Differences in workday sleep fragmentation, rest-activity cycle, sleep quality, and activity level among nurses working different shifts

Chang, Wen Pei; Li, Hau Bin

doi:10.1080/07420528.2019.1681441

Cited by 13 publications

(15 citation statements)

References 32 publications

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“…Due to the difference in the way the work period was split, a comparison between our results and the daytime activity levels reported by Chang and Li (2019) might be misleading. Nonetheless, the daytime activity levels for the DS group during the working period were similar to those reported by Chang and Li, who found no difference in daytime activity levels (Chang and Li, 2019). This observation is in line with our results for the entire working cycle.…”

Section: Daytime Activity Levels and Daytime Sleepcontrasting

confidence: 59%

“…As the present study is one of the first to measure daytime activity levels by actigraphic monitoring, it is difficult to say whether the daytime activity levels in our sample are high, low, or merely average. In their study, Chang and Li (2019) reported daytime activity levels calculated over 5 workdays (excluding rest days) of nurses working the same work shift for a month (Chang and Li, 2019). Due to the difference in the way the work period was split, a comparison between our results and the daytime activity levels reported by Chang and Li (2019) might be misleading.…”

Section: Daytime Activity Levels and Daytime Sleepmentioning

confidence: 75%

“…In their study, Chang and Li (2019) reported daytime activity levels calculated over 5 workdays (excluding rest days) of nurses working the same work shift for a month (Chang and Li, 2019). Due to the difference in the way the work period was split, a comparison between our results and the daytime activity levels reported by Chang and Li (2019) might be misleading. Nonetheless, the daytime activity levels for the DS group during the working period were similar to those reported by Chang and Li, who found no difference in daytime activity levels (Chang and Li, 2019).…”

Section: Daytime Activity Levels and Daytime Sleepmentioning

confidence: 75%

“…This non-invasive method of monitoring human rest/activity cycles can provide a more accurate measurement of daily activity levels. In their recent study, Chang and Li (2019) used actigraphy to measure daily activity levels in a cohort of Taiwanese nurses working different shifts (day, evening, and night). No differences in daytime activity levels among the three work shifts were found; however, lower activity levels during workdays were associated with poor sleep quality, as measured by the Pittsburgh Sleep Quality Index questionnaire (Chang and Li, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Shift work and disruption of circadian rhythm perturb the regular sleep-wake cycle, reducing sleep quality in night shift workers (Åkerstedt and Wright, 2009). In most previous studies, night shift workers, including nurses, reported low sleep quality, shorter sleep duration, more significant sleep debt accumulation, and a greater need for sleep recovery compared to regular day shift workers (Park et al, 2000;Åkerstedt and Wright, 2009;Niu et al, 2015;Kecklund and Axelsson, 2016;van de Ven et al, 2016;Chang and Li, 2019). Sleep loss may lead to sleepiness during work and off-duty hours and lower vigilance and attention (Zion et al, 2018;Vanttola et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Differences in Daytime Activity Levels and Daytime Sleep Between Night and Day Duty: An Observational Study in Italian Orthopedic Nurses

et al. 2021

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Working nonstandard work schedules is often associated with increased sedentary behavior and risk of sleep disorders. Night shift workers are prone to accumulating sleep debt, which they recover by sleeping during the day. The effect on daytime activity levels is unknown. The present study aims to objectively assess whether daytime sleep could affect daytime activity levels of shift worker nurses, resulting in an accumulation of their activity debt differently between working and rest periods. The study population (N = 37; mean age 41.7 ± 9.1 years) was composed of orthopedic nurses working on a rotating schedule, including either a night shift (NS) or only day/afternoon shift (DS). Actigraph monitoring lasted both on the working and the rest period. For the NS nurses, the working period recorded higher daytime activity levels than the rest period, while daytime sleep during the working and rest periods was similar. Conversely, DS nurses showed higher daytime activity levels and shorter daytime sleep during the working period. NS nurses were less active than DS nurses during the working period, probably because NS tended to have a longer daytime sleep. During the rest period, daytime activity levels for both groups were decreased. For NS nurses, sleep recorded the better sleep parameters during the rest period, while sleep parameters did not show significant differences between the working and the rest periods in DS. During the working period, NS nurses slept worse than the DS nurses. Both groups tended to accumulate a debt in daytime activity levels during the rest period. While daytime sleep may be an excellent way to counteract sleep debt and increase sleep duration over 24 h period, on the other hand, it makes nurses less active.

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Section: Daytime Activity Levels and Daytime Sleepcontrasting

confidence: 59%

Section: Daytime Activity Levels and Daytime Sleepmentioning

confidence: 75%

Section: Daytime Activity Levels and Daytime Sleepmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Differences in Daytime Activity Levels and Daytime Sleep Between Night and Day Duty: An Observational Study in Italian Orthopedic Nurses

et al. 2021

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Meta-analysis of differences in sleep quality based on actigraphs between day and night shift workers and the moderating effect of age

Chang

2021

Journal of Occupational Health

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Objectives This study was to conduct a meta‐analysis of studies that used actigraphs to compare the influence of day and night shifts on the sleep quality of workers as well as examine the moderating effect of age. Methods Databases including PubMed, CINAHL, the Cochrane Library, MEDLINE, and EBSCOhost were searched for relevant studies published in English between January 1st, 2000 and April 30st, 2021. Our main targets were studies that used actigraphs to assess the sleep quality of night shift workers. This meta‐analysis included 12 papers and was performed using Comprehensive Meta‐Analysis (CMA) Version 3.0. Effect sizes were displayed in a forest plot using standardized mean difference (SMD) and 95% confidence intervals (CI). Results Among the sleep quality indices of the day and night shift workers, no significant difference existed in terms of sleep efficiency (SE) (SMD = 0.27, 95% CI: −0.03‐0.57), whereas night shift workers presented longer sleep‐onset latency (SOL) (SMD = 0.62, 95% CI: 0.15‐1.08), greater wake after sleep onset (WASO) (SMD = 0.41, 95% CI: 0.12‐0.70), and longer total sleep time (TST) (SMD = 0.85, 95% CI: 0.32‐1.39) than did day shift workers. The differences between the day and night shift workers in SOL, WASO, and TST did not vary with age. Conclusions Among the sleep quality indices, night shift workers presented longer SOL and greater WASO than did day shift workers. However, night shift workers could regulate their rest time and had adequate TST; thus, their SE was not different from that of day shift workers.

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Climate Change, Sleep, and Mental Health

Wallace,

Johnson

2024

Climate Change and Mental Health Equity

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Differences in workday sleep fragmentation, rest-activity cycle, sleep quality, and activity level among nurses working different shifts

Cited by 13 publications

References 32 publications

Differences in Daytime Activity Levels and Daytime Sleep Between Night and Day Duty: An Observational Study in Italian Orthopedic Nurses

Differences in Daytime Activity Levels and Daytime Sleep Between Night and Day Duty: An Observational Study in Italian Orthopedic Nurses

Meta-analysis of differences in sleep quality based on actigraphs between day and night shift workers and the moderating effect of age

Climate Change, Sleep, and Mental Health

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