Korean J Adult Nurs.  2017 Apr;29(2):190-199. 10.7475/kjan.2017.29.2.190.

Differences in Sleep, Fatigue, and Neurocognitive Function between Shift Nurses and Non-shift Nurses

Affiliations
  • 1Samsung Medical Center, Seoul, Korea.
  • 2College of Nursing · Research Institute of Nursing Science, Seoul National University, Seoul, Korea. drdemian@snu.ac.kr

Abstract

PURPOSE
The purpose of this study was to investigate the differences in sleep, fatigue, and neurocognitive function between shift nurses and non-shift nurses.
METHODS
A cross-sectional descriptive study design was used. A total of 100 nurses participated in the study. 50 were shift nurses and the remaining 50 were non-shift nurses. The Pittsburgh Sleep Quality Index, Fatigue Severity Scale, and a computerized neurocognitive function test (CNS Vital Signs-VS4) were administered to the subjects to assess verbal and visual memory, processing speed, reaction time, and simple attention. After the last night shift, the shift nurse conducted the study at around 8:00 am and the non-shift nurse participated after work.
RESULTS
Compared to non-shift nurses, shift nurses had a significantly lower sleep quality (p=.002) and higher fatigue (p=.001) and achieved significantly lower scores on verbal memory (p=.001), processing speed (p=.003), and reaction time (p=.018). There were significant correlations between sleep quality and processing speed (p=.042), and reaction time (p=.015) of shift nurses who were bad sleepers.
CONCLUSION
This study findings suggest shift work could interfere with cognitive function. Personal and organizational programs should be developed to support their sleep and neurocognitive function.


MeSH Terms

Cognition
Fatigue*
Humans
Memory
Reaction Time

Cited by  1 articles

Factors Affecting Sleep Quality of Clinical Nurses Working in a Hospital
Minjeong An, JinShil Kim, Seongkum Heo, Seon Hee Kim, Yoon Young Hwang
Korean J Adult Nurs. 2018;30(2):126-135.    doi: 10.7475/kjan.2018.30.2.126.


Reference

1. Edéll-Gustafsson UM, Kritz EI, Bogren IK. Self reported sleep quality, strain and health in relation to perceived working conditions in females. Scandinavian Journal of Caring Sciences. 2002; 16(2):179–87. https://doi.org/10.1046/j.1471-6712.2002.00078.x.
2. Han KS, Park EY, Park YH, Lim HS, Lee EM, Kim L, et al. Factors influencing sleep quality in clinical nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011; 20(2):121–31. https://doi.org/10.12934/jkpmhn.2011.20.2.121.
Article
3. Harris A, Waage S, Ursin H, Hansenå M, Bjorvatn B, Eriksen HR. Cortisol, reaction time test and health among offshore shift workers. Psychoneuroendocrinology. 2010; 35(9):1339–47. https://doi.org/10.1016/j.psyneuen.2010.03.006.
Article
4. Kunert K, King ML, Kolkhorst FW. Fatigue and sleep quality in nurses. Journal of Psychosocial Nursing and Mental Health Services. 2007; 45(8):30–7.
5. Moon IO, Lee YJ. Factors influencing fatigue, physical health status and negative affectivity in shift-working nurses. Womens' Studies Forum. 2015; 25(3):45–68.
6. Lee KS, Kwon IS, Cho YC. Relationships between quality of sleep and job stress among nurses in a university hospital. Journal of the Korea Academia-Industrial cooperation Society. 2011; 12(8):3523–31. https://doi.org/10.5762/KAIS.2011.12.8.3523.
Article
7. Yi YH, Choi SJ. Association of sleep characteristics with medi-cation errors for shift work nurses in intensive care units. Journal of Korean Academy of Fundamentals of Nursing. 2014; 21(4):403–12. https://doi.org/10.7739/jkafn.2014.21.4.403.
Article
8. Kim MS, Kim JR, Park KS, Kang YS, Choe MSP. Associations between sleep quality, daytime sleepiness, with perceived errors during nursing work among hospital nurses. Journal of Agricultural Medicine and Community Health. 2013; 38(4):229–42. https://doi.org/10.5393/jamch.2013.38.4.229.
Article
9. Rouch I, Wild P, Ansiau D, Marquié JC. Shiftwork experience, age and cognitive performance. Ergonomics. 2005; 48(10):1282–93. https://doi.org/10.1080/00140130500241670.
Article
10. Lee JT, Lee KJ, Park JB, Lee KW, Jang KY. The relations between shiftwork and sleep disturbance in a university hospital nurses. Korean Journal of Occupational and Environmental Medicine. 2007; 19(3):223–30.
Article
11. Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Miyake T, Harano S, et al. Mental health status, shift work, and occupational acci-dents among hospital nurses in Japan. Journal of Occupational Health. 2004; 46(6):448–54. https://doi.org/10.1539/joh.46.448.
Article
12. Curcio G, Ferrara M, De Gennaro L. Sleep loss, learning ca-pacity and academic performance. Sleep Medicine Reviews. 2006; 10(5):323–37. https://doi.org/10.1016/j.smrv.2005.11.001.
Article
13. Åkerstedt T, Wright KP. Sleep loss and fatigue in shift work and shift work disorder. Sleep Medicine Clinics. 2009; 4(2):257–71. https://doi.org/10.1016/j.jsmc.2009.03.001.
Article
14. Shin SW, Kim SH. Influence of health-promoting behaviors on quality of sleep in rotating-shift nurses. Journal of Korean Academy of Fundamentals of Nursing. 2014; 21(2):123–30. https://doi.org/10.7739/jkafn.2014.21.2.123.
Article
15. Lin SH, Liao WC, Chen MY, Fan JY. The impact of shift work on nurses' job stress, sleep quality and self perceived health status. Journal of Nursing Management. 2014; 22(5):604–12. https://doi.org/10.1111/jonm.12020.
16. Dorrian J, Tolley C, Lamond N, van den Heuvel C, Pincombe J, Rogers AE, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Applied Ergonomics. 2008; 39(5):605–13. https://doi.org/10.1016/j.apergo.2008.01.012.
Article
17. Machi MS, Staum M, Callaway CW, Moore C, Jeong K, Suya-ma J, et al. The relationship between shift work, sleep, and cognition in career emergency physicians. Academic Emergency Medicine. 2012; 19(1):85–91. https://doi.org/10.1111/j.1553-2712.2011.01254.x.
Article
18. Rollinson DC, Rathlev NK, Moss M, Killiany R, Sassower KC, Auerbach S, et al. The effects of consecutive night shifts on neuropsychological performance of interns in the emergency department: a pilot study. Annals of Emergency Medicine. 2003; 41(3):400–6. https://doi.org/10.1067/mem.2003.77.
Article
19. Kim HJ, Lee JH, Choi KG, Park KD, Chung EJ, Kim EJ, et al. Effects of sleep deprivation on attention and working memory in medical residents and interns. Journal of Korean Sleep Research Society. 2006; 3(2):85–92. https://doi.org/10.13078/jksrs.06015.
Article
20. Özdemir PG, Selvi Y, Özkol H, Aydin A, Tülüce Y, Boysan M, et al. The influence of shift work on cognitive functions and ox-idative stress. Psychiatry Research. 2013; 210(3):1219–25. https://doi.org/10.1016/j.psychres.2013.09.022.
Article
21. San Chang Y, Wu YH, Hsu CY, Tang SH, Yang LL, Su SF. Impairment of perceptual and motor abilities at the end of a night shift is greater in nurses working fast rotating shifts. Sleep Medicine. 2011; 12(9):866–9. https://doi.org/10.1016/j.sleep.2011.03.018.
22. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989; 28(2):193–213. https://doi.org/10.1016/0165-1781(89)90047-4.
Article
23. Krupp LB, LaRocca NG, Muir Nash J, Steinberg AD. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology. 1989; 46(10):1121–3. https://doi.org/10.1001/archneur.1989.00520460115022.
24. Gualtieri CT, Johnson LG. Reliability and validity of a computerized neurocognitive test battery, CNS Vital Signs. Archives of Clinical Neuropsychology. 2006; 21(7):623–43. https://doi.org/10.1016/j.acn.2006.05.007.
Article
25. Åkerstedt T. Shift work and disturbed sleep/wakefulness. Occupational Medicine. 2003; 53(2):89–94. https://doi.org/10.1093/occmed/kqg046.
Article
26. Garde AH, Hansenå M, Hansen J. Sleep length and quality, sleepiness and urinary melatonin among healthy Danish nurses with shift work during work and leisure time. International Archives of Occupational and Environmental Health. 2009; 82(10):1219–28. https://doi.org/10.1007/s00420-009-0419-4.
Article
27. Hong EJ, Choi Kwon S. Effects of sleep and fatigue on soldiers health promoting behaviors in Korean army. Korean Journal of Adult Nursing. 2016; 28(1):106–15. https://doi.org/10.7475/kjan.2016.28.1.106.
Article
28. Kleinman L, Zodet MW, Hakim Z, Aledort J, Barker C, Chan K, et al. Psychometric evaluation of the fatigue severity scale for use in chronic hepatitis C. Quality of Life Research. 2000; 9(5):499–508. https://doi.org/10.1023/A:1008960710415.
29. Kazemi R, Haidarimoghadam R, Motamedzadeh M, Golmo-hammadi R, Soltanian A, Zoghipayar MR. Effects of shift work on cognitive performance, sleep quality, and sleepiness among petrochemical control room operators. Journal of Circadian Rhythms. 2016; 14(1):1–8. https://doi.org/10.5334/jcr.134.
Article
30. Durmer JS, Dinges DF. Neurocognitive consequences of sleep deprivation. Semin Neurol. 2005; 25(1):117–29. https://doi.org/10.1055/s-2005-867080.
Article
Full Text Links
  • KJAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2023 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr