How Do Nurses Cope with Shift Work? A Qualitative Analysis of Open-Ended Responses from a Survey of Nurses

Savic, Michael; Ogeil, Rowan P.; Sechtig, Megan J.; Lee-Tobin, Peta A.; Ferguson, Nyssa; Lubman, Dan I.

doi:10.3390/ijerph16203821

Cited by 38 publications

(43 citation statements)

References 66 publications

(126 reference statements)

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“…Therefore, our findings suggest that a wide range of coping strategies are employed by Polish nurses when dealing with stress. Similar results were observed in a recent study among 449 shift working nurses in Australia, although they showed the effective use of such coping strategies was hindered by sleep disturbances (Savic et al., 2019).…”

Section: Discussionsupporting

confidence: 88%

Health‐related behaviours of nurses in Poland: The role of Type D personality

et al. 2020

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Aim: To evaluate the factors affecting the health-related behaviours among nurses in Poland, including the influence of Type D personality. Background: Some nurses appear to adopt an unhealthy lifestyle to cope with the stressful nature of their work, which can affect their professional performance and contribute to the burden on our health care system. However, the factors driving the health-related behaviours among nurses in Poland have not been adequately studied. Method: This was a descriptive study conducted from June 2017 to May 2018 among nurses (N = 1,080) working primary care or in training facilities in Silesia, Poland. Data were acquired through a series of questionnaires and are presented as descriptive statistics. Results: A total of 379 (35%) nurses consumed alcohol in a harmful way, and ~20% were smokers. Almost all nurses (94.5%) could make dietary improvements. Over half (68%) reported moderate stress levels, and 179 (16.6%) were extremely stressed. Compared with non-Type D individuals, nurses with Type D personality more commonly used ineffective techniques for dealing with stress (i.e. denial and abreaction; p <.001), had lower mood (p <.001) and had a poorer diet (p = .001). Conclusion: The majority of nurses in Poland lead an unhealthy lifestyle and report moderate to severe levels of stress. Nurses with Type D personality more commonly use ineffective techniques for dealing with stress (i.e. avoidance strategies), have lower mood and have a poorer diet than those with non-Type D personality. Implications for Nursing Management: Promoting healthy behaviours and developing stress management techniques among nurses, particularly those with Type D personality, may improve nurses' well-being and professional performance, and help set a better example for patients.

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Section: Discussionsupporting

confidence: 88%

Health‐related behaviours of nurses in Poland: The role of Type D personality

et al. 2020

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“…Taken together, all these factors contribute to define the individual worker’s ability to manage the side effects of shift work and determine the efficacy of the adopted coping strategies (Savic et al, 2019 ). First, a timely estimation of the individual workers’ tolerance may help allocate workers to a certain shift pattern.…”

Section: Future Directions In the Management Of Night Shift Nursesmentioning

confidence: 99%

Sleep-Related Problems in Night Shift Nurses: Towards an Individualized Interventional Practice

Alfonsi

Scarpelli

Gorgoni

et al. 2021

Front. Hum. Neurosci.

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Rotating shifts (mostly 8- or 12-h) are common among nurses to ensure continuity of care. This scheduling system encompasses several adverse health and performance consequences. One of the most injurious effects of night-time shift work is the deterioration of sleep patterns due to both circadian rhythm disruption and increased sleep homeostatic pressure. Sleep problems lead to secondary effects on other aspects of wellbeing and cognitive functioning, increasing the risk of errors and workplace accidents. A wide range of interventions has been proposed to improve the sleep quality of nurses and promote an increase in attention levels. In recent years, particular attention has been paid to individual and environmental factors mediating the subjective ability to cope with sleep deprivation during the night shift. Given the predictive role of these factors on the negative impact of a night shift, an individualized intervention could represent an effective countermeasure by ensuring suitable management of shift schedules. Therefore, the aims of this mini-review are to: (a) provide an updated overview of the literature on sleep problems in night shift nurses and their adverse consequences; and (b) critically analyze the psychosocial factors that mediate the negative impact of shift work with the ultimate goal of defining an effective countermeasure based on an individualized approach.

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“…Different strategies are available for managing sleep loss in shift work. Sleep medicine has come a long way due to increased public awareness, as highlighted by the study of Savic et al (2019), who reported that the nurses in their study had already adopted health-promoting coping strategies with their night shifts [32], including health practices of physical activity, healthy eating, engaging with social support and leisure, mindfulness, managing time, and work-related coping strategies. Nevertheless, the online platforms of mHealth [33] and cognitive behavioural therapy for insomnia (CBTi) [34] are resourceful, easily accessible materials for shift workers.…”

mentioning

confidence: 99%