Fatigue and shift work

Shen, Jianhua; Botly, Leigh C.P.; Chung, Sharon A.; Gibbs, Alison L.; Sabanadzovic, Skender; Shapiro, Colin M.

doi:10.1111/j.1365-2869.2006.00493.x

Cited by 99 publications

(78 citation statements)

References 17 publications

(31 reference statements)

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“…Fatigue that results in excessive sleepiness while at work may manifest as weariness, difficulty concentrating, headache, irritability or depressed mood, and feeling unrefreshed after sleeping. 42 …”

Section: Hospitalists and Night Shiftsmentioning

confidence: 99%

Sleep and circadian misalignment for the hospitalist: A review

Schaefer

Williams

Zee

2012

Journal of Hospital Medicine

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Shift work is necessary for hospitalists to provide on‐site 24‐hour patient care. Like all shift workers, hospitalists working beyond daylight hours are subject to a misalignment between work obligations and the endogenous circadian system, which regulates sleep and alertness patterns. With chronic misalignment, sleep loss accumulates and can lead to shift work disorder or other chronic medical conditions. Hospitalists suffering from sleep deprivation also risk increased rates of medical errors. By realigning work and circadian schedules, a process called circadian adaptation, hospitalists can limit fatigue and potentially improve safety. Adaptation strategies include improving sleep hygiene before work, caffeine use at the start of the night shift, bright light exposure and planned naps during the shift, and short‐term use of a mild hypnotic after night work. If these attempts fail and chronic fatigue persists, then a diagnosis of shift work disorder should be considered, which can be treated with stronger pharmacotherapy. Night float scheduling strategies may also help to limit chronic sleep loss. More research is urgently needed regarding the sleep patterns and job performance of hospitalists working at night to improve scheduling decisions and patient safety. Journal of Hospital Medicine 2012; © 2012 Society of Hospital Medicine

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Section: Hospitalists and Night Shiftsmentioning

confidence: 99%

Sleep and circadian misalignment for the hospitalist: A review

Schaefer

Williams

Zee

2012

Journal of Hospital Medicine

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“…According to the U.S National Transportation Safety Board Report, 57% of the accidents were due to fatigue 10) . In another study carried out by J. Shen shift workers encountered more fatigue than non shift workers, but there was no much difference between the severities of sleepiness for the two groups 11) . Knowledge about the influence of shift works on fatigue and sleep disturbances are still limited.…”

Section: Introductionmentioning

confidence: 99%

The Relation between Shift Work, Sleepiness, Fatigue and Accidents in Iranian Industrial Mining Group Workers

2009

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The aim of this study was to examine the rate of fatigue and sleepiness around the shift and non-shift workers and its relation to occupational accidents. This was a cross-sectional study on the workers of Iranian Industrial Mining Group. They included 137 shift workers as the case and 130 non-shift workers as the control. A multi-part questionnaire including demographic characteristics, Piper Fatigue Scale and Epworth Sleepiness Scale were applied. The χ 2 test and t-test were used to measure differences between variables. The mean of PFS scores in the two groups was significantly different (p=0.045), but the difference in the mean of ESS scores was not significant. Shift workers with the reported accident had a higher score on fatigue than shift workers with no accident (p<0.001) whereas the difference in the number of accidents in the two groups was not related significantly to the rate of sleepiness. The rate of fatigue and the number of the work accidents was more in the shift workers. Also, fatigue had a stronger relationship with the occupational accidents as compared to sleepiness. It seems that evaluation of fatigue as compared to sleepiness is a more accurate factor for preventing work accidents.

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“…Studies have found an association between shift work and general mental health (1-3), psychological well-being (4-6), irritability/ irritation/strain (7), and severe emotional problems (8). Studies have also shown that shift workers experience depression to different degrees [ie, major depressive disorder (9,10), sub-clinical depression (11)], general malaise including depression and anxiety elements (12), higher levels of burnout (13), more fatigue (7,14,15), and mental tiredness (16). However, most of these studies were cross-sectional, with limited potential to demonstrate causal relationships.…”

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confidence: 99%