Napping on night‐shifts among nursing staff: A mixed‐methods systematic review

Li, Huanhuan; Shao, Yanping; Xing, Zhuangjie; Li, Yuan; Wang, Shouqi; Zhang, Meiling; Jin, Ying; Shi, Ying; Sun, Jiao

doi:10.1111/jan.13859

Cited by 33 publications

(32 citation statements)

References 68 publications

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“…This prolongation of work time can leave nurses with less time to relax and recharge, which impedes the timely reduction of fatigue. As for night shifts, it is well accepted that working at night requires a lot of energy and is more likely to lead to the disorder of body rhythms, which may have a serious impact on fatigue of nurses 43. In addition, we found nearly 20% of nurses were highly dissatisfied with the nurse–patient relationship.…”

Section: Discussionmentioning

confidence: 68%

<p>Effects of job conditions, occupational stress, and emotional intelligence on chronic fatigue among Chinese nurses: a cross-sectional study</p>

Huang¹,

Liu²,

Yang³

et al. 2019

PRBM

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Purpose: Nurses are undertaking considerable emotional and physical work, which may lead to unrecoverable fatigue. This study aimed to evaluate the level of chronic fatigue and explore its associated factors among Chinese nurses in the hope of providing scientific evidence for fatigue-reduction strategies. Methods: This cross-sectional study was carried out in Liaoning Province, China in 2018. The study recruited 700 nurses and collected 566 effective respondents. Chronic fatigue, demographic factors, job conditions, and emotional intelligence were assessed through questionnaires. Chronic fatigue was assessed with the Fatigue Scale 11, occupational stress with the Effort–Reward Imbalance Questionnaire, and emotional intelligence with the Wong and Law Emotional Intelligence Scale. Hierarchical multiple regression was used to explore factors related to chronic fatigue and to test the moderating effect of emotional intelligence on the association between occupational stress and chronic fatigue. Simple slope analysis was conducted to visualize the interaction. Results: The mean score of chronic fatigue among the Chinese nurses was 17.14±6.16. Being married, having long weekly work time, working night shifts, and discontent with the nurse–patient relationship were positively associated with chronic fatigue. Effort:reward ratio, overcommitment, and emotional intelligence were important factors related to chronic fatigue. Emotional intelligence played a moderating role in the relationship between the effort:reward ratio and chronic fatigue. When emotional intelligence was higher, the effect of the effort:reward ratio on chronic fatigue became weaker. Conclusion: Most nurses surveyed in China might have relatively high levels of chronic fatigue. Our results highlight the importance of interventions on these factors for the reduction of fatigue among nurses in China. Providing more opportunities and support and developing emotional intelligence are crucial strategies to reduce chronic fatigue among nurses in China.

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Section: Discussionmentioning

confidence: 68%

<p>Effects of job conditions, occupational stress, and emotional intelligence on chronic fatigue among Chinese nurses: a cross-sectional study</p>

Huang¹,

Liu²,

Yang³

et al. 2019

PRBM

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“…This study's findings suggest that the development of strategies that reward night shift work may help lower the psychological effects on the nurses who are involved in the shift work. A systematic review by Li et al suggested that the integration of napping during a night shift is beneficial to nurses' health, their psychomotor vigilance and their performance [33].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Impact of Night Shift Work among Nurses in Saudi Arabia

Alsharari¹

2019

AJNR

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Background: A considerable number of studies have identified psychological and social difficulties resulting from night shift work among nurses. However, studies of the risk factors of experiencing the psychological and social impact of night shift work among hospital nurses is crucial but lacking. This study aimed to investigate the psychological and social effects of night shift work and the associated factors among nurses in Saudi Arabia (SA). Methods: This was a cross-sectional, descriptive survey carried out from May to July 2017 among nurses working night shifts in public hospitals in all regions of SA. The data were collected through online or paper-based self-administered questionnaires. Multivariable logistic regression analysis was utilized to identify the predictors of experiencing the psychological and social impact of night shift work. Results: A total of 1521 nurses completed the survey. The overall median psychological effect score was 14.0 (maximum 20). A total of 88.2% (1341/1521) of the participants reported a psychological impact due to night shift work. The overall median social effect score was 15.0 (maximum 20). A total of 90.9% (1383/1521) of the participants reported a social impact due to night shift work. Being a female nurse, a Saudi or Filipino national, being involved in rotating or fixed night shift work, dislike or occasional dislike for night shift work, and having had 6-10 weeks or over 20 weeks of night shift work in the preceding year were independent predictors of having a psychological impact due to night shift work. Furthermore, being involved in rotating night shift work, dislike or occasional dislike for night shift work, and having had over 20 weeks of night shift work in the preceding year were independent predictors of having a social impact due to night shift work. Conclusion: There was a high psychosocial impact of night shift work among nurses in the study setting. The development of incentives and support structures for nurses involved in night shift work is recommended.

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“…According to recent estimates, 21% of the European Union workforce is employed in a nonstandard work schedule (Parent-Thirion et al, 2017). Since hospitals operate around the clock, nursing staff works continuous working schedules (Li et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Some have focused on spontaneous napping (de Castro Palermo et al, 2015;Silva-Costa et al, 2017), while others have compared nap settings (Centofanti et al, 2016;Davy and Göbel, 2018). Though the merits of napping remain controversial (e.g., sleep inertia after a nap), Ruggiero and Redeker (2014) and Li et al (2019) have recently reported on the beneficial effects of napping among nurses (Li et al, 2019). Differences in nap outcomes may result from the assessment methods: most studies have relied on self-report questionnaires and subjective assessment of sleep behavior and alertness after a nap (de Castro Palermo et al, 2015;Rotenberg et al, 2016;Davy and Göbel, 2018;Li et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Though the merits of napping remain controversial (e.g., sleep inertia after a nap), Ruggiero and Redeker (2014) and Li et al (2019) have recently reported on the beneficial effects of napping among nurses (Li et al, 2019). Differences in nap outcomes may result from the assessment methods: most studies have relied on self-report questionnaires and subjective assessment of sleep behavior and alertness after a nap (de Castro Palermo et al, 2015;Rotenberg et al, 2016;Davy and Göbel, 2018;Li et al, 2019). Objective data collection is seldom employed for nap analysis though recommended as a useful adjuvant to evaluate the sleep-wake cycle (Sack et al, 2007;Baek et al, 2020).…”

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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Napping on night‐shifts among nursing staff: A mixed‐methods systematic review

Cited by 33 publications

References 68 publications

<p>Effects of job conditions, occupational stress, and emotional intelligence on chronic fatigue among Chinese nurses: a cross-sectional study</p>

<p>Effects of job conditions, occupational stress, and emotional intelligence on chronic fatigue among Chinese nurses: a cross-sectional study</p>

Psychosocial Impact of Night Shift Work among Nurses in Saudi Arabia

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

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