Sleep-Related Problems in Night Shift Nurses: Towards an Individualized Interventional Practice (original) (raw)
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2014
Introduction: The exposure to shift works, and especially to night shift, goes against the circadian rythmicity of the social man, which brings about a multitude of disruptive effects on health. In a hospital environment, such night shift is necessary so as to ensure the continuity of care. Sleep and vigilance disorders related to this work mode are frequent and often pose adaptation problems. The objective of this study is to detect the harmful effects of night shift on sleep, vigilance and the
The relationship between shift work and sleep patterns in nurses
The scope of this study was to evaluate the sleep/wake cycle in shift work nurses, as well as their sleep quality and chronotype. The sleep/ wake cycle was evaluated by keeping a sleep diary for a total of 60 nurses with a mean age of 31.76 years. The Horne & Östberg Questionnaire (1976) for the chronotype and the Pittsburgh Sleep Quality Index (PSQI) for sleep quality were ap- plied. The results revealed a predominance of in- different chronotypes (65.0%), followed by mod- erately evening persons (18.3%), decidedly evening persons (8.3%), moderately morning per- sons (6.6%) and decidedly morning persons (1.8%). The sleep quality perception was ana- lyzed by the visual analogical scale, showing a mean score of 5.85 points for nighttime sleep and 4.70 points for daytime sleep, which represented a statistically significant difference. The sleep/ wake schedule was also statistically different when considering weekdays and weekends. The PSQI showed a mean of 7.0 points, characterizing poor sleep quality. The results showed poor sleep qual- ity in shift work nurses, possibly due to the lack of sport and shift work habits. Key words Sleep, Shift work, Nurses, Circadian rhythm, Worker’s health
Impact of shift work on sleep quality among nursing staff
2019
Background: Shift work is common among nurses because health care is the industry that covers 24 hours a day, 7 days a week. How a healthcare organization alters staffing patterns to reduce fatigue among nursing staff is challenging. Objective: This study aimed to understand whether poor sleep quality persisted in nursing staff who did shift work and whether there were any specific risk factors for poor sleep quality among nursing staff. The study used a validated tool called the Pittsburgh Sleep Quality Index (PSQI) in Thai version for sleep quality assessment. Methods: This study was a cross-sectional study. Semi-structured questionnaires were used to interview nursing staff who were currently employed at a large tertiary-care hospital in Bangkok, Thailand between January 2016 and January 2017. Associations between sleep quality and independent variables based on demographic data, shift work status, and work patterns were investigated. Sleep quality was measured using the Thai version of Pittsburgh Sleep Quality Index. Results: A total of 2,765 nurses participated; the response rate was 86.5%. The prevalence of poor sleep quality (PSQI 5) in shift working nurses was 67.6%. The prevalence of poor sleep quality in non-shift working nurses was 32.4%. After adjusting for other potential confounders, poor sleep quality was significantly associated with shift working nurses compared with non-shift working nurses, adjusted odds ratio (aOR) = 1.369, P < 0.001 (95% CI 1.270-1.479). Having at least one medical condition (aOR = 1.229; 95% CI 1.026-1.473), decreased total number of years worked as a nurse (aOR = 0.985; 95% CI 0.978-0.993), increased number of working hours a day (aOR = 1.061; 95% CI 1.033-1.090), and decreased number of vacation days a week (aOR = 0.881; 95% CI 0.780-0.995) were more likely to have poor sleep quality among nursing staff. Conclusions: Doing shift work, long working hours, having decreased number of vacation days a week, and having at least one medical condition have been found to be associated with poor sleep quality among nursing staff. Understanding these variables can assist managers/ policy makers to consider the risks of shift work among nursing staff and arrange shiftwork schedules accordingly.
Prevalence and Effects of Sleep Disorders Among Shift Work Nurses
Jundishapur Journal of Chronic Disease Care, 2019
Background: Sleep is one of the most basic and physiologic needs, which has impressive effects on the humans' physical and mental health. According to the need for permanent presence of the nurses in the hospitals, they often suffer from shift work effects such as sleep disorders. Objectives: Considering the high sensitivity of nursing jobs, the aim of this study was to evaluate the prevalence and consequence of sleep disorders in shift work nurses. Methods: This cross-sectional study was conducted on all of the nurses employed in hospitals of Larestan city in south of Iran in 2017. After screening based on inclusion criteria, 100 nurses were selected. to evaluate the prevalence and consequence of sleep disorders in the nurses, the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleep Quality Index (ESQI) and Insomnia Severity Index (ISI) were used. Data were analyzed using SPSS software version16. Descriptive and analytical statistical tests, including One-way ANOVA, paired t-test, independent t-test, Kruskal-Wallis, chi-square, and Pearson correlation coefficient were used to analyze the data. A P ≤ 0.05 was considered statistically significant. Results: The results showed the mean score of sleep quality index was 6.52 ± 4.23 and according to this index, 56% of the studied nurses are in hazardous situations. In all of the nurses, sings of insomnia were observed during routine works; consequently, 78.5% were sleepy, 16.5% were very sleepy, and 5% were severe sleepy. By the increased rate of night shift work per week, the severity of insomnia was also increased in the nurses (R 2 = 0.78). Sleep disorders in the nurses working in the surgical section were higher than the nurses in other sections of the hospitals (P < 0.05). Conclusions: A high percentage of the nurses employed in different sections of the hospitals have poor sleep quality and increased rate of night shift work per week plays a major role in decreasing their sleep quality. Regarding the adverse effects of poor sleep quality on the health status of the nurses and their quality of job performance, it is necessary to carry out proper planning to improve the sleep quality of night shift work nurses employed in different sections of the hospitals.
AAOHN journal : official journal of the American Association of Occupational Health Nurses, 2003
I t has been estimated that 20% of the U.S. work force is employed during non-standard hours or on some form of shiftwork schedule (21 % of employed men and 19% of employed women) (Presser. l 999). Many studies have demonstrated that work performance is affected by inadequate sleep. Over time, poor sleep results in a state of chronic sleep loss and can influence physical health, mental health, and f unctional behaviors, including work performance (Edell-Gustafsson, 2002; Melamed, 2002; Ohayon, 2002). Poor sleep in shiftworkers is often a direct result of disrupted circadian rhythms and attempts to sleep out of phase with the dark cycle of the 24 hour day and be active out of phase with the light portion of the 24 hour day. Interventions to improve sleep and perfor
Shift-related sleep problems vary according to work schedule
Occupational and Environmental Medicine, 2013
Objectives Shift-related sleep and sleepiness problems may be due to characteristics of both shifts (ie, day, evening and night shifts) and work schedules (ie, permanent vs rotational schedules). The Bergen Shift Work Sleep Questionnaire (BSWSQ) was used to investigate associations between shift-related sleep problems and work schedules. Methods 1586 nurses completed the BSWSQ. Participants who, in relation to a shift, 'often' or 'always' experienced both a sleep problem and a tiredness/ sleepiness problem were defined as having shift-related insomnia (separate for day, evening and night shifts and rest-days). Logistic regression analyses were conducted for day, evening, night, and rest-day insomnia with participants on both permanent and rotational schedules. Results Shift-related insomnia differed between the work schedules. The evening shift insomnia was more prevalent in the two-shift rotation schedule than the three-shift rotation schedule (29.8% and 19.8%, respectively). Night shift insomnia showed higher frequencies among three-shift rotation workers compared with permanent night workers (67.7% and 41.7%, respectively). Rest-day insomnia was more prevalent among permanent night workers compared with twoand three-shift rotations (11.4% compared with 4.2% and 3.6%, respectively). Conclusions The prevalences of shift-related insomnia differed between the work schedules with higher frequencies for three-shift rotations and night shifts. However, sleep problems were present in all shifts and schedules. This suggests that both shifts and work schedules should be considered in the study of shift work-related sleep problems.
Shift work is an important factor influencing the sleep quality and sleepiness of nurses. The aim of the present research was to compare sleep quality in three groups: 1) nurses with shift work SN), 2) nurses without shift work (DN) as a control group for evaluating the effects of shift work, 3) regular non-shift employees (DE) who were not nurses, as a control group for the nursing job; to evaluate the effect of shift work and the nursing job in regard to sleep quality. The present cross-sectional study was carried out in 2013. The research participants were 326 nurses without shift work and with shift work and employees from one of Kerman University of Medical Sciences' hospitals, Kerman, Iran. Data were gathered via the Pittsburgh Sleep Quality Questionnaire and the Epworth Sleepiness Questionnaire. Data were analyzed by SPSS 18. Overall, 91.2% of nurses (SN & DN) and 79.6% of employees (DE) had poor sleep quality. The sleep quality (P=0.013) and sleepiness (P=0.005) of all hospital nurses were significantly different from that of the university employees. However, there was not a significant difference between the nurses without and with shift work in terms of sleep quality (P=0.87) and sleepiness (P=0.41). Almost all nurses and most university employees suffer from poor sleep quality. Daily average sleep hours and shift work are among the influencing factors causing sleepiness and poor sleep quality.