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1
Lin, Yu-Huei, Hsiu-Ju Jen, Yen-Kuang Lin, Jang-Dong Seo, and Wen-Pei Chang. "Cortisol Awakening Response and Stress in Female Nurses on Monthly Shift Rotations: A Longitudinal Study." BioMed Research International 2022 (September 15, 2022): 1–8. http://dx.doi.org/10.1155/2022/9506583.
Анотація:
The majority of shift nurses are female, there is still an expectation that they fulfil the traditional role of women in the family in Asia, often conflicting with shift work, increases stress, and affects cortisol secretion patterns. This study was to understand the changes in the cortisol awakening response (CAR) and work stress in nursing personnel working in different shifts. We recruited 41 female shift nurses. We administered the Taiwan Nurse Stress Checklist (NSC), and the nurses themselves collected saliva samples upon waking and 30 minutes after waking for three consecutive days at home. The saliva samples enabled us to analyze the increase in cortisol levels following waking (CARi) of nurses working different shifts (day, evening, and night). We then analyzed the data obtained using a hierarchical linear model (HLM). The results indicated that in terms of stress from the inability to complete personal tasks, the regression coefficients of night-shift nurses vs. day-shift nurses ( B = 4.39 , p < .001 ) and night-shift nurses vs. evening-shift nurses ( B = 3.95 , p < .001 ) were positive, which means that night-shift nurses were under significantly greater stress than day-shift and evening-shift nurses. With regard to CARi, the regression coefficients of night-shift nurses vs. day-shift nurses ( B = − 3.41 , p < .001 ) and night-shift nurses vs. evening-shift nurses ( B = − 2.92 , p < .01 ) were negative, which means that night-shift nurses have significantly lower CARi values than day-shift and evening-shift nurses. With regard to cortisol levels 30 minutes after waking, the regression coefficients of night-shift nurses vs. day-shift nurses ( B = − 3.88 , p < .01 ) and night-shift nurses vs. evening-shift nurses ( B = − 3.31 , p < .01 ) were negative, which means that night-shift nurses have significantly lower cortisol levels 30 minutes after waking than day-shift and evening-shift nurses. These results indicate that female night-shift nurses display the lowest CARi and cortisol levels 30 minutes after waking and are more negatively affected by being unable to complete personal tasks.
2
Imes, Christopher C., Sharon J. Tucker, Alison M. Trinkoff, Eileen R. Chasens, Sharon M. Weinstein, Jacqueline Dunbar-Jacob, Patricia A. Patrician, Nancy S. Redeker, and Carol M. Baldwin. "Wake-up Call." Nursing Administration Quarterly 47, no. 4 (October 2023): E38—E53. http://dx.doi.org/10.1097/naq.0000000000000595.
Анотація:
The purpose of this mini review is to (1) summarize the findings on the impact of night shift on nurses' health and wellness, patient and public safety, and implications on organizational costs and (2) provide strategies to promote night shift nurses' health and improve organizational costs. The night shift, compared with day shift, results in poorer physical and mental health through its adverse effects on sleep, circadian rhythms, and dietary and beverage consumption, along with impaired cognitive function that increases nurse errors. Nurse administrators and health care organizations have opportunities to improve nurse and patient safety on night shifts. Low-, moderate-, and higher-cost measures that promote night nurses' health and well-being can help mitigate these negative outcomes. The provided individual and organizational recommendations and innovations support night shift nurses' health, patient and public safety, and organizational success.
3
Prasetya, Fikki, Amalya Febriyani Siji, and Al Asyary Al Asyary. "Fatigue Through Sleep Time On Night Service Nurses At Kendari City Hospital." Al-Sihah: The Public Health Science Journal 13, no. 1 (June 30, 2021): 61. http://dx.doi.org/10.24252/al-sihah.v13i1.21538.
Анотація:
Sleep time is the sleep time needed by nurses as a fulfillment before doing the night shift and sleeping time during the night shift to optimize work productivity to minimize work fatigue. This study aims to determine the relationship between nurses' slept time before and during shifts, slept debt, and shift rotation with fatigue on night shift nurses in the Critical Room of the Kendari City General Hospital in 2020. An analytical survey was conducted with a cross-sectional study. The results showed that there was no relationship between sleep time before the night shift and work fatigue on the night watch nurse (p-value = 0.309), in contrast to sleep time during the night shift, it was found that there was a relationship with work fatigue on the night watch nurse (p-value = 0.003 ). It is recommended that hospital management make standard operating procedures that aim to regulate nurses' sleep time during the night shift to meet their needs and reduce fatigue levels.
4
James, Stephen Michael, and Lois James. "The Impact of 12 h Night Shifts on Nurses’ Driving Safety." Nursing Reports 13, no. 1 (March 8, 2023): 436–44. http://dx.doi.org/10.3390/nursrep13010040.
Анотація:
Aim: The purpose of this study was to determine the impact of 12 h day vs. 12 h night shift-accumulated fatigue on nurses’ driving safety. Background: Evidence across industries links work-related fatigue with errors, accidents, and adverse long-term health outcomes. Shifts of 12 h or longer are particularly problematic, and the potential risks to shift-worker driving safety during their post-shift commute home have yet to be fully explored. Methods: This study used a between-groups, repeated-measures non-randomized control trial. Forty-four nurses working 12 h day shifts and 49 nurses working 12 h night shifts were tested in a driving simulator on two separate occasions—once immediately following their third consecutive 12 h hospital shift and once on their third consecutive day (72 h) off work. Results: We found that night shift nurses had significantly greater lane deviation during the post-shift drive home compared to day shift nurses, which is a key indicator of collision risk, demonstrating impaired driving safety. Conclusions: Consecutive 12 h night shifts are an extremely popular shift for nurses working in the hospital setting, however they pose a significant driving safety risk to nurses assigned to night shifts. This study provides objective evidence of the impact of shift work-related fatigue on 12 h night shift nurse safety, allowing us to make recommendations that may help prevent injury or death from motor vehicle collisions.
5
Handayani, Putu Novi, Cokorde Istri Yuliandari Krisnawardani Kumbara, I. Gde Raka Widiana, and Ketut Tuti Parwati Merati. "HUBUNGAN SHIFT MALAM TERHADAP PENYAKIT REFLUKS GASTROESOFAGUS PADA PERAWAT DI RUMAH SAKIT UMUM PUSAT SANGLAH." E-Jurnal Medika Udayana 12, no. 1 (February 21, 2023): 79. http://dx.doi.org/10.24843/mu.2023.v12.i01.p14.
Анотація:
Gastroesophageal reflux disease is one of the most frequently diagnosed gastrointestinal diseases in the world with a prevalence that continues to increase every year. There are several studies state that night shifts can increase the risk of GERD. One group of workers who often undergo night shift rotation are nurses who work in hospitals. This study aims to determine the correlation between night shift work and gastroesophageal reflux disease among nurses. This study is an analytical study with a cross-sectional design. The data collection technique was carried out by purposive sampling by distributing questionnaires to 161 nurses on duty at Single Hospital which were divided into 85 Inpatient Installation nurses who worked night shifts and 76 Outpatient Nurses who worked morning shifts. This study found a significant correlation between night shift work and gastroesophageal reflux disease (p value = 0.013; Prevalence Ratio = 3; 95% Confidential Interval 1.18-7.84) by the chi square test. Furthermore, by the logistic regression analysis of night shift and GERD, the AOR (Adjusted Odd Ratio) was 3.61 with 95% CI (1.05-12.52) and other variable like age, gender, BMI and fast food consumption habits on GERD did not shown any significant result. There is a significant correlation between night shift work and gastroesophageal reflux disease. Nurses who undergo night shifts have a 3.61 times higher risk of experiencing GERD.
Keywords : Night Shift Work, Gastroesophageal Reflux Disease, Nurse
6
James, Lois, and Stephen James. "0180 The Impact of Fatigue on Patient Care and Risk of Post-Shift Driving Collisions among 12-Hour Day and Night Shift Nurses." SLEEP 46, Supplement_1 (May 1, 2023): A80. http://dx.doi.org/10.1093/sleep/zsad077.0180.
Анотація:
Abstract Introduction Evidence across industries links work-related fatigue with errors, accidents, and adverse long-term health outcomes. Within the healthcare profession, 12-hour day and night shifts have been widely adopted for nurses, despite concerns about fatigue from these shifts affecting nursing performance and safety. The purpose of this study was to determine the impact of 12-hour day-vs-night-shift-accumulated fatigue on patient care and driving safety. Methods This between-groups, repeated-measures quasi-experiment was conducted in the Washington State University (WSU) College of Nursing and Sleep and Performance Research Center. 44 nurses working 12-hour day shifts and 49 nurses working 12-hour night shifts were recruited from Providence Medical Center. Participants reported to WSU for testing on two separate occasions—once immediately following their 3rd consecutive 12-hour shift and once on their 3rd consecutive day (72 hours) off work. Nurses' sleep was monitored using wrist actigraphy, and were tested for patient care using LAERDAL medical simulation, and driving safety using an immersive driving simulator. Results We found that both day and night shift nurses were significantly more sleep restricted and subjectively sleepy following three consecutive shifts. Night shift nurses were significantly more impaired on patient care skills, in particular the communication domain, compared to day shift nurses (who were largely able to maintain performance across all tests). Furthermore, night shift participants had significantly greater lane deviation during the post shift drive home, a key indicator of collision risk, demonstrating impaired driving safety. Conclusion This study provides objective evidence of the impact of shift work-related fatigue on patient and nurse safety, allowing us to make concrete recommendations regarding safe shift-scheduling for day and nightshift nurses—information that may help keep nurses safer and improve patient care. Support (if any)
7
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.
Анотація:
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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Ratliff, Hannah C., Olga Yakusheva, Emily M. Boltey, Deanna J. Marriott, and Deena Kelly Costa. "Patterns of interactions among ICU interprofessional teams: A prospective patient-shift-level survey approach." PLOS ONE 19, no. 4 (April 16, 2024): e0298586. http://dx.doi.org/10.1371/journal.pone.0298586.
Анотація:
Background The Awakening, Breathing Coordination, Delirium monitoring and Early mobility bundle (ABCDE) is associated with lower mortality for intensive care unit (ICU) patients. However, efforts to improve ABCDE are variably successful, possibly due to lack of clarity about who are the team members interacting when caring for each patient, each shift. Lack of patient shift-level information regarding who is interacting with whom limits the ability to tailor interventions to the specific ICU team to improve ABCDE. Objective Determine the number and types of individuals (i.e., clinicians and family members) interacting in the care of mechanically ventilated (MV) patients, as reported by the patients’ assigned physician, nurse, and respiratory therapist (RT) each shift, using a network science lens. Methods We conducted a prospective, patient-shift-level survey in 2 medical ICUs. For each patient, we surveyed the assigned physician, nurse, and RT each day and night shift about who they interacted with when providing ABCDE for each patient-shift. We determined the number and types of interactions, reported by physicians, nurses, and RTs and day versus night shift. Results From 1558 surveys from 404 clinicians who cared for 169 patients over 166 shifts (65% response rate), clinicians reported interacting with 2.6 individuals each shift (physicians: 2.65, nurses: 3.33, RTs: 1.86); this was fewer on night shift compared to day shift (1.99 versus 3.02). Most frequent interactions were with the bedside nurse, attending, resident, intern, and RT; family member interactions were reported in less than 1 in 5 surveys (12.2% of physician surveys, 19.7% of nurse surveys, 4.9% of RT surveys). Interpretation Clinicians reported interacting with 3–4 clinicians each shift, and fewer on nights. Nurses interacted with the most clincians and family members. Interventions targeting shift-level teams, focusing on nurses and family members, may be a way to improve ABCDE delivery and ICU teamwork.
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Fallis, Wendy M., Diana E. McMillan, and Marie P. Edwards. "Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses." Critical Care Nurse 31, no. 2 (April 1, 2011): e1-e11. http://dx.doi.org/10.4037/ccn2011710.
Анотація:
BackgroundNurses working night shifts are at risk for sleep deprivation, which threatens patient and nurse safety. Little nursing research has addressed napping, an effective strategy to improve performance, reduce fatigue, and increase vigilance.ObjectiveTo explore nurses’ perceptions, experiences, barriers, and safety issues related to napping/not napping during night shift.MethodsA convenience sample of critical care nurses working night shift were interviewed to explore demographics, work schedule and environment, and napping/ not napping experiences, perceptions, and barriers. Transcripts were constantly compared, and categories and themes were identified.ResultsParticipants were 13 critical care nurses with an average of 17 years’ experience. Ten nurses napped regularly; 2 avoided napping because of sleep inertia. The need for and benefits of napping or not during night shift break were linked to patient and nurse safety. Ability to nap was affected by the demands of patient care and safety, staffing needs, and organizational and environmental factors.ConclusionsNurses identified personal health, safety, and patient care issues supporting the need for a restorative nap during night shift. Barriers to napping exist within the organization/work environment.
10
Li, Miqi, Ying Wang, Meichen Du, Hui Wang, Yanqun Liu, Brianna N. Richardson, and Jinbing Bai. "Working Hours Associated with the Quality of Nursing Care, Missed Nursing Care, and Nursing Practice Environment in China: A Multicenter Cross-Sectional Study." Journal of Nursing Management 2023 (November 6, 2023): 1–15. http://dx.doi.org/10.1155/2023/8863759.
Анотація:
Aim. The aim of the study was to examine the effect of the length of working hours on missed nursing care, quality of nursing care, and perceptions of the nursing practice environment. Methods. A multicenter cross-sectional investigation using online questionnaires was conducted from April 2 to May 10, 2022, in twenty nine hospitals (13 Level-III hospitals and 16 Level-II hospitals). We collected data on the working hours of nurses and nurse-reported outcomes, including missed nursing care, quality of nursing care, and nursing practice environment. Restricted cubic spline (RCS) regression models were used to examine relationships between the hours per shift and nurse-reported outcomes. Results. We investigated 12,703 nurses with a response rate of 97.33%. Nurses worked on average 7.72 (SD = 1.16) hours on the day shift and 8.92 (SD = 2.20) hours on the night shift, respectively. On the day shift, working 7.5 hours shift showed minimal missed nursing care; meanwhile, working 7–7.5 hours were correlated with the highest satisfaction of the nursing practice environment and better quality of nursing care. On the night shift, the highest missed nursing care was found for a working duration of 12 hours to the working 7 hours, with the lowest satisfaction while better quality was observed. The percentage of nurses who reported working overtime was 30.33%. Nurses who worked overtime reported lower satisfaction and poorer quality of nursing care on all shifts; moreover, working overtime showed the positive correlation to missed nursing care on the day shift, while on night shift was not statistically significant. Conclusion. Positive outcomes were observed for nurses who reported working 7–7.75 hours on the day shift and 12 hours (no more than 15 hours) on the night shift. Implications of Nursing Management. The results reemphasized the need for managers to reduce the working hours, overtime work, and the frequency of the night shift.
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Sorokin, G. A., N. D. Chistyakov, M. P. Chernysheva, and O. N. Сhalkina. "OCCUPATIONAL CIRCADIAN RHYTHM DISORDERS AND THE RISK OF COVID-19 IN MEDICAL WORKERS." Social Aspects of Population Health 68, no. 1 (2022): 2. http://dx.doi.org/10.21045/2071-5021-2022-68-1-2.
Анотація:
The issue of occupational circadian rhythm disorders and the risk of COVID-19 in medical workers is considered in the following three aspects: chronobiological (circadian rhythm disorders in shift work are a health risk factor), immunological (chronobiological vulnerability to viral infections in night shift work), medico-social (medical care providers working the night shift are a high-risk group). The purpose of the study was to analyze the effect of circadian rhythm disorders associated with night shift work among doctors and nurses on the risk of COVID-19. Material and methods. Four groups of employees of St. Petersburg medical organizations were examined: doctors and nurses working shifts and working the day shift only; infection with COVID-19; diseases detected during a medical examination of workers with and without COVID-19; indicators of the work regime (shift work, night shift work and work without night shifts, possibility to take a nap during the night shift, years in night shift); workload indicators (length of the working week, intensity and pace of labor actions, including the level of attention); degree and frequency of regular fatigue at work, the time the fatigue starts and ends. The workload was determined by the following indicator - the number of physiological standard hours per calendar week. Results. The relative risk of COVID-19 among doctors working the night shift is 1.51 times higher compared to doctors working the day shift only (RR=1.51; 1.22-0.87). Among nurses, the effect of the night shift on the risk of COVID-19 is lower compared to doctors (RR=1,06.2; 0.66-1.69). In nurses with moderate and severe fatigue working the night shift, the risk of COVID-19 is higher RR=1.43 (0.67-3.04) compared to nurses who are not tired or a little tired. The workload of doctors and nurses working the night shift equaled to 49.2 ± 0.7 standard hours; the workload of nurses added up to 49.8 ± 0.9 standard hours, while the workload of care providers working the day shift only equaled to 37.5 ± 0.6 and 39.1 ± 0.6 standard hours, respectively. Additional one hour of workload per week increases the risk of COVID-19 by 0.6% with night shifts and by 1.1% with day shifts only. The number of years in night shift from one to 9 years increases the risk of COVID-19. However, over nine years in night shift does not increase the risk. Lack or rare nap in night shift increases the relative risk of COVID-19 1.4 times in nurses and 1.2 times in doctors. With a total time of less than one hour between shifts, the relative risk increases 1.5 times in doctors and 1.7 times in nurses. The rate of gastrointestinal diseases among doctors with COVID-19 (11.4± 3.4%.) is higher compared to doctors without COVID-19 (6.1±3.5%). Conclusion. 1. The relative risk of COVID-19 among doctors working the night shift is 1.5 time higher compared to doctors working the day shift only (RR=1.51; 1.22-0.87). Among nurses, the night shift impact on the COVID-19 risk in lower (RR=1,06; 0.66-1.69). 2. In night shift, the COVID-19 risk is affected by circadian rhythm disorders and stress associated with high workload due to chronic fatigue. Additional one physiological standard hour of workload per week increases the COVID-19 risk by 0.6% ± 0.3%. 3. In doctors and nurses working the night shift, the COVID-19 risk increases over threefold with years in night shift from one to nine. After 9 years in night shift, the COVID-19 risk decreases. 4. The rate of gastrointestinal diseases among doctors with COVID-19 (11.4± 3.4%.) is higher compared to doctors without COVID-19 (6.1± 3.5%).
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Amiard, Valérie, Frédéric Telliez, Florine Pamart, and Jean-Pierre Libert. "Health, Occupational Stress, and Psychosocial Risk Factors in Night Shift Psychiatric Nurses: The Influence of an Unscheduled Night-Time Nap." International Journal of Environmental Research and Public Health 20, no. 1 (December 22, 2022): 158. http://dx.doi.org/10.3390/ijerph20010158.
Анотація:
Background: Occupational stress and shift work (including night shift work) are associated with physical and psychological health consequences in healthcare providers in general and those working in psychiatric establishments in particular. The aim of this study was to assess the impact of occupational risk factors and unscheduled night-time naps on self-reported health disorders among nurses working in a French psychiatric hospital. Methods: We performed a 12-month observational field study of experienced nurses working at Philippe Pinel Psychiatric Hospital (Amiens, France) between September 2018 and September 2019. A comparative descriptive study of two groups of nurses who filled out a questionnaire on health and occupational stress was performed: nurses working permanently on the night shift (the night shift group, who took unscheduled naps), and nurses rotating weekly between morning and afternoon shifts (the day shift group). Results: The night and day shift groups comprised 53 and 30 nurses, respectively. There were no intergroup differences in health disorders, sleep quality, occupational stress, and risk factor perception. Correlation analyses showed that in the day shift group, a low level of support from supervisors was associated with elevated levels of distress, anxiety, and gastrointestinal disorders. In the night shift group, a greater overall work load was associated with elevated levels of anxiety and distress. These findings indicated that the nurses on the night shift had adapted well to their working conditions. Conclusions: An organizational strategy including an unscheduled night-time nap might improve health among night shift nurses.
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Bueno, José Lino Oliveira, Milva Maria Figueiredo De Martino, and Taíza Helena Figueiredo. "Present Mood States in Brazilian Night Nurses." Psychological Reports 93, no. 2 (October 2003): 353–57. http://dx.doi.org/10.2466/pr0.2003.93.2.353.
Анотація:
Variations in the state of momentary emotions of Brazilian hospital nurses on day and night shifts were recorded. Ten graduate nurses working on day and night shifts in the clinical ward of hospitals completed the Present Mood States List of Engelmann at the beginning and end of the first and last days of each shift. Analysis indicated (a) nurses had a stable emotional profile, present at the working shift, and (b) variations in present mood states related to specific effects of shift work were observed when comparisons were made between the present mood states at the beginning and end of each shift duty.
14
Kang, Jiunn-Horng, Nae-Fang Miao, Ing-Jy Tseng, Trevor Sithole, and Min-Huey Chung. "Circadian Activity Rhythms and Sleep in Nurses Working Fixed 8-hr Shifts." Biological Research For Nursing 17, no. 3 (October 20, 2014): 348–55. http://dx.doi.org/10.1177/1099800414549454.
Анотація:
Shift work is associated with adverse health outcomes. The aim of this study was to explore the effects of shift work on circadian activity rhythms (CARs) and objective and subjective sleep quality in nurses. Female day-shift ( n = 16), evening-shift ( n = 6), and night-shift ( n = 13) nurses wore a wrist actigraph to monitor the activity. We used cosinor analysis and time–frequency analysis to study CARs. Night-shift nurses exhibited the lowest values of circadian rhythm amplitude, acrophase, autocorrelation, and mean of the circadian relative power (CRP), whereas evening-shift workers exhibited the greatest standard deviation of the CRP among the three shift groups. That is, night-shift nurses had less robust CARs and evening-shift nurses had greater variations in CARs compared with nurses who worked other shifts. Our results highlight the importance of assessing CARs to prevent the adverse effects of shift work on nurses’ health.
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Oțelea, Marina Ruxandra, Anca Streinu-Cercel, Daniela Manolache, Andreea Mutu, Lavinia Călugăreanu, Dana Mateș, and Oana Săndulescu. "The “ECG modifications induced by the disturbance of the circadian rhythm in night-shift workers (ECGNoct)” study protocol." Romanian Journal of Occupational Medicine 70, no. 1 (December 1, 2019): 12–19. http://dx.doi.org/10.2478/rjom-2019-0002.
Анотація:
Abstract In many large cohort studies, the night shift constitutes a risk factor for developing cardiovascular disease and diabetes in workers. Current screening tests for people working in night shift include fasting glycaemia and electrocardiography. In fact, there are few studies focused on the description of the electrocardiographic changes after the night shift. This article describes the protocol of the “ECG modifications induced by the disturbance of the circadian rhythm in night-shift workers (ECGNoct)” study, which was initiated by the National Institute for Infectious Diseases “Prof. Dr. Matei Balș”. Nurses represent the target population. The protocol includes a full medical and occupational history, lifestyle habits (smoking, alcohol, nutrition), anthropometric and blood pressure measurements, blood tests (fasting glycemia, total cholesterol, triglycerides and high density lipoprotein cholesterol) and electrocardiogram recording. For nurses working in (night) shifts, we will record the electrocardiogram before and soon after the night shift. A cross sectional study will analyze the incidence of the metabolic syndrome criteria, the cardio-metabolic diseases and the electrocardiographic modifications and will compare the results between the group of nurses working and the group of nurse who do not. Based on these results, a longitudinal study will test the hypothesis that night shift increases the risk for cardio-metabolic diseases and that the electrocardiographic modifications precede the clinical symptoms. The results of the study will provide data on the association of night shifts and other non-occupational risk factors with the cardio-metabolic diseases in this specific population of healthcare workers that potentially will integrate into the occupational medicine policies.
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Kang, Hyeonjin, Miyoung Lee, and Sun Joo Jang. "The Impact of Social Jetlag on Sleep Quality among Nurses: A Cross-Sectional Survey." International Journal of Environmental Research and Public Health 18, no. 1 (December 23, 2020): 47. http://dx.doi.org/10.3390/ijerph18010047.
Анотація:
Social jetlag (SJL) refers to an asynchrony between one’s chronotype and social working hours, which can be detrimental to health. The current SJL situation in shift nurses who work in dysregulation is poorly understood. Therefore, this study aimed to investigate SJL during night shifts and identify the predictors of sleep quality in rotating shift nurses. A cross-sectional study was conducted in 2018 on a sample of 132 shift-working nurses from two general hospitals in South Korea (the response rate was 88.8%). The SJL was measured with the Munich Chronotype Questionnaire, and sleep quality was measured with the Pittsburgh Sleep Quality Index and the Verran and Snyder–Halpern Sleep Scale. Data analysis was mainly based on a multiple regression, to identify SJL’s influence on nurses’ sleep quality. The average SJL during night shifts was 2 h and 3 min, and the average sleep duration during night shifts was 6 h 10 min. Multiple regression analysis revealed that SJL, day-shift fatigue, and sleep quality during night shifts affected nurses’ sleep quality. These variables accounted for 24.7% of the variance in overall sleep quality. The study concluded that overall sleep quality can increase with decreasing day-shift fatigue, decreasing SJL, and increasing sleep quality on night shifts.
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Zhang, Yuan, Audra Murphy, Heidi Lammers van der Holst, Laura Barger, Neha Swaminathan, Catherine Granfield, Arturo Arrona Palacios, and Jeanne Duffy. "0335 Sleep patterns and experiences in older night shift nurses." Sleep 45, Supplement_1 (May 25, 2022): A151. http://dx.doi.org/10.1093/sleep/zsac079.333.
Анотація:
Abstract Introduction Working at night can lead to misalignment between the timing of the biological clock and the work/sleep schedule, resulting in sleepiness, inattention, and impaired performance during the night shift and poor quality, shortened sleep during the day. These adverse effects are reported to be worse in older workers due to their decreased ability to sleep during the daytime. Although numerous quantitative studies have examined these associations, there are few qualitative studies to describe the sleep patterns and experiences from older night workers’ perspectives. Methods Four virtual focus groups were conducted with 12 nurses aged 50-65, working regular 8-hr night shifts, to learn about their sleep patterns and experiences, and factors affecting their sleep and non-sleep activities before, between, and after consecutive night shifts. Two facilitators and two research assistants reviewed and coded the focus group transcripts for consistent themes among participants. Results Eight common themes were identified: (1) sleep patterns are self-selected based on family and childcare responsibilities; (2) sleep timing switches between nights and days from before- to between- to after-consecutive night shifts; (3) frequent extended (24+ h) wake before and after consecutive night shifts; (4) difficulty maintaining long and sound sleep during daytime; (5) family, social, health, and environmental disturbances interrupt daytime sleep; (6) more satisfaction with sleep quantity and quality in participants with split sleep than those with one episode; (7) sleep is considered less important compared to childcare, family, and social activities; (8) better on-shift alertness and performance when the main sleep episode or a nap immediately precedes night shift. Conclusion Sleep patterns and experiences reported by older night shift nurses are helpful in understanding their priorities and challenges to obtaining adequate sleep. This information is critical for the future design and implementation of feasible and acceptable interventions to improve sleep in this occupational group. Support (If Any) This study was supported by NIH grant R01 AG044416.
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Gustavsson, Per, Carolina Bigert, Theo Bodin, Jenny Selander, Mikko Härmä, Annika Lindahl-Norberg, Tomas Andersson, Annika Gustavsson, and Maria Albin. "O4E.3 Utility of routinely recorded data on working hours for an epidemiological cohort study of 60,000 swedish health care employees." Occupational and Environmental Medicine 76, Suppl 1 (April 2019): A40.1—A40. http://dx.doi.org/10.1136/oem-2019-epi.108.
Анотація:
Night and shift work is common in industry and service that must be functional 24 hour. Night work disrupts the circadian rhythm, and is potentially linked to an excess of cancer (especially breast cancer), cardiovascular disease, pregnancy complications, as well as to psychical effects. Large studies with detailed and objectively collected data on working hours are needed to confirm causal associations and develop practical advice on how shift schedules should be planned in order to minimize negative health effects.Stockholm County Council employs a high number of health care workers of which many are working in shifts. We have formed a cohort of those employed from 2008 to 2016, 45 000 women and 15 000 men. The computerized employment register holds individual records on working hours day by day in retrospect since 2008, and information on night work since year 2000. Information on cancer incidence, hospital discharge diagnoses of cardiovascular disease, pregnancy outcome, and causes of sick-leave have been obtained from national central registers.There were typically three work shifts: morning shifts (07–15), afternoon shifts (14–21), and night shifts (21–07). Non shift-workers typically worked (08–17). So far, we have investigated work shift patterns for those with a high percentage of night work: nurses, assistant nurses and midwives. Among these, 22% worked at least one night per month, and 15% worked at least 5 nights per month in 2009, which increased slightly to 23% and 16% respectively in 2016. It was common to work several nights in a row: in 2009 13.8% worked at least 3 consecutive nights or more per month, which increased to 15.5% in 2016. Only 0.6% worked 5 consecutive nights or more per month.Analyses of cancer, pregnancy outcome, cardiovascular disease and psychical outcomes are planned for 2019.
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Rotter, Markus, Stefan Brandmaier, Marcela Covic, Katarzyna Burek, Johannes Hertel, Martina Troll, Erik Bader, et al. "Night Shift Work Affects Urine Metabolite Profiles of Nurses with Early Chronotype." Metabolites 8, no. 3 (August 21, 2018): 45. http://dx.doi.org/10.3390/metabo8030045.
Анотація:
Night shift work can have a serious impact on health. Here, we assess whether and how night shift work influences the metabolite profiles, specifically with respect to different chronotype classes. We have recruited 100 women including 68 nurses working both, day shift and night shifts for up to 5 consecutive days and collected 3640 spontaneous urine samples. About 424 waking-up urine samples were measured using a targeted metabolomics approach. To account for urine dilution, we applied three methods to normalize the metabolite values: creatinine-, osmolality- and regression-based normalization. Based on linear mixed effect models, we found 31 metabolites significantly (false discovery rate <0.05) affected in nurses working in night shifts. One metabolite, acylcarnitine C10:2, was consistently identified with all three normalization methods. We further observed 11 and 4 metabolites significantly associated with night shift in early and late chronotype classes, respectively. Increased levels of medium- and long chain acylcarnitines indicate a strong impairment of the fatty acid oxidation. Our results show that night shift work influences acylcarnitines and BCAAs, particularly in nurses in the early chronotype class. Women with intermediate and late chronotypes appear to be less affected by night shift work.
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Okechukwu, Chidiebere Emmanuel, Corrado Colaprico, Sofia Di Mario, Agbonvihele Gregrey Oko-oboh, David Shaholli, Maria Vittoria Manai, and Giuseppe La Torre. "The Relationship between Working Night Shifts and Depression among Nurses: A Systematic Review and Meta-Analysis." Healthcare 11, no. 7 (March 24, 2023): 937. http://dx.doi.org/10.3390/healthcare11070937.
Анотація:
Background: For many years, occupational physicians have debated whether there is a link between working the night shift and depression and other co-occurring mental health issues, with an emphasis on work-related, biological, individual, and environmental factors. We performed this systematic review and meta-analysis to estimate the overall association between sleep deprivation and depression among nurses working night shifts. Methods: A systematic search was carried out across the electronic databases PubMed, Scopus, and Web of Science from inception to 30 September 2022, for studies that reported a relationship between estimated night shift work and depression in nurses. The outcomes were measured using the odds ratio (OR) and matching 95% confidence interval (CI). The I2 statistic was used to assess heterogeneity. The Grading of Recommendations Assessment, Development and Evaluation technique was used to evaluate the quality of the evidence, and the Newcastle–Ottawa Scale was utilized to assess the methodological quality of each of the included studies. We determined the overall relationship between working nights and the onset of depression. Results: A total of 20 studies were included in the systematic review. Furthermore, 8 studies were included in the meta-analysis due to their common use of the OR as an effect measure. The 8 studies gave an overall estimate indicating a statistically significant association between night shift work and depression among nurses (OR = 1.49 95% CI: 1.26, 1.76). The prediction interval for the overall estimate was (0.995, 2.231). This implies that the true OR in a future study would most likely fall within this range, with a 95% certainty. Conclusions: The outcome of this systematic review and meta-analysis showed a significant association between night shift work, the circadian and sleep disruption it causes, and the risk of depression in nurses. This demonstrates that nurses who work night shifts are at risk of developing depression.
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Razavi, Pedram, and Eva S. Schernhammer. "Differential effects of light at night and shift rotation pattern on the circadian system in night workers." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): 1556. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.1556.
Анотація:
1556 Background: Light at night as in shift work suppresses nocturnal secretion of melatonin, a pineal hormone with oncostatic properties. Several studies have associated night shift work with higher risk of cancer, leading WHO in 2007 to classify rotating night shift work as “probably carcinogenic”. We conducted one of the most comprehensive studies, to date, to evaluate the effects of light and night shift work on melatonin measurements in the field. Methods: Study participants were 130 active nurses (84 current rotating night shift workers and 46 day shift workers) participating in NHS2. Each nurse wore a head-mounted light- and accelerometer for a 3-day study period, during which each spontaneous urine was collected for repeated urinary 6-sulfatoxymelatonin (melatonin) measurements. In addition, nurses were asked to fill out paper questionnaires and diaries. We used mixed models to evaluate the influence of light, activity and night shift work on urinary melatonin level adjusting, for age, lifestyle, and occupational history. We log-transformed main variables and report geometric means (GM [standard deviation]). Results: Greater levels of light were associated with lower melatonin (P < 0.0001), independent of activity level. An increase in light intensity from 10 to 100 lux was associated with a 12% decrease in geometric mean of melatonin level; however, this inverse association was only significant at night (Ptrend = 0.01). At night, each hour increase in exposure to ≥ 20 lux light lowered melatonin level by 5.7% (Ptrend < 0.0001). A single night shift affected the circadian system by lowering melatonin peak by 22% (day shift: GM = 17.57 [2.73]; night shift: GM = 13.64 [2.54]) and induced a phase shift (PS) of 0.9 hours, -changes that reset to normal by the next day. Two consecutive night shifts had a similar effect as a single shift. However, the effect was worse after three consecutive night shifts (GM = 10.11 [2.77]; PS = 2.2 hours). Conclusions: We found significant inverse associations of intensity and duration of exposure to light at night with urinary melatonin, independent of activity level. Three consecutive night shifts affected the circadian system more strongly than two consecutive, or a single night shift.
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Chang, Mei-Yu, Chin-Ho Tseng, and Ya-Ling Chiou. "The Plasma Concentration of Copper and Prevalence of Depression Were Positively Correlated in Shift Nurses." Biological Research For Nursing 16, no. 2 (March 3, 2013): 175–81. http://dx.doi.org/10.1177/1099800413479156.
Анотація:
Several studies have reported the prevalence of depression in shift nurses to be 15%, and in some cases it may even be as high as 23%. Depression is a major cause of poor sleep quality and can impede efforts to overcome the chronic fatigue that commonly affects shift nurses. Adverse mental health issues have been confirmed in shift nurses, but few studies have investigated the underlying cause of poor mental health in different shift-nurse populations. Therefore, the aim of this study was to investigate the relationship of serum trace element levels to mental health and the tendency toward depression in shift nurses. We collected blood samples from 90 shift nurses (day, evening, and night shift) who worked in intensive care units and asked them to complete a general data questionnaire as well as the Chinese version of the Beck Depression Inventory, second edition. The night-shift nurses showed mild-to-moderate depression levels, which were significantly higher than those of the control group and other shift nurses. Night-shift nurses also had higher levels of plasma copper, ferritin, interleukin (IL)-6, and alanine aminotransferase ( p < .05) than the control group and other nurses. Elevated concentrations of ferritin and IL-6 are considered important markers for the onset of depression. The results of this study suggest that plasma copper concentrations in nurses should be monitored.
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Han, Kihye, Heejeong Hwang, Eunyoung Lim, Mirang Jung, Jihye Lee, Eunyoung Lim, Sunhee Lee, Yeon-Hee Kim, Smi Choi-Kwon, and Hyang Baek. "Scheduled Naps Improve Drowsiness and Quality of Nursing Care among 12-Hour Shift Nurses." International Journal of Environmental Research and Public Health 18, no. 3 (January 20, 2021): 891. http://dx.doi.org/10.3390/ijerph18030891.
Анотація:
Scheduled naps in the workplace are an effective countermeasure to drowsiness in safety-sensitive industries. This quasi-experimental study with a one-group, pre- and post-test design aimed to examine the effects of scheduled naps on nurses working 12-h shifts. Nurses in two pediatric intensive care units at a tertiary hospital were provided 30-min scheduled nap opportunities during their shifts. A total of 38 nurses completed pre- and post-test work diaries for sleepiness, fatigue, work demands and pace, and quality of nursing care at the end of each shift. The drowsiness of 13 nurses was continuously assessed during their shifts using infrared reflectance oculography. Nurses who reached naps reported improved levels of fatigue on the first night shift and better quality of nursing care the second night and day shifts post-test, while nurses who did not reach naps showed no significant improvements. The oculography successfully assessed drowsiness during 73% and 61% of the pre- and post-test total work hours, respectively. The total cautionary and cautionary or higher levels of drowsiness decreased. Nurse managers should consider scheduled naps in clinical settings to improve nurses’ alertness during their shifts.
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Bates, Amanda, Danya Husein, Emily Feldman, Danica Slavish, Daniel Taylor, Kimberly Kelly, Camilo Ruggero, Jessica Dietch, Brett Messman, and Marian Kohut. "0348 The Mediating Role of Sleep Duration in the Link Between Night Shift Work and Inflammation in Nurses." SLEEP 47, Supplement_1 (April 20, 2024): A149. http://dx.doi.org/10.1093/sleep/zsae067.0348.
Анотація:
Abstract Introduction Identifying risk factors and mechanisms involved in heightened inflammation is critical for developing targeted interventions. Night shift work is a well-established factor contributing to disrupted and insufficient sleep, which is linked to heightened inflammation. This study aimed to assess the impact of night shift frequency and sleep duration on inflammatory biomarkers in a sample of nurses. Methods As part of a larger longitudinal study, 392 nurses (mean age = 39.54 years, 92% female; 23% night shift-working) completed daily sleep diaries and wore an actigraphy watch for 7 days. On day 7, nurses had blood drawn to measure inflammatory markers, including C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-α), and interleukin-1 beta (IL-1β). Mediation analyses were conducted to examine the mediating role of sleep duration on the links between night shifts worked in the past 7 days and inflammatory markers on day 7. Results Sleep duration did not mediate the effect of night shift work on inflammatory biomarkers. However, there were several significant direct effects. More night shifts worked was associated with lower actigraphy-measured sleep duration (b = -0.16, p < 0.001) and greater IL-6 (b = 0.03, p = 0.002). Similarly, more night shifts worked (b = 0.03, p = 0.003) and lower self-reported sleep time (b = -0.19, p < 0.001) were independently linked to greater IL-6. Fewer night shifts worked (b = -0.05, p = 0.02) and lower self-reported sleep duration (b = -0.19, p < 0.001) were associated with higher IL-1β. Conclusion Given the critical role that nurses play in the healthcare system, it is important to understand the potentially modifiable factors impacting their health and well-being. This study demonstrated that short sleep duration may explain how night shift work impacts physiological dysregulation in nurses, including elevated systemic inflammation. Promoting adequate sleep opportunity in shift workers may be a way to improve their long-term health outcomes, although additional future experimental work on this topic is needed. Support (if any) NIAID 1R01AI128359 (PIs: Taylor & Kelly)
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Koj Yaring and Shweta Madhwal. "The Effect of Night Shifts on Nurses' Health and Well-Being in Itanagar, Arunachal Pradesh." Journal of Advanced Zoology 44, no. 3 (November 9, 2023): 1201–6. http://dx.doi.org/10.17762/jaz.v44i3.1670.
Анотація:
Objective: The objective of this study was to analyze the effect of night shift work on nurses’ health and well-being. Methods: 100 nurses in all were chosen at random from various hospital located in Itanagar. Data was collected from night shift working nurses by self-administered questionnaire through personal interview method. Data was used to gather information on socio- demographic, anthropometric measurements, professional, physical activity, food habits and intakes were collected. To study the detrimental impact of night shift employment on the health and wellbeing descriptive frequency and correlation were used. Results: One hundred nurses in all, the majority of them had one or more health issues, digestive problems includes- disturbed appetite (60%), heartburn or stomach-ache (71%), feeling nausea/ dizziness (75%), difficulty in digestion (72%) and suffer from constipation (52%). Cardiovascular problems of the respondents it was found that out of 100 respondents (16%) workers reported that they are on their high blood pressure or cardiac problems and chronic chest disorder (6%) followed by (45%) workers were low blood pressure. About 23% of nurses regularly skip meals, followed by 52% of nurses who did so once or twice, and the majority of nurses did not eat at set times. The results showed that 72% of nurses often ate fast food; only 8% of nurses took home-cooked meals with them for dinner. During night shifts, chips, cookies, sweets, and were the most popular munchies. Conclusion: This study demonstrated that nurses working nights have bad eating habits that cause their diets to be unbalanced. They eat less nutrient-dense foods but a greater number of meals that are rich in calories. They also rarely engage in any sort of exercise outdoors from what they do for a living and frequently prefer to eat snacks rather than full meals. The hospital's nurses need to get nutritional hygiene counseling, and night shift food service needs to be enhanced.
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Vangelova, K., I. Dimitrova, I. Cekova, and R. Stoyanova. "Shift Work and Occupational Stress in Hospital Nurses in Sofia." Acta Medica Bulgarica 48, no. 1 (April 1, 2021): 81–87. http://dx.doi.org/10.2478/amb-2021-0013.
Анотація:
Abstract Prevalence of shift work and occupational stress is one of the highest in nursing compared to other sectors. For years Bulgaria is facing nurses’ shortage, which contributes to their long working hours. The aim of the study was to follow the working time arrangements, stressors and health symptoms in hospital nurses in Sofia. Methods: The study is cross-sectional and comprised 1292 female nurses of average age 50.0 ± 10.2 years from 19 hospitals in Sofia. The anonymous questionnaire was filled, including demographic information, working hours and shift system, with special attention to night work and long working hours, stress and health symptoms. Statistical analysis was carried using SPSS. Results: The shift work, night work, including 5 and more night shifts per month and the extended shifts were common among the studied nurses with the greatest deal of the emergency and intensive care unit nurses, followed by department nurses. The high rates of overtime and second job contributed to long working hours of 51-60 hours per week in 16.9 % of the nurses and > 61 hours in 11.1 %. About 90 % of the nurses felt under strain and experienced emotional dissonance while working with patients. Work-related stress, night work and long working hours were related to self-rated emotional and physical exhaustion and poor health. Discussion: The work-related stress, night work and the long working hours raise health concerns for occupational health of hospital nurses. Urgent preventive measures are needed to control stress and reduce working hours and night work.
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Mayes, Pamela, and Darlene Schott-Baer. "Professional Development for Night Shift Nurses." Journal of Continuing Education in Nursing 41, no. 1 (January 1, 2010): 17–22. http://dx.doi.org/10.3928/00220124-20091222-05.
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Slavish, Danica, Jessica Dietch, Heidi Kane, Joshua Wiley, Yang Yap, Kimberly Kelly, Camilo Ruggero, and Daniel Taylor. "Daily Stress and Sleep Associations Vary by Work Schedule: A Between- and Within-Person Analysis in Nurses." Innovation in Aging 5, Supplement_1 (December 1, 2021): 113. http://dx.doi.org/10.1093/geroni/igab046.433.
Анотація:
Abstract Nurses experience poor sleep and high stress due to demanding work environments. Night shift work may exacerbate stress-sleep associations. We examined bidirectional associations between daily stress and sleep, and moderation by shift worker status and daily work schedule. 392 nurses (92% female, mean age = 39.54) completed 14 days of sleep diaries and actigraphy, plus daily assessments of stress and work schedule upon awakening. Nurses were classified as recent night shift workers if they worked 1+ night during the past 14 days. Greater daily stress predicted shorter diary sleep duration and lower diary sleep efficiency. Shorter diary and actigraphy sleep duration and lower diary sleep efficiency predicted higher next-day stress. Compared to recent night workers, day workers had higher stress after nights with shorter sleep. Associations did not vary by daily work schedule. Sleep disturbances and stress may unfold in a toxic cycle and are prime intervention targets among nurses.
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Fusz, Katalin, Ákos Tóth, Noémi Fullér, Ágnes Müller, and András Oláh. "Váltott műszakban dolgozó ápolók alvásminőségének vizsgálata a magyar nyelvre adaptált Bergen Shift Work Sleep Questionnaire alkalmazásával." Orvosi Hetilap 156, no. 49 (December 2015): 2003–8. http://dx.doi.org/10.1556/650.2015.30311.
Анотація:
Introduction: Sleep disorders among shift workers are common problems due to the disturbed circadian rhythm. The Bergen Shift Work Sleep Questionnaire assesses discrete sleep problems related to work shifts (day, evening and night shifts) and rest days. Aim: The aim of the study was to develop the Hungarian version of this questionnaire and to compare the sleep quality of nurses in different work schedules. Method: 326 nurses working in shifts filled in the questionnaire. The authors made convergent and discriminant validation of the questionnaire with the Athens Insomnia Scale and the Perceived Stress Questionnaire. Results: The questionnaire based on psychometric characteristics was suitable to assess sleep disorders associated with shift work in a Hungarian sample. The frequency of discrete symptoms significantly (p<0.001) differed with the shifts. Nurses experienced the worst sleep quality and daytime fatigue after the night shift. Nurses working in irregular shift system had worse sleep quality than nurses working in regular and flexible shift system (p<0.001). Conclusions: The sleep disorder of nurses working in shifts should be assessed with the Hungarian version of the Bergen Shift Work Sleep Questionnaire on a nationally representative sample, and the least burdensome shift system could be established. Orv. Hetil., 2015, 156(49), 2003–2009.
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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.
Анотація:
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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., Ahsan, and Humaera Hafi D. "STRES KERJA SHIFT MALAM DAN KINERJA PERAWAT PELAKSANA DI RUANG RAWAT INAP." Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) 1, no. 2 (March 5, 2017): 93. http://dx.doi.org/10.32419/jppni.v1i2.18.
Анотація:
ABSTRAKTujuan penelitian: Tujuan penelitian ini ialah mengetahui adanya hubungan antara stres kerja shiftmalam dan kinerja perawat pelaksana di ruang rawat inap Rumah Sakit Wava Husada Kepanjen,Kabupaten Malang. Metode: Desain penelitian ini ialah penelitian korelasional dengan sampel30 perawat yang bekerja di ruang rawat inap RS Wava Husada tahun 2014, menggunakan teknikpurpose sampling. Hasil data dianalisis dengan uji statistik, yaitu Fisher probability exact test. Hasil:Sebagian besar perawat shift malam berada pada klasifi kasi stres ringan, yaitu 16 perawat atausebanyak 53,3 persen. Sebagian besar berada pada klasifi kasi baik (23 perawat atau sebanyak76,7 persen). Diskusi: Petugas kesehatan disarankan untuk mengetahui efek stres kerja terhadapkinerja perawat sebagai upaya untuk meningkatkan kinerja perawat. Simpulan: Ada hubunganantara stres kerja shift malam dan kinerja perawat pelaksana.Kata Kunci : kinerja, shift malam, stres kerja.ABSTRACTObjective: This study is aimed at identifying the correlation between stress due to night-shift workand nurse performance in providing nursing care at inpatient wards of Wava Husada Hospital,Kepanjen, Malang Regency. Methods: This study employed correlational design with a sample sizeof 30 nurses working at inpatient wards of Wava Husada Hospital in 2014 and taken using purposesampling. Data were analyzed with using Fisher probability exact test. Results: This study indicatedthat 16 nurses (53.3%) working the night-shift were low level of stress. Most of nurses (23 nurses or76.7%) were in the category of good. Discuss: It is recommended that healthcare workers knowthe effects of work-related stress on nurse performance in order to increase nurse performance.Conclusion: It can be concluded that there is a correlation between stress due to night-shift workand nurse performance.Keywords: performance, night-shift, work-related stress.
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Weaver, Susan H., and Theresa A. Wurmser. "A Wake-Up Call to Address Nurse Fatigue." JONA: The Journal of Nursing Administration 54, no. 5 (May 2024): 258–59. http://dx.doi.org/10.1097/nna.0000000000001421.
Анотація:
Research exploring differences in fatigue and sleep quality between day- and night-shift nurses highlights the urgent need for action to mitigate nurse fatigue. Nurses need to prioritize their sleep, and nurse leaders must take proactive measures such as providing education for all doing shiftwork, ensuring completion of job requirements during the shift, and creating a culture where nurses take their scheduled breaks.
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Liu, Yuping, Bo Zhang, Rong Li, Yingtao Meng, and Zengfen Pang. "Study on the Changes of Intestinal Microflora Structure in Long-Term Night Shift Nurses." Evidence-Based Complementary and Alternative Medicine 2022 (August 17, 2022): 1–6. http://dx.doi.org/10.1155/2022/5248288.
Анотація:
Objective. To investigate the influence of long-term night shift nurses on the composition. Methods. The feces of 30 night shift nurses (test group) and 30 day shift nurses (control group) over 1 year were collected, and double-end sequencing based on bacterial 16S rDNA V3 + V4 and fungal 18S rDNA V3 + V4 was used to determine the differences by OTU clustering, diversity, flora abundance, and differential analysis. The results of 60 samples were sequenced for a total of 3, 052. There were 418 high-quality sequences, each sample produced an average of 50, 874 high-quality sequences. The OTU cluster analysis revealed that the number of OTUs was 365. The number of day-shift shift OTUs was 362. There was no significant difference ( p < 0.05 ). There was no significant statistical difference in the Chao, Ace, Shan’non, and Simpson index between the 2 groups ( P > 0.05 ). Differential analysis of gut microflora between 2 groups showed that at the phylum level, the relative abundance of firmicutes in long-term night shift nurses was higher than in day shift nurses. However, the relative abundance of bacteroidetes was lower than that of white shift nurses (all p < 0.05 ). At the genus level, long-term night shift nurses’ Bacteroides, Faecacterium, and Bifidobacterial were lower than that of white shift nurses ( p < 0.05 ). However, the relative abundance of Prevotella and Megomonas was higher than that of white shift nurses (all p < 0.05 ). Conclusion. There are differences between night shift nurses, which lead to a decrease in intestinal probiotic flora and increased conditional pathogenic flora. Nursing managers should improve the intestinal flora change of night shift nurses through reasonable scheduling and dietary regulation.
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Papantoniou, Kyriaki, Jennifer Massa, Elizabeth Devore, Kassandra L. Munger, Tanuja Chitnis, Alberto Ascherio, and Eva S. Schernhammer. "Rotating night shift work and risk of multiple sclerosis in the Nurses’ Health Studies." Occupational and Environmental Medicine 76, no. 10 (August 12, 2019): 733–38. http://dx.doi.org/10.1136/oemed-2019-106016.
Анотація:
ObjectivesNight shift work has been suggested as a possible risk factor for multiple sclerosis (MS). The objective of the present analysis was to prospectively evaluate the association of rotating night shift work history and MS risk in two female cohorts, the Nurses’ Health Study (NHS) and NHSII.MethodsA total of 83 992 (NHS) and 114 427 (NHSII) women were included in this analysis. We documented 579 (109 in NHS and 470 in NHSII) incident physician-confirmed MS cases (moderate and definite diagnosis), including 407 definite MS cases. The history (cumulative years) of rotating night shifts (≥3 nights/month) was assessed at baseline and updated throughout follow-up. Cox proportional hazards models were used to estimate HRs and 95% CIs for the association between rotating night shift work and MS risk adjusting for potential confounders.ResultsWe observed no association between history of rotating night shift work and MS risk in NHS (1–9 years: HR 1.03, 95% CI 0.69 to 1.54; 10+ years: 1.15, 0.62 to 2.15) and NHSII (1–9 years: HR 0.90, 95% CI 0.74 to 1.09; 10+ years: 1.03, 0.72 to 1.49). In NHSII, rotating night shift work history of 20+ years was significantly associated with MS risk, when restricting to definite MS cases (1–9 years: HR 0.88, 95% CI 0.70 to 1.11; 10–19 years: 0.98, 0.62 to 1.55; 20+ years: 2.62, 1.06 to 6.46).ConclusionsOverall, we found no association between rotating night shift work history and MS risk in these two large cohorts of nurses. In NHSII, shift work history of 20 or more years was associated with an increased risk of definite MS diagnosis.
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Nagy, Samantha, Katelyn Hackworth, Nicole Lopez, and Daniel Taylor. "0349 Differences in Sleep on Working and off Days in Shift Working Nurses." SLEEP 47, Supplement_1 (April 20, 2024): A149—A150. http://dx.doi.org/10.1093/sleep/zsae067.0349.
Анотація:
Abstract Introduction Sleep deficiencies are common in nurses, with up to 89% of nurses working some form of shiftwork (i.e., working before 6am and/or after 9pm). It is estimated that approximately 34% of nurses report insomnia disorder and 14% report shift work sleep disorder. Nurses face unique physical, psychological, and occupational demands that disrupt their sleep quality and duration and may conflict with their natural circadian rhythm. Methods Nurses (N = 26, 88% female, 80% white, mean age = 36.16 years, SD = 8.56) were asked to wear an Actiwatch to measure objective sleep parameters, a daily adhesive sweat collection patch, provide two blood samples (at Day 1 and Day 7), and report daily subjective sleep parameters (total sleep time, sleep onset latency, wake after sleep onset, and sleep efficiency) via the Consensus Sleep Diary for 7 days. The sample was further divided into day shift (n = 14) and night shift (n = 12) nurses. Data collection and cleaning are ongoing and preliminary results of complete sleep diary data are presented. Results Results of the independent sample t tests suggest that total sleep time was significantly different on days on shift versus off shift (t(86) = 2.94, p = .002) for day shift nurses but not for night shift nurses (t(76) = .48, p = .317). There was no difference in total sleep time between day and night shift workers. Additional exploratory analyses will be completed by the conference, comparing additional parameters (e.g., timing) in individual sleep periods (i.e., 1st work day, 2nd work day; 1st off day, 2nd off day) both within (night & day shift), as well as between (night vs day shift) groups on the final sample (N=40; 20 day and 20 night shift). Conclusion The results may indicate that day shift nurses have more variable sleep than night shift nurses. Further analyses will help fill gaps in our understanding of the deficient (i.e., inadequate, interrupted, mistimed) sleep in nurses (i.e., within and between day and night working), as well as inform potential interventions (i.e., CBTI for shift workers) to improve the sleep of critical nursing staff. Support (if any)
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Costedoat, Gregory, and Dan Nathan-Roberts. "The Effects of Night Work on Nurses and an Analysis of Countermeasures." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 60, no. 1 (September 2016): 1289–93. http://dx.doi.org/10.1177/1541931213601299.
Анотація:
Nurses are expected to work a variety of different shifts throughout their careers, including traditional day shifts, night shifts, and swing shifts. Research suggests that night shifts can have potentially adverse effects on a worker’s perceptual and motor capacities, circadian rhythm, and ability to function the following day. Due to the critical role that nurses play in the health care delivery system, it is worth exploring options that serve to mitigate the aforementioned consequences associated with working at night. A number of potential countermeasures are explored, including slow shift rotations, naps, melatonin supplements, and caffeine. It is concluded that implementing slow rotating shifts and allowing time for a nap during the first night shift of a new rotation could have the largest impact on maximizing worker and patient safety.
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Di Muzio, Marco, Flaminia Reda, Giulia Diella, Emanuele Di Simone, Luana Novelli, Aurora D’Atri, Annamaria Giannini, and Luigi De Gennaro. "Not only a Problem of Fatigue and Sleepiness: Changes in Psychomotor Performance in Italian Nurses across 8-h Rapidly Rotating Shifts." Journal of Clinical Medicine 8, no. 1 (January 5, 2019): 47. http://dx.doi.org/10.3390/jcm8010047.
Анотація:
Although many studies have detailed the consequences of shift work in nurses concerning health, fatigue, sleepiness, or medical errors, no study has been carried out trying to disentangle the contribution of sleepiness and fatigue associated to shift work from the attentional performance. The aim of this pilot study is (A) to investigate the effects of an 8-h rapidly rotating shift on fatigue and sleepiness among staff nurses and (B) how these factors affect their psychomotor performance. Fourteen nurses were selected for a within-subject cross-sectional study according to this sequence of shifts: morning–afternoon–night, which were compared as function of tiredness, sleepiness, and performance at the Psychomotor Vigilance Task (PVT). Subsequently, a within-subject Analysis of Covariance (ANCOVA) evaluated if the observed differences between shifts persist when the contribution of sleepiness is controlled. Our results clearly indicate that night shifts are associated with significant greater sleepiness and tiredness, and worsened performance at the PVT. As hypothesized, ANCOVA showed that these differences disappear when the contribution of sleepiness is controlled. Results point to a lower psychomotor performance in night compared to day shifts that depends on sleepiness. Hence, interventions to minimize the consequences of the night shift should consider a reduction of sleepiness.
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Nursalam, Nursalam, Arie Sunarno, and Rahmatul Fitriyah. "Hubungan Shift Kerja dengan Stres Kerja dan Circadian Rhythm Perawat." Jurnal Ners 2, no. 2 (July 23, 2017): 134–40. http://dx.doi.org/10.20473/jn.v2i2.4970.
Анотація:
Introduction: Shift work, primarily night shift may worsen some health disturbances because it changes especially circadian rhythm. Therefore, it may lead to sleep disturbance, increased vital signs (heart rate, respiration rate and blood pressure), bowel disturbance, reaction times, conscious stage and increased work stress. The objective of this study was to analyze the correlation between shift work and Nurse’s circadian rhythm. Method: These study was cross sectional with nurses in Flamboyant Intermediate Surgical Ward Dr. Soetomo Hospital Surabaya as subjects. Samples were recruited by using total sampling and there were 15 samples as on inclusion criteria. Data were analyzed using Paired t-Test, Krusskall-Wallis, Wilcoxon, Mann-Whitney, Anova and Chi-Square with significance level α≤0.05. Result: The result showed that shift work had no correlation with nurses’ work stress (p=0.221). Nurses stress stage had no differences in three of shift (p=0.757). While shift work had correlation with nurse’s circadian rhythm disturbance (p=0.038) and night shift had differences circadian rhythm disturbance (p=0.038). Discussion: It can be concluded that there was correlation between shift work and circadian rhythm disturbance, however there is no correlation between shift work and work stress. Further studies are recommended to identify the dominant factor which cause work stress for nurses.
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Ielapi, Nicola, Michele Andreucci, Umberto Marcello Bracale, Davide Costa, Egidio Bevacqua, Andrea Bitonti, Sabrina Mellace, et al. "Insomnia Prevalence among Italian Night-Shift Nurses." Nursing Reports 11, no. 3 (July 12, 2021): 530–35. http://dx.doi.org/10.3390/nursrep11030050.
Анотація:
Background. Insomnia is one of the major health problems related with a decrease in quality of life (QOL) and also in poor functioning in night-shift nurses, that also may negatively affect patients’ care. The aim of this study is to evaluate the prevalence of insomnia in night shift nurses. This observational online web-based survey using Google®® modules specifically aimed to investigate the prevalence and risk factors for insomnia among Italian nurses. Methods. Data collection for this study lasted one month, with the questionnaire available from 1 March 2021 to 1 April 2021. Continuous variables were considered as either mean ± standard deviation (SD) or median and interquartile range (IQR) based on their distribution. Comparison among insomnia categories was assessed by one-way ANOVA or Kruskal–Wallis test according to variable distribution. Categorical variables were analyzed using chi-square test. Results. A total of 2355 responses were included in the final analysis, with 917 from the Northern zone, 815 from the Western zone, and 623 from the Southern zone of Italy. The prevalence of insomnia in the overall population was 65.4% (1524 out 2355 nurses suffered from insomnia). Conclusions. Nursing is a high-pressure profession, with heavy duties and high professional risks. We found an important prevalence of insomnia in night shift nurses, and we hope it may help to solicit further studies aimed to identify the risk factors for this working disorder among nurses.
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Sharna, Alia Hossain, Shahanara Yeasmin, Sharmin Naher, Farzana Yeasmin Mukta, Shameema Akhter, Ishrat Jahan, Rifat Chowdhury, and Israt Jahan Chowdhury. "Thyroid Function Status of Female Nurses Working Night-shift at a Tertiary Care Hospital." Ibrahim Cardiac Medical Journal 12, no. 2 (November 29, 2023): 40–45. http://dx.doi.org/10.3329/icmj.v12i2.69859.
Анотація:
Background & objective: Night shift work has well-known adverse effects on health like sleep disturbances and other medical conditions including thyroid diseases. Various studies have revealed that the effect of night shift work on healthis mainly related to its interference with circadian rhythm, which can also influence thyroid hormone levels in accordance with sleep patterns. Therefore, night work can modify thyroid function and increase the risk of thyroid disorders. The present study was therefore conducted to evaluate the impact of the night shift work on the thyroid function status of female nurses in a tertiary care hospital. Methods: This case-control study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka over a period of 1 year from January 2021 to December 2021. All female nurses (in the age range of 25-50 years) working at Dhaka Medical College in different shifts were the study population. Of them, the case group consisted of 90 female nurses who worked the night shift in different wards from 8.00 pm. to 8.00 am and the control group consisted of 90female nurses who worked the morning shift in the Outpatient Department (OPD) from 8.00 am to 2.00 pm. However, nurses with a personal or family history of sleep disorder, taking medications that may interfere with sleep, history of diabetes mellitus, bronchial asthma, or diagnosed with any kind of thyroid disease, such as Hashimoto’s thyroiditis, and pregnant nurses were excluded from the study. While the exposure variable was shift-work, the outcome variable was thyroid function status, evaluated in terms of serum FT4, FT3, and TSH and the presence of thyroid disorders. Results: The cases and controls were almost alike in terms of age, BMI, and blood pressure. The mean age of the case and the control groups were between 34 and 35 years with no significant difference between the groups. While serum levels of free thyroxine (FT4) and free triiodothyronine (FT3) were somewhat reduced in the case group than those in the control group, the serum TSH was significantly elevated in the former group than that in the latter group – a picture typical of subclinical hypothyroidism. Overt hypothyroidism was also higher in the former group than that in the latter group. Subclinical and clinical hyperthyroidism was found in 2(2.2%) and 3(3.3%) subjects of the control group only. Overall, 60% of the cases had some form of thyroid disorders as opposed to 15% of the controls with the risk of having thyroid disorders in night shift nurses being > 8(95% CI = 4.1 – 17.5) times higher than that in morning shift nurses(p < 0.001). Conclusions: The study concluded that night shift nurses may have a higher risk of developing subclinical hypothyroidism due to significantly higher levels of TSH and normal FT3, and FT4 levels. About two-fifths of the nurses working night shifts are at increased risk of having thyroid disorders, primarily subclinical hypothyroidism. Ibrahim Card Med J 2022; 12 (2): 40-45
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Fusz, Katalin, Annamária Pakai, Zsuzsanna Kívés, Szilvia Szunomár, Annamária Regős, and András Oláh. "Munkarendek a hazai egészségügyi rendszerben, és az ápolók alvásminősége." Orvosi Hetilap 157, no. 10 (March 2016): 379–84. http://dx.doi.org/10.1556/650.2016.30386.
Анотація:
Introduction: One way of ensuring the continuity of health care is the shift work, which is burdensome and it can lead to sleep disturbances. Aim: The aim of the study was to measure the typical Hungarian nursing shift systems in hospitals, to analyse the causes of irregular work schedules, and to compare the sleep quality of nurses in different work schedules. Method: 236 head nurses filled out the national online survey, and 217 nurses in clinics of the University of Pécs filled the Hungarian version of Bergen Shift Work Sleep Questionnaire. Results: The head nurses provided data of 8697 nurses’s schedules. 51.89% of nurses work in flexible shift system. 1944 employees work in regular shift system, most of them in the following order: 12-hour day shift and 12-hour night shift, followed by a one- or two-day rest. Where there is no system of shifts, the most frequent causes are the needs of nurses and the nurse shortage. Nurses who are working in irregular shift system had worse sleep quality than nurses who are working in flexible and regular shift system (p = 0.044). Conclusions: It would be helpful if the least burdensome shift system could be established. Orv. Hetil., 2016, 157(10), 379–384.
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Seychell, Jesmond, and Sue Reeves. "The effect of shift work on the diet of accident and emergency nurses at a general hospital in Malta." Nutrition & Food Science 47, no. 2 (March 13, 2017): 165–74. http://dx.doi.org/10.1108/nfs-05-2016-0059.
Анотація:
Purpose The purpose of this paper was to investigate the effect of shift work on diet and lifestyle in nurses working in the accident and emergency department in a general hospital in Malta. Design/methodology/approach This study was a cross-sectional, quantitative survey, whereby data were collected by the use of anonymous questionnaires consisting of a demographic and anthropometric questionnaire, a lifestyle questionnaire and a food frequency questionnaire to assess dietary intakes. In total, 110 nurses completed the study and were divided into three groups: day nurses, rotating-shift nurses and night-shift nurses. Findings Shift working nurses consumed significantly more energy compared to day nurses (night-shift nurses 1,963 ± 506 kcal; rotating-shift nurses 2,065 ± 655 kcal; day nurses 1,722 ± 486 kcal; p = 0.04). Shift working nurses also consumed more protein (p = 0.04), fat (p = 0.047) and fibre (p = 0.005) compared to day nurses; however, day nurses were the most likely to smoke (p = 0.009). Practical implications Shift work does influence the diet of nurses in Malta. It is recommended that access to healthy food, and time and facilities for physical activity are made available across all working hours and that nurses aim to exercise regularly, eat healthily, quit smoking if necessary and get good-quality sleep where possible. Originality/value In total, 22 per cent of workers in Malta work shifts, and Malta currently has one of the highest rates of obesity in Europe. This study considers the impact of shift work on diet.
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Veal, Britney, Christina Mu, and Soomi Lee. "Better Night’s Sleep and Subjective Cognition: The Role of Day and Night Work Shifts." Innovation in Aging 4, Supplement_1 (December 1, 2020): 425. http://dx.doi.org/10.1093/geroni/igaa057.1372.
Анотація:
Abstract Previous research indicates poor sleep and cognitive functioning are associated. Studies have yet to consider the role of work shift on this relationship. The current study examined the sleep and subjective cognition relationship in nurses, and if this relationship differed for day- and night- shift nurses. Sixty-one nurses (M=35.39, SD=11.73; 39 day-, 22 night-shift) reported their nightly sleep characteristics and next-day subjective cognition (i.e., processing speed, memory, and mental focus) using ecological momentary assessments for 2 weeks. Multilevel models controlled for sociodemographic characteristics and decomposed the variance attributed by between- and within-person levels. At the within-person level, better sleep the previous night was associated with better subjective cognition the following day. This relationship was more apparent in night-shift nurses than in day-shift nurses, such that (a) longer sleep duration predicted better mental focus (B=1.62, p<.05) and (b) higher sleep quality predicted better memory (B=8.67, p<.001). At the between-person level, better sleep overall was associated with better subjective cognition across days. This association was more apparent in day-shift nurses than in night-shift nurses, such that (a) better sleep quality and sufficiency predicted faster processing speed (B=34.33; B=26.28; p<.001) and (b) better sleep quality and greater sleep sufficiency predicted better memory (B=30.94; B=23.09; p<.001). Findings suggest that sleep characteristics are associated with subjective cognition in nurses day-to-day and on average. Specific sleep characteristics associated with subjective cognition differ between day- and night-shift nurses, presumably due to differences in their sleep issues and perceived cognitive abilities.
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Smith, Alec, Farzan Sasangohar, Anthony D. McDonald, Nena Bonuel, Holly Shui, Christine Ouko, and Lorelie Lazaro. "Drowsy Driving Among Shift Work Nurses: A Qualitative Data Analysis." Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 8, no. 1 (September 2019): 167–71. http://dx.doi.org/10.1177/2327857919081041.
Анотація:
Drowsy driving claims many lives every year. While all drivers are susceptible to the problem of drowsy driving, the nurse population is of particular concern. Studies have shown the severity of drowsiness for night shift nurses both at work and on the drive home. Many work and non-work factors contribute to the drowsiness that nurses experience. This study used a semi-structured interview approach to gain the perception and experiences of nurses concerning drowsy driving and possible interventions. Interviews were conducted at a large hospital in south central Texas with 30 night shift nurses. Visualizations depicting nurses’ responses are presented to aid in the understanding of the themes derived from the interviews. The nurses experience drowsy driving on a regular basis, use ineffective mitigation techniques and have differing preferences for an educational and technological intervention for drowsy driving. An emergent theme was how work and non-work factors work in conjunction to impact the nurses’ experiences of drowsy driving. Potential, implementable solutions regarding some of these factors are presented.
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Watanabe, Kazuhiro, Naotaka Sugimura, Inaho Shishido, Issei Konya, Shinya Yamaguchi, and Rika Yano. "Effects of 90 Min Napping on Fatigue and Associated Environmental Factors among Nurses Working Long Night Shifts: A Longitudinal Observational Study." International Journal of Environmental Research and Public Health 19, no. 15 (August 1, 2022): 9429. http://dx.doi.org/10.3390/ijerph19159429.
Анотація:
For nurses working long night shifts, it is imperative that they have the ability to take naps to reduce fatigue, and that an appropriate environment is prepared where such naps can be taken. We verified the effects of 90 min napping on fatigue and the associated factors among nurses working 16-h night shifts. We investigated 196-night shifts among 49 nurses for one month. Wearable devices, data logging devices, and questionnaires were used to assess nap parameters, fatigue, and environmental factors such as the napping environment, ways of spending breaks, and working environment. Nurses who nap at least 90 min on most night shifts had more nursing experience. Multivariable logistic regression analysis showed that the environmental factors significantly associated with total nap duration (TND) ≥ 90 min were noise, time spent on electronic devices such as cellphones and tablets during breaks, and nap break duration. The night shifts with TND ≥ 90 min showed lower drowsiness after nap breaks and less fatigue at the end of night shift compared to those with TND < 90 min. Nurses and nursing managers should recognize the importance of napping and make adjustments to nap for at least 90 min during long night shifts.
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Margretta, Margaret, Matthew Dennis, and Diane C. McLaughlin. "Coffee Talk: A Jolt for Night Shift Education." American Journal of Critical Care 28, no. 1 (January 1, 2019): 81–84. http://dx.doi.org/10.4037/ajcc2019709.
Анотація:
Background Education opportunities for night shift nurses are limited compared with those for their day-shift counterparts. However, patients remain critically ill regardless of shift and require intensive nursing care at all hours. Overnight, this care is often provided with fewer resources. These challenges can lead to disengagement and high turnover on the night shift. Objectives To see whether initiation of an informal education series called “Coffee Talk” could improve accessibility to learning for night shift nurses and elevate perception of support from administrators and overall job satisfaction. Methods The lecture series was created to facilitate education for night shift nurses. The program features various speakers within the interdisciplinary team discussing topics chosen by the nursing staff. The talks are presented in an informal setting during overnight hours. An electronic survey tool was used to determine nurses’ opinions regarding Coffee Talk, using a retrospective pretest and posttest format. Questions centered on the type of educational offerings, relevance to practice, perceived leadership support, convenience of attendance, and overall job satisfaction. Results More than half of the nurses (59%) responded. All scores improved from before to after the intervention. The largest increases occurred in convenience of educational offerings and nurses’ perception of leaders removing barriers to learning. Overall job satisfaction increased from 83% to 93%. Conclusions The introduction of an informal educational series improved nurses’ access to education and nurses’ feelings of support from administrators and overall job satisfaction.
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Rasheed, Halmat, Newroz Aziz, and Goran Osman. "A Qualitative Investigation into the Lived Experiences of Critical Care Nurses Working on Night Shifts." Erbil Journal of Nursing and Midwifery 4, no. 2 (November 30, 2021): 60–68. http://dx.doi.org/10.15218/ejnm.2021.07.
Анотація:
Background and objectives: Shift work is used in the hospitals and residential treatment centres to provide patients with continuous health care. During their night shift, nurses are often faced with different health problems either due to the stressful work environment or because of the sophisticated instruments to be utilized in intensive care units. The present study was aimed at investigating the lived experience of nurses working on the night shifts at Rizgary Teaching Hospital located in Erbil, Iraqi Kurdistan Region. Methods: A qualitative phenomenological study was conducted to describe the lived experiences of nurses working on night shifts. In doing so and in order to collect the required data, open-ended semi-structured in-depth interviews were carried out to explore thoughts, feelings, and lived experiences of 15 nurses who were working on the night shifts in the Intensive Care Unit (ICU) at Rizgary Teaching Hospital in Erbil. The collected data were then analyzed by Van Manen’s (1990) method. Results: Study participants were between 26 and 38 years old. The majority were male (60%) and 40% were female. Regarding marital status, 10 participants were married and 5 were single. Most of the nurses had Bachelor degrees (86.6%). The respondents work experience was between 3 and 8 years. Almost all of the participating nurses had similar lived experiences during their night shifts. The nurses' lived experiences gave way to the emergence of four themes namely workload, psychosocial issues, sleep disturbance and physiological issues. Conclusion: The present study showed that nurses working on night shifts faced many problems and issues such as poor sleep quality sleep, working for a long time, fatigue and anxiety, back pain, mood disturbance and lack of concentration.
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Martyn, Julia, Kamil Grabias, and Zdzisława Chmiel. "Do Polish Nurses Have a Problem with Sleepiness during the Epidemiological Threat of the SARS-CoV-2 Virus?" INQUIRY: The Journal of Health Care Organization, Provision, and Financing 58 (January 2021): 004695802110229. http://dx.doi.org/10.1177/00469580211022909.
Анотація:
Nurses may experience cumulative sleep deprivation in the current epidemiological situation, which is the COVID-19 disease. Lack of rest leads to decreased concentration. The research topic is important for improving patient safety in hospitals. Assessment and analysis of the level of sleepiness of nurses after 3 consecutive night shifts and its impact on functioning in social life. The study adopted the diagnostic survey method, which was conducted using a survey technique. The questionnaire consisted of 3 parts: personal particulars, the survey and the Karolinska Sleepiness Scale (KSS) version A. After the research, 164 correctly completed questionnaires were obtained. The level of somnolence in individual measurements after a night shift significantly increased among the nurses examined ( P < .0001). Respondents who felt a higher level of drowsiness after a night shift thought that their work definitely influenced contact with their friends or family and had difficulty in performing household duties. There is no statistically significant relationship between the level of sleepiness and sociodemographic factors. After each night shift, the level of drowsiness in nurses increases. This may result in reduced alertness and attention levels on subsequent working days. Shift work has negative consequences in the form of depleted personal life. Further research into the effects of insufficient sleep among nurses should be conducted. This may be necessary for patient safety in healthcare centers. The awareness on the subject of healthy sleep among shift nurses should be raised. It is advisable to conduct research in order to assess the effectiveness of various therapies in dealing with sleep disorders among shift nurses. The interventions taken should be adapted to the current epidemiological situation, which is the COVID-19 disease.
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Durkin, Adelaide Caroci, and Andrew John Richards. "Sleep quality and the intention to modify sleep behaviors among night-shift nurses." Nursing 54, no. 3 (February 22, 2024): 54–58. http://dx.doi.org/10.1097/01.nurse.0001006268.77409.dc.
Анотація:
Purpose: To explore the relationship between sleep quality and intent to change sleep behaviors among night-shift nurses. Methods: Full-time night-shift nurses in a hospital setting completed a cross-sectional online survey including demographics, Snoring, Tiredness during daytime, Observed apnea, and High Blood Pressure (STOP) Questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Intention to Change Behavior Scale (ICBS). The relationship between PSQI and ICBS scores was tested using Spearman's rho correlation coefficient. Results: Most participants reported poor sleep and did not engage in health behaviors that promote good sleep. There was a weak, positive relationship between PSQI and ICBS scores. Those who reported poor sleep quality indicated a high intent to improve sleep. Conclusion: These findings support the need for night-shift nurses to prioritize enhancing their sleep quality by advocating for policy and practice improvements. The findings also highlight the importance of support from nurse leaders, educators, and researchers to raise awareness and implement holistic strategies for better sleep health.
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Zhang, Xin, and Shih-Yu Lee. "306 Circadian activity rhythms and alertness among rapid-shift work female nurses." Sleep 44, Supplement_2 (May 1, 2021): A122. http://dx.doi.org/10.1093/sleep/zsab072.305.
Анотація:
Abstract Introduction Circadian rhythms play an important role in regulating sleep. Sleep disturbances are prevalent in shift-work nurses, particularly for those work in rapid-shift rotation, including night shifts and day shifts. This study aimed to: 1) describe the characters of sleep-wake index (total sleep time [TST], wake after sleep onset [WASO], circadian activity rhythms [CAR]), psychomotor vigilance test (PVT), salivary cortisol, fatigue, and activity level during 8- and 12-hour rapid-shift work nurses; and 2) compare the parameters between two different shifts. Methods This exploratory study used registered nurses (RNs) from nine intensive care units in Beijing area. 7-days consecutive wrist actigraphy data, including TST and WASO were collected. Cosiner analysis was used for computing the CAR, including amplitude and mesor. PVT and saliva cortisol were used to assess alertness level, which measured before and after shift. Self-reported fatigue severity was measured by Lee Fatigue Scale-Short Form and assessed before and after shift. Results A total of 152 RNs (12-hour, n=82; 8-hour, n=70) participated this study, with a mean age of 31.81 (SD= 6.09). Compared with the 8-hour shift nurses, the 12-hour shift nurses were significantly higher in TST (456 vs. 364 minutes), median saliva cortisol level (before day shift, 0.54 vs. 0.31), and median PVT reaction time (before night shift). However, CAR were 0.53 (SD=0.13) and 0.50 (SD=0.18) for 12-hour and 8-hour shift RNs, respectively, and indicates desynchronized CAR in both groups. Regardless shift rotation, almost three-quarters of the RNs had a 500 ms PVT reaction time. For the 12-hour and 8-hour nurses, the level of activity during day shift was similar. However, during night shift work it was significantly lower in 12-hour nurses compared to the 8-hour nurses. All RNs experienced clinical significant fatigue severity (ranged 3.78 to 8.14) regardless before or after shift work; however, the 12-hour group reported lower fatigue severity than 8-hour group. Conclusion In this study, findings revealed shift-work RNs experienced fatigue and desynchronized CAR. The TST was low and reaction time was prolonged before and after shift work. Sleep intervention should be mandatorily included in clinical continue education. Support (if any) This project was supported by Chinese National Natural Science Foundation (71603279).