Perceived effects of rotating shift work on nurses' sleep quality and duration (original) (raw)
Related papers
Comparison of Sleep Quality in Two Groups of Nurses With and Without Rotation Work Shift Hours
Background & Aim : Nurses with the nature of their own career and profession confronting with many issues and tension in their work environment and different work shifts in day and night time make them susceptible to sleep disorders, particularly where the majority of nurses are females who have the responsibilities of caring of their families and other social and professional roles which limits the period of their sleep time. Therefore, this study is conducted with the purpose of comparison of sleep quality in two groups of nurses with and without rotation work shift hours. Material & Method : This study was a descriptive comparative desing with the sample size of 520 nurses that were selected with the stratified sampling method who have been working in different work shift hours in teaching hospitals of Iran University of Medical Sciences. The data collection instrument was Pittsburg Sleep Quality Index(PSQI). Results : The findings showed that %69.6 of the subjects had a good quality of sleep and the remainder (% 30.4) had a bad sleep quality. About % 56.2 of the subjects with the rotation work shift had a good sleep quality and %43.8 had a bad sleep quality. The result of Chi-Square test showed that there is a significant difference between sleep quality among nurses with fixed and unfixed work shift hours. In other words, the nurses without rotation work shifts had better sleep quality than the nurses with rotation work shifts. Conclusion : Proper and efficient management of nursing work settings and accurate planning in work shifts are suggested to reduce nurses' sleep disorders. Improving sleep quality in nurses could increase their general health and ultimately promote the quality of caring in patients.
International Journal of Nursing, 2016
Background: Shift rotation is necessary in many sectors that provide 24-hour services, health institutions are one of these services, by increasing shift-work health and sleep quality are affected. The aims of this study were to assess the impact of shift work on sleep quality and general health of nurses. Method: This study was followed a cross-sectional design designs. Subjects & sitting: A convenient samples of 100 Saudian nurses who working in the mentioned sitting & met the study inclusion criteria were invited to participate in the study, following a shift rotation schedule in three hospitals. Data were collected by a Pittsburgh Sleep Quality Index questionnaire sheet of. Results were indicates to that prevalence of sleep quality disturbance was 65 %. The associated health problems to shift rotation were family, social, back pain, travelling problems. There was a relationship between quality of sleep, health problems and shift rotation (P< 0.05). Recommendation are: Health ...
Stress and sleep in nurses employed in “3 × 8” and “2 × 12” fast rotating shift schedules*
Chronobiology International, 2014
We compared two ''3 Â 8'' shift rotas with backward rotation and quick return (morning and night shift in the same day) in a 5-or 6-day shift cycle, and a ''2 Â 12'' shift rota with forward rotation in a 5-d shift cycle. A total of 294 nurses (72.6% women, mean age 33.8) were examined in a survey on work-related stress, including the Standard Shiftwork Index. Ten nurses per each shift roster recorded their activity and rest periods by actigraphy, rated sleepiness and sleep quality, and collected salivary cortisol throughout the whole shift cycle. Nurses engaged in the ''2 Â 12'' rota showed lower levels of sleep disturbances and, according to actigraphy, sleep duration was more balanced and less fragmented than in the ''3 Â 8'' rosters. The counter-clockwise shift rotation and quick return of ''3 Â 8'' schedules reduce possibility of sleep and recovery. The insertion of a morning shift before the day with quick return increases night sleep by about 1 h. Nurses who take a nap during the night shift require 40% less sleep in the morning after. The ''2 Â 12'' clockwise roster, in spite of 50% increased length of shift, allows a better recovery and more satisfying leisure times, thanks to longer intervals between work periods. Sleepiness increased more during the night than day shifts in all rosters, but without significant difference between 8-h and 12-h rosters. However, the significantly higher level at the start of the night shift in the ''3 Â 8'' rotas points out that the fast backward rotation with quick return puts the subjects in less efficient operational conditions. Some personal characteristics, such as morningness, lability to overcome drowsiness, flexibility of sleeping habits and age were significantly associated to sleep disturbances in nurses engaged in the ''3 Â 8'' rotas, but not in the ''2 Â 12'' schedule.
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.
Annals of Tropical Medicine & Public Health, 2021
Objectives: Humans generally have two times, which are daytime for activity and night for rest (circadian rhythm). Shift system of working can cause a lack of sleep or disruption of a person's sleep cycle, especially those who have a night shift. The shift of working can cause sleep deprivation of the nurses. This study aim was to identify the differences in sleep quality between nurses with two-shifts of work and nurses with three-shifts of work. Method: This study conducted on June-July 2019 in one private hospital in Jakarta, with a cross-sectional approach. This study used quantitative method. The sample of this study was 90 nurses (two-shifts: n=35; three-shifts: n= 55). Pittsburgh Sleep Quality Index was used as the instrument that has passed for Validity and Reliability (Chronbach alpha=0.820). Univariate and Mann-Whitney U were used to analyze the data. Results: This study found that most of the respondents were women (83,3%), range of ages 26-65 (51,11%), and nurses with two-shifts have poor sleep quality as 15.56%, nurses with three-shifts have poor sleep quality as 46.67%. There are differences in sleep quality between nurses with two-shifts and nurses with three-shifts (p value= 0.002). Conclusion: The shift work system can cause poor sleep quality of the nurses, especially for the nurses with threeshifts. Future researches expected to explore the factors that affect the poor sleep quality of nurses.
Stress and sleep in nurses employed in ''3 Â 8'' and ''2 Â 12'' fast rotating shift schedules
We compared two ''3 Â 8'' shift rotas with backward rotation and quick return (morning and night shift in the same day) in a 5-or 6-day shift cycle, and a ''2 Â 12'' shift rota with forward rotation in a 5-d shift cycle. A total of 294 nurses (72.6% women, mean age 33.8) were examined in a survey on work-related stress, including the Standard Shiftwork Index. Ten nurses per each shift roster recorded their activity and rest periods by actigraphy, rated sleepiness and sleep quality, and collected salivary cortisol throughout the whole shift cycle. Nurses engaged in the ''2 Â 12'' rota showed lower levels of sleep disturbances and, according to actigraphy, sleep duration was more balanced and less fragmented than in the ''3 Â 8'' rosters. The counter-clockwise shift rotation and quick return of ''3 Â 8'' schedules reduce possibility of sleep and recovery. The insertion of a morning shift before the day with quick return increases night sleep by about 1 h. Nurses who take a nap during the night shift require 40% less sleep in the morning after. The ''2 Â 12'' clockwise roster, in spite of 50% increased length of shift, allows a better recovery and more satisfying leisure times, thanks to longer intervals between work periods. Sleepiness increased more during the night than day shifts in all rosters, but without significant difference between 8-h and 12-h rosters. However, the significantly higher level at the start of the night shift in the ''3 Â 8'' rotas points out that the fast backward rotation with quick return puts the subjects in less efficient operational conditions. Some personal characteristics, such as morningness, lability to overcome drowsiness, flexibility of sleeping habits and age were significantly associated to sleep disturbances in nurses engaged in the ''3 Â 8'' rotas, but not in the ''2 Â 12'' schedule.
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
International Archives of Occupational and Environmental Health, 1992
Previous research has shown the repercussions of Shiftwork for workers' sleep. The objective of the present work is to evaluate the impact of shiftwork on the length and quality of sleep among nurses and on the intake of psychotropic drugs. A cross-sectional epidemiological study was carried out in 606 female nurses and 367 male nurses selected at random from the public hospitals in the Valencian region. Information was collected by means of a questionnaire. Univariate and multivariate statistical analysis techniques were used. For both female and male nurses, Shiftwork led to a reduction in the length of sleep (by 2 h in those permanently on night shifts and by 30 min in those on a rotating night shift system) and an alteration in the quality of sleep (difficulty in sleeping, intermittent sleep, early waking, etc. occurred 10% more frequently), but it did not lead to an increase in the consumption of psychotropic drugs.