The Impact of Work Schedules, Home, and Work Demands on Self-Reported Sleep in Registered Nurses

Abstract

Current scheduling practices and high work demands negatively impact nurses' sleep and may be partially explained by exposure to work demands.

Systematic review of the relationship between quick returns in rotating shift work and health-related outcomes

“…One field study showed that nurses reported significantly lower sleep quality after quick returns of 10.0 hours from evening to A c c e p t e d M a n u s c r i p t morning shifts in an 8-hour system, compared to those with longer changeovers in a 12-hour system (Costa et al 2014). One cross-sectional study showed that quick returns of 10.0 hours were positively associated with more frequent reports of inadequate and restless sleep among nurses (Geiger-Brown, Trinkoff, and Rogers 2011). Three survey studies support a positive association between quick returns and shift work disorder (Eldevik et al 2013), of which one was a longitudinal study .…”

“…There is also a predominance of female subjects due to the large survey studies on health personnel (Geiger-Brown, Trinkoff, andRogers 2011, Flo et al 2014). This may reflect a bias within the field since research results are not always generalizable between the sexes (Holdcroft 2007).…”

“…Eight studies were cross-sectional survey studies , Eldevik et al 2013, GeigerBrown, Trinkoff, and Rogers 2011, Tucker et al 2010, one was a longitudinal survey study , three were intervention studies (where quick returns were reduced or abolished) (Hakola, Paukkonen, and Pohjonen 2010, Lowden et al 1998, five were field studies (data collection over time in natural settings) , Sallinen et al 2003, Signal and Gander 2007, Karhula et al 2013, Costa et al 2014, one was a field study which included laboratory assessments and one was a pure laboratory study (Cruz et al 2003), one was a registry study (analyzed objective records from an injury report database) (Macdonald et al 1997), and two studies labeled themselves as time-budget studies (i.e., they employed time-use diaries to identify activities occupying each hour of each day for a fixed period of time) (Knauth et al 1983, Kurumatani et al 1994. Most of the studies were based on self-report diaries and a mixture of standardized questionnaires and unstandardized questions , Eldevik et al 2013, Geiger-Brown, Trinkoff, and Rogers 2011, Lowden et al 1998, Karhula et al 2013, Sallinen et al 2003, Signal and Gander 2007, Cruz et al 2003, Kurumatani et al 1994, Knauth et al 1983, Hakola, Paukkonen, and Pohjonen 2010, Tucker et al 2010. Three studies used actigraphy recordings to monitor sleep and activity objectively (Axelsson et al 2004, Signal and …”

Internet-based instructor-led mindfulness for work-related rumination, fatigue, and sleep: Assessing facets of mindfulness as mechanisms of change. A randomized waitlist control trial.

“…While there are several cross-sectional 11 studies (Akerstedt et al, 2002;Geiger-Brown, Trinkoff, & Rogers, 2011), and a few longitudinal studies (Burgard & Ailshire, 2009;de Lange, Kompier, Taris, Geurts, Beckers, Houtman, et al, 2009) demonstrating an association between work-related stress and sleep, the mechanism/s by which occupational stress influences sleep remain uncertain. However, the sleep literature agrees that one of the factors thought to interfere with sleep is perseverative thinking (e.g., rumination, worry), with self-reported sleep disturbance showing a strong association with work-related worries and rumination (Akerstedt et al, 2002;Cropley et al, 2006).…”

Stressors in the Working Environment of Registered Nurses

“…The Institute of Medicine (IOM) called for nurse work environment change to meet these needs [9]. Extended work shift hours expose nurses to increased workplace stressors compared to regularly scheduled shifts [10] and an increase in accidents, injuries, and other incidents are associated with long work hours [10][11][12][13][14][15]. Nurses work 12-hour shifts to provide continuous 24-hour inpatient care creating sleep deprivation and higher stress demands.…”