Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses

Shin, Seunghwa; Kim, Suhyun

doi:10.1111/jocn.15819

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…Particularly, night shifts were related to late sleep onset, rather than sleep maintenance or early wakening problems. Our results are in line with one previous study (59), which found significantly longer sleep latency in shift-work nurses. Moreover, we found night shifts were related to depressed mood and appetite change.…”

Section: Discussionsupporting

confidence: 94%

Night shifts, insomnia, anxiety, and depression among Chinese nurses during the COVID-19 pandemic remission period: A network approach

Peng

Liang

Wang

et al. 2022

Front. Public Health

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BackgroundThe outbreak of the COVID-19 pandemic imposed a heavy workload on nurses with more frequent night shifts, which led to higher levels of insomnia, depression, and anxiety among nurses. The study aimed to describe the symptom-symptom interaction of depression, anxiety, and insomnia among nurses and to evaluate the impact of night shifts on mental distress via a network model.MethodsWe recruited 4,188 nurses from six hospitals in December 2020. We used the Insomnia Severity Index, Patient Health Questionnaire-9, and Generalized Anxiety Disorder Scale-7 to assess insomnia, depression, and anxiety, respectively. We used the gaussian graphical model to estimate the network. Index expected influence and bridge expected influence was adapted to identify the central and bridge symptoms within the network. We assessed the impact of night shifts on mental distress and compared the network structure based on COVID-19 frontline experience.ResultsThe prevalence of depression, anxiety, and insomnia was 59, 46, and 55%, respectively. Nurses with night shifts were at a higher risk for the three mental disorders. “Sleep maintenance” was the central symptom. “Fatigue,” “Motor,” “Restlessness,” and “Feeling afraid” were bridge symptoms. Night shifts were strongly associated with sleep onset trouble. COVID-19 frontline experience did not affect the network structure.Conclusion“Sleep maintenance,” “Fatigue,” “Motor,” and “Restlessness” were important in maintaining the symptom network of anxiety, depression, and insomnia in nurses. Further interventions should prioritize these symptoms.

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Section: Discussionsupporting

confidence: 94%

Night shifts, insomnia, anxiety, and depression among Chinese nurses during the COVID-19 pandemic remission period: A network approach

Peng

Liang

Wang

et al. 2022

Front. Public Health

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“…For example, Chang and Peng reported that nurses with rotating or irregular shifts tend to suffer more musculoskeletal disorders than those with fixed shifts (Chang & Peng, 2021). In addition, the rotating shift has been associated with higher perceived stress, lower sleep duration and quality, higher levels of fatigue, the more gastrointestinal problem such as heartburn and stomach‐ache, and burnout (Chang & Wang, 2021; Chiang et al, 2022; Kim et al, 2017; Shahriari et al, 2014; Shin & Kim, 2021).…”

Section: Introductionmentioning

confidence: 99%

Work family conflict, family work conflicts and work‐related quality of life: The effect of rotating versus fixed shifts

Al‐Hammouri

Rababah

2022

Journal of Clinical Nursing

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Aims and Objective: This study examined the difference between rotating and fixed shift schedules on work-family conflict, family-work conflict and work-related quality of life. Background: There is a lack of evidence regarding the effect of rotating shifts on work-family conflict, family-work conflict and work-related quality of life among nurses. Design: A cross-sectional design was used to conduct this study. Methods: Data were collected from 216 nurses using the Work and Family Conflict Scale and Work-Related Quality of Life. Bivariate correlations and independent samples t-tests were performed. The results of the current study were reported using the STROBE checklist. Results: Bivariate correlations showed that work-related family quality of life is negatively associated with work-family and family-work conflicts. The mean differences between the two groups (rotating and fixed shifts) were significant for all three variables: work-family conflicts, family-work conflicts and work-related quality of life. Conclusions: Rotating shifts are associated with an increased risk of experiencing work-family and family-work conflicts and decreasing their quality of working life, which may adversely affect the quality of care provided. Relevance to the Clinical Practice: The effect of shift types on nurses and how rotating shifts have more severe consequences on nurses should be considered. Nurse managers are encouraged to use the findings of this study to mitigate the risk of any work-family or family-work conflicts and improve nurses' work-related quality of life.

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Alcohol Use Predicts Longer But More Fragmented Sleep: A Daily Diary Study of Alcohol, Sleep, and PTSD in Nurses

Thompson,

Slavish,

Messman

et al. 2024

Int.J. Behav. Med.

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Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses

Cited by 4 publications

References 34 publications

Night shifts, insomnia, anxiety, and depression among Chinese nurses during the COVID-19 pandemic remission period: A network approach

Night shifts, insomnia, anxiety, and depression among Chinese nurses during the COVID-19 pandemic remission period: A network approach

Work family conflict, family work conflicts and work‐related quality of life: The effect of rotating versus fixed shifts

Alcohol Use Predicts Longer But More Fragmented Sleep: A Daily Diary Study of Alcohol, Sleep, and PTSD in Nurses

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