Sleep Quality in Nurses

2012 ◽  
Vol 15 (3) ◽  
pp. 273-279 ◽  
Author(s):  
Shu-Fen Niu ◽  
Hsin Chu ◽  
Min-Huey Chung ◽  
Chun-Chieh Lin ◽  
Yu-Shiun Chang ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Medical Center ◽  
Night Shift ◽  
Sleep Time ◽  
Shift Workers ◽  
Sleep Diaries ◽  
Shift Group ◽  
Sleep Parameters ◽  
The Difference ◽  
Night Shifts

The study investigated the number of days off nurses working night shifts need to recover their sleep quality to the level of daytime workers during their days off. This study included 30 day-shift nurses and 32 night-shift nurses. It was conducted as a randomized clinical trial in the medical and surgical wards of a medical center in northern Taiwan in May and June 2010 using sleep diaries and sleep parameters collected by actigraphy on different workdays and days off. On workdays, the night-shift group had significantly less total sleep time (TST) on Day 5 and significantly lower sleep efficiency (SE) on Day 3 than the day-shift group. TSTs of the two groups on days off were higher than those on workdays. On the 4th consecutive day off, higher TST, a decrease in WASO, and an increase in SE suggests that the night-shift group had recovered their sleep quality to the level of the day-shift group on their days off. The SE of the night-shift group exceeded that of the day-shift group after the 4th consecutive day off, though the difference was not statistically significant in the present study. Based on these data, it is recommended that night-shift workers arrange a period of at least 4 days off after 5 consecutive night shifts and at least 5 days off if the staff who have previously worked night shifts are being assigned a set of different shifts.

Sleep Quality Associated With Different Work Schedules: A Longitudinal Study of Nursing Staff

2017 ◽  
Vol 19 (4) ◽  
pp. 375-381 ◽  
Author(s):  
Shu-Fen Niu ◽  
Nae-Fang Miao ◽  
Yuan-Mei Liao ◽  
Mei-Ju Chi ◽  
Min-Huey Chung ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Night Shift ◽  
Sleep Onset ◽  
Sleep Time ◽  
Sleep Diary ◽  
Sleep Onset Latency ◽  
Shift Group ◽  
Parallel Group ◽  
Sleep Parameters ◽  
Work Shifts

Purpose: To explore the differences in sleep parameters between nurses working a slow, forward rotating shift and those working a fixed day shift. Method: A longitudinal parallel-group comparison design was used in this prospective study. Participants (female) were randomly assigned to a rotating shift or a fixed day shift group. Participants in the rotating shift group worked day shift for the first 4 weeks, followed by evening shift for the second and night shift the third. Those in the day shift group worked day shift for all 12 weeks. Each kept a sleep diary and wore an actigraph (actigraph data were used to calculate total sleep time [TST], sleep onset latency [SOL], wake after sleep onset [WASO], and sleep efficiency [SE]) for 12 days, from Workday 1–4 in each of Weeks 4, 8, and 12. Results: TST in nurses working evening rotating shift was higher than that for those working the day or night rotating shift and fixed day shift. WASO was significantly longer on Day 2 for rotating shift participants working evening versus day shift. SOL and SE were significantly shorter and lower in rotating shift nurses working night versus both day and evening shifts. Conclusions: A comprehensive understanding of the sleep patterns and quality of nurses with different work shifts may lead to better management of work shifts that reduces the influence of shift work on sleep quality.

scholarly journals Chronotype-specific Sleep in Two Versus Four Consecutive Shifts

2021 ◽  
pp. 074873042110060
Author(s):  
Dorothee Fischer ◽  
Till Roenneberg ◽  
Céline Vetter
Keyword(s):  
Night Shift ◽  
Sleep Diary ◽  
Sequence Length ◽  
Consecutive Night ◽  
Shift Workers ◽  
Subject Field ◽  
Sleep Diaries ◽  
Social Jetlag ◽  
Sleep Debt ◽  
Night Shifts

The study aimed to explore chronotype-specific effects of two versus four consecutive morning or night shifts on sleep-wake behavior. Sleep debt and social jetlag (a behavioral proxy of circadian misalignment) were estimated from sleep diary data collected for 5 weeks in a within-subject field study of 30 rotating night shift workers (29.9 ± 7.3 years, 60% female). Mixed models were used to examine whether effects of shift sequence length on sleep are dependent on chronotype, testing the interaction between sequence length (two vs. four) and chronotype (determined from sleep diaries). Analyses of two versus four morning shifts showed no significant interaction effects with chronotype. In contrast, increasing the number of night shifts from two to four increased sleep debt in early chronotypes, but decreased sleep debt in late types, with no change in intermediate ones. In early types, the higher sleep debt was due to accumulated sleep loss over four night shifts. In late types, sleep duration did not increase over the course of four night shifts, so that adaptation is unlikely to explain the observed lower sleep debt. Late types instead had increased sleep debt after two night shifts, which was carried over from two preceding morning shifts in this schedule. Including naps did not change the findings. Social jetlag was unaffected by the number of consecutive night shifts. Our results suggest that consecutive night shifts should be limited in early types. For other chronotypes, working four night shifts might be a beneficial alternative to working two morning and two night shifts. Studies should record shift sequences in rotating schedules.

scholarly journals The Effects of Aromatherapy Massage on Sleep Quality of Nurses on Monthly Rotating Night Shifts

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Ying-Ying Chang ◽  
Chao-Ling Lin ◽  
Li-Yin Chang
Keyword(s):  
Treatment Group ◽  
Sleep Quality ◽  
Medical Center ◽  
Night Shift ◽  
Control Group ◽  
Quality Information ◽  
Subjective Sleep Quality ◽  
Central Taiwan ◽  
Night Shifts

The goal of this study is to examine the effects of aromatherapy massage on sleep quality of nurses with monthly rotating night shifts. Subjects were enrolled at a medical center in central Taiwan with overall score ≥ 5 of Pittsburgh Sleep Quality Index (PSQI) and randomly assigned to the treatment or control groups. They were validated by pretests during their first graveyard shift in the trial period and the sleep quality information was collected by using the PSQI and sleep detectors. During the second graveyard shift, the treatment group received aromatherapy massage and the control group rested in the same aromatherapy room after work. All subjects filled out the PSQI surveys and the sleep quality information was collected during massage or resting and the following night. We found that the total PSQI was significantly decreased in the treatment group following the aromatherapy massage. Specifically, the components such as subjective sleep quality, sleep disturbance, and daytime dysfunction were significantly decreased. However, there were no significant changes of average PSQI scores between the two groups before and after intervention. Taken together, our study suggested that aromatherapy massage could improve sleep quality of nurses with monthly rotating night shift.

scholarly journals The Travel Demands of an Elite Rugby Sevens Team: Effects on Objective and Subjective Sleep Parameters

2021 ◽  
Vol 16 (5) ◽  
pp. 688-694
Author(s):  
Cédric Leduc ◽  
Julien Robineau ◽  
Jason C. Tee ◽  
Jeremy Cheradame ◽  
Ben Jones ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Mixed Models ◽  
Total Sleep Time ◽  
Sleep Time ◽  
Jet Lag ◽  
Sleep Patterns ◽  
Subjective Sleep ◽  
World Series ◽  
Sleep Parameters ◽  
The Difference

Purpose: To explore the effects of travel related to international rugby sevens competition on sleep patterns. Methods: A total of 17 international male rugby sevens players participated in this study. Actigraphic and subjective sleep assessments were performed daily during 2 separate Sevens World Series competition legs (Oceania and America). The duration of each competition leg was subdivided into key periods (pretour, precompetition, tournament 1, relocation, tournament 2, and posttour) lasting 2 to 7 nights. Linear mixed models in combination with magnitude-based decisions were used to assess (1) the difference between preseason and key periods and (2) the effect of travel direction (eastward or westward). Results: Shorter total sleep time (hours:minutes) was observed during tournament 2 (mean [SD], 06:16 [01:08]), relocation (06:09 [01:09]), and the pretour week (06:34 [01:24]) compared with the preseason (06:52 [01:00]). Worse sleep quality (arbitrary units) was observed during tournament 1 (6.1 [2.0]) and 2 (5.7 [1.2]), as well as during the relocation week (6.3 [1.5]) than during the preseason (6.5 [1.8]). When traveling eastward compared with westward, earlier fall-asleep time was observed during tournament 1 (ES − 0.57; 90% CI, −1.12 to −0.01), the relocation week (−0.70 [−1.11 to −0.28]), and the posttour (−0.57 [−0.95 to −0.18]). However, possibly trivial and unclear differences were observed during the precompetition week (0.15 [−0.15 to 0.45]) and tournament 2 (0.81 [−0.29 to 1.91]). Conclusion: The sleep patterns of elite rugby sevens players are robust to the effects of long-haul travel and jet lag. However, the staff should consider promoting sleep during the tournament and relocation week.

A Comparison of the Effects of Fixed- and Rotating-Shift Schedules on Nursing Staff Attention Levels

2012 ◽  
Vol 15 (4) ◽  
pp. 443-450 ◽  
Author(s):  
Shu-Fen Niu ◽  
Hsin Chu ◽  
Chiung-Hua Chen ◽  
Min-Huey Chung ◽  
Yu-Shiun Chang ◽  
...  
Keyword(s):  
Selective Attention ◽  
Nursing Staff ◽  
Occupational Safety ◽  
Medical Center ◽  
Night Shift ◽  
Control Group ◽  
Shift Workers ◽  
Shift Group ◽  
Operation Speed ◽  
Experimental Group

Purpose:Sleep deficit affects neurobehavioral functioning, reduces attention and cognitive function, and negatively impacts occupational safety. This study investigated selective attention levels of nursing staff on different shifts.Methods:Using a prospective, randomized parallel group study, selective attention was measured using the d2 test in 62 nursing staff in a medical center in Taiwan.Findings:There were significant differences in selective attention indicators (E%) between the fixed-day-shift group (control group) and rotating-shift group (experimental group): The percentage of errors (E%) for night-shift workers in the rotating-shift group was higher than that of fixed-day-shift workers, while the total number of items scanned minus error (TN − E) and concentration performance (CP) scores were higher for fixed-day-shift workers. Within the experimental group, the error rate on night shift was 0.44 times more than that on day shift and .62 times more than on evening shift; the TN-E on night shift was 38.99 items less than that on day shift, and the CP was 27.68 items less on night shift than on day shift; indicating that staff on the night shift demonstrated poorer speed and accuracy on the overall test than did the staff on day shifts.Conclusions:Inadequate sleep and a state of somnolence adversely affected the attention and operation speed of work among night-shift workers. More than 2 days off is suggested when shifting from the night shift to other shifts to provide adequate time for circadian rhythms to adjust.

scholarly journals Social jetlag and sleep debts are altered in different rosters of night shift work

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262049
Author(s):  
Swaantje Casjens ◽  
Frank Brenscheidt ◽  
Anita Tisch ◽  
Beate Beermann ◽  
Thomas Brüning ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Deprivation ◽  
Sleep Duration ◽  
Shift Work ◽  
Night Shift ◽  
Shift Workers ◽  
Social Jetlag ◽  
Sleep Debt ◽  
The Impact ◽  
Night Shifts

Background Night and shift work are suspected to cause various adverse effects on health and sleep. Sleep deprivation through shift work is assumed to be compensated on free days. So far it is not clear how different shift systems and shift lengths affect sleep structure on work and free days. Especially working night shifts disrupts the circadian rhythm but also extended working hours (12h) might affect sleep characteristics. Hitherto, the magnitude of sleep debt, social jetlag, and Locomotor Inactivity During Sleep (LIDS) in different shift systems is unknown. Methods Here, we investigated the impact of five different shift rosters on sleep in 129 industrial workers from Germany. Permanent night work with multiple shift systems with and without night shifts and with different shift lengths were compared. Wrist-activity was monitored over 28 days revealing sleep on- and offsets as well as LIDS as proxy for sleep quality. Overall, 3,865 sleep bouts comprising 22,310 hours of sleep were examined. Results The mean daily age-adjusted sleep duration (including naps) was 6:43h and did not differ between shift workers of different rosters. However, sleep duration on workdays was particularly low in rotational shift systems with 12h-shifts (5:00h), while overall sleep debt was highest. Shift workers showed a median absolute social jetlag of 3:03h, which differed considerably between shift types and rosters (p<0.0001). Permanent night workers had the highest social jetlag (5:08h) and latest mid-sleeps on workdays and free days. Sleep quality was reduced in permanent night shift workers compared with shift workers in other rosters and differed between daytime and nighttime sleep. Conclusions Shift work leads to partial sleep deprivation, which particularly affects workers in 12h-shifts and permanent night shifts. Working these shifts resulted in higher sleep debts and larger absolute social jetlag whereas sleep quality was especially reduced in permanent night shift workers compared with shift workers of other rosters.

scholarly journals Personality Traits and Insomnia Symptoms in Shift Workers

2021 ◽  
Vol 12 ◽  
Author(s):  
Brigitte Holzinger ◽  
Lucille Mayer ◽  
Gerhard Klösch
Keyword(s):  
Sleep Quality ◽  
Personality Traits ◽  
Sleep Duration ◽  
Total Sleep Time ◽  
Sleep Time ◽  
Work Schedule ◽  
Shift Workers ◽  
Time In Bed ◽  
Shift Schedules ◽  
Insomnia Symptoms

The discrepancy between natural sleep-wake rhythm and actual sleep times in shift workers can cause sleep loss and negative daytime consequences. Irregular shift schedules do not follow a fixed structure and change frequently, which makes them particularly harmful and makes affected individuals more susceptible to insomnia. The present study compares insomnia symptoms of non-shift workers, regular shift workers, and irregular shift workers and takes into account the moderating role of the Big Five personality traits and levels of perfectionism. Employees of an Austrian railway company completed an online survey assessing shift schedules, sleep quality and duration, daytime sleepiness, and personality traits. A total of 305 participants, of whom 111 were non-shift workers, 60 regular shift workers, and 134 irregular shift workers, made up the final sample. Irregular shift workers achieved significantly worse scores than one or both of the other groups in time in bed, total sleep time, sleep efficiency, sleep duration, sleep quality, sleep latency, and the number of awakenings. However, the values of the irregular shifts workers are still in the average range and do not indicate clinical insomnia. Participants working regular shifts reported the best sleep quality and longest sleep duration and showed the least nocturnal awakenings, possibly due to higher conscientiousness- and lower neuroticism scores in this group. Agreeableness increased the effect of work schedule on total sleep time while decreasing its effect on the amount of sleep medication taken. Perfectionism increased the effect of work schedule on time in bed and total sleep time. Generalization of results is limited due to the high percentage of males in the sample and using self-report measures only.

scholarly journals Disturbances of Autonomic Regulation of Cardiovascular System at Different Working Regimes with Night Shifts

Kardiologiia ◽  
2020 ◽  
Vol 60 (9) ◽  
pp. 62-67
Author(s):  
Yu. A. Merkulov ◽  
A. A. Pyatkov ◽  
S. G. Gorokhova ◽  
D. M. Merkulova ◽  
O. Yu. Atkov
Keyword(s):  
Shift Work ◽  
Spectral Characteristics ◽  
Night Shift ◽  
Autonomic Regulation ◽  
Total Power ◽  
Orthostatic Test ◽  
Heart Rhythm Variability ◽  
Shift Workers ◽  
Rotating Shift Work ◽  
Night Shifts

Aim        To study temporal and spectral characteristics of heart rhythm variability (HRV) in night shift workers.Materials and methods       Along with traditional risk factors, conditions of labor contribute to development of cardiovascular morbidity, including night shift work, which can be associated with disorders of the autonomic regulation detected by analysis of HRV. This study included 100 healthy men. 74 of them were engaged in shift work, including 53 men with rotating shift work, 21 men with fixed night shifts, and 26 men with day-time work. HRV was analyzed by data of 5-min electrocardiogram recording (background recording and orthostatic test).Results   Night-shift workers had decreases in total power of regulation (ТР, SDNN) and in the parasympathetic branch (HF, pNN50). Rotating night-shift workers displayed significant decreases in SDNN and pNN50 and pronounced changes in the VLF / LF / HF ratio in the orthostatic test.Conclusion            In work with night shifts, the type of autonomic regulation differs from the “standard” functioning of the autonomic nervous system (ANS). This study showed different effects of night work regimens on HRV indexes. With the rotating shift work, the ANS dysregulation was more profound and was evident by a significant decrease in the ANS total tone and parasympathetic activity (SDNN, pNN50) compared to night shifts with fixed working hours. The excessive weakening of the parasympathetic component in the passive orthostatic test can be considered as an early marker for ANS maladaptation. 

scholarly journals Perception of Fatigue Among Surgeons During Night Shifts

2013 ◽  
Vol 95 (7) ◽  
pp. 1-5 ◽  
Author(s):  
I Amirian ◽  
AK Danielsen ◽  
J Rosenberg
Keyword(s):  
Time Pressure ◽  
Night Shift ◽  
Sleep Time ◽  
Work Hours ◽  
Impaired Performance ◽  
Impaired Cognition ◽  
Long Work Hours ◽  
Call Night ◽  
Night Shifts ◽  
Increase In Risk

It is well known that sleep deprivation induces fatigue and that fatigue induces impaired cognition. Studies have demonstrated that long work hours, restricted sleep, time pressure and high demands may cause impaired performance in physicians. Some studies have shown through laparoscopic simulation that surgeons, when deprived of sleep, take longer to perform the procedure, make more unnecessary movements with their instruments and significantly more mistakes. Surgeons with an opportunity for sleep of less than 6 hours on the previous on-call night shift had an 83% increase in risk of postoperative complications when working the following day.

Serotonin variations and sleep disorders among shift workers. A cross-sectional study

2021 ◽  
pp. 074823372110331
Author(s):  
Rehab Shehata Abdelhady Shehata ◽  
Zeinab Ahmed Mohamed Nour ◽  
Amul Mohamed Abdelrahim Badr ◽  
Eman Mahmoud Khalifa
Keyword(s):  
Sleep Quality ◽  
Shift Work ◽  
Night Shift ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Serotonin Level ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Shift Workers ◽  
Blood Serotonin

Sleep disorders are prevalent occupational health problems among shift workers, especially healthcare workers with long shifts. Serotonin is a neurotransmitter related to circadian variations accompanied by shift work. A cross-sectional study was performed on 73 nurses at a tertiary hospital in Cairo, Egypt, to assess sleep quality among shift work nurses (SWNs), to determine blood serotonin level, and its relation to shift work and sleep quality. A demographic and occupational history questionnaire, Pittsburgh Sleep Quality Index (PSQI) questionnaire, and measurement of blood serotonin were carried out to the studied group. The data were analyzed using SPSS 25, and descriptive statistics, unpaired t-test, ANOVA, Kruskal–Wallis Test, Chi-square, Spearman correlation, and multivariate regression analysis were utilized. The results showed that the mean PSQI global score was significantly higher among SWNs than non-shift work nurses (NSWNs) and was the highest (10.32 ± 3.56 and 10.22 ± 2.4, respectively) among rotatory and fixed night shift nurses. Blood serotonin showed highly significant differences between SWNs over NSWNs ( p = 0.001), and mostly reduced among rotatory and fixed night shift nurses (66.7% and 65%, respectively). Moreover, there were highly significant differences in serotonin levels between poor and good sleep quality nurses ( p < 0.001), and most of the poor sleep quality nurses (62.7%) had low serotonin levels. Abnormal serotonin level (odds = 246.5) and working years (odds = 1.2) were statistically significant predictors of poor sleep quality. In conclusion, SWNs, especially rotating and night shift nurses, suffer from poor sleep quality associated with abnormal levels of blood serotonin.

Sign in / Sign up

Export Citation Format

Share Document