Research progress on sleep assessment and related adverse outcomes of shift nurses

Abstract

Abstract: The hospital needs to provide 24-hour continuous care for patients,so shift work including night shift is inevitable. Sleep problems caused by shift work are one of the major occupational hazards for nurses. This paper reviews the sleep assessment methods of shift nurses at home and abroad,summarizes the impact of sleep problems on cognitive function,health status and work performance,and puts forward intervention strategies from three levels of individuals,managers and organizations,in order to provide reference for shift nurses' sleep improvement,occupational health promotion and intervention implementation.

Key words: Nurses, Shift work, Sleep assessment, Adverse outcomes

CLC Number:

R181.3⁺1

TAN Lixia, WANG Fang, HU Xiuying. Research progress on sleep assessment and related adverse outcomes of shift nurses. [J]OCCUPATION AND HEALTH, 2023, 39(17): 2434-2439.

References

[1] JAMES L,ELKINS-BROWN N,WILSON M,et al.The effects of three consecutive 12-hour shifts on cognition,sleepiness,and domains of nursing performance in day and night shift nurses:A quasi-experimental study[J].Int J Nurs Stud,2021,123:104041.
[2] FRATISSIER A,GAUBERTI P,MORELLO R,et al.mpact of 12-hr shifts in general hospitals:Study conducted in two intensive care units[J].Nurs Open,2021,8(2):656-663.
[3] HONG J,KIM M,SUH E E,et al.Comparison of fatigue,quality of life,turnover intention,and safety incident frequency between 2-shift and 3-shift korean nurses[J].Int J Environ Res Public Health,2021,18(15):7953.
[4] ALFONSI V,SCARPELLI S,GORGONI M,et al.Sleep-related problems in night shift nurses:towards an individualized interventional practice[J].Front Hum Neurosci,2021,15:644570.
[5] 刘倩倩,江丽丽,叶佳欣,等.三甲医院医务人员轮班工作与睡眠障碍的相关性[J].环境与职业医学,2021,38(1):76-82.
[6] STANOJEVIC C,SIMIC S,MILUTINOVIC D.Health effects of sleep deprivation on nurses working shifts[J].Med Pregl,2016,69(5-6):183-188.
[7] 梁涛,刘鑫,王佳弘,等.国外护士健康队列研究现状及对我国的启示[J].中国护理管理,2020,20(6):816-820.
[8] STIMPFEL A W,FATEHI F,KOVNER C.Nurses' sleep,work hours,and patient care quality,and safety[J].Sleep Health,2020,6(3):314-320.
[9] KECKLUND G,AXELSSON J.Health consequences of shift work and insufficient sleep[J].BMJ,2016,355:i5210.
[10] GU F,HAN J,LADEN F,et al.Total and cause-specific mortality of U.S. nurses working rotating night shifts[J].Am J Prev Med,2015,48(3):241-252.
[11] KATO C,SHIMADA J,HAYASHI K.Sleepiness during shift work in Japanese nurses:A comparison study using JESS,SSS,and actigraphy[J].Sleep Biol Rhythms,2012,10(2):109-117.
[12] ZHANG L,SUN D,LI C,et al.Influencing factors for sleep quality among shift-working nurses:A cross-sectional study in china using 3-factor pittsburgh sleep quality index[J].Asian Nurs Res,2016,10(4):277-282.
[13] CHIEN P,SU H,HSIEH P,et al.Sleep quality among female hospital staff nurses[J].Sleep Disord,2013,2013:1-6.
[14] FENG H L,QI X X,XIA C L,et al.Association between night shift and sleep quality and health among Chinese nurses:A cross-sectional study[J].J Nurs Manag,2021,29(7):2123-2131.
[15] BUYSSE D J,REYNOLDS C R,MONK T H,et al.The pittsburgh sleep quality index:A new instrument for psychiatric practice and research[J].Psychiatry Res,1989,28(2):193-213.
[16] LEE C,CHEN H,MEG TSENG M,et al.The Relationships among sleep quality and chronotype,emotional disturbance,and insomnia vulnerability in shift nurses[J].J Nurs Res,2015,23(3):225-235.
[17] 褚欣悦,吴玉兰,刘伟.我国临床护士睡眠障碍发生率及影响因素的meta分析[J].职业与健康,2022,38(3):395-399.
[18] ZENG L N,YANG Y,WANG C,et al.Prevalence of poor sleep quality in nursing staff:A meta-analysis of observational studies[J].Behav Sleep Med,2020,18(6):746-759.
[19] JEONG J Y,GU M O.Structural equation model for sleep quality of female shift work nurses[J].J Korean Acad Nurs,2018,48(5):622.
[20] FLO E,BJORVATN B,FOLKARD S,et al.A reliability and validity study of the bergen shift work sleep questionnaire in nurses working three-shift rotations[J].Chronobiol Int,2012,29(7):937-946.
[21] SANCHES I,TEIXEIRA F,DOS S J,et al.Effects of acute sleep deprivation resulting from night shift work on young doctors[J].Acta Med Port,2015,28(4):457-462.
[22] JOHNS M W.Reliability and factor analysis of the epworth sleepiness scale[J].Sleep,1992,15(4):376-381.
[23] GRIEPENTROG J E,LABINER H E,GUNN S R,et al.Bright environmental light improves the sleepiness of nightshift ICU nurses[J].Crit Care,2018,22(1):295.
[24] CHANG Y,CHEN H,HSU C,et al.Nurses working on fast rotating shifts overestimate cognitive function and the capacity of maintaining wakefulness during the daytime after a rotating shift[J].Sleep Med,2013,14(7):605-613.
[25] BOARDMAN J M,BEI B,MELLOR A,et al.The ability to self-monitor cognitive performance during 60 h total sleep deprivation and following 2 nights recovery sleep[J].J Sleep Res,2018,27(4):e12633.
[26] ZION N,SHOCHAT T.Cognitive functioning of female nurses during the night shift:The impact of age,clock time,time awake and subjective sleepiness[J].Chronobiol Int,2018,35(11):1595-1607.
[27] WILSON M,PERMITO R,ENGLISH A,et al.Performance and sleepiness in nurses working 12-h day shifts or night shifts in a community hospital[J].Accid Anal Prev,2019,126:43-46.
[28] REINKE L,?ZBAY Y,DIEPERINK W,et al.The effect of chronotype on sleepiness,fatigue,and psychomotor vigilance of ICU nurses during the night shift[J].Intensive Care Med,2015,41(4):657-666.
[29] CHANG Y,CHEN H,HSU C,et al.Nurses working on fast rotating shifts overestimate cognitive function and the capacity of maintaining wakefulness during the daytime after a rotating shift[J].Sleep Med,2013,14(7):605-613.
[30] 张鹏,李雁鹏,吴惠涓,等.中国成人失眠诊断与治疗指南(2017版)[J].中华神经科杂志,2018,51(5):324-335.
[31] De MARTINO M M F,ABREU A C B,BARBOSA M F D S,et al.The relationship between shift work and sleep patterns in nurses[J].Cien Saude Colet,2013,18(3):763-768.
[32] LEE S,CRAIN T L,MCHALE S M,et al.Daily antecedents and consequences of nightly sleep[J].J Sleep Res,2017,26(4):498-509.
[33] SALEH A M,AWADALLA N J,EL-MASRI Y M,et al.Impacts of nurses’ circadian rhythm sleep disorders,fatigue,and depression on medication administration errors[J].Egypt J Chest Dis Tuberc,2014, 63(1):145-153.
[34] JOHNSON A L,BROWN K,WEAVER M T.Sleep deprivation and psychomotor performance among night-shift nurses[J].AAOHN J,2010, 58(4):147-154.
[35] KOUSLOGLOU S,MOUZAS O,BONOTIS K,et al.Insomnia and burnout in Greek Nurses[J].Hippokratia,2014,18(2):150-155.
[36] CHOU T,CHANG L,CHUNG M.The mediating and moderating effects of sleep hygiene practice on anxiety and insomnia in hospital nurses[J].Int J Nurs Pract,2015,21(Suppl 2):9-18.
[37] 李雁鹏,王莞尔,赵忠新.中国成人多导睡眠监测技术操作规范及临床应用专家共识[J].中华医学杂志,2018,98(47):3825-3831.
[38] VEAL B M,MU C X,SMALL B J,et al.Subjective cognitive abilities correlate with poor sleep among day-shift and night-shift nurses[J]. J Sleep Res,2021,30(5):e13359.
[39] LEE S,MU C,GONZALEZ B D,et al.Sleep health is associated with next-day mindful attention in healthcare workers[J].Sleep Health,2021, 7(1):105-112.
[40] JAMES L,JAMES S M,WILSON M,et al.Sleep health and predicted cognitive effectiveness of nurses working 12-hour shifts:An observational study[J].Int J Nurs Stud,2020,112:103667.
[41] SMITH M T,MCCRAE C S,CHEUNG J,et al.Use of actigraphy for the evaluation of sleep disorders and circadian rhythm sleep-wake disorders:An american academy of sleep medicine clinical practice guideline[J].J Clin Sleep Med,2018,14(7):1231-1237.
[42] 延梦圆,冯蓓蕾,陆逸莹,等.睡眠与认知损害相关性研究进展[J].中国神经免疫学和神经病学杂志,2018,25(6):433-438.
[43] BHAT A,PIRES A S,TAN V,et al.Effects of sleep deprivation on the tryptophan metabolism[J].Int J Tryptophan Res,2020,13:1178646920970902.
[44] KALIYAPERUMAL D.Effects of sleep deprivation on the cognitive performance of nurses working in Shift[J].J Clin Diagn Res,2017, 11(8):CC01-CC03.
[45] KILLGORE W D S.Effects of sleep deprivation on cognition[J].Prog Brain Res,2010,185:105-129.
[46] GREEN F M,TAVEIRA A D.The prevalence of sleep deprivation symptoms among night shift nurses and nurses’ aides at the university hospital of the west indies[J].Proc Hum Factors Ergon Soc Annu Meet, 2012,56(1):797-800.
[47] LIM J,DINGES D F.A meta-analysis of the impact of short-term sleep deprivation on cognitive variables[J].Psychol Bull,2010,136(3):375-389.
[48] SUN Q,JI X,ZHOU W,et al.Sleep problems in shift nurses:A brief review and recommendations at both individual and institutional levels[J].J Nurs Manag,2019,27(1):10-18.
[49] WANG N,SUN Y,ZHANG H,et al.Long-term night shift work is associated with the risk of atrial fibrillation and coronary heart disease[J].Eur Heart J,2021,42(40):4180-4188.
[50] FAGUNDO-RIVERA J,GÍMEZ-SALGADO J,GARCÍA-IGLESIAS J J,et al.Relationship between night shifts and risk of breast cancer among nurses:A systematic review[J].Medicina,2020,56(12):680.
[51] DAI C,QIU H,HUANG Q,et al.The effect of night shift on sleep quality and depressive symptoms among Chinese nurses[J].Neuropsychiatr Dis Treat,2019,15:435-440.
[52] LIN P,CHEN C,PAN S,et al.Atypical work schedules are associated with poor sleep quality and mental health in Taiwan female nurses[J].Int Arch Occup Environ Health,2012,85(8):877-884.
[53] EJEBU O,DALL ORA C,GRIFFITHS P.Nurses’ experiences and preferences around shift patterns:A scoping review[J].PLoS One,2021, 16(8):e256300.
[54] DALL ORA C,GRIFFITHS P,REDFERN O,et al.Nurses’ 12-hour shifts and missed or delayed vital signs observations on hospital wards:Retrospective observational study[J].BMJ Open,2019,9(1):e24778.
[55] RAMADAN M Z,AL-SALEH K S.The association of sleep deprivation on the occurrence of errors by nurses who work the night shift[J].Curr Health Sci J,2014,40(2):97-103.
[56] DALL ORA C,GRIFFITHS P,EMMANUEL T,et al.12-hr shifts in nursing:Do they remove unproductive time and information loss or do they reduce education and discussion opportunities for nurses? A cross-sectional study in 12 European countries[J].J Clin Nurs,2019, 29(1-2):53-59.
[57] KI J,RYU J,BAEK J,et al.Association between health problems and turnover intention in shift work nurses:Health problem clustering[J].Int J Environ Res Public Health,2020,17(12):4532.
[58] LI H,SHAO Y,XING Z,et al.Napping on night-shifts among nursing staff:A mixed-methods systematic review[J].J Adv Nurs,2019,75(2):291-312.
[59] DUTHEIL F,BESSONNAT B,PEREIRA B,et al.Napping and cognitive performance during night shifts:A systematic review and meta-analysis[J].Sleep,2020,43(12):zsaa109.
[60] GEIGER-BROWN J,SAGHERIAN K,ZHU S,et al.Napping on the night shift:A two-hospital implementation project[J].Am J Nurs,2016, 116(5):26-33.
[61] ASOLI L J,De A A,IDALGO C M,et al.Exercise training improves sleep quality:A randomized controlled trial[J].Eur J Clin Invest,2020, 50(3):e13202.
[62] KANG J,NOH W,LEE Y.Sleep quality among shift-work nurses:A systematic review and meta-analysis[J].Appl Nurs Res,2020,52:151227.
[63] 崔春艳,冯素萍,庞静.我国护士睡眠质量相关研究的文献计量学分析[J].护理实践与研究,2020,17(04):1-4.
[64] CARUSO C C,BALDWIN C M,BERGER A,et al.Position statement:Reducing fatigue associated with sleep deficiency and work hours in nurses[J].Nurs Outlook,2017,65(6):766-768.
[65] HIRSHKOWITZ M,WHITON K,ALBERT S M,et al.National sleep foundation’s sleep time duration recommendations:Methodology and results summary[J].Sleep Health,2015,1(1):40-43.
[66] NIU S,CHU H,CHEN C,et al.A comparison of the effects of fixed- and rotating-shift schedules on nursing staff attention levels:A randomized trial[J].Biol Res Nurs,2013,15(4):443-450.
[67] CHUNG Y,KIM H,KOH D,et al.Relationship between shift intensity and insomnia among hospital nurses in korea:A cross-sectional study[J].J Prev Med Public Health,2021,54(1):46-54.