Impact of shift work on the health and safety of nurses and patients.

Ann Malone Berger, Barbara B. Hobbs

Research output: Contribution to journalReview article

98 Citations (Scopus)

Abstract

Shift work generally is defined as work hours that are scheduled outside of daylight. Shift work disrupts the synchronous relationship between the body's internal clock and the environment. The disruption often results in problems such as sleep disturbances, increased accidents and injuries, and social isolation. Physiologic effects include changes in rhythms of core temperature, various hormonal levels, immune functioning, and activity-rest cycles. Adaptation to shift work is promoted by reentrainment of the internally regulated functions and adjustment of activity-rest and social patterns. Nurses working various shifts can improve shift-work tolerance when they understand and adopt counter measures to reduce the feelings of jet lag. By learning how to adjust internal rhythms to the same phase as working time, nurses can improve daytime sleep and family functioning and reduce sleepiness and work-related errors. Modifying external factors such as the direction of the rotation pattern, the number of consecutive night shifts worked, and food and beverage intake patterns can help to reduce the negative health effects of shift work. Nurses can adopt counter measures such as power napping, eliminating overtime on 12-hour shifts, and completing challenging tasks before 4 am to reduce patient care errors.

Original languageEnglish (US)
Pages (from-to)465-471
Number of pages7
JournalClinical journal of oncology nursing
Volume10
Issue number4
DOIs
StatePublished - Aug 2006

Fingerprint

Patient Safety
Nurses
Health
Sleep
Activity Cycles
Social Adjustment
Food and Beverages
Social Isolation
Accidents
Patient Care
Emotions
Eating
Learning
Temperature
Wounds and Injuries

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

Impact of shift work on the health and safety of nurses and patients. / Berger, Ann Malone; Hobbs, Barbara B.

In: Clinical journal of oncology nursing, Vol. 10, No. 4, 08.2006, p. 465-471.

Research output: Contribution to journalReview article

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