“…Distributions of chronotypes in worker populations vary and may be influenced by gender, age, lifestyle, work status, and shift schedule factors (Paine et al, 2006;Mecacci and Zani, 1983;Adan and Natale, 2002;Monk et al, 2004). Therefore, for the purposes of our model, in order to include both morning and evening types and demonstrate the impact of chronotype on fatigue based on shift schedules, we identify the top shift choice of a nurse from the preference survey conducted at the academic hospital and randomly assign a chronotype to that nurse using chronotype distributions (morning vs. evening) for her preferred shift choice reported in a previous study on healthcare workers (Burch et al, 2009).…”