Non-shift Nurses Research Articles

Emotional Education as Coping Strategy for Exhaustion and Dysfunctional Eating Habits

Work shifts affect eating habits, social relationships in the workplace, and, more broadly, the physical and mental health of health professionals. The aim of this research was to differentiate BMI, eating behavior, and burnout between shift and non-shift nurses. The study involved 194 nurses (63% of whom work shifts and 37% of whom do not) who completed sociodemographic questionnaires, eating behavior questionnaires, and an exhaustion inventory (Maslach Burnout Inventory). The results showed that shift nurses were twice as likely to skip meals and obtained higher exhaustion scores. In conclusion, the need to establish prevention plans to promote adequate food intake and healthier eating behaviors among health professionals, while promoting specialized training in emotional education in order to prevent mental health problems, is emphasized.

Potency Biomarker Effect of Endothelial Microparticles (EMPs) for Early Prediction of Cardiovascular Risk in Shift Worker Nurses

Objectives. Shift work results in changing worker’s behavior, food, and sleep patterns, which can cause circadian rhythm disturbance, which is a cardiovascular risk. Until now, a biomarker of early prediction of cardiovascular risk on shift workers is still not developed. This study aimed to assess the cardiovascular risk of shift worker nurses by detecting endothelial microparticles (EMPs).
 Methods. This longitudinal study compared six shift nurses and five non-shift nurses by measuring the EMPs using antigen CD31+ flow cytometry. All met the inclusion criteria consisting of 28 blood samples followed in one week shift.
 Results. EMPs among non-shift nurses were below 200 μL. However, shift nurses’ EMPs increased above 200 μL with Man-Whitney U p = 0.000 on days 4 and 7 following a one shift per week schedule.
 Conclusion. There was an increase in shift workers’ endothelial microparticles (EMP) which was a sign of cardio-vascular risk.

Exploring the Association between Sleep Quality and Heart Rate Variability among Female Nurses.

The quality of nurses’ work has a direct effect on patient health, and poor sleep has been positively associated with nurses’ medical errors. The aim of this study was to investigate the relationship between quality of sleep and heart rate variability (HRV) among female nurses. A descriptive cross-sectional correlational study design was used in January 2014 to study female nurses (n = 393) employed in a medical center in Taiwan. Data were obtained from several questionnaires. HRV was analyzed with five-minute recordings of heart rate signals obtained using a Heart Rater SA-3000P. Approximately 96% of the participants self-reported a poor quality of sleep. Compared to non-shift nurses, significant decreases were found in total power (TP) and low-frequency HRV among shift-work nurses. However, negative correlations were found between sleep quality and HRV, including total power, low frequency, and the low frequency/high frequency ratio (r = −0.425, p < 0.05; r = −0.269, −0.266, p < 0.05). In a stepwise multiple regression analysis, 23.1% of variance in quality of sleep can be explained by TP and heart rate. The sleep quality of female nurses was poor and this affected their autonomic nervous system, which can contribute unfavorable consequences for their health.

Sickness Presenteeism in Shift and Non-Shift Nurses: Using the Fifth Korean Working Conditions Survey.

Nurses have reported higher rates of sickness presenteeism than other workers, which is particularly problematic because this problem is linked to care quality and patient safety. This secondary data analysis study aimed to identify the prevalence of sickness presenteeism and explore related factors among shift and non-shift nurses using the Fifth Korean Working Conditions Survey. A total of 272 nurses in Korean hospitals were included. The survey included questions on working conditions, health status, and sickness presenteeism. A multivariate logistic regression was used to identify associated factors of sickness presenteeism. Overall, 21.8% of the participants reported experiencing sickness presenteeism; shift nurses experienced more sickness presenteeism than non-shift nurses. Sickness presenteeism was greater in shift nurses who did not have rest breaks during work and in nurses who experienced quick return. Additionally, the odds of sickness presenteeism were approximately four times greater in shift nurses who experienced sleep disturbance and about four times higher in shift nurses who experienced health problems. Among non-shift nurses, the odds of sickness presenteeism were about 15 times greater in those who worked ≥53 h per week. Nurse managers and administrators should prevent sickness presenteeism in hospital nurses to provide quality care and enhance productivity.

Melatonin Levels in Shift Nurses with ELISA and LCMS Methods, Jakarta, Indonesia

A nurse has a high enough stress level because it is directly related to coping with various kinds of patients on shift work schedules. So far, the detection of stress cases is based on a questionnaire in which validity and relativity are quite good, although subjective, such as the Perceived Stress Score (PSS) questionnaire. This study aimed to examine objective markers of stress in shift working nurses by measuring melatonin levels. Methods: The study was conducted from December 2019 to June 2020. The respondents were the shift and non-shift nurses from one of the public hospitals in Jakarta, Indonesia, by obtained through by consecutive sampling. Each group consisted of 40 people each. Melatonin was measured twice, at midnight on the last night shift (second night) in the shift group (pre-work), then at 08.00 am on the following day (post-work). The non-shift group was carried out on weekdays at 08.00 am pre-work and at 04.00 pm post-work. Measurements used Enzyme-Linked Immunosorbent Assay (ELISA) and Liquid Chromatography-Mass Spectrometry (LCMS). Results: The percentage of nurses who showed moderate stress level in the shift group (30%) is higher than the non-shift (25%). There was a significant difference in the mean pre-work melatonin levels, measured with ELISA, between the shift and the non-shift group (51.53 pg/ml vs 17.07 pg/ml, P = ≤ 0,001), as well as the postwork examination (24.30 pg/ml vs 10.84 pg/ml, P = ≤ 0,001). We acquired a new reference for mean melatonin levels at 04.00 pm of 10.48 pg/mL (2.15-38.30 pg/mL) using ELISA and 38.13 pg/mL (5.00-230.00 pg/ mL) using LCMS in non-shift nurses. In addition, a new reference for melatonin levels at 12.00 pm was 51.53 pg/mL (0.80-135.00 pg/mL) using ELISA and 52.35 pg/ mL (10.00-170.00 pg/mL) using LCMS in shift nurses. Discussion: This study showed differences in the results of measuring melatonin levels using ELISA and LCMS, which will be a good starting point for further research with a larger number of respondents. In addition, it is interesting to observe that a decrease in the mean level of melatonin from pre-work to post-work was found in both the nightshift and dayshift groups, using ELISA and LCMS.

Evaluating Diet and Sleep Quality of Shift and Non-Shift Nurses Using Three-Factor Pittsburgh Sleep Quality Index and Healthy Eating Index-2015

Evaluating Diet and Sleep Quality of Shift and Non-Shift Nurses Using Three-Factor Pittsburgh Sleep Quality Index and Healthy Eating Index-2015

The Relationship between Sleep Disorders, Job Satisfaction, Practicing Health Promoting Behavior, Quality of Life and turnover intention of Shift Nurses and Non-shift Nurses

The purpose of this study was to examine the relationship between sleep disorders, job satisfaction, health promotion behavior, quality of life, turnover intention. And also to find the predicting factors on turnover intention of shift and non-shift nurses. A descriptive study design was used. Study subjects were 239 nurses worked as a shift (167) and non-shift (72) in two general hospitals in P city. Turnover Intent, Sleep disorders, Job satisfaction, practicing health promotion profile and quality of life scales were used to collect the data. Data were analyzed by descriptive statistics and Pearson's correlation coefficient for find the relationship between study variables. Stepwise multiple regressions used to find predicting factors of turnover intention with other variables. The shift group showed lower Job satisfaction, practice of health promotion behavior and intention of turnover than non-shift nurses. The most important predictive factors of turnover intention in of shift group was job satisfaction (β =-. 477, p <.001) and non-shift group was health promotion behavior (β =-. 295, p = .040) than other factors. Findings showed that turnover intention highly influenced by job satisfaction than health promoting behavior and quality of life. This study suggests organizational efforts to provide sufficient staffing and nurse managers should make more concentration to allot work schedule in order to avoid over load shift nurses and promote quality of client care.

Prevalence, predictors and effects of shift work sleep disorder among nurses in a Nigerian teaching hospital

BackgroundThis study evaluated the prevalence, predictors and effects of Shift Work Sleep Disorder (SWSD) among nurses in a Nigerian teaching hospital.MethodsEighty-eight nurses (44 each from the pool of shift and non-shift nurses), who emerged by simple random sampling, participated in the study. Socio-demographic data and health complaints were obtained with questionnaires. Each participant was assessed with Epworth sleepiness scale (ESS), insomnia severity index (ISI) and sleep log, while SWSD cases were ascertained by applying the International Classification of Sleep Disorders (ICSD-2) criteria. Body mass index, blood pressure, body temperature and salivary cortisol levels were also determined.ResultsGenerally, results showed that the shift group; comprising of shift nurses, recorded higher values of biophysical profiles and more health complaints than the non-shift group (control); comprising of non-shift nurses. Also, 19 (43.2%) of the shift nurses fulfilled the criteria for SWSD, on this basis, the shift group was divided into two: SWSD (n = 19) and No SWSD (n = 25). And within the shift group, the SWSD group had higher systolic (p = 0.014), diastolic (p = 0.012), and mean arterial (p = 0.009) blood pressures; they also recorded higher temperature (p = 0.001), higher salivary cortisol levels (p = 0.027) and more health complaints.ConclusionThe results of this study indicate that rotating shift work among nurses is associated with increased level of health complaints and physiologic indices of stress as well as sleep impairment.

Differences in Sleep, Fatigue, and Neurocognitive Function between Shift Nurses and Non-shift Nurses

Purpose: The purpose of this study was to investigate the differences in sleep, fatigue, and neurocognitive function between shift nurses and non-shift nurses. Methods: A cross-sectional descriptive study design was used. A total of 100 nurses participated in the study. 50 were shift nurses and the remaining 50 were non-shift nurses. The Pittsburgh Sleep Quality Index, Fatigue Severity Scale, and a computerized neurocognitive function test (CNS Vital Signs-VS4) were administered to the subjects to assess verbal and visual memory, processing speed, reaction time, and simple attention. After the last night shift, the shift nurse conducted the study at around 8:00 am and the non-shift nurse participated after work. Results: Compared to non-shift nurses, shift nurses had a significantly lower sleep quality (p=.002) and higher fatigue (p=.001) and achieved significantly lower scores on verbal memory (p=.001), processing speed (p=.003), and reaction time (p=.018). There were significant correlations between sleep quality and processing speed (p=.042), and reaction time (p=.015) of shift nurses who were bad sleepers. Conclusion: This study findings suggest shift work could interfere with cognitive function. Personal and organizational programs should be developed to support their sleep and neurocognitive function.

교대근무 간호사의 건강증진행위가 피로와 우울에 미치는 영향

본 연구는 교대근무 간호사의 건강증진행위, 피로 및 우울을 파악하고, 건강증진행위가 피로와 우울에 미치는 영향을 밝히기 위한 서술적 연구이다. 대상자는 경상북도 A시에 소재한 3개 종합병원에 근무하는 243명의 간호사로, 자료수집기간은 2012년 9월 19일부터 25일까지였다. 자료의 분석은 SPSS 20.0을 사용하여 descriptive statistics, t-test, Pearson's correlation coefficients, ANCOVA, 및 Stepwise multiple regression으로 분석되었다. 그 결과 교대근무 간호사의 건강증진행위 점수는 모든 항목에서 비교대근무 간호사 보다 낮았고 피로와 우울에서는 높게 나타났다. 교대근무 간호사의 피로에 영향을 미치는 건강증진행위로는 영적성장 및 스트레스 관리로 11%의 설명력을 보였고, 우울에 영향을 미치는 건강증진행위로는 신체활동 및 대인관계로 5%의 설명력을 나타내었다. 이상의 결과를 바탕으로 기관차원에서 교대근무 간호사의 근무 형태를 고려한 맞춤형 건강증진행위를 증진시킬 수 있는 방안 마련과, 피로와 우울 중재를 통한 간호 업무성과 향상을 위한 영적성장, 대인관계, 신체활동 및 스트레스관리 항목이 강화된 전문적인 건강관리 프로그램 개발을 제언하는 바이다. This study was a descriptive study to identify the effect of health promoting behavior on fatigue and depression and to investigate these levels among nurses. Data were collected from September 19th 2012 to September 25th 2012 by questionnaires from 243 hospital nurses of 3 hospitals in Kyungsang-Bukdo. The data was analyzed using descriptive statistics, t-test, Pearson's correlation coefficients, ANCOVA, and Stepwise multiple regression. The result showed that in health promoting behavior, shift nurses had higher scores than it of non-shift nurses. The health promotion behavior predictors of fatigue were spiritual growth and stress management and the predictors of depression were physical activity and interpersonal relationship. This results suggest that development of professional health promoting program which is strengthened these parts of spiritual growth, stress management, physical activity and interpersonal relationship, is needed.

교대 근무 간호사와 비교대 근무 간호사의 건강증진행위 및 정신건강이 삶의 질에 미치는 영향

Purpose: The purpose of this study was to compare and contrast health promoting behaviors, mental health, and quality of life between shift nurses and non-shift nurses and to evaluate factors influencing their quality of life. Method: Data were collected by questionnaires from 113 non-shift nurses and 265 shift nurses who had been working at one of five hospitals in Incheon for more than one year. Descriptive statistics, ANCOVA, logistic regression, and multiple regression were used in performance of data analysis. Results: For shift nurses' mean total scores for health promoting behaviors and quality of life were significantly lower than those for non-shift nurses'(p<.05). Result of logistic regression analyses indicated that marital status (OR=2.092, 95%CI=1.174-3.729) and quality of life (OR=3.397, 95%CI=1.694-6.812) were significant between shift nurses and non-shift nurses. Non-shift work, low stress, provision of health-welfare programs, high score for health promoting behavior, and good mental health status showed an association with better quality of life (explained 48.3% of variance). Conclusion: Educational, policy, and regulatory approaches are required in order to improve mental health and quality of life for nurses, which may be influenced by their unhealthy behaviors such as irregular dietary patterns, while provision of counseling programs may be helpful to enhancement of nurses' mental health.

Cardiac autonomic imbalance in female nurses with shift work

The pathophysiology underlying the shift work-related cardiovascular disease is still poorly understood. The chronic effects of shift work on cardiac autonomic functions were assessed in 47 hospital nurses working under a rotating three-shift system (shift nurses) and 36 public health nurses without shift work (non-shift nurses). The heart rate variability, %LF and %HF (i.e., proportions of sympathetic and vagal activities, respectively), and LF / HF ratio were calculated from the electrocardiographic RR intervals by using autoregressive spectral analysis, and heart rate-corrected QT interval (QTc and QT index) was also measured. The LF / HF ratio, %LF, and QT index were significantly larger in the shift nurses than in the non-shift nurses; also, the power spectral density of HF (PSD HF) was significantly decreased in the shift nurses. There was a significant, inverse correlation between the corrected QT interval and PSD HF in the non-shift nurses, but not in the shift nurses. It is suggested that shift work in female nurses may cause a sympathodominant state due to depressed vagal tones. Also, a pathophysiology of shift work-related cardiovascular disease, derived from the present and previous findings, may be characterized by the attenuation of the inverse association between the corrected QT interval and vagal activity observed in non-shift workers.