scholarly journals Burnout, Sleep, and Sleepiness during Day and Night Shifts in Transition from 8- to 12-Hour Shift Rosters among Airline Ground Crew Managers

2019 ◽  
Vol 1 (2) ◽  
pp. 226-239
Author(s):  
Shochat ◽  
Hadish-Shogan ◽  
Banin Yosipof ◽  
Recanati ◽  
Tzischinsky

: Organizational changes in shift scheduling provide rare opportunities for field studies aimed at investigating the effects of such changes on health and wellbeing. We studied the effects of a transition from 8-hour (8-h) to 12-hour (12-h) shift rosters in 39 airline ground crew managers on burnout, sleep quality, and sleepiness. Assessments were collected during the 8-h and were repeated three months after the transition to 12-h shift rosters. These assessments included the Shirom-Melamed Burnout Measure (SMBM), the Pittsburgh Sleep Quality Index (PSQI), actigraphy, the Karolinska Sleepiness Scale (KSS) completed hourly during one day and two night shifts, and caffeine intake. Findings demonstrated lower burnout, improved sleep quality, improved quality of naps, and increased afternoon sleepiness during the 12-h day shift. Napping was reported during 12-h night shifts by 36% of the sample. In nappers, increased night shift sleepiness was associated with increased caffeine intake on 8- and 12-h shifts. In non-nappers, increased night shift sleepiness was associated with decreased caffeine intake on the 8-h shift only. Change in shift length affects other structural and behavioral parameters in the workplace, making it challenging to isolate distinct characteristics of the two rosters and their relative effects on study outcomes. Individual differences in adaptation to shiftwork may also play a role.

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Ying-Ying Chang ◽  
Chao-Ling Lin ◽  
Li-Yin Chang

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.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256300
Author(s):  
Ourega-Zoé Ejebu ◽  
Chiara Dall’Ora ◽  
Peter Griffiths

Objective To explore the evidence on nurses’ experiences and preferences around shift patterns in the international literature. Data sources Electronic databases (CINHAL, MEDLINE and Scopus) were searched to identify primary studies up to April 2021. Methods Papers reporting qualitative or quantitative studies exploring the subjective experience and/or preferences of nurses around shift patterns were considered, with no restrictions on methods, date or setting. Key study features were extracted including setting, design and results. Findings were organised thematically by key features of shift work. Results 30 relevant papers were published between 1993 and 2021. They contained mostly qualitative studies where nurses reflected on their experience and preferences around shift patterns. The studies reported on three major aspects of shift work: shift work per se (i.e. the mere fact of working shift), shift length, and time of shift. Across all three aspects of shift work, nurses strive to deliver high quality of care despite facing intense working conditions, experiencing physical and mental fatigue or exhaustion. Preference for or adaptation to a specific shift pattern is facilitated when nurses are consulted before its implementation or have a certain autonomy to self-roster. Days off work tend to mitigate the adverse effects of working (short, long, early or night) shifts. How shift work and patterns impact on experiences and preferences seems to also vary according to nurses’ personal characteristics and circumstances (e.g. age, caring responsibilities, years of experience). Conclusions Shift patterns are often organised in ways that are detrimental to nurses’ health and wellbeing, their job performance, and the patient care they provide. Further research should explore the extent to which nurses’ preferences are considered when choosing or being imposed shift work patterns. Research should also strive to better describe and address the constraints nurses face when it comes to choice around shift patterns.


2019 ◽  
Vol 81 (19) ◽  
Author(s):  
Bruna Karen Cavalcante Fernandes ◽  
Adna Cynthya Muniz Ribeiro ◽  
Cintia Lira Borges ◽  
Francisca Tereza de Galiza ◽  
Emanuella Silva Joventino ◽  
...  

Objetiva-se identificar as influências do trabalho noturno no sono dos trabalhadores de enfermagem. Trata-se deuma revisão integrativa, realizada em outubro de 2015, nas Bases de dados: Literatura Latino-Americana e do Caribeem Ciências da Saúde (LILACS), Literatura Internacional em Ciências da Saúde (MEDLINE) and Banco de Dados deEnfermagem (BDENF), utilizando os Descritores em Ciências da Saúde: Sono; Enfermagem e Trabalho noturno. Foramincluídos artigos sobre a temática; de livre acesso; nos idiomas: inglês, português e espanhol; publicados na íntegra.Não houve recorte temporal. A amostra foi constituída de 13 artigos. Emergiram duas principais categorias: Qualidade dosono dos trabalhadores de enfermagem do turno noturno; e Repercussões do trabalho noturno na saúde do trabalhadorde enfermagem. Concluí-se que o trabalho noturno tem influência direta e indireta sobre a saúde do profissional,pois trabalhar no sentido inverso ao funcionamento fisiológico do organismo pode levar a alterações como distúrbiospsíquicos, cardiovasculares e gastrintestinais.Palavras-chave: Enfermagem; Sono; Trabalho Noturno; Saúde do Trabalhador. ABSTRACTThe aim is to identify the influences of night work in the sleep of nursing staff. This is an integrative review heldin October 2015, in databases: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), LiteraturaInternacional em Ciências da Saúde (MEDLINE) and Banco de Dados de Enfermagem (BDENF) using the Descriptorsin Health Sciences: Sleep; Nursing and night work. They included articles on the subject; free access; in thelanguages: English, Portuguese and Spanish; published in full. There was no time frame. The sample consisted of13 articles. Emerged two main categories: sleep quality of nursing workers in the night shift; and Repercussionsof night work on the health of nursing workers. It concludes that night shifts have direct and indirect influenceon the health of the professional, since working in the opposite direction to the physiological functioning of theorganism can lead to alterations such as psychic, cardiovascular and gastrointestinal disorders.Keywords: Nursing; Sleep; Night Shift; Worker’s health.


2003 ◽  
Vol 28 (6) ◽  
pp. 831-887 ◽  
Author(s):  
Benoît Mauvieux ◽  
Laurent Gouthière ◽  
Bruno Sesboüe ◽  
Damien Davenne

The aim of this study was to show the resistance and persistence of the circadian rhythm of temperature (T°) and the sleep quality of athletic subjects and sedentary subjects engaged in night work, and attempt to explain the mechanisms that influence these differences. The effects of night work on biological rhythms have been studied extensively in the past few years. The contradictory situations for the night workers irrefutably affect their biological systems. Individuals with high amplitudes in their circadian rhythms have been found to be more tolerant to shift work and this results in a greater stability of circadian rhythms. This seems beneficial in coping with frequent rhythm disturbances. The physical training program seems to improve several mechanisms of the human biological system: amplitudes of circadian rhythms were increased and the circadian rhythm period was more resistant to an environment extreme (night work, shift work, sleep deprivation, or jet lag). To test this hypothesis, athletes and sedentary subjects who were engaged in regular night work were selected in the PSA Peugeot Citroën Automobiles Group in French Normandy country. The circadian rhythm of the T° for both groups was studied with a specific methodology and with extensive spectral analysis, especially the spectral elliptic inverse method. Study models of the rhythm of the T° were determined and the characteristic parameters were exposed. A complementary actigraphic study showed the physical training program's effects on the sleep quality. The results revealed a large stability in the rhythm of circadian variation of T° for the athletes: the amplitude was still large but for the sedentary subjects the amplitude of the T° decreased and it was difficult to adjust a period on the rhythm of T°. The stability and persistent quality of the athletes' circadian rhythm was confirmed. We observed that the actigraphic sleep was greater for athletes than for sedentary subjects, and the acrophase time for the athletes was later than for the sedentary subjects during the night shift. Key words: circadian rhythm of temperature, actimetry, sleep quality, exercise, night work, methodology of rhythms analysis


2021 ◽  
Vol 15 ◽  
Author(s):  
Qiao Huang ◽  
Chong Tian ◽  
Xian-Tao Zeng

Night shifts are part of clinical care. It is unclear whether poor sleep quality of nurses working both consecutive night shifts and day shifts after quitting night shifts is common. In this cross-sectional study, Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality as study outcome. Univariable and multivariable linear and logistic regressions were performed to compare PSQI score and prevalence of poor sleep quality between 512 nurses currently working consecutive night shifts and 174 nurses having worked night shifts in the past. The prevalence of poor sleep quality was 62.11% in nurses working consecutive night shifts and 55.75% in nurses having worked night shifts before. In multivariable regressions with adjustment for potential confounders, compared with nurses working consecutive night shifts, nurses having worked past night shifts reported decreased PSQI score [mean difference: −0.82 (95% CI: −1.27 to −0.38, p < 0.001)] and lower poor sleep quality [odds ratio (OR): 0.49 (95% CI: 0.29 to 0.80, p = 0.005)]. In nurses working consecutive night shifts, a rising curve that plateaued at the end was observed between years of consecutive night shifts and PSQI score, p = 0.004. To explore the change in PSQI score after quitting night shift, we constructed a hypothetical prospective cohort from the cross-sectional data. Here, 98 pairs of nurses with consecutive and past night shifts were matched for the number of night shift years, religion, marital status, living condition, hypertension, and hyperlipidemia. In each pair, a hypothetical change in PSQI score was calculated between the two types of nurses and hypothetical years after quitting night shifts was obtained from the matched nurse with past night shifts. A U-shaped curve between change in PSQI and years after quitting night shifts was observed, p = 0.007. The rising curve and U-shaped curve together formed an S-shaped curve, which mapped the change in sleep quality. These results based on the hypothetical cohort constructed from cross-sectional data suggested the presence of persistent poor sleep quality in night shift nurses. Also, we support early and continuous sleep hygiene education and reflection for an optimal strategy for when to cease working night shifts with regard to sleep-related problems.


2021 ◽  
Vol 11 (22) ◽  
pp. 10896
Author(s):  
Johannes Zauner ◽  
Herbert Plischke

Chronodisruption deteriorates the health and wellbeing of shift workers. Artificial light at night and the lack of light during the day are major contributors to chronodisruption and need to be optimized in shift work scenarios. Here, we present one solution for a lighting and automation system in an industrial production workplace. The setting is a rapidly rotating shift work environment with morning, evening, and night shifts. We describe a procedure to specify the new lighting through a software-agnostic nonvisual lighting simulation for artificial and daylighting scenarios. Through this process, a new luminaire is created, called Drosa, that allows for a large melanopic stimulus range between 412 and 73 lx melanopic equivalent daylight (D65) illuminance vertically at eye level, while maintaining a neutral white illuminance at task level between 1250 and 900 lx, respectively. This is possible through a combination of glare-free spotlights with adjustable areal wing lights. An individually programmed automation system controls the light dosage and timing during the day and night. The work is relevant for other shift work scenarios, where the presented example and the discussed rationale behind the automation might provide insights. The work is further relevant for other lighting scenarios beyond industrial shift work, as the nonvisual lighting simulation process can be adapted to any context.


Author(s):  
Laura Dyglytė ◽  
Laimutė Kazlauskienė ◽  
Geriuldas Žiliukas

Research justifcation. Physical and mental fatigue and emotional exhaustion experienced by night nurses are key factors affecting their health and quality of life. Sleeplessness not only increases the risk of various diseases, but also leads to an exacerbation of chronic diseases. The goal of research was to analyse the health-related quality of life of nurses working night shifts. The methods of research. Sixty night shift nurses were investigated. The 36-item Short Form Survey (SF-36) was used in the work. Statistical data was processed by using Microsoft Excel 2007 Spreadsheet and SPSS 17 for Windows. The survey was done in accordance with ethical principles. The results of research. Night nurses who used sleeping pills had low physical activity level; their duties were seriously restricted due to physical and emotional problems or physical pain. Moreover, they performed a lower social function and had worse health assessment in comparison with nurses who never or hardly ever took sedatives. The quality of life of night shift nurses was directly related to physical and psycho-emotional health. Physical activity was much better assessed by younger nurses than older ones, especially when comparing the 50–59-year-old nurses with other age groups; 30–39-year-old nurses were less restricted by pain; general health was evaluated better by 30–39-year-old nurses than the older ones. While evaluating the quality of life related to mental health, the radical difference was noticed in social function assessment based on the age of nurses, i.e. 30–39-year-old nurses assessed the social function better than the older ones. Conclusion. Physical and psycho-emotional health influences the quality of life of night shift nurses.Keywords: the quality of life, psycho-emotional health, physical health, sleep disorders, nursing.


e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Ricky R. T. A. Thayeb ◽  
Mieke A. H. N. Kembuan ◽  
Herlyani Khosama

Abstract: Sleep is one of the primary needs of the basic requirement for human survival. Sleep disorders can cause some effects in humans. It is estimated that 60-80% of workers with shift work system have impaired sleep quality. This results in a decrease in work productivity and an increase in the occurence of accidents. This study aimed to obtain the sleep quality of nurses in Prof. Dr. R. D. Kandou Hospital Manado in 2013. This was a descriptive and observational study by using questionnaires. The study population was nurses in the Neurology Department and the Emergency Department (ED) with samples of 52 people. The results showed that the subjective sleep qualities as perceived by the nurses themselves were as follows: good enough (44.23%) and poor (36.54%). Respondents that had sleep disturbance less than once a week were 30.77%, and respondents that had sleep disturbance 1-2 times a week were 59.62%. Most nurses (69.24%) did not use sleeping pills. Respondents that experienced some disruption of their activities during the day over the past 1 month as many as 1-2 times a week were 55.77%. Conclusion: The quality of sleep of night shift nurses in Prof. Dr. R. D Kandou Hospital Manado belonged to poor quality.Keywords: night shift nurse, sleep qualityAbstrak: Tidur merupakan salah satu kebutuhan primer yang menjadi syarat dasar bagi kelangsungan hidup manusia. Gangguan tidur dapat menimbulkan beberapa efek pada manusia. Salah satu hal yang menjadi perhatian adalah 60-80% pekerja dengan system kerja shift mengalami gangguan kualitas tidur. Hal ini mengakibatkan penurunan produktivitas kerja dan dapat menyebabkan kecelakaan. Penelitian ini bertujuan untuk mengetahui gambaran kualitas tidur perawat di RSUP. Prof. Dr. R. D. Kandou Manado tahun 2013. Penelitian ini menggunakan metode deskriptif observasional dan pemberian kuesioner. Populasi ialah perawat Instalasi inap neurologi dan Instalasi gawat darurat (IGD dengan sampel berjumlah 52 orang. Hasil penelitian memperlihatkan kualitas tidur subjektif menurut persepsi perawat itu sendiri ialah cukup baik (44,23%) dan kurang baik (36,54%); gangguan tidur kurang dari sekali dalam seminggu (30,77%); dan gangguan tidur 1-2 kali dalam seminggu (59,62%). Mengenai penggunaan obat tidur, sebagian besar perawat (69,24%) tidak menggunakan obat tidur. Mengenai perawat yang mengalami gangguan beberapa aktifitas di siang hari selama 1 bulan terakhir sebanyak 1-2 kali dalam seminggu yaitu sebesar 55,77%. Simpualn: Kualitas tidur perawat dinas malam di RSUP Prof. Dr. R. D Kandou Manado tergolong kualitas tidur yang buruk.Kata kunci: perawat dinas malam, kualitas tidur


CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S94
Author(s):  
A.X. Dong ◽  
M. Columbus ◽  
R. Arntfield ◽  
D. Thompson ◽  
M. Peddle

Introduction: Emergency physicians (EP) often work at undesirable hours. In response to deleterious effects on quality of life for EPs, traditional 2300-0700 night shifts have been replaced at some centres with staggered 6-hour casino shifts (22:00-04:00 and 04:00-10:00). Though purported to allow for better sleep and recovery patterns, no evidence exists to support the benefits on sleep or quality of life that is used to justify a casino shift model. Using a before and after survey model, this study examines the impact of overhauling night work from a traditional 8-hour shift to casino shifts on the quality of life and job satisfaction of EPs working in an academic emergency department (ED). Methods: In 2010, an initial online, 37-item survey, was sent to all EPs working in the ED, just prior to the transition to casino shifts. 6 years following the transition, a slightly modified 37-item survey was again distributed to all current EPs working at that same centre. Participants rated their level of agreement on a 7-point Likert scale regarding questions related to night work. Results from the two surveys were compared. Results: 43 2010- and 47 2016-surveys were completed. In 2016, recovery to baseline function after a single early shift (22:00-04:00) was most common after 1 day at 52.4%, and after multiple early shifts was ≥2 days at 66.7%. Recovery after a single late shift (04:00-10:00) was most common at 1 day at 54.8%, and after multiple late shifts was ≥2 days at 59.5%. This was in contrast to 2010, when 55.8% recovered from a single traditional night shift after 1 day, and 95.3% required ≥2 days to recover from multiple traditional night shifts. In relation to casino shifts, 40.5% of respondents stated that night shifts are the greatest drawback of their job, compared to 79.1% previously. A minority of respondents felt that teaching (36.5%), diagnostic test interpretation (23.2%), and quality of handover (33.5%) were inferior on early and late night shifts compared to other shifts (74.4%, 58.1%, and 60.5% for traditional night shifts respectively).95.0% of respondents preferred casino over traditional night shifts. Conclusion: There were self-reported improvements in all domains following the implementation of casino shifts.


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