inadequate sleep leads to behavior problems: ADHD attention/deficit/hyperactivity disorder #33 

    Work induced blues -are up 63% and 23% Canadians fear they may lose their jobs and 57% did not look for a promotion over the next year. 33% fear will not find a new job if they had to look for one (new 6 year low)  #34

    Mental fatigue can affect physical endurance. When people are mentally tired they cannot keep up physical endurance ie work the full workday. On average mentally fatigued participants stopped 15% earlier despite having the same levels of motivation. #35

    It is difficult for employees to understand or know how to manage difficult people at work. Most of them are confused and frustrated by failed communication. #46

Deployed Military Families

    " Recently released research (2010) has shown that military families with deployed spouses, have elevated rates of  stress, anxiety depression etc beyond the non military population. A study of more than 250,000 Army wives, of which two-thirds had husbands who fought in Iraq and Afghanistan between 2003 and 2006. #50

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