ArticleScientific reports2021
A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
What it found
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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
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Work schedule characteristics and sleepiness - a meta-analysis.Scandinavian journal of work, environment & health · 2026Pooled it
- The prevalence and effect of poor sleep amongst paramedics: a systematic review.Occupational medicine (Oxford, England) · 2025Pooled 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
- Occupation-Induced Fatigue and Impacts on Emergency First Responders: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Improving sleep health in paramedics through an app-based intervention: a randomised waitlist control pilot trial.BMC public health · 2024Trial
- Association Between Shift Work and Mental Health and Sleep Outcomes in Working Adults: A Systematic Review.Cureus · 2026Review
- Uncovering the pattern of physical behaviours among Swedish ambulance personnel: is the type of work shift important?BMC public health · 2026Observational
- Australian paramedics' perceptions of reasonable overtime: a Delphi study.BMC health services research · 2025Article
- Self-Regulation Mediates the Relationship Between Stress and Quality of Life in Shift-Working Healthcare Professionals: Behavioral Clustering Insights.European journal of investigation in health, psychology and education · 2025Article
- Lifestyle Dimensions of Public Safety Personnel Families: There's No Life Like It.Journal of occupational rehabilitation · 2025Review
- Personalized Physician-Assisted Sleep Advice for Shift Workers: Algorithm Development and Validation Study.JMIR formative research · 2025Article
- Associations between paramedics' salutogenic health experience and the intention to stay in the profession: A cross-sectional survey.Nursing open · 2024Article
- A RIEMANN MANIFOLD MODEL FRAMEWORK FOR LONGITUDINAL CHANGES IN PHYSICAL ACTIVITY PATTERNS.The annals of applied statistics · 2023Article
- Effectiveness of gamified team competition as mHealth intervention for medical interns: a cluster micro-randomized trial.NPJ digital medicine · 2023Article
- Effects of environmental and genetic interactions on job burnout in coal miners: interactions between occupational stress, coping styles, andFrontiers in public health · 2023Article
- Recovery from shift work.Frontiers in neurology · 2023Review
- Article
- Factors affects the performance of red crescent paramedics, Bisha, Saudi Arabia.Journal of family medicine and primary care · 2022Article
- Executive Performance Is Associated With Rest-Activity Rhythm in Nurses Working Rotating Shifts.Frontiers in neuroscience · 2022Article
- Implications of Lifestyle and Occupational Factors on the Risk of Breast Cancer in Shiftwork Nurses.Healthcare (Basel, Switzerland) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Paramedics working on a rotating shift are at an increased risk of developing chronic health issues due to continuous circadian rhythm disruption. The acute effects of shift rotation and objectively measured sleep have rarely been reported in paramedics. This study investigated the relationships between a rotating shift schedule and sleep (using actigraphy), subjective reports of sleepiness, mood, stress and fatigue. Galvanic Skin Response, energy expenditure and physical activity (BodyMedia SenseWear Armband) were also recorded across the shift schedule. Paramedics were monitored for a period of eight consecutive days across pre-shift, day shift, night shift, and 2 days off. Fifteen paramedics (M age = 39.5 and SD = 10.7 years) who worked rotational shifts experienced sleep restriction during night shift compared to pre-shift, day shift and days off (p < 0.001). Night shift was also associated with higher levels of stress (p < 0.05), fatigue (p < 0.05), and sleepiness (p < 0.05). One day off was related to a return to pre-shift functioning. Such shift-related issues have a compounding negative impact on an already stressful occupation with high rates of physical and mental health issues. Therefore, there is an urgent need to investigate methods to reduce rotating shift burden on the health of paramedics. This could be through further research aimed at providing recommendations for shift work schedules with sufficient periods for sleep and recovery from stress.
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Registered trials
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