Differences in cortisol profiles and circadian adjustment time between nurses working night shifts and regular day shifts: A prospective longitudinal study

Niu, Shu Fen; Chung, Min Huey; Chu, Hsin; Tsai, Jui Chen; Lin, Chun Chieh; Liao, Yuan Mei; Ou, Keng Liang; O’Brien, Anthony; Chou, Kuei‐Ru

doi:10.1016/j.ijnurstu.2015.04.001

Cited by 64 publications

(53 citation statements)

References 36 publications

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“…However, results regarding the impact of mindfulness-based interventions on CAR are mixed [63–66]. Additionally, since 70% of our sample consisted of nurses with varying work shifts, CAR may have been affected by confounding variables like the diurnal rhythm [67, 68]. Considering the incongruence of this result with the effectiveness of the intervention yielded in the self-report scales, GAS and interview data, our results questions the suitability of CAR as an indicator of distress for healthcare providers.…”

Section: Discussionmentioning

confidence: 99%

Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program

et al. 2017

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BackgroundMaintaining a sense of self-care while providing patient centered care, can be difficult for practitioners in palliative medicine. We aimed to pilot an “on the job” mindfulness and compassion-oriented meditation training for interdisciplinary teams designed to reduce distress, foster resilience and strengthen a prosocial motivation in the clinical encounter.MethodsOur objective was to explore the feasibility and effectiveness of this newly developed training. The study design was an observational, mixed-method pilot evaluation, with qualitative data, self-report data, as well as objective data (cortisol) measured before and after the program.Twenty-eight staff members of an interdisciplinary palliative care team participated in the 10-week training conducted at their workplace.Measures were the Perceived Stress Questionnaire, the Maslach Burnout Inventory, the somatic complaints subscale of the SCL-90-R, the Emotion Regulation Skills Questionnaire, the Hospital Anxiety and Depression Scale, and a Goal Attainment Scale that assessed two individual goals. Semi-structured interviews were employed to gain insight into the perceived outcomes and potential mechanisms of action of the training. T-tests for dependent samples were employed to test for differences between baseline and post-intervention.ResultsSignificant improvements were found in two of three burnout components (emotional exhaustion and personal accomplishment), anxiety, stress, two emotional regulation competences and joy at work. Furthermore, 85% of the individual goals were attained. Compliance and acceptance rates were high and qualitative data revealed a perceived enhancement of self-care, the integration of mindful pauses in work routines, a reduction in rumination and distress generated in the patient contact as well as an enhancement of interpersonal connection skills. An improvement of team communication could also be identified.ConclusionsOur findings suggest that the training may be a feasible, effective and practical way of reducing caregiver-distress and enhancing the resources of palliative care teams.

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Section: Discussionmentioning

confidence: 99%

Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program

et al. 2017

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“…This corresponds with the nature of the unpredictable work environment, work load and staff shortages, especially as most participants were nurses. [44][45][46] A Korean study showed that nurses working night shift exhibited higher cortisol levels than nurses working regular hours. 47 Long working shift hours among nurses were also associated with chronic stress and fatigue, which disturbed cortisol levels leading to diminished physical, mental and cognitive abilities, increased work place errors and absenteeism.…”

Section: Discussionmentioning

confidence: 99%

<p>Salivary Cortisol, Subjective Stress and Quality of Sleep Among Female Healthcare Professionals</p>

Bani‐Issa¹,

Radwan²,

Al-Marzooq³

et al. 2020

JMDH

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Background: Stress is globally recognised as a risk factor impacting workers' health and workplace safety. Women healthcare professionals are at risk for considerable stress given the demanding nature of their jobs and current working conditions. This study assessed levels of stress among women healthcare professionals using measures of their cortisol levels, subjective stress and quality of sleep. Participants and Methods: This study used a cross-sectional design. Data were collected from 335 apparently healthy adult women healthcare professionals working in the United Arab Emirates. Participants provided morning and bedtime saliva samples for analysis of their cortisol levels. The Perceived Stress Scale, Stress Symptoms Scale, Brief Coping Scale and Pittsburgh Sleep Quality Index were used to assess perceived stress level, symptoms of stress, stress-coping strategies and sleep quality, respectively. Results: In total, 121 (36.15%) women had impaired morning cortisol levels (below the normal range of 0.094-1.551 µg/dL) and 48 (14.3%) had impaired bedtime cortisol levels (above 0.359 µg/dL). Around 57% of women reported moderate levels of perceived stress, with the most frequently reported stress symptoms being heart rate and back/neck pain. Poor sleep quality was reported by around 60% of participating women. No significant association was found between cortisol and psychosocial measurements of stress or sleep quality. However, night shift and longer shift duration (more than 8 hrs) were significantly associated with impaired morning and bedtime cortisol levels (P ≥ 0.05). Impaired cortisol levels were strongly dependent on using adaptive coping strategies such as active coping, acceptance and seeking emotional support (P ≥ 0.05). Conclusion: Evaluating cortisol levels and subjective stress could help to identify groups with impaired response to stress and elevated cortisol levels. Our findings support the need to examine shift work patterns and stress coping strategies in women healthcare professionals to promote their health and productivity and maintain workplace safety.

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“…It has been documented that night shifts in nurses are stressful enough to alter the circadian rhythm of cortisol secretion after 5 days when compared to nurses with day shifts. At least 2 days off seem to be necessary to restore the circadian rhythm of cortisol [52]. Moreover, in a Brazilian study, nurses (46 females, 11 males) had higher levels of salivary cortisol (564.1 ng/mL) on work day than cortisol levels (354.1 ng/mL) on days off [53].…”

Section: Stress-related Cortisol Response In Nursing Studentsmentioning

confidence: 96%

Stress in Nursing University Students and Mental Health

Pulido-Criollo¹,

Cueto‐Escobedo²,

Ruiz³

2018

Health and Academic Achievement

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Stress is a physiological response that impacts the cognitive, emotional, behavioral, and social components. It also involves the adaptation of the organism, the coping resources, and the environment. In young people, stress can be triggered by social interactions or school requirements. This chapter is a narrative review analyzing scientific bibliography from the main databases (NIH, Scielo, Redalyc) that explored the main stressors and their effects on nursing students. These stressors include the care of patients, assignments and workloads, academic evaluations, and negative or hostile social interactions. Data include the deleterious effects of stress in nursing students as anxiety, depression, inhibiting learning, and burnout, which negatively impact their academic development and health. Finally, some interventions to reduce the impact of stress are discussed. Conclusion: Stress responses in nursing students vary in duration and intensity during their academic training; final effects depend on the coping mechanisms, individual resources, and hospital environment. The effects of stress on nursing students impact on academic performance but could also trigger several psychiatric disorders as depression or anxiety, as well as other associated problems such as sleep disorders, alcohol, and psychoactive drug consumption, which in the short and long term may affect the patient care.

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Differences in cortisol profiles and circadian adjustment time between nurses working night shifts and regular day shifts: A prospective longitudinal study

Cited by 64 publications

References 36 publications

Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program

Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program

<p>Salivary Cortisol, Subjective Stress and Quality of Sleep Among Female Healthcare Professionals</p>

Stress in Nursing University Students and Mental Health

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