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Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses

Author

Listed:
  • Dana Shiffer

    (Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy)

  • Maura Minonzio

    (Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy)

  • Franca Dipaola

    (Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy
    Biomedical Sciences Department, Humanitas University, 20089 Rozzano, Italy)

  • Mattia Bertola

    (Surgery Department, Borgomanero Hospital, ASL Novara, 28021 Borgomanero, Italy)

  • Antonio Roberto Zamuner

    (Departamento de Kinesiologia, Universidad Catolica del Maule, Talca 3480112, Chile)

  • Laura Adelaide Dalla Vecchia

    (IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milan, Italy)

  • Monica Solbiati

    (Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy)

  • Giorgio Costantino

    (Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy)

  • Raffaello Furlan

    (Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy
    Biomedical Sciences Department, Humanitas University, 20089 Rozzano, Italy)

  • Franca Barbic

    (Internal Medicine Humanitas Clinical and Research Center, 20089 Rozzano, Italy
    Biomedical Sciences Department, Humanitas University, 20089 Rozzano, Italy)

Abstract

Rotational shift work is associated with sleep disturbances, increased risk of cardiovascular and psychological disorders, and may negatively impact work–life balance. The direction of shift rotation (Clockwise, CW or counterclockwise, CCW) and its role in these disorders are poorly understood. The aim of the study was to investigate the effect of the shift schedule direction on sleep quantity and quality, alertness and work performance, and on work–life balance on hospital nurses. One-hundred female nurses, working a continuous rapid shift schedule in hospitals in the north of Italy, participated in this cross-sectional study. Fifty worked on CW rotation schedule (Morning: 6 a.m.–2 p.m., Afternoon: 2 p.m.–10 p.m., Night: 10 p.m.–6 a.m., 2 rest days) and fifty on CCW rotation (Afternoon, Morning, Morning, Night, 3 rest days). Data were collected by ad hoc questionnaire and daily diary. During the shift cycle CW nurses slept longer (7.40 ± 2.24 h) than CCW (6.09 ± 1.73; p < 0.001). CW nurses reported less frequently than CCW awakening during sleep (40% vs. 80%; p < 0.001), attention disturbance during work (20% vs. 64%; p < 0.001), and interference with social and family life (60% vs. 96% and 20% vs. 70%, respectively; p < 0.001). CCW rotating shift schedule seems to be characterized by higher sleep disturbances and a worse work–life balance.

Suggested Citation

  • Dana Shiffer & Maura Minonzio & Franca Dipaola & Mattia Bertola & Antonio Roberto Zamuner & Laura Adelaide Dalla Vecchia & Monica Solbiati & Giorgio Costantino & Raffaello Furlan & Franca Barbic, 2018. "Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses," IJERPH, MDPI, vol. 15(9), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:2038-:d:170518
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    Citations

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    Cited by:

    1. María del Carmen Pérez-Fuentes & María del Mar Molero Jurado & María del Mar Simón Márquez & José Jesús Gázquez Linares, 2019. "Analysis of Sociodemographic and Psychological Variables Involved in Sleep Quality in Nurses," IJERPH, MDPI, vol. 16(20), pages 1-14, October.
    2. Hsiu-Chin Hsu & Hsiu-Fang Lee & Mei-Hsiang Lin, 2021. "Exploring the Association between Sleep Quality and Heart Rate Variability among Female Nurses," IJERPH, MDPI, vol. 18(11), pages 1-13, May.
    3. Isa Okajima & Yoko Komada & Wakako Ito & Yuichi Inoue, 2021. "Sleep Debt and Social Jetlag Associated with Sleepiness, Mood, and Work Performance among Workers in Japan," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
    4. Cayetana Ruiz-Zaldibar & Beatriz Gal-Iglesias & Clara Azpeleta-Noriega & Montserrat Ruiz-López & David Pérez-Manchón, 2022. "The Effect of a Sleep Intervention on Sleep Quality in Nursing Students: Study Protocol for a Randomized Controlled Trial," IJERPH, MDPI, vol. 19(21), pages 1-11, October.
    5. M. Isabel Sánchez-Hernández & Óscar Rodrigo González-López & María Buenadicha-Mateos & Juan Luis Tato-Jiménez, 2019. "Work-Life Balance in Great Companies and Pending Issues for Engaging New Generations at Work," IJERPH, MDPI, vol. 16(24), pages 1-18, December.

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