Sleep and psychomotor vigilance in female shiftworkers
Abstract
The purpose of this study was to evaluate the relationships between sleep and psychomotor vigilance in female nurses and the changes in these variables over time. Participants comprised 16 staff registered nurses (10 day, 6 night; aged 30-65 years [M = 47.6; SD = 8.1]) who wore wrist actigraphs continuously and completed a 10-min psychomotor vigilance test (PVT-192, Ambulatory Monitoring, Inc., Ardsley, New York) and the Stanford Sleepiness Scale (SSS) in their homes before and after work for three consecutive 24-hr periods. Repeated measures ANOVA revealed that night nurses slept significantly less than day nurses, F(1, 15) = 26.06, p ≤ .001; M = 227.88 ± 37.03 min versus M = 365.75 ± 59.01 min, respectively, daily for three consecutive days. Night nurses napped more frequently and had more changes in the length of their main sleep periods than day nurses. Day nurses reported more wake episodes during main sleep periods. Night nurses were sleepier after work than day nurses; both groups had increased sleepiness after work for the first 2 days and similar psychomotor vigilance test results. These findings suggest that sleep deprivation, irregular sleep patterns, and sleepiness are significant issues for shiftworking nurses. Future study of the characteristics of sleep and sleepiness in a larger sample would be useful to evaluate the focus for interventions to improve sleep and alertness in shiftworking nurses.
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For nurses, shift work and long work hours are related to adverse health outcomes and indicators of reduced functioning.
“For nurses, shift work and long work hours have been shown to be related to adverse health outcomes and indicators of reduced functioning.208–217”
From Sleep, Health, and Society (2017) · cites this paper as [209]
Cites
Internet, Mail, and Mixed-Mode Surveys: The Tailored Design Method
Dillman, D. A., Smyth, J. D., & Christian, L. M. (2008) · Cited by 5,354 · see citing works
Principles and Practice of Sleep Medicine
Kryger, M. H., Roth, T. G., & Dement, W. C. (2011) · Elsevier eBooks · doi:10.1016/c2009-0-59875-3 · Cited by 5,118 · see citing works
Dinges, D. F., Pack, F. M., Williams, K., Gillen, K. A., Powell, J. W., Ott, G. E., Trasande, C. A., & Pack, A. I. (1997) · SLEEP · doi:10.1093/sleep/20.4.267 · Cited by 2,018 · see citing works
Dinges, D. F., & Powell, J. W. (1985) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03200977 · Cited by 1,750 · see citing works
Guidelines for the Multiple Sleep Latency Test (MSLT): A Standard Measure of Sleepiness
Carskadon, M. A. (1986) · SLEEP · doi:10.1093/sleep/9.4.519 · Cited by 1,607 · see citing works
Normal Human Sleep: An Overview
Carskadon, M. A., & Dement, W. C. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50009-4 · Cited by 1,161 · see citing works
Morgenthaler, T., Alessi, C., Friedman, L., Owens, J., Kapur, V., Boehlecke, B., Brown, T., Chesson, A., Coleman, J., Lee-Chiong, T., et al. (2007) · Sleep · doi:10.1093/sleep/30.4.519 · Cited by 1,142 · see citing works
The Working Hours Of Hospital Staff Nurses And Patient Safety
Rogers, A. E., Hwang, W.-T., Scott, L. D., Aiken, L. H., & Dinges, D. F. (2004) · Health Affairs · doi:10.1377/hlthaff.23.4.202 · Cited by 952 · see citing works
Littner, M. R., Kushida, C. A., Anderson, W. M., Bailey, D. R., Berry, R. B., Davila, D., Hirshkowitz, M., Kapen, S., KRAMER, M. L., Loube, D. I., et al. (2003) · SLEEP · doi:10.1093/sleep/26.3.337 · Cited by 688 · see citing works
Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses.
Gold, D. R., Rogacz, S., Bock, N., Tosteson, T. D., Baum, T., Speizer, F. E., & Czeisler, C. A. (1992) · American Journal of Public Health · doi:10.2105/ajph.82.7.1011 · Cited by 516 · see citing works
Jewett, M. E., Dijk, D., Kronauer, R. E., & Dinges, D. F. (1999) · SLEEP · doi:10.1093/sleep/22.2.171 · Cited by 352 · see citing works
Temporal Placement of a Nap for Alertness: Contributions of Circadian Phase and Prior Wakefulness
Dinges, D. F., Orne, M. T., Whitehouse, W. G., & Orne, E. C. (1987) · SLEEP · doi:10.1093/sleep/10.4.313 · Cited by 311 · see citing works
Issues of Validity in Actigraphic Sleep Assessment
Tryon, W. W. (2004) · SLEEP · doi:10.1093/sleep/27.1.158 · Cited by 308 · see citing works
The Standard Shiftwork Index: a battery of questionnaires for assessing shiftwork-related problems
Barton, J., Spelten, E. R., Totterdell, P., Smith, L., Folkard, S., & Costa, G. (1995) · Work & Stress · doi:10.1080/02678379508251582 · Cited by 308 · see citing works
Comparison of Sleep Parameters from Actigraphy and Polysomnography in Older Women: The SOF Study
Blackwell, T., Redline, S. S., Ancoli‐Israel, S., Schneider, J. L., Surovec, S. A., Johnson, N. L., Cauley, J. A., & Stone, K. L. (2008) · SLEEP · doi:10.1093/sleep/31.2.283 · Cited by 292 · see citing works
The history and use of the Stanford sleepiness scale
Hoddes, E. (1971) · Psychophysiology · Cited by 282 · see citing works
Biologic Rhythms in Clinical and Laboratory Medicine
(1992) · Springer eBooks · doi:10.1007/978-3-642-78734-8 · Cited by 281 · see citing works
Sleep loss and daytime sleepiness in the general adult population of Japan
Liu, X., Uchiyama, M., Kim, K., Okawa, M., Shibui, K., Kudo, Y., Doi, Y., Minowa, M., & Ogihara, R. (2000) · Psychiatry Research · doi:10.1016/s0165-1781(99)00119-5 · Cited by 278 · see citing works
Reliability of Sleep Diaries for Assessment of Sleep/Wake Patterns
Rogers, A. E., Caruso, C. C., & Aldrich, M. S. (1993) · Nursing Research · doi:10.1097/00006199-199311000-00010 · Cited by 176 · see citing works
Sleep and errors in a group of Australian hospital nurses at work and during the commute
Dorrian, J., Tolley, C., Lamond, N., van den Heuvel, C. J., Pincombe, J. I., Rogers, A. E., & Dawson, D. E. (2008) · Applied Ergonomics · doi:10.1016/j.apergo.2008.01.012 · Cited by 166 · see citing works
The prevalence and nature of errors and near errors reported by hospital staff nurses
Balas, M. C., Scott, L. D., & Rogers, A. E. (2004) · Applied Nursing Research · doi:10.1016/j.apnr.2004.09.002 · Cited by 146 · see citing works
The Effects of On-Duty Napping on Intern Sleep Time and Fatigue
Arora, V. M., Dunphy, C., Chang, V. Y., Ahmad, F., Humphrey, H. J., & Meltzer, D. O. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-11-200606060-00005 · Cited by 144 · see citing works
Correlates of fatigue in critical care nurses
Ruggiero, J. S. (2003) · Research in Nursing & Health · doi:10.1002/nur.10106 · Cited by 139 · see citing works
Self-citationBabkoff, H., Caspy, T., Hishikawa, Y., & Mikulincer, M. (1991) · Sleep · doi:10.1093/sleep/14.6.534 · Cited by 128 · see citing works
Rotating Shiftwork Schedules: Can We Enhance Physician Adaptation to Night Shifts?
Smith‐Coggins, R., Rosekind, M. R., Buccino, K. R., Dinges, D. F., & Moser, R. P. (1997) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.1997.tb03658.x · Cited by 127 · see citing works
Conway, P. M., Campanini, P., Sartori, S., Dotti, R., & Costa, G. (2008) · Applied Ergonomics · doi:10.1016/j.apergo.2008.01.007 · Cited by 119 · see citing works
Vigilance decrement and sleepiness.
Kribbs, N. B., & Dinges, D. F. (1994) · American Psychological Association eBooks · doi:10.1037/10166-007 · Cited by 111 · see citing works
Sleep Homeostasis and Models of Sleep Regulation
Borbély, A. A., & Achermann, P. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50040-9 · Cited by 104 · see citing works
Rollinson, D. C., Rathlev, N. K., Moss, M. B., Killiany, R., Sassower, K., Auerbach, S. H., & Fish, S. S. (2003) · Annals of Emergency Medicine · doi:10.1067/mem.2003.77 · Cited by 101 · see citing works
Sleep Loss and Performance of Anaesthesia Trainees and Specialists
Gander, P. H., Millar, M., Webster, C. S., & Merry, A. (2008) · Chronobiology International · doi:10.1080/07420520802551428 · Cited by 90 · see citing works
A field study of sleep and fatigue in a regular rotating 12-h shift system
Baulk, S. D., Fletcher, A., Kandelaars, K. J., Dawson, D. E., & Roach, G. D. (2008) · Applied Ergonomics · doi:10.1016/j.apergo.2008.06.003 · Cited by 86 · see citing works
The Impact of Sleep Timing and Bright Light Exposure on Attentional Impairment during Night Work
Santhi, N., Aeschbach, D., Horowitz, T. S., & Czeisler, C. A. (2008) · Journal of Biological Rhythms · doi:10.1177/0748730408319863 · Cited by 84 · see citing works
An Interventional Approach for Patient and Nurse Safety
Scott, L. D., Hofmeister, N., Rogness, N., & Rogers, A. E. (2010) · Nursing Research · doi:10.1097/nnr.0b013e3181de9116 · Cited by 78 · see citing works
The sensitivity of a palm-based psychomotor vigilance task to severe sleep loss
Lamond, N., Jay, S. M., Dorrian, J., Ferguson, S. A., Roach, G. D., & Dawson, D. E. (2008) · Behavior Research Methods · doi:10.3758/brm.40.1.347 · Cited by 71 · see citing works
Sleep duration and sleep-related problems in different occupations in the Hordaland Health Study
Ursin, R., Baste, V., & Moen, B. E. (2009) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1325 · Cited by 67 · see citing works
Circadian Rhythms in Mammals: Formal Properties and Environmental Influences
Mistlberger, R. E., & Rusak, B. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50034-3 · Cited by 63 · see citing works
Interaction of Sleep Homeostasis and Circadian Rhythmicity: Dependent or Independent Systems?
Dijk, D., & Franken, P. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50041-0 · Cited by 62 · see citing works
Principles of Clinical Chronobiology
Haus, E. L., & Touitou, Y. (1992) · Springer eBooks · doi:10.1007/978-3-642-78734-8_2 · Cited by 61 · see citing works
Circadian Rhythms in Sleepiness, Alertness, and Performance
Dongen, H. P. A. V., & Dinges, D. F. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50042-2 · Cited by 46 · see citing works
Agreement rates for sleep/wake judgments obtained via accelerometer and sleep diary: A comparison
Kawada, T. (2008) · Behavior Research Methods · doi:10.3758/brm.40.4.1026 · Cited by 45 · see citing works
Monk, T. H. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50063-x · Cited by 41 · see citing works
Health and performance factors in health care shift workers.
DeMoss, C., McGrail, M. P., Haus, E. L., et al. (2004) · PubMed · Cited by 36 · see citing works
Managing Work Schedules: An Alertness and Safety Perspective
Rosekind, M. R. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50064-1 · Cited by 26 · see citing works
Mitler, M. M., Carskadon, M. A., & Hirshkowitz, M. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50127-0 · Cited by 13 · see citing works
The effect of age on sleep/wake behavior of shift workers assessed by wrist actigraphy
Seo, Y.-J., Matsumoto, K., Moon, S.-K., & Hayasaka, M. (2005) · Biological Rhythm Research · doi:10.1080/09291010500051808 · Cited by 4 · see citing works
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Boivin, D. B., Boudreau, P., James, F. O., & Kin, N. M. K. N. Y. (2012) · Chronobiology International · doi:10.3109/07420528.2012.675257 · Cited by 95 · see citing works
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“…for the internal rhythm to adjust, especially in the case of rotating schedules or weekends off (Bannai & Tamakoshi, 2014; Cheng et al., 2014; Darwent et al., 2012; Guyette et al., 2013; Lin et al., 2012; Machi et al., 2012; Roenneberg et al., 2013; Ruggiero et al., 2012; Walia et al., 2012).”
Background
- Authors
- Ruggiero, J. S., Redeker, N. S., Fiedler, N., Avi-Itzhak, T., & Fischetti, N.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Yale University (US)
- Robert Wood Johnson Medical School, University of Medicine and Dentistry of NJ, Piscataway, NJ, USA
- York College, City University of New York (US)
- College of Staten Island (US)
- Venue
- Biological Research For Nursing
- Publisher
- SAGE Publications
- Published
- 2011-06-27
- Volume
- 14
- Issue
- 3
- Pages
- 225-235
- ISSN
- 1099-8004 (ISSN-L)
- 1552-4175
- OpenAlex
- W2001714604
- Cited by
- 26
- References
- 45
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 1 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 2.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Research For Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- shift work, female nurses, sleep deprivation, psychomotor vigilance, sleepiness, night shift work, day shift, napping, irregular sleep patterns, alertness, actigraphy
- MeSH terms
- Adult, Aged, Analysis of Variance, Attention, Female, Humans, Middle Aged, Nurses, Psychomotor Performance, Reaction Time, Work Schedule Tolerance
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