Evidence map›Paper›PMID 40458350›Full record

ReviewCureus2025

Effective Interventions for Reducing the Negative Effects of Night Shifts on Doctors' and Nurses' Health and Well-Being: A Systematic Review.

Michael Shakhloul, Ahmed Amer, Mina Zekry, Mohamed Elgewely, Abanoub Saleeb, Shenoda Ghobrial, Mario Zaghar A Shehata, Ibrahim Abouelkhir, Muhammad O Kamal, Bishoy Manqaryos and 4 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Diabetes in the Workplace: Risks and Remedies.Indian journal of endocrinology and metabolism
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Michael ShakhloulEmergency Medicine, Royal Surrey County Hospital, Guildford, GBR.
Ahmed AmerEmergency, Royal Surrey County Hospital, Guildford, GBR.
Mina ZekryTrauma and Orthopaedics, East Kent Hospitals University National Health Service (NHS) Foundation Trust, Margate, GBR.
Mohamed ElgewelyEmergency, Royal Surrey County Hospital, Guildford, GBR.
Abanoub SaleebGeneral Surgery, Guy's and St Thomas' National Health Service (NHS) Foundation Trust, London, GBR.
Shenoda GhobrialInternal Medicine, National Health Service (NHS), Gloucester, GBR.
Mario Zaghar A ShehataAdult Critical Care, St George's University Hospitals National Health Service (NHS) Foundation Trust, London, GBR.
Ibrahim AbouelkhirEmergency Medicine, Frimley Park Hospital, Frimley, GBR.
Muhammad O KamalEmergency, Royal Surrey County Hospital, Guildford, GBR.
Bishoy ManqaryosEmergency, Royal Surrey County Hospital, Guildford, GBR.
Mahmoud AbdulfattahEmergency Medicine, Royal Surrey County Hospital, Guildford, GBR.
Ahmed SyedEmergency, Royal Surrey County Hospital, Guildford, GBR.
David ShakhloulOrthopaedics, Suzan Mubarak Hospital, Minya, EGY.
Mina KamelEmergency, National Health Service (NHS), London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Working night shifts is a reality for many doctors and nurses, but it often comes at a cost to their sleep, alertness, and overall well-being. This systematic review looked at a wide range of strategies tested to ease these effects and support those working through the night. Across 74 studies, we explored interventions including bright light exposure, melatonin, dietary changes, scheduled naps, medications like modafinil and caffeine, and complementary approaches such as aromatherapy, exercise, and acupuncture. Bright and blue-enriched light, melatonin, modafinil, and napping stood out as consistently helpful in boosting alertness and sleep quality. Other interventions showed promise in certain settings, but were less consistent overall. These findings suggest that no single solution fits everyone, and that a personalized, flexible approach combining different strategies may work best. There's a clear need for more long-term, real-world studies to help healthcare professionals stay well while caring for others overnight.

Indexed as

healthcare work forcenight shiftoccupational health doctorshift work sleep disorders (swsd)shift work tolerancesleep problems

Identifiers

PMID40458350
PMCPMC12127892

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.