Evidence map›Paper›PMID 41351114›Full record

ArticleBMC nursing2025

Unexplored dimension of shift work: the effects of late-early shifts on nurses and their wellbeing - a qualitative study.

Uchita Karki, Hila Ariela Dafny

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

2 authors.

Uchita KarkiCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia. Uchita.karki@flinders.edu.au.ORCID http://orcid.org/0009-0006-4128-2106
Hila Ariela DafnyCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-8660-8505

Funding

Flinders University Caring Futures Institute (CFI) CNHS Project 11682
6 · The paper itself

Abstract

aimTo investigate nurses' perceptions of the effects of late-early shifts on their overall wellbeing including physical and mental health.

backgroundNurses work long hour shifts with short breaks in between to provide 24-hour care in a healthcare setting. Little is known about nurses' perception of counterclockwise (CCW) rotating shifts, mainly the late-early shift. This study delves into nurses' views on late-early shifts in three South Australian private hospitals.

designAn exploratory, qualitative design.

methodsFour focus group interviews, each with five nurses from three private hospitals in South Australia, were conducted post-ethical approval. Qualitative data underwent manual thematic analysis using an inductive approach.

resultsParticipants reported impacts on physical and mental health, unhealthy food habits, and social and work environment challenges associated with late-early shifts. These effects may be mitigated through interventions like extended breaks between shifts, reduced workload, and additional support.

conclusionsThe late-early shift has detrimental effects on nurses' wellbeing. This led nurses to opt for casual work, practice "quiet quitting," or pursue nursing roles that accommodate their preferred shift schedules. IMPLICATIONS FOR NURSING MANAGEMENT: Research indicates that well-rested nurses provide quality patient care and improve health outcomes. Optimal scheduling and incentives play a vital role in enhancing nurses' health and retention of the nursing workforce. NO PATIENT OR PUBLIC CONTRIBUTION: This paper explicitly explores the experience of nurses working late-early shifts in private hospitals in South Australia. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

AnxietyFocus groupsHospitalJob satisfactionMental healthNursing staffOccupational stressRotating shift workSleep-qualityWellbeing

Identifiers

PMID41351114
PMCPMC12797889

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.