Contributors to shift work tolerance in South Korean nurses working rotating shift

Jung, Hye-Sun; Lee, Bokim

doi:10.1016/j.apnr.2014.09.007

Cited by 34 publications

(62 citation statements)

References 21 publications

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“…Nurses working more than 60 hr per week reported more fatigue than those working 40 hr or less, and that nurses working daily shifts of 8–9 or 9–10 hrs reported lower physical fatigue than nurses working daily shifts of 10–11 or more than 12 hrs (Barker & Nussbaum, ). In contrast, Jung and Lee () found no significant relationship between working hours and daily fatigue. This ambiguity in the studies could be due to the use of different fatigue measures: Jung and Lee () used a single item question to measure the fatigue level.…”

Section: Discussionmentioning

confidence: 90%

“…Sagherian et al () found that nurses working overtime reported significantly greater inter‐shift recovery than nurses working without overtime. On the other hand, Jung and Lee () found that total working hours per week were not significantly related to daily fatigue; Sagherian et al () reported no significant difference between nurses working with and without overtime in terms of chronic or acute fatigue.…”

Section: Resultsmentioning

confidence: 99%

“…One study measured the level of chronic fatigue using the Standard Shift Work Index (Ferri et al, ). Only Jung and Lee () used a single item (1 = “not at all” to 5 = “extremely”) to measure daily fatigue.…”

Section: Resultsmentioning

confidence: 99%

“…One article reported a significant relationship between the number of night and evening shifts and fatigue (Fang et al, ), with the number of night and evening shifts per month being positively associated with both acute and chronic fatigue, and negatively associated with inter‐shift recovery. However, four articles reported no significant relationship between the number of night shifts and fatigue (Eldevik et al, ; Fang et al, ; Flo et al, ; Jung & Lee, ). Fang et al () found that the number of night and evening shifts per month had only indirect effects on both acute and chronic fatigue as well as on inter‐shift recovery.…”

Section: Resultsmentioning

confidence: 99%

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Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Min

Hong

2019

J Nurs Manag

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Aim To systematically evaluate the effect of work schedule characteristics on fatigue among shift nurses in hospital settings. Background The complexity and multidimensional nature of nursing work may lead to fatigue. This review mainly focused on work schedule characteristics that may mitigate the fatigue in nurses. Evaluation Six databases were searched, and eight relevant research articles published between 2000 and 2018 were identified. Key issues The reviewed articles provided evidence supporting the association of work schedule characteristics such as total working hours, overtime, shift length and number of monthly night and evening shifts with fatigue. In addition, studies provided evidence for the positive association between insufficient rest period between shifts and fatigue among shift nurses in hospital settings. Conclusion The reviewed studies provided mixed results regarding the associations between work schedule characteristics and nurse fatigue. However, quick returns and days called to work on days off were consistent factors contributing to nurse fatigue. More evidence is needed to arrive at a definitive conclusion about such relationships. Implication for nursing management Nursing managers and administrators need to carefully review current rotating shift system and examine its impact on nurse fatigue as well as ensure enough resting time when developing nurse schedules.

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Section: Discussionmentioning

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Min

Hong

2019

J Nurs Manag

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“…For example, it is now standard practice in many workplaces to assign staff into one of three shifts of 8-hr each (Demir Zencirci & Arslan, 2011;Jung & Lee, 2015), namely the "first shift" (e.g., 6.00-14:00), "second shift" or "swing shift" (e.g., 14:00-22:00), and "third shift" or "night shift" (typically 22:00-6:00). For example, it is now standard practice in many workplaces to assign staff into one of three shifts of 8-hr each (Demir Zencirci & Arslan, 2011;Jung & Lee, 2015), namely the "first shift" (e.g., 6.00-14:00), "second shift" or "swing shift" (e.g., 14:00-22:00), and "third shift" or "night shift" (typically 22:00-6:00).…”

Section: Introductionmentioning

confidence: 99%

The relationship between sleep pattern and depression in Chinese shift workers: A mediating role of emotional exhaustion

Niu

Dai

et al. 2020

Australian Journal of Psychology

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Objectives: To explore the relationship between sleep pattern (morningnesseveningness) and depression in Chinese shift workers ("Three Shifts" workers), and to examine whether emotional exhaustion plays a mediating role in this relationship. Study Design: We examined the impact of sleep pattern on the depression of three shifts workers, focusing on the mediating effect of emotional exhaustion. Methods: A total of 1303 shift workers in the north and south of China were invited to participate in this study using convenience sampling. They completed a questionnaire which collected information on socio-demographic variables, along with measures of sleep pattern, depression, and emotional exhaustion. Using structural equation modelling, the mediating role of emotional exhaustion in sleep pattern and depression was explored. Results: Of the three shifts workers 46.43% reported symptoms of depression; 27.84% identified as morning types while only 6.56% were evening types, with the remaining 65.60% falling into the intermediate category. There was a negative correlation between sleep pattern and depression, and between sleep pattern and emotional exhaustion, but a positive correlation between emotional exhaustion and depression. As predicted, emotional exhaustion played a mediating role in the relationship between sleep pattern and depression. Conclusions: Having an evening sleep pattern was a risk factor for depression in three shifts workers; however, emotional exhaustion mediated the relationship between sleep pattern and depression. This finding may inform interventions aimed at reducing the level of depression within three shifts staff.

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Psychometric properties of the Korean version of the Occupational Fatigue Exhaustion Recovery Scale in a nurse population

Min

Hong

2019

Research in Nursing & Health

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Most nurses in Korea work rotating shifts, an important contributor to fatigue. The Occupational Fatigue Exhaustion Recovery (OFER) Scale assesses work‐related fatigue among nurses. In this study, we aimed to translate and culturally adapt the Korean version of this scale (OFER‐K) with nurses working rotating shifts in Korea. Instrument adaptation was performed using committee‐based translation, cognitive interviewing, and expert panel interviewing. Criterion validity, convergent validity, construct validity, internal consistency, and test–retest reliability were examined as psychometric properties of the OFER‐K. An online survey was completed by 331 nurses; 107 of these nurses completed a second survey after 1 month to assess test–retest reliability. The overall Cronbach's alpha was 0.88. The correlation between participants’ initial and retest responses for the total scale was 0.64 (p < .001). The chronic fatigue subscale was stable over time, t(106) = −1.76, p = .08. Criterion and convergent validity were supported by correlations between the OFER‐K scale and the Chalder Fatigue Questionnaire, Epworth Sleepiness Scale, and Pittsburgh Sleep Quality Index. Confirmatory factor analysis showed a good fit using a three‐factor model. The findings of this study showed that the OFER‐K scale is a reliable and valid instrument for assessing chronic fatigue, acute fatigue, and inter‐shift recovery in Korean nurses. Future research using this scale may lead to a better understanding of the antecedents and consequences of nurse fatigue and could provide important information to nurse researchers, administrators, and policymakers for developing interventions to reduce nurse fatigue.

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Contributors to shift work tolerance in South Korean nurses working rotating shift

Cited by 34 publications

References 21 publications

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review

The relationship between sleep pattern and depression in Chinese shift workers: A mediating role of emotional exhaustion

Psychometric properties of the Korean version of the Occupational Fatigue Exhaustion Recovery Scale in a nurse population

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