ArticleJournal of clinical medicine2019
Not only a Problem of Fatigue and Sleepiness: Changes in Psychomotor Performance in Italian Nurses across 8-h Rapidly Rotating Shifts.
Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Work schedule characteristics and sleepiness - a meta-analysis.Scandinavian journal of work, environment & health · 2026Pooled it
- Working From Dusk to Dawn: A Joy or Nightmare.Orthopedic nursingPooled it
- Reduced but Reversible Brain Entropy After Occupational Partial Sleep Deprivation in Night-Shift Medical Staff.Brain and behavior · 2026Article
- The double-edged sword of rotational shift work: a qualitative study of worker perceptions in Saudi Arabia.Frontiers in psychology · 2026Article
- Nurses' Performance as a Mediator Between Nurses' Fatigue and Patient Safety Culture: A Structural Equation Model Analysis.Nursing open · 2025Article
- Impact of sleep-wake features on fatigue among female shift work nurses.Annals of medicine · 2023Article
- Consequences of Shift Work and Night Work: A Literature Review.Healthcare (Basel, Switzerland) · 2023Review
- Article
- Comparison of Sleep and Attention Metrics Among Nurses Working Shifts on a Forward- vs Backward-Rotating Schedule.JAMA network open · 2021Article
- Implications of Lifestyle and Occupational Factors on the Risk of Breast Cancer in Shiftwork Nurses.Healthcare (Basel, Switzerland) · 2021Article
- Article
- Poor Sleep Quality in Nurses Working or Having Worked Night Shifts: A Cross-Sectional Study.Frontiers in neuroscience · 2021Article
- Accuracy and knowledge in 12-lead ECG placement among nursing students and nurses: a web-based Italian study.Acta bio-medica : Atenei Parmensis · 2020Article
- Individual Circadian Preference, Shift Work, and Risk of Medication Errors: A Cross-Sectional Web Survey among Italian Midwives.International journal of environmental research and public health · 2020Article
- The application of the Theory of Planned Behaviour to prevent medication errors: a scoping review.Acta bio-medica : Atenei Parmensis · 2020Article
- Sleep and Mental Health among Paramedics from Australia and Saudi Arabia: A Comparison Study.Clocks & sleep · 2020Article
- Melatonin Is a Feasible, Safe, and Acceptable Intervention in Doctors and Nurses Working Nightshifts: The MIDNIGHT Trial.Frontiers in psychiatry · 2020Article
- Nurses and Night Shifts: Poor Sleep Quality Exacerbates Psychomotor Performance.Frontiers in neuroscience · 2020Article
- Shift Work and Burnout Among Oncology and Hematology Nurses in Palestinian Hospitals.SAGE open nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
Although many studies have detailed the consequences of shift work in nurses concerning health, fatigue, sleepiness, or medical errors, no study has been carried out trying to disentangle the contribution of sleepiness and fatigue associated to shift work from the attentional performance. The aim of this pilot study is (A) to investigate the effects of an 8-h rapidly rotating shift on fatigue and sleepiness among staff nurses and (B) how these factors affect their psychomotor performance. Fourteen nurses were selected for a within-subject cross-sectional study according to this sequence of shifts: morning⁻afternoon⁻night, which were compared as function of tiredness, sleepiness, and performance at the Psychomotor Vigilance Task (PVT). Subsequently, a within-subject Analysis of Covariance (ANCOVA) evaluated if the observed differences between shifts persist when the contribution of sleepiness is controlled. Our results clearly indicate that night shifts are associated with significant greater sleepiness and tiredness, and worsened performance at the PVT. As hypothesized, ANCOVA showed that these differences disappear when the contribution of sleepiness is controlled. Results point to a lower psychomotor performance in night compared to day shifts that depends on sleepiness. Hence, interventions to minimize the consequences of the night shift should consider a reduction of sleepiness.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.