scholarly journals Nurses’ experiences and preferences around shift patterns: A scoping review

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256300
Author(s):  
Ourega-Zoé Ejebu ◽  
Chiara Dall’Ora ◽  
Peter Griffiths
Keyword(s):  
Shift Work ◽  
Subjective Experience ◽  
Personal Characteristics ◽  
Health And Wellbeing ◽  
Quantitative Studies ◽  
Working Shift ◽  
Shift Pattern ◽  
Shift Length ◽  
Night Shifts

Objective To explore the evidence on nurses’ experiences and preferences around shift patterns in the international literature. Data sources Electronic databases (CINHAL, MEDLINE and Scopus) were searched to identify primary studies up to April 2021. Methods Papers reporting qualitative or quantitative studies exploring the subjective experience and/or preferences of nurses around shift patterns were considered, with no restrictions on methods, date or setting. Key study features were extracted including setting, design and results. Findings were organised thematically by key features of shift work. Results 30 relevant papers were published between 1993 and 2021. They contained mostly qualitative studies where nurses reflected on their experience and preferences around shift patterns. The studies reported on three major aspects of shift work: shift work per se (i.e. the mere fact of working shift), shift length, and time of shift. Across all three aspects of shift work, nurses strive to deliver high quality of care despite facing intense working conditions, experiencing physical and mental fatigue or exhaustion. Preference for or adaptation to a specific shift pattern is facilitated when nurses are consulted before its implementation or have a certain autonomy to self-roster. Days off work tend to mitigate the adverse effects of working (short, long, early or night) shifts. How shift work and patterns impact on experiences and preferences seems to also vary according to nurses’ personal characteristics and circumstances (e.g. age, caring responsibilities, years of experience). Conclusions Shift patterns are often organised in ways that are detrimental to nurses’ health and wellbeing, their job performance, and the patient care they provide. Further research should explore the extent to which nurses’ preferences are considered when choosing or being imposed shift work patterns. Research should also strive to better describe and address the constraints nurses face when it comes to choice around shift patterns.

scholarly journals Burnout, Sleep, and Sleepiness during Day and Night Shifts in Transition from 8- to 12-Hour Shift Rosters among Airline Ground Crew Managers

2019 ◽  
Vol 1 (2) ◽  
pp. 226-239
Author(s):  
Shochat ◽  
Hadish-Shogan ◽  
Banin Yosipof ◽  
Recanati ◽  
Tzischinsky
Keyword(s):  
Sleep Quality ◽  
Night Shift ◽  
Field Studies ◽  
Caffeine Intake ◽  
Organizational Changes ◽  
Health And Wellbeing ◽  
Behavioral Parameters ◽  
Shift Length ◽  
Night Shifts

: Organizational changes in shift scheduling provide rare opportunities for field studies aimed at investigating the effects of such changes on health and wellbeing. We studied the effects of a transition from 8-hour (8-h) to 12-hour (12-h) shift rosters in 39 airline ground crew managers on burnout, sleep quality, and sleepiness. Assessments were collected during the 8-h and were repeated three months after the transition to 12-h shift rosters. These assessments included the Shirom-Melamed Burnout Measure (SMBM), the Pittsburgh Sleep Quality Index (PSQI), actigraphy, the Karolinska Sleepiness Scale (KSS) completed hourly during one day and two night shifts, and caffeine intake. Findings demonstrated lower burnout, improved sleep quality, improved quality of naps, and increased afternoon sleepiness during the 12-h day shift. Napping was reported during 12-h night shifts by 36% of the sample. In nappers, increased night shift sleepiness was associated with increased caffeine intake on 8- and 12-h shifts. In non-nappers, increased night shift sleepiness was associated with decreased caffeine intake on the 8-h shift only. Change in shift length affects other structural and behavioral parameters in the workplace, making it challenging to isolate distinct characteristics of the two rosters and their relative effects on study outcomes. Individual differences in adaptation to shiftwork may also play a role.

scholarly journals P.2.33 The association between pattern of shift work and sleep quality amongst nurses in university hospital in northeastern region of thailand

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A95.3-A96
Author(s):  
Kampanat Wangsan ◽  
Naesinee Chaiear ◽  
Kittisak Sawanyawisuth ◽  
Paanumas Krisorn
Keyword(s):  
Sleep Quality ◽  
Shift Work ◽  
Poor Quality ◽  
University Hospital ◽  
Quality Of Sleep ◽  
Screening Questionnaire ◽  
Northeastern Region ◽  
Obstructive Sleep ◽  
Shift Pattern

IntroductionShift work associated with many health problems, work performance and injury. Disturbance of sleep quality is the main mechanism of shift work effects. Nurses are at risk of many occupational hazards and also shift work. The information about shiftwork and the association of sleep quality amongst nurses of Thailand is still limit.ObjectiveTo study the association of shift work and quality of sleep and which pattern has highest risk of poor quality of sleep amongst nurses in university hospital in Northeastern region of Thailand.Material and methodOne thousand and one hundred nurses were met inclusion and exclusion criteria with 75.5%(n=831) participation rate. The data was collected via questionnaire including personal information, shift schedule, depression screening questionnaire, obstructive sleep apnea screening questionnaire and sleep quality questionnaire (PSQI). Cross-sectional analytical study was conducted.ResultAll patterns of shift work amongst sample were irregular shift work. There were statistically significant association between shift work and poor quality of sleep . Predominant backward shift pattern has higher association of poor quality of shiftwork than predominant forward shift pattern.ConclusionEven shift work associate with poor quality of sleep but good strategy of shift work scheduling help to decrease risk of poor quality of sleep.

scholarly journals Designing Light for Night Shift Workers: Application of Nonvisual Lighting Design Principles in an Industrial Production Line

2021 ◽  
Vol 11 (22) ◽  
pp. 10896
Author(s):  
Johannes Zauner ◽  
Herbert Plischke
Keyword(s):  
Shift Work ◽  
Industrial Production ◽  
Night Shift ◽  
Stimulus Range ◽  
Automation System ◽  
Shift Workers ◽  
Health And Wellbeing ◽  
Rotating Shift Work ◽  
Lighting Simulation ◽  
Night Shifts

Chronodisruption deteriorates the health and wellbeing of shift workers. Artificial light at night and the lack of light during the day are major contributors to chronodisruption and need to be optimized in shift work scenarios. Here, we present one solution for a lighting and automation system in an industrial production workplace. The setting is a rapidly rotating shift work environment with morning, evening, and night shifts. We describe a procedure to specify the new lighting through a software-agnostic nonvisual lighting simulation for artificial and daylighting scenarios. Through this process, a new luminaire is created, called Drosa, that allows for a large melanopic stimulus range between 412 and 73 lx melanopic equivalent daylight (D65) illuminance vertically at eye level, while maintaining a neutral white illuminance at task level between 1250 and 900 lx, respectively. This is possible through a combination of glare-free spotlights with adjustable areal wing lights. An individually programmed automation system controls the light dosage and timing during the day and night. The work is relevant for other shift work scenarios, where the presented example and the discussed rationale behind the automation might provide insights. The work is further relevant for other lighting scenarios beyond industrial shift work, as the nonvisual lighting simulation process can be adapted to any context.

Schichtarbeit unter Veränderungsdruck

2019 ◽  
Author(s):  
Volker Hielscher ◽  
Elena Kreutzer ◽  
Ingrid Matthäi
Keyword(s):  
Quality Of Life ◽  
Shift Work ◽  
The Other ◽  
Ability To Work ◽  
Shift Workers ◽  
Social Lives ◽  
Private Lives ◽  
Night Shifts

An increasing number of people do shift work, including night shifts. These shifts structure their daily and private lives and, in turn, affect their social lives. Companies, on the other hand, are faced with the questions of how they can maintain their shift workers’ ability to work in the long term and how they can organise productive shift work with ageing employees. Case studies from a variety of sectors reveal that shift work does not necessarily equate to shift work and that shift workers’ ability to work develops differently. Some remain healthy and contented doing shift work until they retire, while others find the work is detrimental to their health and quality of life. As companies’ options for relieving staff of shift work for health reasons are limited, they are continually looking for innovative ways in which they can sustain their employees’ ability and motivation to do shift work in the long term.

Present Mood States in Brazilian Night Nurses

2003 ◽  
Vol 93 (2) ◽  
pp. 353-357 ◽  
Author(s):  
José Lino Oliveira Bueno ◽  
Milva Maria Figueiredo De Martino ◽  
Taíza Helena Figueiredo
Keyword(s):  
Shift Work ◽  
The State ◽  
Mood States ◽  
Hospital Nurses ◽  
Graduate Nurses ◽  
Specific Effects ◽  
Shift Analysis ◽  
Clinical Ward ◽  
Working Shift ◽  
Night Shifts

Variations in the state of momentary emotions of Brazilian hospital nurses on day and night shifts were recorded. Ten graduate nurses working on day and night shifts in the clinical ward of hospitals completed the Present Mood States List of Engelmann at the beginning and end of the first and last days of each shift. Analysis indicated (a) nurses had a stable emotional profile, present at the working shift, and (b) variations in present mood states related to specific effects of shift work were observed when comparisons were made between the present mood states at the beginning and end of each shift duty.

scholarly journals Exploring the role of shift work in the self-reported health and wellbeing of long-term and assisted-living professional caregivers in Alberta, Canada

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Oluwagbohunmi Awosoga ◽  
Claudia Steinke ◽  
Christina Nord ◽  
Jon Doan ◽  
Stephanie Varsanyi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Shift Work ◽  
Assisted Living ◽  
Emotional Health ◽  
Night Shift ◽  
Health And Wellbeing ◽  
Reported Health

Abstract Background Numerous studies have found negative outcomes between shift work and physical, emotional, and mental health. Many professional caregivers are required to work shifts outside of the typical 9 am to 5 pm workday. Here, we explore whether shift work affects the health and wellbeing of long-term care (LTC) and assisted-living (AL) professional caregivers. Method The Caring for Professional Caregivers research study was conducted across 39 LTC and AL facilities in Alberta, Canada. Of the 1385 questionnaires distributed, 933 surveys (67.4%) were returned completed. After identifying 49 questions that significantly explained variances in the reported health status of caregivers, we examined whether there was a relationship between these questions and reported health status of caregivers working night shifts. Results We found significant differences between responses from those working different shifts across six of seven domains, including physical health, health conditions, mental/emotional health, quality of life, and health behaviors. In particular, we found that night shift caregivers were more likely to report incidents of poor heath (i.e., they lacked energy, had regular presences of neck and back pain, regular or infrequent incidents of fatigue or low energy, had difficulty falling asleep, and that they never do exercise) and less likely to report incidents of good health (i.e., did not expect their health to improve, were not satisfied with their health, do not have high self-esteem/were happy, were unhappy with their physical appearance, and do not get a good night’s sleep), compared to caregivers working other shifts. Conclusions Our study shows that professional caregivers working the night shift experience poor health status, providing further evidence that night shift workers’ health is at risk. In particular, caregivers reported negative evaluations of their physical, mental/emotional health, lower ratings of their quality of life, and negative responses to questions concerning whether they engage in healthy behaviors. Our findings can support healthcare stakeholders outline future policies that ensure caregivers are adequately supported so that they provide quality care.

Measuring patient engagement among cancer patients in eHealth and mHealth interventions on symptom management: an integrated review (Preprint)

2020 ◽  
Author(s):  
Juqing Zhao ◽  
Pei Chen ◽  
Guangming Wan
Keyword(s):  
Cancer Patients ◽  
Patient Engagement ◽  
Symptom Management ◽  
Subjective Experience ◽  
Participation Rate ◽  
Sensor Data ◽  
Quality Of Data ◽  
Mhealth Intervention

BACKGROUND There has been an increase number of eHealth and mHealth interventions aimed to support symptoms among cancer survivors. However, patient engagement has not been guaranteed and standardized in these interventions. OBJECTIVE The objective of this review was to address how patient engagement has been defined and measured in eHealth and mHealth interventions designed to improve symptoms and quality of life for cancer patients. METHODS Searches were performed in MEDLINE, PsychINFO, Web of Science, and Google Scholar to identify eHealth and mHealth interventions designed specifically to improve symptom management for cancer patients. Definition and measurement of engagement and engagement related outcomes of each intervention were synthesized. This integrated review was conducted using Critical Interpretive Synthesis to ensure the quality of data synthesis. RESULTS A total of 792 intervention studies were identified through the searches; 10 research papers met the inclusion criteria. Most of them (6/10) were randomized trial, 2 were one group trail, 1 was qualitative design, and 1 paper used mixed method. Majority of identified papers defined patient engagement as the usage of an eHealth and mHealth intervention by using different variables (e.g., usage time, log in times, participation rate). Engagement has also been described as subjective experience about the interaction with the intervention. The measurement of engagement is in accordance with the definition of engagement and can be categorized as objective and subjective measures. Among identified papers, 5 used system usage data, 2 used self-reported questionnaire, 1 used sensor data and 3 used qualitative method. Almost all studies reported engagement at a moment to moment level, but there is a lack of measurement of engagement for the long term. CONCLUSIONS There have been calls to develop standard definition and measurement of patient engagement in eHealth and mHealth interventions. Besides, it is important to provide cancer patients with more tailored and engaging eHealth and mHealth interventions for long term engagement.

The Physical Context of Child Development

2021 ◽  
Vol 30 (1) ◽  
pp. 41-48
Author(s):  
Gary W. Evans
Keyword(s):  
Child Development ◽  
Observational Studies ◽  
Physiological Stress ◽  
Personal Characteristics ◽  
Adverse Outcomes ◽  
Structural Quality ◽  
Physical Context ◽  
Physical Setting ◽  
Physical Features

Child development reflects interactions between personal characteristics and the physical and social environment. Psychology, however, lacks analysis of physical features that influence child development. In this article, I describe a preliminary taxonomy of physical-setting characteristics that can influence child development, focusing on environmental stressors such as noise, crowding, and chaos along with structural quality of housing, day care, and schools. Adverse outcomes associated with suboptimal physical settings during childhood include cognitive and socioemotional difficulties along with chronic physiological stress. Both direct effects on the child as well as indirect effects occurring via significant persons surrounding the child are described. Methodological limitations, particularly reliance on observational studies, are a weakness in the current literature, but increasingly more rigorously obtained findings yield converging evidence of the effects of physical settings on child development.

scholarly journals A Risk Exchange: Health and Mobility in the Context of Climate and Environmental Change in Bangladesh—A Qualitative Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2629
Author(s):  
Patricia Nayna Schwerdtle ◽  
Kate Baernighausen ◽  
Sayeda Karim ◽  
Tauheed Syed Raihan ◽  
Samiya Selim ◽  
...  
Keyword(s):  
Climate Change ◽  
Mental Health ◽  
Quality Of Care ◽  
Health Risks ◽  
Thematic Analysis ◽  
Health Determinants ◽  
Physical And Mental Health ◽  
Health And Wellbeing ◽  
Healthcare Environment

Background: Climate change influences patterns of human mobility and health outcomes. While much of the climate change and migration discourse is invested in quantitative predictions and debates about whether migration is adaptive or maladaptive, less attention has been paid to the voices of the people moving in the context of climate change with a focus on their health and wellbeing. This qualitative research aims to amplify the voices of migrants themselves to add nuance to dominant migration narratives and to shed light on the real-life challenges migrants face in meeting their health needs in the context of climate change. Methods: We conducted 58 semi-structured in-depth interviews with migrants purposefully selected for having moved from rural Bhola, southern Bangladesh to an urban slum in Dhaka, Bangladesh. Transcripts were analysed using thematic analysis under the philosophical underpinnings of phenomenology. Coding was conducted using NVivo Pro 12. Findings: We identified two overarching themes in the thematic analysis: Firstly, we identified the theme “A risk exchange: Exchanging climate change and health risks at origin and destination”. Rather than describing a “net positive” or “net negative” outcome in terms of migration in the context of climate change, migrants described an exchange of hazards, exposures, and vulnerabilities at origin with those at destination, which challenged their capacity to adapt. This theme included several sub-themes—income and employment factors, changing food environment, shelter and water sanitation and hygiene (WaSH) conditions, and social capital. The second overarching theme was “A changing health and healthcare environment”. This theme also included several sub-themes—changing physical and mental health status and a changing healthcare environment encompassing quality of care and barriers to accessing healthcare. Migrants described physical and mental health concerns and connected these experiences with their new environment. These two overarching themes were prevalent across the dataset, although each participant experienced and expressed them uniquely. Conclusion: Migrants who move in the context of climate change face a range of diverse health risks at the origin, en route, and at the destination. Migrating individuals, households, and communities undertake a risk exchange when they decide to move, which has diverse positive and negative consequences for their health and wellbeing. Along with changing health determinants is a changing healthcare environment where migrants face different choices, barriers, and quality of care. A more migrant-centric perspective as described in this paper could strengthen migration, climate, and health governance. Policymakers, urban planners, city corporations, and health practitioners should integrate the risk exchange into practice and policies.

scholarly journals Bone Pain in Multiple Myeloma (BPMM)—A Protocol for a Prospective, Longitudinal, Observational Study

Cancers ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1596
Author(s):  
Marta Diaz-delCastillo ◽  
Rebecca E. Andrews ◽  
Aritri Mandal ◽  
Thomas L. Andersen ◽  
Andrew D. Chantry ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Myeloma ◽  
Observational Study ◽  
Bone Turnover ◽  
Bone Pain ◽  
Subjective Experience ◽  
Prospective Longitudinal ◽  
Bone Turnover Biomarkers

Multiple myeloma (MM) is a bone marrow neoplasia that causes bone pain in 70% patients. While preclinical models of MM have suggested that both nerve sprouting and nerve injury may be causative for the pain, there is a lack of clinical data. Thus, the primary aims of this clinical study are: (1) to provide a deep characterization of the subjective experience of pain and quality of life in MM patients; (2) to investigate disturbances in the bone innervation of MM patients. Secondary aims include exploring correlations between pain and serum inflammatory and bone turnover biomarkers. In a prospective, observational study (clinicaltrials.gov: NCT04273425), patients with suspected MM requiring a diagnostic iliac crest biopsy at Sheffield Teaching Hospital (UK) are invited to participate. Consenting patients answer seven standardized questionnaires assessing pain, quality of life and catastrophizing. Bone turnover biomarkers and inflammatory cytokines are measured in fasting serum samples, and bone innervation is evaluated in diagnostic biopsies. MM patients are invited to a follow-up upon completion of first line treatment. This will be the first deep characterization of pain in MM patients and its correlation with disturbances in bone innervation. Understanding how bone turnover and inflammation correlate to pain in MM is crucial to identify novel analgesic targets for this condition.

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