ArticleInternational journal of environmental research and public health2018
Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Factors Influencing Nurses' Work-Life Balance: A Systematic Review of Challenges, Opportunities and Strategic Solutions for Healthcare Practice and Policy.Journal of nursing management · 2026Pooled it
- Exercise interventions for sleep and cognitive dysfunction in shift workers: a systematic review of randomized trials.Frontiers in public health · 2026Pooled it
- Disrupting the clock: meta-analysis of irregular night shifts and migraine, proposing shift work migraine disorder with chronobiology strategies.Frontiers in neurology · 2025Pooled it
- Occupational Risk for Coronary Artery Disease in Shift Workers - A Systematic Review.La Medicina del lavoro · 2024Pooled it
- Efficacy of intermittent exposure to bright light for treating maladaptation to night work on a counterclockwise shift work rotation.Scandinavian journal of work, environment & health · 2021Trial
- Observational
- Relationships among nomophobia behaviours, fear of missing out, and work immersion among Chinese nurses: a network analysis.BMC nursing · 2026Article
- Effects of Shift Work Type on Sleep Quality and Cortisol Regulation Among Nurses: A Prospective Observational Study.International journal of environmental research and public health · 2026Observational
- The double-edged sword of rotational shift work: a qualitative study of worker perceptions in Saudi Arabia.Frontiers in psychology · 2026Article
- Effects of Night Shifts on Sleep, Cognitive Performance, and Anxiety in Emergency Nurses: An Observational Within-Subject Study.Journal of nursing management · 2026Observational
- Unexplored dimension of shift work: the effects of late-early shifts on nurses and their wellbeing - a qualitative study.BMC nursing · 2025Article
- Emergency radiology: roadmap for radiology departments.Japanese journal of radiology · 2025Review
- Guidelines for Reducing the Adverse Effects of Shift Work on Nursing Staff: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Shift nurses' work quality and job satisfaction after implementing the Inha University hospital nursing AI scheduling system (IH-NASS).BMC nursing · 2025Article
- Circadian Disruption and Sleep Disorders in Astronauts: A Review of Multi-Disciplinary Interventions for Long-Duration Space Missions.International journal of molecular sciences · 2025Review
- Night shift work and breast cancer risk - 2023 update of epidemiologic evidence.Journal of the National Cancer Center · 2025Review
- Balancing act: exploring work-life balance among nursing home staff working long shifts.BMC nursing · 2024Article
- Design of overnight radiology shifts - primum non nocere.Emergency radiology · 2024Review
- Sleep Deprivation and Fatigue among Nurses Working Consecutive Night Shifts: A Prospective Observational Study.Journal of Korean Academy of Nursing · 2024Observational
- Sleep quality and fatigue among nurses working in high-acuity clinical settings in Saudi Arabia: a cross-sectional study.BMC nursing · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
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;
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