Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort study
Background: Fatigue is prevalent among hospital nurses and has been linked to medical errors and decreased patient safety. However, little is known regarding the relationship between occupational physical activity, sedentary behavior, and fatigue.Objective: To assess the impact of 12-hour shifts on...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | International Journal of Nursing Studies Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666142X22000157 |
| _version_ | 1811271752410464256 |
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| author | Roberto M. Benzo Amany Farag Kara M. Whitaker Qian Xiao Lucas J. Carr |
| author_facet | Roberto M. Benzo Amany Farag Kara M. Whitaker Qian Xiao Lucas J. Carr |
| author_sort | Roberto M. Benzo |
| collection | DOAJ |
| description | Background: Fatigue is prevalent among hospital nurses and has been linked to medical errors and decreased patient safety. However, little is known regarding the relationship between occupational physical activity, sedentary behavior, and fatigue.Objective: To assess the impact of 12-hour shifts on nurses’ fatigue and its relationship to occupational physical activity and sedentary behavior.Design: Prospective-cohort study designSetting(s): Midwestern trauma one academic medical centerParticipants: A total of 80 registered nurses working 12-hour day and night shifts participated in this study and completed momentary measures of fatigue (texting, aim one). Only 52 participants were included in aim two analyses (included activity monitoring, aim two).Methods: Occupational patterns of momentary fatigue was measured via ecological momentary assessments. Occupational physical activity and sedentary behaviors (e.g., step count, time spent sitting, standing, and walking) were measured for 14 continuous days using the ActivPAL3 micro activity monitor. Mixed models were used to examine the effects of shift type and time within a shift on occupational fatigue. General estimation equations were used to examine the relationship between time spent sitting, standing, and walking on fatigue.Results: Regardless of shift type, nurses exhibited a significant rise in fatigue; however, the rise was greater during night shifts compared to day shifts. Walking was positively associated with fatigue during day shifts, and negatively associated with fatigue during night shifts.Conclusions: The rise in fatigue was greater among nurses working night shifts compared to day shifts, which could place them at greater risk for fatigue-related consequences. The relationship between walking and fatigue was moderated by shift-type.Tweetable abstract: Nursing fatigue rises during 12-hour shifts, but the rise is greater for those working night shifts @DrRobertoBenzo |
| first_indexed | 2024-04-12T22:26:43Z |
| format | Article |
| id | doaj.art-e3f71929da6544cd988f014baf1eff4e |
| institution | Directory Open Access Journal |
| issn | 2666-142X |
| language | English |
| last_indexed | 2024-04-12T22:26:43Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Studies Advances |
| spelling | doaj.art-e3f71929da6544cd988f014baf1eff4e2022-12-22T03:14:08ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2022-12-014100076Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort studyRoberto M. Benzo0Amany Farag1Kara M. Whitaker2Qian Xiao3Lucas J. Carr4Department of Psychology, University of Miami, Miami, Florida 33136, United States of America; Department of Health & Human Physiology, University of Iowa, E102 Field House, Iowa City, Iowa 52242, United States of America; Corresponding author. Phone number: (412) 728-1156College of Nursing, University of Iowa, 101 College of Nursing Building; 50 Newton Road, Iowa City, Iowa 52242, United States of AmericaDepartment of Health & Human Physiology, University of Iowa, E102 Field House, Iowa City, Iowa 52242, United States of America; Department of Epidemiology, University of Minnesota, Minneapolis, Minnesota, United States of AmericaDepartment of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, United States of AmericaDepartment of Health & Human Physiology, University of Iowa, E102 Field House, Iowa City, Iowa 52242, United States of AmericaBackground: Fatigue is prevalent among hospital nurses and has been linked to medical errors and decreased patient safety. However, little is known regarding the relationship between occupational physical activity, sedentary behavior, and fatigue.Objective: To assess the impact of 12-hour shifts on nurses’ fatigue and its relationship to occupational physical activity and sedentary behavior.Design: Prospective-cohort study designSetting(s): Midwestern trauma one academic medical centerParticipants: A total of 80 registered nurses working 12-hour day and night shifts participated in this study and completed momentary measures of fatigue (texting, aim one). Only 52 participants were included in aim two analyses (included activity monitoring, aim two).Methods: Occupational patterns of momentary fatigue was measured via ecological momentary assessments. Occupational physical activity and sedentary behaviors (e.g., step count, time spent sitting, standing, and walking) were measured for 14 continuous days using the ActivPAL3 micro activity monitor. Mixed models were used to examine the effects of shift type and time within a shift on occupational fatigue. General estimation equations were used to examine the relationship between time spent sitting, standing, and walking on fatigue.Results: Regardless of shift type, nurses exhibited a significant rise in fatigue; however, the rise was greater during night shifts compared to day shifts. Walking was positively associated with fatigue during day shifts, and negatively associated with fatigue during night shifts.Conclusions: The rise in fatigue was greater among nurses working night shifts compared to day shifts, which could place them at greater risk for fatigue-related consequences. The relationship between walking and fatigue was moderated by shift-type.Tweetable abstract: Nursing fatigue rises during 12-hour shifts, but the rise is greater for those working night shifts @DrRobertoBenzohttp://www.sciencedirect.com/science/article/pii/S2666142X22000157AccelerometryEcological momentary assessmentsExerciseFatigueNursesOccupational health nursing |
| spellingShingle | Roberto M. Benzo Amany Farag Kara M. Whitaker Qian Xiao Lucas J. Carr Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort study International Journal of Nursing Studies Advances Accelerometry Ecological momentary assessments Exercise Fatigue Nurses Occupational health nursing |
| title | Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort study |
| title_full | Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort study |
| title_fullStr | Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort study |
| title_full_unstemmed | Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort study |
| title_short | Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort study |
| title_sort | examining the impact of 12 hour day and night shifts on nurses fatigue a prospective cohort study |
| topic | Accelerometry Ecological momentary assessments Exercise Fatigue Nurses Occupational health nursing |
| url | http://www.sciencedirect.com/science/article/pii/S2666142X22000157 |
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