Effect of Fast Shift Rotation and Slow Shift Rotation on the Nurses' Fatigue and Sleep Quality
American Journal of Health Research
Volume 7, Issue 2, March 2019, Pages: 19-23
Received: Apr. 25, 2019;
Accepted: Jun. 3, 2019;
Published: Jun. 12, 2019
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Minping Deng, Gastrointestinal Surgical Unit, The First Affiliated Hospital, Jinan University, Guangzhou, China
Weiju Chen, Department of Nursing, The First Affiliated Hospital, Jinan University, Guangzhou, China
Tianying Pang, Gastrointestinal Surgical Unit, The First Affiliated Hospital, Jinan University, Guangzhou, China
Chunmei Lin, Gastrointestinal Surgical Unit, The First Affiliated Hospital, Jinan University, Guangzhou, China
Objective: The objective of this study was to investigate whether the three-shift fast rotation, two-shift fast rotation and night-shift slow rotation led to any differences in fatigue and sleep quality. Method: The study was conducted as a before–after study and 17 nurses participated in the study. Nurses on three-shift fast rotation were allocated to the pre-group, and two-shift fast rotation and night-shift slow rotation were allocated to the post-group. In the study period, all of the subjects experienced the three patterns of rotation. Occupational Fatigue Exhaustion/Recovery Scale (OFER15) and Athens Insomnia Scale were used to measure the participants’ work-related fatigue and sleep quality three times. Results: Athens Insomnia Scale scores showed significant differences between the three types of shift rotation; two-shift fast rotation was 3.88±2.35, three-shift fast rotation was 8.63 ± 3.50, and night-shift slow rotation was 13.75 ± 4.23 (P < 0.05). Therefore, the nurses’ sleep quality through working on the two-shift rotation was better than the other two types of rotation. However, there were no significant differences in chronic fatigue, acute fatigue, and inter-shift [recovery] between the three types of rotations. Conclusion: Nurses who worked on the two-shift fast rotation had a better sleep quality than those who worked on the three-shift fast rotation and night-shift rotations. As sleep quality relates to the performance and alertness of nurses, greater attention should be paid to the use of different shift combinations to increase sleep quality and alertness. Considering sleep quality, a three-shift system arranged by two-shift fast rotation and combined with night-shift slow rotation is superior to the three-shift fast rotation.
Effect of Fast Shift Rotation and Slow Shift Rotation on the Nurses' Fatigue and Sleep Quality, American Journal of Health Research.
Vol. 7, No. 2,
2019, pp. 19-23.
Wright KP, Jr., Bogan RK, Wyatt JK: Shift work and the assessment and management of shift work disorder (swd). Sleep medicine reviews 2013; 17: 41-54.
Burch JB, Tom J, Zhai Y, Criswell L, Leo E, Ogoussan K: Shiftwork impacts and adaptation among health care workers. Occupational medicine 2009; 59: 159-166.
Davila EP, Florez H, Fleming LE, Lee DJ, Goodman E, Leblanc WG, Caban-Martinez AJ, Arheart KL, Mccollister KE, Christ SL: Prevalence of the metabolic syndrome among u. S. Workers. Diabetes Care 2010; 33: 2390-2395.
Gu F, Han J, Laden F, Pan A, Caporaso NE, Stampfer MJ, Kawachi I, Rexrode KM, Willett WC, Hankinson SE: Total and cause-specific mortality of u. S. Nurses working rotating night shifts. American journal of preventive medicine 2015; 48: 241-252.
Perrucci R, MacDermid S, King E, Tang C-Y, Brimeyer T, Ramadoss K, Kiser SJ, Swanberg J: The significance of shift work: Current status and future directions. Journal of Family and Economic Issues 2007; 28: 600-617.
Burch JB, Tom J, Zhai Y, Criswell L, Leo E, Ogoussan K: Shiftwork impacts and adaptation among health care workers. Occup Med 2009; 59: 159-166.
Han K, Trinkoff AM, Geiger-Brown J: Factors associated with work-related fatigue and recovery in hospital nurses working 12-hour shifts. Workplace health & safety 2014; 62: 409.
Yu SC, Yu HW, Hsu CY, Shu HT, Li LY, Shu FS: Impairment of perceptual and motor abilities at the end of a night shift is greater in nurses working fast rotating shifts. Sleep medicine 2011; 12: 866-869.
Jia-Ling S, Jeng-Fong C, Chia-Chin L: Validation of the taiwanese version of the athens insomnia scale and assessment of insomnia in taiwanese cancer patients. J Pain Symptom Manage 2011; 41: 904-914.
Isa O, Shun N, Mina K, Yuichi I: Development and validation of the japanese version of the athens insomnia scale. Psychiatry & Clinical Neurosciences 2013; 67: 420-425.
Paparrigopoulos T, Tzavara C, Theleritis C, Psarros C, Soldatos C, Tountas Y: Insomnia and its correlates in a representative sample of the greek population. BMC public health 2010; 10: 531.
Soldatos CR, Dikeos DG, Paparrigopoulos TJ: The diagnostic validity of the athens insomnia scale. Journal of Psychosomatic Research 2003; 55: 263-267.
Winwood PC, Lushington K, Winefield AH: Further development and validation of the occupational fatigue exhaustion recovery (ofer) scale. Journal of Occupational & Environmental Medicine 2006; 48: 381-389.
Winwood PC, Winefield AH, Dawson D, Lushington K, Development and validation of a scale to measure work-related fatigue and recovery: The occupational fatigue exhaustion/recovery scale (ofer). Journal of Occupational & Environmental Medicine 2005; 47: 594-606.
Fang JB, Zhou CF, Huang J, Qiu CJ: Psychometric properties of the chinese version of the occupational fatigue exhaustion/recovery scale: A test in a nursing population. Journal of Nursing Research 2018; 26: 1.
Shao MF, Chou YCYeh MY, Tzeng WC: Sleep quality and quality of life in female shift-working nurses. Journal of advanced nursing 2010; 66: 1565-1572.
Roodbandi AJ, Choobineh A, Daneshvar S: Relationship between circadian rhythm amplitude and stability with sleep quality and sleepiness among shift nurses and health care workers. International Journal of Occupational Safety & Ergonomics 2015; 21: 312-317.
Sun Q, Ji X, Zhou W, Liu J: Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels. Journal of nursing management 2019; 27: 10-18.
Korsiak J, Tranmer J, Day A, Aronson KJ: Sleep duration as a mediator between an alternating day and night shift work schedule and metabolic syndrome among female hospital employees. Occupational & Environmental Medicine 2018; 75: 132.
Lee C, Chen H, Meg MT, Lee H, Huang L: The relationships among sleep quality and chronotype, emotional disturbance, and insomnia vulnerability in shift nurses. Journal of Nursing Research 2015; 23: 225-235.
Kayumov L, Rotenberg V, Buttoo K, Auch C, Pandi-Perumal SR, Shapiro CM: Interrelationships between nocturnal sleep, daytime alertness, and sleepiness: Two types of alertness proposed. Journal of Neuropsychiatry & Clinical Neurosciences 2000; 12: 86.
Ismail KM, Malak MZA-Ohoo, Alamer RM: Psychosocial correlates of work-related fatigue among jordanian emergency department nurses. Lid - 10.1111/ppc.12354 [doi]. 2019.
Raftopoulos V: The factors associated with the burnout syndrome and fatigue in cypriot nurses: A census report. BMC public health 2012; 12: 457-457.
Elisabeth F, St?Le P, Bente Elisabeth M, Siri W, Bj?Rn B: Short rest periods between work shifts predict sleep and health problems in nurses at 1-year follow-up. Occupational & Environmental Medicine 2014; 71: 555-561.
Jung HS, Lee B: Contributors to shift work tolerance in south korean nurses working rotating shift. Applied Nursing Research 2015; 28: 150-155.
Fang J, Qiu C, Xu H, You G: A model for predicting acute and chronic fatigue in chinese nurses. Journal of advanced nursing 2013; 69: 546-558.
Sagherian K, Clinton ME, Abu-Saad Huijer H, Geiger-Brown J: Fatigue, work schedules, and perceived performance in bedside care nurses. Workplace health & safety 2017; 65: 304-312.
Barker LM, Nussbaum MA: Fatigue, performance and the work environment: A survey of registered nurses. Journal of advanced nursing 2011; 67: 1370-1382.