Chronotype, nursing activity, and gender: A systematic review

Abstract

Aim To synthesize evidence about the effect of individual circadian preference (chronotype) and gender in the development of sleep and mood problems in nursing professionals. Background Shift workers are more prone to having unhealthy habits and unfavourable clinical conditions than nonshift workers. These associations are mediated by chronotype and gender differences have also been detected. Design A quantitative systematic review. Data sources Electronic searches were performed in MEDLINE, Scopus, ScienceDirect, and Web of Science from 1 July 2012 ‐ 1 July 2017. Review methods A systematic review was conducted using the Cochrane Collaboration guidelines and two quality assessment tools: the National Heart, Lung and Blood Institute and GRADE. Inclusion criteria were quantitative studies where the sample consists entirely of nurses, analysing circadian rhythms or individual chronotype or gender and sleep/mood disturbances in nursing activity. The review was reported using the PRISMA statement. Results A total of 23 studies were included in the review (five cohort studies and 18 cross‐sectional studies). Data on gender‐specific attention were scarce (two studies) and showed a higher incidence of sleep problems. Female nurses with eveningness‐oriented personality seem to be more prone to having sleep disorders, insomnia, fatigue, and anxiety than male and morningness ones. Conclusions Evidence seems to show that female nurses with an evening‐oriented preference suffer more problems of insomnia, sleepiness, fatigue, and anxiety. The impact of our results may affect nurses, patient safety and the quality of clinical practice.

Morningness-eveningness and caffeine consumption: A largescale path-analysis study

“…Although evidence suggests that evening-type is more common among men (Adan et al 2012;Adan and Natale 2002;Danielsson et al 2019;Randler 2007), several studies have reported no gender differences (Adan and Almirall 1991;Prat and Adan 2011). Females with evening-oriented preference are more likely to face negative health consequences which are usually associated with the evening chronotype (Fabbian et al 2016;López-Soto et al 2019). In addition to chronotype, gender can also affect the perceived effects of caffeine because a lower dose of caffeine induces greater alertness effects in men compared to women (Adan et al 2008).…”

Competências dos enfermeiros na estratégia Saúde da Família

“…The data made it possible to verify the predominance of females, historical particularity of the profession. 10 Likewise, it was observed that most participants had completed their degree between 16 and 20 years, portraying a period of professional maturity. Then, the data indicated a period of work between 11 and 15 years, which may reveal a professional capable of making assertive decisions, with greater autonomy, besides demonstrating a lasting and close relationship with the community, with consequent development of comprehensive care.…”

Associations between Chronotype, Adherence to the Mediterranean Diet and Sexual Opinion among University Students

“…This was also confirmed by other studies involving university students in the United States [ 7 ], Spain [ 44 ], and the general population in Brazil [ 45 ]. On the other hand, there are studies where eveningness and sleep problems are related, especially in women who have poor sleep quality, which presents itself in the form of insomnia and nightmares [ 46 , 47 ]. Eveningness may impact general health, either physical or mental, especially in women [ 46 ].…”