Abstract
Background & Objectives:In the system related to health care, shifting duties are considered essential and obligatory to make sure the stability of care in hospitals. Scheduling and shifting are the key uniqueness of shift work and nurses are mostly bounded into different schedules that facilitate 24-hour care. Our objective was to identify the impact of morning and rotational duties on physical health of nurses working in tertiary care hospitals.Methods:A total of 154 nurses from two tertiary care hospitals in Karachi were included in this study. Data were collected through the Short Form Health Servay-26 between May to June 2017. Questionnaire form consisted of five domains including Physical functioning, Role limitations due to physical health, Energy/Fatigue, Pain and General health.Results:Most of the study participants were staff nurses (66.9%) and few were head nurse and assistant head nurses 13.6% and 8.4% respectively. Nurses’ characteristics such as gender, age, educational level, designation and monthly income were found significant with duty shift with p-values 0.049, 0.007, <0.001 and 0.017 respectively. Energy/Fatigue was only domain of SF-26 which showed significant mean difference (p-value <0.001) between morning and rotational duties.Conclusion:This research concludes that nurses working in rotational duties were more prone to develop physical problem as compared to morning duties. Energy/Fatigue showed significant mean difference.
Highlights
Approximately every fifth of the global workforce is occupied in shift work, 20% of European and American workers are busy at night shifts.[1]
Impact of morning and rotational duties on physical health of nurses working in tertiary care hospitals of Karachi
The aim of this study was to identify the impact of morning and rotational duties on physical health of nurses working in tertiary care hospital
Summary
Approximately every fifth of the global workforce is occupied in shift work, 20% of European and American workers are busy at night shifts.[1]. Pak J Med Sci November - December 2018 Vol 34 No 6 www.pjms.com.pk 1545 sleep pattern, which can cause a disturbance in physical and psychological functions and affect negatively on work performance.[4] Numerous researchers have identified the association between shift work and its impact on the physical health of workers. Researchers have identified that shift duties cause maladaptation syndrome, characterized by disturbed gastrointestinal disorders, risk of cardiovascular diseases and sleeping/waking problems.[5] In recent times, a syndrome called “shift work disorder” has been recognized by symptoms which include disturbance of circadian rhythm, excessive day sleepiness, insomnia and fatigue.[5,6]. Our objective was to identify the impact of morning and rotational duties on physical health of nurses working in tertiary care hospitals. Energy/Fatigue was only domain of SF-26 which showed significant mean difference (p-value
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