Influences of shift work on fatigue among nurses

J Nurs Manag. 2011 Apr;19(3):339-45. doi: 10.1111/j.1365-2834.2010.01173.x.

Abstract

Aim: To compare the symptoms of fatigue and physiological indices in nurses who work during the day with nurses who work in shifts.

Method: One-hundred and seven nurses were recruited and asked to assess their symptoms of fatigue before their work commenced and after it finished.

Results: Using logistic regression analysis adjusted for covariates, it was found that nurses who work in shifts were more fatigued than nurses who work during the day (odds ratio = 2.44, P < 0.10). There was a significant difference regarding critical flicker fusion in the two groups of nurses (P = 0.032), and nurses who work in shifts had poorer physiological indices than nurses who work during the day.

Conclusion: It is clear that differing work schedules result in differing levels of fatigue, with shift work attributing to higher levels than day work.

Implications for nursing management: Nurse managers need to take into account the fatiguing effects of different work schedules when designing rostering patterns.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Physiological
  • Adaptation, Psychological
  • Adult
  • Analysis of Variance
  • Circadian Rhythm*
  • Confidence Intervals
  • Fatigue / pathology
  • Fatigue / psychology*
  • Female
  • Health Status Indicators
  • Humans
  • Male
  • Multivariate Analysis
  • Nursing*
  • Nursing, Supervisory
  • Odds Ratio
  • Psychometrics
  • Work Schedule Tolerance / psychology*
  • Young Adult