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Journal articles on the topic 'Night staff'

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Published: 4 June 2021
Last updated: 6 February 2022

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1

Welford, Maire. "Light-headed night staff." Nursing Standard 6, no. 46 (August 5, 1992): 44–45. http://dx.doi.org/10.7748/ns.6.46.44.s56.

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2

Karl, Cherry. "Staff Development for the Night Shift." Nursing Management (Springhouse) 17, no. 6 (June 1986): 66. http://dx.doi.org/10.1097/00006247-198606000-00019.

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3

Leifer, Diana. "Choice of hours healthier for night staff." Nursing Standard 9, no. 6 (November 2, 1994): 11. http://dx.doi.org/10.7748/ns.9.6.11.s22.

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4

Morton, Paula G. "Providing CE to Evening and Night Staff." Journal of Continuing Education in Nursing 21, no. 5 (September 1990): 230. http://dx.doi.org/10.3928/0022-0124-19900901-13.

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5

Wang, Liyuan, Xiuzheng Wang, Lingling Li, Shanshan Zhou, and Yanling Li. "Analysis on Occupational Well-being Status and Influencing Factors of Medical Staff in Tuberculosis Departments." Proceedings of Anticancer Research 5, no. 4 (July 29, 2021): 6–13. http://dx.doi.org/10.26689/par.v5i4.2313.

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Objective: To investigate the status of occupational well-being of medical staff in tuberculosis department and analyze its influencing factors, so as to provide a basis for improving the occupational well-being of medical staff in tuberculosis department. Methods: In May 2020, we adopted the method of cluster sampling to select staff members from the tuberculosis departments of the Affiliated Hospital of Hebei University and infectious disease hospital. A total of 139 medical staff were recruited as the research subjects, and were investigated using medical staff occupational well-being scale. Results: The total score of occupational well-being was 76.46±8.97 points, There were statistically significant differences (P<0.05) in occupational well-being score among tuberculosis medical staff with different age, years of work, job title, night shift, marital status, and occupational type. The in?uencing factors of occupational well-being were the night shift, years of work, occupational type, and marital status (P<0.05). Conclusion: The overall level of occupational well-being of tuberculosis medical staffs is moderate, and occupational well-being is affected by night shift, years of work, occupational type and marital status. It is recommended that managers take targeted measures to improve the occupational well-being of tuberculosis medical staff.
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Farrokhi, Mehrdad, Mohsen Poursadeghiyan, RazeNabi Amjad, MohammadMehdi Baneshi, Arezoo Poursadeghian, Marzieh Rohani, Mahsa Hami, and Alireza Khammar. "Drowsiness trend in night workers and adaptation to night shift in hospital staff." Annals of Tropical Medicine and Public Health 10, no. 4 (2017): 989. http://dx.doi.org/10.4103/atmph.atmph_307_17.

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7

Gwyther, Mandie. "Make night shifts fair for permanent nursing staff." Nursing Standard 24, no. 29 (March 24, 2010): 33. http://dx.doi.org/10.7748/ns.24.29.33.s45.

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8

Resnicoff, Marci, and Kell Julliard. "Brief Mindfulness Meditation With Night Nursing Unit Staff." Holistic Nursing Practice 32, no. 6 (2018): 307–15. http://dx.doi.org/10.1097/hnp.0000000000000293.

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9

Smith, Lisa A., Charles A. Larsen, and Karen L. Johnson. "Are “quiet-at-night” initiatives impacting staff alertness?" Nursing 47, no. 1 (January 2017): 61–62. http://dx.doi.org/10.1097/01.nurse.0000504673.80980.b1.

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10

McEvoy, R. Doug, and Leon L. Lack. "Medical staff working the night shift: can naps help?" Medical Journal of Australia 185, no. 7 (October 2006): 349–50. http://dx.doi.org/10.5694/j.1326-5377.2006.tb00606.x.

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11

Claffey, Colleen. "Nursing in the dark: Leadership support for night staff." Nursing Management (Springhouse) 37, no. 5 (May 2006): 41–44. http://dx.doi.org/10.1097/00006247-200605000-00010.

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12

Kim, Tae-Hee, and Hae-Hyeog Lee. "The effects of night duty, fatigue, and unskilled staff." Acta Obstetricia et Gynecologica Scandinavica 93, no. 7 (April 3, 2014): 720–21. http://dx.doi.org/10.1111/aogs.12362.

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Niu, Shu-Fen, Hsin Chu, Chiung-Hua Chen, Min-Huey Chung, Yu-Shiun Chang, Yuan-Mei Liao, and Kuei-Ru Chou. "A Comparison of the Effects of Fixed- and Rotating-Shift Schedules on Nursing Staff Attention Levels." Biological Research For Nursing 15, no. 4 (May 15, 2012): 443–50. http://dx.doi.org/10.1177/1099800412445907.

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Purpose:Sleep deficit affects neurobehavioral functioning, reduces attention and cognitive function, and negatively impacts occupational safety. This study investigated selective attention levels of nursing staff on different shifts.Methods:Using a prospective, randomized parallel group study, selective attention was measured using the d2 test in 62 nursing staff in a medical center in Taiwan.Findings:There were significant differences in selective attention indicators (E%) between the fixed-day-shift group (control group) and rotating-shift group (experimental group): The percentage of errors (E%) for night-shift workers in the rotating-shift group was higher than that of fixed-day-shift workers, while the total number of items scanned minus error (TN − E) and concentration performance (CP) scores were higher for fixed-day-shift workers. Within the experimental group, the error rate on night shift was 0.44 times more than that on day shift and .62 times more than on evening shift; the TN-E on night shift was 38.99 items less than that on day shift, and the CP was 27.68 items less on night shift than on day shift; indicating that staff on the night shift demonstrated poorer speed and accuracy on the overall test than did the staff on day shifts.Conclusions:Inadequate sleep and a state of somnolence adversely affected the attention and operation speed of work among night-shift workers. More than 2 days off is suggested when shifting from the night shift to other shifts to provide adequate time for circadian rhythms to adjust.
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14

Mawbey, Alan. "Night staff work well in excess of eight-hour shifts." Nursing Standard 22, no. 49 (August 13, 2008): 33. http://dx.doi.org/10.7748/ns.22.49.33.s41.

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15

Lipley, Nick. "Night shift staff more likely to make mistakes at work." Nursing Standard 16, no. 32 (April 24, 2002): 8. http://dx.doi.org/10.7748/ns.16.32.8.s17.

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Steptoe, Andrew. "Night shift work and the cardiovascular health of medical staff." European Heart Journal 30, no. 21 (August 6, 2009): 2560–61. http://dx.doi.org/10.1093/eurheartj/ehp310.

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17

Brandt, Brian, and Christina Murray. "Take an Adventure Bite." Journal of Youth Development 8, no. 2 (June 1, 2013): 96–105. http://dx.doi.org/10.5195/jyd.2013.99.

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The Adventure Bites - Cooking with Kids program enhanced nutrition curriculum by including a Life Skill development focus and a family night - to improve youth nutrition behaviors. The data was collected using the WSU 4-H Life Skills pre-post youth evaluations, staff surveys, a parent retrospective pre-post survey, and comparison data from non-program sites. The results support adding Life Skills and family night events into youth nutrition curricula. There are opportunities to improve evaluation and do further testing, to determine what the individual impact of Life Skill development and/or individual impact of having family nights had on changes in youth behaviors regarding nutrition.
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Ward, Alison, Judith Sixsmith, Stephen Spiro, Anne Graham, Heather Ballard, Sue Varvel, and Jane Youell. "Carer and staff perceptions of end-of-life care provision: case of a hospice-at-home service." British Journal of Community Nursing 26, no. 1 (January 2, 2021): 30–36. http://dx.doi.org/10.12968/bjcn.2021.26.1.30.

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People requiring palliative care should have their needs met by services acting in accordance with their wishes. A hospice in the south of England provides such care via a 24/7 hospice at home service. This study aimed to establish how a nurse-led night service supported patients and family carers to remain at home and avoid hospital admissions. Semi-structured interviews were carried out with family carers (n=38) and hospice-at-home staff (n=9). Through night-time phone calls and visits, family carers felt supported by specialist hospice staff whereby only appropriate hospital admission was facilitated. Staff provided mediation between family carer and other services enabling more integrated care and support to remain at home. A hospice-at-home night service can prevent unnecessary hospital admissions and meet patient wishes through specialist care at home.
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Uzdil, Z., S. Kaya, A. G. Kayacan, C. Özyıldırım, P. Sökülmez Kaya, and C. Asal Ulus. "The effect of health staff working the night shift on nutrition, anthropometric measurements, and the risk of cardiovascular disease: A sample from Samsun Province in Turkey." Progress in Health Sciences 10, no. 2 (December 7, 2020): 6–14. http://dx.doi.org/10.5604/01.3001.0014.6579.

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Purpose: To determine effect of working in the night shift system on nutritional status, anthropometric measurements, and risk of cardiovascular disease of health staff. Materials and Methods: This cross-sectional study was conducted between August-November 2017 at Samsun Ondokuz Mayıs University among 111 health staff. Data was collected with a questionnaire form including questions about demographic characteristics, nutritional status and anthropometric measurements. SPSS 21.0 statistical package program was used for statistical analysis and p<0.05 was considered statistically significant. Results: Based on waist circumference, 14.3% of men and 31.1% of women were at high risk, and based on waist/hip ratio, 4.8% of men and 33.3% of women were at risk of cardiovascular diseases. It has been shown that eating patterns are disrupted during shifts (89.2%), and 73.9% of participants cannot eat because their meals cool down during shifts. The difference in the numbers of main and snack meals consumed by health staff during the night shift was statistically significant (p<0.05). Body mass index, waist circumference, and hip circumference measurements decreased with increasing shift time. However, body mass index, waist circumference, and hip circumference increased as time spent in the profession increased. Conclusion: It was seen that night shift health staff are at risk of cardiovascular disease due to insufficient and unhealthy nutrition. It is clear that nutrition education programs are required for health staff working night shifts to reduce excess weight and obesity in this population.
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20

Kchaou, A., M. Hajjaji, R. Masmoudi, I. Sellami, M. L. Masmoudi, J. Masmoudi, and K. Hammami Jmal. "Psychological Effects of Working Night Shifts on Mental Health." European Psychiatry 41, S1 (April 2017): S609. http://dx.doi.org/10.1016/j.eurpsy.2017.01.961.

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IntroductionThe medical and scientific communities are continually reporting that night work can increase the risk of certain disorders and have a negative impact on the overall well-being of employees.ObjectivesThis study wanted to examine the impact of night work on physical and psychological well-being of hospital staff.MethodsWe carried out a cross-sectional study about a representative sample of hospital staff. We used validated self-reporting instruments: the Perceived Stress Scale (PSS) and the Subjective Well-being Scale (SWS). Data were analyzed using SPSS-20.ResultsOur study concerned 519 hospital staffs. More than half were male (53%) and 83.1% had worked in the same position for more than two years. More than half of the participants (51. 3%) considered themselves in very good health. Also 41.5% of participants had a well-being index reduced and 26% of personal had high perceived stress. Correlation analysis had shown that more than one guard at week was associated with high levels of perceived stress (P = 0.004) and well-being index reduced (P = 0.000). After adjusting for categories, more than one shift work at week was associated to well-being index reduced with odds ratios of 1.57 (confidence interval 95% [1.07 to 2.30]).ConclusionThere is a clear correlation between night work, perceived stress and subjective well-being of different categories of hospital staff. Shift work interferences on health and well-being are complex and multifaceted in their origins and time manifestations, dealing with several aspects of personal characteristics, and working and living conditions.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Fotokian, Zahra, Reza Ebrahimi Rad, and Masume Asghari Valujai. "Sleep disorders and main determinants among hospital staffs in a referral hospital in Iran." Journal of Preventive Epidemiology 6, no. 1 (May 18, 2021): e01-e01. http://dx.doi.org/10.34172/jpe.2021.01.

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Introduction: The prevalence rate of sleep disorders among hospital staff is expected to high due to shift work and its related circadian cycle disturbance. Complexity, high prevalence, and health implications related to sleep disorders are of great importance. Objectives: The present study aimed to assess the prevalence and main determinants of sleep disorders among hospital staff. Patients and Methods: This cross-sectional study was performed on 200 head nurses, nurses, midwives, operating room technicians, health care providers, service staffs of all departments, and physicians at Shaheed Rajaei hospital in Tonekabon city, Iran in 2015. The questionnaire which assessed the sleep disturbances was sourced from four scaling systems of Global Sleep Assessment Questionnaire (GSAQ), insomnia severity index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Fatigue Severity Scale (FSS). Results: According to the assessment by the study adopted questionnaire, 78% (78.6% of males and 77.8% of females) suffered from work-related sleep disorders. Regarding association between work shifts and likelihood of sleep disorders, it was shown a significantly higher rate of sleep disturbances in the staffs with morning and evening shifts (100%), morning and night shifts (100%), or evening and night shifts (100%), simultaneously (P<0.001). Marital status, work experience, and gender could not affect sleep quality. Conclusion: Most of the hospital staff especially practical nurses and nurses suffered from sleep disturbances. Simultaneous and multi-sectional work shifts lead to higher likelihood of sleep problem among staffs.
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Webster, Lucy, Kingsley Powell, Sergi G. Costafreda, and Gill Livingston. "The impact of sleep disturbances on care home residents with dementia: the SIESTA qualitative study." International Psychogeriatrics 32, no. 7 (May 21, 2020): 839–47. http://dx.doi.org/10.1017/s1041610220000642.

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ABSTRACTObjectives:Nearly 40% of care home residents who are living with dementia also have symptoms of disturbed sleep. However, the impact of these disturbances is relatively unknown and is needed to indicate whether interventions are warranted; therefore, we aimed to investigate the impact.Design:One-to-one semi-structured interviews.Settings:Four UK care homes.Participants:We interviewed 18 nurses and care assistants about residents with sleep disturbances.Measurements:We used a topic guide to explore staff experience of sleep disturbance in residents with dementia. The interviews were audio recorded and transcribed and then analyzed thematically by two researchers independently.Results:Staff described that sleep disturbances in most, but not all, residents impacted negatively on the resident, other residents, staff, and relatives. Residents became more irritable or agitated if they had slept badly. They slept in the daytime after a bad night, which then increased their chances of being awake the following night. For some, being sleepy in the day led to falls, missing medication, drinks, and meals. Staff perceived hypnotics as having low efficacy, but increasing the risk of falls and drowsiness. Other residents were disturbed by noise, and staff described stress when several residents had sleep disturbance. Some of the strategies reported by staff to deal with sleep disturbances such as feeding or providing caffeinated tea at night might be counterproductive.Conclusions:Sleep disturbances in care home residents living with dementia negatively affect their physical and psychological well-being. These disturbances also disturb other residents and increase stress in staff.
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Hill, Robert W., Douglas Waring, and Lisa Walker. "Video Surveillance Versus Night Awake Staff in a Residential Treatment Setting." Residential Treatment For Children & Youth 29, no. 2 (April 2012): 132–40. http://dx.doi.org/10.1080/0886571x.2012.676524.

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Ellis, Roger, Elaine Hogard, and Juli Carson. "Person-centered support for adults with learning difficulties: an evaluation." European Journal for Person Centered Healthcare 4, no. 2 (July 26, 2016): 384. http://dx.doi.org/10.5750/ejpch.v4i2.1058.

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This paper describes an evaluation of a Personalisation Programme provided by the UK Charity Choice Support for adults with learning difficulties.Personalisation, synonymous with patient-centred care, means thinking about care and support services in an entirely different way. This involves starting with the person as an individual with strengths, preferences and aspirations and putting them at the centre of the process of identifying their needs and making choices about how and when they are supported to live their lives. It requires a significant transformation of adult social care so that all systems, processes, staff and services are geared up to put people first.The Choice Support Personalisation Programme had three main features: Person Centred Planning; Individual Service Funds and Better Nights, a new form of night support which encourages greater independence. Person Centred Planning means exploring in detail what each individual wants and needs and planning support accordingly. An Individual Service Fund represents a notional allocation of money to each individual for support based on individual need and preference as opposed to a block grant and a standard support for all. Better Nights was a shift from ‘Waking Nights’ with support staff available and monitoring individuals throughout the night to ‘Sleep In’ where the care staff followed normal waking and sleeping patterns together with the individuals thus encouraging a more normal life style with greater independence. The Social and Health Evaluation Unit (SHEU) of the Buckinghamshire New University, UK, has completed two programme evaluations; one of Better Nights and one of personalisation more broadly. In each case the Unit’s Trident method was used focusing evaluation questions on outcomes; process and stakeholder perspectives. Data from the evaluation were assessed together with the substantial savings achieved. Specially devised audit tools were used to assess quality of life and risk management. Overall the results of these audits showed a maintenance or improvement in quality of life for the service users and effective management of risks. The process of implementation was described in sufficient detail to allow replication, learning and continuous improvement. Stakeholder perspectives were surveyed from care staff, parents and relatives and social services staff. Overall the programme had achieved its stated outcomes in person-centred care with substantial savings. For the minority of service users whose quality of life did not appear to improve, further detailed analysis and planning is being undertaken.
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Watson, Rosie, Dina C. LoGiudice, Ray Watson, and Caroline A. Brand. "Delirium in the elderly. A survey of environmental policies and procedures in Melbourne hospitals." Australian Health Review 33, no. 4 (2009): 656. http://dx.doi.org/10.1071/ah090656.

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This study aimed to review the presence of policies for management of behavioural symptoms and physical restraints, the availability of delirium management protocols and educational programs, and accessibility of a physical environment appropriate for the management of delirium in Melbourne hospitals. A structured survey tool was developed, and 70 Melbourne hospitals were surveyed seeking responses from a senior member of the nursing staff. Overall, 90% of Melbourne hospitals responded to the survey. It was found that smaller hospitals have fewer policies relating to the management of behavioural symptoms, and fewer delirium management protocols. Some education is available for nursing staff; however, less for the night staff, who often manage behavioural symptoms associated with delirium. Physical restraint policies exist at most hospitals. Single rooms and night lights are generally available, but low-low beds and orientation devices are relatively uncommon.
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Mahfoudh Kraiem, Aouatef, Amira Omrane, Asma Mahfoudh Boussaid, Imen Kacem, Ridha Ben Cheik, Taoufik Khalfallah, and Lamia Bouzgarrou. "Vigilance Disorders in Permanent Night Workers: The Case of the Medical Staff." Open Journal of Nursing 07, no. 03 (2017): 409–18. http://dx.doi.org/10.4236/ojn.2017.73032.

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Li, Huanhuan, Yanping Shao, Zhuangjie Xing, Yuan Li, Shouqi Wang, Meiling Zhang, Jie Ying, Ying Shi, and Jiao Sun. "Napping on night-shifts among nursing staff: A mixed-methods systematic review." Journal of Advanced Nursing 75, no. 2 (November 12, 2018): 291–312. http://dx.doi.org/10.1111/jan.13859.

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Hansen, K., M. Mitarai, S. Amr, T. Matejovsky, and M. Witting. "Sleep Duration and Quality in Emergency Department Staff Working Sequential Night Shifts." Academic Emergency Medicine 14, no. 5 Supplement 1 (May 1, 2007): S203. http://dx.doi.org/10.1197/j.aem.2007.03.1288.

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Hansen, K., M. Mitarai, J. Beuerle, M. Witting, T. Matejovsky, and S. Amr. "Effect of Night Work on C-reactive Protein in Emergency Department Staff." Academic Emergency Medicine 14, no. 5 Supplement 1 (May 1, 2007): S211. http://dx.doi.org/10.1197/j.aem.2007.03.1312.

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Irving, Andy, Davina Allen, Joanne Blake, Simon Moore, and Steve Goodacre. "PP9 Managing alcohol intoxication in the night-time economy: staff and patient perspectives." Emergency Medicine Journal 36, no. 10 (September 24, 2019): e5.2-e5. http://dx.doi.org/10.1136/emermed-2019-999abs.9.

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BackgroundAlcohol-related harms arising in the Night-Time Economy (NTE) impose a substantial burden on emergency services (ES) especially ambulance services engaged in both street level care and transportation of acutely intoxicated patients to a hospital Emergency Department (ED). Alcohol Intoxication Management Services (AIMS) are intended as an alternative care pathway for intoxicated patients who would normally use emergency services and are often run by ambulance services in partnership with other agencies. Despite growing policy interest in AIMS as an alternative pathway it is not known what their users think of them nor the experiences of frontline staff engaged in and around AIMS.MethodsAs part of a mixed-method study semi-structured interviews were followed by a survey of users recruited from six different AIMS. A parallel ethnographic component used observations and interviews with ambulance staff in two cities with AIMS and one without.ResultsSurveys and interviews found AIMs users retrospectively viewed the decision to take them to AIMS favourably and highly rated the care they received, especially the friendly, non-judgemental atmosphere created between ambulance staff and other agents involved in AIMS. A majority of AIMS survey respondents said they would not have called emergency services (85%) or gone to the ED (75.6%). Ethnographic work showed ambulance personnel considered AIMS to have a positive impact on ES, freeing capacity to attend to other emergencies. Ambulance staff without AIMS worked to avoid conveyance to ED but this could result in extended periods risk assessing individuals at street level, which meant they felt unavailable to address other emergency calls.ConclusionsAIMS are viewed very positively by their users and the ambulance staff involved. Findings from surveys, interviews and ethnography suggest that AIMS and EDs are managing different patient groups in different ways, and thus may represent complementary rather than competing alternatives care pathways.
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Costello, Harry, Claudia Cooper, Louise Marston, and Gill Livingston. "Burnout in UK care home staff and its effect on staff turnover: MARQUE English national care home longitudinal survey." Age and Ageing 49, no. 1 (October 28, 2019): 74–81. http://dx.doi.org/10.1093/ageing/afz118.

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Abstract Background staff burnout and turnover lead to care home residents receiving poorer quality care. Burnout is thought to cause turnover, but this has never been investigated. We know little about which care home staffs are burnt out. Aims to explore burnout’s relationship with staff turnover and prevalence and predictors of burnout. Method we calculated the relationship between Maslach Burnout Inventory scores and future staff turnover (12-month number of staff leaving/number employed). We explored staff, resident and care home predictors of burnout, measured as emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA). Results two-thousand sixty-two care staff in 97 care home units participated. Median yearly staff turnover was 22.7%, interquartile range (IQR) 14.0–37.7%. Care staff recorded low median burnout (median EE: 14, IQR: 7–22; DP: 1, IQR: 0–5; PA 42, IQR: 36–45). We found no association between staff burnout and turnover rate. Younger staff age was associated with higher burnout (EE coefficient − 0.09; 95% confidence interval (CI): −0.13, −0.05; DP −0.02; 95% CI: −0.04, −0.01; PA 0.05; 95% CI: 0.02, 0.08). Speaking English as a second language predicted higher EE (1.59; 95% CI: 0.32, 2.85), males had higher DP (0.02; 95% CI: 0.01, 0.04) and staff working only night shifts lower PA (−2.08; 95% CI: −4.05, −1.30). Conclusions we found no association between care homes staff burnout level and staff turnover rates. It is a myth that burnout levels are high. Interventions for burnout could focus on at-risk groups. Future studies could consider turnover at an individual level.
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Takeda, Shinya, Shigeki Nakayama, Md Sahab Uddin, Atsumi Hiramoto, and Masahiko Inoue. "Correlation Between Subjective Happiness and Pleasant Activities at Workplace in Nursing Staff for Older Individuals in Japan." Community Mental Health Journal 56, no. 4 (December 28, 2019): 776–83. http://dx.doi.org/10.1007/s10597-019-00539-w.

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AbstractThe purpose of this study was to investigate the correlations between nursing staff’s mental health, number of years worked, night shifts performed, and pleasant activities at the workplace. One hundred forty-three subjects who had no missing data were analyzed. Questions consisted of basic attributes, subjective happiness scale (SHS), and pleasant activities conducted at the workplace. Denouements of SHS indicated a significant trend for the main effect, with more pleasant activities in the high SHS group than the low SHS group. The interaction was significant, with fewer pleasant activities in participants in the low SHS group who worked the night shift compared with those who worked the night shift regardless of work experience. The outcomes of this study suggest that it is essential to expand the repertoire of pleasant activities at the workplace to increase the subjective happiness of nursing staff for older individuals.
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Niu, Shu-Fen, Nae-Fang Miao, Yuan-Mei Liao, Mei-Ju Chi, Min-Huey Chung, and Kuei-Ru Chou. "Sleep Quality Associated With Different Work Schedules: A Longitudinal Study of Nursing Staff." Biological Research For Nursing 19, no. 4 (March 15, 2017): 375–81. http://dx.doi.org/10.1177/1099800417695483.

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Purpose: To explore the differences in sleep parameters between nurses working a slow, forward rotating shift and those working a fixed day shift. Method: A longitudinal parallel-group comparison design was used in this prospective study. Participants (female) were randomly assigned to a rotating shift or a fixed day shift group. Participants in the rotating shift group worked day shift for the first 4 weeks, followed by evening shift for the second and night shift the third. Those in the day shift group worked day shift for all 12 weeks. Each kept a sleep diary and wore an actigraph (actigraph data were used to calculate total sleep time [TST], sleep onset latency [SOL], wake after sleep onset [WASO], and sleep efficiency [SE]) for 12 days, from Workday 1–4 in each of Weeks 4, 8, and 12. Results: TST in nurses working evening rotating shift was higher than that for those working the day or night rotating shift and fixed day shift. WASO was significantly longer on Day 2 for rotating shift participants working evening versus day shift. SOL and SE were significantly shorter and lower in rotating shift nurses working night versus both day and evening shifts. Conclusions: A comprehensive understanding of the sleep patterns and quality of nurses with different work shifts may lead to better management of work shifts that reduces the influence of shift work on sleep quality.
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Nakao, Tomoko, Atsushi Yasumoto, Suzumi Tokuoka, Yoshihiro Kita, Takuya Kawahara, Masao Daimon, and Yutaka Yatomi. "The impact of night‐shift work on platelet function in healthy medical staff." Journal of Occupational Health 60, no. 4 (July 2018): 324–32. http://dx.doi.org/10.1539/joh.2018-0027-fs.

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35

Kleebauer, Alistair. "Night-shift staff are more likely to struggle to remain a healthy weight." Nursing Standard 29, no. 10 (November 5, 2014): 14–15. http://dx.doi.org/10.7748/ns.29.10.14.s19.

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Kleebauer, Alistair. "Giving night shift staff healthy food choices is a priority, says NHS chief." Nursing Standard 29, no. 8 (October 27, 2014): 0. http://dx.doi.org/10.7748/ns.29.8.0.298990.

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37

Kleebauer, Alistair. "Giving night shift staff healthy food choices is a priority, says NHS chief." Nursing Standard 29, no. 9 (October 29, 2014): 9. http://dx.doi.org/10.7748/ns.29.9.9.s7.

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38

Shimada, Kenei, Shota Fukuda, Kumiko Maeda, Toshihiro Kawasaki, Yasushi Kono, Satoshi Jissho, Haruyuki Taguchi, Minoru Yoshiyama, and Junichi Yoshikawa. "Aromatherapy alleviates endothelial dysfunction of medical staff after night-shift work: preliminary observations." Hypertension Research 34, no. 2 (November 25, 2010): 264–67. http://dx.doi.org/10.1038/hr.2010.228.

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39

Svensson, Kristin, Ann-Sofi Matthiesen, and Ann-Marie Widstrom. "Night Rooming-in: Who Decides? An Example of Staff Influence on Mother's Attitude." Birth 32, no. 2 (June 2005): 99–106. http://dx.doi.org/10.1111/j.0730-7659.2005.00352.x.

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40

Hanson, Elizabeth J., Susan McClement, and Linda J. Kristjanson. "Psychological support role of night nursing staff on an acute care oncology unit." Cancer Nursing 18, no. 3 (June 1995): 237???249. http://dx.doi.org/10.1097/00002820-199506000-00009.

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41

Yiu, C. J., S. U. Khan, Christian P Subbe, K. Tofeec, and R. A. Madge. "Into the Night: Factors affecting response to abnormal Early Warning Scores out-of-hours and implications for service improvement." Acute Medicine Journal 13, no. 2 (April 1, 2014): 56–60. http://dx.doi.org/10.52964/amja.0343.

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Background: Early Warning Scores alert staff to preventable deterioration. Raised scores should lead to escalation of care. Aims: To establish response of staff to patients scoring National Early Warning Score (NEWS) of six or above and to identify patient and environmental factors affecting escalation by nursing staff. Methods: Service evaluation with prospective review of patient records of 118 beds on four medical wards during 20 night-shifts. Results: During 2360 observed bed days 109 patients triggered NEWS >=6 at least once during the observation period. Nursing staff escalated only 18 (17%) of these patients; nearly all of them had predefined chronic health conditions, the majority fulfilled criteria for frailty. Despite their higher 30-day mortality patients with COPD had lower escalation rates. Additionally wards that had more patients with a NEWS >=6 had lower escalation rates. Conclusion: Alarm fatigue and clinical judgement of staff might result in deviation from escalation protocols.
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42

Mynors-Wallis, Laurence, and Denise Cope. "Service innovation: psychiatrists on call – the community at night." Psychiatric Bulletin 31, no. 2 (February 2007): 65–67. http://dx.doi.org/10.1192/pb.bp.106.009811.

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There have been significant changes in the provision of medical care in hospitals at night. The initial catalyst for this was the New Deal for Junior Doctors but more recently the European Working Time Directive requiring doctors' hours to be reduced to 56 in 2002 and to 48 by 2009. The reduced availability of junior doctors in hospitals at night has had a range of implications, including the necessity to train other health professionals to do work previously undertaken by doctors and a reduction in the number of specialist doctors available out of hours. The expectation is that staff in the hospital at night will be equipped to deal appropriately and safely with emergency work across specialties, rather than each specialty covering their own patients.
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43

Das, Aritrik. "Annoyance among Staff and Noise Level in a Tertiary Care Hospital in New Delhi, India: A Pilot Study." International Journal of Preventive, Curative & Community Medicine 06, no. 03 (January 29, 2021): 10–16. http://dx.doi.org/10.24321/2454.325x.202012.

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Introduction: In India, an area of not less than 100 metres around a hospital is considered a silence zone, with guidelines restricting noise levels at 50dBA during daytime and 40dBA during the night. Annoyance is a known effect of noise exposure. Objectives: To determine the feasibility of an extensive study on noise in the hospital, annoyance in staff due to hospital noise and its associated factors. Methods: Noise data was collected from 3 sites, using a Digital Integrating Sound Level Meter, LutronSL-4035SD(ISO-9001,CE,IEC1010) meeting IEC61672 standards. Stratified random sampling of staff was done on basis of noise exposure. A pre-designed, semi-structured questionnaire collected information on sociodemographic and work profile. Annoyance was measured using standardized general purpose noise reaction questionnaire (ISO-TS/ 15666). Data was analysed in SPSS. Result: Laeq ranged from 56dB in nephrology ward to 89.2dB at OPD atrium. Maximum noise level was 98.6dB in OPD atrium and 86.1dB in nephrology ward. Levels at night in ward were higher than during day time. 24 (53.3%) of the staff said their workplace is noisy, while 26(57.8%) were annoyed by workplace noise. Annoyance due to hospital noise was associated with age (p=0.003), duration of work in hospital per week (p=0.04), duration of work in current department (p=0.007), noise level (p=0.04) and workplace distance from arterial road (p=0.02). Conclusion: Hospital noise levels are higher than recommended levels for sensitive zones as per national guidelines and exceed levels inside wards as stipulated by WHO. More than half the study population were annoyed by workplace noise indicating need for interventions. A study throughout the hospital to study noise levels and annoyance among staff following similar methodology is feasible and necessary.
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Alexander, David A., and Susan F. Atcheson. "Psychiatric aspects of trauma care: survey of nurses and doctors." Psychiatric Bulletin 22, no. 3 (March 1998): 132–36. http://dx.doi.org/10.1192/pb.22.3.132.

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This study reports on how 139 nursing and 42 medical staff in trauma units viewed psychiatric aspects of trauma, their training and the impact of their work upon them. Insufficient attention was paid in their units to the psychiatric aspects of trauma. There were important gaps in staff knowledge relating to the diagnosis and prevalence of post-traumatic stress disorder, and to the use of night sedation. Nearly all staff favoured providing information regarding post-traumatic psychiatric reactions for relatives, but nearly half had reservations about giving such information to patients. Job satisfaction was reported by most, but their emotional and training needs were generally not met.
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45

Whitfield, Alan. "An assessment of occupational noise exposure amongst bar staff employees working in night-clubs." International Journal of Environmental Health Research 8, no. 3 (September 1998): 191–202. http://dx.doi.org/10.1080/09603129873471.

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46

Lapik, S. V. "Insomnies of medical staff: theoretical aspects (literature review)." Medical Science And Education Of Ural 22, no. 1 (March 31, 2021): 141–45. http://dx.doi.org/10.36361/1814-8999-2021-22-1-141-145.

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More and more medical staff is involved in work in a continuous mode, and therefore the study of their health problems becomes more and more relevant and practically significant. In the article, we summarized domestic and foreign data of the problem of sleep disorders in employees with shift work, gave modern approaches to the classification and diagnosis of insomnia. We have described the adverse physiological effects of the daily and night schedule on the body of medical staff. Analyzing the literary sources, we came to the conclusion that the state of health and the violation of circadian rhythms due to the shift work schedule are directly related. To date, there is no undisputed curative and preventive doctrine of insomnia. Scheduling nursing staff according to circadian rhythms, maximizing schedule stability and adhering to a healthy lifestyle can minimize most of the problems caused by shift work.
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47

Hillman, Ken, and Sean Beehan. "Acute hospital medical staffing during the night shift." Australian Health Review 21, no. 4 (1998): 163. http://dx.doi.org/10.1071/ah980163.

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There has been little or no attempt to define the need for 24-hour medical cover, norits appropriateness in acute hospitals, despite the great cost implications and thequestion of the quality of that care. This study examined the medical activity duringthe ?night shift? in an acute hospital. There were an average of 2.59 calls per night,most from the emergency department (247/475) and general wards (108/475). Manycalls were related to active resuscitation (88/475) and immediate treatment (83/475).Over 40% (81/286) of patients had to be transferred to a higher level of care, suchas an intensive care unit within the hospital. By collecting data on the demands ofhealth care during what amounts to over a third of the hospital?s time, it wasestablished that a high level of medical care was required. Appropriate levels ofstaffing, using junior doctors trained in acute medicine, was able to be provided tomatch need as determined by these data, and extra staff at higher costs were avoided.
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48

Verdoorn, Jared T., Christopher H. Hunt, Marianne T. Luetmer, Christopher P. Wood, Laurence J. Eckel, Kara M. Schwartz, Felix E. Diehn, and David F. Kallmes. "Increasing Neuroradiology Exam Volumes On-Call Do Not Result in Increased Major Discrepancies in Primary Reads Performed by Residents." Open Neuroimaging Journal 8, no. 1 (December 31, 2014): 11–15. http://dx.doi.org/10.2174/1874440001408010011.

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Background and Purpose: A common perception is that increased on-call workload leads to increased resident mistakes. To test this, we evaluated whether increased imaging volume has led to increased errors by residents. Materials and Methods: A retrospective review was made of all overnight neuroradiology CT exams with a primary resident read from 2006-2010. All studies were over-read by staff neuroradiologists next morning. As the volume is higher on Friday through Sunday nights, weekend studies were examined separately. Discrepancies were classified as either minor or major. “Major” discrepancy was defined as a discrepancy that the staff radiologist felt was significant enough to potentially affect patient care, necessitating a corrected report and phone contact with the ordering physician and documentation. The total number of major discrepancies was recorded by quarter. In addition, the total number of neuroradiology CT studies read overnight on-call was noted. Results: The mean number of cases per night during the weekday increased from 3.0 in 2006 to 5.2 in 2010 (p<0.001). During the weekend, the mean number of cases per night increased from 5.4 in 2006 to 7.6 in 2010 (p<0.001). Despite this increase, the major discrepancy rate decreased from 2.7% in 2006 to 2.3% in 2010 (p=0.34). Conclusion: Despite an increase in neuroradiology exam volumes, there continues to be a low major discrepancy rate for primary resident interpretations. While continued surveillance of on-call volumes is crucial to the educational environment, concern of increased major errors should not be used as sole justification to limit autonomy.
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49

Wickenden, JVS, and D. Walsh. "Helping St George: the Royal Naval Medical Service at Zeebrugge, 22-23 April 1918." Journal of The Royal Naval Medical Service 104, no. 2 (2018): 131–38. http://dx.doi.org/10.1136/jrnms-104-131.

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AbstractOn the night of 22-23 April 1918, the Zeebrugge Raid, part of Operation Z.O., took place. This historical article gives some context to the raid and its purpose, studies the medical provision for and experience during the raid, and tells the stories of the medical staff involved.
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Niu, Shu-Fen, Hsin Chu, Min-Huey Chung, Chun-Chieh Lin, Yu-Shiun Chang, and Kuei-Ru Chou. "Sleep Quality in Nurses." Biological Research For Nursing 15, no. 3 (April 3, 2012): 273–79. http://dx.doi.org/10.1177/1099800412439459.

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The study investigated the number of days off nurses working night shifts need to recover their sleep quality to the level of daytime workers during their days off. This study included 30 day-shift nurses and 32 night-shift nurses. It was conducted as a randomized clinical trial in the medical and surgical wards of a medical center in northern Taiwan in May and June 2010 using sleep diaries and sleep parameters collected by actigraphy on different workdays and days off. On workdays, the night-shift group had significantly less total sleep time (TST) on Day 5 and significantly lower sleep efficiency (SE) on Day 3 than the day-shift group. TSTs of the two groups on days off were higher than those on workdays. On the 4th consecutive day off, higher TST, a decrease in WASO, and an increase in SE suggests that the night-shift group had recovered their sleep quality to the level of the day-shift group on their days off. The SE of the night-shift group exceeded that of the day-shift group after the 4th consecutive day off, though the difference was not statistically significant in the present study. Based on these data, it is recommended that night-shift workers arrange a period of at least 4 days off after 5 consecutive night shifts and at least 5 days off if the staff who have previously worked night shifts are being assigned a set of different shifts.
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