D Rosa1, S Terzoni2, F Dellafiore3, A Destrebecq4. 1. Department of Biomedicine and Prevention, University of Rome Tor Vergata, Roma, Italy. 2. San Paolo Bachelor School of Nursing, San Paolo Teaching Hospital, Milan, Italy. 3. Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. 4. Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Abstract
BACKGROUND: Nursing is characterized by a working articulation in shifts to ensure continuity of care throughout the 24 h. However, shift work and the resulting desynchronization of circadian rhythms may have adverse effects on nurses' health. AIMS: To describe the effects of shift work and desynchronization of circadian rhythms on nurse's health. METHODS: Databases: PubMed, Cinahl, Scopus, Embase and Ilisi. Search terms (free terms, MeSH): 'nurses', 'shiftwork', 'nightwork', 'sleep disorder, circadian rhythm', 'work schedule tolerance', 'breast neoplasm', 'metabolic syndrome X', 'metabolic cardiovascular syndrome', 'Cardiovascular disease', 'stress', 'diabetes'. We included all randomized controlled trials, observational studies, reviews and papers studying nurses' shift work. Quality assessment of the retrieved papers was verified according to Dixon-Woods checklist. RESULTS: Twenty-four articles were analyzed. Literature review has shown that shift work involves an alteration in psychophysical homeostasis, with a decrease in performance. It is an obstacle for social and family relationships, as well as a risk factor for stress, sleep disorders, metabolic disorders, diabetes, cardiovascular disorders and breast cancer. CONCLUSIONS: An organized ergonomic turnaround can be less detrimental to the health of nurses and more beneficial for the healthcare providers. Therefore, we suggest organizing studies to assess whether improving nurses' health would lead to a reduction in miscarriages, absenteeism and work-related stress.
BACKGROUND: Nursing is characterized by a working articulation in shifts to ensure continuity of care throughout the 24 h. However, shift work and the resulting desynchronization of circadian rhythms may have adverse effects on nurses' health. AIMS: To describe the effects of shift work and desynchronization of circadian rhythms on nurse's health. METHODS: Databases: PubMed, Cinahl, Scopus, Embase and Ilisi. Search terms (free terms, MeSH): 'nurses', 'shiftwork', 'nightwork', 'sleep disorder, circadian rhythm', 'work schedule tolerance', 'breast neoplasm', 'metabolic syndrome X', 'metabolic cardiovascular syndrome', 'Cardiovascular disease', 'stress', 'diabetes'. We included all randomized controlled trials, observational studies, reviews and papers studying nurses' shift work. Quality assessment of the retrieved papers was verified according to Dixon-Woods checklist. RESULTS: Twenty-four articles were analyzed. Literature review has shown that shift work involves an alteration in psychophysical homeostasis, with a decrease in performance. It is an obstacle for social and family relationships, as well as a risk factor for stress, sleep disorders, metabolic disorders, diabetes, cardiovascular disorders and breast cancer. CONCLUSIONS: An organized ergonomic turnaround can be less detrimental to the health of nurses and more beneficial for the healthcare providers. Therefore, we suggest organizing studies to assess whether improving nurses' health would lead to a reduction in miscarriages, absenteeism and work-related stress.
Authors: Shoham Choshen-Hillel; Ido Sadras; Tom Gordon-Hecker; Shir Genzer; David Rekhtman; Eugene M Caruso; Koby L Clements; Adrienne Ohler; David Gozal; Salomon Israel; Anat Perry; Alex Gileles-Hillel Journal: Proc Natl Acad Sci U S A Date: 2022-06-27 Impact factor: 12.779
Authors: Javier Fagundo-Rivera; Juan Gómez-Salgado; Juan Jesús García-Iglesias; Carlos Gómez-Salgado; Selena Camacho-Martín; Carlos Ruiz-Frutos Journal: Medicina (Kaunas) Date: 2020-12-10 Impact factor: 2.430
Authors: Michael Savic; Rowan P Ogeil; Megan J Sechtig; Peta Lee-Tobin; Nyssa Ferguson; Dan I Lubman Journal: Int J Environ Res Public Health Date: 2019-10-10 Impact factor: 3.390
Authors: Anna Brzecka; Karolina Sarul; Tomasz Dyła; Marco Avila-Rodriguez; Ricardo Cabezas-Perez; Vladimir N Chubarev; Nina N Minyaeva; Sergey G Klochkov; Margarita E Neganova; Liudmila M Mikhaleva; Siva G Somasundaram; Cecil E Kirkland; Vadim V Tarasov; Gjumrakch Aliev Journal: Curr Genomics Date: 2020-09 Impact factor: 2.236
Authors: Holly Blake; Alisha Gupta; Mahnoor Javed; Ben Wood; Steph Knowles; Emma Coyne; Joanne Cooper Journal: Int J Environ Res Public Health Date: 2021-03-31 Impact factor: 3.390
Authors: Javier Fagundo-Rivera; Regina Allande-Cussó; Mónica Ortega-Moreno; Juan Jesús García-Iglesias; Adolfo Romero; Carlos Ruiz-Frutos; Juan Gómez-Salgado Journal: Healthcare (Basel) Date: 2021-05-30
Authors: Holly Blake; Kathryn Watkins; Matthew Middleton; Natalia Stanulewicz Journal: Int J Environ Res Public Health Date: 2021-12-20 Impact factor: 3.390