Observational studyJournal of nursing management2026
Effects of Night Shifts on Sleep, Cognitive Performance, and Anxiety in Emergency Nurses: An Observational Within-Subject Study.
Observational study in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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Who cites it
3 citing papers in PubMed.
- Shift Work and Psychological Distress Among Healthcare Workers: The Mediating Role of Sleep Quality and the Association with Job Dissatisfaction.Healthcare (Basel, Switzerland) · 2026Article
- Electroacupuncture improves neurocognitive impairment induced by chronic sleep deprivation: an experimental study based on hippocampal neurogenesis and synaptic plasticity.Frontiers in human neuroscience · 2026Article
- Effects of Night Shifts on Sleep, Cognitive Performance, and Anxiety in Emergency Nurses: An Observational Within-Subject Study.Journal of nursing management · 2026Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: To investigate the effects of night shifts (NS) on cerebral oxygenation, cognitive performance, and anxiety in emergency nurses and to examine the role of sleep duration in modulating these outcomes. Background: NS disrupt circadian rhythms, reduce sleep, and may impair prefrontal cortex function. Emergency nurses, who are exposed to high cognitive and emotional demands, are especially vulnerable to these disruptions, which may compromise psychological well-being, occupational performance, and patient safety. Method: A prospective, observational, within-subject, cross-over study was conducted in 67 emergency nurses. Each participant was evaluated both after completing a NS and during a day shift following a full night of rest at home (NR), with the order of assessments randomly assigned and separated by a 14-day washout period. Regional cerebral oxygenation (rSO Results: After NS, nurses showed a significant decline in rSO Conclusions: Reduced sleep during NS negatively affected cerebral oxygenation, cognitive performance, and emotional well-being in emergency nurses. Longer self-reported sleep did not necessarily confer cognitive benefits and may reflect inefficient or overestimated sleep. Implications for Nursing Management: Organizational strategies are needed to mitigate the adverse effects of NS work. Optimizing shift schedules, ensuring structured rest opportunities, and implementing programs aimed at reducing anxiety and supporting psychological well-being could help protect nurses' health, sustain performance, and improve patient safety.
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Registered trials
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