Paramedics and the effects of shift work on sleep: a literature review: Table 1
Abstract
INTRODUCTION: This paper investigates the literature regarding the impact of shift work on prehospital emergency providers. While the issue of shift work has been thoroughly investigated in other health disciplines, this is not the case for the paramedic discipline, particularly in the Australian context. OBJECTIVE: To identify the literature available on prehospital providers regarding the effects of shift work on sleep. METHOD: Electronic databases used were the Cochrane Database of Systematic Reviews, Ovid MEDLINE, Proquest, AMED and CINAHL. The following MeSH terms and keywords with truncation were used in the search strategy: 'shift work'; 'sleep disorder'; 'sleep deprivation'; 'circadian rhythm'; 'fatigue'; 'occupational stress'. RESULTS: The electronic databases cited 226 articles, of which nine met the inclusion criteria with another three articles sourced from references in the retrieved papers. There is a lack of literature describing the effect of shift work on sleep in the prehospital arena, with only one paper exploring paramedics in the Australian setting. These findings suggest that further work is required to examine shift hours and workforce health and safety in the prehospital setting. CONCLUSIONS: Shift work can affect health and well-being on a variety of levels, both physiologically and psychologically, affecting aspects of work and personal life. Further research is warranted to prevent the issues of patient safety, work-related fatigue and the cumulative effects of shift work.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Operational realities can be exacerbated by fatigue, understaffing, and shift work.
“The operational realities can be exacerbated by fatigue, understaffing, and shift work [12,38,39,40,41,42].”
From Canadian Public Safety Personnel and Occupational Stressors: How PSP Interpret Stressors on Duty (2020) · cites this paper as [40]
Cites
Wall, A. (2000) · British Journal of Healthcare Management · doi:10.12968/bjhc.2000.6.9.19311 · Cited by 5,909 · see citing works
Alexander, D. A., & Klein, S. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.178.1.76 · Cited by 528 · see citing works
Acute and chronic job stressors among ambulance personnel: Predictors of health symptoms
van der Ploeg, E., & Kleber, R. J. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.suppl_1.i40 · Cited by 396 · see citing works
Circadian rhythm, shift work, and emergency medicine
Kuhn, G. J. (2001) · Annals of Emergency Medicine · doi:10.1067/mem.2001.111571 · Cited by 207 · see citing works
The Occupational Risk of Motor Vehicle Collisions for Emergency Medicine Residents
Steele, M. T., Ma, O. J., Watson, W. A., Thomas, H. A., & Muelleman, R. L. (1999) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.1999.tb01191.x · Cited by 175 · see citing works
Effect of Sleep Deprivation on Driving Safety in Housestaff
Marcus, C. L., & Loughlin, G. M. (1996) · SLEEP · doi:10.1093/sleep/19.10.763 · Cited by 170 · see citing works
Work schedules and fatigue: a prospective cohort study
Jansen, N., van Amelsvoort, L. G. P. M., Kristensen, T. S., van den Brandt, P. A., & Kant, I. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.suppl_1.i47 · Cited by 122 · see citing works
Aasa, U., Brulin, C., Ängquist, K., & Barnekow‐Bergkvist, M. (2005) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2005.00333.x · Cited by 116 · see citing works
Occupational Stress among Japanese Emergency Medical Technicians: Hyogo Prefecture
Okada, N., Ishii, N., Nakata, M., & Nakayama, S. (2005) · Prehospital and Disaster Medicine · doi:10.1017/s1049023x00002296 · Cited by 76 · see citing works
Work Hours and Reducing Fatigue-Related Risk: Good Research vs Good Policy
Dawson, D. E., & Zee, P. C. (2005) · JAMA · doi:10.1001/jama.294.9.1104 · Cited by 62 · see citing works
Young, K. M., & Cooper, C. L. (1997) · Health Manpower Management · doi:10.1108/09552069710184418 · Cited by 62 · see citing works
Goldstein, I. B., Jamner, L. D., & Shapiro, D. L. (1992) · Health Psychology · doi:10.1037//0278-6133.11.1.48 · Cited by 47 · see citing works
Work-Family Fit: The Impact of Emergency Medical Services Work on the Family System
Roth, S., & Moore, C. D. (2009) · Prehospital Emergency Care · doi:10.1080/10903120903144791 · Cited by 41 · see citing works
武山, 英., Itani, T., Tachi, N., Sakamura, O., MURATA, K., Inoue, T., Takanishi, T., Suzumura, H., & Niwa, S. (2009) · Journal of Occupational Health · doi:10.1539/joh.l7040 · Cited by 40 · see citing works
Management and the creation ofoccupational stressors in an Australian and a UK Ambulance Service
Mahony, K. (2001) · Australian Health Review · doi:10.1071/ah010135a · Cited by 34 · see citing works
Sleep debt and outside employment patterns in helicopter air medical staff working 24-hour shifts
Frakes, M. A., & Kelly, J. G. (2007) · Air Medical Journal · doi:10.1016/j.amj.2006.05.003 · Cited by 29 · see citing works
Allen, T. L., Delbridge, T. R., Stevens, M. H., et al. (2001) · Prehospital Emergency Care · doi:10.1080/10903120190939481 · Cited by 29 · see citing works
Shiftwork can seriously damage your health!
Fossey, E. (1990) · PubMed · Cited by 14 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Lawn, S., Roberts, L., Willis, E., Couzner, L., Mohammadi, L., & Goble, E. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02752-4 · Cited by 304 · see citing works
Hegg-Deloye, S., Brassard, P., Jauvin, N., Prairie, J., Larouche, D., Poirier, P., Tremblay, A., & Corbeil, P. (2014) · Emergency Medicine Journal · doi:10.1136/emermed-2012-201672 · Cited by 121 · see citing works
Canadian Public Safety Personnel and Occupational Stressors: How PSP Interpret Stressors on Duty
Ricciardelli, R., Czarnuch, S., Carleton, R. N., Gacek, J., & Shewmake, J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17134736 · Cited by 62 · see citing works
Mackinnon, K., Everett, T., Holmes, L., Smith, E., & Mills, B. (2020) · Australasian Journal of Paramedicine · doi:10.33151/ajp.17.764 · Cited by 32 · see citing works
The impact of working shifts: exploring the views of UK paramedics
Kirby, K., Moreland, S., & Pollard, J. (2016) · Journal of Paramedic Practice · doi:10.12968/jpar.2016.8.5.252 · Cited by 18 · see citing works
Exploring factors associated with paramedic work-related psychological injury through data linkage
Kearney, J., Muir, C., Smith, K., & Meadley, B. (2023) · Journal of Safety Research · doi:10.1016/j.jsr.2023.05.012 · Cited by 10 · see citing works
- Authors
- Sofianopoulos, S., Williams, B., & Archer, F.
- Affiliations
- Monash University (AU)
- Corresponding author
- Williams, Brett
- ORCID
- Williams, Brett
- Venue
- Emergency Medicine Journal
- Publisher
- BMJ
- Published
- 2010-10-18
- Volume
- 29
- Issue
- 2
- Pages
- 152-155
- ISSN
- 1351-0622 (ISSN-L)
- 1472-0205
- 1472-0213
- OpenAlex
- W2006685711
- Cited by
- 71
- References
- 18
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 8 · 2023: 10 · 2022: 2 · 2021: 7 · 2020: 9 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 4
- FWCI
- 3.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Emergency Medicine Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- shift work, paramedics, prehospital care, sleep deprivation, sleep disorders, circadian rhythm, fatigue, occupational stress, patient safety
- MeSH terms
- Emergency Medical Technicians, Fatigue, Humans, Occupational Diseases, Stress, Psychological, Work Schedule Tolerance, Workload, Sleep Disorders, Circadian Rhythm
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review