ArticleAnnals of medicine2023
Impact of sleep-wake features on fatigue among female shift work nurses.
Article in Annals of medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- Sleep hygiene practices and excessive fatigue among nurses working at comprehensive specialized hospitals in Northwest, Ethiopia.Sleep medicine: X · 2026Article
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- Relationships between shift work, mental workload, and needlestick injuries among nurses.BMC nursing · 2026Article
- A Systematic Review of Literature on the Association Among Sleep, Cortisol Level and Cardiovascular Health Within the Healthcare Shift Worker Population.Biomedicines · 2025Review
- Fear of future workplace violence and sleep quality in Chinese clinical nurses: the mediating role of anxiety and depression.BMC nursing · 2025Article
- Latent profile analysis of operating room nurses' occupational fatigue and its relationship with attentional control.BMC nursing · 2025Article
- Sleep and well-being before and after a shift schedule change in ICU nurses: an observational study using wearable sensors.Journal of occupational health · 2025Observational
- Enhancing Occupational Well-Being Among Chinese Nurses: Exploring the Mediation of Job Stress in the Relationship Between Social Support and Occupational Well-Being.Journal of nursing management · 2025Article
- The sleep quality and influencing factors among midwives in China: a cross-sectional study.Frontiers in public health · 2025Article
- Night shift and occupational fatigue among nurses who work 12 hours in Jeddah.Journal of education and health promotion · 2025Review
- The level and factors associated with caregiver experience among parents of children with cerebral palsy: a cross-sectional study in Southwest China.Frontiers in public health · 2025Article
- Article
- Heterogeneity of work alienation and its relationship with job embeddedness among Chinese nurses: a cross-sectional study using latent profile analysis.BMC nursing · 2024Article
- Sleep quality and fatigue among nurses working in high-acuity clinical settings in Saudi Arabia: a cross-sectional study.BMC nursing · 2024Article
- Research progress on assessment tools related to occupational fatigue in nurses: a traditional review.Frontiers in public health · 2024Review
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep disturbance and fatigue are prevalent in nurses. Little is known about the characteristics of shift work nurses' sleep-wake features and their subsequent impact on work performance. The study aimed to describe the characteristics of the sleep-wake index, reaction time, saliva cortisol level, and fatigue severity among female shift work nurses.
methodsThis is a cross-sectional exploratory study. A convenience sample of 152 female nurses (8-hour day-evening-night,
resultsAll nurses reported clinically significant fatigue severity. Compared with the 8-hour shift nurses, the 12-hour shift nurses had significantly more TST (456 vs. 364 min), higher saliva cortisol levels before the day shift (0.54 vs. 0.31), but longer reaction time before the night shift (286 vs. 277 ms). In both shifts, those with better CAR had significantly longer TST.
conclusionFemale nurses experienced fatigue and desynchronized CAR, especially nurses on a 12-hour shift. The CAR-friendly shift work schedule is needed to minimize the health and safety impacts of circadian misalignment for nurses.Key messagesThis is the first use of consecutive 7-day actigraphy data to explore the link between sleep disturbances as a stressor to CAR, salivary cortisol, and reaction time among clinical nurses.CAR may be a helpful indicator for overworked nurses, and it can serve as a modifiable target for interventions to enhance nurses' well-being.
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