ArticleScientific reports2019
The Impact of Shift Work on Sleep, Alertness and Performance in Healthcare Workers.
Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 194 papers, 11 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.
Piloting an Adaption of Cognitive Behavioral Therapy for Insomnia for Shift Workers (CBTI-Shift)
Developing a Sleep Health Intervention for Shift Workers
Who cites it
194 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Work schedule characteristics and sleepiness - a meta-analysis.Scandinavian journal of work, environment & health · 2026Pooled it
- Trends in Nurses' Sleep: A Meta-Regression Involving 219,245 Nurses From 45 Countries.Journal of nursing management · 2026Pooled it
- Association of non-standard working time arrangements with safety incidents: a systematic review.BMJ open · 2025Pooled it
- A systematic review and meta-analysis on light therapy for sleep disorders in shift workers.Scientific reports · 2025Pooled it
- Nurses' occupational fatigue level and risk factors: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Occupation-Induced Fatigue and Impacts on Emergency First Responders: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Interventions to improve the sleep of nurses: A systematic review.Research in nursing & health · 2023Pooled it
- Prevalence of sleep disorders among first responders for medical emergencies: A meta-analysis.Journal of global health · 2022Pooled it
- The impact of shift work schedules on PVT performance in naturalistic settings: a systematic review.International archives of occupational and environmental health · 2021Pooled it
- Meta-analysis of differences in sleep quality based on actigraphs between day and night shift workers and the moderating effect of age.Journal of occupational health · 2021Pooled it
- Working From Dusk to Dawn: A Joy or Nightmare.Orthopedic nursingPooled it
- The relationship between circadian type and physical activity as predictors of cognitive performance during simulated nightshifts: A randomised controlled trial.Chronobiology international · 2025Trial
- Effects ofNutrients · 2023Trial
- Effect of an Internet-Delivered Cognitive Behavioral Therapy-Based Sleep Improvement App for Shift Workers at High Risk of Sleep Disorder: Single-Arm, Nonrandomized Trial.Journal of medical Internet research · 2023Trial
- 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
- The effects of dynamic daylight-like light on the rhythm, cognition, and mood of irregular shift workers in closed environment.Scientific reports · 2021Trial
- The Sleepless Watch: Perceived Sleep Quality of Nurses Working in High-Intensity Settings.Nursing in critical care · 2026Article
- Mapping Movement Behaviors and Mental Health Among Frontline Workers: Scoping Review.JMIR public health and surveillance · 2026Article
- Health Challenges and Fatigue Among Female Night Shift Nurses: A Cross-Sectional Study.Nursing open · 2026Article
- Day-time split study for management of obstructive sleep apnoea: Proof of concept study.Lung India : official organ of Indian Chest Society · 2026Article
134 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Shift work is associated with impaired alertness and performance due to sleep loss and circadian misalignment. This study examined sleep between shift types (day, evening, night), and alertness and performance during day and night shifts in 52 intensive care workers. Sleep and wake duration between shifts were evaluated using wrist actigraphs and diaries. Subjective sleepiness (Karolinska Sleepiness Scale, KSS) and Psychomotor Vigilance Test (PVT) performance were examined during day shift, and on the first and subsequent night shifts (3
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Identifiers
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.