1
|
Hwang KR, Lee M, Jang SJ. Social jetlag and body mass index among shift-working nurses in Korea: A cross-sectional study. Int J Nurs Knowl 2024; 35:195-202. [PMID: 36625567 DOI: 10.1111/2047-3095.12410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 12/09/2022] [Indexed: 01/11/2023]
Abstract
PURPOSE Shift-working nurses must function against their natural circadian system and are, thus, bound to be detrimentally affected by social jetlag. Circadian rhythms play a crucial role in regulating homeostasis, and social jetlag may increase one's risk for obesity. Therefore, this study aimed to identify associations between social jetlag and obesity among shift-working nurses. METHODS This cross-sectional study included 183 nurses working rotating shifts in South Korea. Chronotype and social jetlag were measured using the Morningness-Eveningness Questionnaire and the Munich Chronotype Questionnaire for Shift-Workers, respectively. Obesity was defined as a body mass index of 25.0 or higher, which was calculated using self-reported height and weight data. The associations between chronotype, social jetlag, and obesity were investigated using multiple logistic regression analysis. FINDINGS A total of 183 nurses were included in the analysis (81.4% women and 80.3% single, median age = 27.00 years). Majority of the participants' (95.1%) chronotypes were moderate evening or intermediate type. The mean overall social jetlag was 3 h and 31 min. The odds for obesity were 8.44 times higher among shift-working nurses whose social jetlag was over 3 h and 31 min (95% confidence interval: 1.66-42.99) while controlling for chronotype, exercise time, and eating habits. CONCLUSIONS Social jetlag may increase the likelihood of obesity among rotating shift-working nurses. IMPLICATIONS FOR NURSING PRACTICE To achieve positive outcomes for promoting nurses' health, upper nursing management should consider individual nurses' social jetlag when scheduling shifts. In addition, nursing managers should have the responsibility to educate nurses involved in shift work about the adverse effects of social jetlag.
Collapse
Affiliation(s)
- Kyu Rim Hwang
- College of Nursing, Eulji University, Uijeongbu, Republic of Korea
| | - Miyoung Lee
- Nursing Department, College of Health and Welfare, Woosong University, Daejeon, Republic of Korea
| | - Sun Joo Jang
- College of Nursing, Seoul National University, Seoul, South Korea
| |
Collapse
|
2
|
Easton DF, Gupta CC, Vincent GE, Ferguson SA. Move the night way: how can physical activity facilitate adaptation to shift work? Commun Biol 2024; 7:259. [PMID: 38431743 PMCID: PMC10908783 DOI: 10.1038/s42003-024-05962-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 02/22/2024] [Indexed: 03/05/2024] Open
Abstract
Shift work, involving night work, leads to impaired sleep, cognition, health and wellbeing, and an increased risk of occupational incidents. Current countermeasures include circadian adaptation to phase shift circadian biomarkers. However, evidence of real-world circadian adaptation is found primarily in occupations where light exposure is readily controlled. Despite this, non-photic adaptation to shift work remains under researched. Other markers of shift work adaptation exist (e.g., improvements in cognition and wellbeing outcomes) but are relatively unexplored. Timeframes for shift work adaptation involve changes which occur over a block of shifts, or over a shift working career. We propose an additional shift work adaptation timeframe exists which encompasses acute within shift changes in markers of adaptation. We also propose that physical activity might be an accessible and cost-effective countermeasure that could influence multiple markers of adaptation across three timeframes (Within Shift, Within Block, Within Work-span). Finally, practical considerations for shift workers, shift work industries and future research are identified.
Collapse
Affiliation(s)
- Dayna F Easton
- Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Wayville, SA, Australia.
| | - Charlotte C Gupta
- Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Wayville, SA, Australia
| | - Grace E Vincent
- Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Wayville, SA, Australia
| | - Sally A Ferguson
- Appleton Institute, Central Queensland University, Wayville, SA, Australia
| |
Collapse
|
3
|
Choi WS, Kang SW, Choi SB. The dark side of mobile work during non-work hours: moderated mediation model of presenteeism through conservation of resources lens. Front Public Health 2024; 12:1186327. [PMID: 38439760 PMCID: PMC10909990 DOI: 10.3389/fpubh.2024.1186327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 02/05/2024] [Indexed: 03/06/2024] Open
Abstract
Owing to the development of Information and Communication Technology (ICT) and the inevitability of telecommuting in the COVID-19 environment, the boundary between working and non-working hours has become blurred. mWork, that is, ICT-based off-hour work, which has increased through the pandemic, affects employees' work attitudes, such as presenteeism. Hence, we designed a study to investigate the antecedents and mechanisms of employee presenteeism from the perspective of the conservation of resources theory. We supported our hypothesis using a sample of 325 Korean office workers obtained through three rounds of time-delay surveys. The results show that presenteeism is higher among employees with high mWork. In addition, employees' mWork increases sleep deprivation and presenteeism, and the exchange ideology of employees reinforces the positive effect of sleep deprivation on presenteeism. Additionally, the higher the level of exchange ideology, the stronger the mediating effect of mWork on presenteeism through sleep deprivation. This study verified the conservation of resources theory by identifying the mechanism by which mWork affects an employee's life, which in turn affects their work, and provides practical implications for managing productivity loss due to presenteeism.
Collapse
Affiliation(s)
- Woo-Sung Choi
- College of Business, Gachon University, Seongnam, Republic of Korea
| | - Seung-Wan Kang
- College of Business, Gachon University, Seongnam, Republic of Korea
| | - Suk Bong Choi
- College of Global Business, Korea University, Sejong, Republic of Korea
| |
Collapse
|
4
|
Kim JH, Kim O, Cho M, Jeong H, Dan H. Associations of anxiety and fatigue with hazardous occupational conditions of Korean nurses in early pregnancy: A cross-sectional study. Int J Nurs Pract 2024:e13232. [PMID: 38273459 DOI: 10.1111/ijn.13232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 09/15/2023] [Accepted: 12/05/2023] [Indexed: 01/27/2024]
Abstract
AIM To identify occupational conditions associated with anxiety and fatigue among Korean nurses in early pregnancy. BACKGROUND Pregnant nurses, like non-pregnant hospital nurses, are exposed to dangerous and stressful work environments, which can affect fatigue and anxiety. DESIGN AND METHODS This cross-sectional study enrolled 1490 nurses who participated in the early pregnancy module in the Korea Nurses' Health Study between 2014 and 2020. Hierarchical linear regression analyses were employed to identify the factors associated with anxiety and fatigue among nurses in early pregnancy. RESULTS One-fifth of participants were working night shifts, and more than two-thirds were working overtime. When using antineoplastic drugs and disinfectants, the rate of use of protective equipment varied depending on the size of the hospital. Working overtime and lifting heavy objects were associated with increased anxiety and fatigue among nurses. CONCLUSION Overtime work was associated with both anxiety and fatigue among pregnant nurses. Pregnant hospital nurses were exposed to both night shift and overtime work. Therefore, hospital managers should improve hazardous working environments to protect the health of nurses in early pregnancy and their fetuses.
Collapse
Affiliation(s)
- Jung-Hee Kim
- College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea
| | - Oksoo Kim
- College of Nursing, Ewha Womans University, Seoul, Republic of Korea
| | - Mijung Cho
- Department of Nursing, Hallym Polytechnic University, Chuncheon, Republic of Korea
| | - Hyunseon Jeong
- College of Nursing, Seoul Women's College of Nursing, Seoul, Republic of Korea
| | - Hyunju Dan
- Department of Nursing, Hwasung Medi-Science University, Hwasung-si, Kyunggi-do, Republic of Korea
| |
Collapse
|
5
|
Chen S, Wu H, Sun M, Wei Q, Zhang Q. Effects of shift work schedules, compensatory sleep, and work-family conflict on fatigue of shift-working nurses in Chinese intensive care units. Nurs Crit Care 2023; 28:948-956. [PMID: 37078518 DOI: 10.1111/nicc.12909] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 03/06/2023] [Accepted: 03/14/2023] [Indexed: 04/21/2023]
Abstract
BACKGROUND Shift work is inevitable for nurses in intensive care units. Various studies explored nurses' fatigue in multiple hospital wards. However, few studies focused on fatigue among nurses in intensive care units. AIMS To determine the association between shift work schedules, compensatory sleep, work-family conflict, and fatigue of shift-working nurses in critical care units. STUDY DESIGN A descriptive cross-sectional multi-center study was conducted in March 2022 among intensive care nurses from five hospitals. METHODS Data were collected by online survey, including self-designed demographic questions, the Fatigue Scale-14, the Chinese adult daytime sleepiness scale, and the work-family scale. Pearson correlation was conducted for bivariate analysis. Independent-sample t-test, one-way ANOVA, and multiple linear regression analysis were performed to examine fatigue-related variables. RESULTS A total of 326 nurses responded to the survey with an effective response rate of 74.9%. The mean scores of physical fatigue and mental fatigue were 6.80 and 3.72, respectively. The bivariate analyses showed that work-family conflict was positively correlated with physical (r = 0.483, p < .001) and mental fatigue (r = 0.406, p < .001). Multiple linear regression results showed that work-family conflict, daytime sleepiness, and shift system were statistically significant factors influencing physical fatigue (F = 41.793, p < .001). Work-family conflict, sleep duration after the night shift, and daytime sleepiness were the main influencing factors of mental fatigue (F = 25.105, p < .001). CONCLUSIONS Nurses with higher work-family conflict, daytime sleepiness, and working 12-h shifts have higher levels of physical fatigue. Higher work-family conflict, shorter sleep duration after night shifts, and daytime sleepiness are associated with higher mental fatigue among intensive care nurses. RELEVANCE TO CLINICAL PRACTICE Nursing managers and nurses should consider work-family factors and compensatory sleep in their efforts to reduce fatigue. It is necessary to strengthen work-supporting strategies and compensatory sleep guidance for nurses to promote fatigue recovery.
Collapse
Affiliation(s)
- Shanshan Chen
- Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Huihui Wu
- Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Mimi Sun
- Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Qing Wei
- Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Qixia Zhang
- Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| |
Collapse
|
6
|
Ooshige N, Matsunaka E, Ueki S. Pregnant nurses' experiences of working shifts: a qualitative systematic review protocol. JBI Evid Synth 2023; 21:457-464. [PMID: 36044316 DOI: 10.11124/jbies-22-00060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE The proposed systematic review will synthesize the experiences of nurses working in any shifts during pregnancy. INTRODUCTION Nurses are among the most burdened health care workers and are at risk of diseases of the circulatory system due to prolonged standing. For pregnant nurses, this could reduce blood circulation and blood flow to the uterus and placenta. Contributing factors include long working hours and frequent heavy lifting, which may induce uterine contractions and premature birth; irregular shifts, which exacerbate fatigue; and high levels of psychosocial stress. There is no qualitative evidence as to what nurses are experiencing while working shifts when pregnant. This review will evaluate and integrate the current available findings related to the experience of shift-working nurses who are pregnant. INCLUSION CRITERIA This review will include qualitative studies focusing on the experience of shift work among pregnant nurses. No language or date limits will be applied. All types of pregnancy among nurses will be included. METHODS The databases to be searched will include CINAHL (EBSCOhost), MEDLINE (EBSCOhost), PsycINFO (EBSCOhost), and Igaku Chuo Zasshi (the Japan Medical Abstracts Society). Sources of gray literature will include MedNar and DANS, as well as the websites of the American Nurses Association and the Japanese Nursing Association. Study selection, critical appraisal, data extraction, and data synthesis will be performed independently by 2 reviewers. The synthesized findings will be graded according to the ConQual approach for establishing confidence in findings. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42022309674.
Collapse
Affiliation(s)
- Narumi Ooshige
- Department of Nursing, Faculty of Nursing and Nutrition, University of Nagasaki, Siebold, Nagasaki, Japan
| | - Eriko Matsunaka
- Japanese Red Cross Kyushu International College of Nursing, Fukuoka, Japan.,The Japan Centre for Evidence Based Practice: A JBI Centre of Excellence, Osaka University, Osaka, Japan
| | - Shingo Ueki
- The Japan Centre for Evidence Based Practice: A JBI Centre of Excellence, Osaka University, Osaka, Japan.,Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan
| |
Collapse
|
7
|
Budnick CJ, Stults-Kolehmainen M, Dadina C, Bartholomew JB, Boullosa D, Ash GI, Sinha R, Blacutt M, Haughton A, Lu T. Motivation states to move, be physically active and sedentary vary like circadian rhythms and are associated with affect and arousal. Front Sports Act Living 2023; 5:1094288. [PMID: 37143586 PMCID: PMC10151587 DOI: 10.3389/fspor.2023.1094288] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 03/16/2023] [Indexed: 05/06/2023] Open
Abstract
Introduction Motivation to be physically active and sedentary is a transient state that varies in response to previous behavior. It is not known: (a) if motivational states vary from morning to evening, (b) if they are related to feeling states (arousal/hedonic tone), and (c) whether they predict current behavior and intentions. The primary purpose of this study was to determine if motivation states vary across the day and in what pattern. Thirty adults from the United States were recruited from Amazon MTurk. Methods Participants completed 6 identical online surveys each day for 8 days beginning after waking and every 2-3 h thereafter until bedtime. Participants completed: (a) the CRAVE scale (Right now version) to measure motivation states for Move and Rest, (b) Feeling Scale, (c) Felt Arousal Scale, and (d) surveys about current movement behavior (e.g., currently sitting, standing, laying down) and intentions for exercise and sleep. Of these, 21 participants (mean age 37.7 y; 52.4% female) had complete and valid data. Results Visual inspection of data determined that: a) motivation states varied widely across the day, and b) most participants had a single wave cycle each day. Hierarchical linear modelling revealed that there were significant linear and quadratic time trends for both Move and Rest. Move peaked near 1500 h when Rest was at its nadir. Cosinor analysis determined that the functional waveform was circadian for Move for 81% of participants and 62% for Rest. Pleasure/displeasure and arousal independently predicted motivation states (all p's < .001), but arousal had an association twice as large. Eating, exercise and sleep behaviors, especially those over 2 h before assessment, predicted current motivation states. Move-motivation predicted current body position (e.g., laying down, sitting, walking) and intentions for exercise and sleep more consistently than rest, with the strongest prediction of behaviors planned for the next 30 min. Discussion While these data must be replicated with a larger sample, results suggest that motivation states to be active or sedentary have a circadian waveform for most people and influence future behavioral intentions. These novel results highlight the need to rethink the traditional approaches typically utilized to increase physical activity levels.
Collapse
Affiliation(s)
- Christopher J. Budnick
- Department of Psychology, Southern Connecticut State University, New Haven, CT, United States
| | - Matthew Stults-Kolehmainen
- Division of Digestive Health, Yale New Haven Hospital, New Haven, CT, United States
- Department of Biobehavioral Sciences, Teachers College—Columbia University, New York, NY, United States
- Correspondence: Matthew Stults-Kolehmainen
| | - Cyrus Dadina
- Science Research Program, Dobbs Ferry High School, Dobbs Ferry, NY, United States
| | - John B. Bartholomew
- Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United States
| | - Daniel Boullosa
- Faculty of Physical Activity and Sports Sciences, Universidad de León, León, Spain
- College of Healthcare Sciences, James Cook University, Townsville, Australia
- Graduate Program in Movement Sciences, Integrated Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Garret I. Ash
- Center for Pain, Research, Informatics, Medical Comorbidities and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, United States
- Center for Medical Informatics, Yale School of Medicine, New Haven, CT, United States
| | - Rajita Sinha
- Department of Psychiatry, Yale Medical School, New Haven, CT, United States
| | - Miguel Blacutt
- Department of Psychology, University of Notre Dame, Notre Dame, IN, United States
| | - Adrian Haughton
- Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, United States
| | - Tom Lu
- Department of Mathematics and Statistics, Texas Tech University, Lubbock, TX, United States
| |
Collapse
|
8
|
Mohammed T, Mahmud S, Gintamo B, Mekuria ZN, Gizaw Z. Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study. BMJ Open 2022; 12:e066531. [PMID: 36600356 PMCID: PMC9730371 DOI: 10.1136/bmjopen-2022-066531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE This study was conducted to assess the magnitude and contributing factors of medication administration errors among nurses in federal hospitals in Addis Ababa, Ethiopia. DESIGN A hospital-based cross-sectional study design was employed. Data on medication administration and associated factors were collected using a structured self-administered questionnaire. Multivariable binary logistic regression analysis was done to identify factors associated with medication administration errors on the basis of adjusted OR with 95% CI and a p value less than 0.05. SETTING This study was conducted in federal hospitals in Addis Ababa, Ethiopia. PARTICIPANTS Four hundred and twenty-three randomly selected nurses participated. OUTCOME MEASURES The primary outcome variable is medication administration error, which was ascertained using the following errors: wrong medication, wrong dose, wrong time, wrong route, wrong patient, wrong drug preparation, wrong advice, wrong assessment and wrong documentations. RESULTS A total of 59.9% (95% CI: 55.0% to 64.8%) of the nurses in the federal hospitals in Addis Ababa committed one or more medication administration errors in the last 12 months prior to the survey. The most commonly reported medication errors were wrong time (56.8%), wrong documentation (33.3%), wrong advice (27.8%) and wrong dose (20.1%). Medication administration errors among nurses were significantly associated with short work experience (adjusted OR (AOR): 6.48, 95% CI: 1.32 to 31.78), night shift work (AOR: 5.0, 95% CI: 1.82 to 13.78), absence of on-the-job training (AOR: 3.16, 95% CI: 1.67 to 6.00), unavailability of medication administration guidelines in wards (AOR: 2.07, 95% CI: 1.06 to 4.06) and interruptions during medication administration (AOR: 2.42, 95% CI: 1.30 to 4.49). CONCLUSION It was found that a high proportion of nurses in federal hospitals committed medication administration errors. Short work experience, night shift work, absence of on-the-job training, unavailability of medication administration guidelines and interruptions during medication administration explained the high magnitude of medication administration errors.
Collapse
Affiliation(s)
| | - Sindew Mahmud
- Department of Nursing, College of Medical and Health Sciences, Kotebe Metropolitan University, Addis Ababa, Ethiopia
| | - Binyam Gintamo
- Addis Ababa Medical and Business College, Addis Ababa, Ethiopia
- Department of Biotechnology, Faculty of Applied Sciences and Biotechnology, Shoolini University, Bajhol, H P, Solan, India
| | - Zelalem Negash Mekuria
- Addis Ababa Medical and Business College, Addis Ababa, Ethiopia
- Yekatit 12 Medical College, Addis Ababa, Ethiopia
| | - Zemichael Gizaw
- Department of Environmental and Occupational Health and Safety, University of Gondar, Gondar, Ethiopia
| |
Collapse
|
9
|
Jang SJ, Chang SJ. Association between early career nurses’ social jetlag, affect, depression, and quality of life. Collegian 2022. [DOI: 10.1016/j.colegn.2022.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
10
|
Alsayed SA, Abou Hashish EA, Alshammari F. Occupational Fatigue and Associated Factors among Saudi Nurses Working 8-Hour Shifts at Public Hospitals. SAGE Open Nurs 2022; 8:23779608221078158. [PMID: 35284633 PMCID: PMC8905055 DOI: 10.1177/23779608221078158] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 01/09/2022] [Accepted: 01/17/2022] [Indexed: 12/03/2022] Open
Abstract
Introduction Shift work and demanding work schedules contribute to occupational fatigue, negatively affecting patient safety and nurses’ well-being, consequently placing nurses and patients at risk for injury and adverse health outcomes. For preventing fatigue and minimizing its negative consequences, information about its characteristics and associated factors is required. Objectives This study aimed to assess occupational fatigue “acute fatigue, chronic fatigue, and inter-shift recovery” among Saudi nurses working 8-h shifts. Further, we explored factors associated with fatigue from nurses’ perspectives. Methods We conducted a mixed-method study with a convenience sample of Saudi nurses (N = 282) working in four public hospitals in Saudi Arabia. Data were collected using the nurses’ profile form; the occupational fatigue exhaustion recovery (OFER) scale, for relevant quantitative data; and open-ended questions for qualitative data. We used descriptive and inferential statistics for analysing the quantitative data and content analysis of the qualitative data. Results The results showed that Saudi nurses rated themselves moderately fatigued with working 8-h shifts. The inter-shift recovery subscale showed a negative correlation with chronic fatigue and acute fatigue (r = −0.518, r = −0.356, P < 0.001). Sleeping problems, meals per day, and frequency of exercise showed significant relations with chronic fatigue among nurses (p < 0.05). In addition, three categories were derived from the qualitative content analysis. Saudi nurses reported work-related, psychosocial, and individual factors as major contributors to fatigue and recovery. Conclusion Occupational fatigue is a multidimensional issue, and nurses and nurse managers are challenged with reducing its prevalence and negative impact on nurses and patients. Our quantitative and qualitative findings suggest the need for a comprehensive approach to fatigue management and mitigation, including organizational support, creative workforce planning, flexible work schedules, and psychosocial support. Fatigue reduction and prevention policies and educational programs are vital strategies to improve nurses’ well-being and inter-shift recovery.
Collapse
Affiliation(s)
| | - Ebtsam Aly Abou Hashish
- College of Nursing - Jeddah, King Saud bin Abdul-Aziz University for Health Sciences, Saudi Arabia
- Faculty of Nursing, Alexandria University, Egypt
| | | |
Collapse
|
11
|
Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19021014. [PMID: 35055833 PMCID: PMC8776111 DOI: 10.3390/ijerph19021014] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 01/11/2022] [Accepted: 01/13/2022] [Indexed: 01/15/2023]
Abstract
Nurses with rotating shifts, including night shifts, have suffered from low physical activity during the COVID-19 pandemic and lower sleep quality due to the disruption of their circadian rhythm. This study aimed to develop and examine the effectiveness of a mobile wellness program on daily steps, sleep quality, exercise self-efficacy, intrinsic motivation for exercise, self-rated fatigue, and wellness. A cluster randomized controlled trial design was used to examine the effectiveness of the mobile wellness program for nurses with rotating shifts. Sixty nurses from one university hospital participated and were allocated to an intervention group and a control group. The intervention group received a 12-week mobile wellness program to improve their physical activity and sleep quality, and the control group was only given a Fitbit to self-monitor their health behaviors. There were significant differences between the two groups in daily steps (p = 0.000), three components (subjective sleep quality, sleep disturbance, daytime dysfunction) of the PSQI, exercise self-efficacy, intrinsic motivation for exercise, and wellness. In conclusion, this study provides meaningful information that the mobile wellness program using Fitbit, online exercise using Zoom, online health coaching on a Korean mobile platform, and motivational text messages effectively promoted physical activity and sleep quality for nurses with rotating shifts during the COVID-19 pandemic.
Collapse
|
12
|
Cattani AN, Silva RMD, Beck CLC, Miranda FMD, Dalmolin GDL, Camponogara S. REPERCUSSIONS OF NIGHT SHIFT WORK ON NURSING PROFESSIONALS' HEALTH AND SLEEP QUALITY. TEXTO & CONTEXTO ENFERMAGEM 2022. [DOI: 10.1590/1980-265x-tce-2021-0346en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to analyze the association between sleep quality, health symptoms and the physical, psychological and social effects of work in Nursing professionals working the night shift. Method: a cross-sectional study conducted with Nursing professionals working the night shift of a hospital institution. The instruments used were a socio-occupational and health symptoms questionnaire, the Assessment Scale for Work-Related Harms, and the Pittsburgh Sleep Quality Index. Data were collected between September 2017 and April 2018.The analysis was performed by means of descriptive and analytical statistics. Results: a total of 139 workers took part in the study and a statistical difference was identified between poor sleep quality and the female gender and physical illness variables and health symptoms such as appetite disorder, sensation of indigestion, flatulence, insomnia, difficulty concentrating, unhappiness, sensation of decreased self-esteem and mood lability. Conclusion: it was verified that Nursing professionals working the night shift experienced poor sleep quality, and that this relationship exerts an impact on physical, psychological and social health. Interventions targeted at raising awareness about sleep hygiene can promote better outcomes in these individuals' health.
Collapse
|
13
|
Cattani AN, Silva RMD, Beck CLC, Miranda FMD, Dalmolin GDL, Camponogara S. REPERCUSSÕES DO TRABALHO NOTURNO NA QUALIDADE DO SONO E SAÚDE DE TRABALHADORES DE ENFERMAGEM. TEXTO & CONTEXTO ENFERMAGEM 2022. [DOI: 10.1590/1980-265x-tce-2021-0346pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: analisar a associação entre a qualidade do sono, sintomas de saúde e os efeitos físicos, psicológicos e sociais do trabalho em trabalhadores de enfermagem que atuavam no turno noturno. Método: estudo transversal, realizado com trabalhadores de enfermagem que atuavam em instituição hospitalar no turno noturno. Utilizaram-se como instrumentos questionário sociolaboral e de sintomas de saúde, Escala de Avaliação dos Danos Relacionados ao Trabalho e o Índice de Qualidade do Sono de Pittsburgh. Os dados foram coletados entre setembro de 2017 e abril de 2018. A análise foi realizada por meio da estatística descritiva e analítica. Resultados: participaram 139 trabalhadores e identificou-se diferença estatística entre qualidade do sono ruim e as variáveis sexo feminino, adoecimento físico e sintomas de saúde como distúrbio de apetite, sensação de má digestão, flatulência, insônia, dificuldade de concentração, infelicidade, sensação de diminuição autoestima e labilidade de humor. Conclusão: constatou-se que os trabalhadores de enfermagem que atuavam no turno noturno experimentavam qualidade do sono ruim, e essa relação impacta na saúde física, psicológica e social. Intervenções visando à conscientização sobre a higiene do sono podem promover melhores resultados na saúde dessas pessoas.
Collapse
|
14
|
Kim O, Kim B, Jeong H, Lee J, Jung H. Sleep, Fatigue, and Depressive Symptoms among Female Nurses with Allergic Rhinitis. Healthcare (Basel) 2021; 9:healthcare9101328. [PMID: 34683008 PMCID: PMC8544519 DOI: 10.3390/healthcare9101328] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 09/21/2021] [Accepted: 10/01/2021] [Indexed: 11/16/2022] Open
Abstract
Allergic rhinitis (AR) is a common chronic disease that negatively affects physical and mental health. The purpose of this study was to determine the effects of allergic rhinitis on sleep, fatigue, and depressive symptoms among Korean female nurses. This was a cross-sectional study conducted using data from the Korea Nurses' Health Study (KNHS), and a total of 8645 female nurses was selected for the final analysis. The demographic characteristics, Body Mass Index, alcohol consumption, shift work, comorbidities (atopic dermatitis and asthma), self-rated health, sleep disturbance (Jenkins Sleep Questionnaire), fatigue (Chalder Fatigue Scale), and depressive symptoms (Perceived Health Questionnaire-9) were collected. The data were analyzed using chi-square tests, t-tests, and hierarchical multiple regression analyses. Participants with allergic rhinitis had significantly greater sleep disturbance, fatigue, and depressive symptoms than those without allergic rhinitis, and allergic rhinitis was a significant factor influencing sleep disturbance and fatigue among the participants after controlling for confounding variables. Therefore, it is imperative to develop effective interventions to manage allergic rhinitis symptoms and improve sleep and fatigue in affected nurses.
Collapse
Affiliation(s)
- Oksoo Kim
- College of Nursing, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Korea; (O.K.); (B.K.); (H.J.); (J.L.)
| | - Bohye Kim
- College of Nursing, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Korea; (O.K.); (B.K.); (H.J.); (J.L.)
| | - Hyunseon Jeong
- College of Nursing, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Korea; (O.K.); (B.K.); (H.J.); (J.L.)
| | - Jisun Lee
- College of Nursing, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Korea; (O.K.); (B.K.); (H.J.); (J.L.)
| | - Heeja Jung
- College of Nursing, Konyang University, 158, Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea
- Correspondence: ; Tel.: +82-42-600-8581
| |
Collapse
|
15
|
Yun S, Kim M, Lee WT, Yoon JH, Won JU. Irregular Work Hours and the Risk of Sleep Disturbance Among Korean Service Workers Required to Suppress Emotion. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041517. [PMID: 33562866 PMCID: PMC7915650 DOI: 10.3390/ijerph18041517] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/02/2021] [Accepted: 02/02/2021] [Indexed: 12/11/2022]
Abstract
Although a necessity in a modern society, irregular work schedule can lead to sleep problems. We investigated the effect of work schedule irregularity on sleep disturbance of 17,846 Korean service workers using the fifth Korean Working Conditions Survey. The odds ratio (OR) and 95% confidence interval (CI) for sleep disturbance occurrence were calculated through a multiple logistic regression model. The adjusted ORs for moderate and severe sleep disturbances for those with irregular work hours were 2.11 (95% CI 1.90–2.33) and 3.10 (95% CI 2.62–3.66), respectively. Work schedule irregularity and emotion suppression at work showed synergistic effect on both moderate and severe sleep disturbances. Sleep disturbances can lead to brain function deterioration and work-related injuries; therefore, appropriate measures should be addressed for the vulnerable population.
Collapse
Affiliation(s)
- Sehyun Yun
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea; (S.Y.); (M.K.); (W.-T.L.)
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Korea
- Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Korea;
| | - Minsuk Kim
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea; (S.Y.); (M.K.); (W.-T.L.)
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Korea
- Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Korea;
| | - Won-Tae Lee
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea; (S.Y.); (M.K.); (W.-T.L.)
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Korea
- Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Korea;
| | - Jin-Ha Yoon
- Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Korea;
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea
| | - Jong-Uk Won
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea; (S.Y.); (M.K.); (W.-T.L.)
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Korea
- Graduate School of Public Health, Yonsei University College of Medicine, Seoul 03722, Korea;
- Correspondence: ; Tel.: +82-2-2228-1579
| |
Collapse
|
16
|
Alsharari AF, Abuadas FH, Hakami MN, Darraj AA, Hakami MW. Impact of night shift rotations on nursing performance and patient safety: A cross-sectional study. Nurs Open 2021; 8:1479-1488. [PMID: 33449446 PMCID: PMC8046148 DOI: 10.1002/nop2.766] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 11/26/2020] [Accepted: 12/15/2020] [Indexed: 01/16/2023] Open
Abstract
Aim Hospitals operate on a 24‐hr basis, with shiftwork being unavoidable for most nurses. This study aims to explore the impact of night shiftwork rotations on nurses' physiological status, work performance and patient safety concerns among nurses in public hospitals. Design A descriptive predictive correlational design using a self‐administered questionnaire. Methods Electronic and printable survey questionnaires were distrusted among nurses working in public hospitals in multiple regions of Saudi Arabia. The study recruited 1,256 nurses from different nationalities, hospital work units and work experience. Results A large proportion of nurses on night shiftwork encountered patient safety issues (85.7%) and physiological consequences (93.6%). Counselling sessions and programmes to support at‐risk nurses are recommended.
Collapse
Affiliation(s)
- Abdalkarem F Alsharari
- Nursing Department, College of Applied Medical Sciences, Jouf University, Sakakah, Saudi Arabia
| | - Fuad H Abuadas
- Nursing Department, College of Applied Medical Sciences, Jouf University, Sakakah, Saudi Arabia
| | - Mohammed N Hakami
- College of Nursing, King Saud University, Riyadh, Saudi Arabia.,Ministry of Health, Riyadh, Saudi Arabia
| | - Adel A Darraj
- Ministry of Health, Riyadh, Saudi Arabia.,Sydney Nursing School, University of Sydney, Sydney, NSW, Australia
| | - Magbool W Hakami
- College of Nursing, King Saud University, Riyadh, Saudi Arabia.,Ministry of Health, Riyadh, Saudi Arabia
| |
Collapse
|
17
|
The Impact of Social Jetlag on Sleep Quality among Nurses: A Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 18:ijerph18010047. [PMID: 33374668 PMCID: PMC7793470 DOI: 10.3390/ijerph18010047] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 12/21/2020] [Accepted: 12/22/2020] [Indexed: 12/19/2022]
Abstract
Social jetlag (SJL) refers to an asynchrony between one’s chronotype and social working hours, which can be detrimental to health. The current SJL situation in shift nurses who work in dysregulation is poorly understood. Therefore, this study aimed to investigate SJL during night shifts and identify the predictors of sleep quality in rotating shift nurses. A cross-sectional study was conducted in 2018 on a sample of 132 shift-working nurses from two general hospitals in South Korea (the response rate was 88.8%). The SJL was measured with the Munich Chronotype Questionnaire, and sleep quality was measured with the Pittsburgh Sleep Quality Index and the Verran and Snyder–Halpern Sleep Scale. Data analysis was mainly based on a multiple regression, to identify SJL’s influence on nurses’ sleep quality. The average SJL during night shifts was 2 h and 3 min, and the average sleep duration during night shifts was 6 h 10 min. Multiple regression analysis revealed that SJL, day-shift fatigue, and sleep quality during night shifts affected nurses’ sleep quality. These variables accounted for 24.7% of the variance in overall sleep quality. The study concluded that overall sleep quality can increase with decreasing day-shift fatigue, decreasing SJL, and increasing sleep quality on night shifts.
Collapse
|